ICD*9CM Volume 1 DISEASES TABULAR LIST A se. Sh Volume 1 Volume 2 Volume 3 Diseases: Tabular List Diseases: Alphabetic Index Procedures: Tabular List and Alphabetic Index |THE INTERNATIONAL CLASSIFICATION OF DISEASES 9TH REVISION O CLINICAL MODIFICATION . Volume 1 DISEASES TABULAR LIST. SECOND EDITION—September 1980 . A ———————————y — DHHS Publication No. (PHS) 80-1260 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service—Health Care Financing Administration (2 sor F225 PUBLIC HZALTH For sale by the Superintendent of Documents, U.S. Government Printing Office Washington, D.C. 20402 NAS & CP FOREWORD ph On behalf of the National Committee on Vital and Health Statistics, I am pleased to reaffirm the endorsement of the ICD-9-CM made by the National Committee at the time of the 1979 edition of that classification. The book has already proven useful in standardizing disease classification throughout the United States, and it stands as a significant achievement of the many clinicians, statisticians, epidemiologists, and nosologists who contributed to its development. The ICD-9-CM serves both to aid the clin- ical management of patients and to guide the formation of health care policy and priorities in the United States. £8 1/5 Lester Breslow, M.D., M.P.H. Chairman National Committee on Vital and Health Statistics 0 -2 = o-) PREFACE This second edition of the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) is being published by the United States Government in recognition of its responsibility to promul- gate this classification throughout the United States for morbidity coding. The International Classification of Diseases, 9th Revision, published by the World Health Organization (WHO) is the foundation of the /CD-9-CM and continues to be the classification employed in cause-of-death coding in the United States. The ICD-9-CM is completely compatible with the ICD-9. The WHO Center for Classification of Diseases for North America serves as liaison between the international obligations of comparable classifications and the national health data needs of the United States. The ICD-9-CM is recommended for use in all clinical settings but is re- quired for reporting diagnoses and diseases to all U.S. Public Health Service and Health Care Financing Administration programs. Guidance in the use of this classification can be found on pages xxv-xxvi. ICD-9-CM extensions, condensed lists, interpretations, modifications, addenda, or errata other than those approved by the WHO Center for Classification of Diseases for North America are not to be considered official and should not be utilized. Continuous maintenance of /CD-9-CM is the responsibility of the Federal government. However, because the ICD-9-CM represents the best in contemporary thinking of clinicians, nosologists, epidemiologists, and statisticians from both the public and private sectors, no future modifications will be considered without extensive advice from the appropriate representatives of all major users. ACKNOWLEDGMENTS Steering Committee Comments and suggestions in the preparation of the International Classi- fication of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) were provided to the National Center for Health Statistics by a Steering Com- mittee. The committee was chaired by Robert A. Israel, and included the following representatives from participating organizations. Robert A. Israel, Deputy Director National Center for Health Statistics Mary E. Converse, R.R.A. American Hospital Association John B. Davis Statistics Canada (observer) E. Martin Egelston, Ph.D. American Hospital Association Delray Green, R.R.A. National Center for Health Statistics Kenneth Johnson American Association of Health Data Systems William H. Kincaid Association for Health Records M. Sue Meads, R.R.A. National Center for Health Statistics Elizabeth Price, R.R.A. American Medical Record Association Harry L. Savitt Health Care Financing Administration Vergil N. Slee, M.D. Commission on Professional and Hospital Activities Gail L. Warden American Hospital Association vii ACKNOWLEDGMENTS Mary-j Waterstraat, R.R.A. American Medical Record Association Karel M. Weigel, R.R.A. Council on Clinical Classifications Harold A. Zintel, M.D. Council on Clinical Classifications Clinical Content Clinical and technical decisions on content were provided by Task Forces on Classification from the organizations which sponsor the Council on Clinical Classifications. American Academy of Pediatrics Arno R. Hohn, M.D., Chairman Charles Darby, M.D. Stanley L. Harrison, M.D. American College of Obstretricians and Gynecologists Harold Schulman, M.D., Chairman George J. Andros, M.D. Leo J. Dunn, M.D. Paul G. Peterson, M.D. Lee B. Stevenson, M.D. J. Benjamin Younger, M.D. American College of Physicians Leonard T. Kurland, M.D., Chairman Calvin F. Kay, M.D. Harold Smulyan, M.D. Joseph H. Bates, M.D. (consultant) Robert Griggs, M.D. (consultant) Milton W. Hamolsky, M.D. (consultant) Harry J. Hurley, M.D. (consultant) Samuel O. Thier, M.D. (consultant) American College of Surgeons C. Barber Mueller, M.D., Chairman American College of Surgeons viii ACKNOWLEDGMENTS American College of Surgeons (continued) August Colenbrander, M.D. * American Academy of Ophthalmology and Otolaryngology George E. Gantner, M.D. American College of Surgeons Wallace Gerrie, M.D. American College of Surgeons B. Herold Griffith, M.D. American Society of Plastic and Reconstructive Surgeons Barton Hoexter, M.D. American Society of Colon and Rectal Surgeons Jack Kerth, M.D. American College of Surgeons Byron C. Pevehouse, M.D. American Association of Neurological Surgeons Donald M. Qualls, M.D. American Academy of Orthopedic Surgeons Herbert Sloan, M.D. The Society of Thoracic Surgeons Richard E. YaDeau, M.D. American College of Surgeons American Psychiatric Association Robert L. Spitzer, M.D., Chairman Jean Endicott, Ph.D. Michael Sheehy, M.D. *The classification of Disorders of the Eye (prepared for the International Council of Ophthalmology Committee on Nomenclature and the Academy of Ophthalmology and Otolaryngology Committee on Diagnostic and Procedural Terminology) was incorporated into Chapter 6, Diseases of the Nervous System and Sense Organs. ACKNOWLEDGMENTS Commission on Professional and Hospital Activities John A. Lowe, M.D., Chairman Richard B. Michelson, M.D. Marion S. Morris Jack M. Perlman, M.D. Barbara J. Thompson, R.R.A. Martin L. Waldman, M.D. Marjorie M. Zernott, R.N. Other organizations and individuals met with the staff of the Council on Clinical Classifications and with the Task Forces on Classification, reacting to staff proposals, in an effort to ensure that the product would meet the needs of their agencies and organizations. They include the following: Society of Teachers of Family Medicine L. Robert Martin, M.D., Chairman Jack Froom, M.D. John H. Renner, M.D. Herbert L. Tindall, M.D. Herbert T. Smith, M.D. Robert C. Westbury, M.D. Maurice Wood, M.D. Medical Group Management Association Bruce Dyer Interagency Review Group Mary E. Converse, R.R.A. American Hospital Association Alice B. Dolman National Center for Health Statistics Brenda C. Frantz Council on Clinical Classifications Delray Green, R.R.A. National Center for Health Statistics Becky DeGrosky, A.R.T. Hospital Utilization Project William H. Kincaid Association for Health Records X ACKNOWLEDGMENTS M. Sue Meads, R.R.A. National Center for Health Statistics Lee J. Melton, III, M.D. Mayo Clinic Dorothy Santo, R.R.A. American Hospital Association Harry L. Savitt Health Care Financing Administration Robert H. Seeman Council on Clinicai Classifications Carol Stevens, R.R.A. American Medical Record Association Karel M. Weigel, R.R.A. Council on Clinical Classifications Individual contributors were: Susan P. Baker Insurance Institute for Highway Safety Jean Chenoweth, R.R.A. American Association of Health Data Systems Allen S. Edmundsen, M.D. American Academy of Orthopedic Surgeons Melvin M. Friedman, M.D. American Academy of Orthopedic Surgeons David A. Green, M.D. American Academy of Orthopedic Surgeons Marjorie Gurney, R.R.A. American Association of Health Data Systems Desmond A. Kernahan, M.D. Chicago, Illinois xi ACKNOWLEDGMENTS Margaret M. Kilduff, R.R.A. Veterans Administration Constance B. Percy National Cancer Institute Howard P. Roffwarg, M.D. American Psychiatric Association Frank H. Stelling, III, M.D. American Academy of Orthopedic Surgeons Lewis Thomas, M.D. National Cancer Institute xii TABLE OF CONTENTS FOICWOI +. + v5 0055 3.55 Fw wah wr § x ERwin ws 5% * EEE GED RAL 2 PIETHCD 055050 5 vcore 1 3) HF 010 Hm ho 0 6 TT Heh roOWIEIZIICIS. « « vs 5's 5% v5 0 5 xn Hoa din wow von pe 5 wm wn 250% wn TOQUCHON + + + 0 05 0 0 vv 0 5000 4505 v5 03 EA 6 0 bmn x 98 Conventions Used in the Tabular List . ...............c.coo... Guidance inthe Use Of ICD-9-CM . « « « «vo sv evn verrvsnenssss Classification of Diseases and Injuries 1. Infectious and Parasitic Diseases. .................. 2 NEODIASIS. +. vv svus as so naus ai vos sanems snows sm 3. Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders ............c.ciiiinn... 4. Diseases of the Blood and Blood-Forming Organs. . .... 5. Mental DiSOrderS. « vo nv is 1 aie wm ore 5 sie gees wo bw see 6. Diseases of the Nervous System and Sense Organs. . .... 7. Diseases of the Circulatory SyStem «cc vv ver av vvsne 8. Diseases of the Respiratory System. ................ 9. Diseases of the Digestive System. .................. 10. Diseases of the Genitourinary System. .............. 11. Complications of Pregnancy, Childbirth, and the PUGIDBTININ « + ia 5 wae 5 5.50 00 monn oo. wim wm 08 nny 3: ho Brome 12. Diseases of the Skin and Subcutaneous Tissue. ........ 13. Diseases of the Musculoskeletal System and Connective TiSSUE + . ov vv even ennnnn Se aati vases 14. Congenital Anomalies. .......c..covvvviennnennnnns 15. Certain Conditions Originating in the Perinatal Period . . 16. Symptoms, Signs, and Ill-Defined Conditions. ........ 17. Injury and Poisoning. .................... en \ Supplementary Classification Classification of Factors Influencing Health Status and Contact With Health Service . . .......... ccc iv... Classification of External Causes of Injury and Poisoning. . . Appendices A. Morphology of Neoplasms. . . ....ooverereenenn... B. Glossary of Mental Disorders. ..................... C. Classification of Drugs by American Hospital Formulary Service List Number and Their ICD-9-CM BUBVAlentS cu cvs wireiiin ess vwmmain sv v3 med su sn D. Classification of Industrial Accidents According to ABRNCY «os vvmws vs ows ober 55 bans an + 5 wae mess E. List of Three-Digit Categories. .................... xiii 154 188 204 251 358 404 432 481 527 569 593 639 683 707 735 > Ah TR oF Big INTRODUCTION The International Classification of Diseases, 9th Revision, Clinical Modi- fication (ICD-9-CM) is based on the official version of the World Health Organization’s 9th Revision, International Classification of Diseases (ICD-9). ICD-9 is designed for the classification of morbidity and mortal- ity information for statistical purposes, and for the indexing of hospital records by disease and operations, for data storage and retrieval. The historical background of the International Classification of Diseases may be found in the Introduction to ICD-9. * This modification of ICD-9 supplants the Eighth Revision International Classification of Diseases, Adapted for Use in the United States (ICDA-8) and the Hospital Adaptation of ICDA (H-ICDA). The concept of extending the International Classification of Diseases for use in hospital indexing was originally developed in response to a need for a more efficient basis for storage and retrieval of diagnostic data. In 1950, the U.S. Public Health Service and the Veterans Administration began independent tests of the International Classification of Diseases for hospital indexing purposes. In the following year, the Columbia Presbyte- rian Medical Center in New York City adopted the International Classifi- cation of Diseases, 6th Revision, with some modifications for use in its medical record department. A few years later, the Commission on Pro- fessional and Hospital Activities adopted the International Classification of Diseases with similar modifications for use in hospitals participating in the Professional Activity Study. The problem of adapting /CD for indexing hospital records was taken up by the U.S. National Committee on Vital and Health Statistics through its subcommittee on hospital statistics. This subcommittee reviewed the modifications made by the various users of /CD and proposed that uni- form changes be made. This was done by a small working party. Inview of the growing interest in the use of the International Classification of Diseases for hospital indexing, a study was undertaken in 1956 by the American Hospital Association and the American Medical Record Associ- ation (then the American Association of Medical Record Librarians) of the relative efficiencies of coding systems for diagnostic indexing. This study indicated that the International Classification of Diseases provided a suitable and efficient framework for indexing hospital records. The major users of the International Classification of Diseases for hospital *Manual of the International Classification of Diseases, Injuries, and Causes of Death, World Health Organization, Geneva, Switzerland, 1977. Xv INTRODUCTION indexing purposes then consolidated their experiences and an adaptation was first published in December 1959. A revision was issued in 1962 and the first “Classification of Operations and Treatments” was included. In 1966, the international conference for the revision of the International Classification of Diseases noted that the 8th revision of ICD has been constructed with hospital indexing in mind and considered that the re- vised classification would be suitable, in itself, for hospital use in some countries. However, it was recognized that the basic classification might provide inadequate detail for diagnostic indexing in other countries. A group of consultants was asked to study the 8th revision of ICD (ICD-8) for applicability to various users in the United States. This group recom- mended that further detail be provided for coding of hospital and morbid- ity data. The American Hospital Association was requested to develop the needed adaptation proposals. This was done by an advisory committee (the Advisory Committee to the Central Office on ICDA). In 1968 the United States Public Health Service published the product, Eighth Re- vision International Classification of Diseases, Adapted for Use in the United States (PHS publication 1693). This became commonly known as ICDA-8, and beginning in 1968 it served as the basis for coding diagnostic data for both official morbidity and mortality statistics in the United States. OTHER ADAPTATIONS In 1968, the Commission on Professional and Hospital Activities (CPHA) of Ann Arbor, Michigan, published the Hospital Adaptation of ICDA (H-ICDA) based on both the original /CD-8 and ICDA-S8. In 1973, CPHA published a revision of H-ICDA, referred to as H-ICDA-2. Hospitals throughout the United States have been divided in their usage of these classifications. Effective January 1979, ICD-9-CM provides a single classification intended primarily for use in the United States replacing these earlier related but somewhat dissimilar classifications. ICD-9-CM BACKGROUND In February 1977, a Steering Committee was convened by the National Center for Health Statistics to provide advice and counsel to the devel opment of a clinical modification of the ICD-9. The organizations rep- resented on the Steering Committee included: INTRODUCTION American Association of Health Data Systems American Hospital Association American Medical Record Association Association for Health Records Council on Clinical Classifications Health Care Financing Administration, Department of Health and Human Services WHO Center for Classification of Diseases for North America, sponsored by the National Center for Health Statistics, Department of Health and Human Services The Council on Clinical Classifications is sponsored by: American Academy of Pediatrics American College of Obstetricians and Gynecologists American College of Physicians American College of Surgeons American Psychiatric Association Commission on Professional and Hospital Activities The Steering Committee met periodically in 1977. Clinical guidance and technical input were provided by Task Forces on Classification from the Council on Clinical Classification’s sponsoring organizations. ICD-9-CM is a clinical modification of the World Health Organization’s International Classification of Diseases, 9th Revision (ICD-9). The term “clinical” is used to emphasize the modification’s intent: to serve as a useful tool in the area of classification of morbidity data for indexing of medical records, medical care review, and ambulatory and other medical care programs, as well as for basic health statistics. To describe the clinical picture of the patient, the codes must be more precise than those needed only for statistical groupings and trend analysis. CHARACTERISTICS OF ICD-9-CM ICD-9-CM is published as a three-volume set: Volume 1 Diseases: Tabular List Volume 2 Diseases: Alphabetic Index Volume 3 Procedures: Tabular List and Alphabetic Index ICD-9-CM far exceeds its predecessors in the number of codes provided. The disease classification has been expanded to include health-related conditions and to provide greater specificity at the fifth-digit level of xvii INTRODUCTION detail. These fifth digits are not optional; they are intended for use in recording the information substantiated in the clinical record. Volume 1 of ICD-9-CM contains five appendices: 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 ICD-9-CM Equivalents Appendix D Classification of Industrial Accidents According to Agency Appendix E List of Three-Digit Categories These appendices are included as a reference to the user in order to provide further information about the patient’s clinical picture, to further define a diagnostic statement, to aid in classifying new drugs, or to reference three-digit categories. Volume 2 of ICD-9-CM contains many diagnostic terms which do not appear in Volume 1 since the index includes most diagnostic terms cur- rently in use. Volume 3 of ICD-9-CM also contains increased clinical detail over its predecessors, and this is accommodated by expansion of the rubrics from three to four digits. The Disease Classification ICD-9-CM is totally compatible with its parent system, /CD-9, thus meeting the need for comparability of morbidity and mortality statistics at the international level. A few fourth-digit codes were created in existing three-digit rubrics only when the necessary detail could not be accommo- dated by the use of a fifth-digit subclassification. In these few instances (28 three-digit categories) the special symbol O to the left of the code indicates that the content of that category differs from its /CD-9 counter- part, but even in such cases it is possible to recreate the original /CD-9 rubrics through appropriate recombination of the /CD-9-CM categories. To ensure that each rubric of ICD-9-CM collapses back to its ICD-9 coun- terpart the following specifications governed the ICD-9-CM disease classi- fication: xviii INTRODUCTION Specifications for the Tabular List . Three-digit rubrics and their contents are unchanged from /CD-9. . The sequence of three-digit rubrics is unchanged from /CD-9. . Three-digit rubrics are not added to the main body of the classification. . Unsubdivided three-digit rubrics are subdivided where necessary to: a) Add clinical detail b) Isolate terms for clinical accuracy . The modification in ICD-9-CM is accomplished by the addition of a fifth digit to existing /CD-9 rubrics, except as noted under #7 below. . Four-digit rubrics are added to subdivided three-digit codes only when there is no other means of achieving desired detail. These codes, unique to ICD-9-CM (twenty-eight three-digit categories), are marked with the symbol [J in the Tabular List. . The optional dual classification in /CD-9 is modified. a) Duplicate rubrics are deleted: 1) Four-digit manifestation categories duplicating etiology entries. 2) Manifestation inclusion terms duplicating etiology entries. b) Manifestations of diseases are identified, to the extent possible, by creating five-digit codes in the etiology rubrics. c¢) When the manifestation of a disease cannot be included in the etiology rubrics, provision for its identification is made by retaining the ICD-9 rubrics used for classifying manifestations of disease. . The format of ICD-9-CM is revised from that used in /CD-9. a) American spelling of medical terms is used. Xix INTRODUCTION b) Inclusion terms are indented beneath the titles of codes. c) Codes not to be used for primary tabulation of disease are printed in italics with the notation, “code also underlying disease.” Specifications for the Alphabetic Index 1. Format of the Alphabetic Index follows the format of /CD-9. 2. Main terms in the Alphabetic Index are printed in bold type face. 3. When two codes are required to indicate etiology and manifestation, the optional manifestation code appears in brackets, e.g., diabetic cataract 250.5 [366.41]. The Procedure Classification An important new development occurred with the publication of ICD-9; a Classification of Procedures in Medicine. Heretofore, procedure classi- fications had not been a part of /CD, but were published with the adap- tations to it produced in the United States. The ICD-9 Classification of Procedures in Medicine is published separately from the disease classification in a series of supplementary documents called fascicles. Each fascicle contains a classification of modes of therapy, surgery, radiology, laboratory, and other diagnostic procedures. The decision to publish each fascicle as a unique document was made in order to permit its revision on a separate schedule from the disease classification. Primary input to Fascicle V, “Surgical Procedures,’”’ came from the United States whose adaptations of /CD had contained a procedure classification since 1962. This experience was invaluable in constructing a classification to permit analysis of health care services in hospitals and primary care settings. The ICD-9-CM Procedure Classification is a modification of WHO’s Fascicle V, “Surgical Procedures,” and is published as Volume 3 of ICD-9-CM. It contains both a Tabular List and an Alphabetic Index. Greater detail has been added to the ICD-9-CM Procedure Classification necessitating expansion of the codes from three to four digits. Approx- imately 90% of the rubrics refer to surgical procedures with the remaining 10% accounting for other investigative and therapeutic procedures. XX INTRODUCTION Specifications for the Procedure Classification . The ICD-9-CM Procedure Classification is published in its own volume containing both a Tabular List and an Alphabetic Index. . The classification is a modification of Fascicle V “Surgical Procedures” of the ICD-9 Classification of Procedures in Medicine, working from the draft dated Geneva, 30 September—6 October 1975, and labeled WHO/ICD-9/Rev. Conf. 75.4. . All three-digit rubrics in the range 01—86 are maintained as they appear in Fascicle V, whenever feasible. . Nonsurgical procedures are segregated from the surgical procedures and confined to the rubrics 87—99, whenever feasible. . Selected detail contained in the remaining fascicles of the /CD-9 Classi- fication of Procedures in Medicine is accommodated where possible. . The structure of the classification is based on anatomy rather than surgical specialty. . The ICD-9-CM Procedure Classification is numeric only, i.e., no alpha- betic characters are used. . The classification is based on a two-digit structure with two decimal digits where necessary. . Compatibility with the ICD-9 Classification of Procedures in Medicine was not maintained when a different axis was deemed more clinically appropriate. xXi CONVENTIONS USED IN THE TABULAR LIST The ICD-9-CM Tabular List for both the Disease and Procedure Classification makes use of certain abbreviations, punctuation, sym- bols, and other conventions which need to be clearly understood. Abbreviations NEC Not elsewhere classifiable. The category number for the term including NEC is to be used only when the coder lacks the information necessary to code the term to a more specific category. NOS Not otherwise specified. This abbreviation is the equivalent of “unspecified.” Punctuation {1 Brackets are used to enclose synonyms, alternative wordings, or explanatory phrases. () Parentheses are used to enclose supplementary words which may be present or absent in the statement of a disease or procedure without affecting the code num- ber to which it is assigned. Colons are used in the Tabular List after an in- complete term which needs one or more of the modifiers which follow in order to make it assignable to a given category. Braces are used to enclose a series of terms, each of which is modified by the statement appearing at the right of the brace. Symbols a The lozenge symbol printed in the left margin preced- ing the disease code denotes a four-digit rubric unique to ICD-9-CM. The contents of these rubrics in ICD-9-CM are not the same as those in /CD-9. This symbol is used only in Volume 1 Diseases: Tabular List. xxiii CONVENTIONS § The section mark symbol preceding a code denotes the placement of a footnote at the bottom of the page which is applicable to all subdivisions in that code. Other Conventions Type Face Bold: Bold type face is used for all codes and titles in the Tabular List. Italics: Italicized type face is used for all exclusion notes and to identify those rubrics which are not to be used for primary tabulations of disease. Format: ICD-9-CM uses an indented format for ease in reference. Instructional Notations Includes: This note appears immediately under a three-digit code title to further define, or give example of, the contents of the category. Terms following the word excludes are to be coded elsewhere as indicated in each case. Use additional .code if desired: This instruction is placed in the Tabular List in those categories where the user may wish to add further in- formation (by using an additional code) to give a more complete picture of the diagnosis or procedure. Code also underlying disease: This instruction is used in those categories not in- tended for primary tabulation of disease. In such cases, the code, its title, and instructions appear in italics. The note requires that the underlying disease (etiology) be recorded first and the particular manifestation recorded secondarily. This note appears only in Volume 1 Diseases: Tabular List. XXiv GUIDANCE IN THE USE OF ICD-9-CM To code accurately, it is necessary to have a working knowledge of medical terminology and to understand the characteristics, terminology, and con- ventions of the ICD-9-CM. Transforming verbal descriptions of diseases, injuries, conditions, and procedures into numerical designations (coding) is a complex activity and should not be undertaken without proper training. Originally coding was accomplished to provide access to medical records by diagnoses and operations through retrieval for medical research, educa- tion, and administration. Medical codes today are utilized to facilitate payment of health services, to evaluate utilization patterns, and to study the appropriateness of health care costs. Coding provides the bases for epidemiological studies and research into the quality of health care. Coding must be performed correctly and consistently to produce meaning- ful statistics to aid in the planning for the health needs of the nation. Basic steps in coding diagnoses/diseases: 1. Always consult Volume 2, Alphabetic Index to ICD-9-CM first. Locate the main entry term. The Alphabetic Index is arranged by condition. Conditions may be expressed as nouns, adjectives, and eponyms. Some conditions have multiple entries under their syn- onyms. Select the appropriate code. 2. Refer to Volume 1 of the /ICD-9-CM locating the selected code. Be guided by any exclusion notes or other instructions that would direct the use of a different code from that selected in the Index for a particular diagnosis, condition, or disease. 3. Read and be guided by the conventions used in the Tabular List (pages xxi-xxii of Volume 1, ICD-9-CM). As reference for use by researchers and to maintain comparability with its parent, the ICD-9, a list of three-digit ICD-9-CM categories are listed as Appendix E. While these categories form natural statistical groupings, they cannot substitute for the required five-digit /CD-9-CM code. XXV GUIDANCE Questions regarding the use and interpretation of the International Classification of Diseases, 9th Revision, Clinical Modification can be directed to any of the organizations listed below. Central Clearinghouse for ICD-9-CM American Hospital Association Chicago, Illinois 60611 World Health Organization Center for Classification of Diseases in North America National Center for Health Statistics, Department of Health and Human Services 3700 East-West Highway Hyattsville, Maryland 20782 Office of Research, Demonstrations, and Statistics Health Care Financing Administration Department of Health and Human Services, 330 Independence Avenue, S.W. HHS Building Washington, D.C. 20201 XXvi 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 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) 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 2 TABULAR LIST 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 INFECTIOUS AND PARASITIC DISEASES 3 004.3 Shigella sonnei Infection by group D Shigella 004.8 Other specified shigella infections 004.9 Shigellosis, unspecified 005 Other food poisoning (bacterial) 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 Food poisoning due to Bacillus cereus salmonella food poisoning (003.0-003.9) 005.9 Food poisoning, unspecified 006 Amebiasis Includes: infection due to Entamoeba histolytica amebiasis due to organisms other than Entamoeba histolytica (007.8) TABULAR LIST 006.0 006.1 006.2 006.3 006.4 006.5 006.6 006.8 006.9 007.0 Acute amebic dysentery without mention of abscess Acute amebiasis Chronic intestinal amebiasis without mention of abscess Chronic: amebiasis amebic dysentery Amebic nondysenteric colitis Amebic liver abscess Hepatic amebiasis Amebic lung abscess Amebic abscess of lung (and liver) Amebic brain abscess Amebic abscess of brain (and liver) (and lung) Amebic skin ulceration Cutaneous amebiasis Amebic infection of other sites Amebic: Ameboma appendicitis balanitis specific infections by free-living amebae (136.2) Amebiasis, unspecified Amebiasis NOS 007 Other protozoal intestinal diseases Includes: protozoal: colitis diarrhea dysentery Balantidiasis Infection by Balantidium coli INFECTIOUS AND PARASITIC DISEASES 6 007.1 Giardiasis Infection by Giardia lamblia Lambliasis 007.2 Coccidiosis Infection by Isospora belli and Isospora hominis Isosporiasis 007.3 Intestinal trichomoniasis 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 Sood poisoning by these organisms (005.0-005.9) 008.0 Escherichia coli [E. coli] 008.1 Arizona group of paracolon bacilli 008.2 Aerobacter aerogenes 008.3 Proteus (mirabilis) (morganii) 008.4 Other specified bacteria 008.41 Staphylococcus Staphylococcal enterocolitis 008.42 Pseudomonas 008.49 Other 6 TABULAR LIST 008.5 Bacterial enteritis, unspecified 008.6 Enteritis due to specified virus Enteritis due to: adenovirus enterovirus 008.8 Other organism, not elsewhere classified Viral: enteritis NOS gastroenteritis influenza with involvement of gastro- intestinal tract (487.8) 009 Ill-defined intestinal infections 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 Dysentery: Enteritis septic NOS Gastroenteritis catarrhal hemorrhagic INFECTIOUS AND PARASITIC DISEASES 009.1 Colitis, enteritis, and gastroenteritis of presumed infectious origin colitis NOS (558.9) enteritis NOS (558.9) gastroenteritis NOS (558.9) 009.2 Infectious diarrhea Diarrhea: Infectious diarrheal dysenteric disease NOS epidemic 009.3 Diarrhea of presumed infectious origin diarrhea NOS (558.9) TUBERCULOSIS (010-018) Includes: infection by Mycobacterium tuberculosis (human) (bovine) congenital tuberculosis (771.2) late effects of tuberculosis (137.0-137.4) The following fifth-digit subclassification is for use with categories 010-018: unspecified bacteriological or histological examination not done bacteriological or histological examination unknown (at present) tubercle bacilli found (in sputum) by microscopy tubercle bacilli not found (in sputum) by microscopy, but found by bacterial culture tubercle bacilli not found by bacteriological examina- tion, but tuberculosis confirmed histologically tubercle bacilli not found by bacteriological or histological examination but tuberculosis confirmed by other methods [inoculation of animals) RA wn Ww nN -o 8 TABULAR LIST § 010 Primary tuberculous infection 010.0 Primary tuberculous complex 010.1 Tuberculous pleurisy in primary progressive tuberculosis 010.8 Other primary progressive tuberculosis tuberculous erythema nodosum (017.1) 010.9 Primary tuberculous infection, unspecified § 011 Pulmonary tuberculosis Use additional code, if desired, 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 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 § Requires fifth-digit. See page 7 for codes and definitions. INFECTIOUS AND PARASITIC DISEASES 011.9 Pulmonary tubercuiosis, unspecified Respiratory tuberculosis NOS Tuberculosis of lung NOS § 012 Other respiratory tuberculosis Excludes: respiratory tuberculosis, unspecified (011.9) 012.0 Tuberculous pleurisy Tuberculosis of pleura Tuberculous hydrothorax Tuberculous empyema 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 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: Tuberculosis of: mediastinum nose (septum) nasopharynx sinus [any nasal] § Requires fifth-digit. See page 7 for codes and definitions. 10 TABULAR LIST § 013 Tuberculosis of meninges and central nervous system 013.0 Tuberculous meningitis Tuberculosis of meninges ~~ Tuberculous: (cerebral) (spinal) leptomeningitis meningoencephalitis (Excludes: tuberculoma of meninges (013.1) 013.1 Tuberculoma of meninges 0013.2 Tuberculoma of brain Tuberculosis of brain (current disease) 0013.3 Tuberculous abscess of brain 0013.4 Tuberculoma of spinal cord 0013.5 Tuberculous abscess of spinal cord 0013.6 Tuberculous encephalitis or myelitis 0013.8 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 014.0 Tuberculous peritonitis Tuberculous ascites 014.8 Other Tuberculosis (of): Tuberculous enteritis anus intestine (large) (small) mesenteric glands rectum retroperitoneal (lymph nodes) § Requires fifth-digit. See page 7 for codes and definitions. INFECTIOUS AND PARASITIC DISEASES 1 § 015 Tuberculosis of bones and joints Use additional code, if desired, 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, if desired, to identify manifestation, as: curvature of spine [Pott’s] (737.4) kyphosis (737.4) spondylitis (720.81) 015.1 Hip 015.2 Knee 0015.5 Limb bones Tuberculous dactylitis 0015.6 Mastoid Tuberculous mastoiditis 0015.7 Other specified bone 015.8 Other specified joint 015.9 Tuberculosis of unspecified bones and joints § Requires fifth-digit. See page 7 for codes and definitions. 12 TABULAR LIST § 016 Tuberculosis of genitourinary system 016.0 Kidney Renal tuberculosis Use additional code, if desired, to identify manifestation, as: tuberculous: nephropathy (583.81) pyelitis (590.81) pyelonephritis (590.81) 0016.1 Bladder 0016.2 Ureter 0016.3 Other urinary organs 0016.4 Epididymis 0016.5 Other male genital organs Use additional code, if desired, to identify manifestation, as: tuberculosis of: prostate (601.4) seminal vesicle (608.81) testis (608.81) 0016.6 Tuberculous oophoritis and salpingitis 0016.7 Other female genital organs Tuberculous: cervicitis endometritis 016.9 Genitourinary tuberculosis, unspecified § Requires fifth-digit. See page 7 for codes and definitions. INFECTIOUS AND PARASITIC DISEASES 13 § 017 Tuberculosis of other organs 017.0 Skin and subcutaneous cellular tissue Lupus: Tuberculosis: NOS colliquativa exedens cutis vulgaris lichenoides Scrofuloderma papulonecrotica verrucosa cutis lupus erythematosus (695.4) disseminated (710.0) 017.1 Erythema nodosum with hypersensitivity reaction in tuberculosis Bazin’s disease Tuberculosis indurativa Erythema: induratum nodosum, tuberculous erythema nodosum NOS (695.2) 017.2 Peripheral lymph nodes Scrofula Tuberculous adenitis Scrofulous abscess 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, if desired, to identify manifestation, as: tuberculous: chorioretinitis, disseminated (363.13) episcleritis (379.09) interstitial keratitis (370.59) iridocyclitis, chronic (364.11) keratoconjunctivitis (phlyctenular) (370.31) § Requires fifth-digit. See page 7 for codes and definitions. 14 TABULAR LIST 017.4 Ear Tuberculosis of ear Tuberculous otitis media tuberculous mastoiditis (015.6) 017.5 Thyroid gland 017.6 Adrenal glands Addison’s disease, tuberculous 017.7 Spleen 0017.8 Esophagus 0017.9 Other specified organs Use additional code, if desired, 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 § Requires fifth-digit. See page 7 for codes and delinitions. INFECTIOUS AND PARASITIC DISEASES 15 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 Pestis minor Ambulatory plague 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 16 TABULAR LIST 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 INFECTIOUS AND PARASITIC DISEASES 17 023.8 Other brucellosis Infection by more than one organism 023.9 Brucellosis, unspecified 024 Glanders Infection by: Farcy Actinobacillus mallei Malleus Malleomyces mallei Pseudomonas mallei 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 18 TABULAR LIST 027 Other zoonotic bacterial diseases 027.0 Listeriosis Infection J by Listeria monocytogenes Septicemia y ytog Use additional code, if desired, to identify manifestation, as meningitis (320.7) congenital listeriosis (771.2) 027.1 Erysipelothrix infection Erysipeloid (of Rosenbach) Infection by Erysipelothrix insidiosa Septicemia 1 [E. rhusiopathiae] 027.2 Pasteurellosis Pasteurella pseudotuberculosis infection Mesenteric adenitis by Pasteurella Septic infection (cat multocida bite) (dog bite) [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) bacterial venereal diseases (098.0-099.9) bartonellosis (088.0) 030 Leprosy Includes: Hansen’s disease infection by Mycobacterium leprae INFECTIOUS AND PARASITIC DISEASES 19 030.0 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 031.8 Other specified mycobacterial diseases 031.9 Unspecified diseases due to mycobacteria Atypical mycobacterium infection NOS 20 TABULAR LIST 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, if desired, to identify any associated pneumonia (484.3) 033.0 Bordetella pertussis [B. pertussis] 033.1 Bordetella parapertussis [B. parapertussis] INFECTIOUS AND PARASITIC DISEASES 21 033.8 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: Streptococcal: angina angina sore throat laryngitis pharyngitis tonsillitis 034.1 Scarlet fever Scarlatina parascarlatina (057.8) 035 Erysipelas | postpartum or puerperal erysipelas (670) 036 Meningococcal infection 036.0 Meningococcal meningitis Cerebrospinal fever Meningitis: (meningococcal) 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 22 TABULAR LIST 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 tetanus: complicating: abortion (634-638 with .0, 639.0) ectopic or molar pregnancy (639.0) neonatorum (771.3) puerperal (670) 038 Septicemia during labor (659.3) following ectopic or molar pregnancy (639.0) Jfollowing infusion, injection, transfusion, or vaccination (999.3) postoperative (998.5) postpartum, puerperal (670) that complicating abortion (634-638 with .0, 639.0) 038.0 Streptococcal septicemia INFECTIOUS AND PARASITIC DISEASES 23 038.1 Staphylococcal septicemia 038.2 Pneumococcal septicemia 038.3 Septicemia due to anaerobes Septicemia due to bacteroides 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 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 bacteremia NOS (790.7) 24 TABULAR LIST 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 madura foot due to mycotic infection (117.4) 039.8 Of other specified sites 039.9 Of unspecified site Actinomycosis NOS Nocardiosis NOS Maduromycosis NOS 040 Other bacterial diseases bacteremia NOS (790.7) bacterial infection NOS (041.9) INFECTIOUS AND PARASITIC DISEASES 25 040.0 Gas gangrene Gas bacillus infection or Malignant edema gangrene Myonecrosis, clostridial Infection by Clostridium: ~~ Myositis, clostridial histolyticum oedematiens perfringens [welchii] septicum sordellii 040.1 Rhinoscleroma 040.2 Whipple’s disease Intestinal lipodystrophy 040.3 Necrobacillosis 040.8 Other specified bacterial diseases 040.81 Tropical pyomyositis 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 where it is desired to identify the bacterial agent in diseases classified elsewhere. This category will also be used to classify bacterial infections of unspecified nature or site. bacteremia NOS (790.7) septicemia (038.0-038.9) 041.0 Streptococcus 041.1 Staphylococcus 041.2 Pneumococcus 26 TABULAR LIST 041.3 Friedlander’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 Aerobacter aerogenes Pleuropneumonia-like Eaton’s agent organisms [PPLO] Mima polymorpha Serratia Mycoplasma Other cocci, not else- where classified 041.9 Bacterial infection, unspecified POLIOMYELITIS AND OTHER NON-ARTHROPOD-BORNE VIRAL DISEASES OF CENTRAL NERVOUS SYSTEM (045-049) 045 Acute poliomyelitis late effects of acute poliomyelitis (138) The following fifth-digit subclassification is for use with category 045: poliovirus, unspecified type poliovirus type I poliovirus type II poliovirus type III WN =O 045.0 Acute paralytic poliomyelitis specified as bulbar Infantile paralysis (acute) specified as Poliomyelitis (acute) (anterior) bulbar Polioencephalitis (acute) (bulbar) Polioencephalomyelitis (acute) (anterior) (bulbar) INFECTIOUS AND PARASITIC DISEASES 27 045.1 Acute poliomyelitis with other paralysis Paralysis: acute atrophic, spinal infantile, paralytic Poliomyelitis (acute) anterior | with paralysis except bulbar epidemic 045.2 Acute nonparalytic poliomyelitis Poliomyelitis (acute) anterior | specified as nonparalytic epidemic 045.9 Acute poliomyelitis, unspecified Infantile paralysis Poliomyelitis (acute) unspecified whether paralytic anterior or nonparalytic epidemic 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 28 TABULAR LIST 047 Meningitis due to enterovirus Includes: meningitis: abacterial aseptic viral 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 late effects of viral encephalitis (139.0) 049.0 Lymphocytic choriomeningitis Lymphocytic: meningitis (serous) (benign) meningoencephalitis (serous) (benign) INFECTIOUS AND PARASITIC DISEASES 29 049.1 Meningitis due to adenovirus 049.8 Other specified non-arthropod-borne viral diseases of central nervous system Encephalitis: Encephalitis: acute: lethargica inclusion body Rio Bravo necrotizing von Economo’s disease epidemic 049.9 Unspecified non-arthropod-borne viral diseases of central nervous system Viral encephalitis NOS VIRAL DISEASES ACCOMPANIED BY EXANTHEM (050-057) arthropod-borne viral diseases (060.0-066.9) Boston exanthem (048) 050 Smallpox 050.0 Variola major Hemorrhagic (pustular) Malignant smallpox 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 vaccinia (generalized) (from vaccination) (999.0) 30 TABULAR LIST 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 INFECTIOUS AND PARASITIC DISEASES 31 053.19 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 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 32 TABULAR LIST 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 INFECTIOUS AND PARASITIC DISEASES 33 055.0 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 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 34 TABULAR LIST 057 Other viral exanthemata 057.0 Erythema infectiosum [fifth disease] 057.8 Other specified viral exanthemata Dukes (-Filatow) disease Parascarlatina Exanthema subitum [sixth Pseudoscarlatina disease] Roseola infantum Fourth disease 057.9 Viral exanthem, unspecified ARTHROPOD-BORNE VIRAL DISEASES (060-066) Use additional code, if desired, to identify any associated meningitis (321.2) 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 hemorrhagic fever caused by dengue virus (065.4) INFECTIOUS AND PARASITIC DISEASES 35 062 Mosquito-borne viral encephalitis 062.0 062.1 062.2 062.3 062.4 062.5 062.8 062.9 Japanese encephalitis Japanese B encephalitis Western equine encephalitis Eastern equine encephalitis Venezuelan equine encephalitis (066.2) St. Louis encephalitis Australian encephalitis Australian arboencephalitis Australian X disease Murray Valley encephalitis California virus encephalitis Encephalitis: Tahyna fever California La Crosse Other specified mosquito-borne viral encephalitis Encephalitis by Ilheus virus Mosquito-borne viral encephalitis, unspecified 063 Tick-borne viral encephalitis 063.0 063.1 063.2 063.8 Includes: diphasic meningoencephalitis Russian spring-summer [taiga] encephalitis Louping ill Central European encephalitis Other specified tick-borne viral encephalitis Langat encephalitis Powassan encephalitis 36 TABULAR LIST 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 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 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 INFECTIOUS AND PARASITIC DISEASES 37 066.1 Tick-borne fever Nairobi sheep disease Tick fever: Tick fever: Kemerovo American mountain Quaranfil Colorado 066.2 Venezuelan equine fever Venezuelan equine encephalitis 066.3 Other mosquito-borne fever Fever (viral): Fever (viral): Bunyamwera Oropouche Bwamba Pixuna Chikungunya Rift valley Guama Ross river Mayaro Wesselsbron Mucambo West Nile O’nyong-nyong Zika dengue (061) yellow fever (060.0-060.9) 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 cytomegalic inclusion virus hepatitis (078.5) 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 38 TABULAR LIST 070.3 070.4 070.5 070.6 070.9 071 Rabies 072 Mumps 072.0 072.1 072.2 072.3 072.7 072.8 072.9 Viral hepatitis B without mention of hepatic coma Serum hepatitis Other specified viral hepatitis with hepatic coma Other specified viral hepatitis without mention of hepatic coma Unspecified viral hepatitis with hepatic coma Unspecified viral hepatitis without mention of hepatic coma Viral hepatitis NOS Hydrophobia Lyssa Mumps orchitis Mumps meningitis Mumps encephalitis Mumps meningoencephalitis Mumps pancreatitis Mumps with other specified complications 072.71 Mumps hepatitis 072.72 Mumps polyneuropathy 072.79 Other Mumps with unspecified complication Mumps without mention of complication Epidemic parotitis Infectious parotitis INFECTIOUS AND PARASITIC DISEASES 39 073 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 Coxsackie virus: infection NOS (079.2) meningitis (047.0) 074.0 Herpangina Vesicular pharyngitis 074.1 Epidemic pleurodynia Bornholm disease Epidemic: Devil’s grip 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 40 TABULAR LIST 074.8 Other specified diseases due to Coxsackie virus Acute lymphonodular pharyngitis 075 Infectious mononucleosis Glandular fever Pfeiffer’s disease Monocytic angina 076 Trachoma 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 ophthalmic complications of viral diseases classified elsewhere 077.0 Inclusion conjunctivitis Paratrachoma Swimming pool conjunctivitis inclusion blennorrhea (neonatal) (771.6) 077.1 Epidemic keratoconjunctivitis Shipyard eye 077.2 Pharyngoconjunctival fever Viral pharyngoconjunctivitis INFECTIOUS AND PARASITIC DISEASES 41 077.3 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 Viral conjunctivitis NOS 078 Other diseases due to viruses and Chlamydiae viral infection NOS (079.0-079.9) viremia NOS (790.8) 078.0 Molluscum contagiosum 078.1 Viral warts Condyloma acuminatum Verruca (vulgaris) (plana) (plantaris) Warts (infectious) 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 42 TABULAR LIST 078.5 Cytomegalic inclusion disease Salivary gland virus disease Use additional code, if desired, to identify manifestation, as: cytomegalic inclusion virus: hepatitis (573.1) pneumonia (484.1) congenital cytomegalovirus infection (771.1) 078.6 Hemorrhagic nephrosonephritis Hemorrhagic fever: Hemorrhagic fever: epidemic Russian Korean with renal syndrome 078.7 Arenaviral hemorrhagic fever Hemorrhagic fever: Hemorrhagic fever: Argentine Junin virus Bolivian Machupo virus 078.8 Other specified diseases due to viruses and Chlamydiae epidemic diarrhea (009.2) lymphogranuloma venereum (099.1) 078.81 Epidemic vertigo 078.82 Epidemic vomiting syndrome Winter vomiting disease 078.89 Other Epidemic cervical myalgia Marburg disease Tanapox 079 Viral infection in conditions classified elsewhere and of unspecified site Note: This category is provided to be used as an additional code where it is desired to identify the viral agent in diseases classifiable elsewhere. This category will also be used to classify virus infection of unspecified nature or site. INFECTIOUS AND PARASITIC DISEASES 43 079.0 Adenovirus 079.1 ECHO virus 079.2 Coxsackie virus 079.3 Rhinovirus 079.8 Other specified viral infections 079.9 Unspecified viral infection Viral infection NOS viremia NOS (790.8) RICKETTSIOSES AND OTHER ARTHROPOD-BORNE DISEASES (080-088) arthropod-borne viral diseases (060.0-066.9) 080 Louse-borne [epidemic] typhus Typhus (fever): Typhus (fever): classical exanthematic NOS epidemic 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 Mite-borne typhus Kedani fever Tsutsugamushi 44 TABULAR LIST 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 Marseilles fever India tick typhus Mediterranean tick fever Kenya tick typhus 082.2 North Asian tick fever Siberian tick typhus 082.3 Queensland tick typhus 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 INFECTIOUS AND PARASITIC DISEASES 45 084 Malaria Note: Subcategories 084.0-084.6 exclude the listed conditions with mention of pernicious complications (084.8-084.9). 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 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) 46 TABULAR LIST 084.8 Blackwater fever Hemoglobinuric: fever (bilious) malaria Malarial hemoglobinuria 084.9 Other pernicious complications of malaria Algid malaria Cerebral malaria Use additional code, if desired, 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 085.1 Cutaneous, urban Aleppo boil Baghdad boil Delhi boil Infection by Leishmania tropica (minor) 085.2 Cutaneous, Asian desert Leishmaniasis: dermal, post-kala-azar Mediterranean visceral (Indian) Leishmaniasis, cutaneous: dry form late recurrent ulcerating Oriental sore Infection by Leishmania tropica major Leishmaniasis, cutaneous: acute necrotizing rural wet form zoonotic form INFECTIOUS AND PARASITIC DISEASES 47 085.3 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, if desired, to identify manifestations, as: trypanosomiasis: encephalitis (323.2) meningitis (321.3) 086.0 Chagas’ disease with heart involvement American trypanosomiasis Infection by Trypanosoma cruzi with heart Any condition classifiable to involvement 086.2 086.1 Chagas’ disease with other organ involvement American trypanosomiasis Infection by Trypanosoma with involvement cruzi of organ other Any condition classifiable than heart to 086.2 48 TABULAR LIST 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 Carridn’s disease Verruga peruana Oroya fever 088.8 Other specified arthropod-borne diseases 088.9 Arthropod-borne disease, unspecified INFECTIOUS AND PARASITIC DISEASES 49 SYPHILIS AND OTHER VENEREAL DISEASES (090-099) nonvenereal endemic syphilis (104.0) urogenital trichomoniasis (131.0) 090 Congenital syphilis 090.0 Early congenital syphilis, symptomatic Congenital syphilitic: Syphilitic (congenital): choroiditis epiphysitis coryza (chronic) osteochondritis hepatomegaly pemphigus mucous patches Any congenital syphilitic periostitis condition specified splenomegaly 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 interstitial keratitis NOS (370.50) 090.4 Juvenile neurosyphilis Use additional code, if desired, to identify any associated mental disorder 50 TABULAR LIST 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 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 INFECTIOUS AND PARASITIC DISEASES 51 091.2 Other primary syphilis Primary syphilis of: Primary syphilis of: breast lip fingers tonsils 091.3 Secondary syphilis of skin or mucous membranes Condyloma latum Secondary syphilis of: Secondary syphilis of: skin anus tonsils mouth vulva pharynx 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 52 TABULAR LIST 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 INFECTIOUS AND PARASITIC DISEASES 53 093.9 Cardiovascular syphilis, unspecified 094 Neurosyphilis 094.0 094.1 094.2 094.3 094.8 Use additional code, if desired, to identify any associated mental disorder Tabes dorsalis Locomotor ataxia (progressive) Posterior spinal sclerosis (syphilitic) Tabetic neurosyphilis Use additional code, if desired, to identify manifestation, as: neurogenic arthropathy [Charcot’s joint disease] (713.5) General paresis Dementia paralytica Paretic neurosyphilis General paralysis (of the ~~ Taboparesis insane) (progressive) Syphilitic meningitis Meningovascular syphilis acute syphilitic meningitis (secondary) (091.81) Asymptomatic neurosyphilis 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 54 TABULAR LIST 094.86 Syphilitic acoustic neuritis 094.87 Syphilitic ruptured cerebral aneurysm 094.89 Other 094.9 Neurosyphilis, unspecified Gumma (syphilitic) | of central nervous Syphilis (early) (late) system NOS Syphiloma 095 Other forms of late syphilis, with symptoms Includes: gumma (syphilitic) syphilis, late, 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 cardiovascular syphilis (093.0-093.9) neurosyphilis (094.0-094.9) INFECTIOUS AND PARASITIC DISEASES 55 095.9 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 syphilis NOS causing death under two years of age (090.9) 098 Gonococcal infections 098.0 Acute, of lower genitourinary tract Gonococcal: Gonorrhea (acute): Bartholinitis (acute) NOS urethritis (acute) genitourinary (tract) vulvovaginitis (acute) 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) 56 TABULAR LIST 098.2 098.3 098.14 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 Chronic, of lower genitourinary tract Gonococcal: Bartholinitis urethritis Gas specified as chronic G Pies aginitis or with duration onorrhea: of two months NOS g : or more genitourinary (tract) Any condition classifiable to 098.0 Chronic, of upper genitourinary tract Includes: 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 INFECTIOUS AND PARASITIC DISEASES 57 098.4 098.5 098.6 098.34 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 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 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 Gonococcal infection of pharynx 58 TABULAR LIST 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 099.1 Lymphogranuloma venereum Climatic or tropical bubo (Durand-) Nicolas-Favre disease 099.2 Granuloma inguinale Donovanosis Granuloma pudendi (ulcerating) 099.3 Reiter’s disease Reiter’s syndrome Chancre: Ducrey’s simple soft Ulcus molle (cutis) (skin) Esthiomene Lymphogranuloma inguinale Granuloma venereum Pudendal ulcer INFECTIOUS AND PARASITIC DISEASES 59 099.4 Other nongonococcal urethritis Nonspecific and nongonococcal urethritis, so stated 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: Infection by Leptospira: Fort Bragg australis pretibial bataviae swamp pyrogenes 100.9 Leptospirosis, unspecified 101 Vincent’s angina Acute necrotizing Spirochetal stomatitis ulcerative: Trench mouth gingivitis Vincent's: stomatitis gingivitis Fusospirochetal infection [any site] pharyngitis 102 Yaws Includes: frambesia pian 60 TABULAR LIST 102.0 102.1 102.2 102.3 1024 102.5 102.6 102.7 Initial lesions Chancre of yaws Initial frambesial ulcer Frambesia, initial or Mother yaw primary Multiple papillomata and wet crab yaws Butter yaws Plantar or palmar Frambesioma papilloma of yaws Pianoma Other early skin lesions Early yaws (cutaneous) (macular) (papular) (maculopapular) (micropapular) Frambeside of early yaws Cutaneous yaws, less than five years after infection Hyperkeratosis Ghoul hand Hyperkeratosis, palmar or plantar (early) (late) due to yaws Worme-eaten soles Gummata and ulcers Nodular late yaws (ulcerated) Gummatous frambeside Gangosa Rhinopharyngitis mutilans Bone and joint lesions Goundou Gumma, bone Gummatous osteitis or periostitis Hydrarthrosis Osteitis | of yaws (early) (late) Periostitis (hypertrophic) of yaws (late) Other manifestations Juxta-articular nodules of yaws Mucosal yaws INFECTIOUS AND PARASITIC DISEASES 61 102.8 Latent yaws Yaws without clinical manifestations, with positive serology 102.9 Yaws, unspecified 103 Pinta 103.0 Primary lesions Chancre (primary) Papule (primary) Pintid } of pinta [carate] 103.1 Intermediate lesions Erythematous plaques Hyperchromic lesions { of pinta [carate] Hyperkeratosis 103.2 Late lesions Cardiovascular lesions Skin lesions: achromic cicatricial dyschromic 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 relapsing fever (087.0-087.9) syphilis (090.0-097.9) 62 TABULAR LIST 104.9 Spirochetal infection, unspecified MYCOSES (110-118) Use additional code, if desired, to identify manifestation, as: arthropathy (711.6) meningitis (321.0-321.1) otitis externa (380.15) 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 Tinea unguium Onychomycosis 110.2 Of hand Tinea manuum 110.3 Of groin and perianal area Dhobie itch Tinea cruris Eczema marginatum 110.4 Of foot Athlete’s foot Tinea pedis INFECTIOUS AND PARASITIC DISEASES 63 110.5 110.6 110.8 110.9 Of the body Herpes circinatus Tinea imbricata [Tokelau] Deep seated dermatophytosis Granuloma trichophyticum Majocchi’s granuloma Of other specified sites Of unspecified site Favus NOS Ringworm NOS Microsporic tinea NOS 111 Dermatomycosis, other and unspecified 111.0 111.1 111.2 111.3 111.8 111.9 Pityriasis versicolor Infection by Malassezia [Pityrosporum] furfur Tinea flava Tinea versicolor Tinea nigra Infection by Cladosporium Microsporosis nigra species Pityriasis nigra Keratomycosis nigricans Tinea palmaris nigra Tinea blanca Infection by Trichosporon (beigelii) cutaneum White piedra Black piedra Infection by Piedraia hortai Other specified dermatomycoses Dermatomycosis, unspecified 64 TABULAR LIST 112 Candidiasis 112.0 112.1 112.2 112.3 112.4 112.5 112.8 112.9 Includes: infection by Candida species moniliasis neonatal monilial infection (771.7) Of mouth Thrush (oral) Of vulva and vagina Candidal vulvovaginitis Monilial vulvovaginitis Of other urogenital sites Candidal balanitis Of skin and nails Candidal intertrigo Candidal perionyxis Candidal onychia [paronychia] Of lung Candidal pneumonia Disseminated Systemic candidiasis Of other specified sites 112.81 Candidal endocarditis 112.82 Candidal otitis externa Otomycosis in moniliasis 112.83 Candidal meningitis 112.89 Other Of unspecified site 114 Coccidioidomycosis Includes: infection by Coccidioides (immitis) Posada-Wernicke disease INFECTIOUS AND PARASITIC DISEASES 65 114.0 Primary coccidioidomycosis (pulmonary) 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 114.9 Coccidioidomycosis, unspecified 115 Histoplasmosis The following fifth-digit subclassification is for use with category 115: without mention of manifestation meningitis retinitis pericarditis endocarditis pneumonia other CONE WN=O 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 66 TABULAR LIST 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 INFECTIOUS AND PARASITIC DISEASES 67 117.2 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 actinomycotic mycetomas (039.0-039.9) 117.5 Cryptococcosis Busse-Buschke’s disease Pulmonary cryptococcosis European cryptococcosis Systemic cryptococcosis Infection by Cryptococcus Torula neoformans 117.6 Allescheriosis [Petriellidosis] Infections by Allescheria [Petriellidium] boydii [Monosporium apiospermum] mycotic mycetoma (117.4) 117.7 Zygomycosis [Phycomycosis or Mucormycosis] Infection by species of Absidia, Basidiobolus, Conidiobolus, Cunninghamella, Entomophthora, Mucor, Rhizopus, Saksenaea 68 TABULAR LIST 117.8 Infection by dematiacious fungi, [Phachyphomycosis] 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 Schistosome dermatitis Infection by cercariae of Swimmers’ itch Schistosoma 120.8 Other specified schistosomiasis Infection by Schistosoma: Infection by Schistosoma bovis spindale intercalatum Schistosomiasis mattheii chestermani INFECTIOUS AND PARASITIC DISEASES 69 120.9 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 Pulmonary distomiasis Lung fluke disease (oriental) 121.3 Fascioliasis Infection by Fasciola: Liver flukes NOS gigantica Sheep liver fluke hepatica 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 70 TABULAR LIST 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 Echinoceccosis 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) INFECTIOUS AND PARASITIC DISEASES 71 123.1 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) Dipylidium (caninum) Dog tapeworm (infection) ) infection 123.9 Cestode infection, unspecified Tapeworm (infection) NOS 124 Trichinosis Trichinella spiralis Trichinellosis infection Trichiniasis 72 TABULAR LIST 125 Filarial infection and dracontiasis 125.0 125.1 125.2 125.3 1254 125.5 125.6 Bancroftian filariasis Chyluria Elephantiasis Infection due to Wuchereria bancrofti Lymphadenitis Lymphangitis Wuchereriasis Malayan filariasis Brugia filariasis Chyluria Elephantiasis due to Brugia [Wuchereria] Infection malayi Lymphadenitis Lymphangitis Loiasis Eyeworm disease of Africa Loa loa infection Onchocerciasis Onchocerca volvulus infection Onchocercosis Dipetalonemiasis Infection by: Acanthocheilonema perstans Dipetalonema perstans Mansonella ozzardi infection Filariasis ozzardi Other specified filariasis Dirofilaria infection Infection by: Acanthocheilonema streptocerca Dipetalonema streptocerca INFECTIOUS AND PARASITIC DISEASES 73 125.7 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 trichostrongyliasis (127.6) 74 TABULAR LIST 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 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 INFECTIOUS AND PARASITIC DISEASES 75 128.1 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) 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 76 TABULAR LIST 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 Leukorrhea to Trichomonas (vaginalis) (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 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 INFECTIOUS AND PARASITIC DISEASES 77 132.3 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 Norwegian scabies scabiei 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: Infestation by: Dermatobia (hominis) maggots fly larvae Oestrus ovis Gasterophilus (intestinalis) 134.1 Other arthropod infestation Infestation by: Jigger disease chigoe Scarabiasis sand flea Tungiasis Tunga penetrans 134.2 Hirudiniasis Hirudiniasis (external) (internal) Leeches (aquatic) (land) 134.8 Other specified infestations 78 TABULAR LIST 134.9 Infestation, unspecified Infestation (skin) NOS Skin parasites NOS 135 Sarcoidosis Besnier-Boeck-Schaumann Sarcoid (any site): disease NOS Lupoid (miliary) of Boeck Boeck Lupus pernio (Besnier) Darier-Roussy Lymphogranulomatosis, Uveoparotid fever benign (Schaumann’s) 136 Other and unspecified infectious and parasitic diseases 136.0 Ainhum Dactylolysis spontanea 136.1 Behcet’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 INFECTIOUS AND PARASITIC DISEASES 79 LATE EFFECTS OF INFECTIOUS AND PARASITIC DISEASES (137-139) 137 Late effects of tuberculosis Note: This category is to be used to indicate conditions classifi- able 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 classifi- able to 045 as the cause of late effects, which are them- selves classified elsewhere. The “late effects” include con- ditions specified as such, or as sequelae, or those which are present one year or more after the onset of the acute poliomyelitis. 139 Late effects of other infectious and parasitic diseases Note: This category is to be used to indicate conditions classifi- able 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. 80 TABULAR LIST 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) Notes: 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, page 147] 239 Neoplasms of unspecified nature 2. Functional activity All neoplasms are classified in this chapter, whether or not func- tionally active. An additional code from Chapter 3 may be used, if desired, 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 mor- phology rubrics of the ICD-Oncology, is given on pages 1054-1076. 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 81 82 TABULAR LIST 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 NECPLASM OF LIP, ORAL CAVITY, AND PHARYNX (140-149) carcinoma in situ (230.0) 140 Malignant neoplasm of lip 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: Upper lip: buccal aspect mucosa frenulum oral aspect 140.4 Lower lip, inner aspect Lower lip: Lower lip: buccal aspect mucosa frenulum oral aspect NEOPLASMS 83 140.5 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 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 84 TABULAR LIST 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 malignant neoplasm of minor saiivary 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 NEOPLASMS 85 143 Malignant neoplasm of gum Includes: alveolar (ridge) mucosa gingiva (alveolar) (marginal) interdental papillae 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 mucosa of lips (140.0-140.9) 145.0 Cheek mucosa Buccal mucosa Cheek, inner aspect 86 TABULAR LIST 145.1 Vestibule of mouth Buccal sulcus (upper) (lower) Labial sulcus (upper) (lower) 145.2 Hard palate 145.3 Soft palate 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 lingual tonsil (141.6) pharyngeal tonsil (147.1) 146.1 Tonsillar fossa NEOPLASMS 87 146.2 146.3 146.4 146.5 146.6 146.7 146.8 146.9 147.0 147.1 Tonsillar pillars (anterior) (posterior) Faucial pillar Palatoglossal arch Glossopalatine fold Palatopharyngeal arch Vallecula Anterior and medial surface of the pharyngo- epiglottic fold Anterior aspect of epiglottis Epiglottis, free border Glossoepiglottic fold(s) [margin] Excludes:| epiglottis: NOS (161.1) suprahyoid portion (161.1) Junctional region Junction of the free margin of the epiglottis, the aryepiglottic fold, and the pharyngoepiglottic fold Lateral wall of oropharynx Posterior wall of oropharynx Other specified sites of oropharynx Branchial cleft Malignant neoplasm of contiguous or overlapping sites of oropharynx whose point of origin cannot be determined Oropharynx, unspecified 147 Malignant neoplasm of nasopharynx Superior wall Roof of nasopharynx Posterior wall Adenoid Pharyngeal tonsil 88 TABULAR LIST 147.2 Lateral wall Fossa of Rosenmiiller Pharyngeal recess Opening of auditory tube 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 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 NEOPLASMS 89 148.9 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 “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) carcinoma in situ (230.1-230.9) 150 Malignant neoplasm of esophagus 150.0 Cervical esophagus 150.1 Thoracic esophagus 150.2 Abdominal esophagus adenocarcinoma (151.0) cardio-esophageal junction (151.0) 150.3 Upper third of esophagus Proximal third of esophagus 150.4 Middle third of esophagus 90 TABULAR LIST 150.5 Lower third of esophagus Distal third of esophagus 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 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 NEOPLASMS 91 151.8 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 182 Malignant neoplasm of small intestine, including duodenum 152.0 Duodenum 152.1 Jejunum 152.2 Ileum 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 92 TABULAR LIST 153.3 153.4 153.5 153.6 153.7 153.8 153.9 Sigmoid colon ’ Sigmoid (flexure) rectosigmoid junction (154.0) Cecum Ileocecal valve Appendix Ascending colon Right colon Splenic flexure Other specified sites of large intestine Malignant neoplasm of contiguous or overlapping sites of colon whose point of origin cannot be determined ileocecal valve (153.4) rectosigmoid junction (154.0) Colon, unspecified Large intestine NOS 154 Malignant neoplasm of rectum, rectosigmoid junction, and anus 154.0 154.1 154.2 Rectosigmoid junction Colon with rectum Rectosigmoid (colon) Rectum Rectal ampulla Anal canal Anal sphincter skin of anus (172.5, 173.5) NEOPLASMS 93 154.3 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 Intrahepatic: Interlobular: biliary passages bile ducts canaliculi biliary canals gall duct 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 Cystic duct NOS Hepatic duct Common bile duct Sphincter of Oddi 94 TABULAR LIST 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, if desired, 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 NEOPLASMS 95 158 Malignant neoplasm of retroperitoneum and peritoneum 158.0 Retroperitoneum Periadrenal tissue Perirenal tissue Perinephric tissue Retrocecal tissue 158.8 Specified parts of peritoneum Cul-de-sac (of Douglas) Peritoneum: Mesentery parietal Mesocolon pelvic Omentum 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 Fibrosarcoma Hodgkin’s disease (201.0-201.9) lymphosarcoma (200.1) reticulosarcoma (200.0) } of spleen 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 anus and rectum (154.8) cardio-esophageal junction (151.0) colon and rectum (154.0) 96 TABULAR LIST 159.9 Ill-defined Alimentary canal or tract NOS Gastrointestinal tract NOS abdominal NOS (195.2) intra-abdominal NOS (195.2) MALIGNANT NEOPLASM OF RESPIRATORY AND INTRATHORACIC ORGANS (160-165) 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 Septum of nose Conchae, nasal Vestibule of nose Internal nose 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 Tympanic cavity Eustachian tube 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 NEOPLASMS 97 160.5 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 True vocal cord Laryngeal commissure Vocal cord NOS (anterior) (posterior) 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 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: Cartilage: arytenoid cuneiform cricoid thyroid 98 TABULAR LIST 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 MOEoss } 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 NEOPLASMS 99 163.9 Pleura, unspecified 164 Malignant neoplasm of thymus, heart, and mediastinum 164.0 Thymus 164.1 Heart Endocardium Myocardium Epicardium Pericardium 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 intra- thoracic 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) 100 TABULAR LIST MALIGNANT NEOPLASM OF BONE, CONNECTIVE TISSUE, SKIN, AND BREAST (170-175) carcinoma in situ: breast (233.0) skin (232.0-232.9) 170 Malignant neoplasm of bone and articular cartilage Includes: cartilage (articular) (joint) periosteum 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: Bone: ethmoid sphenoid frontal temporal malar zygomatic nasal Maxilla (superior) occipital Turbinate orbital Upper jaw bone parietal Vomer 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 Lower jaw bone Jaw bone NOS Excludes:| carcinoma, any type except intraosseous or odontogenic: jaw bone NOS (143.9) lower (143.1) upper jaw bone (170.0) NEOPLASMS 101 170.2 Vertebral column, excluding sacrum and coccyx Spinal column Vertebra Spine sacrum and coccyx (170.6) 170.3 Ribs, sternum, and clavicle Costal cartilage Xiphoid process Costovertebral joint 170.4 Scapula and long bones of upper limb Acromion Radius Bones NOS of upper limb Ulna Humerus 170.5 Short bones of upper limb Carpal Scaphoid (of hand) Cuneiform, wrist Semilunar or lunate Metacarpal Trapezium Navicular, of hand Trapezoid Phalanges of hand Unciform Pisiform 170.6 Pelvic bones, sacrum, and coccyx Coccygeal vertebra Pubic bone Ilium Sacral vertebra Ischium 170.7 Long bones of lower limb Bones NOS of lower limb Fibula Femur Tibia 170.8 Short bones of lower limb Astragalus [talus] Navicular (of ankle) Calcaneus Patella Cuboid Phalanges of foot Cuneiform, ankle Tarsal Metatarsal 170.9 Bone and articular cartilage, site unspecified 102 TABULAR LIST 171 Malignant neoplasm of connective and other soft tissue Includes: blood vessel bursa fascia fat ligament, except uterine muscle peripheral, sympathetic, and parasympa- thetic nerves and ganglia synovia tendon (sheath) cartilage (of): articular (170.0-170.9) larynx (161.3) nose (160.0) connective tissue: breast (174.0-175.9) internal organs — code to malignant neoplasm of the site [e.g., leio- myosarcoma 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 Forearm Finger Hand 171.3 Lower limb, including hip Foot Thigh Leg Toe Popliteal space NEOPLASMS 103 171.4 Thorax Axilla Great vessels Diaphragm heart (164.1) mediastinum (164.2-164.9) thymus (164.0) 171.5 Abdomen Abdominal wall Hypochondrium peritoneum (158.8) retroperitoneum (158.0) 171.6 Pelvis Buttock Inguinal region Groin Perineum 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 skin of genital organs (184.0-184.9, 187.1-187.9) sites other than skin — code to malignant neoplasm of the site 104 TABULAR LIST 172.0 172.1 172.2 172.3 1724 172.5 172.6 172.7 172.8 Lip vermilion border of lip (140.0-140.1, 140.9) Eyelid, including canthus Ear and external auditory canal Auricle (ear) Auricular canal, external External [acoustic] meatus Pinna Other and unspecified parts of face Cheek (external) Forehead Chin Nose, external Eyebrow Temple Scalp and neck Trunk, except scrotum Axilla Perianal skin Breast Perineum Buttock Umbilicus Groin anal canal (154.2) anus NOS (154.3) scrotum (187.7) Upper limb, including shoulder Arm Forearm Finger Hand Lower limb, including hip Ankle Leg Foot Popliteal area Heel Thigh Knee Toe Other specified sites of skin Malignant melanoma of contiguous or overlapping sites of skin whose point of origin cannot be determined NEOPLASMS 105 172.9 Melanoma of skin, site unspecified 173 Other malignant neoplasm of skin Includes: malignant neoplasm of: sebaceous glands sudoriferous, sudoriparous glands sweat glands 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 vermilion border of lip (140.0-140.1, 140.9) 173.1 Eyelid, including canthus cartilage of eyelid (171.0) 173.2 Skin of ear and external auditory canal Auricle (ear) External meatus Auricular canal, external Pinna cartilage of ear (171.0) 173.3 Skin of other and unspecified parts of face Cheek, external Forehead Chin Nose, external Eyebrow Temple 173.4 Scalp and skin of neck 106 TABULAR LIST 173.5 Skin of trunk, except scrotum Axillary fold Skin of: Perianal skin buttock Skin of: chest wall abdominal wall groin anus perineum back Umbilicus breast anal canal (154.2) anus NOS (154.3) skin of scrotum (187.7) 173.6 Skin of upper limb, including shoulder Arm Forearm Finger Hand 173.7 Skin of lower limb, including hip Ankle Leg Foot Popliteal area Heel Thigh Knee 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) Paget’s disease of: connective breast tissue nipple soft parts Excludes:| skin of breast (172.5, 173.5) 174.0 Nipple and areola 174.1 Central porticn NEOPLASMS 107 174.2 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 Midline of breast Inner breast Outer breast Lower 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 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 MALIGNANT NEOPLASM OF GENITOURINARY ORGANS (179-189) carcinoma in situ (233.1-233.9) 179 Malignant neoplasm of uterus, part unspecified 180 Malignant neoplasm of cervix uteri Includes: invasive malignancy [carcinoma] carcinoma in situ (233.1) 108 TABULAR LIST 180.0 Endocervix Cervical canal NOS Endocervical gland Endocervical canal 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 carcinoma in situ (233.2) 182.0 Corpus uteri, except isthmus Cornu Fundus Endometrium 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 uterus NOS (179) NEOPLASMS 109 183 Malignant neoplasm of ovary and other uterine adnexa Douglas’ cul-de-sac (158.8) 183.0 Ovary Use additional code, if desired, 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 carcinoma in situ (233.3) 184.0 Vagina Gartner’s duct Vaginal vault 184.1 Labia majora Greater vestibular [Bartholin’s] gland 110 TABULAR LIST 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 seminal vesicles (187.8) 186 Malignant neoplasm of testis Use additional code, if desired, 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 NEOPLASMS 111 187.2 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 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 112 TABULAR LIST 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 ureteric orifice of bladder (188.6) 189.3 Urethra 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 NEOPLASMS 113 MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED SITES (190-199) carcinoma in situ (234.0-234.9) 190 Malignant neoplasm of eye 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 Sclera Crystalline lens Uveal tract Iris 190.1 Orbit Connective tissue of orbit Extraocular muscle Retrobulbar 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 114 TABULAR LIST 190.9 Eye, part unspecified 191 Malignant neoplasm of brain 191.0 191.1 191.2 191.3 1914 191.5 191.6 191.7 191.8 191.9 cranial nerves (192.0) retrobulbar area (190.1) Cerebrum, except lobes and ventricles Basal ganglia Globus pallidus Cerebral cortex Hypothalamus Corpus striatum Thalamus Frontal lobe Temporal lobe Hippocampus Uncus Parietal lobe Occipital lobe Ventricles Choroid plexus Floor of ventricle Cerebellum NOS Cerebellopontine angle Brain stem Cerebral peduncle Midbrain Medulla oblongata Pons Other parts of brain Corpus callosum Tapetum Malignant neoplasm of contiguous or overlapping sites of brain whose point of origin cannot be determined Brain, unspecified Cranial fossa NOS NEOPLASMS 116 192 Malignant neoplasm of other and unspecified parts of nervous system peripheral, sympathetic, and parasympathetic nerves and ganglia (171.0-171.9) 192.0 Cranial nerves Olfactory bulb 192.1 Cerebral meninges Dura (mater) Meninges NOS Falx (cerebelli) (cerebri) 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 meninges NOS (192.1) 193 Malignant neoplasm of thyroid gland Sipple’s syndrome Thyroglossal duct Use additional code, if desired, to identify any functional activity 116 TABULAR LIST 194 Malignant neoplasm of other endocrine glands and related structures 194.0 194.1 194.3 1944 194.5 194.6 194.8 194.9 Use additional code, if desired, to identify any functional activity islets of Langerhans (157.4) ovary (183.0) testis (186.0-186.9) thymus (164.0) Adrenal gland Adrenal cortex Suprarenal gland Adrenal medulla Parathyroid gland Pituitary gland and craniopharyngeal duct Craniobuccal pouch Rathke’s pouch Hypophysis Sella turcica Pineal gland Carotid body Aortic body and other paraganglia Coccygeal body Para-aortic body Glomus jugulare Other Pluriglandular involvement NOS Note: If the sites of multiple involvements are known, they should be coded separately. Endocrine gland, site unspecified NEOPLASMS 117 195 Malignant neoplasm of other and ill-defined sites Includes: malignant neoplasms of contiguous sites, not elsewhere classified, whose point of origin cannot be determined 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 Nose NOS Jaw NOS Supraclavicular region NOS 195.1 Thorax Axilla Intrathoracic NOS Chest (wall) 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 Trunk NOS Flank NOS 118 TABULAR LIST 196 Secondary and unspecified malignant neoplasm of lymph nodes 196.0 196.1 196.2 196.3 196.5 196.6 196.8 196.9 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) Lymph nodes of head, face, and neck Cervical Scalene Cervicofacial Supraclavicular Intrathoracic lymph nodes Bronchopulmonary Mediastinal Intercostal Tracheobronchial Intra-abdominal lymph nodes Intestinal Retroperitoneal Mesenteric Lymph nodes of axilla and upper limb Brachial Infraclavicular Epitrochlear Pectoral Lymph nodes of inguinal region and lower limb Femoral Popliteal Groin Tibial Intrapelvic lymph nodes Hypogastric Obturator Iliac Parametrial Lymph nodes of multiple sites Site unspecified Lymph nodes NOS 197 Secondary malignant neoplasm of respiratory and digestive systems lymph node metastasis (196.0-196.9) NEOPLASMS 119 197.0 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 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 120 TABULAR LIST 198.7 Adrenal gland Suprarenal gland 198.8 Other specified sites 198.81 Breast skin of breast (198.2) 198.82 Genital organs 198.89 Other retroperitoneal lymph nodes (196.2) 199 Malignant neoplasm without specification of site 199.0 Disseminated Carcinomatosis Generalized; unspecified site (primary) Cancer (secondary) malignancy Multiple cancer 199.1 Other Cancer . 4 } Carman | FD i re Malignancy NEOPLASMS 121 MALIGNANT NEOPLASM OF LYMPHATIC AND HEMATOPOIETIC TISSUE (200-208) 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: unspecified site lymph nodes of head, face, and neck intrathoracic lymph nodes intra-abdominal lymph nodes lymph nodes of axilla and upper limb lymph nodes of inguinal region and lower limb intrapelvic lymph nodes spleen lymph nodes of multiple sites XIN NP LVNN=O § 200 Lymphosarcoma and reticulosarcoma 200.0 Reticulosarcoma Lymphoma (malignant): histiocytic (diffuse): nodular pleomorphic cell type lymphocytic, poorly differentiated reticulum cell type Reticulum cell sarcoma: NOS pleomorphic cell type § Requires fifth-digit. See above for codes and definitions. 122 TABULAR LIST 200.1 Lymphosarcoma Lymphoblastoma (diffuse) Lymphosarcoma: Lymphoma (malignant): NOS lymphoblastic (diffuse) diffuse NOS lymphocytic (cell type) lymphoblastic (diffuse) (diffuse) lymphocytic (diffuse) lymphosarcoma type prolymphocytic lymphosarcoma: Sollicular 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 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 § Requires fifth-digit. See page 121 for codes and definitions. NEOPLASMS 123 201.7 Lymphocytic depletion Hodgkin's disease, lymphocytic depletion: NOS diffuse fibrosis reticular type 201.9 Hodgkin’s disease, unspecified Hodgkin's: Malignant: disease NOS lymphogranuloma lymphoma NOS lymphogranulomatosis § 202 Other malignant neoplasms of lymphoid and histiocytic tissue 202.0 Nodular lymphoma Brill-Symmers disease Lymphosarcoma: Lymphoma: follicular (giant) follicular (giant) nodular lymphocytic, 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 § Requires fifth-digit. See page 121 for codes and definitions. 124 TABULAR LIST 202.5 Letterer-Siwe disease Acute: differentiated progressive histiocytosis histiocytosis X (progressive) infantile reticuloendotheliosis reticulosis of infancy Hand-Schiller-Christian disease (277.8) histiocytosis (acute) (chronic) (277.8) histiocytosis X (chronic) (277.8) 202.6 Malignant mast cell tumors Malignant: Mast cell sarcoma mastocytoma Systemic tissue mast mastocytosis cell disease mast cell leukemia (207.8) 202.8 Other lymphomas Lymphoma (malignant): NOS diffuse 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 203.0 Multiple myeloma Kahler’s disease Myelomatosis solitary myeloma (238.6) 203.1 Plasma cell leukemia Plasmacytic leukemia 203.8 Other immunoproliferative neoplasms NEOPLASMS 125 204 Lymphoid leukemia Includes: leukemia: leukemia: lymphatic lymphocytic lymphoblastic lymphogenous 204.0 Acute 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: leukemia: granulocytic myelomonocytic myeloblastic myelosclerotic myelocytic myelosis myelogenous 205.0 Acute Acute promyelocytic leukemia acute exacerbation of chronic myeloid leukemia (205.1) 205.1 Chronic Eosinophilic leukemia Neutrophilic leukemia 205.2 Subacute 126 TABULAR LIST 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 206.0 Acute 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 leukemic reticuloendotheliosis (202.4) plasma cell leukemia (203.1) NEOPLASMS 127 207.0 Acute erythremia and erythroleukemia Acute erythremic myelosis Erythremic myelosis Di Guglielmo’s disease 207.1 Chronic erythremia Heilmeyer-Schoner disease 207.2 Megakaryocytic leukemia Megakaryocytic myelosis ~~ Thrombocytic leukemia 207.8 Other specified leukemia Lymphosarcoma cell leukemia 208 Leukemia of unspecified cell type 208.0 Acute Acute leukemia NOS Stem cell leukemia Blast cell leukemia 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) 128 TABULAR LIST 210.0 Lip Frenulum labii Lip (inner aspect) (mucosa) (vermilion border) labial commissure (210.4) skin of lip (216.0) 210.1 Tongue Lingual tonsil 210.2 Major salivary glands Gland: parotid sublingual submandibular 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 Oral mucosa Gum (upper) (lower) Palate (hard) (soft) Labial commissure Uvula Oral cavity NOS 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) NEOPLASMS 129 210.5 Tonsil Tonsil (faucial) (palatine) 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 epiglottis: NOS (212.1) suprahyoid portion (212.1) 210.7 Nasopharynx Adenoid tissue . Pharyngeal tonsil Lymphadenoid tissue Posterior nasal septum 210.8 Hypopharynx Arytenoid fold Postcricoid region Laryngopharynx Pyriform fossa 210.9 Pharynx, unspecified Throat NOS 211 Benign neoplasm of other parts of digestive system 211.0 Esophagus 211.1 Stomach Body Cardiac orifice Cardia of stomach Pylorus Fundus 130 TABULAR LIST 211.2 211.3 2114 211.5 211.6 211.7 211.8 Duodenum, jejunum, and ileum Small intestine NOS ampulla of Vater (211.5) ileocecal valve (211.3) Colon Appendix Ileocecal valve Cecum Large intestine NOS rectosigmoid junction (211.4) Rectum and anal canal Anal canal or sphincter Rectosigmoid junction Anus NOS anus: margin (216.5) skin (216.5) perianal skin (216.5) Liver and biliary passages Ampulla of Vater Gallbladder Common bile duct Hepatic duct Cystic duct Sphincter of Oddi Pancreas, except islets of Langerhans Islets of Langerhans Islet cell tumor Use additional code, if desired, to identify any functional activity Retroperitoneum and peritoneum Mesentery Omentum Mesocolon Retroperitoneal tissue NEOPLASMS 131 211.9 Other and unspecified site Alimentary tract NOS Intestinal tract NOS Digestive system NOS Intestine NOS Gastrointestinal tract 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 Sinus: Eustachian tube ethmoidal Nares frontal Septum of nose maxillary sphenoidal 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: Epiglottis (suprahyoid arytenoid portion) NOS cricoid Glottis cuneiform Vocal cords (false) (true) thyroid epiglottis, anterior aspect (210.6) polyp of vocal cord or larynx (478.4) 212.2 Trachea 132 TABULAR LIST 212.3 Bronchus and lung Carina Hilus of lung 212.4 Pleura 212.5 Mediastinum 212.6 Thymus 212.7 Heart great vessels (215.4) 212.8 Other specified sites 212.9 Site unspecified Respiratory organ NOS Upper respiratory tract NOS intrathoracic NOS (229.8) thoracic NOS (229.8) 213 Benign neoplasm of bone and articular cartilage Includes: cartilage (articular) (joint) periosteum 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 lower jaw bone (213.1) 213.1 Lower jaw bone 213.2 Vertebral column, excluding sacrum and coccyx NEOPLASMS 133 213.3 213.4 213.5 213.6 213.7 213.8 213.9 214 Lipoma 214.0 214.1 214.2 214.3 214.4 214.8 214.9 Ribs, sternum, and clavicle Scapula and long bones of upper limb Short bones of upper limb Pelvic bones, sacrum, and coccyx Long bones of lower limb Short bones of lower limb Bone and articular cartilage, site unspecified Includes: angiolipoma fibrolipoma hibernoma lipoma (fetal) (infiltrating) (intramuscular) myelolipoma myxolipoma Skin and subcutaneous tissue of face Other skin and subcutaneous tissue Intrathoracic organs Intra-abdominal organs Spermatic cord Other specified sites Lipoma, unspecified site 134 TABULAR LIST 215 Other benign neoplasm of connective and other soft tissue Includes: blood vessel peripheral, sympathetic, bursa and parasympathetic fascia nerves and ganglia ligament synovia muscle tendon (sheath) cartilage: articular (213.0-213.9) larynx (212.1) nose (212.0) connective tissue of: breast (217) internal organ, except lipoma and hemangioma — code 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 heart (212.7) mediastinum (212.5) thymus (212.6) 215.5 Abdomen Abdominal wall Hypochondrium 215.6 Pelvis Buttock Inguinal region Groin Perineum uterine: leiomyoma (218.0-218.9) ligament, any (221.0) 215.7 Trunk, unspecified Back NOS Flank NOS NEOPLASMS 135 215.8 Other specified sites 215.9 Site unspecified 216 Benign neoplasm of skin Includes: blue nevus pigmented nevus dermatofibroma syringoadenoma hydrocystoma syringoma skin of genital organs (221.0-222.9) 216.0 Skin of lip vermilion border of lip (210.0) 216.1 Eyelid, including canthus cartilage of eyelid (215.0) 216.2 Ear and external auditory canal Auricle (ear) External meatus Auricular canal, external Pinna cartilage of ear (215.0) 216.3 Skin of other and unspecified parts of face Cheek, external Nose, external Eyebrow Temple 216.4 Scalp and skin of neck 216.5 Skin of trunk, except scrotum Axillary fold Skin of: Perianal skin buttock Skin of: chest wall abdominal wall groin anus perineum back Umbilicus breast anal canal (211.4) anus NOS (211.4) skin of scrotum (222.4) 136 TABULAR LIST 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 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 NEOPLASMS 137 219.1 Corpus uteri Endometrium Myometrium Fundus 219.8 Other specified parts of uterus 219.9 Uterus, part unspecified 220 Benign neoplasm of ovary Use additional code, if desired, to identify any functional activity (256.0-256.1) cyst: corpus albicans (620.2) corpus luteum (620.1) endometrial (617.1) Jollicular (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 cyst: epoophoron (752.11) Sfimbrial (752.11) Gartner’s duct (752.11) parovarian (752.11) 221.0 Fallopian tube and uterine ligaments Oviduct Uterine ligament (broad) Parantetrium (round) (uterosacral) Uterine tube 221.1 Vagina 138 TABULAR LIST 221.2 Vulva Clitoris External female genitalia NOS Greater vestibular [Bartholin’s] gland Labia (majora) (minora) Pudendum 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, if desired, to identify any functional activity 222.1 Penis Corpus cavernosum Prepuce Glans penis 222.2 Prostate adenomatous hyperplasia of prostate (600) prostatic: adenoma (600) enlargement (600) hypertrophy (600) 222.3 Epididymis 222.4 Scrotum Skin of scrotum 222.8 Other specified sites of male genital organs Seminal vesicle Spermatic cord NEOPLASMS 139 222.9 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 renal: calyces (223.1) pelvis (223.1) 223.1 Renal pelvis 223.2 Ureter ureteric orifice of bladder (223.3) 223.3 Bladder 223.8 Other specified sites of urinary organs 223.81 Urethra urethral orifice of bladder (223.3) 223.89 Other Paraurethral glands Urachus patent urachal cyst (753.7) 223.9 Urinary organ, site unspecified Urinary system NOS 224 Benign neoplasm of eye cartilage of eyelid (215.0) eyelid (skin) (216.1) optic nerve (225.1) orbital bone (213.0) 140 TABULAR LIST 224.0 Eyeball, except conjunctiva, cornea, retina, and choroid Ciliary body Sclera Iris Uveal tract 224.1 Orbit bone of orbit (213.0) 224.2 Lacrimal gland 224.3 Conjunctiva 224.4 Cornea 224.5 Retina 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 parasym- pathetic 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) NEOPLASMS 141 225.3 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 meninges NOS (225.2) 226 Benign neoplasm of thyroid glands Use additional code, if desired, to identify any functional activity 227 Benign neoplasm of other endocrine glands and related structures Use additional code, if desired, to identify any functional activity 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 Rathke’s pouch Hypophysis Sella turcica 227.4 Pineal gland Pineal body 142 TABULAR LIST 227.5 Carotid body 227.6 Aortic body and other paraganglia Coccygeal body Para-aortic body Glomus jugulare 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) 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 NEOPLASMS 143 229 Benign neoplasm of other and unspecified sites 229.0 Lymph nodes 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 leukoplakia — see Alphabetic Index 230 Carcinoma in situ of digestive organs 230.0 Lip, oral cavity, and pharynx Gingiva Oropharynx Hypopharynx Salivary gland or duct Mouth [any part] Tongue Nasopharynx 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 Cardiac orifice Cardia of stomach Pylorus Fundus 144 TABULAR LIST 230.3 230.4 230.5 230.6 230.7 230.8 230.9 Colon Appendix Ileocecal valve Cecum Large intestine NOS rectosigmoid junction (230.4) Rectum Rectosigmoid junction Anal canal Anal sphincter Anus, unspecified anus: margin (232.5) skin (232.5) perianal skin (232.5) Other and unspecified parts of intestine Duodenum Jejunum Ileum Small intestine NOS ampulla of Vater (230.8) Liver and biliary system Ampulla of Vater Gallbladder Common bile duct Hepatic duct Cystic duct Sphincter of Oddi Other and unspecified digestive organs Digestive organ NOS Pancreas Gastrointestinal tract NOS Spleen NEOPLASMS 145 231 Carcinoma in situ of respiratory system 231.0 Larynx Cartilage: Epiglottis: arytenoid NOS cricoid posterior surface cuneiform suprahyoid portion thyroid Vocal cords (false) (true) 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 Nasal cavities Middle ear Pleura 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 vermilion border of lip (230.0) 232.1 Eyelid, including canthus 232.2 Ear and external auditory canal 146 TABULAR LIST 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 Skin of: Axillary fold breast Perianal skin buttock Skin of: chest wall abdominal wall groin anus perineum back Umbilicus 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 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 NEOPLASMS 147 233.6 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 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-morpholog- ically 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 minor salivary glands (235.1) 148 TABULAR LIST 235.1 Lip, oral cavity, and pharynx Gingiva Nasopharynx Hypopharynx Oropharynx Minor salivary glands Tongue Mouth 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 Gallbladder Bile ducts [any] Liver 235.4 Retroperitoneum and peritoneum 235.5 Other and unspecified digestive organs Anal: Esophagus canal Pancreas sphincter Spleen Anus NOS anus: margin (238.2) skin (238.2) perianal skin (238.2) 235.6 Larynx 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 NEOPLASMS 149 235.9 Other and unspecified respiratory organs Accessory sinuses Nasal cavities Middle ear Respiratory organ NOS 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, if desired, to identify any functional activity 236.3 Other and unspecified female genital organs 236.4 Testis Use additional code, if desired, 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 150 TABULAR LIST 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, if desired, to identify any functional activity 237.1 Pineal gland 237.2 Adrenal gland Suprarenal gland Use additional code, if desired, to identify any functional activity 237.3 Paraganglia Aortic body Coccygeal body Carotid 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 NEOPLASMS 151 237.9 Other and unspecified parts of nervous system Cranial nerves peripheral, sympathetic, and parasympathetic p nerves and ganglia (238.1) 238 Neoplasm of uncertain behavior of other and unspecified sites and tissues 238.0 Bone and articular cartilage 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 cartilage (of): ‘ articular (238.0) larynx (235.6) nose (235.9) connective tissue of breast (238.3) 238.2 Skin anus NOS (235.5) skin of genital organs (236.3, 236.6) vermilion border of lip (235.1) 238.3 Breast skin of breast (238.2) 238.4 Polycythemia vera 238.5 Histiocytic and mast cells Mast cell tumor NOS Mastocytoma NOS 162 TABULAR LIST 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 Myelosclerosis with myeloid metaplasia Panmyelosis (acute) myelofibrosis (289.8) myelosclerosis NOS (289.8) myelosis: NOS (205.9) megakaryocytic (207.2) 238.8 Other specified sites Eye Heart 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 new growth NOS neoplasm NOS tumor NOS 239.0 Digestive system anus: margin (239.2) skin (239.2) perianal skin (239.2) NEOPLASMS 163 239.1 Respiratory system 239.2 239.3 2394 239.5 239.6 239.7 239.8 239.9 Bone, soft tissue, and skin 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) Breast skin of breast (239.2) Bladder Other genitourinary organs Brain cerebral meninges (239.7) cranial nerves (239.7) Endocrine glands and other parts of nervous system peripheral, sympathetic, and parasympathetic nerves and ganglia (239.2) Other specified sites eyelid (skin) (239.2) cartilage (239.2) great vessels (239.2) optic nerve (239.7) Site unspecified 3. ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES, AND IMMUNITY DISORDERS (240-279) 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, if desired, 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: Goiter or struma: hyperplastic NOS nontoxic (diffuse) diffuse colloid parenchymatous endemic sporadic congenital (dyshormonogenic) goiter (246.1) 241 Nontoxic nodular goiter 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) 154 ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 155 241.9 Unspecified nontoxic nodular goiter Adenomatous goiter Nodular goiter (nontoxic) NOS Struma nodosa (simplex) 242 Thyrotoxicosis with or without goiter 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 Uninodular goiter ) toxic or with hyperthyroidism 242.2 Toxic multinodular goiter Secondary thyroid hyperplasia 242.3 Toxic nodular goiter, unspecified Adenomatous goiter Nodular goiter | toxic or with hyperthyroidism Struma nodosa Any condition classifiable to 241.9 specified as toxic or with hyperthyroidism 242.4 Thyrotoxicosis from ectopic thyroid nodule 166 TABULAR LIST 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, if desired, 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, if desired, to identify associated mental retardation 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 code, if desired, to identify drug ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 167 244.3 Other iatrogenic hypothyroidism Hypothyroidism resulting from: P-aminosalicylic acid [PAS] Phenylbutazone Resorcinol Iatrogenic hypothyroidism NOS Use additional E code, if desired, to identify drug 244.8 Other specified acquired hypothyroidism Secondary hypothyroidism NEC 244.9 Unspecified hypothyroidism Hypothyroidism Myxedema primary or NOS 245 Thyroiditis 245.0 Acute thyroiditis Abscess of thyroid Thyroiditis: nonsuppurative, acute pyogenic suppurative Use additional code, if desired, to identify organism 245.1 Subacute thyroiditis Thyroiditis: Thyroiditis: de Quervain’s granulomatous giant cell viral 245.2 Chronic lymphocytic thyroiditis Hashimoto’s disease Thyroiditis: Struma lymphomatosa autoimmune lymphocytic (chronic) 158 TABULAR LIST 245.3 Chronic fibrous thyroiditis Struma fibrosa Thyroiditis: invasive (fibrous) ligneous Riedel’s 245.4 Iatrogenic thyroiditis Use additional code, if desired, 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 cystadenoma of thyroid (226) 246.3 Hemorrhage and infarction of thyroid 246.8 Other specified disorders of thyroid Abnormality of thyroid- Hyper-TBG-nemia binding globulin Hypo-TBG-nemia Atrophy of thyroid ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 159 246.9 Unspecified disorder of thyroid DISEASES OF OTHER ENDOCRINE GLANDS (250-259) 250 Diabetes mellitus hyperglycemia NOS (790.6) neonatal diabetes mellitus (775.1) nonclinical diabetes (790.2) that complicating pregnancy, childbirth, or the puerperium (648.0) The following fifth-digit subclassification is for use with category 250: 0 adult-onset or unspecified as to type 1 juvenile type 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 ketosis } without mention of coma 0250.2 Diabetes with hyperosmolar coma Hyperosmolar (nonketotic) coma 0250.3 Diabetes with other coma Diabetic coma (with ketoacidosis) 160 TABULAR LIST 0250.4 Diabetes with renal manifestations Use additional code, if desired, to identify manifestation, as: diabetic: nephropathy NOS (583.81) nephrosis (581.81) intercapillary glomerulosclerosis (581.81) Kimmelstiel-Wilson syndrome (581.81) 0250.5 Diabetes with ophthalmic manifestations Use additional code, if desired, to identify manifestation, as: diabetic: cataract (366.41) retinopathy (362.01-362.02) 0250.6 Diabetes with neurological manifestations Use additional code, if desired, 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) 0250.7 Diabetes with peripheral circulatory disorders Use additional code, if desired, to identify manifestation, as: diabetic: gangrene (785.4) peripheral angiopathy (443.81) ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 161 0250.8 Diabetes with other specified manifestations Use additional code, if desired, to identify manifestation, as: diabetic bone changes (731.8) intercurrent infections in diabetic patients 250.9 Diabetes with unspecified complication 251 Other disorders of pancreatic internal secretion 251.0 Hypoglycemic coma Iatrogenic hyperinsulinism Insulin coma Use additional E code, if desired, to identify cause, if drug-induced 251.1 Other hyperinsulinism Hyperinsulinism: NOS ectopic functional Hyperplasia of pancreatic islet beta cells NOS hypoglycemia in infant of diabetic mother (775.0) neonatal hypoglycemia (775.6) 251.2 Hypoglycemia, unspecified Hypoglycemia: NOS reactive spontaneous leucine-induced (270.3) 251.3 Postsurgical hypoinsulinemia Hypoinsulinemia following complete or partial pancreatectomy Postpancreatectomy hyperglycemia 162 TABULAR LIST 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 ectopic hyperparathyroidism (259.3) secondary hyperparathyroidism (of renal origin) (588.8) 252.1 Hypoparathyroidism Parathyroiditis (autoimmune) Tetany: parathyroid parathyroprival pseudohypoparathyroidism (275.4) pseudopseudohypoparathyroidism (275.4) tetany NOS (781.7) transitory neonatal hypoparathyroidism (775.4) 252.8 Other specified disorders of parathyroid gland Cyst Hemorrhage ) of parathyroid gland 252.9 Unspecified disorder of parathyroid gland ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 163 253 Disorders of the pituitary gland and its hypothalamic control 253.0 253.1 253.2 253.3 253.4 253.5 253.6 Includes: the listed conditions whether the disorder is in the pituitary or the hypothalamus Cushing’s syndrome (255.0) Acromegaly and gigantism Overproduction of growth hormone Other and unspecified anterior pituitary hyperfunction Forbes-Albright syndrome overproduction of: ACTH (255.3) thyroid-stimulating hormone [TSH] (242.8) Panhypopituitarism Cachexia, pituitary Sheehan’s syndrome Necrosis of pituitary Simmonds’ disease (postpartum) Pituitary insufficiency NOS iatrogenic hypopituitarism (253.7) Pituitary dwarfism Isolated deficiency of (human) growth hormone [HGH] Lorain-Levi dwarfism Other anterior pituitary disorders Isolated or partial deficiency of an anterior pituitary hormone, other than growth hormone Prolactin deficiency Diabetes insipidus Vasopressin deficiency nephrogenic diabetes insipidus (588.1) Other disorders of neurohypophysis Syndrome of inappropriate secretion of antidiuretic hormone [ADH] ectopic antidiuretic hormone secretion (259.3) 164 TABULAR LIST 253.7 Iatrogenic pituitary disorders Hypopituitarism: hormone-induced hypophysectomy-induced postablative radiotherapy-induced Use additional E code, if desired, to identify cause 253.8 Other disorders of the pituitary and other syndromes of diencephalohypophyseal origin Abscess of pituitary Cyst of Rathke’s pouch Adiposogenital dystrophy Frohlich’s syndrome craniopharyngioma (237.0) 253.9 Unspecified Dyspituitarism 254 Diseases of thymus gland aplasia or dysplasia with immuno- deficiency (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 Cyst thymoma (212.6) 254.9 Unspecified disease of thymus gland } of thymus ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 165 255 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 Ectopic ACTH syndrome to excess ACTH Iatrogenic syndrome of Cushing’s syndrome: excess cortisol NOS Overproduction of iatrogenic cortisol idiopathic pituitary-dependent Use additional E code, if desired, to identify cause, if drug-induced congenital adrenal hyperplasia (255.2) 255.1 Hyperaldosteronism Aldosteronism (primary) Bartter’s syndrome (secondary) 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) 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 166 TABULAR LIST 255.4 Corticoadrenal insufficiency Addisonian crisis Adrenal: Addison’s disease NOS crisis Adrenal: hemorrhage atrophy (autoimmune) infarction calcification insufficiency NOS tuberculous Addison’s disease (017.6) 255.5 Other adrenal hypofunction Adrenal medullary insufficiency 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 256.3 Other ovarian failure Premature menopause NOS Primary ovarian failure 256.4 Polycystic ovaries Isosexual virilization Stein-Leventhal syndrome ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 167 256.8 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 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 168 TABULAR LIST 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 ectopic ACTH syndrome (255.0) ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 169 259.4 Dwarfism, not elsewhere classified Dwarfism: NOS constitutional 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 Werner’s syndrome Progeria 259.9 Unspecified endocrine disorder Disturbance: Infantilism NOS endocrine NOS hormone NOS NUTRITIONAL DEFICIENCIES (260-269) deficiency anemias (280.0-281.9) 260 Kwashiorkor Nutritional edema with dyspigmentation of skin and hair 261 Nutritional marasmus Nutritional atrophy Severe malnutrition NOS Severe calorie deficiency 262 Other severe protein-calorie malnutrition Malnutrition of third degree according to Gomez classification [weight for age less than 60 percent of standard] Nutritional edema without mention of dyspigmentation of skin and hair 170 TABULAR LIST 263 Other and unspecified protein-calorie malnutrition 263.0 Malnutrition of moderate degree Malnutrition of second degree according to Gomez classification [weight for age 60 percent to less than 75 percent of standard] 263.1 Malnutrition of mild degree Malnutrition of first degree according to Gomez classification [weight for age 75 percent to less than 90 percent of standard] 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 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 ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 171 264.7 Other ocular manifestations of vitamin A deficiency Xerophthalmia due to vitamin A deficiency 264.8 Other manifestations of vitamin A deficiency Follicular keratosis 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 B; 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 B;] deficiency 266.1 Vitamin Bg deficiency Deficiency: Vitamin Bg deficiency pyridoxal syndrome pyridoxamine pyridoxine vitamin Bg-responsive sideroblastic anemia (285.0) 172 TABULAR LIST 266.2 Other B-complex deficiencies Deficiency: cyanocobalamin folic acid vitamin Bj; 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 scorbutic anemia (281.8) 268 Vitamin D deficiency vitamin D-resistant: osteomalacia (275.3) rickets (275.3) 268.0 Rickets, active celiac rickets (579.0) renal rickets (588.0) 268.1 Rickets, late effect Any condition specified as rachitic or due to rickets and present one year or more after onset, or stated to be a late effect or sequela of rickets Use additional code, if desired, to identify the nature of late effect 268.2 Osteomalacia, unspecified ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 173 268.9 Unspecified vitamin D deficiency Avitaminosis D 269 Other nutritional deficiencies 269.0 Deficiency of vitamin K 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 deficiency: calcium NOS (275.4) potassium (276.8) sodium (276.1) 269.8 Other nutritional deficiency failure to thrive (783.4) feeding problems (783.3) newborn (779.3) + 269.9 Unspecified nutritional deficiency 174 TABULAR LIST OTHER METABOLIC AND IMMUNITY DISORDERS (270-279) Use additional code, if desired, to identify any associated mental retardation 270 Disorders of amino-acid transport and metabolism 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 Hypertyrosinemia Alkaptonuria Indicanuria Alkaptonuric ochronosis Kynureninase defects Disturbances of metabolism Oasthouse urine disease of tyrosine and Ochronosis tryptophan Tyrosinosis Homogentisic acid defects Tyrosinuria Hydroxykynureninuria Waardenburg syndrome vitamin Bg-deficiency syndrome (266.1) ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 175 270.3 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 Hyperhistidinemia Histidinemia 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 Saccharopinuria Glycinemia (with methyl- Other disturbances of malonic acidemia) metabolism of gly- Hyperglycinemia cine, threonine, Hyperlysinemia serine, glutamine, Pipecolic acidemia and lysine 176 TABULAR LIST 270.8 Other specified disorders of amino-acid metabolism Alaninemia Iminoacidopathy Ethanolaminuria Prolinemia Glycoprolinuria Prolinuria Hydroxyprolinemia Sarcosinemia Hyperprolinemia 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 McArdle’s disease Glucose-6-phosphatase Pompe’s disease deficiency von Gierke’s disease Glycogen storage 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 ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 177 271.8 Other specified disorders of carbohydrate transport and metabolism Essential benign Mannosidosis pentosuria Oxalosis Fucosidosis Xylosuria Glycolic aciduria Xylulosuria Hyperoxaluria (primary) 271.9 Unspecified disorder of carbohydrate transport and metabolism 272 Disorders of lipoid metabolism localized cerebral lipidoses (330.1) 272.0 Pure hypercholesterolemia Familial hypercholesterolemia Fredrickson Type Ila 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] hyperlipo- proteinemia 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 178 TABULAR LIST 272.3 Hyperchylomicronemia Biirger-Griitz syndrome Hyperlipidemia, Group D Fredrickson type I or Mixed hyperglyceridemia V hyperlipoproteinemia 272.4 Other and unspecified hyperlipidemia Alpha-lipoproteinemia Hyperlipidemia NOS Combined hyperlipidemia ~~ 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, if desired, to identify cause, if iatrogenic intestinal lipodystrophy (040.2) 272.7 Lipidoses Chemically-induced Disease: lipidosis triglyceride storage, Disease: Type I or II Anderson’s Wolman’s or triglycer- Fabry’s ide storage, Gaucher’s Type III I cell [mucolipidosis I] ~~ Mucolipidosis II lipoid storage NOS Primary familial Niemann-Pick xanthomatosis pseudo-Hurler’s or mucolipidosis III cerebral lipidoses (330.1) Tay-Sachs disease (330.1) ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 179 272.8 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 agammaglobulinemia and hypogamma- globulinemia (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 Waldenstrom’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: Mixed cryoglobulinemia purpura vasculitis 273.3 Macroglobulinemia Macroglobulinemia (idiopathic) (primary) Waldenstrom’s macroglobulinemia 273.8 Other disorders of plasma protein metabolism Abnormality of transport protein Bisalbuminemia 180 TABULAR LIST 273.9 Unspecified disorder of plasma protein metabolism 274 Gout 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, if desired, to identify manifestations, as: gouty: iritis (364.11) neuritis (357.4) 274.9 Gout, unspecified 275 Disorders of mineral metabolism abnormal findings without manifest disease (790.0-796.9) ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 181 275.0 Disorders of iron metabolism Bronzed diabetes Pigmentary cirrhosis Hemochromatosis (of liver) 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 Calcinosis Nephrocalcinosis Hypercalcemia Pseudohypoparathyroidism Hypercalcinuria Pseudopseudohypopara- thyroidism parathyroid disorders (252.0-252.9) vitamin D deficiency (268.0-268.9) 275.8 Other specified disorders of mineral metabolism 275.9 Unspecified disorder of mineral metabolism 276 Disorders of fluid, electrolyte, and acid-base balance diabetes insipidus (253.5) Jamilial periodic paralysis (359.3) 276.0 Hyperosmolality and/or hypernatremia Sodium [Na] excess Sodium [Na] overload 182 TABULAR LIST 276.1 276.2 276.3 276.4 276.5 276.6 276.7 Hyposmolality and/or hyponatremia Sodium [Na] deficiency Acidosis Acidosis: NOS lactic metabolic respiratory diabetic acidosis (250.1) Alkalosis Alkalosis: NOS metabolic respiratory Mixed acid-base balance disorder Hypercapnia with mixed acid-base disorder Volume depletion Dehydration Depletion of volume of plasma or extracellular fluid Hypovolemia hypovolemic shock: postoperative (998.0) traumatic (958.4) Fluid overload Fluid retention ascites (789.5) localized edema (782.3) Hyperpotassemia Hyperkalemia Potassium [K]: excess intoxication overload ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 183 276.8 Hypopotassemia Hypokalemia Potassium [K] deficiency 276.9 Electrolyte and fluid disorders not elsewhere classified Electrolyte imbalance Hypochloremia Hyperchloremia electrolyte imbalance: associated with hyperemesis gravidarum (643.1) complicating labor and delivery (669.0) Jollowing 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 277.01 With meconium ileus Meconium: ileus (of newborn) obstruction of intestine in mucoviscidosis 277.1 Disorders of porphyrin metabolism Hematoporphyria Porphyrinuria Hematoporphyrinuria Protocoproporphyria Hereditary coproporphyria Protoporphyria Porphyria Pyrroloporphyria 277.2 Other disorders of purine and pyrimidine metabolism Hypoxanthine-guanine-phosphoribosyltransferase deficiency [HG-PRT deficiency] Lesch-Nyhan syndrome Xanthinuria gout (274.0-274.9) orotic aciduric anemia (281.4) 184 TABULAR LIST 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: Syndrome: congenital Crigler-Najjar constitutional Dubin-Johnson Gilbert’s Rotor’s xcludes:| hyperbilirubinemias specific to the hyperbilirubinemi ific to th perinatal period (774.0-774.7) 277.5 Mucopolysaccharidosis Gargoylism Morquio-Brailsford Hunter’s syndrome disease Hurler’s syndrome Osteochondrodystrophy Lipochondrodystrophy Sanfilippo’s syndrome Maroteaux-Lamy syndrome Scheie’s syndrome 277.6 Other deficiencies of circulating enzymes Alpha 1-antitrypsin deficiency Hereditary angioedema 277.8 Other specified disorders of metabolism Hand-Schiiller-Christian disease Histiocytosis (acute) (chronic) Histiocytosis X (chronic) histiocytosis: acute differentiated progressive (202.5) X, acute (progressive) (202.5) 277.9 Unspecified disorder of metabolism Enzymopathy NOS ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 185 278 Obesity and other hyperalimentation hyperalimentation NOS (783.6) poisoning by vitamins NOS (963.5) polyphagia (783.6) 278.0 Obesity adiposogenital dystrophy (253.8) obesity of endocrine origin NOS (259.9) 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 186 TABULAR LIST 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 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 thymic hypoplasia (279.11) ENDOCRINE, NUTRITIONAL, METABOLIC, IMMUNITY 187 279.3 Unspecified immunity deficiency 279.4 Autoimmune disease, not elsewhere classified Autoimmune disease NOS transplant failure or rejection (996.8) 279.8 Other specified disorders involving the immune mechanism Single complement [C;-Co] deficiency or dysfunction 279.9 Unspecified disorder of immune mechanism 4. DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS (280-289) anemia complicating pregnancy or the puerperium (648.2) 280 Iron deficiency anemias Includes: anemia: asiderotic hypochromic-microcytic sideropenic familial microcytic anemia (282.4) 280.0 Secondary to blood loss (chronic) Normocytic anemia due to blood loss 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 188 BLOOD AND BLOOD-FORMING ORGANS 189 281 Other deficiency anemias 281.0 Pernicious anemia Anemia: Congenital intrinsic Addison’s factor [Castle’s] Biermer’s deficiency congenital pernicious combined system disease without mention of anemia (266.2) subacute degeneration of spinal cord without mention of anemia (266.2) 281.1 Other vitamin Bj; deficiency anemia Anemia: vegan’s vitamin Bj, deficiency (dietary) due to selective vitamin Bj; malabsorption with proteinuria Syndrome: Imerslund’s Imerslund-Grasbeck 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, if desired, to identify drug 281.3 Other specified megaloblastic anemias not elsewhere classified Combined Bj; and folate-deficiency anemia Refractory megaloblastic anemia 190 TABULAR LIST 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: Anemia: dimorphic nutritional NOS macrocytic simple chronic megaloblastic NOS 282 Hereditary hemolytic anemias 282.0 Hereditary spherocytosis Acholuric (familial) jaundice Congenital hemolytic anemia (spherocytic) Congenital spherocytosis Minkowski-Chauffard syndrome Spherocytosis (familial) 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 BLOOD AND BLOOD-FORMING ORGANS 191 282.3 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 sickle-cell: anemia (282.60-282.69) trait (282.5) 282.5 Sickle-cell trait Hb-AS genotype Heterozygous: Hemoglobin S [Hb-S] hemoglobin S trait Hb-S that with other hemoglobinopathy (282.60-282.69) that with thalassemia (282.4) 282.6 Sickle-cell anemia 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 192 TABULAR LIST 282.69 Other Disease: Disease: Hb-S/Hb-D sickle-cell/Hb-D Hb-S/Hb-E 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 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 BLOOD AND BLOOD-FORMING ORGANS 193 283 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, if desired, to identify cause, if drug-induced Evans’ syndrome (287.3) hemolytic disease of newborn (773.0-773.5) 283.1 Non-autoimmune hemolytic anemias Hemolytic anemia: mechanical microangiopathic toxic Hemolytic-uremic syndrome Use additional E code, if desired, 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, if desired, to identify cause 283.9 Acquired hemolytic anemia, unspecified Acquired hemolytic anemia NOS Chronic idiopathic hemolytic anemia 194 TABULAR LIST 284 Aplastic anemia 284.0 Constitutional aplastic anemia Aplasia, (pure) red cell: Familial hypoplastic congenital anemia of infants Fanconi’s anemia primary Pancytopenia with Blackfan-Diamond syndrome malformations 284.8 Other specified aplastic anemias Aplastic anemia (due to): Pancytopenia (acquired) chronic systemic disease Red cell aplasia drugs (acquired) (adult) infection (pure) (with radiation thymoma) toxic (paralytic) Use additional E code, if desired, to identify cause 284.9 Aplastic anemia, unspecified Anemia: Anemia: aplastic (idiopathic) NOS nonregenerative aregenerative refractory hypoplastic NOS Medullary hypoplasia BLOOD AND BLOOD-FORMING ORGANS 195 285 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 Bg-responsive Pyridoxine-responsive (hypochromic) anemia Use additional E code, if desired, to identify cause, if drug induced 285.1 Acute posthemorrhagic anemia Anemia due to acute blood loss anemia due to chronic blood loss (280.0) blood loss anemia NOS (280.0) 285.8 Other specified anemias Anemia: dyserythropoietic (congenital) dyshematopoietic (congenital) leukoerythroblastic von Jaksch’s Infantile pseudoleukemia 196 TABULAR LIST 285.9 Anemia, unspecified Anemia: Anemia: NOS profound essential progressive normocytic, not due to secondary blood loss Oligocythemia 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 Hemophilia: [AHG] deficiency NOS Factor VIII (functional) A deficiency classical familial hereditary Subhemophilia 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 BLOOD AND BLOOD-FORMING ORGANS 197 286.3 Congenital deficiency of other clotting factors Congenital afibrino- Deficiency: genemia Laki-Lorand factor Deficiency: proaccelerin AC globulin Disease: factor: Owren’s I [fibrinogen] Stuart-Prower II [prothrombin] Dysfibrinogenemia V [labile] (congenital) VII [stable] Dysprothrombinemia X [Stuart-Prower] (constitutional) XII [Hageman] Hypoproconvertinemia XIII [fibrin Hypoprothrombinemia stabilizing] (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 (-Jiirgens’) disease factor VIII deficiency: NOS (256.0) with functional defect (286.0) hereditary capillary fragility (287.8) 286.5 Hemorrhagic disorder due to circulating anticoagulants Antithrombinemia Increase in: Antithromboplastinemia anti-VIIIa Antithromboplastino- anti-IXa genemia anti-Xa Hyperheparinemia anti-XIa antithrombin Systemic lupus erythematosus [SLE] inhibitor Use additional E code, if desired, to identify any administered anticoagulant 198 TABULAR LIST 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 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 vitamin K deficiency of newborn (776.0) 286.9 Other and unspecified coagulation defects Defective coagulation NOS Deficiency, coagulation factor NOS Delay, coagulation Disorder: coagulation hemostasis Prolonged: bleeding time NOS coagulation time NOS hemorrhagic disease of newborn (776.0) that complicating: abortion (634-638 with .1, 639.1) pregnancy or the puerperium (641.3, 666.3) BLOOD AND BLOOD-FORMING ORGANS 199 287 Purpura and other hemorrhagic conditions hemorrhagic thrombocythemia (238.7) purpura fulminans (286.6) 287.0 Allergic purpura Peliosis rheumatica Purpura: Purpura: nonthrombocytopenic: anaphylactoid hemorrhagic autoimmune idiopathic Henoch’s rheumatica Schonlein-Henoch vascular Vasculitis, allergic hemorrhagic purpura (287.3) purpura annularis telangiectodes (709.1) 287.1 Qualitative platelet defects Thrombasthenia (hemorrhagic) (hereditary) Thrombocytasthenia Thrombocytopathy (dystrophic) Thrombopathy (Bernard-Soulier) von Willebrand’s disease (286.4) 287.2 Other nonthrombocytopenic purpuras Purpura: NOS senile simplex 287.3 Primary thrombocytopenia Evans’ syndrome Thrombocytopenia: Megakaryocytic hypoplasia congenital Purpura, thrombocytopenic ~~ hereditary congenital primary hereditary Tidal platelet idiopathic dysgenesis thrombotic thrombocytopenic purpura (446.6) transient thrombocytopenia of newborn (776.1) 200 TABULAR LIST 287.4 Secondary thrombocytopenia Posttransfusion purpura Thrombocytopenia (due to): dilutional drugs extracorporeal circulation of blood massive blood transfusion platelet alloimmunization Use additional E code, if desired, to identify cause 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 leukemia (204.0-208.9) 288.0 Agranulocytosis Infantile genetic Neutropenia: agranulocytosis drug-induced Kostmann’s syndrome immune Neutropenia: periodic NOS toxic cyclic Neutropenic splenomegaly Use additional E code, if desired, to identify drug or other cause transitory neonatal neutropenia (776.7) BLOOD AND BLOOD-FORMING ORGANS 201 288.1 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 Loffler’s syndrome (518.3) pulmonary eosinophilia (518.3) 288.8 Other specified disease of white blood cells Leukemoid reaction Lymphocytosis lymphocytic (symptomatic) monocytic Lymphopenia myelocytic Monocytosis (symptomatic) Leukocytosis Plasmacytosis Lymphocytopenia immunity disorders (279.0-279.9) 288.9 Unspecified disease of white blood cells 202 TABULAR LIST 289 Other diseases of blood and blood-forming organs 289.0 Polycythemia, secondary 289.1 289.2 289.3 289.4 289.5 High-oxygen-affinity Polycythemia: hemoglobin emotional Polycythemia: erythropoietin acquired hypoxemic benign nephrogenous due to: relative fall in plasma volume spurious high altitude stress polycythemia: neonatal (776.4) primary (238.4) vera (238.4) Chronic lymphadenitis Chronic: adenitis | any lymph node, except lymphadenitis mesenteric acute lymphadenitis (683) mesenteric (289.2) enlarged glands NOS (785.6) Nonspecific mesenteric lymphadenitis Mesenteric lymphadenitis (acute) (chronic) Lymphadenitis, unspecified, except mesenteric Hypersplenism "Big spleen" syndrome Hypersplenia Dyssplenism primary splenic neutropenia (288.0) Other diseases of spleen 289.50 Disease of spleen, unspecified 289.51 Chronic congestive splenomegaly BLOOD AND BLOOD-FORMING ORGANS 203 289.59 Other Lien migrans Splenic: Perisplenitis fibrosis Splenic: infarction abscess rupture, nontraumatic atrophy Splenitis cyst Wandering spleen 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, if desired, to identify cause 289.8 Other specified diseases of blood and blood-forming organs Hypergammaglobulinemia Pseudocholinesterase Myelofibrosis 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 gloss- ary 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 pro- vided 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 /CD-9-CM has been expanded to in- corporate 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, pages 1077-1125 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 Sta- tistical Manual, Third Edition (DSM-III), and others from A4 Psy- chiatric 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 Organ- ization, 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 Asso- ciation, Washington, D.C., 1975. 204 MENTAL DISORDERS 205 PSYCHOSES (290-299) mental retardation (317-319) ORGANIC PSYCHOTIC CONDITIONS (290-294) Includes: psychotic organic brain syndrome 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 dementia not classified as senile, presenile, or arteriosclerotic (294.1) 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) 206 TABULAR LIST 290.0 Senile dementia, uncomplicated Senile dementia: NOS simple type 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 Dementia in: Alzheimer’s disease Jakob-Creutzfeldt disease Pick’s disease of the brain Use additional code to identify the associated neurological condition, as: Alzheimer’s disease (331.0) Jakob-Creutzfeldt disease (046.1) Pick’s disease of the brain (331.1) arteriosclerotic dementia (290.40-290.43) dementia associated with other cerebral conditions (294.1) 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 MENTAL DISORDERS 207 290.2 290.3 290.4 290.8 Senile dementia with delusional or depressive features 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 Senile dementia with delirium Senile dementia with acute confusional state senile: dementia NOS (290.0) psychosis NOS (290.20) Arteriosclerotic dementia Multi-infarct dementia or psychosis Use additional code to identify cerebral atherosclerosis (437.0) 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 Other specified senile psychotic conditions Presbyophrenic psychosis 208 TABULAR LIST 290.9 Unspecified senile psychotic condition 291 Alcoholic psychoses alcoholism without psychosis (303.0-303.9) 291.0 Alcohol withdrawal delirium Alcoholic delirium Delirium tremens 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 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 acute alcohol intoxication (305.0) in alcoholism (303.0) simple drunkenness (305.0) MENTAL DISORDERS 209 291.5 Alcoholic jealousy Alcoholic: paranoia psychosis, paranoid type nonalcoholic paranoid states (297.0-297.9) schizophrenia, paranoid type (295.3) 291.8 Other specified alcoholic psychosis Alcohol: abstinence syndrome or symptoms withdrawal syndrome or symptoms alcohol withdrawal: delirium (291.0) hallucinosis (291.3) delirium tremens (291.0) 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, if desired, 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 210 TABULAR LIST 292.12 Drug-induced hallucinosis Hallucinatory state induced by drugs states following LSD or other hallucinogens, lasting only a few days or less [bad trips"] (305.3) 292.2 Pathological drug intoxication Drug reaction: NOS resulting in brief idiosyncratic psychotic states pathologic 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 MENTAL DISORDERS 211 293 Transient organic psychotic conditions Includes: transient organic mental disorders not associated with alcohol or drugs Use additional code to identify the associated physical or neurological condition 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: Acute psychosis confusional state associated with infective psychosis endocrine, metabolic, organic reaction or cerebrovascular posttraumatic organic disorder psychosis Epileptic: psycho-organic syndrome confusional state twilight state 293.1 Subacute delirium Subacute: Subacute: confusional state psycho-organic infective psychosis syndrome organic reaction psychosis posttraumatic organic associated with psychosis 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 212 TABULAR LIST 293.83 Organic affective syndrome Transient organic psychotic condition, depressive type 293.89 Other 293.9 Unspecified transient organic mental disorder Organic psychosis: Psycho-organic infective NOS syndrome posttraumatic NOS transient NOS 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) alcoholic: amnestic syndrome (291.1) Korsakoff’s psychosis (291.1) 294.1 Dementia in conditions classified elsewhere Use additional code to identify the underlying physical condition, as: dementia in: cerebral lipidoses (330.1) epilepsy (345.0-345.9) general paresis [syphilis] (094.1) hepatolenticular degeneration (275.1) Huntington’s chorea (333.4) multiple sclerosis (340) polyarteritis nodosa (446.0) syphilis (094.1) dementia: arteriosclerotic (290.40-290.43) presenile (290.10-290.13) senile (290.0) epileptic psychosis NOS (294.8) MENTAL DISORDERS 213 294.8 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) 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 childhood type schizophrenia (299.9) infantile autism (299.0) The following fifth-digit subclassification is for use with category 295: unspecified subchronic chronic subchronic with acute exacerbation chronic with acute exacerbation in remission NE WN=O 295.0 Simple type Schizophrenia simplex latent schizophrenia (295.5) 214 TABULAR LIST 295.1 Disorganized type Hebephrenia Hebephrenic type schizophrenia 295.2 Catatonic type Catatonic (schizophrenia): Schizophrenic: agitation catalepsy excitation catatonia excited type flexibilitas cerea stupor withdrawn type 295.3 Paranoid type Paraphrenic schizophrenia involutional paranoid state (297.2) paranoia (297.1) paraphrenia (297.2) 295.4 Acute schizophrenic episode Oneirophrenia Schizophreniform: attack disorder psychosis, confusional type 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 Schizophrenia: reaction prepsychotic Schizophrenia: prodromal borderline pseudoneurotic incipient pseudopsychopathic schizoid personality (301.20-301.22) MENTAL DISORDERS 215 295.6 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 infantile autism (299.0) 295.9 Unspecified schizophrenia Schizophrenia: Schizophrenic reaction NOS NOS mixed NOS Schizophreniform undifferentiated NOS psychosis NOS 296 Affective psychoses Includes: episodic affective disorders 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: unspecified mild moderate severe, without mention of psychotic behavior severe, specified as with psychotic behavior in partial or unspecified remission in full remission AUN PWN =O 216 TABULAR LIST 0296.0 Manic disorder, single episode Hypomania (mild) NOS Hypomanic psychosis Mania (monopolar) NOS Manic-depressive psychosis or reaction: hypomanic manic circular type, if there was a previous attack of depression (296.4) single episode or unspecified 0296.1 Manic disorder, recurrent episode Any condition classifiable to 296.0, stated to be recurrent circular type, if there was a previous attack of depression (296.4) 0296.2 Major depressive disorder, single episode Depressive psychosis Endogenous depression Involutional melancholia Manic-depressive psychosis or reaction, depressed type Monopolar depression Psychotic depression circular type, if previous attack was of manic type (296.5) depression NOS (311) reactive depression (neurotic) (300.4) psychotic (298.0) single episode or unspecified 0296.3 Major depressive disorder, recurrent episode Any condition classifiable to 296.2, stated to be recurrent circular type, if previous attack was of manic type (296.5) depression NOS (311) reactive depression (neurotic) (300.4) psychotic (298.0) MENTAL DISORDERS 217 0296.4 0296.5 0296.6 0296.7 0296.8 0296.9 Bipolar affective disorder, manic Bipolar disorder, now manic Manic-depressive psychosis, circular type but currently manic brief compensatory or rebound mood swings (296.99) Bipolar affective disorder, depressed Bipolar disorder, now depressed Manic-depressive psychosis, circular type but currently depressed brief compensatory or rebound mood swings (296.99) Bipolar affective disorder, mixed Manic-depressive psychosis, circular type, mixed Bipolar affective disorder, unspecified Atypical bipolar affective disorder NOS Manic-depressive psychosis, circular type, current condition not specified as either manic or depressive 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 Other and unspecified affective psychoses psychogenic affective psychoses (298.0-298.8) 218 TABULAR LIST 296.90 Unspecified affective psychosis Affective psychosis NOS Melancholia NOS 296.99 Other specified affective psychoses Mood swings: brief compensatory rebound 297 Paranoid states Includes: paranoid disorders 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 paranoid personality disorder (301.0) 297.2 Paraphrenia Involutional paranoid state Late paraphrenia Paraphrenia (involutional) 297.3 Shared paranoid disorder Folie a deux Induced psychosis or paranoid disorder 297.8 Other specified paranoid states Paranoia querulans Sensitiver Beziehungswahn acute paranoid reaction or state (298.3) senile paranoid state (290.20) MENTAL DISORDERS 219 297.9 Unspecified paranoid state Paranoid: Paranoid: disorder NOS reaction NOS psychosis 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 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 Reactive excitation Psychogenic excitation manic-depressive psychosis, manic type (296.0-296.1) 298.2 Reactive confusion Psychogenic confusion Psychogenic twilight state acute confusional state (293.0) 298.3 Acute paranoid reaction Acute psychogenic paranoid psychosis Bouffée délirante paranoid states (297.0-297.9) 298.4 Psychogenic paranoid psychosis Protracted reactive paranoid psychosis 220 TABULAR LIST 298.8 Other and unspecified reactive psychosis Brief reactive psychosis NOS Hysterical psychosis Psychogenic psychosis NOS Psychogenic stupor acute hysterical psychosis (298.1) 298.9 Unspecified psychosis Atypical psychosis Psychosis NOS 299 Psychoses with origin specific to childhood Includes: pervasive developmental disorders 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 Kanner’s syndrome Infantile psychosis 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 infantile autism (299.0) schizophrenic syndrome of childhood (299.9) MENTAL DISORDERS 221 299.8 Other specified early childhood psychoses Atypical childhood psychosis Borderline psychosis of childhood simple stereotypies without psychotic disturbance (307.3) 299.9 Unspecified Child psychosis NOS Schizophrenia, childhood type NOS Schizophrenic syndrome of childhood NOS 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 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 222 TABULAR LIST 300.1 Hysteria 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 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 multiple operations or hospital addiction syndrome (301.51) 300.2 Phobic disorders anxiety state not associated with a specific situation or object (300.00-300.09) obsessional phobias (300.3) MENTAL DISORDERS 223 300.20 Phobia, unspecified Anxiety-hysteria NOS Phobia NOS 300.21 Agoraphobia with panic attacks Fear of: open spaces streets with panic attacks travel 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 Claustrophobia Animal phobias Fear of crowds 300.3 Obsessive-compulsive disorders Anancastic neurosis Obsessional phobia [any] Compulsive neurosis 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 Neurotic depressive Depression with anxiety state Depressive reaction Reactive depression 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) 224 TABULAR LIST 300.5 Neurasthenia Fatigue neurosis Psychogenic: Nervous debility asthenia general fatigue Use additional code to identify any associated physical disorder anxiety state (300.00-300.09) neurotic depression (300.4) psychophysiological disorders (306.0-306.9) specific nonpsychotic mental disorders Jfollowing organic brain damage (310.0-310.9) 300.6 Depersonalization syndrome Depersonalization disorder Derealization (neurotic) Neurotic state with depersonalization episode 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 Atypical somatoform disorder 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 MENTAL DISORDERS 225 300.89 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 nonpsychotic personality disorder associated with organic brain syndromes (310.0-310.9) 301.0 Paranoid personality disorder Fanatic personality Paranoid personality (disorder) Paranoid traits acute paranoid reaction (298.3) alcoholic paranoia (291.5) paranoid schizophrenia (295.3) paranoid states (297.0-297.9) 301.1 Affective personality disorder affective psychotic disorders (296.0-296.9) cyclothymia (296.4-296.7) neurasthenia (300.5) neurotic depression (300.4) 301.10 Affective personality disorder, unspecified 301.11 Chronic hypomanic personality disorder Chronic hypomanic disorder Hypomanic personality 226 TABULAR LIST 301.2 301.3 301.4 301.5 301.12 Chronic depressive personality disorder Chronic depressive disorder Depressive character or personality 301.13 Cyclothymic disorder Cycloid personality Cyclothymic personality Schizoid personality disorder [Excludes:] schizophrenia (295.0-295.9) 301.20 Schizoid personality disorder, unspecified 301.21 Introverted personality 301.22 Schizotypal personality Explosive personality disorder Aggressive: Emotional instability personality (excessive) reaction Pathological Aggressiveness emotionality Quarrelsomeness dyssocial personality (301.7) hysterical neurosis (300.10-300.19) Compulsive personality disorder Anancastic personality Obsessional personality obsessive-compulsive disorder (300.3) phobic state (300.20-300.29) Histrionic personality disorder 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 MENTAL DISORDERS 227 301.59 Other histrionic personality disorder Personality: emotionally unstable labile psychoinfantile 301.6 Dependent personality disorder Asthenic personality Passive personality Inadequate personality 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 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: Personality: eccentric masochistic "haltlose" type psychoneurotic immature psychoinfantile personality (301.59) 228 TABULAR LIST 301.9 Unspecified personality disorder Pathological personality Psychopathic: NOS constitutional state Personality disorder NOS personality (disorder) 302 Sexual deviations and disorders sexual disorder manifest in: organic brain syndrome (290.0-294.9, 310.0-310.9) psychosis (295.0-298.9) 302.0 Homosexuality Homosexual conflict disorder Lesbianism homosexual pedophilia (302.2) 302.1 Zoophilia Bestiality 302.2 Pedophilia 302.3 Transvestism trans-sexualism (302.5) 302.4 Exhibitionism 302.5 Trans-sexualism transvestism (302.3) 302.50 With unspecified sexual history 302.51 With asexual history 302.52 With homosexual history 302.53 With heterosexual history MENTAL DISORDERS 229 302.6 Disorders of psychosexual identity Feminism in boys Gender identity disorder of childhood gender identity disorder in adult (302.85) homosexuality (302.0) trans-sexualism (302.50-302.53) transvestism (302.3) 302.7 Psychosexual dysfunction 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 230 TABULAR LIST 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) drunkenness NOS (305.0) The following fifth-digit subclassification is for use with category 303: unspecified continuous episodic in remission WN =O 303.0 Acute alcoholic intoxication Acute drunkenness in alcoholism 303.9 Other and unspecified alcohol dependence Chronic alcoholism Dipsomania MENTAL DISORDERS 231 304 Drug dependence nondependent abuse of drugs (305.1-305.9) The following fifth-digit subclassification is for use with category 304: unspecified continuous episodic in remission WN =O 304.0 Opioid type dependence Heroin Opium alkaloids and Meperidine their derivatives Methadone Synthetics with Morphine morphine-like Opium 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 Marihuana Hemp 304.4 Amphetamine and other psychostimulant dependence Methylphenidate Phenmetrazine 232 TABULAR LIST 304.5 Hallucinogen dependence Dimethyltryptamine [DMT] Lysergic acid diethylamide [LSD] and derivatives Mescaline Psilocybin 304.6 Other specified drug dependence Absinthe addiction Glue sniffing 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. 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 category 305: 0 unspecified 1 continuous 2 episodic 3 in remission MENTAL DISORDERS 233 305.0 Alcohol abuse Drunkenness NOS "Hangover" (alcohol) Excessive drinking of Inebriety NOS alcohol NOS acute alcohol intoxication in alcoholism (303.0) alcoholic psychoses (291.0-291.9) physical complications of alcohol, such as: cirrhosis of liver (571.2) epilepsy (345.0-345.9) gastritis (535.3) 305.1 Tobacco use disorder Tobacco dependence 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 234 TABULAR LIST 306 Physiological malfunction arising from mental factors Includes: psychogenic: physical symptoms not involving . physiological tissue manifestations damage 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 Sfollowing organic brain damage (310.0-310.9) 306.0 Musculoskeletal Psychogenic paralysis Psychogenic torticollis 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: Psychogenic: air hunger hyperventilation cough yawning hiccough psychogenic asthma (316 and 493.9) 306.2 Cardiovascular Cardiac neurosis Cardiovascular neurosis Neurocirculatory asthenia Psychogenic cardiovascular disorder psychogenic paroxysmal tachycardia (316 and 427.2) MENTAL DISORDERS 235 306.3 Skin Psychogenic pruritus 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 Diarrhea, psychogenic Cyclical vomiting, Nervous gastritis psychogenic Psychogenic dyspepsia cyclical vomiting NOS (536.2) globus hystericus (300.11) mucous colitis (316 and 564.1) 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 enuresis, psychogenic (307.6) Sfrigidity (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 236 TABULAR LIST 306.7 Organs of special sense 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. those due to mental disorders classified elsewhere those of organic origin 307.0 Stammering and stuttering dysphasia (784.5) lisping or lalling (307.9) retarded development of speech (315.31-315.39) 307.1 Anorexia nervosa 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 nail-biting or thumb-sucking (307.9) stereotypies occurring in isolation (307.3) tics of organic origin (333.3) 307.20 Tic disorder, unspecified MENTAL DISORDERS 237 307.3 307.4 307.21 Transient tic disorder of childhood 307.22 Chronic motor tic disorder 307.23 Gilles de la Tourette’s disorder Motor-verbal tic disorder Stereotyped repetitive movements Body-rocking Spasmus nutans Head banging Stereotypies NOS tics (307.20-307.23) of organic origin (333.3) Specific disorders of sleep of nonorganic origin 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 Insomnia intermittent emotional Sleeplessness 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) 238 TABULAR LIST 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: Sleep drunkenness NOS REM-sleep type 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 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 MENTAL DISORDERS 239 307.53 Psychogenic rumination Regurgitation, of nonorganic origin, of food with reswallowing obsessional rumination (300.3) 307.54 Psychogenic vomiting 307.59 Other Infantile feeding | of nonorganic origin disturbances Loss of appetite 307.6 Enuresis Enuresis (primary) (secondary) of nonorganic origin enuresis of unspecified cause (788.3) 307.7 Encopresis Encopresis (continuous) (discontinuous) of nonorganic origin encopresis of unspecified cause (787.6) 307.8 Psychalgia 307.80 Psychogenic pain, site unspecified 307.81 Tension headache headache: NOS (784.0) migraine (346.0-346.9) 307.89 Other Psychogenic backache pains not specifically attributable to a psychological cause (in): back (724.5) Joint (719.4) limb (729.5) lumbago (724.2) rheumatic (729.0) 240 TABULAR LIST 307.9 Other and unspecified special symptoms or syndromes, not elsewhere classified Hair plucking Masturbation Lalling Nail-biting Lisping 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 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 Emotional erisis exceptional [gross] stress Panic state 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 Stupor exceptional [gross] stress 308.3 Other acute reactions to stress Acute situational disturbance Brief or acute posttraumatic stress disorder prolonged posttraumatic emotional disturbance (309.81) 308.4 Mixed disorders as reaction to stress 308.9 Unspecified acute reaction to stress MENTAL DISORDERS 241 309 Adjustment reaction Includes: adjustment disorders reaction (adjustment) to chronic stress 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 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 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 242 TABULAR LIST 309.3 With predominant disturbance of conduct Conduct disturbance Destructiveness 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) as adjustment reaction 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 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 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) MENTAL DISORDERS 243 310.0 310.1 310.2 310.8 310.9 Frontal lobe syndrome Lobotomy syndrome Postleucotomy syndrome [state] postcontusion syndrome (310.2) 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 Postconcussion syndrome Postcontusion syndrome or encephalopathy Posttraumatic brain syndrome, nonpsychotic Status postcommotio cerebri frontal lobe syndrome (310.0) postencephalitic syndrome (310.8) any organic psychotic conditions Jollowing head injury (293.0-294.0) Other specified nonpsychotic mental disorders following organic brain damage Postencephalitic syndrome Other focal (partial) organic psychosyndromes Unspecified nonpsychotic mental disorder following organic brain damage 244 TABULAR LIST 311 Depressive disorder, not elsewhere classified Depressive disorder NOS ~~ Depression NOS Depressive state NOS 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 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: unspecified mild moderate severe LWBN=O 0312.0 Undersocialized conduct disorder, aggressive type Aggressive outburst Unsocialized aggressive Anger reaction disorder MENTAL DISORDERS 246 0312.1 Undersocialized conduct disorder, unaggressive type Childhood truancy, Solitary stealing unsocialized Tantrums 0312.2 Socialized conduct disorder Childhood truancy, socialized Group delinquency gang activity without manifest psychiatric disorder (V71.01) 0312.3 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 0312.4 Mixed disturbance of conduct and emotions Neurotic delinquency compulsive conduct disorder (312.3) 312.8 Other specified disturbances of conduct, not elsewhere classified 312.9 Unspecified disturbance of conduct Delinquency (juvenile) 246 TABULAR LIST 313 Disturbance of emotions specific to childhood and adolescence 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 Overanxious disorder adolescence 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 depressive neurosis (300.4) 313.2 Sensitivity, shyness, and social withdrawal disorder 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 Withdrawal reaction adolescence 313.23 Elective mutism elective mutism as adjustment reaction (309.83) 313.3 Relationship problems Sibling jealousy relationship problems associated with aggression, destruction, or other Jorms of conduct disturbance (312.0-312.9) MENTAL DISORDERS 247 313.8 313.9 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 Unspecified emotional disturbance of childhood or adolescence 314 Hyperkinetic syndrome of childhood 314.0 314.1 314.2 314.8 hyperkinesis as symptom of underlying disorder — code the underlying disorder Attention deficit disorder 314.00 Without mention of hyperactivity 314.01 With hyperactivity Overactivity NOS Simple disturbance of attention with overactivity Hyperkinesis with developmental delay Developmental disorder of hyperkinesis Use additional code to identify any associated neurological disorder Hyperkinetic conduct disorder Hyperkinetic conduct disorder without developmental delay hyperkinesis with significant delays in specific skills (314.1) Other specified manifestations of hyperkinetic syndrome 248 TABULAR LIST 314.9 Unspecified hyperkinetic syndrome Hyperkinetic reaction of childhood or adolescence NOS Hyperkinetic syndrome NOS 315 Specific delays in development 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 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 Word deafness acquired aphasia (784.3) elective mutism (309.83, 313.0, 313.23) 315.39 Other Developmental articulation disorder Dyslalia lisping and lalling (307.9) stammering and stuttering (307.0) MENTAL DISORDERS 249 315.4 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 (564.1) paroxysmal tachycardia (427.2) ulcerative colitis (556) urticaria (708.0-708.9) psychosocial dwarfism (259.4) 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) 250 TABULAR LIST 317 Mild mental retardation Feeble-minded Mild mental subnormality High-grade defect Moron IQ 50-70 318 Other specified mental retardation 318.0 Moderate mental retardation Imbecile Moderate mental IQ 35-49 subnormality 318.1 Severe mental retardation IQ 20-34 Severe mental subnormality 318.2 Profound mental retardation Idiocy Profound mental IQ under 20 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 leptomeningitis meningitis meningoencephalitis meningomyelitis 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 251 252 TABULAR LIST 320.7 Meningitis in other bacterial diseases classified elsewhere Code also underlying disease, as: actinomycosis (039.8) listeriosis (027.0) typhoid fever (002.0) whooping cough (033.0-033.9) 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) tuberculous (013.0) 320.8 Meningitis due to other specified bacteria Meningitis due to: Meningitis due to: Aerobacter aerogenes Friedlander bacillus Bacillus pyocyaneus Klebsiella pneumoniae Escherichia coli Proteus morganii [E. coli] Pseudomonas 320.9 Meningitis due to unspecified bacterium Meningitis: Meningitis: bacterial NOS pyogenic NOS purulent NOS suppurative NOS 321 Meningitis due to other organisms Includes: arachnoiditis leptomeningitis due to organisms meningitis other than bacteria pachymeningitis 321.0 Cryptococcal meningitis Code also underlying disease (117.5) NERVOUS SYSTEM AND SENSE ORGANS 253 321.1 Meningitis in other fungal diseases Code also underlying disease (110.0-118) 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 also underlying disease, as: meningitis due to arbovirus (060.0-066.9) 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 also underlying disease (086.0-086.9) 321.4 Meningitis in sarcoidosis Code also underlying disease (135) 254 TABULAR LIST 321.8 Meningitis due to other nonbacterial organisms classified elsewhere Code also underlying disease leptospiral meningitis (100.81) 322 Meningitis of unspecified cause Includes: arachnoiditis leptomeningitis with no organism meningitis specified as cause pachymeningitis 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) NERVOUS SYSTEM AND SENSE ORGANS 255 323.0 Encephalitis in viral diseases classified elsewhere Code also underlying disease, as: cat-scratch disease (078.3) infectious mononucleosis (075) ornithosis (073.7) 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 also underlying disease (080-083.9) 323.2 Encephalitis in protozoal diseases classified elsewhere Code also underlying disease, as: malaria (084.0-084.9) trypanosomiasis (086.0-086.9) 256 TABULAR LIST 323.4 Other encephalitis due to infection classified elsewhere Code also underlying disease 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 Encephalomyelitis postvaccinal Use additional E code, if desired, to identify vaccine 323.6 Postinfectious encephalitis Code also underlying disease encephalitis: postchickenpox (052.0) postmeasles (055.0) 323.7 Toxic encephalitis Code also 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 NERVOUS SYSTEM AND SENSE ORGANS 257 324 Intracranial and intraspinal abscess 324.0 Intracranial abscess Abscess (embolic): Abscess (embolic) of cerebellar brain [any part]: cerebral epidural extradural otogenic subdural tuberculous (013.3) 324.1 Intraspinal abscess Abscess (embolic) of spinal cord [any part]: epidural extradural subdural tuberculous (013.5) 324.9 Of unspecified site Extradural or subdural abscess NOS 325 Phlebitis and thrombophlebitis of intracranial venous sinuses Embolism Endophlebitis of cavernous, lateral, Phlebitis, septic or or other intracranial or suppurative unspecified intracranial Thrombophlebitis venous sinus Thrombosis that specified as: complicating pregnancy, childbirth, or the puerperium (671.5) of nonpyogenic origin (437.6) 258 TABULAR LIST 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, or present one year or more after the onset of the causal condition. Use additional code, if desired, 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) 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, if desired, to identify associated mental retardation 330.0 Leukodystrophy Krabbe’s disease Leukodystrophy: Leukodystrophy: metachromatic NOS sudanophilic globoid cell Pelizaeus-Merzbacher disease Sulfatide lipidosis NERVOUS SYSTEM AND SENSE ORGANS 259 330.1 Cerebral lipidoses Amaurotic (familial) Disease: idiocy Kufs’ Disease: Spielmeyer-Vogt Batten Tay-Sachs Jansky-Bielschowsky Gangliosidosis 330.2 Cerebral degeneration in generalized lipidoses Code also 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 also 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 Use additional code, if desired, to identify associated mental disorder 331.0 Alzheimer’s disease 331.1 Pick’s disease 260 TABULAR LIST 331.2 Senile degeneration of brain senility NOS (797) 331.3 Communicating hydrocephalus congenital hydrocephalus (741.0, 742.3) 331.4 Obstructive hydrocephalus Acquired hydrocephalus NOS congenital hydrocephalus (741.0, 742.3) 331.7 Cerebral degeneration in diseases classified elsewhere Code also 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 Bj, deficiency (266.2) 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 NERVOUS SYSTEM AND SENSE ORGANS 261 332 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, if desired, to identify drug, if drug-induced 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 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 or palsy Shy-Drager syndrome 262 TABULAR LIST 333.1 Essential and other specified forms of tremor Benign essential tremor Familial tremor Use additional E code, if desired, to identify drug, if drug-induced tremor NOS (781.0) 333.2 Myoclonus Familial essential myoclonus Progressive myoclonic epilepsy Unverricht-Lundborg disease Use additional E code, if desired, to identify drug, if drug-induced 333.3 Tics of organic origin Gilles de la Tourette’s syndrome (307.23) habit spasm (307.22) tic NOS (307.20) Use additional E code, if desired, to identify drug, if drug-induced 333.4 Huntington’s chorea 333.5 Other choreas Hemiballism(us) Paroxysmal choreo-athetosis Sydenham’s or rheumatic chorea (392.0-392.9) Use additional E code, if desired, to identify drug, if drug-induced NERVOUS SYSTEM AND SENSE ORGANS 263 333.6 333.7 333.8 333.9 Idiopathic torsion dystonia Dystonia: deformans progressiva musculorum deformans (Schwalbe-) Ziehen-Oppenheim disease Symptomatic torsion dystonia Athetoid cerebral palsy [Vogt’s disease] - Double athetosis (syndrome) Use additional E code, if desired, to identify drug, if drug-induced Fragments of torsion dystonia Use additional E code, if desired, to identify drug, if drug-induced 333.81 Blepharospasm 333.82 Orofacial dyskinesia 333.83 Spasmodic torticollis torticollis: NOS (723.5) hysterical (300.11) psychogenic (306.0) 333.84 Organic writers’ cramp psychogenic (300.89) 333.89 Other Other and unspecified extrapyramidal diseases and abnormal movement disorders 333.90 Unspecified extrapyramidal disease and abnormal movement disorder 333.91 Stiff-man syndrome 264 TABULAR LIST 333.99 Other Restless legs 334 Spinocerebellar disease 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, if desired, to identify drug, if drug-induced 334.4 Cerebellar ataxia in diseases classified elsewhere Code also 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 NERVOUS SYSTEM AND SENSE ORGANS 265 334.9 Spinocerebellar disease, unspecified 335 Anterior horn cell disease 335.0 335.1 335.2 335.8 335.9 Werdnig-Hoffmann disease Infantile spinal muscular atrophy Progressive muscular atrophy of infancy 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 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 Other anterior horn cell diseases Anterior horn cell disease, unspecified 266 TABULAR LIST 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 also underlying disease, as: pernicious anemia (281.0) other vitamin Bj; deficiency anemia (281.1) vitamin Bj; deficiency (266.2) 336.3 Myelopathy in other diseases classified elsewhere Code also underlying disease, as: myelopathy in neoplastic disease (140.0-239.9) 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 additonal E code, if desired, to identify cause 336.9 Unspecified disease of spinal cord Cord compression NOS Myelopathy NOS myelitis (323.0-323.9) spinal (canal) stenosis (723.0, 724.00-724.09) NERVOUS SYSTEM AND SENSE ORGANS 267 337 Disorders of the autonomic nervous system Includes: disorders of peripheral autonomic, sympathetic, parasympathetic, or vegetative system 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 also underlying disease, as: amyloidosis (277.3) diabetes (250.6) 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 Bald’s concentric sclerosis Encephalitis periaxialis: concentrica [Bald’s] diffusa [Schilder’s] 268 TABULAR LIST 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 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. congenital (343.1) infantile NOS (343.4) 342.0 Flaccid hemiplegia 342.1 Spastic 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 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) NERVOUS SYSTEM AND SENSE ORGANS 269 343.0 Diplegic Congenital diplegia Congenital paraplegia 343.1 Hemiplegic Congenital hemiplegia 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 condi- tions resulting from any cause. Includes: paralysis (complete) (incomplete), except as classifiable to 342 and 343 congenital or infantile cerebral palsy (343.0-343.9) hemiplegia (342.0-342.9) congenital or infantile (343.1, 343.4) 344.0 Quadriplegia 344.1 Paraplegia Paralysis of both lower limbs Paraplegia (lower) 270 TABULAR LIST 344.2 Diplegia of upper limbs Diplegia (upper) Paralysis of both upper limbs 344.3 Monoplegia of lower limb Paralysis of lower limb 344.4 Monoplegia of upper limb Paralysis of upper limb 344.5 Unspecified monoplegia 344.6 Cauda equina syndrome 344.60 Without mention of neurogenic bladder 344.61 With neurogenic bladder Autonomic hyperreflexia of bladder Cord bladder 344.8 Other specified paralytic syndromes 344.9 Paralysis, unspecified 345 Epilepsy progressive myoclonic epilepsy (333.2) 345.0 Generalized nonconvulsive epilepsy Absences: Pykno-epilepsy atonic Seizures: typical akinetic Minor epilepsy atonic Petit mal NERVOUS SYSTEM AND SENSE ORGANS 271 345.1 Generalized convulsive epilepsy Epileptic seizures: Grand mal clonic Major epilepsy myoclonic tonic tonic-clonic 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 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: Epilepsy: Bravais-Jacksonian NOS sensory-induced focal (motor) NOS somatomotor Jacksonian NOS somatosensory motor partial visceral partial NOS visual 272 TABULAR LIST 345.6 Infantile spasms Hypsarrhythmia Salaam attacks Lightning spasms 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 convulsive seizure or fit NOS (780.3) 346 Migraine 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 Migraine: Histamine cephalgia lower half Horton’s neuralgia retinal Migraine: Neuralgia: abdominal ciliary basilar migrainous 346.8 Other forms of migraine Migraine: hemiplegic ophthalmoplegic NERVOUS SYSTEM AND SENSE ORGANS 273 346.9 Migraine, unspecified 347 Cataplexy and narcolepsy 348 Other conditions of brain 348.0 Cerebral cysts Arachnoid cyst Porencephaly, acquired Porencephalic cyst Pseudoporencephaly porencephaly (congenital) (742.4) 348.1 Anoxic brain damage postoperative (997.0) 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, if desired, to identify cause 348.2 Benign intracranial hypertension Pseudotumor cerebri hypertensive encephalopathy (437.2) 348.3 Encephalopathy, unspecified 348.4 Compression of brain Compression i Herniation } bral (Sieny) Posterior fossa compression syndrome 348.5 Cerebral edema 274 TABULAR LIST 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 immediate postoperative complications (997.0) mechanical complications of nervous system device (996.2) 349.2 Disorders of meninges, not elsewhere classified Adhesions, meningeal (cerebral) (spinal) Cyst, spinal meninges 349.8 Other specified disorders of nervous system 349.81 Cerebrospinal fluid rhinorrhea Pseudomeningocele cerebrospinal fluid otorrhea (388.61) 349.82 Toxic encephalopathy Use additional E code, if desired, to identify cause 349.89 Other 349.9 Unspecified disorders of nervous system Disorder of nervous system (central) NOS NERVOUS SYSTEM AND SENSE ORGANS 275 DISORDERS OF THE PERIPHERAL NERVOUS SYSTEM (350-359) 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 neuritis NOS or "rheumatic" (729.2) radiculitis peripheral neuritis in pregnancy (646.4) 350 Trigeminal nerve disorders Includes: disorders of 5th cranial nerve 350.1 Trigeminal neuralgia Tic douloureux Trigeminal neuralgia NOS Trifacial neuralgia 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 that in newborn (767.5) 351.0 Bell’s palsy Facial palsy 351.1 Geniculate ganglionitis Geniculate ganglionitis NOS herpetic (053.11) 276 TABULAR LIST 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 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 conditions due to: intervertebral disc disorders (722.0-722.9) spondylosis (720.0-721.9) vertebrogenic disorders (723.0-724.9) NERVOUS SYSTEM AND SENSE ORGANS 277 353.0 Brachial plexus lesions Cervical rib syndrome Thoracic outlet syndrome Costoclavicular syndrome Scalenus anticus syndrome 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 Thoracit 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 278 TABULAR LIST 354.5 354.8 354.9 Mononeuritis multiplex Combinations of single conditions classifiable to 354 or 355 Other mononeuritis of upper limb Mononeuritis of upper limb, unspecified 355 Mononeuritis of lower limb 355.0 355.1 355.2 355.3 355.4 355.5 355.6 355.7 355.8 355.9 Lesion of sciatic nerve sciatica NOS (724.3) Meralgia paresthetica Lateral cutaneous femoral nerve of thigh compression or syndrome Other lesion of femoral nerve Lesion of lateral popliteal nerve Lesion of common peroneal nerve Lesion of medial popliteal nerve Tarsal tunnel syndrome Lesion of plantar nerve Morton’s metatarsalgia, neuralgia, or neuroma Other mononeuritis of lower limb Mononeuritis of lower limb, unspecified Mononeuritis of unspecified site NERVOUS SYSTEM AND SENSE ORGANS 279 356 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-Barré syndrome Postinfectious polyneuritis 357.1 Polyneuropathy in collagen vascular disease Code also underlying disease, as: disseminated lupus erythematosus (710.0) polyarteritis nodosa (446.0) rheumatoid arthritis (714.0) 357.2 Polyneuropathy in diabetes Code also underlying disease (250.6) 280 TABULAR LIST 357.3 Polyneuropathy in malignant disease Code also underlying disease (140.0-208.9) 357.4 Polyneuropathy in other diseases classified elsewhere Code also 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) polyneuropathy in: herpes zoster (053.13) mumps (072.72) 357.5 Alcoholic polyneuropathy 357.6 Polyneuropathy due to drugs Use additional E code, if desired, to identify drug 357.7 Polyneuropathy due to other toxic agents Use additional E code, if desired, to identify toxic agent 357.8 Other 357.9 Unspecified NERVOUS SYSTEM AND SENSE ORGANS 281 358 Myoneural disorders 358.0 Myasthenia gravis 358.1 Myasthenic syndromes in diseases classified elsewhere Amyotrophy J from stated cause Eaton-Lambert syndrome classified elsewhere Code also 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, if desired, 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 arthrogryposis multiplex congenita (754.89) 282 TABULAR LIST 359.1 Hereditary progressive muscular dystrophy Muscular dystrophy: Muscular dystrophy: NOS Gower’s distal Landouzy-Déjérine Duchenne limb-girdle Erb’s ocular fascioscapulohumeral oculopharyngeal 359.2 Myotonic disorders Dystrophia myotonica Paramyotonia congenita Eulenburg’s disease Steinert’s disease Myotonia congenita Thomsen’s disease 359.3 Familial periodic paralysis Hypokalemic familial periodic paralysis 359.4 Toxic myopathy Use additional E code, if desired, to identify toxic agent 359.5 Mpyopathy in endocrine diseases classified elsewhere Code also 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) NERVOUS SYSTEM AND SENSE ORGANS 283 359.6 Symptomatic inflammatory myopathy in diseases classified 359.8 elsewhere Code also 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) Sjogren’s disease (710.2) Other myopathies 359.9 Myopathy, unspecified DISORDERS OF THE EYE AND ADNEXA (360-379) 360 Disorders of the globe 360.0 360.1 Includes: disorders affecting multiple structures of eye Purulent endophthalmitis 360.00 Purulent endophthalmitis, unspecified 360.01 Acute endophthalmitis 360.02 Panophthalmitis 360.03 Chronic endophthalmitis 360.04 Vitreous abscess Other endophthalmitis 360.11 Sympathetic uveitis 360.12 Panuveitis 360.13 Parasitic endophthalmitis NOS 284 TABULAR LIST 360.2 360.3 360.4 360.14 Ophthalmia nodosa 360.19 Other Phacoanaphylactic endophthalmitis 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 xerophthalmia (264.7) 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 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 traumatic (871.0-871.9, 921.0-921.9) NERVOUS SYSTEM AND SENSE ORGANS 285 360.5 360.6 360.44 Leucocoria Retained (old) intraocular foreign body, magnetic 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 Retained (old) intraocular foreign body, nonmagnetic Retained (old) foreign body: NOS nonmagnetic 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 286 TABULAR LIST 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 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 juvenile retinoschisis (362.73) microcystoid degeneration of retina (362.62) parasitic cyst of retina (360.13) 361.10 Retinoschisis, unspecified 361.11 Flat retinoschisis NERVOUS SYSTEM AND SENSE ORGANS 287 361.2 361.3 361.8 361.9 361.12 Bullous retinoschisis 361.13 Primary retinal cysts 361.14 Secondary retinal cysts 361.19 Other Pseudocyst of retina Serous retinal detachment Retinal detachment without retinal defect central serous retinopathy (362.41) retinal pigment epithelium detachment (362.42-362.43) Retinal defects without detachment 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 Other forms of retinal detachment 361.81 Traction detachment of retina Traction detachment with vitreoretinal organization 361.89 Other Unspecified retinal detachment 288 TABULAR LIST 362 Other retinal disorders chorioretinal scars (363.30-363.35) chorioretinitis (363.0-363.2) 362.0 Diabetic retinopathy 362.1 Code also diabetes (250.5) 362.01 Background diabetic retinopathy Diabetic retinal microaneurysms Diabetic retinopathy NOS 362.02 Proliferative diabetic retinopathy 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 NERVOUS SYSTEM AND SENSE ORGANS 289 362.2 362.3 362.4 362.18 Retinal vasculitis Eales’ disease Retinal: Retinal: perivasculitis arteritis phlebitis endarteritis Other proliferative retinopathy 362.21 Retrolental fibroplasia 362.29 Other nondiabetic proliferative retinopathy 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: incipient } of retinal vein partial Separation of retinal layers 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 290 TABULAR LIST 362.5 362.6 362.43 Hemorrhagic detachment of retinal pigment epithelium Degeneration of macula and posterior pole 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 362.54 Macular cyst, hole, or pseudohole 362.55 Toxic maculopathy Use additional E code, if desired, to identify drug, if drug induced 362.56 Macular puckering Preretinal fibrosis 362.57 Drusen (degenerative) Peripheral retinal degenerations 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 NERVOUS SYSTEM AND SENSE ORGANS 291 362.7 362.62 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 Hereditary retinal dystrophies 362.70 Hereditary retinal dystrophy, unspecified 362.71 Retinal dystrophy in systemic or cerebroretinal lipidoses Code also underlying disease, as: cerebroretinal lipidoses (330.1) systemic lipidoses (272.7) 362.72 Retinal dystrophy in other systemic disorders and syndromes Code also 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 292 TABULAR LIST 362.8 362.76 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 Other retinal disorders 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 Jocal chorioretinitis or retinochoroiditis in: histoplasmosis (115.02, 115.12, 115.92) toxoplasmosis (130.2) congenital infection (771.2) NERVOUS SYSTEM AND SENSE ORGANS 293 363.1 363.00 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 Disseminated chorioretinitis and disseminated retino- choroiditis 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 294 TABULAR LIST 363.2 363.3 363.13 Disseminated choroiditis and chorioretinitis, generalized Use additional code for 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 Other and unspecified forms of chorioretinitis and retinochoroiditis 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 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 NERVOUS SYSTEM AND SENSE ORGANS 295 363.4 363.5 363.6 363.35 Disseminated scars 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 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 Choroidal hemorrhage and rupture 363.61 Choroidal hemorrhage, unspecified 296 TABULAR LIST 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 Cyclitis acute Iridocyclitis subacute Iritis 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 NERVOUS SYSTEM AND SENSE ORGANS 297 364.1 364.2 364.3 364.4 364.5 Chronic iridocyclitis posterior cyclitis (363.21) 364.10 Chronic iridocyclitis, unspecified 364.11 Chronic iridocyclitis in diseases classified elsewhere Code also underlying disease, as: sarcoidosis (135) tuberculosis (017.3) syphilitic iridocyclitis (091.52) Certain types of iridocyclitis 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 Unspecified iridocyclitis Uveitis NOS 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 Degenerations of iris and ciliary body 364.51 Essential or progressive iris atrophy 364.52 Iridoschisis 298 TABULAR LIST 364.6 364.7 364.53 Pigmentary iris degeneration Acquired heterochromia Pigment dispersion syndrome ¢ of iris Translucency 364.54 Degeneration of pupillary margin Atrophy of sphincter 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) Cysts of iris, ciliary body, and anterior chamber 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 Adhesions and disruptions of iris and ciliary body flat anterior chamber (360.34) 364.70 Adhesions of iris, unspecified Synechiae (iris) NOS 364.71 Posterior synechiae 364.72 Anterior synechiae NERVOUS SYSTEM AND SENSE ORGANS 299 364.73 Goniosynechiae Peripheral anterior synechiae 364.74 Pupillary membranes Iris bombé Pupillary: occlusion seclusion 364.75 Pupillary abnormalities Deformed pupil Rupture of sphincter, pupil Ectopic pupil 364.76 Iridodialysis 364.77 Recession of chamber angle 364.8 Other disorders of iris and ciliary body Prolapse of iris NOS prolapse of iris in recent wound (871.1) 364.9 Unspecified disorder of iris and ciliary body 365 Glaucoma 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 300 TABULAR LIST 365.1 365.2 365.3 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 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 giaucoma Corticosteroid-induced glaucoma 365.31 Glaucomatous stage 365.32 Residual stage NERVOUS SYSTEM AND SENSE ORGANS 301 365.4 Glaucoma associated with congenital anomalies, 365.5 dystrophies, and systemic syndromes 365.41 Glaucoma associated with chamber angle anomalies Code also associated disorder, as: Axenfeld’s anomaly (743.44) Rieger's anomaly or syndrome (743.44) 365.42 Glaucoma associated with anomalies of iris Code also associated disorder, as: aniridia (743.45) essential iris atrophy (364.51) 365.43 Glaucoma associated with other anterior segment anomalies Code also associated disorder, as: microcornea (743.41) 365.44 Glaucoma associated with systemic syndromes Code also associated disease, as: neurofibromatosis (237.7) Sturge-Weber (-Dimitri) syndrome (759.6) 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) 302 TABULAR LIST 365.6 365.59 Glaucoma associated with other lens disorders Use additional code for associated disorder, as: dislocation of lens (379.33-379.34) spherophakia (743.36) 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 bomb€] (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) NERVOUS SYSTEM AND SENSE ORGANS 303 365.8 Other specified forms of glaucoma 365.81 Hypersecretion glaucoma 365.82 Glaucoma with increased episcleral venous pressure 365.89 Other specified glaucoma 365.9 Unspecified glaucoma 366 Cataract congenital cataract (743.30-743.34) 366.0 Infantile, juvenile, and presenile cataract 366.1 366.00 366.01 366.02 366.03 366.04 366.09 Senile 366.10 366.11 366.12 366.13 366.14 366.15 Nonsenile cataract, unspecified Anterior subcapsular polar cataract Posterior subcapsular polar cataract Cortical, lamellar, or zonular cataract Nuclear cataract Other and combined forms of nonsenile cataract cataract Senile cataract, unspecified Pseudoexfoliation of lens capsule Incipient cataract Cataract: Water clefts coronary immature NOS punctate Anterior subcapsular polar senile cataract Posterior subcapsular polar senile cataract Cortical senile cataract 304 TABULAR LIST 366.2 366.3 366.16 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 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 Cataract secondary to ocular disorders 366.30 Cataracta complicata, unspecified 366.31 Glaucomatous flecks (subcapsular) Use additional code for underlying glaucoma (365.0-365.9) 366.32 Cataract in inflammatory disorders Use additional code for underlying condition, as: chronic choroiditis (363.0-363.2) 366.33 Cataract with neovascularization Use additional code for underlying condition, as: chronic iridocyclitis (364.10) NERVOUS SYSTEM AND SENSE ORGANS 305 366.4 366.34 Cataract in degenerative disorders Sunflower cataract Use additional code for underlying condition, as: chalcosis (360.24) degenerative myopia (360.21) pigmentary retinal dystrophy (362.74) Cataract associated with other disorders 366.41 Diabetic cataract Code also diabetes (250.5) 366.42 Tetanic cataract Code also underlying disease, as: calcinosis (275.4) hypoparathyroidism (252.1) 366.43 Myotonic cataract Code also underlying disorder (359.2) 366.44 Cataract associated with other syndromes Code also underlying condition, as: craniofacial dysostosis (756.0) galactosemia (271.1) 366.45 Toxic cataract Drug-induced cataract Use additional E code, if desired, to identify drug or other toxic substance 306 TABULAR LIST 366.46 Cataract associated with radiation and other physical influences Use additional E code, if desired, 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 NERVOUS SYSTEM AND SENSE ORGANS 307 367.4 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 Toxic and accommodation 367.9 Unspecified disorder of refraction and accommodation 368 Visual disturbances 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 308 TABULAR LIST 368.2 368.3 368.4 368.12 Transient visual loss Concentric fading Scintillating scotoma 368.13 Visual discomfort Asthenopia Photophobia Eye strain 368.14 Visual distortions of shape and size Macropsia Micropsia Metamorphopsia 368.15 Other visual distortions and entoptic phenomena Photopsia Visual halos Refractive: diplopia polyopia 368.16 Psychophysical visual disturbances Visual: agnosia disorientation syndrome hallucinations Diplopia Double vision 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 Visual field defects 368.40 Visual field defect, unspecified NERVOUS SYSTEM AND SENSE ORGANS 309 368.5 368.41 Scotoma involving central area Scotoma: central centrocecal paracentral 368.42 Scotoma of blind spot area Enlarged: Paracecal scotoma angioscotoma blind spot 368.43 Sector or arcuate defects Scotoma: arcuate Bjerrum Seidel 368.44 Other localized visual field defect Scotoma: Visual field defect: NOS nasal step ring 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 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) 310 TABULAR LIST 368.6 368.8 368.9 368.55 Acquired color vision deficiencies 368.59 Other color vision deficiencies Night blindness Hemeralopia Nyctalopia 368.60 Night blindness, unspecified 368.61 Congenital night blindness Hereditary night blindness Oguchi’s disease 368.62 Acquired night blindness that due to vitamin A deficiency (264.5) 368.63 Abnormal dark adaptation curve Abnormal threshold Delayed adaptation } of conss or rods 368.69 Other night blindness Other specified visual disturbances Blurred vision NOS Unspecified visual disturbance NERVOUS SYSTEM AND SENSE ORGANS 311 369 Blindness and low vision 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 frony visual handicap, indicat- ing a limitation of personal and socioeconomic indepen- dence (e.g., limited mobility, limited employability). The levels of impairment defined in the table on page 315 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 set- tings. 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. correctable impaired vision due to refractive errors (367.0-367.9) 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 312 369.1 369.04 369.05 369.06 369.07 369.08 TABULAR LIST Better eye: near-total impairment; lesser eye: near-total impairment Better eye: profound impairment; lesser eye: not further specified Better eye: profound impairment; lesser eye: total impairment Better eye: profound impairment; lesser eye: near-total impairment Better eye: profound impairment; lesser eye: profound impairment Moderate or severe impairment, better eye, profound impairment lesser eye 369.10 369.11 369.12 369.13 369.14 369.15 369.16 369.17 369.18 Impairment level not further specified Blindness, one eye, low vision other eye Better eye: severe impairment; lesser eye: blind, not further specified Better eye: severe impairment; lesser eye: total impairment Better eye: severe impairment; lesser eye: near-total impairment Better eye: severe impairment; lesser eye: profound impairment Better eye: moderate impairment; lesser eye: blind, not further specified Better eye: moderate impairment; lesser eye: total impairment Better eye: moderate impairment; lesser eye: near-total impairment Better eye: moderate impairment; lesser eye: profound impairment NERVOUS SYSTEM AND SENSE ORGANS 313 369.2 369.3 0369.4 369.6 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 Unqualified visual loss, both eyes blindness NOS: legal [U.S.A. definition] (369.4) WHO definition (369.00) Legal blindness, as defined in U.S.A. Blindness NOS according to U.S.A. definition legal blindness with specification of impairment level (369.01-369.08, 369.11-369.14, 369.21-369.22) 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 314 TABULAR LIST 369.7 369.64 369.65 369.66 369.67 369.68 369.69 One eye: near-total impairment; other eye: not specified One eye: near-total impairment; other eye: near- normal vision One eye: near-total impairment; other eye: normal vision One eye: profound impairment; other eye: not specified One eye: profound impairment; other eye: near- normal vision One eye: profound impairment; other eye: normal vision Moderate or severe impairment, one eye 369.70 369.71 369.72 369.73 369.74 369.75 369.76 Impairment level not further specified Low vision, one eye One eye: severe impairment; other eye: not specified One eye: severe impairment; other eye: near-normal vision One eye: severe impairment; other eye: normal vision One eye: moderate impairment; other eye: not specified One eye: moderate impairment; other eye: near- normal vision One eye: moderate impairment; other eye: normal vision 369.8 Unqualified visual loss, one eye 369.9 Unspecified visual loss NERVOUS SYSTEM AND SENSE ORGANS 3156 Classification LEVELS OF VISUAL IMPAIRMENT Additional descriptors Visual acuity and/or visual field which may be “legal” WHO limitation (whichever is worse) encountered RANGE OF NORMAL VISION (NEAR-) | 20/10 20/13 20/16 20/20 20/25 NORMAL 2.0 1.6 1.25 1.0 0.8 VISION NEAR-NORMAL VISION 20/30 20/40 20/50 20/60 0.7 0.6 0.5 04 0.3 MODERATE VISUAL IMPAIRMENT Vv 20/70 20/80 20/100 20/125 20/160 Moderate low I 0.25 0.20 0.16 0.12 vision L S o I SEVERE VISUAL IMPAIRMENT Severe low 0 20/200 20/250 20/320 20/400 vision, B N 0.10 0.08 0.06 0.05 “Legal” L Visual field: 20 degrees or less blindness L 1 E 'N B PROFOUND VISUAL IMPAIRMENT G D k 20/500 20/630 20/800 20/1000 | Profound low A N I 0.04 0.03 0.025 0.02 vision, L E N Count fingers at: less than 3m Moderate S D (10 ft.) blindness S N Visual field: 10 degrees or less BE S NEAR-TOTAL VISUAL IMPAIRMENT (US.A) S Visual acuity: less than 0.02 (20/1000) | Severe blindness, both (WHO) Count fingers at: 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. 316 TABULAR LIST 370 Keratitis 370.0 370.2 Corneal ulcer 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 Superficial keratitis without conjunctivitis 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: Keratitis: areolar stellate nummular striate 370.23 Filamentary keratitis 370.24 Photokeratitis Snow blindness Welders’ keratitis NERVOUS SYSTEM AND SENSE ORGANS 317 370.3 370.4 370.5 Certain types of keratoconjunctivitis 370.31 Philyctenular keratoconjunctivitis Phlyctenulosis Use additional code for any associated tuberculosis (017.3) 370.32 Limbar and corneal involvement in vernal conjunc- tivitis Use additional code for vernal conjunctivitis (372.13) 370.33 Keratoconjunctivitis sicca, not specified as Sjogren’s Sjogren’s syndrome (710.2) 370.34 Exposure keratoconjunctivitis 370.35 Neurotrophic keratoconjunctivitis Other and unspecified keratoconjunctivitis 370.40 Keratoconjunctivitis, unspecified Superficial keratitis with conjunctivitis NOS 370.44 Keratitis or keratoconjunctivitis in exanthema Code also underlying condition (050.0-052.9) herpes simplex (054.43) herpes zoster (053.21) measles (055.71) 370.49 Other epidemic keratoconjunctivitis (077.1) Interstitial and deep keratitis 370.50 Interstitial keratitis, unspecified 318 TABULAR LIST 370.52 Diffuse interstitial keratitis Cogan’s syndrome 370.54 Sclerosing keratitis 370.55 Corneal abscess 370.59 Other 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 vasculasizatioh 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 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 NERVOUS SYSTEM AND SENSE ORGANS 319 371.1 371.2 371.3 371.03 Central opacity of cornea Corneal: leucoma macula } interfering with central vision 371.04 Adherent leucoma 371.05 Phthisical cornea Code also underlying tuberculosis (017.3) Corneal pigmentations and deposits 371.10 Corneal deposit, unspecified 371.11 Anterior pigmentations Stahli’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 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 Changes of corneal membranes 371.30 Corneal membrane change, unspecified 371.31 Folds and rupture of Bowman’s membrane 320 TABULAR LIST 371.4 371.5 371.32 Folds in Descemet’s membrane 371.33 Rupture in Descemet’s membrane 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 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 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 NERVOUS SYSTEM AND SENSE ORGANS 321 371.55 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 371.89 Other 371.9 Unspecified corneal disorder 372 Disorders of conjunctiva keratoconjunctivitis (370.3-370.4) 322 TABULAR LIST 372.0 Acute conjunctivitis 372.1 372.00 Acute conjunctivitis, unspecified 372.01 Serous conjunctivitis, except viral viral conjunctivitis NOS (077.9) 372.02 Acute follicular conjunctivitis Conjunctival folliculosis NOS 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 blennorrhea neonatorum (gonococcal) (098.40) neonatal conjunctivitis (771.6) ophthalmia neonatorum NOS (771.6) 372.04 Pseudomembranous conjunctivitis Membranous conjunctivitis diphtheritic conjunctivitis (032.81) 372.05 Acute atopic conjunctivitis 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 NERVOUS SYSTEM AND SENSE ORGANS 323 372.2 372.3 372.4 372.15 Parasitic conjunctivitis Code also underlying disease, as: filariasis (125.0-125.9) mucocutaneous leishmaniasis (085.5) Blepharoconjunctivitis 372.20 Blepharoconjunctivitis, unspecified 372.21 Angular blepharoconjunctivitis 372.22 Contact blepharoconjunctivitis Other and unspecified conjunctivitis 372.30 Conjunctivitis, unspecified 372.31 Rosacea conjunctivitis Code also underlying rosacea dermatitis (695.3) 372.33 Conjunctivitis in mucocutaneous disease Code also underlying disease, as: erythema multiforme (695.1) Reiter’s disease (099.3) ocular pemphigoid (694.61) 372.39 Other Pterygium pseudopterygium (372.52) 372.40 Pterygium, unspecified 372.41 Peripheral pterygium, stationary 372.42 Peripheral pterygium, progressive 372.43 Central pterygium 324 TABULAR LIST 372.5 372.6 372.7 372.44 Double pterygium 372.45 Recurrent pterygium Conjunctival degenerations and deposits 372.50 Conjunctival degeneration, unspecified 372.51 Pinguecula 372.52 Pseudopterygium 372.53 Conjunctival xerosis 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 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) Conjunctival vascular disorders and cysts 372.71 Hyperemia of conjunctiva 372.72 Conjunctival hemorrhage Hyposphagma Subconjunctival hemorrhage NERVOUS SYSTEM AND SENSE ORGANS 325 372.73 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 372.9 Unspecified disorder of conjunctiva 373 Inflammation of eyelids 373.0 Blepharitis 373.1 373.2 blepharoconjunctivitis (372.20-372.22) 373.00 Blepharitis, unspecified 373.01 Ulcerative blepharitis 373.02 Squamous blepharitis 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 Chalazion Meibomian (gland) cyst infected meibomian gland (373.12) 326 TABULAR LIST 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 also 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 also underlying disease, as: actinomycosis (039.3) impetigo (684) mycotic dermatitis (110.0-111.9) vaccinia (051.0) postvaccination (999.0) herpes: simplex (054.41) zoster (053.20) 373.6 Parasitic infestation of eyelid Code also underlying disease, as: leishmaniasis (085.0-085.9) loiasis (125.2) onchocerciasis (125.3) pediculosis (132.0) 373.8 Other inflammations of eyelids NERVOUS SYSTEM AND SENSE ORGANS 327 373.9 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 328 TABULAR LIST 374.4 374.5 374.31 Paralytic ptosis 374.32 Myogenic ptosis 374.33 Mechanical ptosis 374.34 Blepharochalasis Pseudoptosis Other disorders affecting eyelid function 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 Degenerative disorders of eyelid and periocular area 374.50 Degenerative disorder of eyelid, unspecified 374.51 Xanthelasma Xanthoma (planum) (tuberosum) of eyelid Code also underlying condition (272.0-272.9) 374.52 Hyperpigmentation of eyelid Chloasma Dyspigmentation NERVOUS SYSTEM AND SENSE ORGANS 329 374.53 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 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 374.89 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 330 TABULAR LIST 375.1 375.2 375.3 375.4 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 Epiphora 375.20 Epiphora, unspecified as to cause 375.21 Epiphora due to excess lacrimation 375.22 Epiphora due to insufficient drainage Acute and unspecified inflammation of lacrimal passages neonatal dacryocystitis (771.6) 375.30 Dacryocystitis, unspecified 375.31 Acute canaliculitis, lacrimal 375.32 Acute dacryocystitis Acute peridacryocystitis 375.33 Phlegmonous dacryocystitis Chronic inflammation of lacrimal passages 375.41 Chronic canaliculitis 375.42 Chronic dacryocystitis 375.43 Lacrimal mucocele NERVOUS SYSTEM AND SENSE ORGANS 331 375.5 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 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 332 TABULAR LIST 376.1 376.2 376.3 376.04 Tenonitis 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 also underlying disease, as: hydatid infestation of orbit (122.3, 122.6, 122.9) myiasis of orbit (134.0) Endocrine exophthalmos Code also underlying thyroid disorder (242.0-242.9) 376.21 Thyrotoxic exophthalmos 376.22 Exophthalmic ophthalmoplegia 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 NERVOUS SYSTEM AND SENSE ORGANS 333 376.4 376.5 376.6 376.8 376.9 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 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 Retained (old) foreign body following penetrating wound of orbit Retrobulbar foreign body Other orbital disorders 376.81 Orbital cysts Encephalocele of orbit 376.82 Myopathy of extraocular muscles 376.89 Other Unspecified disorder of orbit 334 TABULAR LIST 377 Disorders of optic nerve and visual pathways 377.0 377.1 377.2 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 Optic atrophy 377.10 Optic atrophy, unspecified 377.11 Primary optic atrophy 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 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 NERVOUS SYSTEM AND SENSE ORGANS 335 377.3 377.4 377.5 377.6 Optic neuritis meningococcal optic neuritis (036.81) 377.30 Optic neuritis, unspecified 377.31 Optic papillitis 377.32 Retrobulbar neuritis (acute) syphilitic retrobulbar neuritis (094.85) 377.33 Nutritional optic neuropathy 377.34 Toxic optic neuropathy Toxic amblyopia 377.39 Other ischemic optic neuropathy (377.41) Other disorders of optic nerve 377.41 Ischemic optic neuropathy 377.42 Hemorrhage in optic nerve sheaths 377.49 Other Compression of optic nerve 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 Disorders of other visual pathways 377.61 Associated with neoplasms 377.62 Associated with vascular disorders 377.63 Associated with inflammatory disorders 336 TABULAR LIST 377.7 Disorders of visual cortex 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 nystagmus and other irregular eye movements (379.50-379.59) 378.0 Esotropia Convergent concomitant strabismus 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 NERVOUS SYSTEM AND SENSE ORGANS 337 378.1 378.2 378.3 Exotropia Divergent concomitant strabismus 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 Intermittent heterotropia 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 Other and unspecified heterotropia 378.30 Heterotropia, unspecified 338 TABULAR LIST 378.4 378.5 378.6 378.31 Hypertropia Vertical heterotropia (constant) (intermittent) 378.32 Hypotropia 378.33 Cyclotropia 378.34 Monofixation syndrome Microtropia 378.35 Accommodative component in esotropia Heterophoria 378.40 Heterophoria, unspecified 378.41 Esophoria 378.42 Exophoria 378.43 Vertical heterophoria 378.44 Cyclophoria 378.45 Alternating hyperphoria 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 Mechanical strabismus 378.60 Mechanical strabismus, unspecified NERVOUS SYSTEM AND SENSE ORGANS 339 378.61 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 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 syphilitic episcleritis (095.0) 379.00 Scleritis, unspecified Episcleritis NOS 340 TABULAR LIST 379.1 379.2 379.01 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 Other disorders of sclera 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 Disorders of vitreous body 379.21 Vitreous degeneration Vitreous: cavitation detachment liquefaction NERVOUS SYSTEM AND SENSE ORGANS 341 379.3 379.4 379.22 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 vitreous abscess (360.04) Aphakia and other disorders of lens after-cataract (366.50-366.53) 379.31 Aphakia 379.32 Subluxation of lens 379.33 Anterior dislocation of lens 379.34 Posterior dislocation of lens 379.39 Other disorders of lens 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 Argyll Robertson pupil (syphilitic) (094.89) 342 TABULAR LIST 379.5 379.8 379.9 379.46 Tonic pupillary reaction Adie’s pupil or syndrome 379.49 Other Hippus Pupillary paralysis 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 Other specified disorders of eye and adnexa 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 NERVOUS SYSTEM AND SENSE ORGANS 343 379.99 Other ill-defined disorders of eye 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 Suruncular otitis externa (680.0) 380.12 Acute swimmers’ ear Beach ear Tank ear 380.13 Other acute infections of external ear Code also underlying disease, as: erysipelas (035) impetigo (684) seborrheic dermatitis (690) herpes simplex (054.73) herpes zoster (053.71) 344 TABULAR LIST 380.2 380.3 380.14 Malignant otitis externa 380.15 Chronic mycotic otitis externa Code also underlying disease, as: aspergillosis (117.3) otomycosis NOS (111.9) candidal otitis externa (112.82) 380.16 Other chronic infective otitis externa Chronic infective otitis externa NOS Other otitis externa 380.21 Cholesteatoma of external ear Keratosis obturans of external ear (canal) 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 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 cauliflower ear (738.7) 380.39 Other gouty tophi of ear (274.81) NERVOUS SYSTEM AND SENSE ORGANS 345 380.4 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 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 346 TABULAR LIST 381.1 381.2 381.3 381.4 381.03 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 Chronic serous otitis media Chronic tubotympanic catarrh 381.10 Chronic serous otitis media, simple or unspecified 381.19 Other Serosanguinous chronic otitis media Chronic mucoid otitis media Glue ear adhesive middle ear disease (385.10-385.19) 381.20 Chronic mucoid otitis media, simple or unspecified 381.29 Other Mucosanguinous chronic otitis media Other and unspecified chronic nonsuppurative otitis media Otitis media, chronic: Otitis media, chronic: allergic seromucinous exudative transudative secretory with effusion Nonsuppurative otitis media, not specified as acute or chronic Otitis media: Otitis media: allergic secretory catarrhal seromucinous exudative serous mucoid transudative with effusion NERVOUS SYSTEM AND SENSE ORGANS 347 381.5 Eustachian salpingitis 381.50 Eustachian salpingitis, unspecified 381.51 Acute Eustachian salpingitis 381.52 Chronic Eustachian salpingitis 381.6 Obstruction of Eustachian tube Sanags } 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 348 TABULAR LIST 382.01 Acute suppurative otitis media with spontaneous rupture of ear drum 382.02 Acute suppurative otitis media in diseases classified elsewhere Code also underlying disease, as: influenza (487.8) scarlet fever (034.1) postmeasles otitis (055.2) 382.1 Chronic tubotympanic suppurative otitis media Benign chronic suppurative (with anterior otitis media | perforation Chronic tubotympanic disease of ear drum) 382.2 Chronic atticoantral suppurative otitis media Chronic atticoantral (with posterior or superior disease : : 3 marginal perforation Persistent mucosal of pot d 2a disease 382.3 Unspecified chronic suppurative otitis media Chronic purulent otitis media 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 NERVOUS SYSTEM AND SENSE ORGANS 349 383.1 383.2 383.3 383.8 383.9 383.01 Subperiosteal abscess of mastoid 383.02 Acute mastoiditis with other complications Gradenigo’s syndrome Chronic mastoiditis Caries of mastoid Fistula of mastoid tuberculous mastoiditis (015.6) Petrositis Coalescing osteitis Inflammation of petrous bone Osteomyelitis 383.20 Petrositis, unspecified 383.21 Acute petrositis 383.22 Chronic petrositis 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 Other disorders of mastoid 383.81 Postauricular fistula 383.89 Other Unspecified mastoiditis 350 TABULAR LIST 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 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 NERVOUS SYSTEM AND SENSE ORGANS 351 385 Other disorders of middle ear and mastoid 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 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 352 TABULAR LIST 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 Epidermosis Keratosis Polyp cholesteatoma: external ear canal (380.21) recurrent of postmastoidectomy cavity (383.32) of (middle) ear 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 vertigo NOS (780.4) 386.0 Meniere’s disease Endolymphatic hydrops Méhniere’s syndrome or Lermoyez’s syndrome vertigo NERVOUS SYSTEM AND SENSE ORGANS 3563 386.1 386.2 386.3 386.00 Me¢niere’s disease, unspecified Meéniére’s disease (active) 386.01 Active Ménieére’s disease, cochleovestibular 386.02 Active Méniére’s disease, cochlear 386.03 Active Méniére’s disease, vestibular 386.04 Inactive Méniere’s disease Méniere’s disease in remission Other and unspecified peripheral vertigo 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 Vertigo of central origin Central positional nystagmus Malignant positional vertigo 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 354 TABULAR LIST 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 NERVOUS SYSTEM AND SENSE ORGANS 355 387.2 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 356 TABULAR LIST 388.5 388.6 388.7 388.8 388.9 388.42 Hyperacusis 388.43 Impairment of auditory discrimination 388.44 Recruitment Disorders of acoustic nerve Acoustic neuritis Degeneration Disorder [Excludes] acoustic neuroma (215.0) syphilitic acoustic neuritis (094.86) ) of acoustic or eighth nerve Otorrhea 388.60 Otorrhea, unspecified Discharging ear NOS 388.61 Cerebrospinal fluid otorrhea cerebrospinal fluid rhinorrhea (349.81) 388.69 Other Otorrhagia Otalgia 388.70 Otalgia, unspecified Earache NOS 388.71 Otogenic pain 388.72 Referred pain Other disorders of ear Unspecified disorder of ear 389 Hearing loss 389.0 Conductive hearing loss Conductive deafness NERVOUS SYSTEM AND SENSE ORGANS 357 389.1 389.2 389.7 389.8 389.9 389.00 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 Sensorineural hearing loss Perceptive hearing loss or deafness 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 Mixed conductive and sensorineural hearing loss Deafness or hearing loss of type classifiable to 389.0 with type classifiable to 389.1 Deaf mutism, not elsewhere classifiable Deaf, nonspeaking Other specified forms of hearing loss 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 that with heart involvement (391.0-391.9) 391 Rheumatic fever with heart involvement 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 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 358 CIRCULATORY SYSTEM 359 391.8 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 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 pericarditis NOS or not specified as rheumatic (423.0-423.9) 360 TABULAR LIST 394 Diseases of mitral valve 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 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 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 CIRCULATORY SYSTEM 361 395.9 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 362 TABULAR LIST 397.1 Rheumatic diseases of pulmonary valve that not specified as rheumatic (424.3) 397.9 Rheumatic diseases of endocardium, valve unspecified Rheumatic: endocarditis (chronic) valvulitis (chronic) that not specified as rheumatic (424.90-424.99) 398 Other rheumatic heart disease 398.0 Rheumatic myocarditis Rheumatic degeneration of myocardium 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 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) that complicating pregnancy, childbirth, p p or the puerperium (642.0-642.9) that involving coronary vessels (410.0-414.9) CIRCULATORY SYSTEM 363 401 Essential hypertension Includes: high blood pressure hyperpiesia hyperpiesis hypertension (arterial) (essential) (primary) (systemic) hypertensive vascular: degeneration disease 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 402.0 Malignant 402.00 Without congestive heart failure 402.01 With congestive heart failure 402.1 Benign 402.10 Without congestive heart failure 364 TABULAR LIST 402.11 With congestive heart failure 402.9 Unspecified 402.90 Without congestive heart failure 402.91 With congestive 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 renovascular hypertension (405.0-405.9 with fifth-digit 1) 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 403 404.0 Malignant CIRCULATORY SYSTEM 366 404.1 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, if desired, to identify presence of hypertension (401.0-405.9) 366 TABULAR LIST 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 410.0 Of anterolateral wall 410.1 Of other anterior wall Infarction: anterior (wall) NOS (with contiguous portion anteroapical | of intraventricular anteroseptal septum) 410.2 Of inferolateral wall 410.3 Of inferoposterior wall 410.4 Of other inferior wall Infarction: diaphragmatic wall (with contiguous portion of inferior (wall) NOS } intraventricular septum) 410.5 Of other lateral wall Infarction: Infarction: apical-lateral high lateral basal-lateral posterolateral 410.6 True posterior wall infarction Infarction: posterobasal strictly posterior CIRCULATORY SYSTEM 367 410.7 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 syndrome Preinfarction angina Unstable angina angina (pectoris) (413.9) decubitus (413.0) 411.8 Other Coronary insufficiency (acute) Microinfarct of heart Subendocardial ischemia 412 Old myocardial infarction Healed myocardial infarction Past myocardial infarction diagnosed on ECG [EKG] or other special investigaticn, but currently presenting no symptoms 413 Angina pectoris 413.0 Angina decubitus Nocturnal angina 368 TABULAR LIST 413.1 Prinzmetal angina Variant angina pectoris 413.9 Other and unspecified angina pectoris Angina: Anginal syndrome NOS Status anginosus cardiac Stenocardia of effort Syncope anginosa Excludes:| preinfarction angina (411.1) 414 Other forms of chronic ischemic heart disease 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 414.1 Aneurysm of heart 414.10 Of heart (wall) Aneurysm (arteriovenous): mural ventricular 414.11 Of coronary vessels Aneurysm (arteriovenous) of coronary vessels 414.19 Other Arteriovenous fistula, acquired, of heart. CIRCULATORY SYSTEM 369 414.8 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 coronary insufficiency (acute) (411.8) 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 cor pulmonale NOS (416.9) 415.1 Pulmonary embolism and infarction Pulmonary (artery) (vein): apoplexy embolism infarction (hemorrhagic) thrombosis that complicating: abortion (634-638 with .6, 639.6) ectopic or molar pregnancy (639.6) pregnancy, childbirth, or the puerperium (673.0-673.8) 416 Chronic pulmonary heart disease 416.0 Primary pulmonary hypertension Idiopathic pulmonary arteriosclerosis Pulmonary hypertension (essential) (idiopathic) (primary) 416.1 Kyphoscoliotic heart disease 370 TABULAR LIST 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 congenital arteriovenous fistula (747.3) 417.1 Aneurysm of pulmonary artery congenital aneurysm (747.3) 417.8 Other specified diseases of pulmonary circulation Pulmonary: arteritis endarteritis Rupture 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 acute rheumatic pericarditis (391.0) postmyocardial infarction syndrome [Dressler’s] (411.0) CIRCULATORY SYSTEM 371 420.0 Acute pericarditis in diseases classified elsewhere Code also underlying disease, as: actinomycosis (039.8) amebiasis (006.8) nocardiosis (039.8) tuberculosis (017.9) uremia (585) Excludes:| pericarditis (acute) (in): Pp 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 Pericarditis (acute): (acute): streptococcal pneumococcal suppurative purulent Pneumopyopericardium staphylococcal Pyopericardium Excludes: | pericarditis in diseases classified elsewhere (420.0) 372 TABULAR LIST 421 Acute and subacute endocarditis 421.0 Acute and subacute bacterial endocarditis Endocarditis (acute) Endocarditis (acute) (chronic) (subacute): (chronic) (subacute): bacterial septic infective NOS ulcerative lenta vegetative malignant Infective aneurysm purulent 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 also underlying disease, as: blastomycosis (116.0) Q fever (083.0) typhoid (fever) (002.0) endocarditis (in): Coxsackie (virus) (074.22) gonococcal (098.84) histoplasmosis (115.0-115.9 with [ifth-digit 4) meningococcal infection (036.42) monilial (112.81) 421.9 Acute endocarditis, unspecified Endocarditis Myoendocarditis | acute or subacute Periendocarditis acute rheumatic endocarditis (391.1) 422 Acute myocarditis acute rheumatic myocarditis (391.2) CIRCULATORY SYSTEM 373 422.0 Acute myocarditis in diseases classified elsewhere Code also underlying disease, as: myocarditis (acute): influenzal (487.8) tuberculous (017.9) 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, if desired, 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 374 TABULAR LIST 423 Other diseases of pericardium that specified as rheumatic (393) 423.0 Hemopericardium 423.1 Adhesive pericarditis Adherent pericardium Pericarditis: Fibrosis of pericardium adhesive Milk spots 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 f vericardi Fistula of pericardium 423.9 Unspecified disease of pericardium 424 Other diseases of endocardium 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 insufficiency of specified cause, except regurgitation rheumatic mitral (valve): disease (394.9) Sailure (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) CIRCULATORY SYSTEM 375 424.1 Aortic valve disorders Aortic (valve): incompetence NOS insuffici : swactency {of specified cause, except regurgitation rheumatic stenosis 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 insufficiency | of specified cause, except regurgitation rheumatic stenosis rheumatic or of unspecified cause (397.0) 424.3 Pulmonary valve disorders Pulmonic: Pulmonic: incompetence NOS regurgitation NOS insufficiency NOS stenosis NOS 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 insufficiency regurgitation of unspecified valve, stenosis unspecified cause Valvulitis (chronic) 376 TABULAR LIST 424.91 Endocarditis in diseases classified elsewhere Code also underlying disease, as: atypical verrucous endocarditis [Libman-Sacks] (710.0) disseminated lupus erythematosus (710.0) tuberculosis (017.9) syphilitic (093.20-093.24) 424.99 Other Any condition classifiable to 424.90 with specified cause, except rheumatic endocardial fibroelastosis (425.3) that specified as rheumatic (397.9) 425 Cardiomyopathy Includes: myocardiopathy cardiomyopathy arising during pregnancy or the puerperium (674.8) 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: Cardiomyopathy: NOS idiopathic congestive nonobstructive constrictive obstructive familial restrictive hypertrophic Cardiovascular collagenosis CIRCULATORY SYSTEM 377 425.5 Alcoholic cardiomyopathy 425.7 Nutritional and metabolic cardiomyopathy Code also underlying disease, as: amyloidosis (277.3) beriberi (265.0) cardiac glycogenosis (271.0) mucopolysaccharidosis (277.5) thyrotoxicosis (242.0-242.9) gouty tophi of heart (274.82) 425.8 Cardiomyopathy in other diseases classified elsewhere Code also underlying disease, as: Friedreich’s ataxia (334.0) myotonia atrophica (359.2) progressive muscular dystrophy (359.1) sarcoidosis (135) cardiomyopathy in Chagas’ disease (086.0) Pp 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 378 TABULAR LIST 426.2 426.3 426.4 426.5 426.12 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 Left bundle branch hemiblock Block: left anterior fascicular left posterior fascicular Other left bundle branch block Left bundle branch block: NOS anterior fascicular with posterior fascicular complete main stem Right bundle branch block 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 CIRCULATORY SYSTEM 379 426.6 Other heart block Intraventricular block: Sinoatrial block NOS Sinoauricular block diffuse myofibrillar 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 postoperative (997.1) 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 380 TABULAR LIST 427.1 427.2 427.3 4274 427.5 427.6 Paroxysmal ventricular tachycardia Ventricular tachycardia (paroxysmal) Paroxysmal tachycardia, unspecified Bouveret-Hoffmann syndrome Paroxysmal tachycardia: NOS essential Atrial fibrillation and flutter 427.31 Atrial fibrillation 427.32 Atrial flutter Ventricular fibrillation and flutter 427.41 Ventricular fibrillation 427.42 Ventricular flutter Cardiac arrest Cardiorespiratory arrest 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 CIRCULATORY SYSTEM 381 427.8 Other specified cardiac dysrhythmias 427.81 Sinoatrial node dysfunction Sinus bradycardia: Syndrome: persistent sick sinus severe tachycardia-bradycardia sinus bradycardia NOS (427.89) 427.89 Other Rhythm disorder: Wandering (atrial) coronary sinus pacemaker ectopic nodal carotid sinus syncope (337.0) reflex bradycardia (337.0) tachycardia NOS (785.0) 4279 Cardiac dysrhythmia, unspecified Arrhythmia (cardiac) NOS 428 Heart failure postoperative (997.1) Jollowing cardiac surgery (429.4) 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) that due to hypertension (402.0-402.9 with fifth-digit 1) 428.0 Congestive heart failure Congestive heart disease Right heart failure (secondary to left heart failure) 428.1 Left heart failure Acute edema of lung with heart disease NOS Acute pulmonary edema or heart failure Cardiac asthma Left ventricular failure 382 TABULAR LIST 428.9 Heart failure, unspecified Cardiac failure NOS Myocardial failure NOS Heart failure NOS Weak heart 429 Ill-defined descriptions and complications of heart disease 429.0 Myocarditis, unspecified Myocarditis: NOS : ’ chronic (interstitial) i fibroid senile Use additional code, if desired, to identify presence of arteriosclerosis 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: fatty mural (with mention of muscular arteriosclerosis) Myocardial: degeneration disease Use additional code, if desired, to identify presence of arteriosclerosis that due to hypertension (402.0-402.9) CIRCULATORY SYSTEM 383 429.2 Cardiovascular disease, unspecified Arteriosclerotic cardiovascular disease [ASCVD] Cardiovascular arteriosclerosis Cardiovascular: degeneration i } as (with mention of sclerosis arteriosclerosis) Use additional code, if desired, to identify presence of arteriosclerosis that due to hypertension (402.0-402.9) 429.3 Cardiomegaly Cardiac: Ventricular dilatation dilatation hypertrophy that due to hypertension (402.0-402.9) 429.4 Functional disturbances following cardiac surgery Cardiac insufficiency following cardiac surgery Heart failure } or due to prosthesis Postcardiotomy syndrome Postvalvulotomy syndrome cardiac failure in the immediate postoperative period (997.1) 429.5 Rupture of chordae tendineae 429.6 Rupture of papillary muscle 429.8 Other ill-defined heart diseases 429.81 Other disorders of papillary muscle Papillary muscle: Papillary muscle: atrophy incompetence degeneration incoordination dysfunction scarring 429.82 Hyperkinetic heart disease 384 TABULAR LIST 429.89 Other Carditis that due to hypertension (402.0-402.9) 429.9 Heart disease, unspecified Heart disease (organic) NOS Morbus cordis NOS 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, if desired, to identify presence of hypertension any condition classifiable to 430-434, 436, 437 occurring during pregnancy, childbirth, or the puerperium, or specified as puerperal (674.0) 430 Subarachnoid hemorrhage Meningeal hemorrhage Ruptured: berry aneurysm (congenital) cerebral aneurysm NOS syphilitic ruptured cerebral aneurysm (094.87) 431 Intracerebral hemorrhage Hemorrhage (of): Hemorrhage (of): basilar intrapontine bulbar pontine cerebellar subcortical cerebral ventricular cerebromeningeal Rupture of blood vessel cortical in brain internal capsule CIRCULATORY SYSTEM 385 432 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 Includes: embolism of basilar, carotid, narrowing and vertebral obstruction arteries thrombosis 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 434.0 Cerebral thrombosis Thrombosis of cerebral arteries 434.1 Cerebral embolism 386 TABULAR LIST 434.9 Cerebral artery occlusion, unspecified Cerebral infarction NOS 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 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 435.8 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: Cerebral seizure NOS Cerebrovascular accident attack [CVA] NOS cerebral Stroke seizure CIRCULATORY SYSTEM 387 437 Other and ill-defined cerebrovascular disease 437.0 437.1 437.2 437.3 437.4 437.5 437.6 437.8 437.9 Cerebral atherosclerosis Atheroma of cerebral arteries Cerebral arteriosclerosis Other generalized ischemic cerebrovascular disease Acute cerebrovascular insufficiency NOS Cerebral ischemia (chronic) Hypertensive encephalopathy Hypertensive crisis Cerebral aneurysm, nonruptured Cerebral arteritis Moyamoya disease Nonpyogenic thrombosis of intracranial venous sinus pyogenic (325) Other Unspecified Cerebrovascular disease or lesion NOS 388 TABULAR LIST 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, themselves classifiable else- where. The "late effects" include conditions specified as such, as sequelae, or present one year or more after the onset of the causal condition. Use additional code, if desired, to identify condition as: aphasia (784.3) dysphasia (784.5) hemiplegia (342.0-342.9) paralysis (344.0-344.9) 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 440.0 Of aorta 440.1 Of renal artery atherosclerosis of renal arterioles (403.0-403.9) CIRCULATORY SYSTEM 389 440.2 Of arteries of the extremities Mbonckeberg’s (medial) sclerosis Use additional code, if desired, to identify gangrene (785.4) 440.8 Of other specified arteries basilar (433.0) carotid (433.1) cerebral (437.0) coronary (414.0) mesenteric (557.1) precerebral (433.0-433.9) pulmonary (416.0) vertebral (433.2) 440.9 Generalized and unspecified atherosclerosis Arteriosclerotic vascular disease NOS arteriosclerotic cardiovascular disease [ASCVD] (429.2) 441 Aortic aneurysm syphilitic aortic aneurysm (093.0) traumatic aortic aneurysm (901.0, 902.0) 441.0 Dissecting aneurysm [any part] 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 390 TABULAR LIST 0441.9 Aortic aneurysm of unspecified site without mention of rupture Aneurysm Dilatation of aorta Hyaline necrosis 442 Other aneurysm Includes: aneurysm (ruptured) (cirsoid) (false) (varicose) aneurysmal varix arteriovenous aneurysm or fistula: acquired (447.0) congenital (747.6) 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 } popliteal artery 442.8 Of other specified artery 442.81 Artery of neck Aneurysm of carotid artery (common) (external) (internal) 442.82 Subclavian artery 442.83 Splenic artery CIRCULATORY SYSTEM 391 442.84 Other visceral artery Aneurysm: celiac gastroduodenal gastroepiploic hepatic pancreaticoduodenal superior mesenteric artery 442.89 Other Aneurysm: mediastinal ) i spinal Rriery cerebral (nonruptured) (437.3) 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, if desired, to identify gangrene (785.4) 443.1 Thromboangiitis obliterans [Buerger’s disease] Presenile gangrene 443.8 Other specified peripheral vascular diseases 443.81 Peripheral angiopathy in diseases classified elsewhere Code also underlying disease, as: diabetes mellitus (250.7) 392 TABULAR LIST 443.89 Other Acrocyanosis Acroparesthesia: simple [Schultze’s type] vasomotor [Nothnagel’s type] Erythrocyanosis Erythromelalgia chilblains (991.5) frostbite (991.0-991.3) immersion foot (991.4) 443.9 Peripheral vascular disease, unspecified Intermittent claudication Peripheral: angiopathy NOS vascular disease NOS Spasm of artery spasm of cerebral artery (435.0-435.9) 444 Arterial embolism and thrombosis Includes: infarction: embolic thrombotic occlusion that complicating: abortion (634-638 with .6, 639.6) ectopic or molar pregnancy (639.6) pregnancy, childbirth, or the pueperium (673.0-673.8) 444.0 Of abdominal aorta Aortic bifurcation Leriche’s syndrome syndrome Saddle embolus Aortoiliac obstruction 444.1 Of thoracic aorta Embolism or thrombosis of aorta (thoracic) 444.2 Of arteries of the extremities 444.21 Upper extremity CIRCULATORY SYSTEM 393 444.22 Lower extremity Arterial embolism or thrombosis: femoral peripheral NOS popliteal iliofemoral (444.81) 444.8 Of other specified artery 444.81 Iliac artery 444.89 Other basilar (433.0) carotid (433.1) cerebral (434.0-434.9) coronary (410.0-410.9) mesenteric (557.0) ophthalmic (362.30-362.34) precerebral (433.0-433.9) pulmonary (415.1) renal (593.81) retinal (362.30-362.34) vertebral (433.2) 444.9 Of unspecified artery 446 Polyarteritis nodosa and allied conditions 446.0 Polyarteritis nodosa Disseminated necrotizing Panarteritis (nodosa) periarteritis Periarteritis (nodosa) Necrotizing angiitis 446.1 Acute febrile mucocutaneous lymph node syndrome [MCLS] Kawasaki disease 446.2 Hypersensitivity angiitis Goodpasture’s syndrome 446.3 Lethal midline granuloma Malignant granuloma of face 394 TABULAR LIST 446.4 Wegener’s granulomatosis Necrotizing respiratory granulomatosis Wegener’s syndrome 446.5 Giant cell arteritis Cranial arteritis Temporal arteritis Horton’s disease 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 cerebrovascular (437.3) coronary (414.19) pulmonary (417.0) surgically created arteriovenous shunt or fistula: complication (996.1, 996.6) status or presence (V45.1) traumatic (900.0-904.9) 447.1 Stricture of artery Arterial occlusive disease 447.2 Rupture of artery Erosion Fistula, except arteriovenous | of artery Ulcer traumatic rupture of artery (900.0-904.9) 447.3 Hyperplasia of renal artery Fibromuscular hyperplasia of renal artery CIRCULATORY SYSTEM 395 447.4 Celiac artery compression syndrome Celiac axis syndrome Marable’s syndrome 447.5 Necrosis of artery 447.6 Arteritis, unspecified Aortitis NOS Endarteritis NOS arteritis, endarteritis: aortic arch (446.7) cerebral (437.4) coronary (414.0) 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: Nevus: araneus spider senile stellar neoplastic (216.0-216.9) port wine (757.32) strawberry (757.32) 396 TABULAR LIST 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, if desired, to identify drug, if drug-induced postoperative NOS (997.2) 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 (996.6) infusion, perfusion, or transfusion (999.2) 451.0 Of superficial vessels of lower extremities Femoropopliteal vein Saphenous vein 451.1 Of deep vessels of lower extremities 451.11 Femoral vein (deep) 451.19 Other Popliteal vein Tibial vein 451.2 Of lower extremities, unspecified CIRCULATORY SYSTEM 397 451.8 Of other sites intracranial venous sinus (325) nonpyogenic (437.6) portal (vein) (572.1) 451.81 Iliac vein 451.89 Other Thrombophlebitis of breast (Mondor’s disease) 451.9 Of unspecified site 452 Portal vein thrombosis Portal (vein) obstruction hepatic vein thrombosis (453.0) Pp! phlebitis of portal vein (572.1) 453 Other venous embolism and thrombosis that complicating: abortion (634-638 with .7, 639.8) ectopic or molar pregnancy (639.8) pregnancy, childbirth, or the puerperium (671.0-671.9) 453.0 Budd-Chiari syndrome Hepatic vein thrombosis 453.1 Thrombophlebitis migrans 453.2 Of vena cava 453.3 Of renal vein 398 TABULAR LIST 453.8 Of other specified veins cerebral (434.0-434.9) coronary (410.0-410.9) intracranial venous sinus (325) nonpyogenic (437.6) mesenteric (557.0) portal (452) precerebral (433.0-433.9) pulmonary (415.1) 453.9 Of unspecified site Embolism of vein Thrombosis (vein) 454 Varicose veins of lower extremities 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 454.9 Without mention of ulcer or inflammation Phlebectasia £1 . Varicose seis of lower extremity [any part] Varix or of unspecified site CIRCULATORY SYSTEM 399 455 Hemorrhoids 455.0 455.1 455.2 455.3 455.4 455.5 455.6 455.7 455.8 Includes: hemorrhoids (anus) (rectum) piles varicose veins, anus or rectum that complicating pregnancy, childbirth, or the puerperium (671.8) Internal hemorrhoids without mention of complication Internal thrombosed hemorrhoids Internal hemorrhoids with other complication Internal hemorrhoids: Internal hemorrhoids: bleeding strangulated prolapsed ulcerated External hemorrhoids without mention of complication External thrombosed hemorrhoids External hemorrhoids with other complication External hemorrhoids: External hemorrhoids: bleeding strangulated prolapsed ulcerated Unspecified hemorrhoids without mention of complication Hemorrhoids NOS Unspecified thrombosed hemorrhoids Thrombosed hemorrhoids, unspecified whether internal or external Unspecified hemorrhoids with other complication Hemorrhoids, unspecified whether internal or external: bleeding prolapsed strangulated ulcerated 400 TABULAR LIST 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 also underlying cause, 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 that complicating pregnancy, childbirth, or the puerperium (671.1) 456.8 Varices of other sites Varicose veins of nasal septum (with ulcer) placental varices (656.7) retinal varices (362.17) varicose ulcer of unspecified site (454.0) varicose veins of unspecified site (454.9) CIRCULATORY SYSTEM 401 457 Noninfectious disorders of lymphatic channels 457.0 Postmastectomy lymphedema syndrome Elephantiasis Obliteration of due to mastectomy lymphatic vessel 457.1 Other lymphedema Elephantiasis (nonfilarial) NOS Lymphangiectasis Lymphedema: acquired (chronic) praecox secondary Obliteration, lymphatic vessel elephantiasis (nonfilarial): congenital (757.0) eyelid (374.83) vulva (624.8) 457.2 Lymphangitis Lymphangitis: NOS chronic subacute acute lymphangitis (682.0-682.9) 457.8 Other noninfectious disorders of lymphatic channels Chylocele (nonfilarial) Lymph node or vessel: Chylous: fistula ascites infarction cyst rupture chylocele: filarial (125.0-125.9) tunica vaginalis (nonfilarial) (608.84) 457.9 Unspecified noninfectious disorder of lymphatic channels 402 TABULAR LIST 458 Hypotension Includes: hypopiesis 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 458.9 Hypotension, unspecified Hypotension (arterial) NOS 459 Other disorders of circulatory system 459.0 Hemorrhage, unspecified Rupture of blood vessel NOS Spontaneous hemorrhage NEC 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 459.2 Compression of vein Stricture of vein Vena cava syndrome (inferior) (superior) 459.8 Other specified disorders of circulatory system 459.81 Venous (peripheral) insufficiency, unspecified Chronic venous insufficiency NOS CIRCULATORY SYSTEM 403 459.89 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, if desired, to identify infectious organism ACUTE RESPIRATORY INFECTIONS (460-466) pneumonia and influenza (480.0-487.8) 460 Acute nasopharyngitis [common cold] Coryza (acute) Rhinitis: Nasal catarrh, acute acute Nasopharyngitis: infective NOS acute infective NOS 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 empyema i £ k acute, of sinus infection (accessory) (nasal) inflammation ¥ suppuration chronic or unspecified sinusitis (473.0-473.9) 461.0 Maxillary Acute antritis 461.1 Frontal RESPIRATORY SYSTEM 405 461.2 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): Pharyngitis (acute): staphylococcal NOS suppurative gangrenous ulcerative infective Sore throat (viral) NOS phlegmonous Viral pharyngitis pneumococcal 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) 406 TABULAR LIST 463 Acute tonsillitis Tonsillitis (acute): Tonsillitis (acute): NOS septic follicular staphylococcal gangrenous suppurative infective ulcerative pneumococcal viral 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 that associated with influenza (487.1) that due to Streptococcus (034.0) 464.0 Acute laryngitis Laryngitis (acute): Laryngitis (acute): NOS pneumococcal edematous septic Hemophilus influenzae suppurative [H. influenzae] ulcerative chronic laryngitis (476.0-476.1) influenzal laryngitis (487.1) 464.1 Acute tracheitis Tracheitis (acute): NOS catarrhal viral chronic tracheitis (491.8) 464.10 Without mention of obstruction 464.11 With obstruction RESPIRATORY SYSTEM 407 464.2 Acute laryngotracheitis Laryngotracheitis (acute) Tracheitis (acute) with laryngitis (acute) chronic laryngotracheitis (476.1) 464.20 Without mention of obstruction 464.21 With obstruction 464.3 Acute epiglottitis Viral epiglottitis epiglottitis, chronic (476.1) 464.30 Without mention of obstruction 464.31 With obstruction 464.4 Croup Croup syndrome 465 Acute upper respiratory infections of multiple or unspecified sites 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 408 TABULAR LIST 466.0 Acute bronchitis Bronchitis, acute or subacute: fibrinous membranous pneumococcal purulent septic viral with tracheitis Croupous bronchitis Tracheobronchitis, acute 466.1 Acute bronchiolitis Bronchiolitis (acute) Capillary pneumonia OTHER DISEASES OF THE UPPER RESPIRATORY TRACT (470-478) 470 Deviated nasal septum Deflected septum (nasal) (acquired) congenital (754.0) 471 Nasal polyps 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: Polyp of sinus: accessory maxillary ethmoidal sphenoidal RESPIRATORY SYSTEM 409 471.9 Unspecified nasal polyp Nasal polyp NOS 472 Chronic pharyngitis and nasopharyngitis 472.0 Chronic rhinitis Ozena Rhinitis: Rhinitis: hypertrophic NOS obstructive atrophic purulent granulomatous ulcerative allergic rhinitis (477.0-477.9) 472.1 Chronic pharyngitis Chronic sore throat Pharyngitis: atrophic granular (chronic) hypertrophic 472.2 Chronic nasopharyngitis acute or unspecified nasopharyngitis (460) 473 Chronic sinusitis Includes: abscess empyema (chronic) of sinus infection (accessory) (nasal) suppuration acute sinusitis (461.0-461.9) 473.0 Maxillary Antritis (chronic) 473.1 Frontal 473.2 Ethmoidal Woakes’ ethmoiditis (471.1) 410 TABULAR LIST 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 acute or unspecified tonsillitis (463) 474.1 Hypertrophy of tonsils and adenoids Enlargement Hyperplasia | of tonsils or adenoids Hypertrophy 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) RESPIRATORY SYSTEM 411 475 Peritonsillar abscess Abscess of tonsil Quinsy Peritonsillar cellulitis 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 chronic tracheitis (491.8) laryngitis and tracheitis, acute or unspecified (464.0-464.4) 477 Allergic rhinitis Includes: allergic rhinitis (nonseasonal) (seasonal) hay fever spasmodic rhinorrhea allergic rhinitis with asthma (bronchial) (493.0) 477.0 Due to pollen Pollinosis 477.8 Due to other allergen 477.9 Cause unspecified 478 Other diseases of upper respiratory tract 478.0 Hypertrophy of nasal turbinates 412 TABULAR LIST 478.1 Other diseases of nasal cavity and sinuses Abscess Necrosis | of nose (septum) Ulcer Cyst or mucocele of sinus (nasal) Rhinolith 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 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 adenomatous polyps (212.1) RESPIRATORY SYSTEM 413 478.5 478.6 478.7 478.8 Other diseases of vocal cords Abscess Cellulitis Granuloma Leukoplakia Chorditis (fibrinous) (nodosa) (tuberosa) Singers’ nodes of vocal cords Edema of larynx Edema (of): glottis subglottic supraglottic 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 Necrosis Obstruction { of larynx Pachyderma Ulcer ulcerative laryngitis (464.0) Upper respiratory tract hypersensitivity reaction, site unspecified hypersensitivity reaction of lower respiratory tract, as: extrinsic allergic alveolitis (495.0-495.9) pneumoconiosis (500-505) 414 TABULAR LIST 478.9 Other and unspecified diseases of upper respiratory tract Abscess } Cicatrix of trachea PNEUMONIA AND INFLUENZA (480-487) 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) postoperative (997.3) 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 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 Lobar pneumonia, organism unspecified RESPIRATORY SYSTEM 415 482 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 482.4 Pneumonia due to Staphylococcus 482.8 Pneumonia due to other specified bacteria Pneumonia due to: Escherichia coli [E. coli] Proteus pneumonia complicating infectious disease classified elsewhere (484.1-484.8) 482.9 Bacterial pneumonia unspecified 483 Pneumonia due to other specified organism Pneumonia due to: Eaton’s agent Mycoplasma (pneumoniae) pleuropneumonia-like organisms [PPLO] 484 Pneumonia in infectious diseases classified elsewhere influenza with pneumonia, any form (487.0) 484.1 Pneumonia in cytomegalic inclusion disease Code also underlying disease (078.5) 484.3 Pneumonia in whooping cough Code also underlying disease (033.0-033.9) 416 TABULAR LIST 484.5 Pneumonia in anthrax Code also underlying disease (022.1) 484.6 Pneumonia in aspergillosis Code also underlying disease (117.3) 484.7 Pneumonia in other systemic mycoses Code also underlying disease 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 also 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) RESPIRATORY SYSTEM 417 485 Bronchopneumonia, organism unspecified Bronchopneumonia: Pneumonia: hemorrhagic lobular terminal segmental Pleurobronchopneumonia bronchiolitis (acute) (466.1) chronic (491.8) lipoid pneumonia (507.1) 486 Pneumonia, organism unspecified 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 (5006.0) 487 Influenza Hemophilus influenzae [H. influenzae]: infection NOS (041.5) laryngitis (464.0) 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 "intestinal flu" [viral gastroenteritis] (008.8) 418 TABULAR LIST CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND ALLIED CONDITIONS (490-496) 490 Bronchitis, not specified as acute or chronic Bronchitis NOS: Tracheobronchitis NOS catarrhal with tracheitis NOS bronchitis: allergic NOS (493.9) asthmatic NOS (493.9) due to fumes and vapors (506.0) 491 Chronic bronchitis Use additional code, if desired, to identify acute exacerbation (466.0-466.1) 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: Bronchitis with: asthmatic, chronic airway obstruction emphysematous emphysema obstructive (chronic) (diffuse) 491.8 Other chronic bronchitis Chronic: tracheitis tracheobronchitis 491.9 Unspecified chronic bronchitis RESPIRATORY SYSTEM 419 492 Emphysema 492.0 Emphysematous bleb Giant bullous emphysema Ruptured emphysematous bleb Tension pneumatocele Vanishing lung 492.8 Other emphysema Emphysema (lung or Emphysema (lung or pulmonary): pulmonary): unilateral centriacinar vesicular centrilobular MacLeod’s syndrome obstructive Sawyer-Jones syndrome panacinar Unilateral hyperlucent panlobular lung emphysema: compensatory (518.2) due to fumes and vapors (500.4) interstitial (518.1) newborn (770.2) mediastinal (518.1) surgical (subcutaneous) (998.8) traumatic (958.7) with bronchitis (491.2) 493 Asthma The following fifth-digit subclassification is for use with category 493: 0 without mention of status asthmaticus 1 with status asthmaticus 420 TABULAR LIST 493.0 Extrinsic asthma Asthma: allergic with stated cause atopic childhood hay platinum Hay fever with asthma asthma: allergic NOS (493.9) detergent (507.8) miners’ (500) wood (495.8) 493.1 Intrinsic asthma Asthma due to internal immunological process Late-onset asthma 493.9 Asthma, unspecified Asthma (bronchial) (allergic NOS) Bronchitis: allergic asthmatic 494 Bronchiectasis Bronchiectasis (fusiform) (postinfectious) (recurrent) Bronchiolectasis congenital (748.61) tuberculous bronchiectasis (current disease) (011.5) 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 RESPIRATORY SYSTEM 421 495.2 495.3 495.4 495.5 495.6 495.7 495.8 495.9 Bird-fanciers’ lung Budgerigar-fanciers’ disease or lung Pigeon-fanciers’ disease or lung Suberosis Cork-handlers’ disease or lung Malt workers’ lung Alveolitis due to Aspergillus clavatus Mushroom workers’ lung Maple bark-strippers’ lung Alveolitis due to Cryptostroma corticale "Ventilation" pneumonitis Allergic alveolitis due to fungal, thermophilic actinomycete, and other organisms growing in ventilation [air conditioning] systems Other specified allergic alveolitis and pneumonitis Cheese-washers’ lung Pituitary snuff-takers’ Coffee workers’ lung disease Fish-meal workers’ lung Sequoiosis or red-cedar Furriers’ lung asthma Grain-handlers’ disease Wood asthma or lung Unspecified allergic alveolitis and pneumonitis Alveolitis, allergic (extrinsic) Hypersensitivity pneumonitis 422 TABULAR LIST 496 Chronic airway obstruction, not elsewhere classified Chronic: nonspecific lung disease obstructive lung disease obstructive pulmonary disease [COPD] NOS chronic obstructive lung disease with: allergic alveolitis (495.0-495.9) asthma (493.0-493.9) bronchiectasis (494) bronchitis (491.2) with emphysema (491.2) emphysema (492.0-492.8) PNEUMOCONIOSES AND OTHER LUNG DISEASES DUE TO EXTERNAL AGENTS (500-508) 500 Coal workers’ pneumoconiosis Anthracosilicosis Coal workers’ lung Anthracosis Miners’ asthma Black lung disease 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) Graphite fibrosis (of lung) Bauxite fibrosis (of lung) Siderosis Berylliosis Stannosis RESPIRATORY SYSTEM 423 504 Pneumonopathy due to inhalation of other dust Byssinosis Flax-dressers’ disease Cannabinosis 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, if desired, 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) 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) Obliterative bronchiolitis (chronic) (subacute) Pulmonary fibrosis (chronic) due to inhalation of chemical fumes and vapors 506.9 Unspecified respiratory conditions due to fumes and vapors Silo-fillers’ disease 424 TABULAR LIST 507 Pneumonitis due to solids and liquids fetal aspiration pneumonitis (770.1) 507.0 Due to inhalation of food or vomitus Aspiration pneumonia (due to): NOS food (regurgitated) gastric secretions milk vomitus pneumonia due to aspiration of micro- organisms (480.0-483) postoperative [Mendelson’s syndrome] (997.3) obstetric (668.0) 507.1 Due to inhalation of oils and essences Lipoid pneumonia (exogenous) endogenous lipoid pneumonia (516.8) 507.8 Due to other solids and liquids Detergent asthma S08 Respiratory conditions due to other and unspecified external agents Use additional E code, if desired, 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 RESPIRATORY SYSTEM 425 OTHER DISEASES OF RESPIRATORY SYSTEM (510-519) 510 Empyema Use additional code, if desired, to identify infectious organism (041.0-041.9) abscess of lung (513.0) 510.0 With fistula Fistula: Fistula: bronchocutaneous mediastinal bronchopleural pleural hepatopleural thoracic Any condition classifiable to 510.9 with fistula 510.9 Without mention of fistula Abscess: Pleurisy: pleura purulent thorax septic Empyema (chest) (lung) seropurulent (pleura) suppurative Fibrinopurulent pleurisy Pyopneumothorax Pyothorax 511 Pleurisy pleurisy with mention of tuberculosis, current disease (012.0) 511.0 Without mention of effusion or current tuberculosis Adhesion, lung or pleura Pleurisy: Calcification of pleura NOS Pleurisy (acute) pneumococcal (sterile): staphylococcal diaphragmatic streptococcal fibrinous Thickening of pleura interlobar 426 TABULAR LIST 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 Hydropneumothorax Hemopneumothorax Hydrothorax Hemothorax traumatic (860.2-860.5) 511.9 Unspecified pleural effusion Pleural effusion NOS Pleurisy: Pleurisy: serous exudative with effusion NOS serofibrinous 512 Pneumothorax 512.0 Spontaneous tension pneumothorax 512.8 Other spontaneous pneumothorax Pneumothorax: NOS acute chronic 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 RESPIRATORY SYSTEM 427 513.1 Abscess of mediastinum 514 Pulmonary congestion and hypostasis Hypostatic: bronchopneumonia pneumonia Passive pneumonia Pulmonary congestion (chronic) (passive) Pulmonary edema: NOS chronic acute pulmonary edema: NOS (518.4) with mention of heart disease or failure (428.1) 515 Postinflammatory pulmonary fibrosis Cirrhosis of lung Fibrosis of lung (atrophic) (confluent) (massive) (perialveolar) (peribronchial) 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 also 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 428 TABULAR LIST 516.8 Other specified alveolar and parietoalveolar pneumonopathies Endogenous lipoid pneumonia Interstitial pneumonia (desquamative) (lymphoid) lipoid pneumonia, exogenous or unspecified (507.1) 516.9 Unspecified alveolar and parietoalveolar pneumonopathy 517 Lung involvement in conditions classified elsewhere rheumatoid lung (714.81) 517.1 Rheumatic pneumonia Code also underlying disease (390) 517.2 Lung involvement in systemic sclerosis Code also underlying disease (710.1) 517.8 Lung involvement in other diseases classified elsewhere Code also underlying disease, as: amyloidosis (277.3) polymyositis (710.4) sarcoidosis (135) Sjogren’s disease (710.2) systemic lupus erythematosus (710.0) syphilis (095.1) RESPIRATORY SYSTEM 429 518 Other diseases of lung 518.0 Pulmonary collapse Atelectasis Collapse of lung Middle lobe syndrome atelectasis: congenital (partial) (770.5) primary (770.4) tuberculous, current disease (011.8) 518.1 Interstitial emphysema Mediastinal emphysema surgical (subcutaneous) emphysema (998.8) that in fetus or newborn (770.2) traumatic emphysema (958.7) 518.2 Compensatory emphysema 518.3 Pulmonary eosinophilia Eosinophilic asthma Tropical eosinophilia Loffler’s syndrome Pneumonia: allergic eosinophilic 518.4 Acute edema of lung, unspecified Acute pulmonary edema NOS Pulmonary edema, postoperative pulmonary edema: acute, with mention of heart disease or failure (428.1) chronic or unspecified (514) due to external agents (506.0-508.9) 430 TABULAR LIST 518.5 Pulmonary insufficiency following trauma and surgery Adult respiratory distress syndrome Pulmonary insufficiency following: shock surgery trauma Shock lung pneumonia: aspiration (507.0) hypostatic (514) 518.8 Other diseases of lung, not elsewhere classified Broncholithiasis Lung disease NOS Calcification of lung Pulmolithiasis 519 Other diseases of respiratory system 519.0 Tracheostomy complication Hemorrhage from Sepsis of Tracheal stenosis following Tracheoesophageal fistula tracheostomy Tracheostomy: hemorrhage obstruction sepsis ) tracheostomy stoma 519.1 Other diseases of trachea and bronchus, not elsewhere classified Calcification Stenosis | of bronchus or trachea Ulcer 519.2 Maediastinitis 519.3 Other diseases of mediastinum, not elsewhere classified Fibrosis Hernia | of mediastinum Retraction RESPIRATORY SYSTEM 431 519.4 Disorders of diaphragm Diaphragmitis Paralysis of diaphragm Relaxation of diaphragm 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 acquired absence of teeth (525.1) 520.1 Supernumerary teeth Distomolar Paramolar Fourth molar Supplemental teeth Mesiodens supernumerary roots (520.2) 520.2 Abnormalities of size and form Concrescence Macrodontia Fusion of teeth Microdontia Gemination Peg-shaped [conical] Dens evaginatus teeth Dens in dente Supernumerary roots Dens invaginatus Taurodontism Enamel pearls 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 432 DIGESTIVE SYSTEM 433 520.4 Disturbances of tooth formation Aplasia and hypoplasia Horner’s teeth of cementum Hypocalcification of Dilaceration of tooth teeth Enamel hypoplasia Regional odontodysplasia (neonatal) (postnatal) Turner’s tooth (prenatal) 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 Dentinogenesis | imperfecta Odontogenesis Dentinal dysplasia Shell teeth 520.6 Disturbances in tooth eruption Teeth: Tooth eruption: embedded late impacted obstructed natal premature neonatal primary [deciduous]: persistent shedding, premature exfoliation of teeth (attributable to disease of surrounding tissues) (525.0-525.1) 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 posteruptive color changes (521.7) 434 TABULAR LIST 520.9 Unspecified disorder of tooth development and eruption 521 Diseases of hard tissues of teeth 521.0 Dental caries Caries (of): arrested cementum dentin (acute) (chronic) enamel (acute) (chronic) (incipient) Infantile melanodontia Odontoclasia White spot lesions of teeth 521.1 Excessive attrition Approximal wear Occlusal wear 521.2 Abrasion Abrasion: dentifrice habitual occupational of teeth ritual traditional Wedge defect NOS 521.3 Erosion Erosion of teeth: Erosion of teeth: NOS idiopathic due to: occupational medicine persistent vomiting 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 DIGESTIVE SYSTEM 435 521.7 Posteruptive color changes Staining [discoloration] of teeth: NOS due to: drugs metals pulpal bleeding 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: Pulpitis: abscess acute polyp chronic (hyperplastic) (ulcerative) suppurative 522.1 Necrosis of the pulp Pulp gangrene 522.2 Pulp degeneration Denticles Pulp stones Pulp calcifications 522.3 Abnormal hard tissue formation in pulp Secondary or irregular dentin 522.4 Acute apical periodontitis of pulpal origin 436 TABULAR LIST 522.5 Periapical abscess without sinus Abscess: dental dentoalveolar 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 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 acute necrotizing ulcerative gingivitis (101) herpetic gingivostomatitis (054.2) 523.1 Chronic gingivitis Gingivitis (chronic): Gingivitis (chronic): NOS simple marginal desquamative ulcerative hyperplastic Gingivostomatitis herpetic gingivostomatitis (054.2) DIGESTIVE SYSTEM 437 523.2 Gingival recession Gingival recession (generalized) (localized) (postinfective) (postoperative) 523.3 Acute periodontitis Acute: Paradontal abscess pericementitis Periodontal abscess pericoronitis acute apical periodontitis (522.4) periapical abscess (522.5, 522.7) 523.4 Chronic periodontitis Alveolar pyorrhea Periodontitis: Chronic pericoronitis NOS Pericementitis (chronic) complex simplex chronic apical periodontitis (522.6) 523.5 Periodontosis 523.6 Accretions on teeth Dental calculus: Deposits on teeth: subgingival betel supragingival materia alba soft tartar tobacco 523.8 Other specified periodontal diseases Giant cell: Gingival polyp epulis Periodontal lesions due to peripheral granuloma traumatic occlusion Gingival: Peripheral giant cell cysts granuloma enlargement NOS fibromatosis leukoplakia of gingiva (528.6) 523.9 Unspecified gingival and periodontal disease 438 TABULAR LIST 524 Dentofacial anomalies, including malocclusion 524.0 Major anomalies of jaw size Hyperplasia, hypoplasia: mandibular maxillary Macrognathism (mandibular) (maxillary) Micrognathism (mandibular) (maxillary) hemifacial atrophy or hypertrophy (754.0) unilateral condylar hyperplasia or hypoplasia of mandible (526.89) 524.1 Anomalies of relationship of jaw to cranial base Asymmetry of jaw Prognathism (mandibular) (maxillary) Retrognathism (mandibular) (maxillary) 524.2 Anomalies of dental arch relationship Crossbite (anterior) Overbite (excessive) (posterior) deep Disto-occlusion horizontal Mesio-occlusion vertical Midline deviation Overjet Open bite (anterior) Posterior lingual occlusion (posterior) of mandibular teeth Soft tissue impingement hemifacial atrophy or hypertrophy (754.0) unilateral condylar hyperplasia or hypoplasia of mandible (526.89) 524.3 Anomalies of tooth position Crowding Diastema Displacement Rotation Spacing, abnormal Transposition Impacted or embedded teeth with abnormal position of such teeth or adjacent teeth of tooth, teeth 524.4 Malocclusion, unspecified DIGESTIVE SYSTEM 439 524.5 Dentofacial functional abnormalities Abnormal jaw closure Malocclusion due to: abnormal swallowing mouth breathing tongue, lip, or finger habits 524.6 Temporomandibular joint disorders Ankylosis of temporomandibular joint Costen’s complex or syndrome Derangement of temporomandibular joint Snapping jaw Temporomandibular joint-pain-dysfunction [TMJ] syndrome current temporomandibular joint: dislocation (830.0-830.1) strain (848.1) 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 accident, extraction, or local periodontal disease Acquired absence 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 440 TABULAR LIST 525.9 Unspecified disorder of the teeth and supporting structures 526 Diseases of the jaws 526.0 Developmental odontogenic cysts Cyst: Cyst: dentigerous lateral periodontal eruption primordial follicular Keratocyst lateral developmental radicular cyst (522.8) 526.1 Fissural cysts of jaw Cyst: globulomaxillary incisor canal median anterior maxillary median palatal nasopalatine palatine of papilla cysts of oral soft tissues (528.4) 526.2 Other cysts of jaws Cyst of jaw: Cyst of jaw: NOS hemorrhagic aneurysmal traumatic 526.3 Central giant cell (reparative) granuloma peripheral giant cell granuloma (523.8) 526.4 Inflammatory conditions Abscess Osteitis } Osteomyeliiis | °F Ja¥ (acute) (chronic) (neonatal) (suppurative) Periostitis Sequestrum of jaw bone alveolar osteitis (526.5) DIGESTIVE SYSTEM 441 526.5 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 Latent bone cyst of jaw(s) Osteoradionecrosis 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: Sialoangitis NOS Sialodochitis allergic toxic epidemic or infectious parotitis (072.0-072.9) uveoparotid fever (135) 527.3 Abscess 527.4 Fistula congenital fistula of salivary gland (750.24) 442 TABULAR LIST 527.5 Sialolithiasis Calculus Stone Sialodocholithiasis } of salivary gland or duct 527.6 Mucocele Mucous: extravasation cyst of salivary gland retention cyst of salivary gland Ranula 527.7 Disturbance of salivary secretion Hyposecretion Sialorrhea Ptyalism Xerostomia 527.8 Other specified diseases of the salivary glands Benign lymphoepithelial lesion of salivary gland Sialectasia Sialosis Stenosis Stricipne ) 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: Vesicular stomatitis NOS ulcerative stomatitis: acute necrotizing ulcerative (101) aphthous (528.2) gangrenous (528.1) herpetic (054.2) Vincent’s (101) 528.1 Cancrum oris Gangrenous stomatitis Noma DIGESTIVE SYSTEM 443 528.2 Oral aphthae Aphthous stomatitis Recurrent aphthous ulcer Canker sore Stomatitis herpetiformis Periadenitis mucosa necrotica recurrens herpetic stomatitis (054.2) 528.3 Cellulitis and abscess Cellulitis of mouth (floor) Ludwig’s angina Oral fistula 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 Epidermoid cyst Epstein’s pearl Lymphoepithelial cyst Nasoalveolar cyst Nasolabial cyst cyst: gingiva (523.8) tongue (529.8) of mouth 528.5 Diseases of lips Abscess Cheilitis: Cellulitis : NOS Fistula of lips) angular Hypertrophy Cheilodynia Cheilosis actinic cheilitis (692.79) congenital fistula of lip (750.25) leukoplakia of lips (528.6) 444 TABULAR LIST 528.6 Leukoplakia of oral mucosa, including tongue Leukokeratosis of oral mucosa Leukoplakia of: gingiva lips tongue carcinoma in situ (230.0, 232.0) leukokeratosis nicotina palati (528.7) 528.7 Other disturbances of oral epithelium, including tongue Erythroplakia Focal epithelial hyperplasia Leukoedema Leukokeratosis nicotina palati carcinoma in situ (230.0, 232.0) leukokeratosis NOS (702) of mouth or tongue 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 Irritative hyperplasia Pyogenic granuloma Ulcer (traumatic) of oral mucosa 529 Diseases and other conditions of the tongue 529.0 Glossitis Abscess Ulceration (traumatic) glossitis: benign migratory (529.1) Hunter's (529.4) median rhomboid (529.2) Moeller’s (529.4) J of tongue DIGESTIVE SYSTEM 445 529.1 529.2 529.3 529.4 529.5 529.6 529.8 Geographic tongue Benign migratory glossitis Glossitis areata exfoliativa Median rhomboid glossitis Hypertrophy of tongue papillae Black hairy tongue Coated tongue Hypertrophy of foliate papillae Lingua villosa nigra Atrophy of tongue papillae Bald tongue Glossodynia exfoliativa Glazed tongue Smooth atrophic tongue Glossitis: Hunter’s Moeller’s Plicated tongue Fissured Furrowed | tongue Scrotal fissure of tongue, congenital (750.13) Glossodynia Glossopyrosis Painful tongue glossodynia exfoliativa (529.4) Other specified conditions of the tongue Atrophy Crenated Enlargement Hypertrophy Glossocele Glossoptosis erythroplasia of tongue (528.7) leukoplakia of tongue (528.6) macroglossia (congenital) (750.15) microglossia (congenital) (750.16) oral submucosal fibrosis (528.8) (of) tongue 446 TABULAR LIST 529.9 Unspecified condition of the tongue DISEASES OF ESOPHAGUS, STOMACH, AND DUODENUM (530-537) 530 Diseases of esophagus esophageal varices (456.0-456.2) 530.0 Achalasia and cardiospasm Achalasia (of cardia) Aperistalsis of esophagus Megaesophagus congenital cardiospasm (750.7) 530.1 Esophagitis Abscess of esophagus Esophagitis: Esophageal reflux postoperative Esophagitis: reflux NOS regurgitant chemical peptic Use additional E code, if desired, to identify cause, if induced by chemical tuberculous esophagitis (017.8) 530.2 Ulcer of esophagus Ulcer of esophagus Ulcer of esophagus due fungal to ingestion of: peptic aspirin chemicals medicines Use additional E code, if desired, to identify cause, if induced by chemical or drug DIGESTIVE SYSTEM 447 530.3 Stricture and stenosis of esophagus Compression of esophagus Obstruction of esophagus congenital stricture of esophagus (750.3) 530.4 Perforation of esophagus Rupture of esophagus traumatic perforation of esophagus (862.22, 862.32, 874.4-874.5) 530.5 Dyskinesia of esophagus Corkscrew esophagus Esophagospasm Curling esophagus Spasm of esophagus cardiospasm (530.0) 530.6 Diverticulum of esophagus, acquired Diverticulum, acquired: epiphrenic pharyngoesophageal pulsion subdiaphragmatic traction Zenker’s (hypopharyngeal) Esophageal pouch, acquired Esophagocele, acquired congenital diverticulum of esophagus (750.4) 530.7 Gastroesophageal laceration-hemorrhage syndrome Mallory-Weiss syndrome 530.8 Other specified disorders of esophagus Hemorrhage Leukoplakia hemorrhage due to esophageal varices (456.0-456.2) Paterson-Kelly syndrome (280.8) ) of esophagus 448 TABULAR LIST 530.9 Unspecified disorder of esophagus 531 Gastric ulcer Includes: erosion (acute) of stomach ulcer (peptic): prepyloric pylorus stomach Use additional E code, if desired, to identify drug, if drug-induced 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 DIGESTIVE SYSTEM 449 532 Duodenal ulcer Includes: erosion (acute) of duodenum ulcer (peptic): duodenum postpyloric Use additional E code, if desired, to identify drug, if drug-induced 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 450 TABULAR LIST 533 Peptic ulcer, site unspecified Includes: gastroduodenal ulcer NOS peptic ulcer NOS stress ulcer NOS Use additional E code, if desired, to identify drug, if drug-induced pb P 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 DIGESTIVE SYSTEM 451 534 Gastrojejunal ulcer Includes: ulcer (peptic) or erosion: anastomotic gastrocolic gastrointestinal gastrojejunal jejunal marginal stomal 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 535.0 Acute gastritis Use additional code, if desired, to identify any associated hemorrhage (578.0-578.9) 452 TABULAR LIST 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: Gastritis: allergic superficial bile induced toxic irritant 535.5 Unspecified gastritis and gastroduodenitis 535.6 Duodenitis 536 Disorders of function of stomach 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 excessive vomiting in pregnancy (643.0-643.9) vomiting NOS (787.0) DIGESTIVE SYSTEM 453 536.8 Dyspepsia and other specified disorders of function of stomach Achylia gastrica Hyperchlorhydria Hourglass contraction of ~~ Hypochlorhydria stomach Indigestion Hyperacidity 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 Obstruction | of pylorus, acquired or adult Stricture congenital or infantile pyloric stenosis (750.5) 537.1 Gastric diverticulum congenital diverticulum of stomach (750.7) 537.2 Chronic duodenal ileus 537.3 Other obstruction of duodenum Cicatrix Stenosis Stricture Volvulus congenital obstruction of duodenum (751.1) of duodenum 537.4 Fistula of stomach or duodenum Gastrocolic fistula Gastrojejunocolic fistula 454 TABULAR LIST 537.5 Gastroptosis 537.6 Hourglass stricture or stenosis of stomach Cascade stomach congenital hourglass stomach (750.7) hourglass contraction of stomach (536.8) 537.8 Other specified disorders of stomach and duodenum 537.81 Pylorospasm congenital pylorospasm (750.5) 537.89 Other Gastric or duodenal: prolapse rupture Intestinal metaplasia of gastric mucosa Passive congestion of stomach 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: fulminating perforation gangrenous peritonitis obstructive (generalized) Cecitis (acute) rupture Rupture of appendix 540.1 With peritoneal abscess Abscess of appendix DIGESTIVE SYSTEM 455 540.9 Without mention of peritonitis Acute: appendicitis: fulminating gangrenous inflamed obstructive cecitis without mention of perforation, peritonitis, or rupture 541 Appendicitis, unqualified 542 Other appendicitis Appendicitis: Appendicitis: chronic relapsing recurrent subacute 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 Fecalith Intussusception of appendix Mucocele Stercolith HERNIA OF ABDOMINAL CAVITY (550-553) Includes: hernia: acquired congenital, except diaphragmatic or hiatal 456 TABULAR LIST S550 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 DIGESTIVE SYSTEM 457 551.1 Umbilical hernia with gangrene Omphalocele Porumibilical hernia } specified as gangrenous 551.2 Ventral hernia with gangrene 551.20 Ventral, unspecified, with gangrene 551.21 Incisional, with gangrene Hernia: ostoperative ; , venital } specified as gangrenous 551.29 Other Epigastric hernia specified as gangrenous 551.3 Diaphragmatic hernia with gangrene Hernia: hiatal (esophageal) (sliding) specified as paraesophageal angrenous Thoracic stomach gong congenital diaphragmatic hernia (756.6) p 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 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 458 TABULAR LIST 552.02 Bilateral (not specified as recurrent) 552.03 Bilateral, recurrent 552.1 Umbilical hernia with obstruction specified as incarcerated, Omphalocele } irreducible, Parumbilical hernia 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, recurrent, | irreducible, strangulated, ventral 0 causing obstruction 552.29 Other Epigastric hernia specified as incarcerated, irreducible, strangulated, or causing obstruction 552.3 Diaphragmatic hernia with obstruction Hernia: ral specified as incarcerated, g irreducible, strangulated, paraesophageal : or causing obstruction Thoracic stomach g 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 DIGESTIVE SYSTEM 459 552.9 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 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 Omphalocele Parumbilical hernia 553.2 Ventral hernia 553.20 Ventral, unspecified 553.21 Incisional Hernia: postoperative recurrent, ventral 553.29 Other Hernia: epigastric spigelian 460 TABULAR LIST 553.3 Diaphragmatic hernia Hernia: hiatal (esophageal) (sliding) paraesophageal Thoracic stomach congenital: diaphragmatic hernia (756.6) hiatal hernia (750.6) esophagocele (530.6) 553.8 Hernia of other specified sites Hernia: Hernia: ischiatic retroperitoneal ischiorectal sciatic lumbar Other abdominal hernia obturator of specified site pudendal vaginal enterocele (618.6) 553.9 Hernia of unspecified site Enterocele Hernia: Epiplocele intestinal Hernia: intra-abdominal NOS Rupture (nontraumatic) interstitial Sarcoepiplocele NONINFECTIOUS ENTERITIS AND COLITIS (555-558) 555 Regional enteritis Includes: Crohn’s disease Granulomatous enteritis ulcerative colitis (556) 555.0 Small intestine Ileitis: Regional enteritis or regional Crohn’s disease of: segmental duodenum terminal ileum jejunum DIGESTIVE SYSTEM 461 555.1 Large intestine Colitis: Regional enteritis or granulomatous Crohn’s disease of: regional colon transmural large bowel rectum 555.2 Small intestine with large intestine Regional ileocolitis 555.9 Unspecified site Crohn’s disease NOS Regional enteritis NOS 556 Idiopathic proctocolitis Colitis: Ulcerative (chronic): gravis enterocolitis ulcerative (chronic) ileocolitis Idiopathic proctitis proctitis Pseudopolyposis of colon rectosigmoiditis Toxic megacolon 557 Vascular insufficiency of intestine 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 Intestinal gangrene Intestinal infarction (acute) (agnogenic) (hemorrhagic) (nonocclusive) Mesenteric infarction (embolic) (thrombotic) Terminal hemorrhagic enteropathy Thrombosis of mesenteric artery 462 TABULAR LIST 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 noninfectious gastroenteritis and colitis 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, if desired, to identify cause 558.9 Other and unspecified noninfectious gastroenteritis and colitis Colitis Diarrhea Enteritis Gastroenteritis Ileitis Jejunitis Sigmoiditis NOS, allergic, dietetic, or noninfectious DIGESTIVE SYSTEM 463 OTHER DISEASES OF INTESTINES AND PERITONEUM (560-569) 560 Intestinal obstruction without mention of hernia 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 intussusception of appendix (543.9) 560.1 Paralytic ileus Adynamic ileus Ileus (of intestine) (of bowel) (of colon) Paralysis of intestine or colon gallstone ileus (560.31) postoperative ileus NOS (997.4) 560.2 Volvulus Knotting Strangulation Torsion 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 464 TABULAR LIST 560.39 Other Concretion of intestine Enterolith Fecal impaction 560.8 Other specified intestinal obstruction 560.81 Intestinal or peritoneal adhesions with obstruction adhesions without obstruction (568.0) 560.89 Other Mural thickening causing obstruction ischemic stricture of intestine (557.1) 560.9 Unspecified intestinal obstruction Enterostenosis Obstruction Occlusion Stenosis Stricture congenital stricture or stenosis of intestine (751.1-751.2) postoperative intestinal obstruction NOS (997.4) of intestine or colon 562 Diverticula of intestine Use additional code, if desired, to identify any associated: hemorrhage (578.0-578.9) peritonitis (567.0-567.9) congenital diverticulum of colon (751.5) diverticulum of appendix (543.9) Meckel’s diverticulum (751.0) DIGESTIVE SYSTEM 465 562.0 Small intestine 562.00 Diverticulosis of small intestine Diverticulosis: duodenum without mention of ileum diverticulitis jejunum 562.01 Diverticulitis of small intestine Diverticulitis (with diverticulosis): duodenum ileum jejunum small intestine 562.1 Colon 562.10 Diverticulosis of colon Diverticulosis: NOS intestine (large) Diverticular disease (colon) without mention of diverticulitis 562.11 Diverticulitis of colon Diverticulitis (with diverticulosis): NOS colon intestine (large) 564 Functional digestive disorders, not elsewhere classified functional disorders of stomach (536.0-536.9) those specified as psychogenic (306.4) 564.0 Constipation 564.1 Irritable colon Colitis: Enterospasm adaptive Irritable bowel syndrome membranous Spastic colon mucous 466 TABULAR LIST 564.2 564.3 564.4 564.5 564.6 564.7 564.8 564.9 Postgastric surgery syndromes Dumping syndrome Postgastrectomy syndrome Jejunal syndrome Postvagotomy syndrome xcludes:| malnutrition following gastrointestina li following g nal surgery (579.3) postgastrojejunostomy ulcer (534.0-534.9) Vomiting following gastrointestinal surgery Vomiting (bilious) following gastrointestinal surgery Other postoperative functional disorders Diarrhea following gastrointestinal surgery colostomy and enterostomy malfunction (569.6) Functional diarrhea diarrhea: NOS (558.9) psychogenic (306.4) Anal spasm Proctalgia fugax Megacolon, other than Hirschsprung’s Dilatation of colon megacolon: congenital [Hirschsprung’s] (751.3) toxic (556) Other specified functional disorders of intestine Atony of colon malabsorption (579.0-579.9) Unspecified functional disorder of intestine DIGESTIVE SYSTEM 467 565 Anal fissure and fistula 565.0 Anal fissure Tear of anus, nontraumatic traumatic (863.89, 863.99) 565.1 Anal fistula Fistula: anorectal rectal rectum to skin fistula of rectum to internal organs — see Alphabetic Index ischiorectal fistula (566) rectovaginal fistula (619.1) 566 Abscess of anal and rectal regions Abscess: Cellulitis: ischiorectal anal perianal perirectal perirectal rectal Ischiorectal fistula 567 Peritonitis 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) 468 TABULAR LIST 567.0 Peritonitis in infectious diseases classified elsewhere Code also underlying disease peritonitis: gonococcal (098.86) syphilitic (095.2) tuberculous (014.0) 567.1 Pneumococcal peritonitis 567.2 Other suppurative peritonitis Abscess (of): Abscess (of): abdominopelvic subhepatic mesenteric subphrenic omentum Peritonitis (acute): peritoneum general retrocecal pelvic, male retroperitoneal subphrenic subdiaphragmatic suppurative 567.8 Other specified peritonitis Chronic proliferative peritonitis Fat necrosis of peritoneum Mesenteric saponification Peritonitis due to: bile urine peritonitis (postoperative): chemical (998.7) due to talc (998.7) 567.9 Unspecified peritonitis Peritonitis: NOS of unspecified cause DIGESTIVE SYSTEM 469 568 Other disorders of peritoneum 568.0 Peritoneal adhesions Adhesions (of): Adhesions (of): abdominal (wall) mesenteric diaphragm omentum intestine stomach male pelvis Adhesive bands 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) 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 569.1 Rectal prolapse Procidentia: Prolapse: anus (sphincter) anal canal rectum (sphincter) rectal mucosa Proctoptosis prolapsed hemorrhoids (455.2, 455.5) 569.2 Stenosis of rectum and anus Stricture of anus (sphincter) 470 TABULAR LIST 569.3 Hemorrhage of rectum and anus 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 Stercoral ulcer rectum (sphincter) 569.42 Anal or rectal pain 569.49 Other Granuloma Rupture Hypertrophy of anal papillae Proctitis NOS fistula of rectum to: internal organs — see Alphabetic Index skin (565.1) hemorrhoids (455.0-455.9) incontinence of sphincter ani (787.6) ) of rectum (sphincter) 569.5 Abscess of intestine appendiceal abscess (540.1) 569.6 Colostomy and enterostomy malfunction 569.8 Other specified disorders of intestine 569.81 Fistula of intestine, excluding rectum and anus Fistula: Fistula: abdominal wall enteroenteric enterocolic ileorectal fistula of intestine to internal organs — see Alphabetic Index persistent postoperative fistula (998.6) 569.82 Ulceration of intestine Primary ulcer of intestine Ulceration of colon that with perforation (569.83) DIGESTIVE SYSTEM 471 569.83 Perforation of intestine 569.89 Other Enteroptosis Granuloma Prolapse Pericolitis Perisigmoiditis Visceroptosis gangrene of intestine, mesentery, or omentum (557.0) hemorrhage of intestine NOS (578.9) obstruction of intestine (560.0-560.9) J of intestine 569.9 Unspecified disorder of intestine OTHER DISEASES OF DIGESTIVE SYSTEM (570-579) S570 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) icterus gravis of newborn (773.0-773.2) postoperative (997.4) 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 472 TABULAR LIST 571.1 571.2 571.3 571.4 571.5 571.6 571.8 571.9 Acute alcoholic hepatitis Acute alcoholic liver disease Alcoholic cirrhosis of liver Florid cirrhosis Laennec’s cirrhosis (alcoholic) Alcoholic liver damage, unspecified Chronic hepatitis 571.40 Chronic hepatitis, unspecified 571.41 Chronic persistent hepatitis 571.49 Other Chronic hepatitis: active aggressive Recurrent hepatitis Cirrhosis of liver without mention of alcohol Cirrhosis of liver: Cirrhosis of liver: NOS posthepatitic cryptogenic postnecrotic macronodular Healed yellow atrophy micronodular (liver) Portal cirrhosis Biliary cirrhosis Chronic nonsuppurative destructive cholangitis Cirrhosis: cholangitic cholestatic Other chronic nonalcoholic liver disease Chronic yellow atrophy (liver) Fatty liver, without mention of alcohol Unspecified chronic liver disease without mention of alcohol DIGESTIVE SYSTEM 473 572 Liver abscess and sequelae of chronic liver disease 572.0 Abscess of liver amebic liver abscess (006.3) 572.1 Portal pyemia Phlebitis of portal vein Pylephlebitis Portal thrombophlebitis Pylethrombophlebitis 572.2 Hepatic coma Hepatic encephalopathy Hepatocerebral intoxication Portal-systemic encephalopathy 572.3 Portal hypertension 572.4 Hepatorenal syndrome postoperative (997.4) that following delivery (674.8) 572.8 Other sequelae of chronic liver disease 573 Other disorders of liver 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 474 TABULAR LIST 573.1 Hepatitis in viral diseases classified elsewhere Code also underlying disease as: Coxsackie virus disease (074.8) cytomegalic inclusion virus disease (078.5) infectious mononucleosis (075) 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 also underlying disease, as: malaria (084.9) hepatitis in: late syphilis (095.3) secondary syphilis (091.62) toxoplasmosis (130.5) 573.3 Hepatitis, unspecified Toxic (noninfectious) hepatitis Use additional E code, if desired, 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 DIGESTIVE SYSTEM 475 574.0 574.1 574.2 574.3 574.4 574.5 Calculus of gallbladder with acute cholecystitis Biliary calculus Calculus of cystic duct with acute cholecystitis Cholelithiasis Any condition classifiable to 574.2 with acute cholecystitis Calculus of gallbladder with other cholecystitis Biliary calculus Calculus of cystic duct with cholecystitis Cholelithiasis Cholecystitis with cholelithiasis NOS Any condition classifiable to 574.2 with cholecystitis (chronic) Calculus of gallbladder without mention of cholecystitis Biliary: Cholelithiasis NOS calculus NOS Colic (recurrent) of colic NOS gallbladder Calculus of cystic duct Gallstone (impacted) Calculus of bile duct with acute cholecystitis Calculus of bile duct [any] } with acute Choledocholithiasis cholecystitis Any condition classifiable to 574.5 with acute cholecystitis Calculus of bile duct with other cholecystitis Calculus of bile duct [any] with cholecystitis Choledocholithiasis } (chronic) Any condition classifiable to 574.5 with cholecystitis (chronic) Calculus of bile duct without mention of cholecystitis Calculus of: Choledocholithiasis bile duct [any] Hepatic: common duct colic (recurrent) hepatic duct lithiasis 476 TABULAR LIST 575 Other disorders of gallbladder 575.0 Acute cholecystitis Abscess of gallbladder Angiocholecystitis Cholecystitis: emphysematous (acute) without mention of gangrenous calculus suppurative Empyema of gallbladder Gangrene of gallbladder that with: choledocholithiasis (574.3) cholelithiasis (574.0) 575.1 Other cholecystitis Cholecystitis: NOS without mention of calculus chronic that with: choledocholithiasis (574.4) cholelithiasis (574.1) 575.2 Obstruction of gallbladder Sou " of cystic duct or gallbladder Stricture without mention of calculus that with calculus (574.0-574.2 with fifth-digit 1) 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 DIGESTIVE SYSTEM 477 575.6 Cholesterolosis of gallbladder Strawberry gallbladder 575.8 Other specified disorders of gallbladder Adhesions Atrophy Cyst (of) ( cystic duct Hypertrophy gallbladder Nonfunctioning Ulcer Biliary dyskinesia nonvisualization of gallbladder (793.3) 575.9 Unspecified disorder of gallbladder 576 Other disorders of biliary tract that involving the: cystic duct (575.0-575.9) gallbladder (575.0-575.9) 576.0 Postcholecystectomy syndrome 576.1 Cholangitis Cholangitis: Cholangitis: NOS recurrent acute sclerosing ascending secondary chronic stenosing primary suppurative 576.2 Obstruction of bile duct lusi . Oeituhe n of bile duct, except cystic duct, Stricture without mention of calculus 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 478 TABULAR LIST 576.4 Fistula of bile duct Choledochoduodenal fistula 576.5 Spasm of sphincter of Oddi 576.8 Other specified disorders of biliary tract Adhesions Atrophy Cyst Hypertrophy Stasis Ulcer congenital choledochal cyst (751.69) of bile duct [any] 576.9 Unspecified disorder of biliary tract 577 Diseases of pancreas 577.0 Acute pancreatitis Abscess of pancreas Pancreatitis: Necrosis of pancreas: NOS acute acute (recurrent) infective apoplectic hemorrhagic subacute suppurative mumps pancreatitis (072.3) 577.1 Chronic pancreatitis Chronic pancreatitis: Pancreatitis: NOS painless infectious recurrent interstitial relapsing 577.2 Cyst and pseudocyst of pancreas DIGESTIVE SYSTEM 479 577.8 Other specified diseases of pancreas Atrophy Pancreatic: Calculus f infantilism Cirrhosis OF pancreas Necrosis: Fibrosis NOS aseptic fat Pancreatolithiasis fibrocystic disease of pancreas (277.00-277.01) islet cell tumor of pancreas (211.7) pancreatic steatorrhea (579.4) 577.9 Unspecified disease of pancreas 578 Gastrointestinal hemorrhage that with mention of duodenal, gastric, [Excludes:] g gastrojejunal, or peptic ulcer (531.0-534.9) 578.0 Hematemesis Vomiting of blood 578.1 Melena Blood in stool melena of the newborn (772.4, 777.3) 578.9 Hemorrhage of gastrointestinal tract, unspecified Gastric hemorrhage Intestinal hemorrhage S579 Intestinal malabsorption 579.0 Celiac disease Celiac: Gee (-Herter) disease crisis Gluten enteropathy infantilism Idiopathic steatorrhea rickets Nontropical sprue 480 TABULAR LIST 579.1 579.2 579.3 579.4 579.8 579.9 Tropical sprue Sprue: Tropical steatorrhea NOS tropical Blind loop syndrome Postoperative blind loop syndrome Other and unspecified postsurgical nonabsorption Hypoglycemia Maint trition } following gastrointestinal surgery Pancreatic steatorrhea Other specified intestinal malabsorption Enteropathy: Steatorrhea (chronic) exudative protein-losing Unspecified intestinal malabsorption Malabsorption syndrome NOS 10. DISEASES OF THE GENITOURINARY SYSTEM (580-629) NEPHRITIS, NEPHROTIC SYNDROME, AND NEPHROSIS (580-589) hypertensive renal disease (403.0-403.9) 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 also 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: NOS hemorrhagic specified as acute Nephritis Nephropathy 482 TABULAR LIST 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 hypocomplementemic persistent lobular glomerulonephritis mesangiocapillary mixed membranous and proliferative 581.3 With lesion of minimal change glomerulonephritis Foot process disease Minimal change: Lipoid nephrosis glomerular disease glomerulitis nephrotic syndrome 581.8 With other specified pathological lesion in kidney 581.81 Nephrotic syndrome in diseases classified elsewhere Code also underlying disease, as: amyloidosis (277.3) diabetes mellitus (250.4) malaria (084.9) polyarteritis (446.0) systemic lupus erythematosus (710.0) nephrosis in epidemic hemorrhagic fever (078.6) GENITOURINARY SYSTEM 483 581.89 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 484 TABULAR LIST 582.8 With other specified pathological lesion in kidney 582.81 Chronic glomerulonephritis in diseases classified elsewhere Code also 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: NOS hemorrhagic specified as chronic Nephritis Nephropathy 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: Membranous nephropathy glomerulonephritis NOS NOS nephritis NOS GENITOURINARY SYSTEM 485 583.2 With lesion of membranoproliferative glomerulonephritis Membranoproliferative: glomerulonephritis NOS nephritis NOS nephropathy NOS Nephritis NOS, with lesion of: hypocomplementemic persistent lobular mesangiocapillary 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 0 } with (renal) cortical necrosis Renal cortical necrosis NOS 583.7 With lesion of renal medullary necrosis Nephritis NOS } with (renal) medullary Nephropathy NOS [papillary] necrosis 486 TABULAR LIST 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 also underlying disease, as: amyloidosis (277.3) diabetes mellitus (250.4) gonococcal infection (098.19) systemic lupus erythematosus (710.0) tuberculosis (016.0) gouty nephropathy (274.10) syphilitic nephritis (095.4) 583.89 Other Glomerulitis Glomerulonephritis with lesion of: Nephritis exudative nephritis Nephropathy interstitial nephritis Renal disease 583.9 With unspecified pathological lesion in kidney Glomerulitis Glomerulonephritis Nephritis NOS Nephropathy 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 Jollowing labor and delivery (669.3) postoperative (997.5) posttraumatic (958.5) that complicating: abortion (634-638 with .3, 639.3) ectopic or molar pregnancy (639.3) GENITOURINARY SYSTEM 487 584.5 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, if desired, to identify manifestation as: uremic: neuropathy (357.4) pericarditis (420.0) that with any condition classifiable to 401 (403.0-403.9) 586 Renal failure, unspecified Uremia NOS Jollowing labor and delivery (669.3) postoperative renal failure (997.5) 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) 488 TABULAR LIST 587 Renal sclerosis, unspecified Atrophy of kidney Renal: Contracted kidney cirrhosis fibrosis nephrosclerosis (arteriolar) (arteriosclerotic) (403.0-403.9) with hypertension (403.0-403.9) 588 Disorders resulting from impaired renal function 588.0 Renal osteodystrophy Azotemic osteodystrophy ~~ Renal: Phosphate-losing tubular dwarfism disorders infantilism rickets 588.1 Nephrogenic diabetes insipidus diabetes insipidus NOS (253.5) 588.8 Other specified disorders resulting from impaired renal function Hypokalemic nephropathy Secondary hyperparathyroidism (of renal origin) 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 GENITOURINARY SYSTEM 489 OTHER DISEASES OF URINARY SYSTEM (590-599) conditions classifiable to 590, 595, 597, 599.0 complicating: abortion (634-638 with .7, 639.8) ectopic or molar pregnancy (639.8) pregnancy, childbirth, or the puerperium (646.6) 590 Infections of kidney Use additional code, if desired, to identify organism, such as Escherichia coli [E. coli] (041.4) 590.0 Chronic pyelonephritis Chronic pyelitis Chronic pyonephrosis 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: Carbuncle of kidney kidney nephritic perirenal 590.3 Pyeloureteritis cystica Infection of renal pelvis and ureter Ureteritis cystica 490 TABULAR LIST 590.8 Other pyelonephritis or pyonephrosis, not specified as acute or chronic 590.80 Pyelonephritis, unspecified Pyelitis NOS Pyelonephritis NOS calculous pyelonephritis (592.9) 590.81 Pyelitis or pyelonephritis in diseases classified elsewhere Code also underlying disease, as: tuberculosis (016.0) 590.9 Infection of kidney, unspecified urinary tract infection NOS (599.0) 591 Hydronephrosis Hydrocalycosis Hydroureteronephrosis Hydronephrosis congenital hydronephrosis (753.2) hydroureter (593.5) 592 Calculus of kidney and ureter nephrocalcinosis (275.4) 592.0 Calculus of kidney Nephrolithiasis NOS Staghorn calculus Renal calculus or stone Stone in kidney uric acid nephrolithiasis (274.11) 592.1 Calculus of ureter Ureteric stone Ureterolithiasis 592.9 Urinary calculus, unspecified Calculous pyelonephritis GENITOURINARY SYSTEM 491 593 Other disorders of kidney and ureter 593.0 593.1 593.2 593.3 593.4 593.5 593.6 593.7 Nephroptosis Floating kidney Mobile kidney Hypertrophy of kidney Cyst of kidney, acquired Cyst (multiple) (solitary) of kidney, not congenital Peripelvic (lymphatic) cyst calyceal or pyelogenic cyst of kidney (591) congenital cyst of kidney (753.1) polycystic (disease of) kidney (753.1) Stricture or kinking of ureter Angulation Constriction Stricture of pelviureteric junction J of ureter (postoperative) Other ureteric obstruction Idiopathic retroperitoneal fibrosis Occlusion NOS of ureter that due to calculus (592.1) Hydroureter congenital hydroureter (753.2) hydroureteronephrosis (591) Postural proteinuria Benign postural proteinuria Orthostatic proteinuria proteinuria NOS (791.0) Vesicoureteral reflux 492 TABULAR LIST 593.8 Other specified disorders of kidney and ureter 593.81 Vascular disorders of kidney Renal (artery): Renal infarction embolism hemorrhage thrombosis 593.82 Ureteral fistula Intestinoureteral fistula fistula between ureter and female genital tract (619.0) 593.89 Other Adhesions, kidney Polyp of ureter or ureter Pyelectasia Periureteritis Ureterocele 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 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 staghorn calculus (592.0) GENITOURINARY SYSTEM 493 594.2 Calculus in urethra 594.8 Other lower urinary tract calculus 594.9 Calculus of lower urinary tract, unspecified calculus of urinary tract NOS (592.9) 595 Cystitis prostatocystitis (601.3) Use additional code, if desired, 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 Submucous cystitis Panmural fibrosis of bladder 595.2 Other chronic cystitis Chronic cystitis NOS Subacute cystitis trigonitis (595.3) 595.3 Trigonitis Follicular cystitis Trigonitis (acute) (chronic) Urethrotrigonitis 494 TABULAR LIST 595.4 Cystitis in diseases classified elsewhere Code also underlying disease, as: actinomycosis (039.8) amebiasis (006.8) bilharziasis (120.0-120.9) Echinococcus infestation (122.3, 122.6) 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 code, if desired, to identify cause 595.89 Other Abscess of bladder Cystitis: bullous emphysematous glandularis 595.9 Cystitis, unspecified 596 Other disorders of bladder 596.0 Bladder neck obstruction Contracture (acquired) Obstruction (acquired) Stenosis (acquired) congenital (753.6) of bladder neck or vesicourethral orifice GENITOURINARY SYSTEM 495 596.1 596.2 596.3 596.4 596.5 596.6 596.7 Intestinovesical fistula Fistula: Fistula: enterovesical vesicoenteric vesicocolic vesicorectal Vesical fistula, not elsewhere classified Fistula: Fistula: bladder NOS vesicocutaneous urethrovesical vesicoperineal fistula between bladder and female genital tract (619.0) Diverticulum of bladder Diverticulitis Diverticulum (acquired) (false) that with calculus in diverticulum of bladder (594.0) } of bladder Atony of bladder Hypotonicity Inertia neurogenic bladder (344.61) } of bladder Other functional disorders of bladder Hypertonicity Paralysis ) of bladder (sphincter) neurogenic paralysis (344.61) urinary incontinence: NOS (788.3) stress, female (625.6) Rupture of bladder, nontraumatic Hemorrhage into bladder wall Hyperemia of bladder acute hemorrhagic cystitis (595.0) 496 TABULAR LIST 596.8 Other specified disorders of bladder Bladder: Bladder: calcified hemorrhage contracted hypertrophy 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 nonspecific urethritis, so stated (099.4) 597.0 Urethral abscess Abscess of: Abscess: bulbourethral gland periurethral Cowper’s gland urethral (gland) Littré’s gland Periurethral cellulitis urethral caruncle (599.3) 597.8 Other urethritis 597.80 Urethritis, unspecified 597.81 Urethral syndrome NOS 597.89 Other Adenitis, Skene’s Meatitis, urethral glands Ulcer, urethra (meatus) Cowperitis Verumontanitis trichomonal (131.02) 598 Urethral stricture Includes: pinhole meatus stricture of urinary meatus congenital stricture of urethra and urinary meatus (753.6) GENITOURINARY SYSTEM 497 598.0 598.1 598.2 598.8 598.9 Urethral stricture due to infection 598.00 Due to unspecified infection 598.01 Due to infective diseases classified elsewhere Code also underlying disease, as: gonococcal infection (098.2) schistosomiasis (120.0-120.9) syphilis (095.8) Traumatic urethral stricture Stricture of urethra: late effect of injury postobstetric postoperative following surgery on genitourinary tract (598.2) Postoperative urethral stricture Postcatheterization stricture of urethra Other specified causes of urethral stricture Urethral stricture, unspecified 599 Other disorders of urethra and urinary tract 599.0 Urinary tract infection, site not specified Bacteriuria Pyuria Use additional code, if desired, to identify organism, such as Escherichia coli [E. coli] (041.4) 498 TABULAR LIST 599.1 599.2 599.3 599.4 599.5 599.6 599.7 599.8 599.9 Urethral fistula Fistula: Urinary fistula NOS urethroperineal urethrorectal fistula: urethroscrotal (608.89) urethrovaginal (619.0) urethrovesicovaginal (619.0) Urethral diverticulum Urethral caruncle Polyp of urethra Urethral false passage Prolapsed urethral mucosa Prolapse of urethra Urethrocele urethrocele, female (618.0, 618.2-618.4) Urinary obstruction, unspecified Obstructive uropathy NOS Urinary (tract) obstruction NOS obstructive nephropathy NOS (593.89) Hematuria Hematuria (benign) (essential) hemoglobinuria (791.2) Other specified disorders of urethra and urinary tract Rupture of urethra (nontraumatic) Urethral: cyst granuloma symptoms and other conditions classifiable to 788.0-788.9, 791.0-791.9 Unspecified disorder of urethra and urinary tract GENITOURINARY SYSTEM 499 DISEASES OF MALE GENITAL ORGANS (600-608) 600 Hyperplasia of prostate Adenofibromatous hypertrophy Adenoma (benign) Enlargement (benign) Fibroadenoma of prostate Fibroma Hypertrophy (benign) Myoma Median bar (prostate) Prostatic obstruction NOS benign neoplasms of prostate (222.2) 601 Inflammatory diseases of prostate Use additional code, if desired, 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 500 TABULAR LIST 601.4 Prostatitis in diseases classified elsewhere Code also underlying disease, as: actinomycosis (039.8) blastomycosis (116.0) syphilis (095.8) tuberculosis (016.5) 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 602.8 Other specified disorders of prostate Fistula Periprostatic adhesions Infarction | of prostate Stricture 602.9 Unspecified disorder of prostate GENITOURINARY SYSTEM 501 603 Hydrocele Includes: hydrocele of spermatic cord, testis, or tunica vaginalis congenital (778.6) 603.0 Encysted hydrocele 603.1 Infected hydrocele Use additional code, if desired, to identify organism 603.8 Other specified types of hydrocele 603.9 Hydrocele, unspecified 604 Orchitis and epididymitis Use additional code, if desired, 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 6502 TABULAR LIST 604.91 Orchitis and epididymitis in diseases classified elsewhere Code also 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 Phimosis (congenital) Paraphimosis 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 GENITOURINARY SYSTEM 503 607 Disorders of penis phimosis (605) 607.0 Leukoplakia of penis Kraurosis of penis carcinoma in situ of penis (233.5) erythroplasia of Queyrat (233.5) 607.1 Balanoposthitis Balanitis Use additional code, if desired, to identify organism 607.2 Other inflammatory disorders of penis Abscess Boil Carbuncle Cellulitis Cavernitis (penis) of corpus cavernosum or penis Use additional code, if desired, to identify organism herpetic infection (054.13) 607.3 Priapism Painful erection 607.8 Other specified disorders of penis 607.81 Balanitis xerotica obliterans Induratio penis plastica Peyronie’s disease 607.82 Vascular disorders of penis Embolism Hematoma (nontraumatic) of corpus Hemorrhage A a Thrombosis or pems 607.83 Edema of penis 504 TABULAR LIST 607.84 Impotence of organic origin nonorganic or unspecified (302.72) 607.89 Other Atrophy Fibrosis of corpus cavernosum Hypertrophy or penis Ulcer (chronic) 607.9 Unspecified disorder of penis 608 Other disorders of male genital organs 608.0 Seminal vesiculitis Abscess Cellulitis Vesiculitis (seminal) } of seminal vesicle Use additional code, if desired, to identify organism 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 GENITOURINARY SYSTEM 505 608.4 Other inflammatory disorders of male genital organs Scent of scrotum, spermatic cord, testis Carbuncle [except abscess], tunica Cellulitis vaginalis, or vas deferens Vasitis Use additional code, if desired, to identify organism 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 also underlying disease, as: filariasis (125.0-125.9) tuberculosis (016.5) 608.83 Vascular disorders of seminal vesicle, Hemgtoms spermatic cord (nontraumatic) pel : Hemorrhage testis, scrotum, Thrombosis tunica vaginalis, Hematocele NOS, male or vas deferens 608.84 Chylocele of tunica vaginalis 608.85 Stricture Stricture of: spermatic cord tunica vaginalis vas deferens 608.86 Edema 608.89 Other Foy of seminal vesicle, spermatic cord, Hypertrophy testis, scrotum, tunica vavinali Ulcer aginalis, or vas deferens atrophy of testis (608.3) 506 TABULAR LIST 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 Fibrocystic disease Cystic breast of breast 610.2 Fibroadenosis of breast Fibroadenosis of breast: Fibroadenosis of breast: NOS diffuse chronic periodic cystic segmental 610.3 Fibrosclerosis of breast 610.4 Mammary duct ectasia Comedomastitis Mastitis: Duct ectasia 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 that associated with lactation or the puerperium (675.0-676.9) GENITOURINARY SYSTEM 507 611.0 Inflammatory disease of breast Abscess (acute) (chronic) (nonpuerperal) of: areola breast Mammillary fistula Mastitis (acute) (subacute) (nonpuerperal): NOS infective retromammary submammary 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 508 TABULAR LIST 611.79 Other Induration of Nipple discharge breast Retraction of nipple Inversion of nipple 611.8 Other specified disorders of breast Hematoma (nontraumatic) } 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, if desired, to identify organism, such as Staphylococcus (041.1), or Streptococcus (041.0) that associated with pregnancy, abortion, childbirth, or the puerperium (630-676.9) 614 Inflammatory disease of ovary, fallopian tube, pelvic cellular tissue, and peritoneum 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 GENITOURINARY SYSTEM 509 614.1 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): Perisalpingitis fallopian tube Pyosalpinx ovary Salpingitis tubo-ovarian Salpingo-oophoritis Oophoritis Tubo-ovarian Perioophoritis inflammatory disease 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 parametrium chronic or NOS pelvis, female pouch of Douglas Chronic inflammatory pelvic disease Pelvic cellulitis, female tuberculous (016.7) 614.5 Acute or unspecified pelvic peritonitis, female 510 TABULAR LIST 614.6 Pelvic peritoneal adhesions, female Adhesions: peritubal tubo-ovarian Use additional code, if desired, to identify any associated infertility (628.2) 614.7 Other chronic pelvic peritonitis, female 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 Sollowing 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 Perimetritis Endomyometritis Pyometra Metritis Uterine abscess Myometritis GENITOURINARY SYSTEM 511 616 Inflammatory disease of cervix, vagina, and vulva 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 J with or without mention Endocervicitis of erosion or ectropion Nabothian (gland) cyst or follicle erosion or ectropion without mention of cervicitis (622.0) 616.1 Vaginitis and vulvovaginitis 616.10 Vaginitis and vulvovaginitis, unspecified Vaginitis: Vulvitis NOS NOS Vulvovaginitis NOS postirradiation Use additional code, if desired, to identify organism, such as Escherichia coli [E. coli] (041.4), Staphylococcus (041.1), or Streptococcus (041.0) noninfective leukorrhea (623.5) postmenopausal or senile vaginitis (627.3) 616.11 Vaginitis and vulvovaginitis in diseases classified elsewhere Code also underlying disease, as: pinworm vaginitis (127.4) 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 512 TABULAR LIST 616.3 616.4 616.5 616.8 616.9 Abscess of Bartholin’s gland Vulvovaginal gland abscess Other abscess of vulva Abscess Carbuncle of vulva Furuncle Ulceration of vulva 616.50 Ulceration of vulva, unspecified Ulcer NOS of vulva 616.51 Ulceration of vulva in diseases classified elsewhere Code also underlying disease, as: Behget’s syndrome (136.1) tuberculosis (016.7) vulvar ulcer (in): gonococcal (098.0) herpes simplex (054.12) syphilitic (091.0) Other specified inflammatory diseases of cervix, vagina, and vulva Caruncle, vagina or labium Ulcer, vagina noninflammatory disorders of: cervix (622.0-622.9) vagina (623.0-623.9) vulva (624.0-624.9) Unspecified inflammatory disease of cervix, vagina, and vulva GENITOURINARY SYSTEM 513 OTHER DISORDERS OF FEMALE GENITAL TRACT (617-629) 617 Endometriosis 617.0 Endometriosis of uterus Adenomyosis Endometriosis: cervix internal myometrium 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: Endometriosis: broad ligament parametrium cul-de-sac (Douglas) 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: Endometriosis: bladder umbilicus lung vulva 617.9 Endometriosis, site unspecified 514 TABULAR LIST 618 Genital prolapse 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 Rectocele prolapse Urethrocele, female Vaginal prolapse 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: Uterine prolapse: first degree NOS second degree complete third degree 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 GENITOURINARY SYSTEM 515 618.8 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 vesicorectal and intestinovesical fistula (596.1) 619.0 Urinary-genital tract fistula, female Fistula: Fistula: cervicovesical uteroureteric ureterovaginal uterovesical urethrovaginal vesicocervicovaginal urethrovesicovaginal vesicovaginal 619.1 Digestive-genital tract fistula, female Fistula: Fistula: intestinouterine rectovulval intestinovaginal sigmoidovaginal rectovaginal uterorectal 619.2 Genital tract-skin fistula, female Fistula: uterus to abdominal wall vaginoperineal 619.8 Other specified fistulas involving female genital tract Fistula: Fistula: cervix uterus cul-de-sac (Douglas’) vagina 619.9 Unspecified fistula involving female genital tract 620 Noninflammatory disorders of ovary, fallopian tube, and broad ligament hydrosalpinx (614.1) 620.0 Follicular cyst of ovary Cyst of graafian follicle 516 TABULAR LIST 620.1 Corpus luteum cyst or hematoma Corpus luteum hemorrhage or rupture Lutein cyst 620.2 Other and unspecified ovarian cyst Cyst: NOS corpus albicans retention NOS serous theca-lutein Simple cystoma of ovary cystadenoma (benign) (serous) (220) developmental cysts (752.0) neoplastic cysts (220) polycystic ovaries (256.4) Stein-Leventhal syndrome (256.4) of ovary 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 GENITOURINARY SYSTEM 517 620.8 Other noninflammatory disorders of ovary, fallopian tube, and broad ligament Cyst Polyp Infarction Rupture Hematosalpinx hematosalpinx in ectopic pregnancy (639.2) peritubal adhesions (614.6) torsion of ovary, ovarian pedicle, or fallopian tube (620.5) } of broad ligament or fallopian tube } of ovary or fallopian tube 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 cervical polyp NOS (622.7) 621.1 Chronic subinvolution of uterus puerperal (674.8) 621.2 Hypertrophy of uterus Bulky or enlarged uterus uerperal (674.8) p 621.3 Endometrial cystic hyperplasia Hyperplasia (adenomatous) (cystic) (glandular) of endometrium Hyperplastic endometritis 621.4 Hematometra Hemometra that in congenital anomaly (752.2-752.3) 518 TABULAR LIST 621.5 Intrauterine synechiae Adhesions of uterus Band(s) of uterus 621.6 Malposition of uterus Anteversion Retroflexion of uterus Retroversion malposition complicating pregnancy, labor, or delivery (654.3-654.4) prolapse of uterus (618.1-618.4) 621.7 Chronic inversion of uterus current obstetrical trauma (665.2) prolapse of uterus (618.1-618.4) 621.8 Other specified disorders of uterus, not elsewhere classified Atrophy, acquired Cyst Fibrosis NOS of uterus Old laceration (postpartum) Ulcer 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 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 Ulcer that in chronic cervicitis (616.0) of cervix GENITOURINARY SYSTEM 519 622.1 622.2 622.3 622.4 622.5 622.6 622.7 Dysplasia of cervix (uteri) Anaplasia Epidermidization of cervix Squamous metaplasia Cervical atypism carcinoma in situ of cervix (233.1) Leukoplakia of cervix (uteri) carcinoma in situ of cervix (233.1) Old laceration of cervix Adhesions Band(s) of cervix Cicatrix (postpartum) current obstetrical trauma (665.3) Stricture and stenosis of cervix Atresia (acquired) Contracture of cervix Occlusion Pinpoint os uteri congenital (752.49) that complicating labor (654.6) Incompetence of cervix complicating pregnancy (654.5) that affecting fetus or newborn (761.0) Hypertrophic elongation of cervix Mucous polyp of cervix Polyp NOS of cervix Excludes:| adenomatous polyp of cervix (219.0) 520 TABULAR LIST 622.8 Other specified noninflammatory disorders of cervix Atrophy (senile) Cyst Fibrosis Hemorrhage endometriosis (617.0) fistula (619.0-619.8) inflammatory diseases (616.0) of cervix 622.9 Unspecified noninflammatory disorder of cervix 623 Noninflammatory disorders of vagina 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 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, if desired, to identify any external cause congenital atresia or stricture (752.49) 623.3 Tight hymenal ring Rigid hymen Tight hymenal ring | acquired or congenital Tight introitus imperforate hymen (752.42) GENITOURINARY SYSTEM 521 623.4 Old vaginal laceration old laceration involving muscles of pelvic floor (618.7) 623.5 Leukorrhea, not specified as infective Leukorrhea NOS of vagina Vaginal discharge NOS trichomonal (131.00) 623.6 Vaginal hematoma current obstetrical trauma (665.7) 623.7 Polyp of vagina 623.8 Other specified noninflammatory disorders of vagina Cyst } of vagina Hemorrhage g 623.9 Unspecified noninflammatory disorder of vagina 624 Noninflammatory disorders of vulva and perineum abnormality of vulva and perineum complicating pregnancy, labor, or delivery (654.8) condyloma acuminatum (078.1) fistulas involving: perineum — see 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 carcinoma in situ of vulva (233.3) 624.1 Atrophy of vulva 522 TABULAR LIST 624.2 Hypertrophy of clitoris 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 that complicating delivery (664.5) 624.6 Polyp of labia and vulva 624.8 Other specified noninflammatory disorders of vulva and perineum Cyst Edema of vulva Stricture 624.9 Unspecified noninflammatory disorder of vulva and perineum 625 Pain and other symptoms associated with female genital organs 625.0 Dyspareunia psychogenic dyspareunia (302.76) 625.1 Vaginismus Colpospasm Vulvismus psychogenic vaginismus (306.51) 625.2 Mittelschmerz Intermenstrual pain Ovulation pain 625.3 Dysmenorrhea Painful menstruation psychogenic dysmenorrhea (306.52) GENITOURINARY SYSTEM 523 625.4 Premenstrual tension syndromes Menstrual: Premenstrual tension NOS migraine molimen 625.5 Pelvic congestion syndrome Congestion-fibrosis syndrome Taylor’s syndrome 625.6 Stress incontinence, female 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 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 Menorrhagia Menometrorrhagia Polymenorrhea premenopausal (627.0) that in puberty (626.3) 626.3 Puberty bleeding Excessive bleeding associated with onset of menstrual periods Pubertal menorrhagia 524 TABULAR LIST 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 627.0 Premenopausal menorrhagia Excessive bleeding Menorrhagia: associated with onset climacteric of menopause menopausal preclimacteric 627.1 Postmenopausal bleeding 627.2 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 GENITOURINARY SYSTEM 525 627.4 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 premature menopause NOS (256.3) 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 also underlying cause, 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) 526 TABULAR LIST 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 of 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 hematocele or hematoma: broad ligament (620.7) Sallopian tube (620.8) that associated with ectopic pregnancy (633.0-633.9) uterus (621.4) vagina (623.6) vulva (624.5) 629.1 Hydrocele, canal of Nuck Cyst of canal of Nuck (acquired) 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 (630-676) ECTOPIC AND MOLAR PREGNANCY (630-633) 630 Hydatidiform mole Trophoblastic disease NOS Vesicular mole chorioadenoma (destruens) (236.1) chorionepithelioma (181) malignant hydatidiform mole (236.1) 631 Other abnormal product of conception Blighted ovum Mole: Mole: fleshy NOS stone carneous 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 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 633.1 Tubal pregnancy Fallopian pregnancy Rupture of (fallopian) tube due to pregnancy Tubal abortion 527 528 TABULAR LIST 633.2 Ovarian pregnancy 633.8 Other ectopic pregnancy Pregnancy: Pregnancy: cervical intraligamentous combined mesometric cornual mural 633.9 Unspecified ectopic pregnancy PREGNANCY, CHILDBIRTH, PUERPERIUM 529 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 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 634-638 530 TABULAR LIST Complicated by embolism Embolism: NOS amniotic fluid pulmonary Any condition classifiable to 639.6, with condition classifiable to 634-638 With other specified complications Cardiac arrest or failure Urinary tract infection Any condition classifiable to 639.8, with condition classifiable to 634-638 With unspecified complication Without mention of complication §634 Spontaneous abortion 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 § Requires fifth-digit to identify stage: 0 unspecified 1 2 incomplete complete PREGNANCY, CHILDBIRTH, PUERPERIUM 531 634.8 With unspecified complication 634.9 Without mention of complication §635 Legally induced abortion Includes: abortion or termination of pregnancy: elective legal therapeutic 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 § Requires fifth-digit to identify stage: 0 unspecified 1 incomplete 2 complete 532 TABULAR LIST §636 Illegally induced abortion 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 Includes: abortion NOS retained products of conception following abortion, not classifiable elsewhere 637.0 Complicated by genital tract and pelvic infection § Requires fifth-digit to identify stage: 0 unspecified 1 incomplete 2 complete PREGNANCY, CHILDBIRTH, PUERPERIUM 533 637.1 637.2 637.3 637.4 637.5 637.6 637.7 637.8 637.9 Complicated by delayed or excessive hemorrhage Complicated by damage to pelvic organs or tissues Complicated by renal failure Complicated by metabolic disorder Complicated by shock Complicated by embolism ‘With other specified complications With unspecified complication Without mention of complication 638 Failed attempted abortion 638.0 638.1 638.2 638.3 638.4 638.5 638.6 Includes: failure of attempted induction of (legal) abortion incomplete abortion (634.0-637.9) Complicated by genital tract and pelvic infection Complicated by delayed or excessive hemorrhage Complicated by damage to pelvic organs or tissues Complicated by renal failure Complicated by metabolic disorder Complicated by shock Complicated by embolism 534 TABULAR LIST 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 Parametritis Pelvic peritonitis Salpingitis Salpingo-oophoritis Sepsis NOS Septicemia NOS urinary tract infection (639.8) following conditions classifiable to 630-638 639.1 Delayed or excessive hemorrhage Afibrinogenemia following conditions Defibrination syndrome classifiable to Intravascular hemolysis 630-638 PREGNANCY, CHILDBIRTH, PUERPERIUM 535 639.2 Damage to pelvic organs and tissues Laceration, perforation, or tear of: bladder bowel following conditions broad ligament classifiable to cervix 630-638 periurethral tissue uterus vagina 639.3 Renal failure Oliguria Renal: failure (acute) following conditions classifiable shutdown to 630-638 tubular necrosis Uremia 639.4 Metabolic disorders Electrolyte imbalance following conditions classifiable to 630-638 639.5 Shock Circulatory collapse following conditions Shock (postoperative) classifiable to (septic) 630-638 639.6 Embolism Embolism: NOS air amniotic fluid blood-clot following conditions classifiable fat to 630-638 pulmonary pyemic septic soap 5636 TABULAR LIST 639.8 Other specified complications following abortion or ectopic and molar pregnancy Acute yellow atrophy or necrosis of liver following conditions Cardiac arrest or failure classifiable to Cerebral anoxia 630-638 Urinary tract infection 639.9 Unspecified complication following abortion or ectopic and molar pregnancy Complication(s) not further specified following conditions classifiable to 630-638 PREGNANCY, CHILDBIRTH, PUERPERIUM 637 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 Innepsrton (with mention of antepartum condition complication during Pregnancy current episode of care) delivered 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 Includes: hemorrhage before completion of 22 weeks’ gestation 640.0 Threatened abortion [0,1,3] § Requires fifth-digit; valid digits are in [brackets] under each code. See above for definitions. 538 TABULAR LIST 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 641.0 Placenta previa without hemorrhage 10,1,3] Low implantation of placenta Placenta previa noted: during pregnancy without hemorrhage before labor (and delivered by cesarean section) 641.1 Hemorrhage from placenta previa 10,1,3] Low-lying placenta Placenta previa incomplete NOS or with hemorrhage marginal (intrapartum) partial total hemorrhage from vasa previa (663.5) 641.2 Premature separation of placenta 10,1,3] 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 § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. PREGNANCY, CHILDBIRTH, PUERPERIUM 539 641.8 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 642.0 Benign essential hypertension complicating pregnancy, [0-4] childbirth, and the puerperium Hypertension: benign essential chronic NOS essential 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 [0-4] pregnancy, childbirth, and the puerperium 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, [0-4] childbirth, and the puerperium Hypertensive: heart and renal disease heart disease renal disease Malignant hyper- tension specified as complicating, as a reason for obstetric care during pregnancy, childbirth, or the puerperium § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. 540 TABULAR LIST 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: Toxemia (pre-eclamptic): NOS NOS mild mild 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 [0-4] hypertension Conditions classifiable to 642.4-642.6, with conditions classifiable to 642.0-642.2 PREGNANCY, CHILDBIRTH, PUERPERIUM 541 642.9 Unspecified hypertension complicating pregnancy, [0-41 childbirth, or the puerperium Hypertension NOS, without mention of albuminuria or edema, complicating pregnancy, childbirth, or the puerperium §643 Excessive vomiting in pregnancy Includes: hyperemesis vomiting: persistent vicious hyperemesis gravidarum arising during pregnancy 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 10,1,3] 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, if desired, to specify cause § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. 542 TABULAR LIST 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 0644.0 Threatened premature labor [0,3] Premature labor after 22 weeks, but before 37 completed weeks of gestation without delivery that occurring before 22 completed weeks of gestation (640.0) 0644.1 Other threatened labor [0,3] False labor: NOS after 37 completed weeks of gestation Threatened labor NOS without delivery 0644.2 Early onset of delivery [0,1] Onset (spontaneous) of delivery before 37 completed Premature labor with onset weeks of gestation of delivery §645 Prolonged pregnancy [0,1,3] Post-term pregnancy Pregnancy which has advanced beyond 42 weeks of gestation §646 Other complications of pregnancy, not elsewhere classified 646.0 Papyraceous fetus [0,1,3] § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. PREGNANCY, CHILDBIRTH, PUERPERIUM 543 646.1 [0-4] 646.2 [0-4] 646.3 [0,1,3] 646.4 [0-4] 646.5 [0-4] 646.6 [0-4] 646.7 [0,1,3] Edema or excessive weight gain in pregnancy, without mention of hypertension Gestational edema Maternal obesity syndrome that with mention of hypertension (642.0-642.9) Unspecified renal disease in pregnancy, without mention of hypertension Albuminuria Nephropathy NOS Renal disease NOS Uremia Gestational proteinuria that with mention of hypertension (642.0-642.9) in pregnancy or the puerperium, without mention of hypertension Habitual aborter with current abortion (634.0-634.9) without current pregnancy (629.9) Peripheral neuritis in pregnancy Asymptomatic bacteriuria in pregnancy Infections of genitourinary tract in pregnancy Conditions classifiable to 590, 595, 597, 599.0, 616 complicating pregnancy, childbirth, or the puerperium Conditions classifiable to 614-615 complicating pregnancy or labor major puerperal infection (670) Liver disorders in pregnancy Acute yellow atrophy of liver (obstetric) (true) Icterus gravis Necrosis of liver hepatorenal syndrome following delivery (674.8) of pregnancy G44 TABULAR LIST 646.8 Other specified complications of pregnancy [0-4] Fatigue during pregnancy Insufficient weight gain Herpes gestationis of pregnancy 646.9 Unspecified complication of pregnancy 10,1,3] §647 Infectious and parasitic conditions in the mother classifiable elsewhere, but complicating pregnancy, childbirth, or the puerperium Includes: the listed conditions when complicating the pregnant state, aggravated by the pregnancy, or when a main reason for obstetric care 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 § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. PREGNANCY, CHILDBIRTH, PUERPERIUM 545 647.6 Other viral diseases [0-4] Conditions classifiable to 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 Includes: the listed conditions when complicating the pregnant state, aggravated by the pregnancy, or when a main reason for obstetric care 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 250 648.1 Thyroid dysfunction [0-4] Conditions classifiable to 240-246 648.2 Anemia [0-4] Conditions classifiable to 280-285 648.3 Drug dependence 10-4] 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 § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. 546 TABULAR LIST 648.6 Other cardiovascular diseases [0-4] Conditions classifiable to 390-398, 435, 440-459 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 790.2 648.9 Other current conditions classifiable elsewhere [0-4] 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: unspecified as to episode of care or not applicable delivered, with or without mention of antepartum condition delivered, with mention of postpartum complication antepartum condition or complication postpartum condition or complication PWN =O 650 Delivery in a completely normal case Delivery without abnormality or complication classifiable elsewhere in categories 630-676, and with spontaneous cephalic delivery, without mention of fetal manipulation [e.g., rotation, version] or instrumentation [forceps] breech delivery (assisted) (spontaneous) NOS (652.2) delivery by vacuum extractor, forceps, cesarean section, or breech extraction, without specified complication (669.5-669.7) PREGNANCY, CHILDBIRTH, PUERPERIUM 547 §651 Multiple gestation 651.0 Twin pregnancy [0,1,3] 651.1 Triplet pregnancy {0,1,3] 651.2 Quadruplet pregnancy [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 that with obstructed labor (660.0) 652.0 Unstable lie [0,1,3] 652.1 Breech or other malpresentation successfully converted [0,1,3] to cephalic presentation Cephalic version NOS 652.2 Breech presentation without mention of version [0,1,3] Breech delivery (assisted) (spontaneous) NOS 652.3 Transverse or oblique presentation [0,1,3] Oblique lie Transverse lie transverse arrest of fetal head (660.3) 652.4 Face or brow presentation [0,1,3] Mentum presentation § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. 548 TABULAR LIST 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 [0,1,3] more 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 that with 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 § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. PREGNANCY, CHILDBIRTH, PUERPERIUM 549 653.5 Unusually large fetus causing disproportion [0,1,3] Disproportion of fetal origin with normally formed fetus Fetal disproportion NOS that when the reason for medical care was concern for the fetus (656.6) 653.6 Hydrocephalic fetus causing disproportion ws . 0.43 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: Fetal: myelomeningocele ascites sacral teratoma hydrops tumor 653.8 Disproportion of other origin i.1,31 shoulder (girdle) dystocia (660.4) 653.9 Unspecified disproportion [0,1,3] §654 Abnormality of organs and soft tissues of pelvis Includes: the listed conditions during pregnancy, childbirth, or the puerperium that with 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 § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. 550 TABULAR LIST 654.2 10,1,3] 654.3 [0-4] 654.4 [0-4] 654.5 [0-4] 654.6 [0-4] 654.7 [0-4] 654.8 [0-4] 654.9 [0-4] Uterine scar from previous surgery Previous cesarean section NOS Retroverted and incarcerated gravid uterus Other abnormalities in shape or position of gravid uterus and of neighboring structures Cystocele Prolapse of gravid uterus Pelvic floor repair Rectocele Pendulous abdomen Rigid pelvic floor Cervical incompetence Presence of Shirodkar suture with or without mention of cervical incompetence Other congenital or acquired abnormality of cervix Cicatricial cervix Stenosis or stricture Polyp of cervix of cervix Previous surgery to cervix Tumor of cervix Rigid cervix (uteri) Congenital or acquired abnormality of vagina Previous surgery to vagina Stricture of vagina Septate vagina Tumor of vagina Stenosis of vagina (acquired) (congenital) Congenital or acquired abnormality of vulva Fibrosis of perineum Persistent hymen Previous surgery to perineum or vulva Rigid perineum Tumor of vulva varicose veins of vulva (671.1) Unspecified PREGNANCY, CHILDBIRTH, PUERPERIUM 551 §655 Known or suspected fetal abnormality affecting management of mother 655.0 (0,1,3] 655.1 10,1,3] 655.2 [0,1,3] 655.3 10,1,3] 655.4 (0,1,3] 655.5 10,1,3] 655.6 [0,1,3] Includes: the listed conditions in the fetus as a reason for observation or obstetrical care of the mother, or for termination of pregnancy Central nervous system malformation in fetus Fetal or suspected fetal: anencephaly hydrocephalus spina bifida (with myelomeningocele) Chromosomal abnormality in fetus Hereditary disease in family possibly affecting fetus Suspected damage to fetus from viral disease in the mother Suspected damage to fetus from maternal rubella Suspected damage to fetus from other disease in the mother Suspected damage to fetus from maternal: alcohol addiction listeriosis toxoplasmosis Suspected damage to fetus from drugs fetal distress in labor and delivery due to drug administration (656.3) Suspected damage to fetus from radiation § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. 552 TABULAR LIST 655.8 Other known or suspected fetal abnormality, not [0,1,3] elsewhere classified Suspected damage to fetus from: environmental toxins intrauterine contraceptive device 655.9 Unspecified 10,1,3] §656 Other fetal and placental problems affecting management of mother 656.0 Fetal-maternal hemorrhage [0,1,3] Leakage (microscopic) of fetal blood into maternal circulation 656.1 Rhesus isoimmunization 10,1,3] Anti-D [Rh] antibodies Rh incompatibility 656.2 Isoimmunization from other and unspecified blood-group [0,1,3] incompatibility ABO isoimmunization 656.3 Fetal distress [0,1,3] Abnormal fetal: acid-base balance heart rate or rhythm Fetal: acidemia bradycardia tachycardia Meconium in liquor § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. PREGNANCY, CHILDBIRTH, PUERPERIUM 553 656.4 Intrauterine death [0,1,3] Fetal death: NOS after completion of 22 weeks’ gestation late Missed delivery missed abortion (632) 656.5 Poor fetal growth [0,1,3] "Light-for-dates" "Small-for-dates" "Placental insufficiency" 656.6 Excessive fetal growth [0,1,3] "Large-for-dates" 656.7 Other placental conditions [0,1,3] Abnormal placenta Placental infarct placental polyp (674.4) placentitis (658.4) 656.8 Other specified fetal and placental problems [0,1,3] Lithopedian 656.9 Unspecified fetal and placental problem [0,1,3] §657 Polyhydramnios [0,1,3] Hydramnios §658 Other problems associated with amniotic cavity and membranes amniotic fluid embolism (673.1) 658.0 Oligohydramnios [0,1,3] Oligohydramnios without mention of rupture of membranes § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. 554 TABULAR LIST 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 [0,1,3] rupture of membranes 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 10,1,3] 658.4 Infection of amniotic cavity [0,1,3] Amnionitis Membranitis Chorioamnionitis 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 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 10,1,3] 659.3 Generalized infection during labor [0,1,3] Septicemia during labor § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. PREGNANCY, CHILDBIRTH, PUERPERIUM 6565 659.4 Grand multiparity 0,1,3 yd ; 19.1) supervision only, in pregnancy (V23.3) without current pregnancy (V61.5) 659.5 Elderly primigravida 10,1,3) supervision only, in pregnancy (V23.8) 659.8 Other specified indications for care or intervention [0,1,3] related to labor and delivery 659.9 Unspecified indication for care or intervention related to [0,1,3] labor and delivery 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: unspecified as to episode of care or not applicable delivered, with or without mention of antepartum condition delivered, with mention of postpartum complication antepartum condition or complication postpartum condition or complication ON =O §660 Obstructed labor 660.0 Obstruction caused by malposition of fetus [0,1,3] at onset of labor Any condition classifiable to 652, causing obstruction during labor Use additional code from 652.0-652.9, if desired, to identify condition § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. 556 TABULAR LIST 660.1 10,1,3] 660.2 [0,1,3] 660.3 [0,1,3] 660.4 10,1,3] 660.5 [0,1,3] 660.6 10,1,3] 660.7 10,1,3] 660.8 [0,1,31 660.9 [0,1,3] Obstruction by bony pelvis Any condition classifiable to 653, causing obstruction during labor Use additional code from 653.0-653.9, if desired, to identify condition Obstruction by abnormal pelvic soft tissues Prolapse of anterior lip of cervix Any condition classifiable to 654, causing obstruction during labor Use additional code from 654.0-654.9, if desired, to identify condition Deep transverse arrest and persistent occipitoposterior position Shoulder (girdle) dystocia Impacted shoulders Locked twins Failed trial of labor, unspecified Failed trial of labor, without mention of condition or suspected condition Failed forceps or vacuum extractor, unspecified Application of ventouse or forceps, without mention of condition Other causes of obstructed labor Unspecified obstructed labor Dystocia: NOS fetal NOS maternal NOS PREGNANCY, CHILDBIRTH, PUERPERIUM 557 § 661 Abnormality of forces of labor 661.0 Primary uterine inertia 10,1,3] Failure of cervical dilation Hypotonic uterine dysfunction, primary Prolonged latent phase of labor 661.1 Secondary uterine inertia 10,1,3] Arrested active phase of labor Hypotonic uterine dysfunction, secondary 661.2 Other and unspecified uterine inertia [0,1,3] Atony of uterus Poor contractions Desultory labor Slow slope active phase Irregular labor of labor 661.3 Precipitate labor [0,1,3] 661.4 Hypertonic, incoordinate, or prolonged uterine [0,1,3] contractions Cervical spasm Incoordinate uterine Contraction ring action (dystocia) Retraction ring (BandI’s) Dyscoordinate labor (pathological) Hourglass contraction of ~~ Tetanic contractions uterus Uterine dystocia NOS Hypertonic uterine Uterine spasm dysfunction 661.9 Unspecified abnormality of labor 10,1,3] §662 Long labor 662.0 Prolonged first stage {0,1,3] 662.1 Prolonged labor, unspecified [0,1,3] § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. 558 662.2 (0,1,3] 662.3 10,1,3] TABULAR LIST Prolonged second stage Delayed delivery of second twin, triplet, etc. §663 Umbilical cord complications 663.0 10,1,3] 663.1 0,1,3] 663.2 [0,1,3] 663.3 10,1,3] 663.4 [0,1,3] 663.5 10,1,3] 663.6 [0,1,3] 663.8 [0,1,3] 663.9 10,1,3] Prolapse of cord Presentation of cord Cord around neck, with compression Cord tightly around neck Other and unspecified cord entanglement, with compression Entanglement of cords of twins in mono-amniotic sac Knot in cord (with compression) Other and unspecified cord entanglement, without mention of compression Short cord Vasa previa Velamentous insertion of umbilical cord Vascular lesions of cord Bruising of cord Thrombosis of vessels Hematoma of cord of cord Other umbilical cord complications Unspecified umbilical cord complication § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. PREGNANCY, CHILDBIRTH, PUERPERIUM 559 §664 Trauma to perineum and vulva during delivery 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 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 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] § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. 560 TABULAR LIST 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 Includes: damage from instruments 665.0 Rupture of uterus before onset of labor [0,1,3] 665.1 Rupture of uterus during and after labor 10,1,2,4] Rupture of uterus NOS 665.2 Inversion of uterus 10,2,4] 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 10,1,2,4] Hematoma of vagina 665.8 Other specified obstetrical trauma [0-4] 665.9 Unspecified obstetrical trauma [0-4] § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. PREGNANCY, CHILDBIRTH, PUERPERIUM 561 §666 Postpartum hemorrhage 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] 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 or membranes, without hemorrhage 667.0 Retained placenta without hemorrhage [0,2,4] Placenta accreta Retained placenta: NOS total without hemorrhage § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. 562 TABULAR LIST 667.1 Retained portions of placenta or membranes, without [0,2,4] hemorrhage Retained products of conception following delivery, without hemorrhage § 668 Complications of the administration of anesthetic or other sedation in labor and delivery Includes: complications arising from the administration of a general or local anesthetic, analgesic, or other sedation in labor and delivery reaction to spinal or lumbar puncture (349.0) spinal headache (349.0) 668.0 Pulmonary complications [0-4] Inhalation [aspiration] of stomach contents following anesthesia or or secretions other sedation in Mendelson’s syndrome labor or delivery Pressure collapse of lung 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 [0-4] labor and delivery 668.9 Unspecified complication of anesthesia and other sedation [0-4] § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. PREGNANCY, CHILDBIRTH, PUERPERIUM 563 §669 Other complications of labor and delivery, not elsewhere classified 669.0 [0-4] 669.1 [0-4] 669.2 [0-4] 669.3 [0,2,4] 669.4 10,1,2,4] 669.5 [0,1] 669.6 [0,1] 669.7 [0,1] 669.8 [0-4] 669.9 [0-4] Maternal distress Metabolic disturbance in labor and delivery Shock during or following labor and delivery Obstetric shock Maternal hypotension syndrome Acute renal failure following labor and delivery Other complications of obstetrical surgery and procedures Cardiac: following cesarean or other arrest obstetrical surgery or failure procedure, including Cerebral anoxia delivery NOS complications of obstetrical surgical wounds (674.1-674.3) Forceps or vacuum extractor delivery without mention of indication Delivery by ventouse, without mention of indication Breech extraction, without mention of indication breech delivery NOS (652.2) Cesarean delivery, without mention of indication Other complications of labor and delivery Unspecified complication of labor and delivery § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. 564 TABULAR LIST COMPLICATIONS OF THE PUERPERIUM (670-676) 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 cate- gories 670-676 to denote the current episode of care: unspecified as to episode of care or not applicable delivered, with or without mention of antepartum condition delivered, with mention of postpartum complication antepartum condition or complication postpartum condition or complication PLUWN=D §670 Major puerperal infection [0,2,4] Puerperal: Puerperal: endometritis peritonitis fever pyemia pelvic: salpingitis cellulitis septicemia sepsis infection following abortion (639.0) minor genital tract infection following delivery (646.6) urinary tract infection following delivery (646.6) §671 Venous complications in pregnancy and the puerperium 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) § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. PREGNANCY, CHILDBIRTH, PUERPERIUM 565 671.3 Deep phlebothrombosis, antepartum [0,1,31 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 10,2,4] Puerperal pyrexia NOS §673 Obstetrical pulmonary embolism Includes: pulmonary emboli in pregnancy, childbirth, or the puerperium, or specified as puerperal embolism following abortion (639.6) 673.0 Obstetrical air embolism [0-4] 673.1 Amniotic fluid embolism [0-4] § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. 566 TABULAR LIST 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 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 intracranial venous sinus thrombosis (671.5) 674.1 Disruption of cesarean wound [0,2,4] Dehiscence or disruption of uterine wound 674.2 Disruption of perineal wound [0,2,4] Breakdown of perineum Secondary perineal tear Disruption of wound of: episiotomy perineal laceration 674.3 Other complications of obstetrical surgical wounds 9,24) Hematoma | of cesarean section Hemorrhage or perineal wound Infection damage from instruments in delivery (664.0-665.9) 674.4 Placental polyp [0,2,4] § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. PREGNANCY, CHILDBIRTH, PUERPERIUM 567 674.8 Other [0,2,4] Hepatorenal syndrome, following delivery Postpartum: cardiomyopathy subinvolution of uterus uterine hypertrophy 674.9 Unspecified 10,2,4] Sudden death of unknown cause during the puerperium §675 Infections of the breast and nipple associated with childbirth 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: Mastitis: mammary purulent subareolar retromammary submammary 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] § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. TABULAR LIST §676 Other disorders of the breast associated with childbirth and disorders of lactation 676.0 [0-4] 676.1 [0-4] 676.2 [0-4] 676.3 [0-4] 676.4 [0-4] + 676.5 [0-4] 676.6 [0-4] 676.8 [0-4] 676.9 [0-4] Includes: the listed conditions during pregnancy, the puerperium, or lactation Retracted nipple Cracked nipple Fissure of nipple Engorgement of breasts Other and unspecified disorder of breast Failure of lactation Agalactia Suppressed lactation Galactorrhea galactorrhea not associated with childbirth (611.6) Other disorders of lactation Galactocele Polygalactia Unspecified disorder of lactation § Requires fifth-digit; valid digits are in [brackets] under each code. See page 537 for definitions. 12. DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE (680-709) INFECTIONS OF SKIN AND SUBCUTANEOUS TISSUE (680-686) 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) eyelid (373.13) lacrimal apparatus (375.31) orbit (376.01) 680.1 Neck 569 570 TABULAR LIST 680.2 680.3 680.4 680.5 680.6 680.7 680.8 680.9 Trunk Abdominal wall Flank Back [any part, except Groin buttocks] Pectoral region Breast Perineum Chest wall Umbilicus buttocks (680.5) external genital organs: female (616.4) male (607.2, 608.4) Upper arm and forearm Arm [any part, except hand] Axilla Shoulder Hand Finger [any] Wrist Thumb Buttock Anus Gluteal region Leg, except foot Ankle Knee Hip Thigh Foot Heel Toe Other specified sites Head [any part, except face] Scalp external genital organs: Fonaale (616.4) male (607.2, 608.4) Unspecified site Boil NOS Furuncle NOS Carbuncle NOS SKIN AND SUBCUTANEOUS TISSUE 571 681 Cellulitis and abscess of finger and toe Includes: that with lymphangitis Use additional code, if desired, to identify organism, such as Staphylococcus (041.1) 681.0 Finger 681.00 Cellulitis and abscess, unspecified 681.01 Felon Pulp abscess Whitlow herpetic whitlow (054.6) 681.02 Onychia and paronychia of finger Panaritium 7 finaer Perionychia OL tinge 681.1 Toe 681.10 Cellulitis and abscess, unspecified 681.11 Onychia and paronychia of toe Panaritium Ii Perionychia or toe 681.9 Cellulitis and abscess of unspecified digit Infection of nail NOS 682 Other cellulitis and abscess Includes: abscess (acute) (with lymphangitis) cellulitis (diffuse) except of finger lymphangitis, acute or toe Use additional code, if desired, to identify organism, such as Staphylococcus (041.1) lymphangitis (chronic) (subacute) (457.2) 572 TABULAR LIST 682.0 Face Cheek, external Nose, external Chin Submandibular Forehead Temple (region) 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 Groin Back [any part, except Pectoral region buttock] Perineum Chest wall Umbilicus, except Flank newborn 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 hand (682.4) 682.4 Hand, except fingers and thumb Wrist finger and thumb (681.00-681.02) SKIN AND SUBCUTANEOUS TISSUE 573 682.5 Buttock Gluteal region anal and rectal regions (566) 682.6 Leg, except foot Ankle Knee Hip Thigh 682.7 Foot, except toes Heel toe (681.10-681.11) 682.8 Other specified sites Head [except face] Scalp Jace (682.0) 682.9 Unspecified site Abscess NOS Lymphangitis, acute NOS Cellulitis NOS Iymphangitis NOS (457.2) 683 Acute lymphadenitis Abscess (acute) lymph gland or node, Adenitis, acute : except mesenteric Lymphadenitis, acute Use additional code, if desired, to identify organism, such as Staphylococcus (041.1) enlarged glands NOS (785.6) lymphadenitis: chronic or subacute, except mesenteric (289.1) mesenteric (acute) (chronic) (subacute) (289.2) unspecified (289.3) 574 TABULAR LIST 684 Impetigo Impetiginization of other dermatoses Impetigo (contagiosa) [any site] [any organism]: bullous circinate neonatorum simplex Pemphigus neonatorum impetigo herpetiformis (694.3) 685 Pilonidal cyst Includes: fistula sinus J 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, if desired, to identify any infectious organism (041.0-041.8) 686.0 Pyoderma Dermatitis: purulent septic suppurative 686.1 Pyogenic granuloma Granuloma: septic suppurative telangiectaticum pyogenic granuloma of oral mucosa (528.9) SKIN AND SUBCUTANEOUS TISSUE 575 686.8 Other specified local infections of skin and subcutaneous tissue Bacterid (pustular) Ecthyma Dermatitis vegetans Perleche dermatitis infectiosa eczematoides (690) panniculitis (729.30-729.39) 686.9 Unspecified local infection of skin and subcutaneous tissue Fistula of skin NOS Skin infection NOS fistula to skin from internal organs — see Alphabetic Index OTHER INFLAMMATORY CONDITIONS OF SKIN AND SUBCUTANEOUS TISSUE (690-698) panniculitis (729.30-729.39) 690 Erythematosquamous dermatosis Dandruff Seborrhea sicca Dermatitis infectiosa Seborrheic: eczematoides dermatitis Parakeratosis eczema Pityriasis: capitis simplex eczematous dermatitis of eyelid (373.31) parakeratosis variegata (696.2) psoriasis (696.0-696.1) seborrheic keratosis (702) 691 Atopic dermatitis and related conditions 691.0 Diaper or napkin rash Ammonia dermatitis Diaper or napkin: dermatitis erythema rash Psoriasiform napkin eruption 576 TABULAR LIST 691.8 Other atopic dermatitis and related conditions Atopic dermatitis Neurodermatitis: Besnier’s prurigo atopic Eczema: diffuse (of Brocq) atopic flexural infantile (acute) (chronic) intrinsic (allergic) 692 Contact dermatitis and other eczema Includes: dermatitis: eczema (acute) (chronic): NOS NOS contact allergic occupational erythematous venenata occupational 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 cyclohexane ester glycol hydrocarbon ketone group SKIN AND SUBCUTANEOUS TISSUE 577 692.3 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 code, if desired, to identify drug 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: Dermatitis due to: acids insecticide adhesive plaster nylon alkalis plastic caustics rubber dichromate 692.5 Due to food in contact with skin Dermatitis, contact, Dermatitis, contact, due to: due to: cereals fruit fish meat flour milk dermatitis due to: dyes (692.89) ingested foods (693.1) preservatives (692.89) 578 TABULAR LIST 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 allergy NOS due to pollen (477.0) nettle rash (708.8) 692.7 Due to solar radiation 692.70 Unspecified dermatitis due to sun 692.71 Sunburn 692.79 Other Hydroa aestivale Photodermatitis Photosensitiveness } (due to sun) 692.8 Due to other specified agents 692.81 Dermatitis due to cosmetics 692.89 Other Dermatitis due to: Dermatitis due to: cold weather metals dyes preservatives furs radiation NOS hot weather ultraviolet rays, except infrared rays from sun jewelry X-rays light, except from sun allergy NOS due to animal hair, dander (animal), or dust (477.8) sunburn (692.71) SKIN AND SUBCUTANEOUS TISSUE 579 692.9 Unspecified cause Dermatitis: Eczema NOS NOS contact NOS venenata NOS 693 Dermatitis due to substances taken internally 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, if desired, to identify drug 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 dermatitis NOS (692.9) 694 Bullous dermatoses 694.0 Dermatitis herpetiformis Dermatosis herpetiformis Duhring’s disease Hydroa herpetiformis herpes gestationis (646.8) dermatitis herpetiformis: Juvenile (694.2) senile (694.5) 580 TABULAR LIST 694.1 694.2 694.3 694.4 694.5 694.6 694.8 694.9 Subcorneal pustular dermatosis Sneddon-Wilkinson disease or syndrome Juvenile dermatitis herpetiformis Juvenile pemphigoid Impetigo herpetiformis Pemphigus Pemphigus: Pemphigus: NOS malignant erythematosus vegetans foliaceus vulgaris pemphigus neonatorum (684) Pemphigoid Benign pemphigus NOS Bullous pemphigoid Herpes circinatus bullosus Senile dermatitis herpetiformis Benign mucous membrane pemphigoid Cicatricial pemphigoid Mucosynechial atrophic bullous dermatitis 694.60 Without mention of ocular involvement 694.61 With ocular involvement Ocular pemphigus Other specified bullous dermatoses herpes gestationis (646.8) Unspecified bullous dermatoses 695 Erythematous conditions 695.0 Toxic erythema Erythema venenatum SKIN AND SUBCUTANEOUS TISSUE 681 695.1 695.2 695.3 695.4 695.8 695.9 Erythema multiforme Erythema iris Scalded skin syndrome Herpes iris Stevens-Johnson syndrome Lyell’s syndrome Toxic epidermal necrolysis Erythema nodosum tuberculous erythema nodosum (017.1) Rosacea Acne: Perioral dermatitis erythematosa Rhinophyma rosacea Lupus erythematosus Lupus: erythematodes (discoid) erythematosus (discoid), not disseminated lupus (vulgaris) NOS (017.0) systemic [disseminated] lupus erythematosus (710.0) Other specified erythematous conditions 695.81 Ritter’s disease Dermatitis exfoliativa neonatorum 695.89 Other Erythema intertrigo Intertrigo Pityriasis rubra (Hebra) mycotic intertrigo (111.0-111.9) Unspecified erythematous condition Erythema NOS Erythroderma (secondary) 696 Psoriasis and similar disorders 696.0 Psoriatic arthropathy 582 TABULAR LIST 696.1 Other psoriasis Acrodermatitis continua Dermatitis repens Psoriasis: NOS any type, except arthropathic 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 pityriasis rubra (Hebra) (695.89) 696.5 Other and unspecified pityriasis Pityriasis: NOS alba streptogenes pityriasis: simplex (690) versicolor (111.0) 696.8 Other SKIN AND SUBCUTANEOUS TISSUE 583 697 Lichen 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 pruritus specified as psychogenic (306.3) 698.0 Pruritus ani Perianal itch 698.1 Pruritus of genital organs 584 TABULAR LIST 698.2 Prurigo Lichen urticatus Urticaria papulosa Prurigo: (Hebra) NOS Hebra’s mitis simplex prurigo nodularis (698.3) 698.3 Lichenification and lichen simplex chronicus Hyde’s disease Neurodermatitis (circumscripta) (local) Prurigo nodularis neurodermatitis, diffuse (of Brocg) (691.8) 698.4 Dermatitis factitia [artefacta] Dermatitis ficta Neurotic excoriation Use additional code, if desired, to identify any associated mental disorder 698.8 Other specified pruritic conditions Pruritus: Winter itch hiemalis senilis 698.9 Unspecified pruritic disorder Itch NOS Pruritus NOS OTHER DISEASES OF SKIN AND SUBCUTANEOUS TISSUE (700-709) 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 SKIN AND SUBCUTANEOUS TISSUE 585 701 Other hypertrophic and atrophic conditions of skin 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) 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 586 TABULAR LIST 701.4 Keloid scar Cheloid Keloid Hypertrophic scar 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 Cutaneous horn Leukokeratosis NEC Hyperkeratosis, senile Leukoplakia NEC Keratoma, senile Seborrheic keratosis carcinoma in situ (232.0-232.9) 703 Diseases of nail congenital anomalies (757.5) onychia and paronychia (681.02, 681.11) 703.0 Ingrowing nail Ingrowing nail with infection Unguis incarnatus infection, nail NOS (681.9) SKIN AND SUBCUTANEOUS TISSUE 587 703.8 Other specified diseases of nail Dystrophia unguium Onychauxis Hypertrophy of nail Onychogryposis Koilonychia Onycholysis Leukonychia (punctata) (striata) 703.9 Unspecified disease of nail 704 Diseases of hair and hair follicles congenital anomalies (757.4) 704.0 Alopecia madarosis (374.55) syphilitic alopecia (091.82) 704.00 Alopecia, unspecified Baldness Loss of hair 704.01 Alopecia areata Ophiasis 704.09 Other Folliculitis decalvans Hypotrichosis: NOS postinfectional NOS Pseudopelade 704.1 Hirsutism Hypertrichosis: Polytrichia NOS lanuginosa, acquired hypertrichosis of eyelid (374.54) 704.2 Abnormalities of the hair Atrophic hair Trichiasis: Clastothrix NOS Fragilitas crinium cicatrical Trichorrhexis (nodosa) trichiasis of eyelid (374.05) 588 TABULAR LIST 704.3 Variations in hair color Canities (premature) Poliosis: Grayness, hair (premature) NOS Heterochromia of hair circumscripta, acquired 704.8 Other specified diseases of hair and hair follicles Folliculitis: Seborrhea capitis NOS Sycosis: abscedens et suffodiens NOS pustular barbae [not parasitic] Perifolliculitis: lupoid NOS vulgaris capitis abscedens et suffodiens scalp 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 Granulosis rubra nasi Chrombhidrosis Urhidrosis hidrocystoma (216.0-216.9) hyperhidrosis (780.8) SKIN AND SUBCUTANEOUS TISSUE 589 705.9 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: Blackhead NOS Comedo conglobata cystic pustular vulgaris acne rosacea (695.3) 706.2 Sebaceous cyst Atheroma, skin Wen Keratin cyst 706.3 Seborrhea seborrhea: capitis (704.8) sicca (690) seborrheic keratosis (702) 706.8 Other specified diseases of sebaceous glands Asteatosis (cutis) Xerosis cutis 706.9 Unspecified disease of sebaceous glands 590 TABULAR LIST 707 Chronic ulcer of skin Excludes:| gangrene (785.4) skin infections (680.0-686.9) specific infections classified under "Infectious and Parasitic Diseases" (001.0-136.9) varicose ulcer (454.0, 454.2) 707.0 Decubitus ulcer Bed sore Plaster ulcer Decubitus ulcer [any site] Pressure ulcer 707.1 Ulcer of lower limbs, except decubitus Ulcer, chronic: neurogenic | of lower limb trophic 707.8 Chronic ulcer of other specified sites Ulcer, chronic: neurogenic of other specified sites trophic 707.9 Chronic ulcer of unspecified site Chronic ulcer NOS Tropical ulcer NOS Trophic ulcer NOS Ulcer of skin NOS 708 Urticaria 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 SKIN AND SUBCUTANEOUS TISSUE 591 708.2 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 Anomalous pigmentation ~~ Hypopigmentation NOS Lentigo Cafe au lait spots Leukoderma Chloasma: Melanoderma NOS Progressive pigmentary idiopathic dermatosis symptomatic Tattoo Ephelides Vitiligo Hyperpigmentation albinism (270.2) pigmented nevus (216.0-216.9) that of eyelid (374.52-374.53) 709.1 Vascular disorders of skin Angioma serpiginosum Purpura (primary) annularis telangiectodes 592 TABULAR LIST 709.2 709.3 709.4 709.8 709.9 Scar conditions and fibrosis of skin Adherent scar (skin) Cicatrix Disfigurement (due to scar) Fibrosis, skin NOS Scar NOS keloid scar (701.4) Degenerative skin disorders Calcinosis: Degeneration, skin circumscripta Deposits, skin cutis Senile dermatosis NOS Colloid milium Subcutaneous calcification Foreign body granuloma of skin and subcutaneous tissue that of muscle (728.82) Other specified disorders of skin Epithelial hyperplasia Vesicular eruption Menstrual dermatosis 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 1 site unspecified shoulder region Acromioclavicular Glenohumeral Sternoclavicular Clavicle Scapula upper arm Elbow joint . forearm Radius Ulna hand Carpus Metacarpus pelvic region and thigh Buttock Femur lower leg Fibula Knee joint ankle and foot Ankle joint Digits [toes] Metatarsus other specified sites Head Neck Ribs multiple sites joint(s) Humerus Wrist joint Phalanges [fingers] Hip (joint) Patella Tibia Phalanges, foot Tarsus Other joints in foot Skull Trunk Vertebral column ARTHROPATHIES AND RELATED DISORDERS (710-719) disorders of spine (720.0-724.9) 593 594 TABULAR LIST 710 Diffuse diseases of connective tissue Includes: all collagen diseases whose effects are not mainly confined to a single system Use additional code, if desired, to identify manifestation, as: lung involvement (517.8) myopathy (359.6) 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, if desired, to identify manifestation, as: endocarditis (424.91) nephritis (583.81) chronic (582.81) nephrotic syndrome (581.81) lupus erythematosus (discoid) NOS (695.4) 710.1 Systemic sclerosis Acrosclerosis CRST syndrome Progressive systemic sclerosis Scleroderma circumscribed scleroderma (701.0) 710.2 Sicca syndrome Keratoconjunctivitis sicca Sjogren’s disease 710.3 Dermatomyositis Poikilodermatomyositis Polymyositis with skin involvement MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 595 710.4 Polymyositis 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 arthropathy associated with conditions polyarthritis classifiable below polyarthropathy rheumatic fever (390) The following fifth-digit subclassification is for use with category 711; valid digits are in [brackets] under each code. See page 593 for definitions: site unspecified shoulder region upper arm forearm hand pelvic region and thigh lower leg ankle and foot other specified sites multiple sites COIN NPLWN=O 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, if desired, to identify infectious organism (041.0-041.8) 596 TABULAR LIST 711.1 Arthropathy associated with Reiter’s disease and 10-91 nonspecific urethritis Code also underlying disease, as: nonspecific urethritis (099.4) Reiter’s disease (099.3) 711.2 Arthropathy in Behget’s syndrome 10-9] Code also underlying disease (136.1) 711.3 Postdysenteric arthropathy 10-9] Code also underlying disease, as: dysentery (009.0) enteritis, infectious (008.0-009.3) paratyphoid fever (002.1-002.9) typhoid fever (002.0) salmonella arthritis (003.23) 711.4 Arthropathy associated with other bacterial diseases [0-9] Code also 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) gonococcal arthritis (098.50) meningococcal arthritis (036.82) 711.5 Arthropathy associated with other viral diseases [0-9] Code also underlying disease, as: diseases classifiable to 045-049, 050-079, 480, 487 O’nyong nyong (066.3) that due to rubella (056.71) MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 597 711.6 Arthropathy associated with mycoses [0-91 Code also underlying disease (110.0-118) 711.7 Arthropathy associated with helminthiasis [0-9] Code also underlying disease, as: filariasis (125.0-125.9) 711.8 Arthropathy associated with other infectious and parasitic 10-9] diseases Code also underlying disease, as: diseases classifiable to 080-088, 100-104, 130-136 arthropathy associated with sarcoidosis (713.7) 711.9 Unspecified infective arthritis [0-9] Infective arthritis or polyarthritis (acute) (chronic) (subacute) NOS 598 TABULAR LIST 712 Crystal arthropathies Includes: crystal-induced arthritis and synovitis gouty arthropathy (274.0) The following fifth-digit subclassification is for use with category 712; valid digits are in [brackets] under each code. See page 593 for definitions: site unspecified shoulder region upper arm forearm hand pelvic region and thigh lower leg ankle and foot other specified sites multiple sites CRAIN NPE WNN=O 712.1 Chondrocalcinosis due to dicalcium phosphate crystals [0-9] Chondrocalcinosis due to dicalcium phosphate crystals (with other crystals) Code also underlying disease (275.4) 712.2 Chondrocalcinosis due to pyrophosphate crystals [0-9] Code also underlying disease (275.4) 712.3 Chondrocalcinosis, unspecified [0-9] Code also underlying disease (275.4) 712.8 Other specified crystal arthropathies [0-9] 712.9 Unspecified crystal arthropathy [0-9] MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 599 713 Arthropathy associated with other disorders classified elsewhere Includes: arthritis arthropathy associated with conditions polyarthritis classifiable below polyarthropathy 713.0 Arthropathy associated with other endocrine and metabolic disorders Code also 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) 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 also underlying disease, as: regional enteritis (555.0-555.9) ulcerative colitis (556) 713.2 Arthropathy associated with hematological disorders Code also 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) arthropathy associated with Henoch-Schonlein purpura (713.6) 600 TABULAR LIST 713.3 Arthropathy associated with dermatological disorders Code also underlying disease, as: erythema multiforme (695.1) erythema nodosum (695.2) psoriatic arthropathy (696.0) 713.4 Arthropathy associated with respiratory disorders Code also underlying disease, as: diseases classifiable to 490-519 arthropathy associated with respiratory infections (711.0, 711.4-711.8) 713.5 Arthropathy associated with neurological disorders Charcot’s arthropathy associated with diseases Neuropathic arthritis classifiable elsewhere Code also 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 also underlying disease, as: Henoch (-Schonlein) purpura (287.0) serum sickness (999.5) allergic arthritis NOS (716.2) MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 601 713.7 Other general diseases with articular involvement Code also underlying disease, as: amyloidosis (277.3) familial Mediterranean fever (277.3) sarcoidosis (135) 713.8 Arthropathy associated with other conditions classifiable elsewhere Code also 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 rheumatic fever (390) rheumatoid arthritis of spine NOS (720.0) 714.0 Rheumatoid arthritis Arthritis or polyarthritis: atrophic rheumatic (chronic) Use additional code, if desired, to identify manifestation, as: myopathy (359.6) polyneuropathy (357.1) juvenile rheumatoid arthritis NOS (714.30) 714.1 Felty’s syndrome Rheumatoid arthritis with splenoadenomegaly and leukopenia 714.2 Gther rheumatoid arthritis with visceral or systemic involvement Rheumatoid carditis 602 TABULAR LIST 714.3 714.4 714.8 714.9 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 Chronic postrheumatic arthropathy Chronic rheumatoid nodular fibrositis Jaccoud’s syndrome Other specified inflammatory polyarthropathies 714.81 Rheumatoid lung Caplan’s syndrome Diffuse interstitial rheumatoid disease of lung Fibrosing alveolitis, rheumatoid 714.89 Other Unspecified inflammatory polyarthropathy Inflammatory polyarthropathy or polyarthritis NOS polyarthropathy NOS (716.5) P MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 603 715 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 Marie-Strumpell 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 page 593 for definitions: site unspecified shoulder region upper arm forearm hand pelvic region and thigh lower leg ankle and foot other specified sites multiple sites COIN NEWN=O 715.0 Osteoarthrosis, generalized 10,4,9] 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 [0-8] primary or secondary Otto’s pelvis 715.8 Osteoarthrosis involving, or with mention of more than [0,91 one site, but not specified as generalized 604 TABULAR LIST 715.9 Osteoarthrosis, unspecified whether generalized or 10-8] localized 716 Other and unspecified arthropathies cricoarytenoid arthropathy (478.79) The following fifth-digit subclassification is for use with category 716; valid digits are in [brackets] under each code. See page 593 for definitions: 716.0 [0-9] 716.1 10-91 716.2 10-9] 716.3 10-9] site unspecified shoulder region upper arm forearm hand pelvic region and thigh lower leg ankle and foot other specified sites multiple sites COANE WN=O Kaschin-Beck disease Endemic polyarthritis Traumatic arthropathy Allergic arthritis arthritis associated with Henoch-Schonlein purpura or serum sickness (713.6) Climacteric arthritis Menopausal arthritis 716.4 Transient arthropathy 10-9] 716.5 10-9] 716.6 [0-8] 716.8 [0-9] palindromic rheumatism (719.3) Unspecified polyarthrepathy or polyarthritis Unspecified monoarthritis Coxitis Other specified arthropathy MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 605 716.9 [0-9] Arthropathy, unspecified a fy J (acute) (chronic) (subacute) Articular rheumatism (chronic) Inflammation of joint NOS 717 Internal derangement of knee 717.0 717.1 717.2 717.3 717.4 of articular cartilage or rupture : P , old meniscus of knee Includes: degeneration tear, old 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) Old bucket handle tear of medial meniscus Old bucket handle tear of unspecified cartilage Derangement of anterior horn of medial meniscus Derangement of posterior horn of medial meniscus Other and unspecified derangement of medial meniscus Degeneration of internal semilunar cartilage 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 606 TABULAR LIST 717.5 717.6 1.7 717.8 Derangement of meniscus, not elsewhere classified Congenital discoid meniscus Cyst of semilunar cartilage Derangement of semilunar cartilage NOS Loose body in knee Joint mice, knee Rice bodies, knee (joint) Chondromalacia of patella Chondromalacia patellae Degeneration [softening] of articular cartilage of patella 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 607 718 Other derangement of joint 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 page 593 for definitions: site unspecified shoulder region upper arm forearm hand pelvic region and thigh lower leg ankle and foot other specified sites multiple sites CRANE LOWN=O 718.0 Articular cartilage disorder [0-5,7-9] Meniscus: disorder rupture, old tear, old Old rupture of ligament(s) of joint NOS articular cartilage disorder: in ochronosis (270.2) knee (717.0-717.9) chondrocalcinosis (275.4) metastatic calcification (275.4) 718.1 Loose body in joint [0-5,7-9] Joint mice knee (717.6) 718.2 Pathological dislocation [0-9] Dislocation or displacement of joint, not recurrent and not current injury Spontaneous dislocation (joint) 718.3 Recurrent dislocation of joint [0-9] 718.4 Contracture of joint [0-9] 608 TABULAR LIST 718.5 Ankylosis of joint [0-9] Ankylosis of joint (fibrous) (osseous) spine (724.9) stiffness of joint without mention of ankylosis (719.5) 718.6 Unspecified intrapelvic protrusion of acetabulum [0,51 Protrusio acetabuli, unspecified 718.8 Other joint derangement, not elsewhere classified [0-9] Flail joint (paralytic) Instability of joint deformities classifiable to 736 (736.0-736.9) 718.9 Unspecified derangement of joint 10:52) knee (717.9) 719 Other and unspecified disorders of joint jaw (524.6) The following fifth-digit subclassification is for use with category 719; valid digits are in [brackets] under each code. See page 593 for definitions: site unspecified shoulder region upper arm forearm hand pelvic region and thigh lower leg ankle and foot other specified sites multiple sites COANE WN=O 719.0 Effusion of joint [0-9] Hydrarthrosis Swelling of joint, with or without pain intermittent hydrarthrosis (719.3) MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 609 719.1 Hemarthrosis 0-9 2) Excludes:| current injury (840.0-848.9) that in hemophilia (286.0-286.2) 719.2 Villonodular synovitis 10-9] 719.3 Palindromic rheumatism 10-9] 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 abnormality of gait (781.2) 719.8 Other specified disorders of joint [0-9] Calcification of joint Fistula of joint temporomandibular joint-pain-dysfunction syndrome [Costen’s syndrome] (524.6) 719.9 Unspecified disorder of joint 10-9] DORSOPATHIES (720-724) curvature of spine (737.0-737.9) osteochondrosis of spine (juvenile) (732.0) adult (732.8) 610 TABULAR LIST 720 Ankylosing spondylitis and other inflammatory spondylopathies 720.0 Ankylosing spondylitis Rheumatoid arthritis of spine NOS Spondylitis: Marie-Strimpell 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 also 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 611 721.2 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 Kiimmell’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 612 TABULAR LIST 722 Intervertebral disc disorders 722.0 722.1 722.2 722.3 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 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 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 Schmorl’s nodes 722.30 Unspecified region 722.31 Thoracic region 722.32 Lumbar region MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 613 722.39 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 614 TABULAR LIST 722.93 Lumbar region 723 Other disorders of cervical region 723.0 723.1 723.2 723.3 723.4 723.5 723.6 723.7 723.8 Excludes: | conditions due to: intervertebral disc disorders (722.0-722.9) spondylosis (721.0-721.9) Spinal stenosis in cervical region Cervicalgia Pain in neck Cervicocranial syndrome Barré-Li€ou syndrome Posterior cervical sympathetic syndrome Cervicobrachial syndrome (diffuse) Brachial neuritis or radiculitis NOS Cervical radiculitis Radicular syndrome of upper limbs Torticollis, unspecified Contracture of neck congenital (754.1) due to birth injury (767.8) hysterical (300.11) psychogenic (306.0) spasmodic (333.83) traumatic, current (847.0) Panniculitis specified as affecting neck Ossification of posterior longitudinal ligament in cervical region Other syndromes affecting cervical region Cervical syndrome NEC Klippel’s disease MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 615 723.9 Unspecified musculoskeletal disorders and symptoms referable to neck Cervical (region) disorder NOS 724 Other and unspecified disorders of back 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 Lumbalgia Low back syndrome 724.3 Sciatica Neuralgia or neuritis of sciatic nerve 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 Instability } lumbosacral or sacroiliac (joint) 616 TABULAR LIST 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 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. 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 617 726.12 Bicipital tenosynovitis 726.19 Other specified disorders 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 Tennis elbow Golfers’ 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 Psoas tendinitis Gluteal tendinitis Trochanteric tendinitis Iliac crest spur 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 618 TABULAR LIST 726.7 726.8 726.9 726.63 Fibular collateral ligament bursitis 726.64 Patellar tendinitis 726.65 Prepatellar bursitis 726.69 Other Bursitis: infrapatellar subpatellar Enthesopathy of ankle and tarsus 726.70 Enthesopathy of ankle and tarsus, unspecified Metatarsalgia NOS 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 Other peripheral enthesopathies Unspecified enthesopathy 726.90 Enthesopathy of unspecified site Capsulitis NOS Tendinitis NOS Periarthritis 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 619 727.01 Synovitis and tenosynovitis in diseases classified elsewhere Code also underlying disease, as: tuberculosis (015.0-015.9) crystal-induced (275.4) 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 of 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: Chronic crepitant elbow synovitis of wrist hand Miners’: knee elbow knee 727.3 Other bursitis Bursitis NOS bursitis: gonococcal (098.52) subacromial (726.19) subcoracoid (726.19) subdeltoid (726.19) syphilitic (095.7) "frozen shoulder" (726.0) 620 TABULAR LIST 727.4 Ganglion and cyst of synovium, tendon, and bursa 721.5 727.6 727.40 Synovial cyst, unspecified 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 Rupture of synovium 727.50 Rupture of synovium, unspecified 727.51 Synovial cyst of popliteal space Baker's cyst (knee) 727.59 Other 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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 621 727.8 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 peripheral ligamentous or muscular attachments (726.0-726.9) 727.89 Other Abscess of bursa or tendon xanthomatosis localized to tendons (272.7) 727.9 Unspecified disorder of synovium, tendon, and bursa 728 Disorders of muscle, ligament, and fascia 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 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 622 TABULAR LIST 728.2 728.3 728.4 728.5 728.6 728.7 728.8 728.12 Traumatic myositis ossificans Myositis ossificans (circumscripta) 728.13 Postoperative heterotopic calcification 728.19 Other Polymyositis ossificans Muscular wasting and disuse atrophy, not elsewhere classified Amyotrophia NOS Myofibrosis neuralgic amyotrophy (353.5) progressive muscular atrophy (335.0-335.9) Other specific muscle disorders Arthrogryposis Immobility syndrome (paraplegic) arthrogryposis multiplex congenita (754.89) stiff-man syndrome (333.91) Laxity of ligament Hypermobility syndrome Contracture of palmar fascia Dupuytren’s contracture 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) Other disorders of muscle, ligament, and fascia 728.81 Interstitial myositis MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 623 728.82 Foreign body granuloma of muscle Talc granuloma of muscle 728.83 Rupture of muscle, nontraumatic 728.84 Diastasis of muscle Diastasis recti (abdomen) diastasis recti complicating pregnancy, labor, and delivery (665.8) 728.85 Spasm of muscle 728.89 Other 728.9 Unspecified disorder of muscle, ligament, and fascia 729 Other disorders of soft tissues 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 Myalgia and myositis, unspecified Fibromyositis NOS 729.2 Neuralgia, neuritis, and radiculitis, unspecified brachial 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) 624 TABULAR LIST 729.3 729.4 729.5 729.6 729.8 729.9 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 panniculitis specified as (affecting): back (724.8) neck (723.6) sacral (724.8) Fasciitis, unspecified nodular fasciitis (728.79) Pain in limb Residual foreign body in soft tissue foreign body granuloma: muscle (728.82) skin and subcutaneous tissue (709.4) Other musculoskeletal symptoms referable to limbs 729.81 Swelling of limb 729.82 Cramp 729.89 Other abnormality of gait (781.2) tetany (781.7) transient paralysis of limb (781.4) Other and unspecified disorders of soft tissue Polyalgia MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 626 OSTEOPATHIES, CHONDROPATHIES, AND ACQUIRED MUSCULOSKELETAL DEFORMITIES (730-739) 730 Osteomyelitis, periostitis, and other infections involving bone Jaw (526.4-526.5) petrous bone (383.2) Use additional code, if desired, 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 page 593 for definitions: site unspecified shoulder region upper arm forearm hand pelvic region and thigh lower leg ankle and foot other specified sites multiple sites COANE LWNN=O 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 Necrosis (acute) Sequestrum of bane Sclerosing osteomyelitis of Garré aseptic necrosis of bone (733.40-733.49) 626 TABULAR LIST 730.2 Unspecified osteomyelitis [0-9] Osteitis or osteomyelitis NOS, with or without mention of periostitis 730.3 Periostitis without mention of osteomyelitis 10-9] Abscess of periosteum } without mention of Periostosis osteomyelitis that in secondary syphilis (091.61) 730.7 Osteopathy resulting from poliomyelitis [0-9] Code also underlying disease (045.0-045.9) 730.8 Other infections involving bone in diseases classified 10-9] elsewhere Code also underlying disease, as: tuberculosis (015.0-015.9) typhoid fever (002.0) syphilis of bone NOS (095.5) 730.9 Unspecified infection of bone 10-9] 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 also underlying disease, as: malignant neoplasm of bone (170.0-170.9) 731.2 Hypertrophic pulmonary osteoarthropathy Bamberger-Marie disease MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 627 731.8 Other bone involvement in diseases classified elsewhere Code also underlying disease, as: diabetes mellitus (250.8) 732 Osteochondropathies 732.0 Juvenile osteochondrosis of spine Juvenile osteochondrosis (of): marginal or vertebral epiphysis (of Scheuermann) spine NOS Vertebral epiphysitis 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 metacarpals (of Mauclaire) lower ulna (of Burns) radial head (of Brailsford) upper extremity NOS 628 TABULAR LIST 732.4 Juvenile osteochondrosis of lower extremity, excluding foot Osteochondrosis (juvenile) of: lower extremity NOS primary patellar center (of Kohler) 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 Freiberg) fifth (of Iselin) os tibiale externum (of Haglund) tarsal navicular (of Kohler) 732.6 Other juvenile osteochondrosis yn specified as juvenile, Osteochondritis of oe Osteochondrosis 732.7 Osteochondritis dissecans 732.8 Other specified forms of osteochondropathy Adult osteochondrosis of spine 732.9 Unspecified osteochondropathy Apophysitis NOS Epiphysitis not specified as adult Osteochondritis or juvenile, of Osteochondrosis unspecified site MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 629 733 Other disorders of bone and cartilage 733.0 733.1 733.2 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) 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, if desired, to identify drug Pathological fracture Collapse of vertebra NOS Spontaneous fracture Cyst of bone 733.20 Cyst of bone (localized), unspecified 733.21 Solitary bone cyst Unicameral bone cyst 733.22 Aneurysmal bone cyst 630 TABULAR LIST 733.3 733.4 733.5 733.6 733.7 733.8 733.29 Other Fibrous dysplasia (monostotic) Excludes: | cyst of jaw (526.0-526.2, 526.89) osteitis fibrosa cystica (252.0) polyostotic fibrous dyplasia of bone (756.54) Hyperostosis of skull Hyperostosis interna frontalis Leontiasis ossium Aseptic necrosis of bone necrosis of bone NOS (730.1) 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 Legg-Calvé-Perthes disease (732.1) 733.43 Medial femoral condyle 733.44 Talus 733.49 Other Osteitis condensans Piriform sclerosis of ilium Tietze’s disease Costochondral junction syndrome Algoneurodystrophy Disuse atrophy of bone Sudeck’s atrophy Malunion and nonunion of fracture 733.81 Malunion of fracture MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 631 733.82 Nonunion of fracture Pseudoarthrosis (bone) 733.9 Other and unspecified disorders of bone and cartilage 733.90 Disorder of bone and cartilage, unspecified 733.91 Arrest of hone development or growth Epiphyseal arrest 733.92 Chondromalacia Chondromalacia: NOS localized, except patella systemic tibial plateau chondromalacia of patella (717.7) 733.99 Other Diaphysitis Relapsing polychondritis Hypertrophy of bone 734 Flat foot Pes planus (acquired) Talipes planus (acquired) congenital (754.61) rigid flat foot (754.61) spastic (everted) flat foot (754.61) 735 Acquired deformities of toe 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) 632 TABULAR LIST 735.5 735.8 735.9 Claw toe (acquired) Other acquired deformities of toe Unspecified acquired deformity of toe 736 Other acquired deformities of limbs 736.0 736.1 736.2 congenital (754.3-755.9) 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 Mallet finger Other acquired deformities of finger 736.20 Unspecified deformity Deformity of finger (acquired) NOS 736.21 Boutonniere deformity 736.22 Swan-neck deformity MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 633 736.29 Other 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 deformities of toe (acquired) (735.0-735.9) pes planus (acquired) (734) 736.70 Unspecified deformity of ankle and foot, acquired 736.71 Acquired equinovarus deformity Clubfoot, acquired clubfoot not specified as acquired (754.5-754.7) 736.72 Equinus deformity of foot, acquired 736.73 Cavus deformity of foot that with claw foot (736.74) 736.74 Claw foot, acquired 634 TABULAR LIST 736.75 Cavovarus deformity of foot, acquired 736.76 Other calcaneus deformity 736.79 Other Acquired: pes 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 congenital (754.2) 737.0 Adolescent postural kyphosis 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 that associated with conditions classifiable elsewhere (737.41) MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 635 737.2 Lordosis (acquired) 737.20 Lordosis (acquired) (postural) 737.21 Lordosis, postlaminectomy 737.22 Other postsurgical lordosis 737.29 Other 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 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 also 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 (045.0-045.9) tuberculosis [Pott’s curvature] (015.0) 737.40 Curvature of spine, unspecified 636 TABULAR LIST 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 deformity of spine NOS (738.5) 738 Other acquired deformity 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 deflected or deviated nasal septum (470) 738.1 Other acquired deformity of head 738.2 Acquired deformity of neck 738.3 Acquired deformity of chest and rib Deformity: Pectus: chest (acquired) carinatum, acquired rib (acquired) excavatum, acquired 738.4 Acquired spondylolisthesis Degenerative spondylolisthesis Spondylolysis, acquired congenital (756.12) MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 637 738.5 Other acquired deformity of back or spine Deformity of spine NOS curvature of spine (737.0-737.9) 738.6 Acquired deformity of pelvis Pelvic obliquity 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 638 TABULAR LIST 739.6 Lower extremities 739.7 Upper extremities Acromioclavicular region Sternoclavicular region 739.8 Rib cage Costochondral region Sternochondral region Costovertebral region 739.9 Abdomen and other 14. CONGENITAL ANOMALIES (740-759) 740 Anencephalus and similar anomalies 740.0 Anencephalus Acrania Hemianencephaly Amyelencephalus Hemicephaly 740.1 Craniorachischisis 740.2 Iniencephaly 741 Spina bifida spina bifida occulta (756.17) The following fifth-digit subclassification is for use with category 741: unspecified region cervical region dorsal [thoracic] region lumbar region Wh=O 741.0 With hydrocephalus Arnold-Chiari syndrome Any condition classifiable to 741.9 with any condition classifiable to 742.3 741.9 Without mention of hydrocephalus Hydromeningocele (spinal) Myelocystocele Hydromyelocele Rachischisis Meningocele (spinal) Spina bifida (aperta) Meningomyelocele Syringomyelocele Myelocele 639 640 TABULAR LIST 742 Other congenital anomalies of nervous system 742.0 Encephalocele Encephalocystocele Meningocele, cerebral Encephalomyelocele Meningoencephalocele Hydroencephalocele Hydromeningocele, cranial 742.1 Microcephalus Hydromicrocephaly Micrencephaly 742.2 Reduction deformities of brain Absence Agyria Agenesis of part of Arhinencephaly Aplasia brain ~~ Holoprosencephaly Hypoplasia Microgyria 742.3 Congenital hydrocephalus Aqueduct of Sylvius: anomaly obstruction, congenital stenosis Atresia of foramina of Magendie and Luschka Hydrocephalus in newborn 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 Multiple anomalies of Macroencephaly brain NOS Macrogyria Porencephaly Megalencephaly Ulegyria 742.5 Other specified anomalies of spinal cord 742.51 Diastematomyelia 742.53 Hydromyelia Hydrorhachis CONGENITAL ANOMALIES 641 742.59 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 Jaw-winking syndrome Displacement of brachial = Marcus-Gunn syndrome plexus Riley-Day syndrome Familial dysautonomia neurofibromatosis (237.7) 742.9 Unspecified anomaly of brain, spinal cord, and nervous system Anomaly Congenital: brain disease of nervous system lesion spinal cord Deformity 743 Congenital anomalies of eye 743.0 Anophthalmos 743.00 Clinical anophthalmos, unspecified Agenesis f Congenital absence ) of eye Anophthalmos NOS 743.03 Cystic eyeball, congenital 743.06 Cryptophthalmos 743.1 Microphthalmos Dysplasia Hypoplasia } of eye Rudimentary eye 743.10 Microphthalmos, unspecified 642 TABULAR LIST 743.2 743.3 743.11 Simple microphthalmos 743.12 Microphthalmos associated with other anomalies of eye and adnexa Buphthalmos Glaucoma: Hydrophthalmos congenital newborn 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 Megalocornea ) buphthalmos Congenital cataract and lens anomalies 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 CONGENITAL ANOMALIES 643 743.4 Coloboma and other anomalies of anterior segment 743.5 743.41 Anomalies of corneal size and shape Microcornea 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 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 644 TABULAR LIST 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 Congenital: Absence of eyelid ectropion Accessory eyelid 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 congenital nystagmus (379.51) ocular albinism (270.2) retinitis pigmentosa (362.74) 743.9 Unspecified anomaly of eye Congenital: ly NOS ats NOS } of eye [any part] CONGENITAL ANOMALIES 645 744 Congenital anomalies of ear, face, and neck 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 congenital deafness without mention of cause (389.0-389.9) 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 Supernumerary: Polyotia ear Preauricular appendage lobule 646 TABULAR LIST 744.2 744.3 744.4 Other specified anomalies of ear 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 Prominence of auricle Darwin’s tubercle Ridge ear Pointed ear preauricular sinus (744.46) Unspecified anomaly of ear Congenital: us, } of ear, not elsewhere classified 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 CONGENITAL ANOMALIES 647 744.5 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 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 deformity NOS } neck [any part] 745 Bulbus cordis anomalies and anomalies of cardiac septal closure 745.0 Common truncus Absent septum between aorta and Communication (abnormal) } 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 648 TABULAR LIST 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 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 common atrioventricular canal type (745.69) single ventricle (745.3) 745.5 Ostium secundum type atrial septal defect Defect: Patent or persistent: atrium secundum foramen ovale fossa ovalis ostium secundum Lutembacher’s syndrome 745.6 Endocardial cushion defects 745.60 Endocardial cushion defect, unspecified type 745.61 Ostium primum defect Persistent ostium primum CONGENITAL ANOMALIES 649 745.69 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 endocardial fibroelastosis (425.3) 746.0 Anomalies of pulmonary valve 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 650 TABULAR LIST 746.3 746.4 746.5 746.6 746.7 746.8 Congenital stenosis of aortic valve Congenital aortic stenosis congenital: subaortic stenosis (746.81) supravalvular aortic stenosis (747.22) Congenital insufficiency of aortic valve Bicuspid aortic valve Congenital aortic insufficiency Congenital mitral stenosis Fused commissure Parachute deformity of mitral valve Supernumerary cusps Congenital mitral insufficiency 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) 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, not elsewhere classified Uhl’s disease 746.85 Coronary artery anomaly Anomalous origin or communication of coronary artery Coronary artery: absence arising from aorta or pulmonary trunk single CONGENITAL ANOMALIES 651 746.86 Congenital heart block Complete or incomplete atrioventricular [AV] block 746.87 Malposition of heart and cardiac apex Abdominal heart Levocardia (isolated) Dextrocardia Mesocardia Ectopia cordis dextrocardia with complete transposition of viscera (759.3) 746.89 Other Atresia Hypoplasia Congenital: cardiomegaly diverticulum, left ventricle pericardial defect } of cardiac vein 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 652 TABULAR LIST 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 hypoplasia of aortic arch (747.10) 747.22 Atresia and stenosis of aorta Absence Aplasia Hypoplasia Stricture Supra (valvular)-aortic stenosis congenital aortic (valvular) stenosis or stricture, so stated (746.3) hypoplasia of aorta in hypoplastic left heart syndrome (746.7) of aorta 747.29 Other Aneurysm of sinus of Valsalva Congenital: aneurysm dilation of aorta 747.3 Anomalies of pulmonary artery Agenesis Anomaly Atresia Coarctation Hypoplasia Stenosis Pulmonary arteriovenous aneurysm of pulmonary artery 747.4 Anomalies of great veins 747.40 Anomaly of great veins, unspecified Anomaly NOS of: pulmonary veins vena cava CONGENITAL ANOMALIES 653 747.41 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 Congenital stenosis (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, not elsewhere Anomaly classified Atresia Arteriovenous aneurysm (peripheral) Congenital: aneurysm (peripheral) phlebectasia stricture, artery varix Multiple renal arteries anomalies of: cerebral vessels (747.81) pulmonary artery (747.3) congenital retinal aneurysm (743.58) hemangioma (228.00-228.09) lymphangioma (228.1) 654 TABULAR LIST 747.8 Other specified anomalies of circulatory system 747.81 Anomalies of cerebrovascular system Cerebral arteriovenous aneurysm, congenital Congenital anomalies of cerebral vessels ruptured cerebral (arteriovenous) aneurysm (430) 747.89 Other Aneurysm, congenital, specified site not elsewhere classified 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 congenital defect of diaphragm (756.6) 748.0 Choanal atresia Atresia } of nares (anterior) (posterior) Congenital stenosis p 748.1 Other anomalies of nose Absent nose Congenital: Accessory nose deformity of nose Cleft nose notching of tip of nose Deformity of wall of perforation of wall of nasal sinus nasal sinus congenital deviation of nasal septum (754.0) 748.2 Web of larynx Web of larynx: NOS glottic subglottic CONGENITAL ANOMALIES 655 748.3 Other anomalies of larynx, trachea, and bronchus Absence or agenesis of: Congenital: bronchus dilation, trachea larynx stenosis: trachea larynx Anomaly (of): trachea cricoid cartilage tracheocele epiglottis Diverticulum: thyroid cartilage bronchus tracheal cartilage trachea Atresia (of): Fissure of epiglottis epiglottis Laryngocele glottis Posterior cleft of cricoid larynx cartilage (congenital) trachea Rudimentary tracheal Cleft thyroid, cartilage, bronchus congenital Stridor, laryngeal, congenital 748.4 Congenital cystic lung Disease, lung: Honeycomb lung, cystic, congenital congenital polycystic, congenital acquired or unspecified cystic lung (518.8) 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 656 TABULAR LIST 748.8 748.9 Other specified anomalies of respiratory system Abnormal communication between pericardial and pleural sacs Anomaly, pleural folds Atresia of nasopharynx Congenital cyst of mediastinum Unspecified anomaly of respiratory system Anomaly of respiratory system NOS 749 Cleft palate and cleft lip 749.0 749.1 749.2 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 Cleft lip Cheiloschisis Harelip Congenital fissure of lip Labium leporinum 749.10 Cleft lip, unspecified 749.11 Unilateral, complete 749.12 Unilateral, incomplete 749.13 Bilateral, complete 749.14 Bilateral, incomplete Cleft palate with cleft lip Cheilopalatoschisis 749.20 Cleft palate with cleft lip, unspecified CONGENITAL ANOMALIES 657 749.21 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 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 duct Imperforate salivary duct 658 TABULAR LIST 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 Congenital fistula: Atresia of esophagus esophagobronchial Congenital: esophagotracheal esophageal ring Imperforate esophagus stenosis of esophagus Webbed esophagus stricture of esophagus 750.4 Other specified anomalies of esophagus Dilatation, congenital Displacement, congenital Diverticulum (of) esophagus Duplication Giant Esophageal pouch congenital hiatus hernia (750.6) 750.5 Congenital hypertrophic pyloric stenosis Congenital or infantile: constriction hypertrophy spasm of pylorus stenosis stricture 750.6 Congenital hiatus hernia Displacement of cardia through esophageal hiatus congenital diaphragmatic hernia (756.6) CONGENITAL ANOMALIES 659 750.7 Other specified anomalies of stomach Congenital: Duplication of stomach cardiospasm Megalogastria hourglass stomach Microgastria Displacement of stomach Transposition of stomach Diverticulum of stomach, congenital 750.8 Other specified anomalies of upper alimentary tract 750.9 Unspecified anomaly of upper alimentary tract Congenital: anomaly NOS of upper alimentary tract deformity NOS [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 obstruction of small intestine stenosis or intestine NOS stricture Imperforate jejunum 660 TABULAR LIST 751.2 Atresia and stenosis of large intestine, rectum, and anal canal Absence: Congenital or infantile: anus (congenital) obstruction of large appendix, congenital intestine large intestine, occlusion of anus congenital stricture of anus rectum Imperforate: Atresia of: anus anus rectum colon Stricture of rectum, rectum congenital 751.3 Hirschsprung’s disease and other congenital functional disorders of colon Aganglionosis Congenital megacolon Congenital dilation Macrocolon of colon 751.4 Anomalies of intestinal fixation Congenital adhesions: Rotation of cecum or omental, anomalous colon: peritoneal failure of Jackson’s membrane incomplete Malrotation of colon insufficient Universal mesentery 751.5 Other anomalies of intestine Congenital diverticulum, Megaloappendix colon Megaloduodenum Dolichocolon Microcolon Duplication of: Persistent cloaca anus Transposition of: appendix appendix cecum colon intestine intestine Ectopic anus 751.6 Anomalies of gallbladder, bile ducts, and liver 751.60 Unspecified anomaly of gallbladder, bile ducts, and liver CONGENITAL ANOMALIES 661 751.61 Biliary atresia Congenital: absence hypoplasia of bile duct (common) obstruction or passage stricture 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: Duplication of: gallbladder, biliary duct congenital cystic duct liver (lobe) gallbladder Accessory: liver hepatic ducts Floating: liver gallbladder Congenital: liver choledochal cyst Intrahepatic gallbladder hepatomegaly 751.7 Anomalies of pancreas Absence Agenesis Hypoplasia Accessory pancreas diabetes mellitus: of pancreas Annular pancreas Ectopic pancreatic tissue Pancreatic heterotopia congenital (250.0-250.9) neonatal (775.1) fibrocystic disease of pancreas (277.00-277.01) 751.8 Other specified anomalies of digestive system Absence (complete) (partial) of alimentary tract NOS Duplication 1 ok Malposition, congenital } of digestive organs NOS congenital diaphragmatic hernia (756.6) congenital hiatus hernia (750.6) 662 TABULAR LIST 751.9 Unspecified anomaly of digestive system Congenital: anomaly NOS deformity NOS } of digestive system NOS 752 Congenital anomalies of genital organs 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 Accessory Ectopic 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: Cyst: epoophoron Gartner's duct fimbrial parovarian 752.19 Other ns (of) Hop tube or broad Atresia 1gamen 752.2 Doubling of uterus Didelphic uterus Doubling of uterus [any degree] (associated with doubling of cervix and vagina) CONGENITAL ANOMALIES 663 752.3 Other anomalies of uterus Absence, congenital Agenesis | of uterus Aplasia 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 Agenesis Congenital stenosis or stricture of: cervical canal vagina double vagina associated with total duplication (752.2) } of cervix, clitoris, vagina, or vulva 752.5 Undescended testicle Cryptorchism Ectopic testis 752.6 Hypospadias and epispadias Anaspadias Congenital chordee 664 TABULAR LIST 752.7 Indeterminate sex and pseudohermaphroditism Gynandrism Pseudohermaphroditism Hermaphroditism (male) (female) Ovotestis Pure gonadal dysgenesis 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: Atresia of: penis ejaculatory duct prostate vas deferens spermatic cord Curvature of penis vas deferens (lateral) Anorchism Fusion of testes Aplasia (congenital) of: Hypoplasia of: prostate penis round ligament testis testicle Monorchism Paraspadias Polyorchism congenital hydrocele (778.6) phimosis or paraphimosis (605) 752.9 Unspecified anomaly of genital organs Congenital: anomaly NOS } of genital organ, not elsewhere deformity NOS classified 753 Congenital anomalies of urinary system 753.0 Renal agenesis and dysgenesis Atrophy of kidney: Congenital absence of congenital kidney(s) infantile Hypoplasia of kidney(s) CONGENITAL ANOMALIES 665 753.1 Cystic kidney disease Cyst of kidney (congenital) (multiple) Fibrocystic kidney Polycystic (disease of) kidney Renal degeneration or disease: fibrocystic polycystic Sponge kidney acquired cyst of kidney (593.2) 753.2 Obstructive defects of renal pelvis and ureter Atresia of ureter Congenital: Congenital: stricture of: dilatation of ureter ureter hydronephrosis ureteropelvic hydroureter junction megaloureter ureterovesical occlusion of ureter orifice ureterocele Impervious ureter 753.3 Other specified anomalies of kidney Accessory kidney Fusion of kidneys Congenital: Giant kidney calculus of kidney Horseshoe kidney displaced kidney Hyperplasia of kidney Discoid kidney Lobulation of kidney Double kidney with Malrotation of kidney double pelvis Trifid kidney (pelvis) Ectopic kidney 753.4 Other specified anomalies of ureter Absent ureter Double ureter Accessory ureter Ectopic ureter Deviation of ureter Implantation, anomalous Displaced ureteric orifice of ureter 753.5 Exstrophy of urinary bladder Ectopia vesicae Extroversion of bladder 666 TABULAR LIST 753.6 Atresia and stenosis of urethra and bladder neck Congenital obstruction: Imperforate urinary bladder neck meatus urethra Impervious urethra Congenital stricture of: Urethral valve formation urethra (valvular) urinary meatus vesicourethral orifice 753.7 Anomalies of urachus Cyst Persistent umbilical Fistula (of) urachus sinus Patent 753.8 Other specified anomalies of bladder and urethra Absence, congenital of: Congenital urethrorectal bladder fistula urethra Congenital prolapse of: Accessory: bladder (mucosa) bladder urethra urethra Double: Congenital: urethra diverticulum of bladder urinary meatus hernia of bladder 753.9 Unspecified anomaly of urinary system Congenital: anomaly NOS ] of urinary system [any part, deformity NOS except urachus] 754 Certain congenital musculoskeletal deformities Includes: nonteratogenic deformities which are considered to be due to intrauterine malposition and pressure CONGENITAL ANOMALIES 667 754.0 Of skull, face, and jaw Asymmetry of face Dolichocephaly Compression facies Plagiocephaly Depressions in skull Potter’s facies Deviation of nasal Squashed or bent nose, septum, congenital congenital 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) TABULAR LIST 754.5 754.6 754.42 Congenital bowing of femur 754.43 Congenital bowing of tibia and fibula 754.44 Congenital bowing of unspecified long bones of leg Varus deformities of feet 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 Valgus deformities of feet 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 pes planus (acquired) (734) 754.62 Talipes calcaneovalgus 754.69 Other Talipes: equinovalgus planovalgus CONGENITAL ANOMALIES 669 754.7 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 those deformities classifiable to 754.0-754.8 755.0 Polydactyly 755.00 Polydactyly, unspecified digits Supernumerary digits 755.01 Of fingers Accessory fingers 670 TABULAR LIST 755.1 755.2 755.02 Of toes Accessory toes 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 Reduction deformities of upper limb 755.20 Unspecified reduction deformity of upper limb Ectromelia NOS ¢ fis Hemimelia NOS of upper lim 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, not elsewhere classified 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 CONGENITAL ANOMALIES 671 755.24 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 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 £1 limb Hemimelia NO§ J © ‘ower im Shortening of leg, congenital 672 TABULAR LIST 755.31 755.32 755.33 755.34 755.35 755.36 755.37 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 Longitudinal deficiency of lower limb, not elsewhere classified Phocomelia NOS of lower limb 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 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 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 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) 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) CONGENITAL ANOMALIES 673 755.38 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 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 Ectromelia Hemimelia 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 674 TABULAR LIST 755.6 755.59 Other Cleidocranial dysostosis Cubitus: valgus, congenital varus, congenital club hand (congenital) (754.89) congenital dislocation of elbow (754.89) 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) 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 tods 755.66 Other anomalies of toes Congenital: hallux valgus hallux varus hammer toe 755.67 Anomalies of foot, not elsewhere classified Astragaloscaphoid synostosis Calcaneonavicular bar Coalition of calcaneus Talonavicular synostosis Tarsal coalitions CONGENITAL ANOMALIES 675 755.69 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 deformity NOS reduction deformity of unspecified limb (755.4) } of unspecified limb 756 Other congenital musculoskeletal anomalies those deformities classifiable to 754.0-754.8 756.0 Anomalies of skull and face bones Absence of skull bones Imperfect fusion of skull Acrocephaly Oxycephaly Congenital deformity of Platybasia forehead Premature closure of Craniosynostosis cranial sutures Crouzon’s disease Tower skull Hypertelorism Trigonocephaly 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 676 TABULAR LIST 756.2 756.3 756.4 756.5 756.11 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 spina bifida (aperta) (741.0-741.9) 756.19 Other Platyspondylia Supernumerary vertebra Cervical rib Supernumerary rib in the cervical region Other anomalies of ribs and sternum Congenital absence of: Congenital: rib fissure of sternum sternum fusion of ribs Sternum bifidum nonteratogenic deformity of chest wall (754.81-754.89) Chondrodystrophy Achondroplasia Dyschondroplasia Chondrodystrophia Enchondromatosis (fetalis) Ollier’s disease lipochondrodystrophy [Hurler’s syndrome] (277.5) Morquio’s disease (277.5) Osteodystrophies 756.50 Osteodystrophy, unspecified CONGENITAL ANOMALIES 677 756.6 756.7 756.8 756.51 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 Anomalies of diaphragm Absence of diaphragm Eventration of diaphragm Congenital hernia: diaphragmatic foramen of Morgagni congenital hiatus hernia (750.6) Anomalies of abdominal wall Exomphalos Prune belly (syndrome) Gastroschisis umbilical hernia (551-553 with .1) 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 678 TABULAR LIST 756.9 Other and unspecified anomalies of musculoskeletal system Congenital: anomaly NOS of musculoskeletal system, deformity NOS not elsewhere classified 757 Congenital anomalies of the integument Includes: anomalies of skin, subcutaneous tissue, hair, nails, and breast hemangioma (228.00-228.09) pigmented nevus (216.0-216.9) 757.0 Hereditary edema of legs Congenital lymphedema Milroy’s disease Hereditary trophedema 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 albinism (270.2) CONGENITAL ANOMALIES 679 757.4 751.5 757.6 757.8 7571.9 757.39 Other Accessory skin tags, congenital Congenital scar Epidermolysis bullosa Keratoderma (congenital) pilonidal cyst (685.0-685.1) Specified anomalies of hair Congenital: Congenital: alopecia hypertrichosis atrichosis monilethrix beaded hair Persistent lanugo Specified anomalies of nails Anonychia Congenital: Congenital: leukonychia clubnail onychauxis koilonychia pachyonychia Specified anomalies of breast Absent Accessory | breast or nipple Supernumerary Hypoplasia of breast absence of pectoral muscle (756.81) Other specified anomalies of the integument Unspecified anomaly of the integument Congenital: anomaly NOS Fi deformity NOS of integument 758 Chromosomal anomalies Includes: syndromes associated with anomalies in the number and form of chromosomes 680 TABULAR LIST 758.0 758.1 758.2 758.3 758.4 758.5 758.6 758.7 758.8 758.9 Down’s syndrome Mongolism Trisomy: Translocation Down’s 21 or 22 syndrome G Patau’s syndrome Trisomy: 13 D; Edwards’ syndrome Trisomy: 18 Es Autosomal deletion syndromes Antimongolism syndrome Cri-du-chat syndrome Balanced autosomal translocation in normal individual Other conditions due to autosomal anomalies Accessory autosomes NEC Gonadal dysgenesis Ovarian dysgenesis XO syndrome Turner’s syndrome pure gonadal dysgenesis (752.7) Klinefelter’s syndrome XXY syndrome Other conditions due to sex chromosome anomalies Additional sex chromosome Sex chromosome mosaicism Syndrome: triple X XXX XYY Conditions due to anomaly of unspecified chromosome CONGENITAL ANOMALIES 681 759 Other and unspecified congenital anomalies 759.0 Anomalies of spleen Aberrant Congenital splenomegaly Absent spleen Ectopic spleen Accessory Lobulation of spleen 759.1 Anomalies of adrenal gland Aberrant Absent adrenal gland Accessory 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 congenital: goiter (246.1) hypothyroidism (243) 759.3 Situs inversus Situs inversus or trans- Transposition of viscera: Versus: abdominal abdominalis thoracic thoracis dextrocardia without mention of complete transposition (746.87) 759.4 Conjoined twins Craniopagus Pygopagus Dicephalus Thoracopagus Double monster Xiphopagus 759.5 Tuberous sclerosis Bourneville’s disease Epiloia 682 TABULAR LIST 759.6 Other hamartoses, not elsewhere classified Syndrome: Peutz-Jeghers Sturge-Weber (-Dimitri) von Hippel-Lindau neurofibromatosis (237.7) 759.7 Multiple congenital anomalies, so described Congenital: Monster NOS anomaly, multiple NOS deformity, multiple NOS 759.8 Other specified anomalies Congenital malformation syndromes affecting multiple systems, not elsewhere classified Laurence-Moon-Bied] syndrome Marfan’s syndrome Monster (single), specified type 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 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 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 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, 745-748 683 684 TABULAR LIST 760.4 760.5 760.6 760.7 Maternal nutritional disorders Fetus or newborn affected by: maternal disorders classifiable to 260-269 maternal malnutrition NOS fetal malnutrition (764.1-764.2) Maternal injury Fetus or newborn affected by maternal conditions classifiable to 800-995 Surgical operation on mother 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 (763.8) Noxious influences affecting fetus via placenta or breast milk Fetus or newborn affected by noxious substance transmitted via placenta or breast milk anesthetic and analgesic drugs administered during labor and delivery (763.5) drug withdrawal syndrome in newborn (779.5) 760.70 Unspecified noxious substance 760.71 Alcohol Fetal alcohol syndrome 760.72 Narcotics 760.73 Hallucinogenic agents 760.74 Anti-infectives Antibiotics 760.79 Other Fetus or newborn affected by: immune sera transmitted via medicinal agents NEC placenta or toxic substance NEC breast milk CONDITIONS IN THE PERINATAL PERIOD 685 760.8 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 maternal urinary tract infection affectin g 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 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 686 TABULAR LIST 761.7 Malpresentation before labor Breech presentation External version Oblique lie before labor Transverse lie Unstable lie 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 CONDITIONS IN THE PERINATAL PERIOD 687 762.3 Placental transfusion syndromes Placental and cord abnormality resulting in twin- to-twin or other transplacental transfusion Use additional code, if desired, 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 Knot in cord Entanglement of cord Torsion of cord 762.6 Other and unspecified conditions of umbilical cord Short cord Thrombosis Varices of umbilical cord Velamentous insertion Vasa previa infection of umbilical cord (771.4) single umbilical artery (747.5) 762.7 Chorioamnionitis Amnionitis Placentitis Membranitis 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 688 TABULAR LIST 763.0 763.1 763.2 763.3 763.4 763.5 763.6 763.7 Breech delivery and extraction 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 Forceps delivery Fetus or newborn affected by forceps extraction Delivery by vacuum extractor Cesarean delivery placental separation or hemorrhage from cesarean section (762.1) Maternal anesthesia and analgesia Reactions and intoxications from maternal opiates and tranquilizers during labor and delivery drug withdrawal syndrome in newborn (779.5) Precipitate delivery Rapid second stage 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 CONDITIONS IN THE PERINATAL PERIOD 689 763.8 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) 764 Slow fetal growth and fetal malnutrition 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 690 TABULAR LIST 765 Disorders relating to short gestation and unspecified low birthweight Includes: the listed conditions, without further specification, as causes of mortality, morbidity, or additional care, in fetus or newborn low birthweight due to slow fetal growth and fetal malnutrition (764.0-764.9) 765.0 Extreme immaturity Note: Usually implies a birthweight of less than 1000 grams and/or a gestation of less than 28 completed weeks. 765.1 Other preterm infants Note: Usually implies a birthweight of 1000-2499 grams and/or a gestation of 28-37 completed weeks. Prematurity NOS Prematurity or small size, not classifiable to 765.0 or as "light-for-dates" in 764 766 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 4500 grams or more. 766.1 Other "heavy-for-dates" infants Other fetus or infant "heavy-" or "large-for-dates" regardless of period of gestation CONDITIONS IN THE PERINATAL PERIOD 691 766.2 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, if desired, to identify cause intraventricular hemorrhage (772.1) 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 congenital dislocation of hip (754.30-754.35) fracture of spine, congenital (767.4) 767.4 Injury to spine and spinal cord Dislocation Fracture of spine or spinal cord due to Laceration birth trauma Rupture 692 TABULAR LIST 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 Rupture of: Hematoma of: liver liver (subcapsular) spleen testes Scalpel wound vulva Traumatic glaucoma hemorrhage classifiable to 772.0-772.9 767.9 Birth trauma, unspecified Birth injury NOS 768 Intrauterine hypoxia and birth asphyxia 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 Abnormal fetal heart rate or rhythm Fetal or intrauterine: acidosis first noted before onset of anoxia or hypoxia labor, liveborn infant Meconium in liquor Any condition clas- sifiable to 768.4 Liveborn infant showing evidence of intrauterine hypoxia before onset of labor CONDITIONS IN THE PERINATAL PERIOD 693 768.3 Fetal distress first noted during labor, in liveborn infant Abnormal fetal heart rate or rhythm Fetal or intrauterine: acidosis first noted during labor or anoxia or hypoxia delivery, liveborn infant Meconium in liquor Any condition clas- sifiable to 768.4 Liveborn infant showing evidence of intrauterine hypoxia during labor or delivery 768.4 Fetal distress, unspecified, in liveborn infant Abnormal fetal heart ) rate or rhythm Fetal or intrauterine: Brides not stated whether first anoxia asphyxia noted before or after i onset of labor, distress ) h i liveborn infant ypercapnia hypoxia Meconium in liquor Passage of meconium | Liveborn infant showing evidence of intrauterine hypoxia before delivery, but not stated whether before or after onset of labor 768.5 Severe birth asphyxia 1-minute Apgar score 0-3 Pulse less than 100 per minute at birth and falling or steady, respiration absent or gasping, color poor, muscle tone absent "White asphyxia" 768.6 Mild or moderate birth asphyxia 1-minute Apgar score 4-7 "Blue asphyxia" Normal respiration not established within one minute, but heart rate 100 or above, some muscle tone present, some response to stimulation 694 TABULAR LIST 768.9 Unspecified birth asphyxia in liveborn infant Anoxia Asphyxia | NOS, in liveborn infant Hypoxia 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 transient tachypnea of newborn (770.6) 770 Other respiratory conditions of fetus and newborn 770.0 Congenital pneumonia Infective pneumonia acquired prenatally pneumonia from infection acquired after birth (480.0-486) 770.1 Massive aspiration syndrome Aspiration of contents of birth canal NOS Meconium aspiration syndrome Pneumonitis: fetal aspiration meconium 770.2 Interstitial emphysema and related conditions Pneumomediastinum ee originating in the Pneumopericardium perinatal period Pneumothorax 770.3 Pulmonary hemorrhage Hemorrhage: alveolar (lung) sues : originating in the intra-alveolar (lung) ni I period massive pulmonary 770.4 Primary atelectasis Pulmonary immaturity NOS CONDITIONS IN THE PERINATAL PERIOD 696 770.5 Other and unspecified atelectasis Atelectasis: No originating in the secondary perinatal period Pulmonary collapse 770.6 Transitory tachypnea of newborn Idiopathic tachypnea of newborn Tachypnea commencing to resolve, usually within 6 hours of birth (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 Apneic spells NOS Cyanotic attacks NOS originating in the Respiratory distress NOS perinatal period Respiratory failure NOS 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 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 duc to gonococcus (098.40) other infections acquired after birth (001.0-136.9, 480.0-486, etc.) 696 TABULAR LIST 771.0 771.1 771.2 771.3 771.4 771.5 771.6 7117 Congenital rubella Congenital rubella pneumonitis Congenital cytomegalovirus infection Congenital cytomegalic inclusion disease Other congenital infections Congenital: Congenital: herpes simplex toxoplasmosis listeriosis tuberculosis malaria Tetanus neonatorum Tetanus omphalitis hypocalcemic tetany (775.4) Omphalitis of the newborn Infection: navel cord umbilical stump tetanus omphalitis (771.3) Neonatal infective mastitis noninfective neonatal mastitis (778.7) Neonatal conjunctivitis and dacryocystitis Ophthalmia neonatorum NOS ophthalmia neonatorum due to gonococcus (098.40) Neonatal Candida infection Neonatal moniliasis Thrush in newborn CONDITIONS IN THE PERINATAL PERIOD 697 771.8 Other infection specific to the perinatal period Intra-amniotic infection of fetus: NOS clostridial Escherichia coli [E. coli] Intrauterine sepsis of fetus Neonatal urinary tract infection Septicemia [sepsis] of newborn 772 Fetal and neonatal hemorrhage hematological disorders of fetus and newborn (776.0-776.9) 772.0 Fetal blood loss Fetal blood loss from: Fetal exsanguination cut end of co-twin’s Fetal hemorrhage into: cord co-twin placenta mother’s circulation ruptured cord vasa previa 772.1 Intraventricular hemorrhage Intraventricular hemorrhage from any perinatal cause 772.2 Subarachnoid hemorrhage Subarachnoid hemorrhage from any perinatal cause subdural and cerebral hemorrhage (767.0) 772.3 Umbilical hemorrhage after birth Slipped umbilical ligature 772.4 Gastrointestinal hemorrhage swallowed maternal blood (777.3) 772.5 Adrenal hemorrhage 698 TABULAR LIST 772.6 Cutaneous hemorrhage Bruising Ecchymoses Petechiae Superficial hematoma in fetus or newborn 772.8 Other specified hemorrhage of fetus or newborn 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: Si antibodies Hemolytic disease A on (fetus) (newborn) ; ibili Youndice incompatibility Rh hemolytic disease Rh isoimmunization 773.1 Hemolytic disease due to ABO isoimmunization ABO hemolytic disease ABO isoimmunization Anemia ; Erythroblastosis due 1 ABO: (fetalis) antibodies Hemolytic disease Rom Zion (fetus) (newborn) Sng /18ts ii Yaundice 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 CONDITIONS IN THE PERINATAL PERIOD 699 773.3 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 also 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, if desired, to identify cause 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 700 TABULAR LIST 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 also 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 also underlying cause, as: congenital obstruction of bile duct (751.61) galactosemia (271.1) mucoviscidosis (277.00-277.01) 774.6 Unspecified fetal and neonatal jaundice Icterus neonatorum Neonatal hyperbilirubinemia (transient) Physiologic jaundice NOS in newborn that in preterm infants (774.2) CONDITIONS IN THE PERINATAL PERIOD 701 714.7 Kernicterus not due to isoimmunization Bilirubin encephalopathy Kernicterus of newborn NOS kernicterus due to isoimmunization (773.4) 775 Endocrine and metabolic disturbances specific to the fetus and newborn 775.0 775.1 775.2 775.3 775.4 775.5 775.6 775.7 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 Syndrome of "infant of a diabetic mother" Maternal diabetes mellitus affecting fetus or newborn (with hypoglycemia) Neonatal diabetes mellitus Diabetes mellitus syndrome in newborn infant Neonatal myasthenia gravis Neonatal thyrotoxicosis Neonatal hyperthyroidism (transient) Hypocalcemia and hypomagnesemia of newborn Cow’s milk hypocalcemia Hypocalcemic tetany, neonatal Neonatal hypoparathyroidism Phosphate-loading hypocalcemia Other transitory neonatal electrolyte disturbances Dehydration, neonatal Neonatal hypoglycemia infant of mother with diabetes mellitus (775.0) Late metabolic acidosis of newborn 702 TABULAR LIST 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 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 anemia due to isoimmunization (773.0-773.2, 773.5) hereditary hemolytic anemias (282.0-282.9) CONDITIONS IN THE PERINATAL PERIOD 703 776.6 Anemia of prematurity 776.7 Transient neonatal neutropenia Isoimmune neutropenia Maternal transfer neutropenia 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 intestinal obstruction classifiable to 560.0-560.9 777.1 Meconium obstruction Congenital fecaliths Delayed passage of meconium Meconium plug syndrome meconium ileus (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 that not due to swallowed maternal blood (772.4) 777.4 Transitory ileus of newborn Hirschsprung’s disease (751.3) 777.5 Necrotizing enterocolitis in fetus or newborn Pseudomembranous enterocolitis in newborn 704 TABULAR LIST 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 hydrops fetalis due to isoimmunization (773.3) 778.1 Sclerema neonatorum Subcutaneous fat necrosis 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 infective mastitis of newborn (771.5) CONDITIONS IN THE PERINATAL PERIOD 705 778.8 Other specified conditions involving the integument of fetus and newborn Urticaria neonatorum 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 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 Slow feeding in newborn Vomiting 779.4 Drug reactions and intoxications specific to newborn Gray syndrome from chloramphenicol administration in newborn 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 fetal alcohol syndrome (760.71) 706 TABULAR LIST 779.6 Termination of pregnancy (fetus) Fetal death due to: induced abortion termination of pregnancy spontaneous abortion (fetus) (761.8) 779.8 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 classifica- tion. In general, categories 780-796 include the more ill-defined condi- tions 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 pro- vided 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 in- vestigation 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 Coma and stupor Drowsiness Somnolence Semicoma Unconsciousness Excludes:| coma: diabetic (250.2-250.3) hepatic (572.2) originating in the perinatal period (779.2) 707 708 TABULAR LIST 780.1 Hallucinations Hallucinations: Hallucinations: NOS olfactory auditory tactile gustatory 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 Vasovagal attack Fainting carotid sinus syncope (337.0) heat syncope (992.1) neurocirculatory asthenia (3006.2) orthostatic hypotension (458.0) shock NOS (785.50) 780.3 Convulsions Convulsions: Convulsive: NOS disorder NOS febrile seizure NOS infantile Fit NOS convulsions: epileptic (345.1-345.9) in newborn (779.0) 780.4 Dizziness and giddiness Light-headedness Vertigo NOS Meéniére’s disease and other specified vertiginous syndromes (386.0-386.9) 780.5 Sleep disturbances that of nonorganic origin (307.40-307.49) 780.50 Sleep disturbance, unspecified 780.51 Insomnia with sleep apnea SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS 709 780.52 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 780.59 Other 780.6 Pyrexia of unknown origin Chills with fever Hyperpyrexia NOS Fever NOS pyrexia of unknown origin (during): in newborn (778.4) labor (659.2) the puerperium (672) 780.7 Malaise and fatigue Asthenia NOS Postviral (asthenic) Lethargy syndrome Tiredness debility, unspecified (799.3) fatigue (during): combat (308.0-308.9) heat (992.6) pregnancy (646.8) neurasthenia (300.5) senile asthenia (797) 780.8 Hyperhidrosis Diaphoresis Excessive sweating 710 TABULAR LIST 780.9 Other general symptoms Amnesia (retrograde) Chill(s) NOS Generalized pain Hypothermia, not associated with low environmental temperature 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 781 Symptoms involving nervous and musculoskeletal systems 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 abnormal reflex (796.1) chorea NOS (333.5) infantile spasms (3435.6) 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 Parosmia Parageusia SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS 711 781.2 Abnormality of gait Gait: Gait: ataxic spastic paralytic staggering ataxia: NOS (781.3) locomotor (progressive) (094.0) difficulty in walking (719.7) 781.3 Lack of coordination Ataxia NOS Muscular incoordination 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 paralysis (342.0-344.9) 781.5 Clubbing of fingers 781.6 Meningismus Dupré’s syndrome Meningism 781.7 Tetany Carpopedal spasm tetanus neonatorum (771.3) tetany: hysterical (300.11) newborn (hypocalcemic) (775.4) parathyroid (252.1) psychogenic (306.0) 781.9 Other symptoms involving nervous and musculoskeletal systems Abnormal posture 712 TABULAR LIST 782 Symptoms involving skin and other integumentary tissue symptoms relating to breast (611.71-611.79) 782.0 Disturbance of skin sensation Anesthesia of skin Hypoesthesia Burning or prickling Numbness sensation Paresthesia Hyperesthesia Tingling 782.1 Rash and other nonspecific skin eruption Exanthem vesicular eruption (709.8) 782.2 Localized superficial swelling, mass, or lump Subcutaneous nodules localized adiposity (278.1) 782.3 Edema Anasarca Localized edema NOS Dropsy 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 jaundice in newborn (774.0-774.7) due to isoimmunization (773.0-773.2, 773.4) 782.5 Cyanosis newborn (770.8) SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS 713 782.6 Pallor and flushing 782.61 Pallor 782.62 Flushing Excessive blushing 782.7 Spontaneous ecchymoses Petechiae ecchymosis in fetus or newborn (772.6) purpura (287.0-287.9) 782.8 Changes in skin texture Induration } of skin Thickening 782.9 Other symptoms involving skin and integumentary tissues 783 Symptoms concerning nutrition, metabolism, and development 783.0 Anorexia Loss of appetite anorexia nervosa (307.1) loss of appetite of nonorganic origin (307.59) 783.1 Abnormal weight gain excessive weight gain in pregnancy (646.1) obesity (278.0) 783.2 Abnormal loss of weight 783.3 Feeding difficulties and mismanagement Feeding problem (elderly) (infant) feeding disturbance or problems: in newborn (779.3) of nonorganic origin (307.50-307.59) 714 TABULAR LIST 783.4 Lack of expected normal physiological development Delayed milestone Lack of growth Failure to gain weight Physical retardation Failure to thrive Short stature delay in sexual development and puberty (259.0) specific delays in mental development (315.0-315.9) 783.5 Polydipsia Excessive thirst 783.6 Polyphagia Excessive eating Hyperalimentation NOS disorders of eating of nonorganic origin (307.50-307.59) 783.9 Other symptoms concerning nutrition, metabolism, and development Hypometabolism 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 encephalopathy NOS (348.3) specific symptoms involving neck classifiable to 723 (723.0-723.9) 784.0 Headache 1 Facial pain Pain in head NOS atypical face pain (350.2) migraine (346.0-346.9) tension headache (307.81) SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS 715 784.1 Throat pain 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 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 Hypernasality Dysphonia Hyponasality Hoarseness 784.5 Other speech disturbance Dysarthria Slurred speech Dysphasia stammering and stuttering (307.0) that of nonorganic origin (307.0, 307.9) 784.6 Other symbolic dysfunction developmental learning delays (315.0-315.9) 784.60 Symbolic dysfunction, unspecified 784.61 Alexia and dyslexia Alexia (with agraphia) 784.69 Other Acalculia Agraphia NOS Agnosia Apraxia 716 TABULAR LIST 784.7 Epistaxis Hemorrhage from nose Nosebleed 784.8 Hemorrhage from throat hemoptysis (786.3) 784.9 Other symptoms involving head and neck Choking sensation Mouth breathing Halitosis Sneezing 785 Symptoms involving cardiovascular system heart failure NOS (428.9) 785.0 Tachycardia, unspecified Rapid heart beat paroxysmal tachycardia (427.0-427.2) 785.1 Palpitations Awareness of heart beat specified dysrhythmias (427.0-427.9) 785.2 Functional and undiagnosed cardiac murmurs Heart murmur (benign) (innocent) NOS 785.3 Other abnormal heart sounds Cardiac dullness, increased or decreased Friction fremitus, cardiac Precordial friction SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS 717 785.4 Gangrene Gangrene: Phagedena NOS spreading cutaneous Use additional code for any associated condition, as: atherosclerosis (440.2) diabetes (250.7) Raynaud’s syndrome (443.0) gangrene of certain sites — see Alphabetic Index 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: Shock: endotoxic hypovolemic gram-negative septic shock (due to): anesthetic (995.4) anaphylactic (995.0) due to serum (999.4) electric (994.8) Sollowing abortion (639.5) lightning (994.0) obstetrical (669.1) postoperative (998.0) traumatic (958.4) 785.6 Enlargement of lymph nodes Lymphadenopathy "Swollen glands" lymphadenitis (chronic) (289.1-289.3) acute (683) 718 TABULAR LIST 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 hyperventilation, psychogenic (306.1) 786.02 Orthopnea 786.09 Other Apnea Shortness of breath Cheyne-Stokes Tachypnea respiration Wheezing Respiratory: distress insufficiency respiratory distress: JSollowing trauma and surgery (518.5) newborn (770.8) syndrome (newborn) (769) adult (518.5) respiratory failure (799.1) newborn (770.8) transitory tachypnea of newborn (770.6) 786.1 Stridor congenital laryngeal stridor (748.3) 786.2 Cough cough: psychogenic (306.1) smokers’ (491.0) with hemorrhage (786.3) SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS 719 786.3 Hemoptysis Cough with hemorrhage Pulmonary hemorrhage NOS pulmonary hemorrhage of newborn (770.3) 786.4 Abnormal sputum Abnormal: amount color (of) sputum odor Excessive 786.5 Chest pain 786.50 Chest pain, unspecified 786.51 Precordial pain 786.52 Painful respiration Pain: anterior chest wall pleuritic Pleurodynia epidemic pleurodynia (074.1) 786.59 Other Discomfort Pressure | in chest Tightness pain in breast (611.71) 786.6 Swelling, mass, or lump in chest lump in breast (611.72) 786.7 Abnormal chest sounds Abnormal percussion, Rales chest Tympany, chest Friction sounds, chest wheezing (786.09) 720 TABULAR LIST 786.8 Hiccough psychogenic hiccough (306.1) 786.9 Other symptoms involving respiratory system and chest Breath-holding spell 787 Symptoms involving digestive system constipation (564.0) diarrhea NOS (558.9) pylorospasm (537.81) congenital (750.5) 787.0 Nausea and vomiting Emesis 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) 787.1 Heartburn Pyrosis Waterbrash 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) aerophagy (306.4) SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS 721 787.4 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 that of nonorganic origin (307.7) 787.7 Abnormal feces Bulky stools abnormal stool content (792.1) melena: NOS (578.1) newborn (772.4, 777.3) 787.9 Other symptoms involving digestive system Tenesmus (rectal) gastrointestinal hemorrhage (578.0-578.9) intestinal obstruction (560.0-560.9) specific functional digestive disorders: esophagus (330.0-530.9) stomach and duodenum (536.0-536.9) those not elsewhere classified (564.0-564.9) 788 Symptoms involving urinary system 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 722 TABULAR LIST 788.1 788.2 788.3 788.4 788.5 788.6 788.7 788.8 788.9 Dysuria Painful urination Strangury Retention of urine Incontinence of urine Enuresis NOS Incontinence of urethral sphincter stress incontinence (female) (625.6) that of nonorganic origin (307.6) Frequency of urination and polyuria Frequency of micturition = Nocturia Oliguria and anuria Deficient secretion of urine Suppression of urinary secretion 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) Other abnormality of urination Slowing of urinary stream Splitting of urinary stream Urethral discharge Penile discharge Urethrorrhea Extravasation of urine Other symptoms involving urinary system Extrarenal uremia Vesical: pain tenesmus SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS 723 789 Other symptoms involving abdomen and pelvis symptoms referable to genital organs: female (625.0-625.9) male (607.0-608.9) psychogenic (302.70-302.79) 789.0 Abdominal pain Abdominal tenderness Cramps, abdominal Colic: Epigastric pain NOS Umbilical pain infantile 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 abdominal distention (gaseous) (787.3) ascites (789.5) 789.4 Abdominal rigidity 789.5 Ascites Fluid in peritoneal cavity 789.9 Other symptoms involving abdomen and pelvis Umbilical: bleeding discharge 724 TABULAR LIST NONSPECIFIC ABNORMAL FINDINGS (790-796) 790 Nonspecific findings on examination of blood abnormality of: coagulation (286.0-286.9) platelets (287.0-287.9) thrombocytes (287.0-287.9) white blood cells (288.0-288.9) 790.0 Abnormality of red blood cells Abnormal red cell: Anisocytosis morphology NOS Poikilocytosis volume NOS 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) 790.1 Elevated sedimentation rate 790.2 Abnormal glucose tolerance test 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] SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS 725 790.5 Other nonspecific abnormal serum enzyme levels Abnormal serum level of: Abnormal serum level of: acid phosphatase amylase alkaline phosphatase lipase deficiency of circulating enzymes (277.6) 790.6 Other abnormal blood chemistry Abnormal blood level of: Abnormal blood level of: cobalt magnesium copper mineral iron zinc lithium 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, unspecified 790.8 Viremia, unspecified 790.9 Other nonspecific findings on examination of blood Abnormal blood-gas level 791 Nonspecific findings on examination of urine bacteriuria (599.0) 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) 726 TABULAR LIST 791.0 Proteinuria Albuminuria Bence-Jones proteinuria postural proteinuria (593.6) that arising during pregnancy or the puerperium (642.0-642.9, 646.2) 791.1 Chyluria Sfilarial (125.0-125.9) 791.2 Hemoglobinuria 791.3 Myoglobinuria 791.4 Biliuria 791.5 Glycosuria 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 that in chromosomal analysis (795.2) 792.0 Cerebrospinal fluid SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS 727 792.1 Stool contents Abnormal stool color Mucus in stool Fat in stool Pus in stool blood in stool [melena] (578.1) newborn (772.4, 777.3) 792.2 Semen Abnormal spermatozoa azoospermia (606.0) oligospermia (606.1) 792.3 Amniotic fluid 792.4 Saliva that in chromosomal analysis (795.2) 792.9 Other nonspecific abnormal findings in body substances Peritoneal fluid Synovial fluid Pleural 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 abnormal results of function studies and radioisotope scans (794.0-794.9) 793.0 Skull and head nonspecific abnormal echoencephalogram (794.01) 793.1 Lung field Com sion} an) lng 728 TABULAR LIST 793.2 Other intrathoracic organ Abnormal: Mediastinal shift echocardiogram heart shadow ultrasound cardiogram 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 Abnormal mammogram 793.9 Other Abnormal: placental finding by x-ray or ultrasound method radiological findings in skin and subcutaneous tissue abnormal finding by radioisotope localization of placenta (794.9) 794 Nonspecific abnormal results of function studies Includes: radioisotope: scans uptake studies scintiphotography SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS 729 794.0 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] 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] 730 TABULAR LIST 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 Placenta Pancreas Spleen 795 Nonspecific abnormal histological and immunological findings nonspecific abnormalities of red blood cells (790.0) 795.0 Nonspecific abnormal Papanicolaou smear of cervix Dyskaryotic cervical smear 795.1 Nonspecific abnormal Papanicolaou smear of other site 795.2 Nonspecific abnormal findings on chromosomal analysis Abnormal karyotype SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS 731 795.3 Nonspecific positive culture findings Positive culture findings in: nose sputum throat wound that of: blood (790.7-790.8) urine (599.0) 795.4 Other nonspecific abnormal histological findings 795.5 Nonspecific reaction to tuberculin test Abnormal result of Mantoux test 795.6 False positive serological test for syphilis False positive Wassermann reaction 795.7 Other nonspecific immunological findings Raised antibody titer Raised level of immunoglobulins isoimmunization, in pregnancy (656.1-656.2) affecting fetus or newborn (773.0-773.2) 796 Other nonspecific abnormal findings 796.0 Nonspecific abnormal toxicological findings Abnormal levels of heavy metals or drugs in blood, urine, or other tissue 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. 732 TABULAR LIST 796.3 Nonspecific low blood pressure reading 796.4 Other abnormal clinical findings 796.9 Other ILL-DEFINED AND UNKNOWN CAUSES OF MORBIDITY AND MORTALITY (797-799) 797 Senility without mention of psychosis Old age Senile: Senescence debility Senile asthenia exhaustion 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 SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS 733 799 Other ill-defined and unknown causes of morbidity and mortality 799.0 Asphyxia 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 failure Cardiorespiratory failure Respiratory arrest cardiac arrest (427.5) failure of peripheral circulation (785.50) respiratory distress: Sollowing trauma and surgery (518.5) newborn (770.8) syndrome (newborn) (769) adult (518.5) respiratory failure, newborn (770.8) respiratory insufficiency (786.09) 799.2 Nervousness "Nerves" 799.3 Debility, unspecified asthenia (780.7) nervous debility (300.5) neurasthenia (300.5) senile asthenia (797) 799.4 Cachexia Wasting disease nutritional marasmus (261) 799.8 Other ill-defined conditions 734 TABULAR LIST 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) 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) malunion (733.81) nonunion (733.82) pathological or spontaneous fracture (733.1) 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 impacted depressed linear elevated march fissured simple fracture NOS slipped epiphysis greenstick spiral open (with or without delayed healing): compound puncture infected with foreign body missile A fracture not indicated as closed or open should be classified as closed. 735 736 TABULAR LIST FRACTURE OF SKULL (800-804) The following fifth-digit subclassification is for use with the appropriate codes in categories 800, 801, 803, and 804: unspecified state of consciousness with no loss of consciousness with brief [less than one hour] loss of consciousness with moderate [1-24 hours] loss of consciousness with prolonged [more than 24 hours] loss of conscious- ness and return to pre-existing conscious level with prolonged [more than 24 hours] loss of conscious- ness, without return to pre-existing conscious level with loss of consciousness of unspecified duration with concussion, unspecified Oo RN wn ALUN =O § 800 Fracture of vault of skull 800.0 0800.1 0800.2 0800.3 0800.4 0800.5 0800.6 0800.7 0800.8 Includes: frontal bone parietal bone Closed without mention of intracranial injury Closed with cerebral laceration and contusion Closed with subarachnoid, subdural, and extradural hemorrhage Closed with other and unspecified intracranial hemorrhage Closed with intracranial injury of other and unspecified nature Open without mention of intracranial injury Open with cerebral laceration and contusion Open with subarachnoid, subdural, and extradural hemorrhage Open with other and unspecified intracranial hemorrhage § Requires fifth-digit. See above for codes and definitions. INJURY AND POISONING 737 0800.9 Open with intracranial injury of other and unspecified nature § 801 Fracture of base of skull 801.0 0801.1 0801.2 0801.3 0801.4 0801.5 0801.6 0801.7 0801.8 0801.9 Includes: fossa: sinus: anterior ethmoid middle frontal posterior sphenoid bone occiput bone temporal bone orbital roof Closed without mention of intracranial injury Closed with cerebral laceration and contusion Closed with subarachnoid, subdural, and extradural hemorrhage Closed with other and unspecified intracranial hemorrhage Closed with intracranial injury of other and unspecified nature Open without mention of intracranial injury Open with cerebral laceration and contusion Open with subarachnoid, subdural, and extradural hemorrhage Open with other and unspecified intracranial hemorrhage Open with intracranial injury of other and unspecified nature § Requires fifth-digit. See page 736 for codes and definitions. 738 TABULAR LIST 802 Fracture of face bones 802.0 Nasal bones, closed 802.1 802.2 802.3 Nasal bones, open 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 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 INJURY AND POISONING 739 802.37 Alveolar border of body 802.38 Body, other and unspecified 802.39 Multiple sites 802.4 Malar and maxillary bones, closed Superior maxilla Zygoma Upper jaw (bone) 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 orbital: floor (802.6) roof (801.0-801.9) 802.9 Other facial bones, open § 803 Other and unqualified skull fractures Includes: skull NOS skull multiple NOS 803.0 Closed without mention of intracranial injury 0803.1 Closed with cerebral laceration and contusion 0803.2 Closed with subarachnoid, subdural, and extradural hemorrhage § Requires fifth-digit. See page 736 for codes and definitions. 740 TABULAR LIST 0803.3 0803.4 0803.5 0803.6 0803.7 0803.8 0803.9 Closed with other and unspecified intracranial hemorrhage Closed with intracranial injury of other and unspecified nature Open without mention of intracranial injury Open with cerebral laceration and contusion Open with subarachnoid, subdural, and extradural hemorrhage Open with other and unspecified intracranial hemorrhage Open with intracranial injury of other and unspecified nature § 804 Multiple fractures involving skull or face with other bones 804.0 0804.1 0804.2 0804.3 0804.4 0804.5 0804.6 0804.7 Closed without mention of intracranial injury Closed with cerebral laceration and contusion Closed with subarachnoid, subdural, and extradural hemorrhage Closed with other and unspecified intracranial hemorrhage Closed with intracranial injury of other and unspecified nature Open without mention of intracranial injury Open with cerebral laceration and contusion Open with subarachnoid, subdural, and extradural hemorrhage § Requires fifth-digit. See page 736 for codes and definitions. INJURY AND POISONING 741 0804.8 Open with other and unspecified intracranial hemorrhage 0804.9 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 transverse process spine vertebra spinous process The following fifth-digit subclassification is for use with codes 805.0-805.1: cervical vertebra, unspecified level first cervical vertebra second cervical vertebra third cervical vertebra fourth cervical vertebra fifth cervical vertebra sixth cervical vertebra seventh cervical vertebra multiple cervical vertebrae ANNIE LWN=O 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 742 TABULAR LIST 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 C;-C4 level with unspecified spinal cord injury Cervical region NOS with spinal cord injury NOS 806.01 C;-C4 level with complete lesion of cord 806.02 C1-C4 level with anterior cord syndrome 806.03 C;-C4 level with central cord syndrome 806.04 C;-C4 level with other specified spinal cord injury C1-C4 level with: incomplete spinal cord lesion NOS posterior cord syndrome 806.05 Cs-C7 level with unspecified spinal cord injury 806.06 Cs-C7 level with complete lesion of cord 806.07 Cs-Cq level with anterior cord syndrome 806.08 Cs-C7 level with central cord syndrome INJURY AND POISONING 743 806.1 806.2 806.09 Cs-C7 level with other specified spinal cord injury Cs-C7 level with: incomplete spinal cord lesion NOS posterior cord syndrome Cervical, open 806.10 C;-C4 level with unspecified spinal cord injury 806.11 C;-C4 level with complete lesion of cord 806.12 C1-C4 level with anterior cord syndrome 806.13 C;-C4 level with central cord syndrome 806.14 C;-C4 level with other specified spinal cord injury C1-C4 level with: incomplete spinal cord lesion NOS posterior cord syndrome 806.15 Cs-C7 level with unspecified spinal cord injury 806.16 Cs-C7 level with complete lesion of cord 806.17 Cs-C7 level with anterior cord syndrome 806.18 Cs-C7 level with central cord syndrome 806.19 Cs-C7 level with other specified spinal cord injury Cs-C7 level with: incomplete spinal cord lesion NOS posterior cord syndrome Dorsal [thoracic], closed 806.20 T1-Te level with unspecified spinal cord injury Thoracic region NOS with spinal cord injury NOS 806.21 T;-Te level with complete lesion of cord 806.22 T1-Te level with anterior cord syndrome 806.23 T;-Tg level with central cord syndrome 744 TABULAR LIST 806.3 806.24 T1-Te level with other specified spinal cord injury T1-Te level with: incomplete spinal cord lesion NOS posterior cord syndrome 806.25 T7-Ti2 level with unspecified spinal cord injury 806.26 T7-Tj2 level with complete lesion of cord 806.27 T7-Ti2 level with anterior cord syndrome 806.28 T7-Ti2 level with central cord syndrome 806.29 T7-T12 level with other specified spinal cord injury T7-T13 level with: incomplete spinal cord lesion NOS posterior cord syndrome Dorsal [thoracic], open 806.30 T1-Te level with unspecified spinal cord injury 806.31 T;-Te level with complete lesion of cord 806.32 T;-T¢ level with anterior cord syndrome 806.33 T;-T¢ level with central cord syndrome 806.34 T1-Ts level with other specified spinal cord injury T1-Te 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-Ti2 level with anterior cord syndrome 806.38 T7-Ti2 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 INJURY AND POISONING 745 806.4 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: rib(s), unspecified one rib two ribs three ribs four ribs five ribs six ribs seven ribs eight or more ribs multiple ribs, unspecified CRAIN NE LUWNN=O 746 TABULAR LIST 807.0 807.1 807.2 807.3 807.4 807.5 807.6 Rib(s), closed Rib(s), open Sternum, closed Sternum, open Flail chest Larynx and trachea, closed Hyoid bone Trachea Thyroid cartilage Larynx and trachea, open 808 Fracture of pelvis 808.0 808.1 808.2 808.3 808.4 808.5 Acetabulum, closed Acetabulum, open Pubis, closed Pubis, open 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 Other specified part, open 808.51 Ilium INJURY AND POISONING 747 808.52 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 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 748 TABULAR LIST 810.0 Closed 810.1 Open 811 Fracture of scapula Includes: shoulder blade The following fifth-digit subclassification is for use with category 811: unspecified part acromial process Acromion (process) coracoid process glenoid cavity and neck of scapula other Scapula body - 0 Own 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 INJURY AND POISONING 749 812.2 812.3 812.4 812.5 812.11 Surgical neck 812.12 Anatomical neck 812.13 Greater tuberosity 812.19 Other Shaft or unspecified part, closed 812.20 Unspecified part of humerus Humerus NOS Upper arm NOS 812.21 Shaft of humerus Shaft or unspecified part, open 812.30 Unspecified part of humerus 812.31 Shaft of humerus 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 NOS 812.49 Other Multiple fractures of lower end Trochlea Lower end, open 812.50 Lower end, unspecified part 750 TABULAR LIST 812.51 812.52 812.53 812.54 812.59 Supracondylar fracture of humerus Lateral condyle Medial condyle Condyle(s), unspecified Other 813 Fracture of radius and ulna 0813.0 Upper end, closed Proximal end 0813.1 813.00 813.01 813.02 813.03 813.04 813.05 813.06 813.07 813.08 Upper end of forearm, unspecified Olecranon process of ulna Coronoid process of ulna Monteggia’s fracture Other and unspecified fractures of proximal end of ulna (alone) Multiple fractures of ulna, upper end Head of radius Neck of radius Other and unspecified fractures of proximal end of radius (alone) Multiple fractures of radius, upper end Radius with ulna, upper end [any part] Upper end, open 813.10 813.11 813.12 Upper end of forearm, unspecified Olecranon process of ulna Coronoid process of ulna INJURY AND POISONING 751 813.2 813.3 813.4 813.13 813.14 813.15 813.16 813.17 813.18 Shaft, 813.20 813.21 813.22 813.23 Shaft, 813.30 813.31 813.32 813.33 Monteggia’s fracture Other and unspecified fractures of proximal end of ulna (alone) Head of radius Neck of radius Other and unspecified fractures of proximal end of radius (alone) Radius with ulna, upper end [any part] closed Shaft, unspecified Radius (alone) Ulna (alone) Radius with ulna open Shaft, unspecified Radius (alone) Ulna (alone) Radius with ulna Lower end, closed Distal end 813.40 813.41 813.42 Lower end of forearm, unspecified Colles’ fracture Smith’s fracture Other fractures of distal end of radius (alone) Dupuytren’s fracture, radius Radius, lower end 752 TABULAR LIST 813.5 0813.8 0813.9 813.43 Distal end of ulna (alone) Ulna: Ulna: head lower epiphysis lower end styloid process 813.44 Radius with ulna, lower end 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 Unspecified part, closed 813.80 Forearm, unspecified 813.81 Radius (alone) 813.82 Ulna (alone) 813.83 Radius with ulna Unspecified part, open 813.90 Forearm, unspecified 813.91 Radius (alone) 813.92 Ulna (alone) 813.93 Radius with ulna INJURY AND POISONING 753 814 Fracture of carpal bone(s) The following fifth-digit subclassification is for use with category 814: 0 carpal bone, unspecified Wrist NOS navicular [scaphoid] of wrist lunate [semilunar] bone of wrist triquetral [cuneiform] bone of wrist pisiform trapezium bone [larger multangular] trapezoid bone [smaller multangular] capitate bone [os magnum] hamate [unciform] bone other COANE WN = 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 base of other metacarpal bone(s) shaft of metacarpal bone(s) neck of metacarpal bone(s) multiple sites of metacarpus OPW 815.0 Closed 815.1 Open 754 TABULAR LIST 816 Fracture of one or more phalanges of hand Includes: finger(s) thumb The following fifth-digit subclassification is for use with category 816: phalanx or phalanges, unspecified middle or proximal phalanx or phalanges distal phalanx or phalanges multiple sites WN =O 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 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 INJURY AND POISONING 766 819 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 756 TABULAR LIST 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 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 INJURY AND POISONING 757 821.20 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 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 758 TABULAR LIST 0823.0 Upper end, closed Head Tibia: Proximal end condyles tuberosity 0823.1 Upper end, open 823.2 Shaft, closed 823.3 Shaft, open 0823.8 Unspecified part, closed Lower leg NOS 0823.9 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 INJURY AND POISONING 759 824.6 824.7 824.8 824.9 Trimalleolar, closed Lateral and medial malleolus with anterior or posterior lip of tibia Trimalleolar, open Unspecified, closed Ankle NOS Unspecified, open 825 Fracture of one or more tarsal and metatarsal bones 825.0 825.1 825.2 825.3 Fracture of calcaneus, closed Heel bone Os calcis Fracture of calcaneus, open 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 calcaneus (825.0) Fracture of other tarsal and metatarsal bones, open 825.30 Unspecified bone(s) of foot [except toes] 760 TABULAR LIST 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 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 INJURY AND POISONING 761 828.0 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 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: open: complete compound dislocation NOS infected partial with foreign body simple uncomplicated 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 762 TABULAR LIST 831 Dislocation of shoulder sternoclavicular joint (839.61, 839.71) sternum (839.61, 839.71) The following fifth-digit subclassification is for use with category 831: oS shoulder, unspecified Humerus NOS anterior dislocation of humerus posterior dislocation of humerus inferior dislocation of humerus acromioclavicular (joint) Clavicle other Scapula WN = ° 831.0 Closed dislocation 831.1 Open dislocation 832 Dislocation of elbow The following fifth-digit subclassification is for use with category 832: elbow unspecified anterior dislocation of elbow posterior dislocation of elbow medial dislocation of elbow lateral dislocation of elbow other CP WN=O 832.0 Closed dislocation 832.1 Open dislocation INJURY AND POISONING 763 833 Dislocation of wrist The following fifth-digit subclassification is for use with category 833: oS wrist, unspecified part Carpal (bone) Radius, distal end radioulnar (joint), distal radiocarpal (joint) midcarpal (joint) carpometacarpal (joint) metacarpal (bone), proximal end other Ulna, distal end OUI WK = 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 764 TABULAR LIST 835 Dislocation of hip The following fifth-digit subclassification is for use with category 835: dislocation of hip, unspecified posterior dislocation obturator dislocation other anterior dislocation W=O 835.0 Closed dislocation 835.1 Open dislocation 836 Dislocation of knee 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 836.1 Tear of lateral cartilage or meniscus of knee, current 836.2 Other tear of cartilage or meniscus of knee, current Tear of: ie ilunar) current injury, not specified meniscus as medial or lateral 836.3 Dislocation of patella, closed 836.4 Dislocation of patella, open INJURY AND POISONING 765 836.5 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 navicular, foot fibula, distal scaphoid, foot end tibia, distal end 837.0 Closed dislocation 837.1 Open dislocation 766 TABULAR LIST 838 Dislocation of foot The following fifth-digit subclassification is for use with category 838: 838.0 838.1 foot, unspecified tarsal (bone), joint unspecified midtarsal (joint) tarsometatarsal (joint) metatarsal (bone), joint unspecified metatarsophalangeal (joint) interphalangeal (joint), foot other Phalanx of foot Toe(s) CANE LWN=O Closed dislocation Open dislocation 839 Other, multiple, and ill-defined dislocations 839.0 839.1 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 Cervical vertebra, open 839.10 Cervical vertebra, unspecified INJURY AND POISONING 767 839.2 839.3 839.4 839.5 839.11 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 Thoracic and lumbar vertebra, closed 839.20 Lumbar vertebra 839.21 Thoracic vertebra Dorsal [thoracic] vertebra Thoracic and lumbar vertebra, open 839.30 Lumbar vertebra 839.31 Thoracic vertebra Other vertebra, closed 839.40 Vertebra, unspecified site Spine NOS 839.41 Coccyx 839.42 Sacrum Sacroiliac (joint) 839.49 Other Other vertebra, open 839.50 Vertebra, unspecified site 768 TABULAR LIST 839.6 839.7 839.8 839.9 839.51 Coccyx 839.52 Sacrum 839.59 Other Other location, closed 839.61 Sternum Sternoclavicular joint 839.69 Other Pelvis Other location, open 839.71 Sternum 839.79 Other Multiple and ill-defined, closed Arm Back Hand Multiple locations, except fingers or toes alone Other ill-defined locations Unspecified location Multiple and ill-defined, open SPRAINS AND STRAINS OF JOINTS AND ADJACENT MUSCLES (840-848) Includes: avulsion hemarthrosis of: laceration joint capsule rupture ligament sprain muscle strain tendon tear laceration of tendon in open wounds (880-884 and 890-894 with .2) INJURY AND POISONING 769 840 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) 840.5 Subscapularis (muscle) 840.6 Supraspinatus (muscle) (tendon) 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 770 TABULAR LIST 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 current tear of cartilage or meniscus of knee (836.0-836.2) old tear of cartilage or meniscus of knee (717.0-717.5, 717.8-717.9) INJURY AND POISONING 771 844.0 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 772 TABULAR LIST 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 lumbosacral (846.0) 847.0 Neck Anterior longitudinal (ligament), cervical Atlanto-axial (joints) Atlanto-occipital (joints) Whiplash injury neck injury NOS (959.0) 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 INJURY AND POISONING 773 848 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 Costal cartilage 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 that in childbirth (665.6) 848.8 Other specified sites of sprains and strains 848.9 Unspecified site of sprain and strain 774 TABULAR LIST INTRACRANIAL INJURY, EXCLUDING THOSE WITH SKULL FRACTURE (850-854) intracranial injury with skull fracture (800-801 and 803-804, except .0 and .5) nerve injury (950.0-951.9) open wound of head without intracranial injury (870.0-873.9) skull fracture alone (800-801 and 803-804 with .0,.5) 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: unspecified state of consciousness with no loss of consciousness with brief [less than one hour] loss of consciousness with moderate [1-24 hours] loss of consciousness with prolonged [more than 24 hours] loss of conscious- ness and return to pre-existing conscious level with prolonged [more than 24 hours] loss of conscious- ness, without return to pre-existing conscious level with loss of consciousness of unspecified duration with concussion, unspecified WN =O wn oo A 850 Concussion Includes: commotio cerebri 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 INJURY AND POISONING 775 850.3 850.4 850.5 850.9 With prolonged loss of consciousness and return to pre-existing conscious level Loss of consciousness for more than 24 hours with complete recovery With prolonged loss of consciousness, without return to pre-existing conscious level With loss of consciousness of unspecified duration Concussion, unspecified § 851 Cerebral laceration and contusion 0851.0 0851.1 0851.2 0851.3 0851.4 0851.5 0851.6 0851.7 Cortex (cerebral) contusion without mention of open intracranial wound Cortex (cerebral) contusion with open intracranial wound Cortex (cerebral) laceration without mention of open intracranial wound Cortex (cerebral) laceration with open intracranial wound Cerebellar or brain stem contusion without mention of open intracranial wound Cerebellar or brain stem contusion with open intracranial wound Cerebellar or brain stem laceration without mention of open intracranial wound Cerebellar or brain stem laceration with open intracranial wound § Requires fifth-digit. See page 774 for codes and definitions. 776 TABULAR LIST 0851.8 Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound Brain (membrane) NOS 0851.9 Other and unspecified cerebral laceration and contusion, with open intracranial wound § 852 Subarachnoid, subdural, and extradural hemorrhage, following injury 0852.0 Subarachnoid hemorrhage following injury without mention of open intracranial wound Middle meningeal hemorrhage following injury 0852.1 Subarachnoid hemorrhage following injury with open intracranial wound 0852.2 Subdural hemorrhage following injury without mention of open intracranial wound 0852.3 Subdural hemorrhage following injury with open intracranial wound 0852.4 Extradural hemorrhage following injury without mention of open intracranial wound Epidural hematoma following injury 0852.5 Extradural hemorrhage following injury with open intracranial wound § 853 Other and unspecified intracranial hemorrhage following injury 853.0 Without mention of open intracranial wound Cerebral compression due to injury Intracranial hematoma following injury Traumatic cerebral hemorrhage § Requires fifth-digit. See page 774 for codes and definitions. INJURY AND POISONING 777 853.1 With open intracranial wound § 854 Intracranial injury of other and unspecified nature Includes: brain injury NOS head injury NOS 854.0 Without mention of open intracranial wound 854.1 With open intracranial wound INTERNAL INJURY OF CHEST, ABDOMEN, AND PELVIS (860-869) Includes: blast injuries blunt trauma bruise concussion injuries (except cerebral) crushing of internal organs hematoma laceration puncture tear traumatic rupture J concussion NOS (850.0-850.9) flail chest (807.4) Jforeign body entering through orifice (930.0-939.9) injury to blood vessels (901.0-902.9) 3 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 § Requires fifth digit. See page 774 for codes and definitions. 778 TABULAR LIST 860.2 860.3 860.4 860.5 Hemothorax without mention of open wound into thorax Hemothorax with open wound into thorax Pneumohemothorax without mention of open wound into thorax Pneumohemothorax with open wound into thorax 861 Injury to heart and lung 861.0 861.1 861.2 injury to blood vessels of thorax (901.0-901.9) 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 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 Lung, without mention of open wound into thorax 861.20 Unspecified injury 861.21 Contusion 861.22 Laceration INJURY AND POISONING 779 861.3 Lung, with open wound into thorax 861.30 Unspecified injury 861.31 Contusion 861.32 Laceration 862 Injury to other and unspecified intrathoracic organs 862.0 862.1 862.2 862.3 862.8 862.9 injury to blood vessels of thorax (901.0-901.9) Diaphragm, without mention of open wound into cavity Diaphragm, with open wound into cavity Other specified intrathoracic organs, without mention of open wound into cavity 862.21 Bronchus 862.22 Esophagus 862.29 Other Pleura Thymus gland Other specified intrathoracic organs, with open wound into cavity 862.31 Bronchus 862.32 Esophagus 862.39 Other Multiple and unspecified intrathoracic organs, without mention of open wound into cavity Crushed chest Multiple intrathoracic organs Multiple and unspecified intrathoracic organs, with open wound into cavity 780 TABULAR LIST 863 Injury to gastrointestinal tract 863.0 863.1 863.2 863.3 863.4 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) Stomach, without mention of open wound into cavity Stomach, with open wound into cavity Small intestine, without mention of open wound into cavity 863.20 Small intestine, unspecified site 863.21 Duodenum 863.29 Other Small intestine, with open wound into cavity 863.30 Small intestine, unspecified site 863.31 Duodenum 863.39 Other 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 INJURY AND POISONING 781 863.5 863.8 863.9 863.49 Other 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 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 Other and unspecified gastrointestinal sites, with open wound into cavity 863.90 Gastrointestinal tract, unspecified site 863.91 Pancreas, head 782 TABULAR LIST 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 9 other 864.0 Without mention of open wound into cavity 864.1 With open wound into cavity INJURY AND POISONING 783 865 Injury to spleen The following fifth-digit subclassification is for use with category 865: unspecified injury hematoma without rupture of capsule capsular tears, without major disruption of parenchyma laceration extending into parenchyma massive parenchymal disruption other CP WN=O 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 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 784 TABULAR LIST 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 Seminal vesicle Ovary Vas deferens Prostate 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: unspecified intra-abdominal organ adrenal gland bile duct and gallbladder peritoneum retroperitoneum other and multiple intra-abdominal organs CPW =O 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 extreme injury NOS severe crushing of unspecified site 869.0 Without mention of open wound into cavity 869.1 With open wound into cavity INJURY AND POISONING 785 OPEN WOUND (870-897) Includes: animal bite laceration avulsion puncture wound cut traumatic amputation 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) The description "complicated" used in the fourth-digit subdivisions includes those with mention of delayed healing, delayed treatment, foreign body, or major 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 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 786 TABULAR LIST 871 Open wound of eyeball 871.0 871.1 871.2 871.3 871.4 871.5 871.6 871.7 871.9 2nd cranial nerve [optic] injury (950.0-950.9) 3rd cranial nerve [oculomotor] injury (951.0) Ocular laceration without prolapse of intraocular tissue Ocular laceration with prolapse or exposure of intraocular tissue Rupture of eye with partial loss of intraocular tissue Avulsion of eye Traumatic enucleation Unspecified laceration of eye Penetration of eyeball with magnetic foreign body retained (old) magnetic foreign body in globe (360.50-360.59) Penetration of eyeball with (nonmagnetic) foreign body retained (old) (nonmagnetic) foreign body in globe (360.60-360.69) Unspecified ocular penetration 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 INJURY AND POISONING 787 872.1 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 Drumbhead 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 that with mention of intracranial injury (851.0-854.1) 788 TABULAR LIST 873.0 873.1 873.2 873.3 873.4 Scalp, without mention of complication Scalp, complicated 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 Nose, complicated 873.30 Nose, unspecified site 873.31 Nasal septum 873.32 Nasal cavity 873.33 Nasal sinus 873.39 Multiple sites 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 INJURY AND POISONING 789 873.5 873.6 873.7 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 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 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 790 TABULAR LIST 873.8 873.9 Other and unspecified open wound of head without mention of complication Head NOS Other and unspecified open wound of head, complicated 874 Open wound of neck 874.0 874.1 874.2 874.3 874.4 874.5 874.8 874.9 Larynx and trachea, without mention of complication 874.00 Larynx with trachea 874.01 Larynx 874.02 Trachea Larynx and trachea, complicated 874.10 Larynx with trachea 874.11 Larynx 874.12 Trachea Thyroid gland, without mention of complication Thyroid gland, complicated Pharynx, without mention of complication Cervical esophagus Pharynx, complicated Other and unspecified parts, without mention of complication Nape of neck Throat NOS Supraclavicular region Other and unspecified parts, complicated INJURY AND POISONING 791 875 876 877 878 Open wound of chest (wall) open wound into thoracic cavity (860.0-862.9) 875.0 Without mention of complication 875.1 Complicated Open wound of back Includes: loin lumbar region 876.0 Without mention of complication 876.1 Complicated Open wound of buttock Includes: sacroiliac region 877.0 Without mention of complication 877.1 Complicated Open wound of genital organs (external), including traumatic amputation injury during delivery (664.0-6635.9) 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) 792 TABULAR LIST 878.5 878.6 878.7 878.8 878.9 Vulva, complicated Vagina, without mention of complication Vagina, complicated Other and unspecified parts, without mention of complication Other and unspecified parts, complicated 879 Open wound of other and unspecified sites, except limbs 879.0 879.1 879.2 879.3 879.4 879.5 879.6 879.7 Breast, without mention of complication Breast, complicated Abdominal wall, anterior, without mention of complication Abdominal wall NOS Pubic region Epigastric region Umbilical region Hypogastric region Abdominal wall, anterior, complicated Abdominal wall, lateral, without mention of complication Flank Iliac (region) Groin Inguinal region Hypochondrium Abdominal wall, lateral, complicated Other and unspecified parts of trunk, without mention of complication Pelvic region Trunk NOS Perineum Other and unspecified parts of trunk, complicated INJURY AND POISONING 793 879.8 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: shoulder region scapular region "axillary region upper arm multiple sites CW =O 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 794 TABULAR LIST 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 INJURY AND POISONING 795 886 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 796 TABULAR LIST 891 Open wound of knee, leg [except thigh], and ankle Includes: leg NOS multiple sites of leg, except thigh 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 INJURY AND POISONING 797 894.1 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 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 798 TABULAR LIST 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 avulsion of blood vessel, cut : secondary to laceration Al other injuries rupture i ; e.g., fracture traumatic aneurysm or open wound or fistula (arteriovenous) 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 INJURY AND POISONING 799 900.9 Unspecified blood vessel of head and neck 901 Injury to blood vessels of thorax 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 800 TABULAR LIST 902.1 902.2 902.3 Inferior vena cava 902.10 Inferior vena cava, unspecified 902.11 Hepatic veins 902.19 Other 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 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 INJURY AND POISONING 801 902.4 902.5 902.8 902.9 Unspecified blood vessel of abdomen and pelvis Renal blood vessels 902.40 Renal vessel(s), unspecified 902.41 Renal artery 902.42 Renal vein 902.49 Other Suprarenal arteries 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 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 802 TABULAR LIST 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 INJURY AND POISONING 803 904.41 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 else- where. The "late effects" include those specified as such, or as sequelae, or those which are present one year or more 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 800-804 804 TABULAR LIST 905.1 905.2 905.3 905.4 905.5 905.6 905.7 905.8 905.9 Late effect of fracture of spine and trunk without mention of spinal cord lesion Late effect of injury classifiable to 805, 807-809 Late effect of fracture of upper extremities Late effect of injury classifiable to 810-819 Late effect of fracture of neck of femur Late effect of injury classifiable to 820 Late effect of fracture of lower extremities Late effect of injury classifiable to 821-827 Late effect of fracture of multiple and unspecified bones Late effect of injury classifiable to 828-829 Late effect of dislocation Late effect of injury classifiable to 830-839 Late effect of sprain and strain without mention of tendon injury Late effect of injury classifiable to 840-848, except tendon injury 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] Late effect of traumatic amputation Late effect of injury classifiable to 885-887, 895-897 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 INJURY AND POISONING 805 906.1 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, 952 806 TABULAR LIST 907.3 907.4 907.5 907.9 Late effect of injury to nerve root(s), spinal plexus(es), and other nerves of trunk Late effect of injury classifiable to 953-954 Late effect of injury to peripheral nerve of shoulder girdle and upper limb Late effect of injury classifiable to 955 Late effect of injury to peripheral nerve of pelvic girdle and lower limb Late effect of injury classifiable to 956 Late effect of injury to other and unspecified nerve Late effect of injury classifiable to 957 908 Late effects of other and unspecified injuries 908.0 908.1 908.2 908.3 908.4 908.5 908.6 Late effect of internal injury to chest Late effect of injury classifiable to 860-862 Late effect of internal injury to intra-abdominal organs Late effect of injury classifiable to 863-866, 868 Late effect of internal injury to other internal organs Late effect of injury classifiable to 867 or 869 Late effect of injury to blood vessel of head, neck, and extremities Late effect of injury classifiable to 900, 903-904 Late effect of injury to blood vessel of thorax, abdomen, and pelvis Late effect of injury classifiable to 901-902 Late effect of foreign body in orifice Late effect of injury classifiable to 930-939 Late effect of certain complications of trauma Late effect of complications classifiable to 958 INJURY AND POISONING 807 908.9 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 960-979 909.1 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 991-994 909.9 Late effect of other and unspecified external causes Late effect of conditions classifiable to 995 SUPERFICIAL INJURY (910-919) burn (blisters) (940.0-949.5) contusion (920-924.9) Sforeign 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) 808 TABULAR LIST 910 Superficial injury of face, neck, and scalp except eye 910.0 910.1 910.2 910.3 910.4 910.5 910.6 910.7 910.8 910.9 Includes: cheek lip ear nose gum throat eye and adnexa (918.0-918.9) Abrasion or friction burn without mention of infection Abrasion or friction burn, infected Blister without mention of infection Blister, infected Insect bite, nonvenomous, without mention of infection Insect bite, nonvenomous, infected Superficial foreign body (splinter) without major open wound and without mention of infection Superficial foreign body (splinter) without major open wound, infected Other and unspecified superficial injury of face, neck, and scalp without mention of infection Other and unspecified superficial injury of face, neck, and scalp, infected INJURY AND POISONING 809 911 Superficial injury of trunk 911.0 911.1 911.2 911.3 911.4 911.5 911.6 911.7 911.8 911.9 Includes: abdominal wall interscapular region anus labium (majus) (minus) back penis breast perineum buttock scrotum chest wall testis flank vagina groin vulva hip (916.0-916.9) scapular region (912.0-912.9) Abrasion or friction burn without mention of infection Abrasion or friction burn, infected Blister without mention of infection Blister, infected Insect bite, nonvenomous, without mention of infection Insect bite, nonvenomous, infected Superficial foreign body (splinter) without major open wound and without mention of infection Superficial foreign body (splinter) without major open wound, infected Other and unspecified superficial injury of trunk without mention of infection Other and unspecified superficial injury of trunk, infected 912 Superficial injury of shoulder and upper arm Includes: axilla scapular region 810 TABULAR LIST 912.0 912.1 912.2 912.3 912.4 912.5 912.6 912.7 912.8 912.9 Abrasion or friction burn without mention of infection Abrasion or friction burn, infected Blister without mention of infection Blister, infected Insect bite, nonvenomous, without mention of infection Insect bite, nonvenomous, infected Superficial foreign body (splinter) without major open wound and without mention of infection Superficial foreign body (splinter) without major open wound, infected Other and unspecified superficial injury of shoulder and upper arm without mention of infection Other and unspecified superficial injury of shoulder and upper arm, infected 913 Superficial injury of elbow, forearm, and wrist 913.0 913.1 913.2 913.3 913.4 913.5 Abrasion or friction burn without mention of infection Abrasion or friction burn, infected Blister without mention of infection Blister, infected Insect bite, nonvenomous, without mention of infection Insect bite, nonvenomous, infected INJURY AND POISONING 811 913.6 913.7 913.8 913.9 Superficial foreign body (splinter) without major open wound and without mention of infection Superficial foreign body (splinter) without major open wound, infected Other and unspecified superficial injury of elbow, forearm, and wrist without mention of infection Other and unspecified superficial injury of elbow, forearm, and wrist, infected 914 Superficial injury of hand(s) except finger(s) alone 914.0 914.1 914.2 914.3 914.4 914.5 914.6 914.7 914.8 914.9 Abrasion or friction burn without mention of infection Abrasion or friction burn, infected Blister without mention of infection Blister, infected Insect bite, nonvenomous, without mention of infection Insect bite, nonvenomous, infected Superficial foreign body (splinter) without major open wound and without mention of infection Superficial foreign body (splinter) without major open wound, infected Other and unspecified superficial injury of hand without mention of infection Other and unspecified superficial injury of hand, infected 812 TABULAR LIST 915 Superficial injury of finger(s) 915.0 915.1 915.2 915.3 915.4 915.5 915.6 915.7 915.8 915.9 Includes: fingernail thumb (nail) Abrasion or friction burn without mention of infection Abrasion or friction burn, infected Blister without mention of infection Blister, infected Insect bite, nonvenomous, without mention of infection Insect bite, nonvenomous, infected Superficial foreign body (splinter) without major open wound and without mention of infection Superficial foreign body (splinter) without major open wound, infected Other and unspecified superficial injury of fingers without mention of infection Other and unspecified superficial injury of fingers, infected 916 Superficial injury of hip, thigh, leg, and ankle 916.0 916.1 916.2 916.3 916.4 Abrasion or friction burn without mention of infection Abrasion or friction burn, infected Blister without mention of infection Blister, infected Insect bite, nonvenomous, without mention of infection INJURY AND POISONING 813 916.5 916.6 916.7 916.8 916.9 Insect bite, nonvenomous, infected Superficial foreign body (splinter) without major open wound and without mention of infection Superficial foreign body (splinter) without major open wound, infected Other and unspecified superficial injury of hip, thigh, leg, and ankle without mention of infection Other and unspecified superficial injury of hip, thigh, leg, and ankle, infected 917 Superficial injury of foot and toe(s) 917.0 917.1 917.2 917.3 917.4 917.5 917.6 917.7 917.8 Includes: heel toenail Abrasion or friction burn without mention of infection Abrasion or friction burn, infected Blister without mention of infection Blister, infected Insect bite, nonvenomous, without mention of infection Insect bite, nonvenomous, infected Superficial foreign body (splinter) without major open wound and without mention of infection Superficial foreign body (splinter) without major open wound, infected Other and unspecified superficial injury of foot and toes without mention of infection 814 TABULAR LIST 917.9 Other and unspecified superficial injury of foot and toes, infected 918 Superficial injury of eye and adnexa burn (940.0-940.9) Jforeign body on external eye (930.0-930.9) 918.0 Eyelids and periocular area Abrasion Superficial foreign body Insect bite (splinter) 918.1 Cornea Corneal abrasion Superficial laceration 918.2 Conjunctiva 918.9 Other and unspecified superficial injuries of eye Eye (ball) NOS 919 Superficial injury of other, multiple, and unspecified sites 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 INJURY AND POISONING 815 919.7 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 hematoma open wound 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 Mandibular joint area Ear (auricle) Nose Gum Throat Lip 921 Contusion of eye and adnexa 921.0 Black eye, not otherwise specified 921.1 Contusion of eyelids and periocular area 921.2 Contusion of orbital tissues 921.3 Contusion of eyeball 816 TABULAR LIST 921.9 Unspecified contusion of eye Injury of eye NOS 922 Contusion of trunk 922.0 922.1 922.2 922.3 922.4 922.8 922.9 Breast Chest wall Abdominal wall Flank Groin Back Buttock Interscapular region scapular region (923.01) Genital organs Labium (majus) (minus) Testis Penis Vagina Perineum Vulva Scrotum Multiple sites of trunk 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 INJURY AND POISONING 817 923.1 923.2 923.3 923.8 923.9 Elbow and forearm 923.10 Forearm 923.11 Elbow Wrist and hand(s), except finger(s) alone 923.20 Hand(s) 923.21 Wrist Finger Fingernail Thumb (nail) Multiple sites of upper limb Unspecified part of upper limb Arm NOS 924 Contusion of lower limb and of other and unspecified sites 924.0 924.1 924.2 Hip and thigh 924.00 Thigh 924.01 Hip Knee and lower leg 924.10 Lower leg 924.11 Knee Ankle and foot, excluding toe(s) 924.20 Foot Heel 924.21 Ankle 818 TABULAR LIST 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) concussion (850.0-850.9) 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 Pharynx Ear Throat Larynx head (800.0-801.9, 803.0-804.9) nose (802.0-802.1) 926 Crushing injury of trunk crush injury of internal organs (860.0-869.1) 926.0 External genitalia Labium (majus) (minus) Testis Penis Vulva Scrotum 926.1 Other specified sites 926.11 Back 926.12 Buttock INJURY AND POISONING 819 926.8 926.9 926.19 Other Breast crushing of chest (860.0-862.9) Multiple sites of trunk Unspecified site Trunk NOS 927 Crushing injury of upper limb 927.0 927.1 927.2 927.3 927.8 927.9 Shoulder and upper arm 927.00 Shoulder region 927.01 Scapular region 927.02 Axillary region 927.03 Upper arm 927.09 Multiple sites Elbow and forearm 927.10 Forearm 927.11 Elbow Wrist and hand(s), except finger(s) alone 927.20 Hand(s) 927.21 Wrist Finger(s) Multiple sites of upper limb Unspecified site Arm NOS 820 TABULAR LIST 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 multiple extreme injury NOS (869.0-869.1) 929.0 Multiple sites, not elsewhere classified 929.9 Unspecified site severe crushing injury of unspecified site (869.0-869.1) INJURY AND POISONING 821 EFFECTS OF FOREIGN BODY ENTERING THROUGH ORIFICE (930-939) Joreign 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 Joreign 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 822 TABULAR LIST 933.1 Larynx Asphyxia due to foreign Choking due to: body 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 INJURY AND POISONING 823 939.1 Uterus, any part intrauterine contraceptive device: complications from (996.32, 996.6) presence of (V45.5) 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 friction burns (910-919 with .0, .1) sunburn (692.71) 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 824 TABULAR LIST 940.9 Unspecified burn of eye and adnexa 941 Burn of face, head, and neck mouth (947.0) The following fifth-digit subclassification is for use with category 941: 941.0 941.1 941.2 941.3 0941.4 0941.5 © 0 AQAUNEWN=O face and head, unspecified site ear [any part] eye (with other parts of face, head, and neck) lip(s) chin nose (septum) scalp [any part] Temple (region) forehead and cheek neck multiple sites [except with eye] of face, head, and neck Unspecified degree Erythema [first degree] Blisters, epidermal loss [second degree] Full-thickness skin loss [third degree NOS] Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part Deep necrosis of underlying tissues [deep third degree] with loss of a body part INJURY AND POISONING 825 942 Burn of trunk scapular region (943.0-943.5 with fifth-digit 6) The following fifth-digit subclassification is for use with category 942: 942.0 942.1 942.2 942.3 0942.4 0942.5 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 S genitalia Labium (majus) Scrotum (minus) Testis Penis Vulva Perineum 9 other and multiple sites of trunk Unspecified degree Erythema [first degree] Blisters, epidermal loss [second degree] Full-thickness skin loss [third degree NOS] Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part Deep necrosis of underlying tissues [deep third degree] with loss of a body part 826 TABULAR LIST 943 Burn of upper limb, except wrist and hand The following fifth-digit subclassification is for use with category 943: CANE WN=O upper limb, unspecified site forearm elbow upper arm axilla shoulder scapular region 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] 0943.4 Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part 0943.5 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: RINNE WN=O hand, unspecified site single digit [finger (nail)] other than thumb thumb (nail) two or more digits, not including thumb two or more digits including thumb palm back of hand wrist multiple sites of wrist(s) and hand(s) 944.0 Unspecified degree INJURY AND POISONING 827 944.1 944.2 944.3 0944.4 0944.5 Erythema [first degree] Blisters, epidermal loss [second degree] Full-thickness skin loss [third degree NOS] Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part 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: 945.0 945.1 945.2 945.3 0945.4 0945.5 lower limb [leg], unspecified site toe(s) (nail) foot ankle lower leg knee thigh [any part] multiple sites of lower limb(s) COANE WN=O Unspecified degree Erythema [first degree] Blisters, epidermal loss [second degree] Full-thickness skin loss [third degree NOS] Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part Deep necrosis of underlying tissues [deep third degree] with loss of a body part 828 TABULAR LIST 946 Burns of multiple specified sites Includes: burns of sites classifiable to more than one three-digit category in 940-945 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] 0946.4 Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part 0946.5 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 Small intestine Rectum Stomach 947.4 Vagina and uterus 947.8 Other specified sites 947.9 Unspecified site INJURY AND POISONING 829 948 Burns classified according to extent of body surface involved 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: 948.0 [0] 948.1 [0-1] 948.2 [0-2] 948.3 [0-3] 948.4 [0-4] 948.5 [0-5] less than 10 percent or unspecified 10-19% 20-29% 30-39% 40-49% 50-59% 60-69% 70-79% 80-89% 90% or more of body surface CRONIN NPELONN=O Burn [any degree] involving less than 10 percent of body surface 10-19 percent of body surface 20-29 percent of body surface 30-39 percent of body surface 40-49 percent of body surface 50-59 percent of body surface 948.6 60-69 percent of body surface [0-6] 948.7 [0-7] 948.8 [0-8] 948.9 [0-9] 70-79 percent of body surface 80-89 percent of body surface 90 percent or more of body surface 830 TABULAR LIST 949 Burn, unspecified Includes: burn NOS multiple burns NOS 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] 0949.4 Deep necrosis of underlying tissues [deep third degree] without mention of loss of a body part 0949.5 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 traumatic neuroma (with open wound) traumatic transient paralysis 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 INJURY AND POISONING 831 950.3 950.9 Injury to visual cortex Unspecified Traumatic blindness NOS 951 Injury to other cranial nerve(s) 951.0 951.1 951.2 951.3 951.4 951.5 951.6 951.7 951.8 951.9 Injury to oculomotor nerve Third cranial nerve Injury to trochlear nerve Fourth cranial nerve Injury to trigeminal nerve Fifth cranial nerve Injury to abducens nerve Sixth cranial nerve Injury to facial nerve Seventh cranial nerve Injury to acoustic nerve Auditory nerve Traumatic deafness NOS Eighth cranial nerve Injury to accessory nerve Eleventh cranial nerve Injury to hypoglossal nerve Twelfth cranial nerve 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 Injury to unspecified cranial nerve 832 TABULAR LIST 952 Spinal cord injury without evidence of spinal bone injury 952.0 Cervical 952.1 952.00 C;-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 C;1-C4 level with central cord syndrome 952.04 C1-C4 level with other specified spinal cord injury Incomplete spinal cord lesion at Ci-Cy level: NOS with posterior cord syndrome 952.05 Cs-C7 level with unspecified spinal cord injury 952.06 Cs5-C7 level with complete lesion of spinal cord 952.07 Cs-C7 level with anterior cord syndrome 952.08 Cs-C7 level with central cord syndrome 952.09 Cs-C7 level with other specified spinal cord injury Incomplete spinal cord lesion at Cs-C7 level: NOS with posterior cord syndrome Dorsal [thoracic] 952.10 T;-Te level with unspecified spinal cord injury Spinal cord injury, thoracic region NOS 952.11 T;-Te level with complete lesion of spinal cord 952.12 T;-T¢ level with anterior cord syndrome 952.13 T;-T¢ level with central cord syndrome 952.14 T;-Te level with other specified spinal cord injury Incomplete spinal cord lesion at T1-Te level: NOS with posterior cord syndrome INJURY AND POISONING 833 952.2 952.3 952.4 952.8 952.9 952.15 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-Ti2 level with central cord syndrome 952.19 T7-Ti2 level with other specified spinal cord injury Incomplete spinal cord lesion at T7-T; level: NOS with posterior cord syndrome Lumbar Sacral Cauda equina Multiple sites of spinal cord Unspecified site of spinal cord 953 Injury to nerve roots and spinal plexus 953.0 953.1 953.2 953.3 953.4 953.5 953.8 Cervical root Dorsal root Lumbar root Sacral root Brachial plexus Lumbosacral plexus Multiple sites 834 TABULAR LIST 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 Splanchnic nerve(s) Inferior mesenteric plexus 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 INJURY AND POISONING 835 956 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 836 TABULAR LIST CERTAIN TRAUMATIC COMPLICATIONS AND UNSPECIFIED INJURIES (958-959) 958 Certain early complications of trauma 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 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 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 958.4 Traumatic shock Shock (immediate) (delayed) following injury shock: anaphylactic (995.0) due to serum (999.4) anesthetic (995.4) electric (994.8) Jollowing abortion (639.5) lightning (994.0) nontraumatic NOS (785.50) obstetric (669.1) postoperative (998.0) INJURY AND POISONING 837 958.5 Traumatic anuria Crush syndrome Renal failure following crushing that due to a medical procedure (997.5) 958.6 Volkmann’s ischemic contracture Posttraumatic muscle contracture 958.7 Traumatic subcutaneous emphysema subcutaneous emphysema resulting from a procedure (998.8) 958.8 Other early complications of trauma 959 Injury, other and unspecified Includes: injury NOS injury NOS of: blood vessels (900.0-904.9) eye (921.0-921.9) head (854.0-854.1) internal organs (860.0-869.1) intracranial sites (854.1) nerves (950.0-951.9, 953.0-957.9) spinal cord (952.0-952.9) 959.0 Face and neck Cheek Mouth Ear Nose Eyebrow Throat Lip 959.1 Trunk Abdominal wall External genital organs Back Flank Breast Groin Buttock Interscapular region Chest wall Perineum scapular region (959.2) 838 TABULAR LIST 959.2 959.3 959.4 959.5 959.6 959.7 959.8 959.9 Shoulder and upper arm Axilla Scapular region Elbow, forearm, and wrist Hand, except finger Finger Fingernail Thumb (nail) Hip and thigh Upper leg Knee, leg, ankle, and foot Other specified sites, including multiple multiple sites classifiable to the same Jfour-digit category (959.0-959.7) Unspecified site INJURY AND POISONING 839 POISONING BY DRUGS, MEDICINAL AND BIOLOGICAL SUBSTANCES (960-979) Includes: overdose of these substances wrong substance given or taken in error 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) 960 Poisoning by antibiotics antibiotics: ear, nose, and throat (976.6) eye (976.5) local (976.0) 960.0 Penicillins Ampicillin Cloxacillin Carbenicillin Penicillin G 840 TABULAR LIST 960.1 960.2 960.3 960.4 960.5 960.6 960.7 960.8 960.9 Antifungal antibiotics Amphotericin B Nystatin Griseofulvin Trichomycin preparations intended for topical use (976.0-976.9) Chloramphenicol group Chloramphenicol Thiamphenicol Erythromycin and other macrolides Oleandomycin Spiramycin Tetracycline group Doxycycline Oxytetracycline Minocycline Cephalosporin group Cephalexin Cephaloridine Cephaloglycin Cephalothin Antimycobacterial antibiotics Cycloserine Rifampin Kanamycin Streptomycin Antineoplastic antibiotics Actinomycin such as: Bleomycin Cactinomycin Daunorubicin Dactinomycin Mitomycin Other specified antibiotics Unspecified antibiotic 961 Poisoning by other anti-infectives anti-infectives: ear, nose, and throat (976.6) eye (976.5) local (976.0) INJURY AND POISONING 841 961.0 961.1 961.2 961.3 961.4 961.5 961.6 961.7 961.8 Sulfonamides Sulfadiazine Sulfamethoxazole Sulfafurazole Arsenical anti-infectives Heavy metal anti-infectives Compounds of: Compounds of: antimony lead bismuth mercury mercurial diuretics (974.0) Quinoline and hydroxyquinoline derivatives Chiniofon Diiodohydroxyquin antimalarial drugs (961.4) Antimalarials and drugs acting on other blood protczoa Chloroquine Proguanil [chloroguanide] Cycloguanil Pyrimethamine Primaquine Quinine Other antiprotozoal drugs Emetine Anthelmintics Hexylresorcinol Thiabendazole Piperazine Antiviral drugs Methisazone amantadine (966.4) cytarabine (963.1) idoxuridine (976.5) Other antimycobacterial drugs Ethambutol Para-aminosalicylic acid Ethionamide derivatives Isoniazid Sulfones 842 TABULAR LIST 961.9 Other and unspecified anti-infectives Flucytosine Nitrofuran derivatives 962 Poisoning by hormones and synthetic substitutes oxytocic hormones (975.0) 962.0 Adrenal cortical steroids Cortisone derivatives Desoxycorticosterone derivatives Fluorinated corticosteroids 962.1 Androgens and anabolic congeners Methandriol Oxymetholone Nandrolone Testosterone 962.2 Ovarian hormones and synthetic substitutes Contraceptives, oral Estrogens Estrogens and progestogens, combined Progestogens 962.3 Insulins and antidiabetic agents Acetohexamide Insulin Biguanide derivatives, Phenformin oral Sulfonylurea derivatives, Chlorpropamide oral Glucagon Tolbutamide 962.4 Anterior pituitary hormones Corticotropin Gonadotropin Somatotropin [growth hormone] 962.5 Posterior pituitary hormones Vasopressin oxytocic hormones (975.0) 962.6 Parathyroid and parathyroid derivatives INJURY AND POISONING 843 962.7 Thyroid and thyroid derivatives Dextrothyroxin Liothyronine Levothyroxine sodium Thyroglobulin 962.8 Antithyroid agents Iodides Thiourea Thiouracil 962.9 Other and unspecified hormones and synthetic substitutes 963 Poisoning by primarily systemic agents 963.0 Antiallergic and antiemetic drugs Antihistamines Diphenylpyraline Chlorpheniramine Thonzylamine Diphenhydramine Tripelennamine phenothiazine-based tranquilizers (969.1) 963.1 Antineoplastic and immunosuppressive drugs Azathioprine Cytarabine Busulfan Fluorouracil Chlorambucil Mercaptopurine Cyclophosphamide thio-TEPA 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 nicotinic acid (972.2) vitamin K (964.3) 963.8 Other specified systemic agents Heavy metal antagonists 844 TABULAR LIST 963.9 Unspecified systemic agent 964 Poisoning by agents primarily affecting blood constituents 964.0 964.1 964.2 964.3 964.4 964.5 964.6 964.7 964.8 964.9 Iron and its compounds Ferric salts Ferrous sulfate and other ferrous salts Liver preparations and other antianemic agents Folic acid Anticoagulants Coumarin Phenindione Heparin Warfarin sodium Vitamin K [phytonadione] Fibrinolysis-affecting drugs Aminocaproic acid Streptokinase Streptodornase Urokinase Anticoagulant antagonists and other coagulants Hexadimethrine Protamine sulfate Gamma globulin Natural blood and blood products Blood plasma Packed red cells Human fibrinogen Whole blood transfusion reactions (999.4-999.8) Other specified agents affecting blood constituents Macromolecular blood substitutes Plasma expanders Unspecified agent affecting blood constituents INJURY AND POISONING 845 965 Poisoning by analgesics, antipyretics, and antirheumatics 965.0 965.1 965.4 965.5 965.6 965.7 965.8 drug dependence (304.0-304.9) nondependent abuse (305.0-305.9) Opiates and related narcotics 965.00 Opium (alkaloids), unspecified 965.01 Heroin Diacetylmorphine 965.02 Methadone 965.09 Other Codeine [methylmorphine] Meperidine [pethidine] Morphine Salicylates Acetylsalicylic acid [aspirin] Salicylic acid salts Aromatic analgesics, not elsewhere classified Acetanilid Paracetamol [acetaminophen] Phenacetin [acetophenetidin] Pyrazole derivatives Aminophenazone [aminopyrine] Phenylbutazone Antirheumatics [antiphlogistics] Gold salts Indomethacin salicylates (965.1) steroids (962.0-962.9) Other non-narcotic analgesics Pyrabital Other specified analgesics and antipyretics Pentazocine 846 TABULAR LIST 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 barbiturates (967.0) sulfonamides (961.0) 966.4 Anti-Parkinsonism drugs Amantadine Ethopropazine [profenamine] Levodopa [L-dopa] 967 Poisoning by sedatives and hypnotics 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] thiobarbiturate anesthetics (968.3) 967.1 Chloral hydrate group 967.2 Paraldehyde INJURY AND POISONING 847 967.3 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 pill NOS tablet 968 Poisoning by other central nervous system depressants and anesthetics drug dependence (304.0-304.9) nondependent abuse (305.0-305.9) 968.0 Central nervous system muscle-tone depressants Chlorphenesin (carbamate) Methocarbamol Mephenesin 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 848 TABULAR LIST 968.5 968.6 968.7 968.9 Surface [topical] and infiltration anesthetics Cocaine Procaine Lidocaine [lignocaine] Tetracaine Peripheral nerve- and plexus-blocking anesthetics Spinal anesthetics Other and unspecified local anesthetics 969 Poisoning by psychotropic agents 969.0 969.1 969.2 969.3 969.4 969.5 drug dependence (304.0-304.9) nondependent abuse (305.0-305.9) Antidepressants Amitriptyline Monoamine oxidase [MAO] Imipramine inhibitors Phenothiazine-based tranquilizers Chlorpromazine Prochlorperazine Fluphenazine Promazine Butyrophenone-based tranquilizers Haloperidol Trifluperidol Spiperone Other antipsychotics, neuroleptics, and major tranquilizers Benzodiazepine-based tranquilizers Chlordiazepoxide Lorazepam Diazepam Medazepam Flurazepam Nitrazepam Other tranquilizers Hydroxyzine Meprobamate INJURY AND POISONING 849 969.6 Psychodysleptics [hallucinogens] Cannabis (derivatives) Mescaline Lysergide [LSD] Psilocin Marihuana (derivatives) Psilocybin 969.7 Psychostimulants Amphetamine Caffeine 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 Naloxone Nalorphine 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 Pilocarpine Anticholinesterase: organophosphorus reversible 850 TABULAR LIST 971.1 Parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics Atropine Hyoscine [scopolamine] Homatropine Quaternary ammonium derivatives 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 Propranolol Procainamide Quinidine lidocaine (968.5) 972.1 Cardiotonic glycosides and drugs of similar action Digitalis glycosides Strophanthins Digoxin 972.2 Antilipemic and antiarteriosclerotic drugs Clofibrate Nicotinic acid derivatives 972.3 Ganglion-blocking agents Pentamethonium bromide 972.4 Coronary vasodilators Dipyridamole Nitrites Nitrates [nitroglycerin] INJURY AND POISONING 851 972.5 Other vasodilators Cyclandelate Papaverine Diazoxide nicotinic acid (972.2) 972.6 Other antihypertensive agents Clonidine Rauwolfia alkaloids Guanethidine 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 Phenolphthalein Castor oil 973.2 Emollient cathartics Dioctyl sulfosuccinates 973.3 Other cathartics, including intestinal atonia drugs Magnesium sulfate 973.4 Digestants Pancreatin Pepsin Papain 852 TABULAR LIST 973.5 973.6 973.8 973.9 Antidiarrheal drugs Kaolin Pectin anti-infectives (960.0-961.9) Emetics Other specified agents primarily affecting the gastro- intestinal system Unspecified agent primarily affecting the gastrointestinal system 974 Poisoning by water, mineral, and uric acid metabolism drugs 974.0 974.1 974.2 974.3 974.4 974.5 974.6 Mercurial diuretics Chlormerodrin Mersalyl Mercaptomerin Purine derivative diuretics Theobromine Theophylline aminophylline [theophylline ethylenediamine] (975.7) caffeine (969.7) Carbonic acid anhydrase inhibitors Acetazolamide Saluretics Benzothiadiazides Chlorothiazide group Other diuretics Ethacrynic acid Furosemide Electrolytic, caloric, and water-balance agents Other mineral salts, not elsewhere classified INJURY AND POISONING 853 974.7 Uric acid metabolism drugs Allopurinol Probenecid Colchicine 975 Poisoning by agents primarily acting on the smooth and skeletal muscles and respiratory system 975.0 Oxytocic agents Ergot alkaloids Prostaglandins Oxytocin 975.1 Smooth muscle relaxants Adiphenine Metaproterenol [orciprenaline] 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 Terpin hydrate Guaifenesin 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 854 TABULAR LIST 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 prepstations for ear, nose, and throat 976.7 Dental drugs topically applied 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 INJURY AND POISONING 8656 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 gamma globulin (964.6) 979.0 Smallpox vaccine 979.1 Rabies vaccine 856 TABULAR LIST 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) 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) 980 Toxic effect of alcohol 980.0 Ethyl alcohol Denatured alcohol Grain alcohol Ethanol acute alcohol intoxication (305.0) in alcoholism (303.0) drunkenness (simple) (305.0) pathological (291.4) 980.1 Methyl alcohol Methanol Wood alcohol INJURY AND POISONING 857 980.2 Isopropyl alcohol Dimethyl carbinol Rubbing alcohol Isopropanol 980.3 Fusel oil Alcohol: amyl butyl propyl 980.8 Other specified alcohols 980.9 Unspecified alcohol 981 Toxic effect of petroleum products Benzine Petroleum: Gasoline ether Kerosene naphtha Paraffin wax 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 chlorinated hydrocarbon preparations other than solvents (989.2) 982.4 Nitroglycol 982.8 Other nonpetroleum-based solvents Acetone 858 TABULAR LIST 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 Sodium hydroxide Potassium 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 INJURY AND POISONING 859 985.2 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 Iron compounds Copper salts Nickel compounds 985.9 Unspecified metal 986 Toxic effect of carbon monoxide Carbon monoxide from any source 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 Ethyliodoacetate Chloroacetophenone 987.6 Chlorine gas 860 TABULAR LIST 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 allergic reaction to food, such as: gastroenteritis (558.9) rash (692.5, 693.1) Jood 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 gas and fumes (987.7) 989.1 Strychnine and salts 989.2 Chlorinated hydrocarbons Aldrin DDT Chlordane Dieldrin chlorinated hydrocarbon solvents (982.0-982.3) INJURY AND POISONING 861 989.3 Organophosphate and carbamate Carbaryl Parathion Dichlorvos Phorate Malathion 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 989.9 Unspecified substance, chiefly nonmedicinal as to source OTHER AND UNSPECIFIED EFFECTS OF EXTERNAL CAUSES (990-995) 990 Effects of radiation, unspecified Complication of: Radiation sickness phototherapy radiation therapy 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) [The type of radiation giving rise to the adverse effect may be identified by use of the E codes.] 862 TABULAR LIST 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) hypothermia following anesthesia (995.89) hypothermia not associated with low environmental temperature (780.9) 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 burns (940.0-949.5) diseases of sweat glands due to heat (705.0-705.9) malignant hyperpyrexia following anesthesia (995.89) sunburn (692.71) 992.0 Heat stroke and sunstroke Heat apoplexy Siriasis Heat pyrexia Thermoplegia Ictus solaris INJURY AND POISONING 863 992.1 Heat syncope Heat collapse 992.2 Heat cramps 992.3 Heat exhaustion, anhydrotic Heat prostration due to water depletion 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 Hypobaropathy Andes disease Mountain sickness Anoxia due to high altitude 864 TABULAR LIST 993.3 Caisson disease Bends Decompression sickness Compressed-air disease 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 certain adverse effects not elsewhere classified (995.0-995.8) 994.0 Effects of lightning Shock from lightning Struck by lightning NOS 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 Travel sickness Seasickness INJURY AND POISONING 865 994.7 Asphyxiation and strangulation Suffocation (by): Suffocation (by): bedclothes plastic bag cave-in pressure constriction strangulation mechanical 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 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 Note: This category is to be used to identify the effects not elsewhere classifiable of unknown, undetermined, or ill- defined causes. This category may also be used to provide an additional code to identify the effects of conditions classified elsewhere. complications of surgical and medical care (996.0-999.9) 995.0 Anaphylactic shock Allergic shock 1 og or que to adverse effect of Anaphylactic correct medicinal substance reaction roperly administered Anaphylaxis propedy anaphylactic reaction to serum (999.4) 866 TABULAR LIST 995.1 Angioneurotic edema Giant urticaria 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 Adverse effect Allergic reaction Hypersensitivity Idiosyncrasy Drug: hypersensitivity NOS reaction NOS pathological drug intoxication (292.2) (due) to correct medicinal substance properly administered 995.3 Allergy, unspecified Allergic reaction NOS Idiosyncrasy NOS Hypersensitivity NOS allergic reaction NOS to correct medicinal substance properly administered (995.2) specific types of allergic reaction, such as: allergic diarrhea (558.9) dermatitis (691.0-693.9) hay fever (477.0-477.9) 995.4 Shock due to anesthesia Shock due to anesthesia in which the correct substance was properly administered 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) INJURY AND POISONING 867 995.5 Child maltreatment syndrome Battered baby or child syndrome NOS Emotional and/or nutritional maltreatment of child 995.8 Other specified adverse effects, not elsewhere classified 995.81 Adult maltreatment syndrome Abused person NEC Battered: person syndrome NEC spouse woman 995.89 Other Malignant hyperpyrexia or hypothermia due to anesthesia COMPLICATIONS OF SURGICAL AND MEDICAL CARE, NOT ELSEWHERE CLASSIFIED (996-999) 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 868 TABULAR LIST 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 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) Jfunctional cardiac disturbances (429.4) serum hepatitis (070.2-070.3) 996.0 Mechanical complication of cardiac device, implant, and graft Breakdown (mechanical) Obstruction, mechanical Displacement Perforation Leakage 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 996.09 Other INJURY AND POISONING 869 996.1 Mechanical complication of other vascular device, implant, and graft Mechanical complications involving: aortic (bifurcation) graft (replacement) arteriovenous: fistula surgically created shunt balloon (counterpulsation) device, intra-aortic carotid artery bypass graft dialysis catheter umbrella device, vena cava 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 complications due to: external stoma of urinary tract (997.5) internal anastomosis of urinary tract (997.5) 870 TABULAR LIST 996.4 Mechanical complication of internal orthopedic device, implant, and graft Mechanical complications involving: grafts of bone, cartilage, muscle, or tendon internal (fixation) device such as nail, plate, rod, etc. 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 996.6 Infection and inflammatory reaction due to internal prosthetic device, implant, and graft due to (presence of) any device, implant, and graft classifiable to 996.0-996.5 obstruction) Infection (causing Inflammation 996.7 Other complications of internal prosthetic device, implant, and graft Complication NOS Embolism ibrosi due to (presence of) any Fibrosis prone y Hemorrhage evice, implant, an Pain graft classifiable to S i 996.0-996.5 tenosis Thrombus transplant rejection (996.8) 996.8 Complications of transplanted organ Transplant failure or rejection INJURY AND POISONING 871 996.9 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 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 (996.8) 997.0 Central nervous system complications Anoxic brain damage during or resulting from Cerebral hypoxia } a procedure 872 TABULAR LIST 997.1 Cardiac complications Cardiac: arrest insufficiency Cardiorespiratory failure Heart failure the listed conditions as long-term effects of cardiac surgery or due to the presence of cardiac prosthetic device (429.4) during or resulting from a procedure 997.2 Peripheral vascular complications Phlebitis or thrombophlebitis during or resulting from a procedure the listed conditions due to: implant or catheter device (996.6) infusion, perfusion, or transfusion (999.2) complications affecting internal blood vessels, such as: mesenteric artery (997.4) renal artery (997.5) 997.3 Respiratory complications Mendelson’s syndrome ) resulting from a Pneumonia (aspiration) procedure 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 complication (519.0) INJURY AND POISONING 873 997.4 Gastrointestinal complications Complications of: external stoma of gastrointestinal tract, not elsewhere classified intestinal (internal) anastomosis and bypass, not elsewhere classified, except that involving urinary tract Siepalis failure | specified as due to epatorenal syndrome d Intestinal obstruction NOS a procedure specified gastrointestinal complications classified elsewhere, such as: blind loop syndrome (579.2) colostomy or enterostomy malfunction (569.6) gastrojejunal ulcer (534.0-534.9) 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 Read specified as due to ailure (acute) d insufficiency (acute) procegurs Tubular necrosis (acute) specified complications classified elsewhere, such as: postoperative stricture of: ureter (593.3) urethra (598.2) 997.6 Late amputation stump complication phantom limb (syndrome) (353.6) 997.60 Unspecified complication 997.61 Neuroma of amputation stump 874 TABULAR LIST 997.62 Infection (chronic) + 997.69 Other 997.9 Complications affecting other specified body systems, not elsewhere classified Vitreous touch syndrome specified complications classified elsewhere, such as: broad ligament laceration syndrome (620.6) postartificial menopause syndrome (627.4) postoperative stricture of vagina (623.2) 998 Other complications of procedures, not elsewhere classified 998.0 Postoperative shock Collapse NOS during or resulting Shock (endotoxic) (hypo- | from a surgical volemic) (septic) procedure shock: anaphylactic due to serum (999.4) anesthetic (995.4) electric (994.8) Sfollowing abortion (639.5) obstetric (669.1) traumatic (958.4) 998.1 Hemorrhage or hematoma complicating a procedure Hemorrhage of any site resulting from a procedure hemorrhage due to implanted device or graft (996.7) that complicating cesarean section or puerperal perineal wound (674.3) INJURY AND POISONING 875 998.2 Accidental puncture or laceration during a procedure Accidental perforation by catheter or other instrument during a procedure on: blood vessel nerve organ 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 Rupture disruption of: cesarean wound (674.1) perineal wound, puerperal (674.2) } of operation wound 998.4 Foreign body accidentally left during a procedure Adhesions due to foreign body accidentally Obstruction left in operative wound or body Perforation cavity during a procedure obstruction or perforation caused by implanted device intentionally left in body (996.0-996.5) 876 TABULAR LIST 998.5 Postoperative infection Abscess: intra-abdominal stitch subphrenic wound Septicemia infection due to: implanted device (996.6) infusion, perfusion, or transfusion (999.3) postoperative obstetrical wound infection (674.3) postoperative 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 Emphysema (subcutaneous) (surgical) resulting from a procedure 998.9 Unspecified complication of procedure, not elsewhere classified Postoperative complication NOS complication NOS of obstetrical surgery or procedure (669.4) INJURY AND POISONING 877 999 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 specified complications classified elsewhere such as: complications of implanted device (996.0-996.9) contact dermatitis due to drugs (692.3) dementia due to dialysis (293.0-293.9) 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 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) 878 TABULAR LIST 999.2 999.3 999.4 999.5 999.6 999.7 Other vascular complications Phlebitis a ad Thromboembolism § 0 ong In son, perfusion, Thrombophlebitis or transtusion the listed conditions when specified as: P due to implanted device (996.7) postoperative NOS (997.2) Other infection Infection Goi Bf ofa id Se Soha following infusion, injection, PS! : transfusion, or vaccination Septicemia the listed conditions when specified as: due to implanted device (996.6) postoperative NOS (998.5) Anaphylactic shock due to serum shock: allergic NOS (995.0) anaphylactic: NOS (995.0) due to drugs and chemicals (995.0) Other serum reaction Intoxication by serum Serum sickness Protein sickness Urticaria due to serum Serum rash serum hepatitis (070.2-070.3) ABO incompatibility reaction Incompatible blood transfusion Reaction to blood group incompatibility in infusion or transfusion Rh incompatibility reaction Reactions due to Rh factor in infusion or transfusion INJURY AND POISONING 879 999.8 Other transfusion reaction Septic shock due to transfusion Transfusion reaction NOS postoperative shock (998.0) 999.9 Other and unspecified complications of medical care, not elsewhere classified Complications, not elsewhere classified, of: electroshock inhalation ultrasound ventilation Unspecified misadventure of medical care unspecified complication of’ phototherapy (990) radiation therapy (990) therapy SUPPLEMENTARY CLASSIFICATION OF FACTORS INFLUENCING HEALTH STATUS AND CONTACT WITH HEALTH SERVICES (V01-V82) This classification is provided to deal with occasions when circum- stances other than a disease or injury classifiable to categories 001-999 (the main part of ICD), or to the E code, are recorded as “diagnoses” or “problems.” This can arise mainly in two 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 practi- tioners, health clinics, etc. In these circumstances, it is permissible for the V code to be used in providing single cause tabulations. b) When some circumstance or problem is present which influences the person’s health status but is not in itself a current illness or in- jury. 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 sup- plementary code and should not be the one selected for use in pri- mary, 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-V07) family history of infectious and parasitic diseases (V18.8) personal history of infectious and parasitic diseases (V12.0) VO01 Contact with or exposure to communicable diseases V01.0 Cholera Conditions classifiable to 001 V01.1 Tuberculosis Conditions classifiable to 010-018 880 V CODE 881 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 045-078, except as above V01.8 Other communicable diseases Conditions classifiable to 001-136, except as above 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 Bacterial disease: meningococcal staphylococcal streptococcal 882 TABULAR LIST V02.6 Viral hepatitis Hepatitis Australian-antigen [HAA] [SH] carrier Serum hepatitis carrier V02.7 Gonorrhea V02.8 Other venereal diseases V02.9 Other specified infectious organism VO03 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 V03.9 Unspecified single bacterial disease V CODE 883 V04 Need for prophylactic vaccination and inoculation against certain viral diseases 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 other prophylactic vaccination and inoculation against single diseases 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 V05.8 Other specified disease V05.9 Unspecified single disease 884 TABULAR LIST V06 Need for prophylactic vaccination and inoculation against combinations of diseases 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] V06.8 Other combinations V06.9 Unspecified combined vaccine VO07 Need for isolation and other prophylactic measures 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 V CODE 886 V07.3 Other prophylactic chemotherapy Administration for prophylactic purposes of: antibiotics other chemotherapeutic agents Chemoprophylaxis maintenance chemotherapy following disease (V58.1) V07.8 Other specified prophylactic measure V07.9 Unspecified prophylactic measure PERSONS WITH POTENTIAL HEALTH HAZARDS RELATED TO PERSONAL AND FAMILY HISTORY (V10-V19) aftercare management (V51-V58.9) convalescence (V66.0-V66.9) Jollow-up examination (V67.0-V67.9) obstetric patients where the possibility that the fetus might be affected is the reason Jor 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 886 TABULAR LIST 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 V10.49 Other male genital organs V CODE 887 V10.5 V10.6 V10.7 V10.8 Urinary organs History of conditions classifiable to 188 and 189 V10.50 Urinary organ, unspecified V10.51 Bladder V10.52 Kidney V10.59 Other Leukemia Conditions classifiable to 204-208, in remission V10.60 Leukemia, unspecified V10.61 Lymphoid leukemia V10.62 Myeloid leukemia V10.63 Monocytic leukemia V10.69 Other Other lymphatic and hematopoietic neoplasms Conditions classifiable to 200-203, in remission V10.71 Lymphosarcoma and reticulosarcoma V10.72 Hodgkin’s disease V10.79 Other 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 888 TABULAR LIST V10.86 Other parts of nervous system 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 that in remission (295.0-295.9 with tle digit 5) V11.1 Affective disorders Personal history of manic-depressive psychosis that in remission (296.0-296.6 with Aledizte 3, 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 V12.1 Nutritional deficiency V CODE 889 V12.2 Endocrine, metabolic, and immunity disorders history of allergy (V14.0-V14.9, V15.0) V12.3 Diseases of blood and blood-forming organs V12.4 Disorders of nervous system and sense organs V12.5 Diseases of circulatory system old myocardial infarction (412) postmyocardial infarction syndrome (411.0) V12.6 Diseases of respiratory system V12.7 Diseases of digestive system V13 Personal history of other diseases V13.0 Disorders of urinary system V13.1 Trophoblastic disease supervision during a current pregnancy (V23.1) V13.2 Other genital system and obstetric disorders 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) V13.3 Diseases of skin and subcutaneous tissue V13.4 Arthritis © V13.5 Other musculoskeletal disorders V13.6 Congenital malformations 890 TABULAR LIST V13.7 Perinatal problems 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 V15.1 Surgery to heart and great vessels replacement by transplant or other means (V42.1-V42.2, V43.2-V43.4) V CODE 891 V15.2 Surgery to other major organs 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 history of condition classifiable to 290-316 (V11.0-V11.9) V15.5 Injury V15.6 Poisoning V15.7 Contraception 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 V15.89 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 162 892 TABULAR LIST 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 V16.5 Urinary organs Family history of condition classifiable to 189 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 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 V CODE 893 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 V18.7 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 894 TABULAR LIST 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-V28) 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 special screening for developmental handicaps (V79.3) V21 Constitutional states in development V21.0 Period of rapid growth in childhood V21.1 Puberty V21.2 Other adolescence V CODE 895 V21.8 Other specified constitutional states in development V21.9 Unspecified constitutional state in development V22 Normal pregnancy 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 that without current pregnancy (V13.1) V23.2 Pregnancy with history of abortion Pregnancy with history of conditions classifiable to 634-638 habitual aborter: care during pregnancy (646.3) that without current pregnancy (629.9) V23.3 Grand multiparity care in relation to labor and delivery (659.4) that without current pregnancy (V61.5) 896 TABULAR LIST V23.4 Pregnancy with other poor obstetric history Pregnancy with history of other conditions classifiable to 630-676 V23.5 Pregnancy with other poor reproductive history Pregnancy with history of stillbirth or neonatal death V23.8 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 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 V CODE 897 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 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 V25.49 Other contraceptive method V25.8 Other specified contraceptive management Postvasectomy sperm count 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 Fallopian insufflation Sperm counts postvasectomy sperm count (V25.8) V26.3 Genetic counseling 898 TABULAR LIST V26.4 General counseling and advice 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 ae 8 } outcome to infant unspecified V28 Antenatal screening routine prenatal care (V22.0-V23.9) V28.0 Screening for chromosomal anomalies by amniocentesis V28.1 Screening for raised alpha-fetoprotein levels in amniotic fluid V CODE 899 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 V28.8 Other specified antenatal screening V28.9 Unspecified antenatal screening LIVEBORN INFANTS ACCORDING TO TYPE OF BIRTH (V30-V39) Note: These categories are intended for the coding of live- born 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 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 900 TABULAR LIST 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 V CODE 901 V41.7 Problems with sexual function marital problems (V61.1) 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 Intestine Pancreas V42.9 Unspecified organ or tissue 902 TABULAR LIST V43 Organ or tissue replaced by other means Includes: replacement of organ by: artificial device mechanical device prosthesis cardiac pacemaker in situ (V45.0) 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 Joint replacement: finger hip (partial) (total) knee V43.7 Limb V43.8 Other organ or tissue Larynx V44 Artificial opening status artificial openings requiring attention or management (V35.0-V55.9) V44.0 Tracheostomy V CODE 903 V44.1 Gastrostomy V44.2 Ileostomy V44.3 Colostomy V44.4 Other artificial opening of gastrointestinal tract V44.5 Cystostomy V44.6 Other artificial opening of urinary tract Nephrostomy Urethrostomy Ureterostomy V44.7 Artificial vagina V44.8 Other artificial opening status V44.9 Unspecified artificial opening status V45 Other postsurgical states aftercare management (V51-V58.9) convalescence (V66.0-V66.9) Sollow-up examination (V67.0-V67.9) malfunction or other complication — code to condition V45.0 Cardiac pacemaker in situ Carotid sinus pacemaker in situ admission for adjustment or other care (V53.3) malfunction (996.01) V45.1 Renal dialysis status Patient requiring intermittent renal dialysis Presence of arterial-venous shunt (for dialysis) admission for dialysis preparation, treatment, or session (V56.0) 904 TABULAR LIST V45.2 Presence of cerebrospinal fluid drainage device Cerebral ventricle (communicating) shunt, valve, or device in situ malfunction (996.2) V45.3 Intestinal bypass or anastomosis status V45.4 Arthrodesis status V45.5 Presence of intrauterine contraceptive device checking, reinsertion, or removal of device (V25.42) complication from device (996.32) insertion of device (V25.1) V45.6 States following surgery of eye and adnexa Cataract extraction | sldie following eye Filtering bleb surgery Surgical eyelid adhesion aphakia (379.31) artificial: eye globe (V43.0) lens (V43.1) V45.8 Other postsurgical status V45.81 Aortocoronary bypass status V45.89 Other Presence of neuropacemaker or other electronic device 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 V CODE 905 V46.8 Other enabling machines Hyperbaric chamber Possum [Patient-Operated-Selector-Mechanism] 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 L va19 Unspecified V48 Problems with head, neck, and trunk V48.0 Deficiencies of head deficiencies of ears, eyelids, and nose (V48.8) V48.1 Deficiencies of neck and trunk V48.2 Mechanical and motor problems with head 906 TABULAR LIST 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 Problems with limbs and other problems 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 V49.8 Other specified problems influencing health status V49.9 Unspecified V CODE 907 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 have already been treated for some disease or injury not now present, but who are receiving care to consolidate the treatment, to deal with residual states, or to prevent recurrence. Jollow-up examination for medical surveillance Sollowing treatment (V67.0-V67.9) V50 Elective surgery for purposes other than remedying health states V50.0 Hair transplant V§0.1 Other plastic surgery for unacceptable cosmetic appearance Breast augmentation or reduction Face-lift 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 V50.8 Other V50.9 Unspecified V51 Aftercare involving the use of plastic surgery Plastic surgery following healed injury or operation Repair of scarred tissue cosmetic plastic surgery (V50.1) plastic surgery as treatment for current injury — code to condition 908 TABULAR LIST V52 Fitting and adjustment of prosthetic device 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 breast implant (V50.1) V52.8 Other specified prosthetic device V52.9 Unspecified prosthetic device V53 Fitting and adjustment of other device status only, without need for care (V45.0-V45.8) V§53.0 Devices related to nervous system and special senses Auditory Visual Neuropacemaker (brain) (peripheral nerve) (spinal cord) substitution device V53.1 Spectacles and contact lenses V53.2 Hearing aid V53.3 Cardiac pacemaker V53.4 Orthodontic devices V CODE 909 V53.5 Ileostomy or other intestinal appliance V53.6 Urinary devices V53.7 Orthopedic devices Orthopedic: Orthopedic: brace corset cast shoes V53.8 Wheelchair V53.9 Other and unspecified device V54 Other orthopedic aftercare V54.0 Aftercare involving removal of fracture plate or other internal fixation device Removal of: Removal of: pins rods plates Screws malfunction of internal orthopedic device (996.4) other complication of nonmechanical nature (996.6-996.7) removal of external fixation device (V54.8) V54.8 Other orthopedic aftercare Change, checking, or removal of: Kirschner wire plaster cast splint, external other external fixation or traction device » V54,9 Unspecified orthopedic aftercare 910 TABULAR LIST V55 Attention to artificial openings Includes: closure passage of sounds or bougies reforming removal or replacement of catheter toilet or cleansing Excludes:| complications of external stoma Pp status only, without need for care (V44.0-V44.9) V§5.0 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 Urethrostomy Ureterostomy V55.7 Artificial vagina V55.8 Other specified artificial opening V55.9 Unspecified artificial opening V56 Aftercare involving intermittent dialysis Includes: dialysis preparation and treatment V CODE 911 V56.0 Extracorporeal dialysis Dialysis (renal) NOS dialysis status (V45.1) V56.8 Other dialysis Peritoneal dialysis VS§7 Care involving use of rehabilitation procedures V57.0 Breathing exercises v V§7.1 Other physical therapy Therapeutic and remedial exercises, except breathing V§57.2 Occupational therapy and vocational rehabilitation V§7.3 Speech therapy V57.4 Orthoptic training V§57.8 Other specified rehabilitation procedure V§7.81 Orthotic training Gait training in the use of artificial limbs V57.89 Other v V5§7.9 Unspecified rehabilitation procedure V58 Other and unspecified aftercare V58.0 Radiotherapy session Encounter or admission solely for radiotherapy, the main part of the treatment (for malignant disease) already having been completed 912 TABULAR LIST V58.1 Maintenance chemotherapy Adjunctive chemotherapy 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 attention to artificial openings (V55.0-V55.9) orthopedic aftercare (V54.0-V54.9) V58.5 Orthodontics V58.8 Other specified aftercare V58.9 Unspecified aftercare V59 Donors examination of potential donor (V70.8) V59.0 Blood V59.1 Skin V§59.2 Bone V59.3 Bone marrow V59.4 Kidney V§9.5 Cornea V59.8 Other specified organ or tissue V CODE 913 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 Transients Social migrants Vagabonds Tramps 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 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 914 TABULAR LIST 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 Marital problems Marital conflict problems related to: psychosexual disorders (302.0-302.9) sexual function (V41.7) V61.2 Parent-child problems V61.20 Parent-child problem, unspecified Concern about behavior of child Parent-child conflict V61.21 Child abuse Child battering Child neglect effect of maltreatment on the child (995.5) 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 J sick or handicapped person Presence of in family or household V CODE 915 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 previous psychological trauma (V15.4) V62.0 Unemployment 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 Social: Political, religious, or isolation sex discrimination persecution 916 TABULAR LIST V62.5 Legal circumstances Imprisonment Litigation Legal investigation 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 bereavement as adjustment reaction (309.0) 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 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 V CODE 917 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 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 concern (normal) about sick person in Samily (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 918 TABULAR LIST V65.4 Other counseling, not elsewhere classified Explanation of: Health: investigation findings advice medication education treatment plan instruction counseling (for): contraception (V25.40-V25.49) genetic (V26.3) on behalf of third party (V65.1) procreative management (V26.4) 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 specified symptoms V65.9 Unspecified reason for consultation V66 Convalescence 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 V CODE 919 V66.9 Unspecified convalescence V67 Follow-up examination Includes: surveillance only following treatment surveillance of contraception (V25.40-V25.49) V67.0 Following surgery Vé67.1 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 fracture V67.5 Following other treatment V67.51 Following treatment with high-risk medication, not elsewhere classified V67.59 Other V§67.6 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 encounter for general medical examination (V70.0-V70.9) 920 TABULAR LIST V68.1 Issue of repeat prescriptions Issue of repeat prescription for: appliance glasses medications 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 PERSONS WITHOUT REPORTED DIAGNOSIS ENCOUNTERED DURING EXAMINATION AND INVESTIGATION OF INDIVIDUALS AND POPULATIONS (V70-V82) Note: Nonspecific abnormal findings disclosed at the time of these examinations are classifiable to categories 790-796. V70 General medical examination V70.0 Routine general medical examination at a health care facility Health checkup 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 V CODE 921 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 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 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 Preschool children Inhabitants of Prisoners institutions Prostitutes Occupational health Refugees examinations School children Pre-employment screening Students V70.6 Health examination in population surveys special screening (V73.0-V82.9) V70.7 Examination for normal comparison 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 922 TABULAR LIST V71 Observation and evaluation for suspected conditions V71.0 V71.1 V71.2 V71.3 V714 V71.5 V71.6 V71.7 V71.8 V71.9 Includes: cases which present some symptoms or evidence of an abnormal condition which required study, but which after examination and observation show no need for further treatment or medical care 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 disorde V71.09 Other suspected mental condition Observation for suspected malignant neoplasm Observation for suspected tuberculosis Observation following accident at work Observation following other accident Examination of individual involved in motor vehicle traffic accident Observation following alleged rape or seduction Examination of victim or culprit Observation following other inflicted injury Examination of victim or culprit Observation for suspected cardiovascular disease Observation for other specified suspected conditions Observation for unspecified suspected condition V CODE 923 V72 Special investigations and examinations Includes: routine examination of specific system general medical examination (V70.0-V70.4) general screening examination of defined population groups (V70.5, V70.6, V70.7) screening examination for specific disorders (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 smear as part of general gynecological examination Pelvic examination (annual) (periodic) 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 pregnancy examination with immediate confirmation (V22.0-V22.1) V72.5 Radiological examination, not elsewhere classified Routine chest x-ray examination for suspected tuberculosis (V71.2) V72.6 Laboratory examination that for suspected disorder (V71.0-V71.9) 924 TABULAR LIST V72.7 Diagnostic skin and sensitization tests Allergy tests Skin tests for hypersensitivity diagnostic skin tests for bacterial diseases (V74.0-V74.9) V72.8 Other specified examinations V72.9 Unspecified examination V73 Special screening examination for viral 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 Viral encephalitis: Hemorrhagic fever mosquito-borne tick-borne V73.6 Trachoma V73.8 Other specified viral diseases V73.9 Unspecified viral disease V74 Special screening examination for bacterial and spirochetal diseases Includes: diagnostic skin tests for these diseases V74.0 Cholera V CODE 925 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 Tetanus Leptospirosis Whooping cough Plague 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 926 TABULAR LIST V75.9 Unspecified infectious disease V76 Special screening for malignant neoplasms V76.0 Respiratory organs V76.1 Breast V76.2 Cervix Routine cervical Papanicolaou smear 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 V76.49 Other V76.8 Other neoplasm V76.9 Unspecified V77 Special screening for endocrine, nutritional, metabolic, and immunity disorders V71.0 Thyroid disorders V77.1 Diabetes mellitus V77.2 Malnutrition V77.3 Phenylketonuria [PKU] V CODE 927 V77.4 Galactosemia V71.5 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 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 928 TABULAR LIST 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 general vision examination (V72.0) V80.3 Ear diseases 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 screening for: lung neoplasm (V'76.0) pulmonary tuberculosis (V74.1) V CODE 929 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 Postnatal screening for chromosomal anomalies 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 V82.9 Unspecified condition 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, poison- ing, and other adverse effects. Where a code from this section is ap- plicable, 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,” pre- pared by the International Labor Office, be used in addition. This is reproduced on page 1137, for optional use. 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 930 E CODE 931 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 932 TABULAR LIST (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: (operated chiefly on electric car } its own right-of- streetcar 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. {(¢) 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 oc- curring on a public highway [i.e., originating, terminating, or involv- ing 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. E CODE 933 (8) A motor vehicle nontraffic accident is any motor vehicle acci- dent which occurs entirely in any place other than a public highway. (h) A public highway [trafficway] or street is the entire width be- tween 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 934 TABULAR LIST (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 con- sidered 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 (3) 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 E CODE 935 (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 (1) 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 transport- ing 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) 936 TABULAR LIST (0) 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. (qQ) 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 roller skates coaster wagon scooter ice skates skateboard perambulator skis pushcart sled pushchair 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. E CODE 937 (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 rowboat canoe rowing shell coble scull dinghy skiff punt small motorboat raft 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 commer- cial lines for profit or by government authorities, with the exception of military craft. 938 TABULAR LIST RAILWAY ACCIDENTS (E800-E807) Note: For definitions of railway accident and related terms see definitions (a) to (d). 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 postal staff on train of train railway fireman driver shunter guard sleeping car attendant porter .1 Passenger on railway Any authorized person traveling on a train, except a railway employee. 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 Includes: collision between railway trains or railway vehicles, any kind collision NOS on railway derailment with antecedent collision with rolling stock or NOS § Requires fourth-digit. See above for codes and definitions. E CODE 939 § E801 Railway accident involving collision with other object Includes: collision of railway train with: buffers fallen tree on railway gates platform rock on railway streetcar other nonmotor vehicle other object 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 § E803 Railway accident involving explosion, fire, or burning 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 Includes: fall while alighting from or boarding railway train fall related to collision, derailment, or explosion of railway train (E800.0-E803.9) § E805 Hit by rolling stock Includes: crushed injured killed by railway train or part knocked down run over pedestrian hit by object set in motion by railway train (E806.0-E806.9) § Requires fourth-digit. See page 938 for codes and definitions. 940 TABULAR LIST § E806 Other specified railway accident 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 railway accident due to cataclysm (E908-E909) § E807 Railway accident of unspecified nature Includes: found dead injured railway accident NOS on railway right-of-way NOS § Requires fourth-digit. See page 938 for codes and definitions. E CODE 941 MOTOR VEHICLE TRAFFIC ACCIDENTS (E810-E819) Note: For definitions of motor vehicle traffic accident, and related terms, see definitions (e) to (k). 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 (1) .1 Passenger in motor vehicle other than motorcycle See definition (1) .2 Motorcyclist See definition (1) Passenger on motorcycle See definition (1) Occupant of streetcar Rider of animal; occupant of animal-drawn vehicle Pedal cyclist See definition (p) 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 w 9 owe § E810 Motor vehicle traffic accident involving collision with train 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) § Requires fourth-digit. See above for codes and definitions. 942 TABULAR LIST § E811 Motor vehicle traffic accident involving re-entrant collision with another motor vehicle 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 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 Includes: collision with another motor vehicle parked, stopped, stalled, disabled, or abandoned on the highway motor vehicle collision NOS 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) § Requires fourth-digit. See page 941 for codes and definitions. E CODE 943 § E813 Motor vehicle traffic accident involving collision with other vehicle 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 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 Includes: collision between motor vehicle, any kind, and pedestrian pedestrian dragged, hit, or run over by motor vehicle, any kind pedestrian hit by object set in motion by motor vehicle (E818.0-E818.9) § Requires fourth-digit. See page 941 for codes and definitions. 944 TABULAR LIST § E815 Other motor vehicle traffic accident involving collision on the highway 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 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) 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) § Requires fourth-digit. See page 941 for codes and definitions. E CODE 945 § E816 Motor vehicle traffic accident due to loss of control, without collision on the highway Includes: motor vehicle: failing to make ) curve and: going out of control colliding (due to): with blowout object off burst tire the highway driver falling overturning asleep stopping driver inattention abruptly excessive speed off the failure of mechan- highway ical part J collision on highway following loss of control (E810.0-E815.9) loss of control of motor vehicle Jollowing collision on the highway (E810.0-E815.9) § E817 Noncollision motor vehicle traffic accident while boarding or alighting Includes: fall down stairs of motor bus hil fall from car in street v ie, injured by moving part oarcing of the vehicle OF es alighting trapped by door of motor bus § Requires fourth-digit. See page 941 for codes and definitions. 946 TABULAR LIST § E818 Other noncollision motor vehicle traffic accident Includes: accidental poisoning from exhaust gas generated y breakage of any part of explosion of any part of fall, jump, or being accidentally pushed from motor vehicle fire starting in while in hit by object thrown into motion or on injured by being thrown against some part of, or object in injury from moving part of object falling in or on object thrown on J 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 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 Includes: motor vehicle traffic accident NOS traffic accident NOS § Requires fourth-digit. See page 941 for codes and definitions. E CODE 947 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 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 (1) .1 Passenger in motor vehicle other than motorcycle See definition (1) Motorcyclist See definition (1) Passenger on ‘motorcycle See definition (1) Occupant of streetcar Rider of animal; occupant of animal-drawn vehicle Pedal cyclist See definition (p) Pedestrian See definition (r) Other specified person Occupant of vehicle other than above Person on railway train involved in accident Unauthorized rider of motor vehicle 9 Unspecified person ° awe Ww © oo 948 TABULAR LIST § E820 Nontraffic accident involving motor-driven snow vehicle Includes: breakage of part of fall from motor-driven hit by snow vehicle overturning of (not on public run over or highway) dragged by 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) accident on the public highway involving motor driven snow vehicle (E810.0-E819.9) § Requires fourth-digit. See page 947 for codes and definitions. E CODE 949 § E821 Nontraffic accident involving other off-road motor vehicle Includes: breakage of part of fall from hit by off-road motor overturning of vehicle, except run over or snow vehicle dragged by (not on public thrown against some highway) part of or object in 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 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 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 collision with: motor-driven snow vehicle (E820.0-E820.9) other off-road motor vehicle (E821.0-E821.9) § Requires fourth-digit. See page 947 for codes and definitions. 950 TABULAR LIST § E823 Other motor vehicle nontraffic accident involving collision with stationary object 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 while boarding Includes: fall or alighting injury from moving om oh art of motor ) Dies except off trapped by door of os Kop motor vehicle on public highway § Requires fourth-digit. See page 947 for codes and definitions. E CODE 951 § E825 Other motor vehicle nontraffic accident of other and unspecified nature Includes: accidental poisoning from carbon monoxide generated by breakage of any part of explosion of any part of fall, jump, or being accidentally motor vehicle pushed from while in fire starting in motion, not hit by object on public thrown into, highway towards, or on injured by being thrown against some part of, or object in injury from moving part of object falling in or on motor vehicle nontraffic accident NOS Jall from or in stationary motor vehicle (E884.9, E885) 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) § Requires fourth-digit. See page 947 for codes and definitions. 952 TABULAR LIST 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 (0). Includes: accidents involving other road vehicles being used in recreational or sporting activities 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) Rider of animal Occupant of animal-drawn vehicle Occupant of streetcar Other specified person Unspecified person Lohr wiv E CODE 953 § E826 Pedal cycle accident 0-3) 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] 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 knocked down by overturning of animal-drawn vehicle run over by thrown from collision of animal-drawn vehicle with pedal cycle (E826.0-E826.9) § Requires fourth-digit; valid digits are in [brackets] under each code. See page 952 for definitions. 954 TABULAR LIST § E828 Accident involving animal being ridden 10.2,4,8.9) 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 knocked down by thrown from trampled by ridden animal stumbled and fell collision of animal being ridden with: animal-drawn vehicle (E827.0-E827.9) pedal cycle (E826.0-E826.9) animal being ridden § Requires fourth-digit; valid digits are in [brackets] under each code. See page 952 for definitions. E CODE 955 § E829 Other road vehicle accidents 9 9 i i [0,4,8,9] Includes: accident while boarding or alighting from blow from object in breakage 5 any vehicle not part © classifiable to caught in door of E826-E828 derailment of fall in, on, or from fire in 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 collision with: animal being ridden (E828.0-E828.9) animal-drawn vehicle (E827.0-E827.9) pedal cycle (E826.0-E826.9) streetcar nonmotor road § Requires fourth-digit; valid digits are in [brackets] under each code. See page 952 for definitions. 956 TABULAR LIST 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 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) water skier (4) .2 Occupant of other watercraft — crew 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 E CODE 957 § E830 Accident to watercraft causing submersion 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 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 burns from localized fire or explosion on board ship (E837.0-E837.9) § Requires fourth-digit. See page 956 for codes and definitions. 958 TABULAR LIST § E832 Other accidental submersion or drowning in water transport accident 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 fall due to accident to watercraft (E831.0-E831.9) § E834 Other fall from one level to another in water transport fall due to accident to watercraft (E831.0-E831.9) § E835 Other and unspecified fall in water transport fall due to accident to watercraft (E831.0-E831.9) § E836 Machinery accident in water transport Includes: injuries in water transport caused by: deck engine room galley machinery laundry loading § Requires fourth-digit. See page 956 for codes and definitions. E CODE 959 § E837 Explosion, fire, or burning in watercraft Includes: explosion of boiler on steamship localized fire on ship 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 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 § Requires fourth-digit. See page 956 for codes and definitions. 960 TABULAR LIST 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 Co Passenger in military aircraft (civilian) [air force] [army] (military) [national guard] Troops [navy] 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 E CODE 961 .6 Occupant of unpowered aircraft, except parachutist Occupant of aircraft classifiable to E842 .7 Parachutist (military) (other) Person making voluntary descent 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 Includes: collision of aircraft with any object, fixed, movable, or moving crash explosion on aircraft fire on aircraft forced landing while taking off or landing § E841 Accident to powered aircraft, other and unspecified 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 § Requires fourth-digit. See page 960 and above for codes and definitions. 962 TABULAR LIST § E842 Accident to unpowered aircraft 6-9 ; mr : 162) 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 10-5) 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 § Requires fourth-digit; valid digits are in [brackets] under each code. See pages 960-961 for definitions. E CODE 963 § E844 Other specified air transport accidents io-3) Includes: hit by: 3 aircraft object falling from aircraft injury by or from: machinery on aircraft without rotating propeller y accident voluntary parachute to aircraft descent poisoning by carbon mon- oxide from aircraft while in transit sucked into jet J any accident involving other transport vehicle (motor) (nonmotor) due to being hit by object set in motion by aircraft (powered) 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 10.8.91 Includes: launching pad accident effects of weightlessness in spacecraft (E928.0) § Requires fourth-digit; valid digits are in [brackets] under each code. See pages 960-961 for definitions. 964 TABULAR LIST 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 Fall from powered vehicle, industrial Overturning of or commercial Struck by 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 téléférique Breakage of cable Caught or dragged by cable car Fall or jump from not. on alls Object thrown from or in E CODE 965 E848 Accidents involving other vehicles, not elsewhere classifiable Accident to, on, or involving: ice yacht land yacht nonmotor, nonroad vehicle NOS OE849 Place of occurrence The following category is for use with categories E850-E869 and E880-E928, to denote the place where the accident or poisoning occurred. 0E849.0 Home Apartment Private: Boarding house driveway Farm house garage Home premises garden House (residential) home Noninstitutional place walk of residence Swimming pool in private house or garden Yard of home home under construction but not yet occupied (E849.3) institutional place of residence (E849.7) DE849.1 Farm Farm: buildings land under cultivation Jfarm house and home premises of farm (E849.0) OF 849.2 Mine and quarry Gravel pit Tunnel under Sand pit construction 966 TABULAR LIST 0FE849.3 Industrial place and premises Building under Industrial yard construction Loading platform Dockyard (factory) (store) Dry dock Plant, industrial Factory Railway yard building Shop (place of work) premises Warehouse Garage (place of work) Workhouse DE849.4 Place for recreation and sport Amusement park Public park Baseball field Racecourse Basketball court Resort NOS Beach resort Riding school Cricket ground Rifle range Fives court Seashore resort Football field Skating rink Golf course Sports ground Gymnasium Sports palace Hockey field Stadium Holiday camp Swimming pool, public Ice palace Tennis court Lake resort Vacation resort Mountain resort Playground, including school playground that in private house or garden (E849.0) OFE849.5 Street and highway E CODE 967 OE849.6 Public building Building (including adjacent grounds) used by the general public or by a particular group of the public, such as: airport nightclub bank office cafe office building casino opera house church post office cinema public hall clubhouse radio broadcasting courthouse station dance hall restaurant garage building school (state) (publlic) (for car storage) (private) hotel shop, commercial market (grocery or station (bus) (railway) other commodity) store movie house theater music hall home garage (E849.0) industrial building or workplace (E849.3) OF 849.7 Residential institution Children’s home Old people’s home Dormitory Orphanage Hospital Prison Jail Reform school OE849.8 Other specified places Beach NOS Pond or pool (natural) Canal Prairie Caravan site NOS Public place NOS Derelict house Railway line Desert Reservoir Dock River Forest Sea Harbor Seashore NOS Hill Stream Lake NOS Swamp Mountain Trailer court Parking lot Woods Parking place 968 TABULAR LIST 0E849.9 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 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) 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 0E850.0 Heroin Diacetylmorphine 0ES850.1 Methadone 0E850.2 Other opiates and related narcotics Codeine [methylmorphine] Morphine Meperidine [pethidine] Opium (alkaloids) 0E850.3 Salicylates Acetylsalicylic acid [aspirin] Amino derivatives of salicylic acid Salicylic acid salts E CODE 969 0ES850.4 Aromatic analgesics, not elsewhere classified Acetanilid Paracetamol [acetaminophen] Phenacetin [acetophenetidin] 0E850.5 Pyrazole derivatives Aminophenazone [amidopyrine] Phenylbutazone 0E850.6 Antirheumatics [antiphlogistics] Gold salts Indomethacin salicylates (E850.3) steroids (E858.0) 0E850.7 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] 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) 970 TABULAR LIST 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 pill NOS tablet E853 Accidental poisoning by tranquilizers E853.0 Phenothiazine-based tranquilizers Chlorpromazine Prochlorperazine Fluphenazine Promazine E853.1 Butyrophenone-based tranquilizers Haloperidol Trifluperidol Spiperone E853.2 Benzodiazepine-based tranquilizers Chlordiazepoxide Lorazepam Diazepam Medazepam Flurazepam Nitrazepam E853.8 Other specified tranquilizers Hydroxyzine Meprobamate E853.9 Unspecified tranquilizer E854 Accidental poisoning by other psychotropic agents E854.0 Antidepressants Amitriptyline Monoamine oxidase [MAO] Imipramine inhibitors E CODE 971 E854.1 Psychodysleptics [hallucinogens] Cannabis derivatives Mescaline Lysergide [LSD] Psilocin Marihuana (derivatives) Psilocybin E854.2 Psychostimulants Amphetamine Caffeine central appetite depressants (E858.8) E854.3 Central nervous system stimulants Analeptics Opiate antagonists 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 Intravenous anesthetics Gaseous anesthetics Thiobarbiturates, such as Halogenated hydrocarbon thiopental sodium derivatives E855.2 Local anesthetics Cocaine Procaine Lidocaine [lignocaine] Tetracaine E855.3 Parasympathomimetics [cholinergics] Acetylcholine Pilocarpine Anticholinesterase: organophosphorus reversible 972 TABULAR LIST E855.4 Parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics Atropine Hyoscine [scopolamine] Homatropine 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 E CODE 973 E858.7 Agents primarily affecting skin and mucous membrane, ophthalmological, otorhinolaryngoiogical, 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 Grain alcohol NOS Ethanol NOS Methylated spirit E860.2 Methyl alcohol Methanol Wood alcohol E860.3 Isopropyl! alcohol Dimethyl carbinol Secondary propyl alcohol Isopropanol Rubbing alcohol subsitute E860.4 Fusel oil Alcohol: amyl butyl propyl E860.8 Other specified alcohols 974 TABULAR LIST 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 carbolic acid or phenol (E864.0) E861.5 Lead paints E861.6 Other paints and varnishes Lacquers Paints, other than lead Oil colors 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 E CODE 975 E862.1 Petroleum fuels and cleaners Antiknock additives to petroleum fuels Gas oils Gasoline or petrol Kerosene 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 plant foods and fertilizers (E866.5) E863.0 Insecticides of organochlorine compounds Benzene hexachloride Dieldrin Chlordane Endrine DDT Toxaphene E863.1 Insecticides of organophosphorus compounds Demeton Parathion Diazinon Phenylsulphthion Dichlorvos Phorate Malathion Phosdrin Methyl parathion E863.2 Carbamates Aldicarb Propoxur Carbaryl E863.3 Mixtures of insecticides 976 TABULAR LIST 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 Warfarin Squill and derivatives Zinc phosphide Thallium E863.8 Fumigants Cyanides Phosphine Methyl bromide 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 Sodium hydroxide E CODE 977 E864.3 Other specified corrosives and caustics E864.4 Unspecified corrosives and caustics E865 Accidental poisoning from 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 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 978 TABULAR LIST 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) Iron (compounds) Brass fumes Manganese (compounds) Cadmium (compounds) Nickel (compounds) Copper salts Thallium (compounds) E866.5 Plant foods and fertilizers 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 y a Liquefied hydrocarbon or carbon monoxide from gas NOS incomplete combustion Propane of these gases E CODE 979 E868.1 Other and unspecified utility gas Acetylene Gas NOS used for or carbon monoxide from lighting, heating, incomplete combustion or cooking of these gases Water gas 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 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 coke in domestic stove kerosene or fireplace wood 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 carben monoxide 980 TABULAR LIST E869 Accidental poisoning by other gases and vapors 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 Ethyliodoacetate Chloroacetophenone 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) 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 E CODE 981 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 Lumbar puncture Aspirating needle biopsy Thoracentesis Blood sampling heart catheterization (E870.6) E870.6 Heart catheterization ES870.7 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 Lumbar puncture Aspiration needle biopsy Thoracentesis Blood sampling heart catheterization (E871.6) 982 TABULAR LIST 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 Lumbar puncture Aspirating needle biopsy Thoracentesis Blood sampling heart catheterization (E872.6) E872.6 Heart catheterization E872.8 Other specified procedures E872.9 Unspecified procedure E873 Failure in dosage 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 E CODE 983 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 Lumbar puncture Aspirating needle biopsy Thoracentesis Blood sampling heart catheterization (E874.5) ES874.5 Heart catheterization 984 TABULAR LIST 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 foreign object left in body during procedure (E871.0-E871.9) E CODE 985 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 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 986 TABULAR LIST E878.1 Surgical operation with implant of artificial internal device Cardiac pacemaker Heart valve prosthesis Electrodes implanted in Internal orthopedic brain device E878.2 Surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant Anastomosis: Graft of blood vessel, arteriovenous tendon, or skin gastrojejunal external stoma (E878.3) E878.3 Surgical operation with formation of external stoma Colostomy Gastrostomy Cystostomy Ureterostomy Duodenostomy 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 radio-opaque dyes for diagnostic x-ray PD! procedures (E947.8) E CODE 987 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) 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 E880.9 Other stairs or steps E881 Fall on or from ladders or scaffolding E881.0 Fall from ladder 988 TABULAR LIST E881.1 Fall from scaffolding E882 Fall from or out of building or other structure Fall from: Fall from: balcony turret bridge viaduct building wall flagpole window tower Fall through roof 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: fall into: cavity shaft dock swimming pool hole tank pit well quarry 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 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 E CODE 989 E884 Other fall from one level to another E884.0 Fall from playground equipment recreational machinery (E919.8) ES884.1 Fall from cliff ES884.2 Fall from chair or bed E884.9 Other fall from one level to another Fall from: Fall from: embankment stationary vehicle haystack tree E885 Fall on same level from slipping, tripping, or stumbling Fall on moving sidewalk E886 Fall on same level from collision, pushing, or shoving, by or with other person crushed or pushed by a crowd or human stampede (E917.1) E886.0 In sports Tackles in sports kicked, stepped on, struck by object, in sports (E917.0) 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 from bumping against object Fall on same level NOS 990 TABULAR LIST 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 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 ny from conflagration in Fumes NOS in private building Smoke NOS E890.3 Burning caused by conflagration E CODE 991 E890.8 Other accident resulting from conflagration Collapse of Fall from burning private Hit by object falling from building Jump from E890.9 Unspecified accident resulting from conflagration in private dwelling E891 Conflagration in other and unspecified building or structure Conflagration in: Conflagration in: barn farm outbuildings church hospital convalescent and other hotel residential home school dormitory of educational store institution theater factory 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 “ot from conflagration in Fumes NOS building or structure Smoke NOS E891.3 Burning caused by conflagration E891.8 Other accident resulting from conflagration Collapse of Fall from burning building Hit by object falling from or structure Jump from E891.9 Unspecified accident resulting from conflagration of other and unspecified building or structure 992 TABULAR LIST 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 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: in private dwelling brazier (as listed fireplace in E890) furnace stove E893.1 From controlled fire in other building or structure Ignition of clothing from: normal fire (charcoal) (coal) (electric) (gas) (wood) in: in other building brazier or structure fireplace (as listed in furnace E891) stove E CODE 993 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) conflagration not in building (E892) trash fire out of control (E892) E893.8 From other specified sources Ignition of clothing from: Ignition of clothing from: blowlamp cigarette blowtorch lighter burning bedspread matches candle pipe cigar 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 gasoline fat kerosene paraffin petrol ignition of highly inflammable material with: conflagration (E890.0-E892) explosion (E923.0-E923.9) (with ignition of clothing) 994 TABULAR LIST E895 Accident caused by controlled fire in private dwelling Burning by (flame of) normal fire (charcoal) (coal) (electric) (gas) (wood) in: in private dwelling brazier (as listed in E890) fireplace furnace stove 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 fireplace furnace stove 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) in other building or structure (as listed in E891) E CODE 995 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) 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 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: Burning by: blowlamp lamp blowtorch lighter candle matches cigar pipe cigarette welding torch fire in room NOS E899 Accident caused by unspecified fire Burning NOS 996 TABULAR LIST 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): Heat (in): boiler room generated in transport drying room vehicle factory kitchen furnace room 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 E CODE 997 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 as the cause of: descent in water caisson disease Reduction in atmospheric divers’ disease pressure while surfacing divers’ palsy from deep water diving 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 998 TABULAR LIST 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 resulting from conditions | abandonment or Hunger or thirst neglect Desertion of newborn Inattention at or after birth Lack of care (helpless person) (infant) 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 dehydration due to acute fluid loss (276.5) E904.3 Exposure (to weather conditions), not elsewhere classifiable Exposure NOS Struck by hailstones Humidity struck by lightning (E907) E904.9 Privation, unqualified Destitution E CODE 999 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 eating of poisonous animals or plants (E865.0-E865.9) E905.0 Venomous snakes and lizards Cobra Mamba Copperhead snake Rattlesnake Coral snake Sea snake Fer de lance Snake (venomous) Gila monster Viper Krait Water moccasin bites of snakes and lizards known to be nonvenomous (E906.2) E905.1 Venomous spiders Black widow spider Tarantula (venomous) Brown spider 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 1000 TABULAR LIST E905.6 Venomous marine animals and plants Puncture by sea urchin Sting of: spine nematocysts Sting of: sea anemone coral sea cucumber jelly fish other marine animal or plant 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 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) E906.0 Dog bite E906.1 Rat bite E906.2 Bite of nonvenomous snakes and lizards E CODE 1001 E906.3 Bite of other animal except arthropod Cats Rodents, except rats Moray eel Shark E906.4 Bite of nonvenomous arthropod Insect 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 injury by animal being ridden (E828.0-E828.9) E906.9 Unspecified injury caused by animal E907 Lightning injury from: Jall of tree or other object caused by lightning (E916) fire caused by lightning (E890.0-E892) 1002 TABULAR LIST E908 Cataclysmic storms, and floods resulting from storms Blizzard Cloudburst Cyclone Flood arising from remote storm of cataclysmic nature arising from melting snow resulting directly from storm Hurricane "Tidal wave" caused by storm action Tornado Torrential rain Transport vehicle washed off road by storm collapse of dam or man-made structure causing flood (E909) transport accident occurring after storm (E800.0-E848) E909 Cataclysmic earth surface movements and eruptions Avalanche Collapse of dam or man-made structure causing flood Earthquake Landslide Mud slide of cataclysmic nature Tidal wave Tsunami Volcanic eruption "tidal wave" caused by storm action (E908) transport accident involving collision with avalanche or landslide not’ in motion (E800.0-E848) E CODE 1003 ACCIDENTS CAUSED BY SUBMERSION, SUFFOCATION, AND FOREIGN BODIES (E910-E915) E910 Accidental drowning and submersion Includes: immersion swimmers’ cramp 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-E8435.9) 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 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 1004 TABULAR LIST 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 jumping into water to rescue another person (E910.3) E910.3 While swimming or diving for purposes other than recreation or sport Marine salvage Pearl diving Placement of fishing nets Rescue (attempt) of another person 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 E CODE 1005 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 Choked on ! : Suffocation by in food, regurgitated food] Compression of trachea Interruption of respiration by Rad Jodged og Obstruction of respiration phag Obstruction of pharynx by food (bolus) injury, except asphyxia and obstruction of respiratory passage, caused by food (E915) obstruction of escphagus 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 Interruption of respiration Obstruction of respiration injury, except asphyxia and obstruction of respiratory passage, caused by Joreign body (E915) obstruction of esophagus by foreign body without mention of asphyxia or obstruction in respiratory passage (E915) by foreign body in esophagus 1006 TABULAR LIST E913 Accidental mechanical suffocation mechanical suffocation from or by: accidental inhalation or ingestion of: food (E911) Jforeign 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 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 suffocation by plastic bag (E913.1) E913.3 By falling earth or other substance Cave-in NOS cave-in caused by cataclysmic earth surface movements and eruptions (E909) 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 corrosive liquid (E924.1) E CODE 1007 E915 Foreign body accidentally entering other orifice 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, Object falling from: except on fire machine, not in Falling: operation rock stationary vehicle snowslide NOS stone tree 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) 1008 TABULAR LIST E917 Striking against or struck accidentally by objects or persons Includes: bumping into or against object (moving) colliding with freon kicking against To ary stepping on pedestrian conveyance struck by person fall from: bumping into or against object (E888) collision with another person, except when caused by a crowd (E886.0-E886.9) stumbling over object (E885) 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 Kicked or stepped on during game (football) (rugby) Knocked down while boxing Struck by hit or thrown ball Struck by hockey stick or puck E917.1 Caused by a crowd, by collective fear or panic Crushed Pushed | by crowd or human stampede Stepped on E917.2 In running water drowning or submersion (E910.0-E910.9) that in sports (E917.0) E917.9 Other Accident caused by air rifle [BB gun] E CODE 1009 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 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: Salling object (E916) object (moving) (projected) (E917.0-E917.9) 1010 TABULAR LIST E919 Accidents caused by machinery Includes: burned by 3 caught in (moving parts of) collapse of crushed by cut or pierced by drowning or submersion caused by explosion of, on, in fall from or into moving part of fire starting in or on mechanical suffocation caused by object falling from, on, in motion by overturning of pinned under run over by struck by thrown from J caught between machinery and other object machinery accident NOS 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) 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) machinery (accident) E CODE 1011 E919.0 Agricultural machines Animal-powered Farm tractor agricultural machine = Harvester Combine Hay mower or rake Derrick, hay Reaper Farm machinery NOS Thresher 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- ES827.9, 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) Shaft lift (seabed) Under-cutter Shaft hoist coal car, tram, truck, and tub in mine (E846) E919.2 Lifting machines and appliances Chain hoist Crane Derrick Elevator (building) (grain) Forklift truck Lift Pulley block Winch that being towed by another vehicle on the highway (E810.0-E819.9, E827.0-E827.9, E829.0-829.9) 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) except in agricultural or mining operations 1012 TABULAR LIST E919.3 Metalworking machines Abrasive wheel Metal: . Forging machine drilling machine Lathe milling machine Mechanical shears power press rolling-mill sawing machine E919.4 Woodworking and forming machines Band saw Powered saw Bench saw Radial saw Circular saw Sander Molding machine Overhead plane hand saw (E920.1) E919.5 Prime movers, except electrical motors Gas turbine Steam engine Internal combustion engine Water driven turbine 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: Transmission: belt pinion cable pulley chain shaft gear E919.7 Earth moving, scraping, and other excavating machines Bulldozer Steam shovel Road scraper 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) E CODE 1013 E919.8 Other specified machinery Machines for manufacture Printing machine of: Recreational machinery clothing Spinning, weaving, and foodstuffs and beverages textile machines paper E919.9 Unspecified machinery E920 Accidents caused by cutting and piercing instruments or objects object: Includes: accidental injury by } edged fall on 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 rivet gun hand saw snow blower hedge clipper staple gun band saw (E919.4) bench saw (E919.4) E920.2 Powered household appliances and implements Blender Electric: Electric: knife beater or mixer sewing machine can opener Garbage disposal fan appliance E920.3 Knives, swords, and daggers 1014 TABULAR LIST E920.4 Other hand tools and implements Axe Paper cutier Can opener NOS Pitchfork Chisel Rake Fork Scissors Hand saw Screwdriver Hoe Sewing machine, Ice pick not powered Needle Shovel E920.8 Other specified cutting and piercing instruments or objects Arrow Nail Broken glass Plant thorn Dart Splinter Edge of stiff paper Tin can lid Lathe turnings 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 Pressure cooker Automobile tire E921.9 Unspecified pressure vessel E CODE 1015 E922 Accident caused by firearm missile E922.0 Handgun Pistol Revolver Verey pistol (E922.8) E922.1 Shotgun (automatic) E922.2 Hunting rifle air rifle [BB gun] (E917.9) E922.3 Military firearms Army rifle Machine 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 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 1016 TABULAR LIST E923.1 Blasting materials Blasting cap Explosive [any] used in Detonator blasting operations Dynamite E923.2 Explosive gases Acetylene Fire damp Butane Gasoline fumes Coal gas Methane Explosion in mine NOS Propane E923.8 Other explosive materials Bomb Torpedo Explosive missile Explosion in munitions: Grenade dump Mine factory Shell E923.9 Unspecified explosive material Explosion NOS E924 Accident caused by hot substance or object, caustic or corrosive material, and steam 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 E CODE 1017 E924.1 Caustic and corrosive substances Burning by: acid [any kind] ammonia caustic oven cleaner or other substance corrosive substance lye vitriol 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 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 1018 TABULAR LIST E925.2 Industrial wiring, appliances, and electrical machinery Conductors Electrical equipment and Control apparatus machinery Transformers E925.8 Other electric current Wiring and appliances in ~~ Wiring and appliances in or on: or on: farm [not farmhouse] residential institutions outdoors schools public building E925.9 Unspecified electric current Burns or other injury from electric current NOS Electric shock NOS Electrocution NOS E926 Exposure to radiation 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: from: microwave high-powered radio radiation and television radar radiation transmitters radiofrequency industrial radiofrequency radiofrequency radiation induction heaters [any] radar installations E CODE 1019 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 hysical contact with heater or lamp (E924.8) p E926.2 Visible and ultraviolet light sources Arc lamps Oxygas welding torch Black light sources Sun rays Electrical welding arc 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 Strenuous movements in: exercise recreational activities Overexertion (from): other activities lifting pulling pushing 1020 TABULAR LIST 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) Supersonic waves Sound waves E928.2 Vibration E928.8 Other E928.9 Unspecified accident Accident NOS Blow NOS Casualty (not due to war) Decapitation : stated as Injury [any part of body, wid od dentally leg unspecified] Bot not otherwise AH down specified Wound Jracture, 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 occurring as sequelae one year or more after accidental injury. E CODE 1021 E929 Late effects of accidental injury. 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 1022 TABULAR LIST 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 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 that used as eye, ear, nose, and throat [ENT], and local anti-infectives (E946.0-E946.9) E930.0 Penicillins Natural Semisynthetic, such as: Synthetic ampicillin : cloxacillin nafcillin i oxacillin E930.1 Antifungal antibiotics Amphotericin B Hachimycin [trichomycin] Griseofulvin Nystatin E CODE 1023 E930.2 Chloramphenicol group Chloramphenicol Thiamphenicol E930.3 Erythromycin and other macrolides Oleandomycin Spiramycin E930.4 Tetracycline group Doxycycline Oxytetracycline Minocycline E930.5 Cephalosporin group Cephalexin Cephaloridine Cephaloglycin Cephalothin E930.6 Antimycobacterial antibiotics Cycloserine Rifampin Kanamycin Streptomycin E930.7 Antineoplastic antibiotics Actinomycins, such as: Bleomycin Cactinomycin Daunorubicin Dactinomycin Mitomycin other antineoplastic drugs (E933.1) E930.8 Other specified antibiotics E930.9 Unspecified antibiotic E931 Other anti-infectives ENT, and local anti-infectives (E946.0-E946.9) E931.0 Sulfonamides Sulfadiazine Sulfamethoxazole Sulfafurazole E931.1 Arsenical anti-infectives 1024 TABULAR LIST E931.2 Heavy metal anti-infectives Compounds of: Compounds of: antimony lead bismuth mercury mercurial diuretics (E944.0) E931.3 Quinoline and hydroxyquinoline derivatives : Chiniofon Diiodohydroxyquin antimalarial drugs (E931.4) E931.4 Antimalarials and drugs acting on other blood protozoa Chloroquine phosphate Proguanil [chloroguanide] Cycloguanil Pyrimethamine Primaquine Quinine (sulphate) E931.5 Other antiprotozoal drugs Emetine E931.6 Anthelmintics Hexylresorcinol Piperazine Male fern oleoresin Thiabendazole E931.7 Antiviral drugs Methisazone amantadine (E936.4) cytarabine (E933.1) idoxuridine (E946.5) E931.8 Other antimycobacterial drugs Ethambutol Para-aminosalicylic acid Ethionamide derivatives Isoniazid Sulfones E931.9 Other and unspecified anti-infectives Flucytosine Nitrofuran derivatives E CODE 1025 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 Insulin Biguanide derivatives, Phenformin oral Sulfonylurea Chlorpropamide derivatives, oral Glucagon Tolbutamide adverse effect of insulin administered Jor shock therapy (E879.3) E932.4 Anterior pituitary hormones Corticotropin Somatotropin Gonadotropin [growth hormone] E932.5 Posterior pituitary hormones Vasopressin oxytocic agents (E945.0) E932.6 Parathyroid and parathyroid derivatives E932.7 Thyroid and thyroid derivatives Dextrothyroxine Liothyronine Levothyroxine sodium Thyroglobulin 1026 TABULAR LIST E932.8 Antithyroid agents Iodides Thiourea Thiouracil E932.9 Other and unspecified hormones and synthetic substitutes E933 Primarily systemic agents E933.0 Antiallergic and antiemetic drugs Antihistamines Diphenylpyraline Chlorpheniramine Thonzylamine Diphenhydramine Tripelennamine phenothiazine-based tranquilizers (E939.1) E933.1 Antineoplastic and immunosuppressive drugs Azathioprine Mechlorethamine Busulfan hydrochloride Chlorambucil Mercaptopurine Cyclophosphamide Triethylenethiophos- Cytarabine phoramide Fluorouracil [thio-TEPA] 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 E CODE 1027 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 Prothrombin synthesis Heparin inhibitor Phenindione Warfarin sodium E934.3 Vitamin K [phytonadione] E934.4 Fibrinolysis-affecting drugs Aminocaproic acid Streptokinase Streptodornase 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 Packed red cells Human fibrinogen 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 1028 TABULAR LIST 0E935.1 Methadone 0E935.2 Other opiates and related narcotics Codeine [methylmorphine] Opium (alkaloids) Morphine Meperidine [pethidine] 0E935.3 Salicylates Acetylsalicylic acid [aspirin] Amino derivatives of salicylic acid Salicylic acid salts 0E935.4 Aromatic analgesics, not elsewhere classified Acetanilid Paracetamol [acetaminophen] Phenacetin [acetophenetidin] 0E935.5 Pyrazole derivatives Aminophenazone [aminopyrine] Phenylbutazone 0E935.6 Antirheumatics [antiphlogistics] Gold salts Indomethacin salicylates (E935.3) steroids (E932.0) 0E935.7 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 E CODE 1029 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] 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 Methyprylon 1030 TABULAR LIST E937.9 Unspecified Sleeping: drug pill NOS tablet E938 Other central nervous system depressants and anesthetics E938.0 Central nervous system muscle-tone depressants Chlorphenesin (carbamate) Methocarbamol Mephenesin E938.1 Halothane E938.2 Other gaseous anesthetics Ether Halogenated hydrocarbon derivatives, except halothane Nitrous oxide E938.3 Intravenous anesthetics Ketamine Thiobarbiturates, such Methohexital as thiopental sodium [methohexitone] E938.4 Other and unspecified general anesthetics E938.5 Surface and infiltration anesthetics Cocaine Procaine Lidocaine [lignocaine] Tetracaine E938.6 Peripheral nerve- and plexus-blocking anesthetics E938.7 Spinal anesthetics E938.9 Other and unspecified local anesthetics E CODE 1031 E939 Psychotropic agents E939.0 Antidepressants Amitriptyline Monoamine oxidase [MAO] Imipramine inhibitors E939.1 Phenothiazine-based tranquilizers Chlorpromazine Prochlorperazine Fluphenazine Promazine Phenothiazine E939.2 Butyrophenone-based tranquilizers Haloperidol Trifluperidol Spiperone E939.3 Other antipsychotics, neuroleptics, and major tranquilizers E939.4 Benzodiazepine-based tranquilizers Chlordiazepoxide Lorazepam Diazepam Medazepam Flurazepam Nitrazepam E939.5 Other tranquilizers Hydroxyzine Meprobamate E939.6 Psychodysleptics [hallucinogens] Cannabis (derivatives) Mescaline Lysergide [LSD] Psilocin Marihuana (derivatives) Psilocybin E939.7 Psychostimulants Amphetamine Caffeine central appetite depressants (E947.0) E939.8 Other psychotropic agents E939.9 Unspecified psychotropic agent 1032 TABULAR LIST E940 Central nervous system stimulants E940.0 Analeptics Lobeline Nikethamide E940.1 Opiate antagonists Levallorphan Naloxone Nalorphine 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 Pilocarpine Anticholinesterase: organophosphorus reversible E941.1 Parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics Atropine Hyoscine [scopolamine] Homatropine Quaternary ammonium derivatives 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 E CODE 1033 E942 Agents primarily affecting the cardiovascular system E942.0 Cardiac rhythm regulators Practolol Propranolol Procainamide Quinidine E942.1 Cardiotonic glycosides and drugs of similar action Digitalis glycosides Strophanthins Digoxin E942.2 Antilipemic and antiarteriosclerotic drugs Cholestyramine Nicotinic acid derivatives Clofibrate Sitosterols dextrothyroxine (E932.7) E942.3 Ganglion-blocking agents Pentamethonium bromide E942.4 Coronary vasodilators Dipyridamole Nitrites Nitrates [nitroglycerin] Prenylamine E942.5 Other vasodilators Cyclandelate Hydralazine Diazoxide Papaverine E942.6 Other antihypertensive agents Clonidine Rauwolfia alkaloids Guanethidine Reserpine E942.7 Antivaricose drugs, including sclerosing agents Monoethanolamine Zinc salts E942.8 Capillary-active drugs Adrenochrome derivatives Metaraminol Bioflavonoids E9429 Other and unspecified agents primarily affecting the cardiovascular system 1034 TABULAR LIST E943 Agents primarily affecting gastrointestinal system E943.0 Antacids and antigastric secretion drugs Aluminum hydroxide Magnesium trisilicate E943.1 Irritant cathartics Bisacodyl Phenolphthalein Castor oil E943.2 Emollient cathartics Sodium diocty! sulfosuccinate E943.3 Other cathartics, including intestinal atonia drugs Magnesium sulfate E943.4 Digestants Pancreatin Pepsin Papain E943.5 Antidiarrheal drugs Bismuth subcarbonate Pectin Kaolin anti-infectives (E930.0-E931.9) E943.6 Emetics E943.8 Other specified agents primarily affecting the gastro- intestinal system E943.9 Unspecified agent primarily affecting the gastrointestinal system E944 Water, mineral, and uric acid metabolism drugs E944.0 Mercurial diuretics Chlormerodrin Mercurophylline Mercaptomerin Mersalyl E CODE 1035 E944.1 Purine derivative diuretics Theobromine Theophylline 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 Phenoquin Colchicine 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] papaverine (E942.5) E945.2 Skeletal muscle relaxants Alcuronium chloride Suxamethonium chloride E945.3 Other and unspecified drugs acting on muscles 1036 TABULAR LIST E945.4 Antitussives Dextromethorphan Pipazethate hydrochloride E945.5 Expectorants Acetylcysteine Ipecacuanha Cocillana Terpin hydrate Guaifenesin [glyceryl guaiacolate] 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, ophthalmo- logical, 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 E CODE 1037 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 E9%48.3 Plague E948.4 Tetanus E948.5 Diphtheria 1038 TABULAR LIST 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 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 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 E CODE 1039 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 1040 TABULAR LIST 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 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 E955.9 Unspecified E956 Suicide and self-inflicted injury by cutting and piercing instrument E CODE 1041 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 poisoning by caustic substance (E950.7) E958.8 Other specified means E958.9 Unspecified means 1042 TABULAR LIST 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 else- where. The "late effects" include conditions reported as such or occurring as sequelae one year or more after 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 injuries due to: legal intervention (E970-E978) operations of war (E990-E999) 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 homicidal: injury by weapons (E9635.0-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 burns from hot liquid (E968.3) chemical burns from swallowing a corrosive substance (E962.0-E962.9) E CODE 1043 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 homb E965.6 Gasoline bomb E965.7 Letter bomb 1044 TABULAR LIST E965.8 Other specified explosive Bomb NOS (placed in): Dynamite car house E965.9 Unspecified explosive E966 Assault by cutting and piercing instrument Assassination (attempt), homicide (attempt) by any instrument classifiable under E920 Homicidal: cut puncture stab Stabbed any part of body E967 Child battering and other maltreatment E967.0 By parent E967.1 By other specified person E967.9 By unspecified person E968 Assault by other and unspecified means E968.0 Fire Arson Homicidal burns NOS 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 E CODE 1045 E968.4 Criminal neglect Abandonment of child, infant, or other helpless person with intent to injure or kill E968.8 Other specified means Bite of human being E968.9 Unspecified means Assassination (attempt) Manslaughter NOS (nonaccidental) Homicidal (attempt): Murder (attempt) NOS injury NOS Violence, non-accidental wound NOS 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 else- where. The "late effects" include conditions reported as such, or occurring as sequelae one year or more after 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 injuries caused by civil insurrections (E990.0-E999) E970 Injury due to legal intervention by firearms Gunshot wound Injury by: Injury by: rifle pellet or rubber machine gun bullet revolver shot NOS 1046 TABULAR LIST E971 Injury due to legal intervention by explosives Injury by: Injury by: dynamite grenade explosive shell mortar bomb E972 Injury due to legal intervention by gas Asphyxiation by gas Poisoning by gas Injury by tear 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 Injured by bayonet Incised wound 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 else- where. The "late effects" include conditions repcrted as such, or occurring as sequelae one year or more after injury due to legal intervention. E CODE 1047 E978 Legal execution All executions performed at the behest of the judiciary or ruling authority [whether permanent or temporary] as: asphyxiation by gas hanging beheading, decapitation poisoning (by guillotine) shooting capital punishment other specified means electrocution INJURY UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED (E980-E989) Note: Categories E980-E989 are for use when after a thorough investigation by the medical examiner, coroner, or other legal authority it cannot be determined whether the injuries are accidental, suicidal, or homicidal. They include self- inflicted injuries, but not poisoning, when not specified as accidental or as intentional. 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 1048 TABULAR LIST 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 E CODE 1049 E984 Submersion [drowning], undetermined whether accidentally or purposely inflicted E985 Injury by firearms and explosives, undetermined whether accidentally or puposely inflicted E985.0 Handgun E985.1 Shotgun E985.2 Hunting rifle E985.3 Military firearms E985.4 Other and unspecified firearm E985.5 Explosives 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 1050 TABULAR LIST 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 else- where. The "late effects" include conditions reported as such or occurring as sequelae one year or more 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 accidents during training of military personnel, manufacture of war material and transport, unless attributable to enemy action E CODE 1051 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 Antipersonne! bomb (fragments) E991.9 Other and unspecified fragments Fragments from: Fragments from: artillery shell land mine bombs, except anti- rockets personnel shell grenade Shrapnel guided missile E992 Injury due to war operations by explosion of marine weapons Depth charge Sea-based artillery shell Marine mines Torpedo Mine NOS, at sea or in Underwater blast harbor 1052 TABULAR LIST E993 Injury due to war operations by other explosion Accidental explosion of Explosion of: munitions being used artillery shell in war breech block Accidental explosion of cannon block own weapons mortar bomb Air blast NOS Injury by weapon burst Blast NOS Explosion NOS E994 Injury due to war operations by destruction of aircraft Airplane: Crushed by falling burned airplane exploded shot down E995 Injury due to war operations by other and unspecified forms of conventional warfare Battle wounds Drowned in war Bayonet injury 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 E CODE 1053 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 Note: This category is to be used to indicate circumstances classi- fiable to 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 occurring as sequelae one year or more after injury resulting from operations of war. » mg oo oo , mlz Fa © La? TEs He - on EEE, 2» . ’ hl anc #5 : EJ or a hia I MORPHOLOGY OF NEOPLASMS The World Health Organization has published an adaptation of the International Classification of Diseases for oncology (ICD-0). It con- tains a coded nomenclature for the morphology of neoplasms, which is reproduced here for those who wish to use it in conjunction with Chapter 2 of the International Classification of Diseases, 9th Revision, Clinical Modification. The morphology code numbers consist of five digits; the first four identify the histological type of the neoplasm and the fifth indicates its behavior. The one-digit behavior code is as follows: /0 Benign /1 Uncertain whether benign or malignant Borderline malignancy /2 Carcinoma in situ Intraepithelial Noninfiltrating Noninvasive /3 Malignant, primary site /6 Malignant, metastatic site Secondary site /9 Malignant, uncertain whether primary or metastatic site In the nomenclature below, the morphology code numbers include the behavior code appropriate to the histological type of neoplasm, but this behavior code should be changed if other reported informa- tion makes this necessary. For example, “chordoma (M9370/3)” is assumed to be malignant; the term “benign chordoma” should be coded M9370/0. Similarly, “superficial spreading adenocarcinoma (M8143/3)” described as “noninvasive” should be coded M8143/2 and “melanoma (M8720/3)” described as “secondary” should be coded M8720/6. 10565 1056 APPENDIX A The following table shows the correspondence between the morphology code and the different sections of Chapter 2: Morphology Code ICD-9-CM Chapter 2 Histology/Behavior Any 0 210-229 Benign neoplasms M8000-M8004 1 239 Neoplasms of unspecified nature M8010+ 1 235-238 Neoplasms of uncertain behavior Any 2 230-234 Carcinoma in situ Any 3 140-195 Malignant neoplasms, stated or 200-208 presumed to be primary Any 6 196-198 Malignant neoplasms, stated or presumed to be secondary The ICD-O behavior digit /9 is inapplicable in an ICD context, since all malignant neoplasms are presumed to be primary (/3) or secon- dary (/6) according to other information on the medical record. Only the first-listed term of the full ICD-O morphology nomenclature appears against each code number in the list below. The ICD-9-CM Alphabetical Index (Volume 2), however, includes all the ICD-O syn- onyms as well as a number of other morphological names still likely to be encountered on medical records but omitted from ICD-O as outdated or otherwise undesirable. A coding difficulty sometimes arises where a morphological diagnosis contains two qualifying adjectives that have different code numbers. An example is “transitional cell epidermoid carcinoma.” “Transi- tional cell carcinoma NOS” is M8120/3 and “epidermoid carcinoma NOS” is M8070/3. In such circumstances, the higher number (M8120/3 in this example) should be used, as it is usually more specific. CODED NOMENCLATURE FOR MORPHOLOGY OF NEOPLASMS M800 Neoplasms NOS M8000/0 Neoplasm, benign M8000/1 Neoplasm, uncertain whether benign or malignant M8000/3 Neoplasm, malignant M8000/6 Neoplasm, metastatic M8000/9 Neoplasm, malignant, uncertain whether primary or metastatic MORPHOLOGY OF NEOPLASMS 1057 M8001/0 M8001/1 M8001/3 M8002/3 M8003/3 M8004/3 M801-M804 M8010/0 M8010/2 M8010/3 M8010/6 M8010/9 M8011/0 M8011/3 M8012/3 M8020/3 M8021/3 M8022/3 M8030/3 M8031/3 M8032/3 M8033/3 M8034/3 M8035/3 M8040/1 M8041/3 M8042/3 M8043/3 M805-M808 M8050/0 M8050/2 M8050/3 M8051/0 M8051/3 M8052/0 M8052/3 M8053/0 M8060/0 M8070/2 M8070/3 M8070/6 Tumor cells, benign Tumor cells, uncertain whether benign or malignant Tumor cells, malignant Malignant tumor, small cell type Malignant tumor, giant cell type Malignant tumor, fusiform cell type Epithelial neoplasms NOS Epithelial tumor, benign Carcinoma in situ NOS Carcinoma NOS Carcinoma, metastatic NOS Carcinomatosis Epithelioma, benign Epithelioma, malignant Large cell carcinoma NOS Carcinoma, undifferentiated type NOS Carcinoma, anaplastic type NOS Pleomorphic carcinoma Giant cell and spindle cell carcinoma Giant cell carcinoma Spindle cell carcinoma Pseudosarcomatous carcinoma Polygonal cell carcinoma Spheroidal cell carcinoma Tumorlet Small cell carcinoma NOS Oat cell carcinoma Small cell carcinoma, fusiform cell type Papillary and squamous cell neoplasms Papilloma NOS (except Papilloma of urinary bladder M8120/1) Papillary carcinoma in situ Papillary carcinoma NOS Verrucous papilloma Verrucous carcinoma NOS Squamous cell papilloma Papillary squamous cell carcinoma Inverted papilloma Papillomatosis NOS Squamous cell carcinoma in situ NOS Squamous cell carcinoma NOS Squamous cell carcinoma, metastatic NOS 1058 APPENDIX A M8071/3 M8072/3 M8073/3 M8074/3 M8075/3 M8076/2 M8076/3 M38080/2 M8081/2 M8082/3 M809-M811 M8090/1 M8090/3 M8091/3 M8092/3 M8093/3 M8094/3 M8095/3 M8096/0 M8100/0 M8101/0 M8102/0 M8110/0 Squamous cell carcinoma, keratinizing type NOS Squamous cell carcinoma, large cell, nonkeratinizing type Squamous cell carcinoma, small cell, nonkeratinizing type Squamous cell carcinoma, spindle cell type Adenoid squamous cell carcinoma Squamous cell carcinoma in situ with questionable stromal invasion Squamcus cell carcinoma, microinvasive Queyrat’s erythroplasia Bowen's disease Lymphoepithelial carcinoma Basal cell neoplasms Basal cell tumor Basal cell carcinoma NOS Multicentric basal cell carcinoma Basal cell carcinoma, morphea type Basal cell carcinoma, fibroepithelial type Basosquamous carcinoma Metatypical carcinoma Intraepidermal epithelioma of Jadassohn Trichoepithelioma Trichofolliculoma Tricholemmoma Pilomatrixoma M812-M813 Transitional cell papillomas and carcinomas M8120/0 M8120/1 M8120/2 M8120/3 M8121/0 M8121/1 M8121/3 M8122/3 M8123/3 M8124/3 M8130/3 M814-M838 M8140/0 M8140/1 M8140/2 M8140/3 Transitional cell papilloma NOS Urothelial papilloma Transitional cell carcinoma in situ Transitional cell carcinoma NOS Schneiderian papilloma Transitional cell papilloma, inverted type Schneiderian carcinoma Transitional cell carcinoma, spindle cell type Basaloid carcinoma Cloacogenic carcinoma Papillary transitional cell carcinoma Adenomas and adenccarcinomas Adenoma NOS Bronchial adenoma NOS Adenocarcinoma in situ Adenocarcinoma NOS M8140/6 M8141/3 M8142/3 M8143/3 M8144/3 M8145/3 M8146/0 M8147/0 M8150/0 M8150/3 M8151/0 MS8151/3 M8152/0 M8152/3 M8153/1 M8153/3 M8154/3 M8160/0 M8160/3 M8161/0 MS8161/3 M8170/0 M8170/3 M8180/0 M8180/3 M8190/0 M8190/3 M8191/0 M8200/0 M8200/3 M8201/3 M8210/0 M8210/3 M8211/0 M8211/3 M8220/0 M8220/3 M8221/0 M8230/3 M8231/3 M8240/1 M8240/3 M8241/1 M8241/3 MORPHOLOGY OF NEOPLASMS 1059 Adenocarcinoma, metastatic NOS Scirrhous adenocarcinoma Linitis plastica Superficial spreading adenocarcinoma Adenocarcinoma, intestinal type Carcinoma, diffuse type Monomorphic adenoma Basal cell adenoma Islet cell adenoma Islet cell carcinoma Insulinoma NOS Insulinoma, malignant Glucagonoma NOS Glucagonoma, malignant Gastrinoma NOS Gastrinoma, malignant Mixed islet cell and exocrine adenocarcinoma Bile duct adenoma Cholangiocarcinoma Bile duct cystadenoma Bile duct cystadenocarcinoma Liver cell adenoma Hepatocellular carcinoma NOS Hepatocholangioma, benign Combined hepatocellular carcinoma and cholangiocarcinoma Trabecular adenoma Trabecular adenocarcinoma Embryonal adenoma Eccrine dermal cylindroma Adenoid cystic carcinoma Cribriform carcinoma Adenomatous polyp NOS Adenocarcinoma in adenomatous polyp Tubular adenoma NOS Tubular adenocarcinoma Adenomatous polyposis coli Adenocarcinoma in adenomatous polyposis coli Multiple adenomatous polyps Solid carcinoma NOS Carcinoma simplex Carcinoid tumor NOS Carcinoid tumor, malignant Carcinoid tumor, argentaffin NOS Carcinoid tumor, argentaffin, malignant 1060 APPENDIX A M8242/1 Carcinoid tumor, nonargentaffin NOS M8242/3 Carcinoid tumor, nonargentaffin, malignant M8243/3 Mucocarcinoid tumor, malignant M8244/3 Composite carcinoid M8250/1 Pulmonary adenomatosis M8250/3 Bronchiolo-alveolar adenocarcinoma M8251/0 Alveolar adenoma M8251/3 Alveolar adenocarcinoma M8260/0 Papillary adenoma NOS M8260/3 Papillary adenocarcinoma NOS M8261/1 Villous adenoma NOS M8261/3 Adenocarcinoma in villous adenoma M8262/3 Villous adenocarcinoma M8263/0 Tubulovillous adenoma M8270/0 Chromophobe adenoma M8270/3 Chromophobe carcinoma M8280/0 Acidophil adenoma M8280/3 Acidophil carcinoma M8281/0 Mixed acidophil-basophil adenoma M8281/3 Mixed acidophil-basophil carcinoma M8290/0 Oxyphilic adenoma M8290/3 Oxyphilic adenocarcinoma M8300/0 Basophil adenoma M8300/3 Basophil carcinoma M8310/0 Clear cell adenoma M8310/3 Clear cell adenocarcinoma NOS M8311/1 Hypernephroid tumor M8312/3 Renal cell carcinoma M8313/0 Clear cell adenofibroma M8320/3 Granular cell carcinoma M8321/0 Chief cell adenoma M8322/0 Water-clear cell adenoma M8322/3 Water-clear cell adenocarcinoma M8323/0 Mixed cell adenoma M8323/3 Mixed cell adenocarcinoma M8324/0 Lipoadenoma M8330/0 Follicular adenoma M8330/3 Follicular adenocarcinoma NOS M8331/3 Follicular adenocarcinoma, well differentiated type M8332/3 Follicular adenocarcinoma, trabecular type M8333/0 Microfollicular adenoma M8334/0 Macrofollicular adenoma M8340/3 Papillary and follicular adenocarcinoma M8350/3 Nonencapsulated sclerosing carcinoma M8360/1 Multiple endocrine adenomas MORPHOLOGY OF NEOPLASMS 1061 M8361/1 M8370/0 M8370/3 M8371/0 M8372/0 M8373/0 M8374/0 M8375/0 M8380/0 M38380/1 M8380/3 M38381/0 M8381/1 M8381/3 M839-M842 M8390/0 M8390/3 M8400/0 M8400/1 M8400/3 M8401/0 M8401/3 M8402/0 M8403/0 M8404/0 M8405/0 M8406/0 M8407/0 M8410/0 M8410/3 M8420/0 M8420/3 M843 M8430/1 M8430/3 M844-M849 M8440/0 M8440/3 M8441/0 M8441/1 M8441/3 Juxtaglomerular tumor Adrenal cortical adenoma NOS Adrenal cortical carcinoma Adrenal cortical adenoma, compact cell type Adrenal cortical adenoma, heavily pigmented variant Adrenal cortical adenoma, clear cell type Adrenal cortical adenoma, glomerulosa cell type Adrenal cortical adenoma, mixed cell type Endometrioid adenoma NOS Endometrioid adenoma, borderline malignancy Endometrioid carcinoma Endometrioid adenofibroma NOS Endometrioid adenofibroma, borderline malignancy Endometrioid adenofibroma, malignant Adnexal and skin appendage neoplasms Skin appendage adenoma Skin appendage carcinoma Sweat gland adenoma Sweat gland tumor NOS Sweat gland adenocarcinoma Apocrine adenoma Apocrine adenocarcinoma Eccrine acrospiroma Eccrine spiradenoma Hidrocystoma Papillary hydradenoma Papillary syringadenoma Syringoma NOS Sebaceous adenoma Sebaceous adenocarcinoma Ceruminous adenoma Ceruminous adenocarcinoma Mucoepidermoid neoplasms Mucoepidermoid tumor Mucoepidermoid carcinoma Cystic, mucinous, and serous neoplasms Cystadenoma NOS Cystadenocarcinoma NOS Serous cystadenoma NOS Serous cystadenoma, borderline malignancy Serous cystadenocarcinoma NOS 1062 APPENDIX A M8450/0 M8450/1 M8450/3 M8460/0 M8460/1 M8460/3 M8461/0 M8461/1 M8461/3 M8470/0 M8470/1 M8470/3 M8471/0 M8471/1 M8471/3 M8480/0 M8480/3 M8480/6 M8481/3 M8490/3 M8490/6 Papillary cystadenoma NOS Papillary cystadenoma, borderline malignancy Papillary cystadenocarcinoma NOS Papillary serous cystadenoma NOS Papillary serous cystadenoma, borderline malignancy Papillary serous cystadenocarcinoma Serous surface papilloma NOS Serous surface papilloma, borderline malignancy Serous surface papillary carcinoma Mucinous cystadenoma NOS Mucinous cystadenoma, borderline malignancy Mucinous cystadenocarcinoma NOS Papillary mucinous cystadenoma NOS Papillary mucinous cystadenoma, borderline malignancy Papillary mucinous cystadenocarcinoma Mucinous adenoma Mucinous adenocarcinoma Pseudomyxoma peritonei Mucin-producing adenocarcinoma Signet ring cell carcinoma Metastatic signet ring cell carcinoma MS850-M854 Ductal, lobular, and medullary neoplasms M8500/2 M8500/3 M8501/2 M8501/3 M8502/3 M38503/0 M38503/2 M8504/0 M8504/2 M8505/0 M8506/0 M8510/3 M8511/3 M8512/3 M8520/2 M8520/3 M8521/3 M8530/3 M8540/3 Intraductal carcinoma, noninfiltrating NOS Infiltrating duct carcinoma Comedocarcinoma, noninfiltrating Comedocarcinoma NOS Juvenile carcinoma of the breast Intraductal papilloma Noninfiltrating intraductal papillary adenocarcinoma Intracystic papillary adenoma Noninfiltrating intracystic carcinoma Intraductal papillomatosis NOS Subareolar duct papillomatosis Medullary carcinoma NOS Medullary carcinoma with amyloid stroma Medullary carcinoma with lymphoid stroma Lobular carcinoma in situ Lobular carcinoma NOS Infiltrating ductular carcinoma Inflammatory carcinoma Paget’s disease, mammary M8541/3 M8542/3 M855 M8550/0 M8550/1 M8550/3 MORPHOLOGY OF NEOPLASMS 1063 Paget’s disease and infiltrating duct carcinoma of breast Paget’s disease, extramammary (except Paget's disease of bone) Acinar cell neoplasms Acinar cell adenoma Acinar cell tumor Acinar cell carcinoma M856-M858 Complex epithelial neoplasms M8560/3 M8561/0 M8570/3 M8571/3 M8572/3 M8573/3 M8580/0 M8580/3 Adenosquamous carcinoma Adenolymphoma Adenocarcinoma with squamous metaplasia Adenocarcinoma with cartilaginous and osseous metaplasia Adenocarcinoma with spindle cell metaplasia Adenocarcinoma with apocrine metaplasia Thymoma, benign Thymoma, malignant M859-M867 Specialized gonadal neoplasms M8590/1 M8600/0 M8600/3 M8610/0 M8620/1 M8620/3 M8621/1 M8630/0 M8630/1 M8630/3 M8631/0 M8632/1 M38640/0 M8640/3 M8641/0 M8650/0 M8650/1 M8650/3 M8660/0 M8670/0 M8671/0 Sex cord-stromal tumor Thecoma NOS Theca cell carcinoma Luteoma NOS Granulosa cell tumor NOS Granulosa cell tumor, malignant Granulosa cell-theca cell tumor Androblastoma, benign Androblastoma NOS Androblastoma, malignant Sertoli-Leydig cell tumor Gynandroblastoma Tubular androblastoma NOS Sertoli cell carcinoma Tubular androblastoma with lipid storage Leydig cell tumor, benign Leydig cell tumor NOS Leydig cell tumor, malignant Hilar cell tumor Lipid cell tumor of ovary Adrenal rest tumor 1064 APPENDIX A MS868-M871 Paragangliomas and glomus tumors M8680/1 Paraganglioma NOS M8680/3 Paraganglioma, malignant M8681/1 Sympathetic paraganglioma M8682/1 Parasympathetic paraganglioma M8690/1 Glomus jugulare tumor M8691/1 Aortic body tumor M8692/1 Carotid body tumor M8693/1 Extra-adrenal paraganglioma NOS M8693/3 Extra-adrenal paraganglioma, malignant M8700/0 Pheochromocytoma NOS M8700/3 Pheochromocytoma, malignant M8710/3 Glomangiosarcoma M8711/0 Glomus tumor M8712/0 Glomangioma MS872-M879 Nevi and melanomas M8720/0 Pigmented nevus NOS M8720/3 Malignant melanoma NOS M8721/3 Nodular melanoma M8722/0 Balloon cell nevus M8722/3 Balloon cell melanoma M8723/0 Halo nevus M8724/0 Fibrous papule of the nose M8725/0 Neuronevus M8726/0 Magnocellular nevus M8730/0 Nonpigmented nevus M8730/3 Amelanotic melanoma M8740/0 Junctional nevus M8740/3 Malignant melanoma in junctional nevus M8741/2 Precancerous melanosis NOS M8741/3 Malignant melanoma in precancerous melanosis M8742/2 Hutchinson's melanotic freckle M8742/3 Malignant melanoma in Hutchinson's melanotic freckle M8743/3 Superficial spreading melanoma M8750/0 Intradermal nevus M8760/0 Compound nevus M8761/1 Giant pigmented nevus M8761/3 Malignant melanoma in giant pigmented nevus M8770/0 Epithelioid and spindle cell nevus M8771/3 Epithelioid cell melanoma M8772/3 Spindle cell melanoma NOS M8773/3 Spindle cell melanoma, type A M8774/3 M8775/3 M8780/0 M8780/3 M8790/0 M880 M8800/0 M8800/3 M8800/9 M8801/3 M8802/3 M8803/3 M8804/3 M881-M883 M8810/0 M8810/3 M8811/0 M8811/3 M8812/0 M8812/3 M8813/0 M8813/3 M8814/3 M8820/0 M8821/1 M8822/1 M8823/1 M8830/0 M8830/1 M8830/3 M8831/0 M8831/1 M8831/3 M8832/0 M8832/1 M8832/3 M884 M8840/0 M8840/3 MORPHOLOGY OF NEOPLASMS 1065 Spindle cell melanoma, type B Mixed epithelioid and spindle cell melanoma Blue nevus NOS Blue nevus, malignant Cellular blue nevus Soft tissue tumors and sarcomas NOS Soft tissue tumor, benign Sarcoma NOS Sarcomatosis NOS Spindle cell sarcoma Giant cell sarcoma (except of bone M9250/3) Small cell sarcoma Epithelioid cell sarcoma Fibromatous neoplasms Fibroma NOS Fibrosarcoma NOS Fibromyxoma Fibromyxosarcoma Periosteal fibroma Periosteal fibrosarcoma Fascial fibroma Fascial fibrosarcoma Infantile fibrosarcoma Elastofibroma Aggressive fibromatosis Abdominal fibromatosis Desmoplastic fibroma Fibrous histiocytoma NOS Atypical fibrous histiocytoma Fibrous histiocytoma, malignant Fibroxanthoma NOS Atypical fibroxanthoma Fibroxanthoma, malignant Dermatofibroma NOS Dermatofibroma protuberans Dermatofibrosarcoma NOS Myxomatous neoplasms Myxoma NOS Mpyxosarcoma 1066 APPENDIX A M885-M888 Lipomatous neoplasms M8850/0 M8850/3 M8851/0 M8851/3 M8852/0 M8852/3 M8853/3 M8854/3 M8855/3 M8856/0 M8857/0 M8860/0 M8860/3 M8861/0 M8861/1 M8870/0 M8880/0 M8881/0 M889-M892 M8890/0 M8890/1 M8890/3 M8891/1 M8891/3 M8892/1 M8893/0 M8894/0 M8894/3 M8895/0 M8895/3 M8900/0 M8900/3 M8901/3 M8902/3 M8903/0 M8904/0 M8910/3 M8920/3 M893-M899 M8930/3 M8931/1 Lipoma NOS Liposarcoma NOS Fibrolipoma Liposarcoma, well differentiated type Fibromyxolipoma Myxoid liposarcoma Round cell liposarcoma Pleomorphic liposarcoma Mixed type liposarcoma Intramuscular lipoma Spindle cell lipoma Angiomyolipoma Angiomyoliposarcoma Angiolipoma NOS Angiolipoma, infiltrating Myelolipoma Hibernoma Lipoblastomatosis Myomatous neoplasms Leiomyoma NOS Intravascular leiomyomatosis Leiomyosarcoma NOS Epithelioid leiomyoma Epithelioid leiomyosarcoma Cellular leiomyoma Bizarre leiomyoma Angiomyoma Angiomyosarcoma Myoma Myosarcoma Rhabdomyoma NOS Rhabdomyosarcoma NOS Pleomorphic rhabdomyosarcoma Mixed type rhabdomyosarcoma Fetal rhabdomyoma Adult rhabdomyoma Embryonal rhabdomyosarcoma Alveolar rhabdomyosarcoma Complex mixed and stromal neoplasms Endometrial stromal sarcoma Endolymphatic stromal myosis MORPHOLOGY OF NEOPLASMS 1067 M8932/0 M8940/0 M8940/3 M8950/3 M8951/3 M8960/1 M8960/3 M8961/3 M8962/3 M8970/3 M8980/3 M8981/3 M8982/0 M8990/0 M8990/1 M8990/3 M8991/3 M900-M903 M9000/0 M9000/1 M9000/3 M9010/0 M9011/0 M9012/0 M9013/0 M9014/0 M9015/0 M9020/0 M9020/1 M9020/3 M9030/0 M904 M9040/0 M9040/3 M9041/3 M9042/3 M9043/3 M9044/3 Adenomyoma Pleomorphic adenoma Mixed tumor, malignant NOS Mullerian mixed tumor Mesodermal mixed tumor Mesoblastic nephroma Nephroblastoma NOS Epithelial nephroblastoma Mesenchymal nephroblastoma Hepatoblastoma Carcinosarcoma NOS Carcinosarcoma, embryonal type Myoepithelioma Mesenchymoma, benign Mesenchymoma NOS Mesenchymoma, malignant Embryonal sarcoma Fibroepithelial neoplasms Brenner tumor NOS Brenner tumor, borderline malignancy Brenner tumor, malignant Fibroadenoma NOS Intracanalicular fibroadenoma NOS Pericanalicular fibroadenoma Adenqofibroma NOS Serous adenofibroma Mucinous adenofibroma Cellular intracanalicular fibroadenoma Cystosarcoma phyllodes NOS Cystosarcoma phyllodes, malignant Juvenile fibroadenoma Synovial neoplasms Synovioma, benign Synovial sarcoma NOS Synovial sarcoma, spindle cell type Synovial sarcoma, epithelioid cell type Synovial sarcoma, biphasic type Clear cell sarcoma of tendons and aponeuroses 1068 APPENDIX A M905 Mesothelial neoplasms M9050/0 Mesothelioma, benign M9050/3 Mesothelioma, malignant M9051/0 Fibrous mesothelioma, benign M9051/3 Fibrous mesothelioma, malignant M9052/0 Epithelioid mesothelioma, benign M9052/3 Epithelioid mesothelioma, malignant M9053/0 Mesothelioma, biphasic type, benign M9053/3 Mesothelioma, biphasic type, malignant M9054/0 Adenomatoid tumor NOS M906-M909 Germ cell neoplasms M9060/3 Dysgerminoma M9061/3 Seminoma NOS M9062/3 Seminoma, anaplastic type M9063/3 Spermatocytic seminoma M9064/3 Germinoma M9070/3 Embryonal carcinoma NOS M9071/3 Endodermal sinus tumor M9072/3 Polyembryoma M9073/1 Gonadoblastoma M9080/0 Teratoma, benign M9080/1 Teratoma NOS M9080/3 Teratoma, malignant NOS M9081/3 Teratocarcinoma M9082/3 Malignant teratoma, undifferentiated type M9083/3 Malignant teratoma, intermediate type M9084/0 Dermoid cyst M9084/3 Dermoid cyst with malignant transformation M9090/0 Struma ovarii NOS M9090/3 Struma ovarii, malignant M9091/1 Strumal carcinoid M910 Trophoblastic neoplasms M9100/0 Hydatidiform mole NOS M9100/1 Invasive hydatidiform mole M9100/3 Choriocarcinoma M9101/3 Choriocarcinoma combined with teratoma M9102/3 Malignant teratoma, trophoblastic MoI11 Mesonephromas M9110/0 Mesonephroma, benign M9110/1 Mesonephric tumor MORPHOLOGY OF NEOPLASMS 1069 M9110/3 MI111/1 M912-M916 M9120/0 M9120/3 M9121/0 M9122/0 M9123/0 M9124/3 M9130/0 M9130/1 M9130/3 M9131/0 M9132/0 M9140/3 M9141/0 M9142/0 M9150/0 M9150/1 M9150/3 M9160/0 M9161/1 M917 M9170/0 M9170/3 M9171/0 M9172/0 M9173/0 M9174/0 M9174/1 M9175/0 M918-M920 M9180/0 M9180/3 M9181/3 M9182/3 M9183/3 M9184/3 M9190/3 M9191/0 M9200/0 Mesonephroma, malignant Endosalpingioma Blood vessel tumors Hemangioma NOS Hemangiosarcoma Cavernous hemangioma Venous hemangioma Racemose hemangioma Kupffer cell sarcoma Hemangioendothelioma, benign Hemangioendothelioma NOS Hemangioendothelioma, malignant Capillary hemangioma Intramuscular hemangioma Kaposi's sarcoma Angiokeratoma Verrucous keratotic hemangioma Hemangiopericytoma, benign Hemangiopericytoma NOS Hemangiopericytoma, malignant Angiofibroma NOS Hemangioblastoma Lymphatic vessel tumors Lymphangioma NOS Lymphangiosarcoma Capillary lymphangioma Cavernous lymphangioma Cystic lymphangioma Lymphangiomyoma Lymphangiomyomatosis Hemolymphangioma Osteomas and osteosarcomas Osteoma NOS Osteosarcoma NOS Chondroblastic osteosarcoma Fibroblastic osteosarcoma Telangiectatic osteosarcoma Osteosarcoma in Paget's disease of bone Juxtacortical osteosarcoma Osteoid osteoma NOS Osteoblastoma 1070 APPENDIX A M921-M924 Chondromatous neoplasms M9210/0 M9210/1 M9220/0 M9220/1 M9220/3 M9221/0 M9221/3 M9230/0 M9230/3 M9240/3 M9241/0 M925 M9250/1 M9250/3 M9251/1 M9251/3 M926 M9260/3 M9261/3 M9262/0 Osteochondroma Osteochondromatosis NOS Chondroma NOS Chondromatosis NOS Chondrosarcoma NOS Juxtacortical chondroma Juxtacortical chondrosarcoma Chondroblastoma NOS Chondroblastoma, malignant Mesenchymal chondrosarcoma Chondromyxoid fibroma Giant cell tumors Giant cell tumor of bone NOS Giant cell tumor of bone, malignant Giant cell tumor of soft parts NOS Malignant giant cell tumor of soft parts Miscellaneous bone tumors Ewing’s sarcoma Adamantinoma of long bones Ossifying fibroma M927-M934 Odontogenic tumors M9270/0 M9270/1 M9270/3 M9271/0 M9272/0 M9273/0 M9274/0 M9275/0 M9280/0 M9281/0 M9282/0 M9290/0 M9290/3 M9300/0 M9301/0 M9310/0 M9310/3 M9311/0 M9312/0 Odontogenic tumor, benign Odontogenic tumor NOS Odontogenic tumor, malignant Dentinoma Cementoma NOS Cementoblastoma, benign Cementifying fibroma Gigantiform cementoma Odontoma NOS Compound odontoma Complex odontoma Ameloblastic fibro-odontoma Ameloblastic odontosarcoma Adenomatoid odontogenic tumor Calcifying odontogenic cyst Ameloblastoma NOS Ameloblastoma, malignant Odontoameloblastoma Squamous odontogenic tumor MORPHOLOGY OF NEOPLASMS 1071 M9320/0 M9321/0 M9330/0 M9330/3 M9340/0 Odontogenic myxoma Odontogenic fibroma NOS Ameloblastic fibroma Ameloblastic fibrosarcoma Calcifying epithelial odontogenic tumor M935-M937 Miscellaneous tumors M9350/1 M9360/1 M9361/1 M9362/3 M9363/0 M9370/3 Craniopharyngioma Pinealoma Pineocytoma Pineoblastoma Melanotic neuroectodermal tumor Chordoma M938-M948 Gliomas M9380/3 M9381/3 M9382/3 M9383/1 M9384/1 M9390/0 M9390/3 M9391/3 M9392/3 M9393/1 M9394/1 M9400/3 M9401/3 M9410/3 M9411/3 M9420/3 M9421/3 M9422/3 M9423/3 M9430/3 M9440/3 M9441/3 M9442/3 M9443/3 M9450/3 M9451/3 M9460/3 M9470/3 M9471/3 Glioma, malignant Gliomatosis cerebri Mixed glioma Subependymal glioma Subependymal giant cell astrocytoma Choroid plexus papilloma NOS Choroid plexus papilloma, malignant Ependymoma NOS Ependymoma, anaplastic type Papillary ependymoma Myxopapillary ependymoma Astrocytoma NOS Astrocytoma, anaplastic type Protoplasmic astrocytoma Gemistocytic astrocytoma Fibrillary astrocytoma Pilocytic astrocytoma Spongioblastoma NOS Spongioblastoma polare Astroblastoma Glioblastoma NOS Giant cell glioblastoma Glioblastoma with sarcomatous component Primitive polar spongioblastoma Oligodendroglioma NOS Oligodendroglioma, anaplastic type Oligodendroblastoma Medulloblastoma NOS Desmoplastic medulloblastoma 1072 APPENDIX A M9472/3 Medullomyoblastoma M9480/3 Cerebellar sarcoma NOS M9481/3 Monstrocellular sarcoma M949-M952 Neuroepitheliomatous neoplasms M9490/0 Ganglioneuroma M9490/3 Ganglioneuroblastoma M9491/0 Ganglioneuromatosis M9500/3 Neuroblastoma NOS M9501/3 Medulloepithelioma NOS M9502/3 Teratoid medulloepithelioma M9503/3 Neuroepithelioma NOS M9504/3 Spongioneuroblastoma M9505/1 Ganglioglioma M9506/0 Neurocytoma M9507/0 Pacinian tumor M9510/3 Retinoblastoma NOS M9511/3 Retinoblastoma, differentiated type M9512/3 Retinoblastoma, undifferentiated type M9520/3 Olfactory neurogenic tumor M9521/3 Esthesioneurocytoma M9522/3 Esthesioneuroblastoma M9523/3 Esthesioneuroepithelioma M953 Meningiomas M9530/0 Meningioma NOS M9530/1 Meningiomatosis NOS M9530/3 Meningioma, malignant M9531/0 Meningotheliomatous meningioma M9532/0 Fibrous meningioma M9533/0 Psammomatous meningioma M9534/0 Angiomatous meningioma M9535/0 Hemangioblastic meningioma M9536/0 Hemangiopericytic meningioma M9537/0 Transitional meningioma M9538/1 Papillary meningioma M9539/3 Meningeal sarcomatosis M954-M957 Nerve sheath tumor M9540/0 Neurofibroma NOS M9540/1 Neurofibromatosis NOS M9540/3 Neurofibrosarcoma M9541/0 Melanotic neurofibroma M9550/0 Plexiform neurofibroma MORPHOLOGY OF NEOPLASMS 1073 M9560/0 M9560/1 M9560/3 M9570/0 M958 M9580/0 M9580/3 M9581/3 M959-M963 M9590/0 M9590/3 M9591/3 M9600/3 M9601/3 M9602/3 M9610/3 M9611/3 M9612/3 M9613/3 M9614/3 M9615/3 M9620/3 M9621/3 M9622/3 M9623/3 M9630/3 M9631/3 M9632/3 M9633/3 M964 M9640/3 M9641/3 M9642/3 Neurilemmoma NOS Neurinomatosis Neurilemmoma, malignant Neuroma NOS Granular cell tumors and alveolar soft part sarcoma Granular cell tumor NOS Granular cell tumor, malignant Alveolar soft part sarcoma Lymphomas, NOS or diffuse Lymphomatous tumor, benign Malignant lymphoma NOS Malignant lymphoma, non Hodgkin's type Malignant lymphoma, undifferentiated cell type NOS Malignant lymphoma, stem cell type Malignant lymphoma, convoluted cell type NOS Lymphosarcoma NOS Malignant lymphoma, lymphoplasmacytoid type Malignant lymphoma, immunoblastic type Malignant lymphoma, mixed lymphocytic-histiocytic NOS Malignant lymphoma, centroblastic-centrocytic, diffuse Malignant lymphoma, follicular center cell NOS Malignant lymphoma, lymphocytic, well differentiated NOS Malignant lymphoma, lymphocytic, intermediate differentiation NOS Malignant lymphoma, centrocytic Malignant lymphoma, follicular center cell, cleaved NOS Malignant lymphoma, lymphocytic, poorly differentiated NOS Prolymphocytic lymphosarcoma Malignant lymphoma, centroblastic type NOS Malignant lymphoma, follicular center cell, noncleaved NOS Reticulosarcomas Reticulosarcoma NOS Reticulosarcoma, pleomorphic cell type Reticulosarcoma, nodular 1074 APPENDIX A M965-M966 M9650/3 M9651/3 M9652/3 M9653/3 M9654/3 M9655/3 M9656/3 M9657/3 M9660/3 M9661/3 M9662/3 M969 M9690/3 M9691/3 M9692/3 M9693/3 M9694/3 M9695/3 M9696/3 M9697/3 M9698/3 M970 M9700/3 M9701/3 M971-M972 M9710/3 M9720/3 M9721/3 M9722/3 Hodgkin’s disease Hodgkin's disease NOS Hodgkin's disease, lymphocytic predominance Hodgkin's disease, mixed cellularity Hodgkin's disease, lymphocytic depletion NOS Hodgkin's disease, lymphocytic depletion, diffuse fibrosis Hodgkin's disease, lymphocytic depletion, reticular type Hodgkin's disease, nodular sclerosis NOS Hodgkin's disease, nodular sclerosis, cellular phase Hodgkin's paragranuloma Hodgkin's granuloma Hodgkin's sarcoma Lymphomas, nodular or follicular Malignant lymphoma, nodular NOS Malignant lymphoma, mixed lymphocytic-histiocytic, nodular Malignant lymphoma, centroblastic-centrocytic, follicular Malignant lymphoma, lymphocytic, well differentiated, nodular Malignant lymphoma, lymphocytic, intermediate differentiation, nodular Malignant lymphoma, follicular center cell, cleaved, follicular Malignant lymphoma, lymphocytic, poorly differentiated, nodular Malignant lymphoma, centroblastic type, follicular Malignant lymphoma, follicular center cell, noncleaved, follicular Mycosis fungoides Mycosis fungoides Sezary’s disease Miscellaneous reticuloendothelial neoplasms Microglioma Malignant histiocytosis Histiocytic medullary reticulosis Letterer-Siwe’s disease MORPHOLOGY OF NEOPLASMS 1075 M973 M9730/3 M9731/0 M9731/1 M9731/3 M974 M9740/1 M9740/3 M9741/3 M975 M9750/3 M980-M994 M980 M9800/3 M9801/3 M9802/3 M9803/3 M9804/3 M981 M9810/3 M982 M9820/3 M9821/3 M9822/3 M9823/3 M9824/3 M9825/3 M983 M9830/3 M984 M9840/3 M9841/3 M9842/3 Plasma cell tumors Plasma cell myeloma Plasma cell tumor, benign Plasmacytoma NOS Plasma cell tumor, malignant Mast cell tumors Mastocytoma NOS Mast cell sarcoma Malignant mastocytosis Burkitt’s tumor Burkitt’s tumor Leukemias Leukemias NOS Leukemia NOS Acute leukemia NOS Subacute leukemia NOS Chronic leukemia NOS Aleukemic leukemia NOS Compound leukemias Compound leukemia Lymphoid leukemias Lymphoid leukemia NOS Acute lymphoid leukemia Subacute lymphoid leukemia Chronic lymphoid leukemia Aleukemic lymphoid leukemia Prolymphocytic leukemia Plasma cell leukemias Plasma cell leukemia Erythroleukemias Erythroleukemia Acute erythremia Chronic erythremia 1076 APPENDIX A M985 Lymphosarcoma cell leukemias M9850/3 Lymphosarcoma cell leukemia M986 Myeloid leukemias M9860/3 Myeloid leukemia NOS M9861/3 Acute myeloid leukemia M9862/3 Subacute myeloid leukemia M9863/3 Chronic myeloid leukemia M9864/3 Aleukemic myeloid leukemia M9865/3 Neutrophilic leukemia M9866/3 Acute promyelocytic leukemia M987 Basophilic leukemias M9870/3 Basophilic leukemia M988 Eosinophilic leukemias M9880/3 Eosinophilic leukemia M989 Monocytic leukemias M9890/3 Monocytic leukemia NOS M9891/3 Acute monocytic leukemia M9892/3 Subacute monocytic leukemia M9893/3 Chronic monocytic leukemia M9894/3 Aleukemic monocytic leukemia M990-M994 Miscellaneous leukemias M9900/3 Mast cell leukemia M9910/3 Megakaryocytic leukemia M9920/3 Megakaryocytic myelosis M9930/3 Myeloid sarcoma M9940/3 Hairy cell leukemia M995-M997 Miscellaneous myeloproliferative and lymphoproliferative disorders M9950/1 Polycythemia. vera M9951/1 Acute panmyelosis M9960/1 Chronic myeloproliferative disease M9961/1 Mpyelosclerosis with myeloid metaplasia M9962/1 Idiopathic thrombocythemia M9970/1 Chronic lymphoproliferative disease GLOSSARY OF MENTAL DISORDERS The psychiatric terms which appear in Chapter 5, “Mental Disor- ders,” are listed here in alphabetic sequence. Many of the glossary descriptions originally appeared in the section on Mental Disorders in the International Classification of Diseases, 9th Revision,! and others are included io define the psychiatric conditions added to /CD-9-CM. The additional definitions are based on material furnished by the American Psychiatric Association’s Task Force on Nomenclature and Statistics? and from A Psychiatric Glossary. In a few instances defini- tions were obtained from Dorland’s Illustrated Medical Dictionary* and from Stedman’s Medical Dictionary, Illustrated. 1. Manual of the International 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 Sta- tistics, Robert L. Spitzer, Chairman. 3. A Psychiatric Glossary. Fourth Edition, American Psychiatric Association, Washington, D.C., 1975. 4. Dorland’s Illustrated Medical Dictionary. Twenty-fifth Edition, W. B. Saun- ders Company, Philadelphia, 1974. S. Stedman's Medical Dictionary. Illustrated, Twenty-third Edition, the Williams and Williams Company, Baltimore, 1976. 1077 1078 APPENDIX B Academic underachievement disorder: Failure to achieve in most school tasks despite adequate intellectual capacity, a supportive and encouraging social environment, and apparent effort. The failure occurs in the absence of a demonstrable specific learning disability and is caused by emotional conflict not clearly associ- ated with any other mental disorder.2 Adaptation reaction — see Adjustment reaction Adjustment reaction or disorder: Mild or transient disorders lasting longer than acute stress reactions which occur in individuals of any age without any apparent pre-existing mental disorder. Such disorders are often relatively circumscribed or situation-specific, are generally reversible, and usually last only a few months. They are usually closely related in time and content to stresses such as bereavement, migration, or other experiences. Reactions to major stress that last longer than a few days are also included. In children such disorders are associated with no significant dis- tortion of development.! conduct disturbance: Mild or transient disorders in which the main disturbance predominantly involves a disturbance of conduct (e.g., an adolescent grief reaction resulting in ag- gressive or antisocial disorder). ! depressive reaction: States of depression, not specifiable as manic-depressive, psychotic, or neurotic.! brief: Generally transient, in which the depressive symptoms are usually closely related in time and con- tent to some stressful event. ! prolonged: Generally long-lasting, usually developing in as- sociation with prolonged exposure to a stressful situa- tion.! emotional disturbance: An adjustment disorder in which the main symptoms are emotional in type (e.g., anxiety, fear, worry) but not specifically depressive. ! mixed conduct and emotional disturbance: An adjustment reac- tion in which both emotional disturbance and disturbance of conduct are prominent features.! Affective psychoses: Mental disorders, usually recurrent, in which there is a severe disturbance of mood (mostly compounded of depression and anxiety but also manifested as elation, and ex- citement) which is accompanied by one or more of the follow- ing: delusions, perplexity, disturbed attitude to self, disorder of GLOSSARY OF MENTAL DISORDERS 1079 perception and behavior; these are all in keeping with the in- dividual’s prevailing mood (as are hallucinations when they oc- cur). There is a strong tendency to suicide. For practical reasons, mild disorders of mood may also be included here if the symptoms match closely the descriptions given; this applies par- ticularly to mild hypomania.! bipolar: A manic-depressive psychosis which has appeared in both the depressive and manic form, either alternating or separated by an interval of normality. atypical: An episode of affective psychosis with some, but not all, of the features of the one form of the disorder in individuals who have had a previous episode of the other form of the disorder.2 depressed: A manic-depressive psychosis, circular type, in which the depressive form is currently present.! manic: A manic-depressive psychosis, circular type, in which the manic form is currently present.! mixed: A manic-depressive psychosis, circular type, in which both manic and depressive symptoms are present at the same time.! depressed type: A manic-depressive psychosis in which there is a widespread depressed mood of gloom and wretchedness with some degree of anxiety. There is often reduced activity but there may be restlessness and agitation. There is marked tendency to recurrence; in a few cases this may be at regular intervals.! atypical: An affective depressive disorder that cannot be classified as a manic-depressive psychosis, depressed type, or chronic depressive personality disorder, or as an adjustment disorder.2 manic type: A manic-depressive psychosis characterized by states of elation or excitement out of keeping with the in- dividual’s circumstances and varying from enhanced liveli- ness (hypomania) to violent, almost uncontrollable, excite- ment. Aggression and anger, flight of ideas, distractibility, impaired judgment, and grandiose ideas are common. ! mixed type: Manic-depressive psychosis syndromes correspond- ing to both the manic and depressed types, but which for other reasons cannot be classified more specifically. ! Aggressive personality — see Personality disorder, explosive type 1080 APPENDIX B Agoraphobia — see agoraphobia under Phobia Alcohol dependence syndrome: A state, psychic and usually also physical, resulting from taking alcohol, characterized by behavioral and other responses that always include a compulsion to take alcohol on a continuous or periodic basis in order to ex- perience its psychic effects, and sometimes to avoid the discom- fort of its absence; tolerance may or may not be present. A per- son may be dependent on alcohol and other drugs; if so, also record the diagnosis of drug dependence to identify the agent. If alcohol dependence is associated with alcoholic psychosis or with physical complications, both diagnoses should be recorded. ! Alcohol intoxication acute: A psychic and physical state resulting from alcohol inges- tion characterized by slurred speech, unsteady gait, poor coordination, flushed facies, nystagmus, sluggish reflexes, fetor alcoholica, loud speech, emotional instability (e.g., jollity followed by lugubriousness), excessive conviviality, loquacity, and poorly inhibited sexual and aggressive behavior.? idiosyncratic: Acute psychotic episodes induced by relatively small amounts of alcohol. These are regarded as individual idiosyncratic reactions to alcohol, not due to excessive con- sumption and without conspicuous neurological signs of in- toxication.! pathological — see Alcohol intoxication, idiosyncratic Alcoholic psychoses: Organic psychotic states due mainly to ex- cessive consumption of alcohol; defects of nutrition are thought to play an important role.! alcohol abstinence syndrome — see alcohol withdrawal syn- drome below alcohol amnestic syndrome: A syndrome of prominent and last- ing reduction of memory span, including striking loss of re- cent memory, disordered time appreciation and confabula- tion, occurring in alcoholics as the sequel to an acute alcoholic psychosis (especially delirium tremens) or, more rarely, in the course of chronic alcoholism. It is usually ac- companied by peripheral neuritis and may be associated with Wernicke’s encephalopathy. ! alcohol withdrawal delirium [delirium tremens]: Acute or subacute organic psychotic states in alcoholics, characterized GLOSSARY OF MENTAL DISORDERS 1081 by clouded consciousness, disorientation, fear, illusions, delusions, hallucinations of any kind, notably visual and tactile, and restlessness, tremor and sometimes fever!. alcohol withdrawal hallucinosis: A psychosis usually of less than six months’ duration, with slight or no clouding of consciousness and much anxious restlessness in which auditory hallucinations, mostly of voices uttering insults and threats, predominate. ! alcohol withdrawal syndrome: Tremor of hands, tongue, and eyelids following cessation of prolonged heavy drinking of alcohol. Nausea and vomiting, dry mouth, headache, heavy perspiration, fitful sleep, acute anxiety attacks, mood depression, feelings of guilt and remorse, and irritability are associated features.2 alcohol delirium — see alcohol withdrawal delirium above alcoholic dementia: Nonhallucinatory dementias occurring in as- sociation with alcoholism, but not characterized by the features of either alcohol withdrawal delirium [delirium tre- mens] or alcohol amnestic syndrome [Korsakoff’s aicoholic psychosis].! alcoholic hallucinosis — see alcohol withdrawal hallucinosis above alcoholic jealousy: Chronic paranoid psychosis characterized by delusional jealousy and associated with alcoholism.! alcoholic paranoia — see Alcoholic jealousy alcoholic polyneuritic psychosis — see alcohol amnestic syn- drome above Alcoholism acute — see Alcohol intoxication, acute chronic — see Alcohol dependence syndrome Alexia: Loss of a previously possessed reading facility that cannot be explained by defective visual acuity.? Amnesia, psychogenic: A form of dissociative hysteria in which there is a temporary disturbance in the ability to recall important personal information which has already been registered and stored in memory. The sudden onset of this disturbance in the absence of an underlying organic mental disorder, and the extent of the disturbance being too great to be explained by ordinary forgetfulness, are the essential features.2 1082 APPENDIX B Amnestic syndrome: A syndrome of prominent and lasting reduction of memory span, including striking loss of recent memory, dis- ordered time appreciation, and confabulation. The commonest causes are chronic alcoholism [alcohol amnestic syndrome; Kor- sakoff’s alcoholic psychosis], chronic barbiturate dependence, and malnutrition. An amnestic syndrome may be the pre- dominating disturbance in the early states of presenile and senile dementia, arteriosclerotic dementia, and in encephalitis and other inflammatory and degenerative diseases in which there is particular bilateral involvement of the temporal lobes, and cer- tain temporal lobe tumors.? alcoholic — see alcohol amnestic syndrome under Alcoholic psy- choses Amoral personality — see Personality disorder, antisocial type Anancastic [anankastic] neurosis — see Neurotic disorder, obsessive- compulsive Anancastic [anankastic] personality — see Personality disorder, com- pulsive type Anorexia nervosa: A disorder in which the main features are persis- tent active refusal to eat and marked loss of weight. The level of activity and alertness is characteristically high in relation to the degree of emaciation. Typically the disorder begins in teenage girls but it may sometimes begin before puberty and rarely it oc- curs in males. Amenorrhea is usual and there may be a variety of other physiological changes including slow pulse and respira- tion, low body temperature, and dependent edema. Unusual eat- ing habits and attitudes toward food are typical and sometimes starvation follows or alternates with periods of overeating. The accompanying psychiatric symptoms are diverse.! Anxiety hysteria — see phobia under Neurotic disorders Anxiety state (neurotic): Apprehension, tension, or uneasiness that stems from the anticipation of danger, the source of which is largely unknown or unrecognized.’ atypical: An anxiety disorder that does not fulfill the criteria of generalized or panic attack anxiety. An example might be an individual with a single morbid fear.? generalized: A disorder of at least six months’ duration in which the predominant feature is limited to diffuse and persistent anxiety without the specific symptoms that characterize phobic disorders, panic disorder, or obsessive-compulsive disorder.? GLOSSARY OF MENTAL DISORDERS 1083 panic attack: An episodic and often chronic, recurrent disorder in which the predominant features are anxiety attacks and nervousness. The anxiety attacks are manifested by discrete periods of sudden onset of intense apprehension, fearful- ness, or terror often associated with feelings of impending doom? Aphasia, developmental: A delay in the production of spoken language. Rarely, there is also a developmental delay in the com- prehension of speech sounds.! Arteriosclerotic dementia: Dementia attributable, because of physical signs (on examination of the central nervous system), to degenerative arterial disease of the brain. Symptoms suggesting a focal lesion in the brain are common. There may be a fluctuating or patchy intellectual defect with insight, and an intermittent course is common. Clinical differentiation from senile or presenile dementia, which may coexist with it, may be very difficult or impossible. The diagnosis of cerebral atherosclerosis should also be recorded.! Asocial personality — see Personality disorder, antisocial type Astasia-abasia, hysterical: A form of conversion hysteria in which the individual is unable to stand or walk although the legs are otherwise under control. Asthenia, psychogenic — see neurasthenia under Neurotic disorders Asthenic personality — see Personality disorder, dependent type Attention deficit disorder — see attention deficit disorder under Hy- perkinetic syndrome of childhood. Autism, infantile: A syndrome present from birth or beginning almost invariably in the first 30 months. Responses to auditory and sometimes to visual stimuli are abnormal, and there are usually severe problems in the understanding of spoken language. Speech is delayed and, if it develops, is characterized by echolalia, the reversal of pronouns, immature grammatical structure, and inability to use abstract terms. There is generally an impairment in the social use of both verbal and gestural language. Problems in social relationships are most severe before the age of five years and include an impairment in the develop- ment of eye-to-eye gaze, social attachments, and cooperative play. Ritualistic behavior is usual and may include abnormal routines, resistance to change, attachment to odd objects, and stereotyped patterns of play. The capacity for abstract or sym- bolic thought and for imaginative play is diminished. Intelligence 1084 APPENDIX B ranges from severely subnormal to normal or above. Perfor- mance is usually better on tasks involving rote memory or visuospatial skills than on those requiring symbolic or linguistic skills.! Avoidant personality — see Personality disorder, avoidant type ‘““‘Bad trips’’: Acute intoxication from hallucinogen abuse, manifested by hallucinatory states lasting only a few days or less.! Barbiturate abuse: Cases where an individual has taken the drug to the detriment of his health or social functioning, in doses above or for periods beyond those normally regarded as therapeutic.! Bestiality — see Zoophilia Bipolar disorder — see Affective psychosis, bipolar atypical — see Affective psychosis, bipolar, atypical Body-rocking — see Stereotyped repetitive movements Borderline personality — see Personality disorder, borderline type Borderline psychosis of childhood — see Psychosis, atypical child- "hood Borderline schizophrenia — see Schizophrenia, latent Bouffée délirante — see Paranoid reaction, acute Briquet’s disorder — see somatization disorder under Neurotic disor- ders Bulimia: An episodic pattern of overeating [binge eating] accom- panied by an awareness of the disordered eating pattern with a fear of not being able to stop eating voluntarily. Depressive moods and self-deprecating thoughts follow the episodes of binge eating.2 Catalepsy schizophrenia — see Schizophrenia, catatonic type Catastrophic stress — see Gross stress reaction Catatonia (schizophrenic) — see Schizophrenia, catatonic type Character neurosis — see Personality disorders Childhood autism — see Autism, infantile Childhood type schizophrenia — see Psychosis, child Chronic alcoholic brain syndrome — see alcoholic dementia under Alcoholic psychoses GLOSSARY OF MENTAL DISORDERS 1085 Clay-eating — see Pica Clumsiness syndrome — see coordination disorder under Develop- mental delay disorders, specific Combat fatigue — see Posttraumatic disorder, acute Compensation neurosis — see compensation neurosis under Neurotic disorders Compulsive conduct disorder — see impulse control disorders under Conduct disorders Compulsive neurosis — see Neurotic disorder, obsessive-compulsive Compulsive personality — see Personality disorder, compulsive type Concentration camp syndrome — see Posttraumatic stress disorder, prolonged Conduct disorders: Disorders mainly involving aggressive and destructive behavior and disorders involving delinquency. It should be used for abnormal behavior, in individuals of any age, which gives rise to social disapproval but which is not part of any other psychiatric condition. Minor emotional disturbances may also be present. To be included, the behavior, as judged by its frequency, severity, and type of associations with other symptoms, must be abnormal in its context. Disturbances of conduct are distinguished from an adjustment reaction by a longer duration and by a lack of close relationship in time and content to some stress. They differ from a personality disorder by the absence of deeply ingrained maladaptive patterns of behavior present from adolescence or earlier.! impulse control disorders: A failure to resist an impulse, drive, or temptation to perform some action which is harmful to the individual or to others. The impulse may or may not be consciously resisted, and the act may or may not be pre- meditated or planned. Prior to committing the act, there is an increasing sense of tension, and at the time of commit- ting the act, there is an experience of either pleasure, gra- tification, or release. Immediately following the act, there may or may not be genuine regret, self-reproach, or guilt. See also Intermittent explosive disorder, Isolated explosive disorder, Kleptomania, Pathological gambling, and Pyromania. mixed disturbance of conduct and emotions: A disorder charac- terized by features of undersocialized and socialized distur- bance of conduct, but in which there is also considerable 1086 APPENDIX B emotional disturbance as shown, for example, by anxiety, misery, or obsessive manifestations. ! socialized conduct disorder: Conduct disorders in individuals who have acquired the values or behavior of a delinquent peer group to whom they are loyal and with whom they characteristically steal, play truant, and stay out late at night. There may also be sexual promiscuity.! undersocialized conduct disturbance aggressive type: A disorder characterized by a persistent pattern of disrespect for the feelings and well-being of others (bullying, physical aggression, cruel behavior, hostility, verbal abusiveness, impudence, defiance, negativism), aggressive antisocial behavior (destruc- tiveness, stealing, persistent lying, frequent truancy, and vandalism), and failure to develop close and stable relationships with others.2 unaggressive type: A disorder in which there is a lack of concern for the rights and feelings of others to a degree which indicates a failure to establish a normal degree of affection, empathy, or bond with others. There are two patterns of behavior found. In one, the child is fearful and timid, lacking self-assertiveness, resorts to self-protective and manipulative lying, in- dulges in whining demandingness and temper tan- trums, feels rejected and unfairly treated, and is mistrustful of others. In the other pattern of the dis- order, the child approaches others strictly for his own gains and acts exclusively because of exploitative and extractive goals. The child lies brazenly and steals, ap- pearing to feel no guilt, and forms no social bonds to other individuals.2 Confusion, psychogenic — see Psychosis, reactive confusion Confusion, reactive — see Psychosis, reactive confusion Confusional state acute — see Delirium, acute epileptic — see Delirium, acute subacute — see Delirium, subacute Conversion hysteria — see hysteria, conversion type under Neurotic disorders GLOSSARY OF MENTAL DISORDERS 1087 Coordination disorder — see coordination disorder under Develop- mental delay disorders, specific Culture shock: A form of stress reaction associated with an in- dividual’s assimilation into a new culture which is vastly different from that in which he was raised.’ Cyclic schizophrenia — see Schizophrenia, schizo-affective type Cyclothymic personality or disorder — see Personality disorder, cyclothymic type Delirium: Transient organic psychotic conditions with a short course in which there is a rapidly developing onset of disorganization of higher mental processes manifested by some degree of impair- ment of information processing, impaired or abnormal attention, perception, memory, and thinking. Clouded consciousness, con- fusion, disorientation, delusions, illusions, and often vivid hallucinations predominate in the clinical picture.! acute: short-lived states, lasting hours or days, of the above type.! subacute: states of the above type in which the symptoms, usually less florid, last for several weeks or longer, during which they may show marked fluctuations in intensity.! Delirium tremens — see alcohol withdrawal delirium under Alcoholic psychoses Delusions, systematized — see Paranoia Dementia: A decrement in intellectual functioning of sufficient severity to interfere with occupational or social performance, or both. There is impairment of memory and abstract thinking, the ability to learn new skills, problem solving, and judgment. There is often also personality change or impairment in impulse con- trol. Dementia in organic psychoses may be of a chronic or progressive nature, which if untreated are usually irreversible and terminal.!2 alcoholic — see alcoholic dementia under Alcoholic psychoses arteriosclerotic — see Arteriosclerotic dementia multi-infarct — see Arteriosclerotic dementia presenile — see Presenile dementia repeated infarct — see Arteriosclerotic dementia senile — see Senile dementia 1088 APPENDIX B Depersonalization syndrome — see depersonalization syndrome under Neurotic disorders Depression: States of depression, usually of moderate but occa- sionally of marked intensity, which have no specifically manic- depressive or other psychotic depressive features, and which do not appear to be associated with stressful events or other features specified under neurotic depression. ! anxiety — see depression under Neurotic disorders endogenous — see Affective psychosis, depressed type monopolar — see Affective psychosis, depressed type neurotic — see depression under Neurotic disorders psychotic — see Affective psychosis, depressed type psychotic reactive — see Psychosis, depressive reactive — see depression under Neurotic disorders reactive psychotic — see Psychosis, depressive Depressive personality or character — see Personality disorder, chronic depressive type Depressive reaction — see depressive reaction under Adjustment reaction Depressive psychosis — see Affective psychosis, depressed type Derealization (neurotic) — see depersonalization syndrome under Neurotic disorders Developmental delay disorders, specific: A group of disorders in which a specific delay in development is the main feature. For many the delay is not explicable in terms of general intellectual retardation or of inadequate schooling. In each case development is related to biological maturation, but it is also influenced by nonbiological factors. A diagnosis of a specific developmental delay carries no etiological implications. A diagnosis of specific delay in development should not be made if it is due to a known neurological disorder.! arithmetical disorder: Disorders in which the main feature is a serious impairment in the development of arithmetical skills. ! articulation disorder: A delay in the development of normal word-sound production resulting in defects of articulation. Omissions or substitutions of consonants are most fre- quent.! GLOSSARY OF MENTAL DISORDERS 1089 coordination disorder: Disorders in which the main feature is a serious impairment in the development of motor coordina- tion which is not explicable in terms of general intellectual retardation. The clumsiness is commonly associated with perceptual difficulties. ! mixed development disorder: A delay in the development of one specific skill (e.g., reading, arithmetic, speech, or coor- dination) is frequently associated with lesser delays in other skills. When this occurs the diagnosis should be made ac- cording to the skill most seriously impaired. The mixed category should be used only where the mixture of delayed skills is such that no one skill is preponderantly affected.! motor retardation — see coordination disorder above reading disorder or retardation: Disorders in which the main feature is a serious impairment in the development of read- ing or spelling skills which is not explicable in terms of general intellectual retardation or of inadequate schooling. Speech or language difficulties, impaired right-left differ- entiation, perceptuo-motor problems, and coding difficulties are frequently associated. Similar problems are often present in other members of the family. Adverse psy- chosocial factors may be present.! speech or language disorder: Disorders in which the main feature is a serious impairment in the development of speech or language (syntax or semantic) which is not ex- plicable in terms of general intellectual retardation. Most commonly there is a delay in the development of normal word-sound production resulting in defects of articulation. Omissions or substitutions of consonants are most fre- quent. There may also be a delay in the production of spoken language. Rarely, there is also a developmental delay in the comprehension of sounds. Includes cases in which delay is largely due to environmental privation.! Dipsomania — see Alcohol dependence syndrome Disorganized schizophrenia — see Schizophrenia, disorganized type Dissociative hysteria — see hysteria, dissociative type under Neurotic disorders Drug abuse: Includes cases where an individual, 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 (see Drug dependence) and that he has taken on his own initia- 1090 APPENDIX B tive to the detriment of his health or social functioning. When drug abuse is secondary to a psychiatric disorder, record the dis- order as an additional diagnosis.! Drug dependence: A state, psychic and sometimes also physical, resulting from taking a drug, characterized by behavioral and other responses that always include a compulsion to take a drug on a continuous or periodic basis in order to experience its psy- chic effects, and sometimes to avoid the discomfort of its ab- sence. Tolerance may or may not be present. A person may be dependent on more than one drug.! Drug psychoses: Organic mental syndromes which are due to con- sumption of drugs (notably amphetamines, barbiturates, and opiate and LSD groups) and solvents. Some of the syndromes in this group are not as severe as most conditions labeled “psy- chotic,” but they are included here for practical reasons. The drug should be identified, and also a diagnosis of drug depen- dence should be recorded, if present.! drug-induced hallucinosis: Hallucinatory states of more than a few days, but not more than a few months’ duration, associated with large or prolonged intake of drugs, notably of the amphetamine and LSD groups. Auditory hallucina- tions usually predominate and there may be anxiety or restlessness. States following LSD or other hallucinogens lasting only a few days or less [“bad trips”] are not in- cluded.! drug-induced organic delusional syndrome: Paranoid states of more than a few days, but not more than a few months’ duration, associated with large or prolonged intake of drugs, notably of the amphetamine and LSD groups.! drug withdrawal syndrome: States associated with drug with- drawal ranging from severe, as specified for alcohol with- drawal delirium [delirium tremens], to less severe states characterized by one or more symptoms such as convul- sions, tremor, anxiety, restlessness, gastrointestinal and muscular complaints, and mild disorientation and memory disturbance.! Drunkenness: acute — see Alcohol intoxication, acute pathologic — see Alcohol intoxication, idiosyncratic simple: A state of inebriation due to alcohol consumption with- out conspicuous neurological signs of intoxication.2 sleep: An inability to fully arouse from the sleep state charac- terized by failure to attain full consciousness after arousal.2 GLOSSARY OF MENTAL DISORDERS 1091 Dyscalculia — see arithmetical disorder under Developmental delay disorders, specific Dyslalia — see articulation disorder under Developmental delay dis- orders, specific Dyslexia, developmental: A disorder in which the main feature is a serious impairment of reading skills which is not explicable in terms of general intellectual retardation or of inadequate school- ing. Word-blindness and strephosymbolia (tendency to reverse letters and words in reading) are included.!3 Dysmenorrhea, psychogenic: Painful menstruation due to distur- bance of psychic control.* Dyspareunia, functional — see functional dyspareunia under Psy- chosexual dysfunctions Dyspraxia syndrome — see coordination disorder under Developmen- tal delay disorders, specific Dyssocial personality — see Personality disorder, antisocial type Dysuria, psychogenic: Difficulty in passing urine due to psychic factors. Eating disorders: A group of disorders characterized by a con- spicuous disturbance in eating behavior.2 See also Bulimia, Pica, and Rumination, psychogenic. Eccentric personality — see Personality disorder, eccentric type Elective mutism: A pervasive and persistent refusal to speak in situa- tions not attributable to a mental disorder. In some cases the behavior may manifest a form of withdrawal reaction to a specific stressful situation, or as a predominant feature in children exhibiting shyness or social withdrawal disorders.2 Emancipation disorder: An adjustment reaction in adolescents or young adults in which there is symptomatic expression (e.g., difficulty in making independent decisions, increased depen- dence on parental advice, adoption of values deliberately opposi- tional to parents) of a conflict over independence following the recent assumption of a status in which the individual is more in- dependent of parental control or supervision.2 Emotional disturbances specific to childhood and adolescence: Less well-differentiated emotional disorders characteristic of the child- hood period. When the emotional disorder takes the form of a neurosis, the appropriate diagnosis should be made. These disor- ders differ from adjustment reactions in terms of longer dura- tion and by the lack of close relationship in time and content to some stress.! See also Academic underachievement disorder, 1092 APPENDIX B Elective mutism, Identity disorder, Introverted disorder of child- hood, Misery and unhappiness disorder, Oppositional disorder, Overanxious disorder, and Shyness disorder of childhood. Encopresis: A disorder in which the main manifestation is the persis- tent voluntary or involuntary passage of formed stools of nor- mal or near-normal consistency into places not intended for that purpose in the individual’s own sociocultural setting. Sometimes the child has failed to gain bowel conirol, and sometimes he has gained control but then later again became encopretic. There may be a variety of associated psychiatric symptoms and there may be smearing of feces. The condition would not usually be diagnosed under the age of four years.! Endogenous depression — see Affective psychosis, depressed type Enuresis: A disorder in which the main manifestation is a persistent involuntary voiding of urine by day or night which is considered abnormal for the age of the individual. Sometimes the child will have failed to gain bladder control and in other cases he will have gained control and then lost it. Episodic or fluctuating enuresis should be included. The disorder would not usually be diagnosed under the age of four years.! Epileptic confusional or twilight state — see Delirium, acute Excitation catatonic — see Schizophrenia, catatonic type psychogenic — see Psychosis, excitative type reactive — see Psychosis, excitative type Exhaustion delirium — see Stress reaction, acute Exhibitionism: Sexual deviation in which the main sexual pleasure and gratification is derived from exposure of the genitals to a person of the opposite sex.! Explosive personality disorder — see Personality disorder, explosive type Factitious illness: A form of hysterical neurosis in which there are physical or psychological symptoms that are not real, genuine, or natural, which are produced by the individual and are under his voluntary control.2 physical symptom type: The presentation of physical symptoms that may be total fabrication, self-inflicted, an exaggeration or exacerbation of a pre-existing physical condition, or any combination or variation of these.? GLOSSARY OF MENTAL DISORDERS 1093 psychological symptom type: The voluntary production of symptoms suggestive of a mental disorder. Behavior may mimic psychosis or, rather, the individual's idea of psy- chosis.2 Fanatic personality — see Personality disorder, paranoid type Fatigue neurosis — see neurasthenia under Neurotic disorders Feeble-minded — see Mental retardation, mild Fetishism: A sexual deviation in which nonliving objects are utilized as a preferred or exclusive method of stimulating erotic arousal.2 Finger-flicking — see Stereotyped repetitive movements Folie a deux — see Shared paranoid disorder Frigidity: A psychosexual dysfunction in which there is partial or complete failure to attain or maintain the lubrication-swelling re- sponse of sexual excitement until completion of the sexual act.? Frontal lobe syndrome: Changes in behavior following damage to the frontal areas of the brain or following interference with the con- nections of those areas. There is a general diminution of self- control, foresight, creativity, and spontaneity, which may be manifest as increased irritability, selfishness, restlessness and lack of concern for others. Conscientiousness and powers of concentration are often diminished, but measurable deterioration of intellect or memory is not necessarily present. The overall picture is often one of emotional dullness, lack of drive, and slowness; but, particularly in persons previously with energetic, restless, or aggressive characteristics, there may be a change towards impulsiveness, boastfulness, temper outbursts, silly fatuous humor, and the development of unrealistic ambitions; the direction of change usually depends upon the previous per- sonality. A considerable degree of recovery is possible and may continue over the course of several years.! Fugue, psychogenic: A form of dissociative hysteria characterized by an episode of wandering with inability to recall one’s prior iden- tity. Both onset and recovery are rapid. Following recovery there is fig zecoliscrion of events which took place during the fugue state. Ganser’s syndrome (hysterical): A form of factitious illness in which the patient voluntarily produces symptoms suggestive of a men- tal disorder.2 Gender identity disorder — see gender identity disorder under Psy- chosexual identity disorders 1094 APPENDIX B Gilles de la Tourette’s disorder or syndrome — see Gilles de la Tourette’s disorder under Tics Grief reaction — see depressive reaction, brief under Adjustment reaction Gross stress reaction — see Stress reaction, acute Group delinquency — see socialized conduct disorder under Conduct disorders Habit spasm — see chronic motor tic disorder under Tics Hangover (alcohol) — see Drunkenness, simple Head-banging — see Stereotyped repetitive movements Hebephrenia — see Schizophrenia, disorganized type Heller’s syndrome — see Psychosis, disintegrative High grade defect — see Mental retardation, mild Homosexuality: Exclusive or predominant sexual attraction for per- sons of the same sex with or without physical relationship. Record homosexuality as a diagnosis whether or not it is con- sidered as a mental disorder.! Hospital addiction syndrome — see Munchausen syndrome Hospital hoboes — see Munchausen syndrome Hospitalism: A mild or transient adjustment reaction characterized by withdrawal seen in hospitalized patients. In young children this may be manifested by elective mutism. ! Hyperkinetic syndrome of childhood: Disorders in which the essen- tial features are short attention-span and distractibility. In early childhood the most striking symptom is disinhibited, poorly or- ganized and poorly regulated extreme overactivity but in adoles- cence this may be replaced by underactivity. Impulsiveness, marked mood fluctuations, and aggression are also common symptoms. Delays in the development of specific skills are often present and disturbed, poor relationships are common. If the hy- perkinesis is symptomatic of an underlying disorder, the diag- nosis of the underlying disorder is recorded instead.! attention deficit disorder: Cases of hyperkinetic syndrome in which short attention span, distractibility, and overactivity are the main manifestations without significant disturbance of conduct or delay in specific skills.! GLOSSARY OF MENTAL DISORDERS 1095 hyperkinesis with developmental delay: Cases in which the hy- perkinetic syndrome is associated with speech delay, clum- siness, reading difficulties, or other delays of specific skills.! hyperkinetic conduct disorder: Cases in which the hyperkinetic syndrome is associated with marked conduct disturbance but not developmental delay.! Hypersomnia: A disorder of initiating arousal from sleep or main- taining wakefulness.? persistent: Chronic difficulty in initiating arousal from sleep or maintaining wakefulness associated with major or minor depressive mental disorders.? transient: Episodes of difficulty in arousal from sleep or main- taining wakefulness associated with acute or intermittent emotional reactions or conflicts.? Hypochondriasis — see hypochondriasis under Neurotic disorders Hypomania — see Affective psychosis, manic type Hypomanic personality — see Personality disorder, chronic hypo- manic type Hyposomnia — see Insomnia Hysteria — see hysteria under Neurotic disorders anxiety — see phobia under Neurotic disorders psychosis — see Psychosis, reactive acute — see Psychosis, excitative type Hysterical personality — see Personality disorder, histrionic type Identity disorder: An emotional disorder caused by distress over the inability to reconcile aspects of the self into a relatively coherent and acceptable sense of self, not secondary to another mental disorder. The disturbance is manifested by intense subjective distress regarding uncertainty about a variety of issues relating to identity, including long-term goals, career choice, friendship pat- terns, values, and loyalties.? Idiocy — see Mental retardation, profound Imbecile — see Mental retardation, moderate Impotence: A psychosexual dysfunction in which there is partial or complete failure to attain or maintain erection until completion of the sexual act.? Impulse control disorder — see impulse control disorders under Con- duct disorders 1096 APPENDIX B Inadequate personality — see Personality disorder, dependent type Induced paranoid disorder — see Shared paranoid disorder Inebriety — see Drunkenness, simple Infantile autism — see Autism, infantile Insomnia: A disorder of initiating or maintaining sleep.? persistent: A chronic state of sleeplessness associated with chronic anxiety, major or minor depressive disorders, or psychoses.? transient: Episodes of sleeplessness associated with acute or in- termittent emotional reactions or conflicts.2 Intermittent explosive disorder: Recurrent episodes of sudden and significant loss of control of aggressive impulses, not accounted for by any other mental disorder, which results in serious assault or destruction of property. The magnitude of the behavior dur- ing an episode is grossly out of proportion to any psychosocial stressors which may have played a role in eliciting the episode of lack of control. Following each episode there is genuine regret or self-reproach at the consequences of the action and the in- ability to control the aggressive impulse.? Introverted disorder of childhood: An emotional disturbance in children chiefly manifested by a lack of interest in social rela- tionships and indifference to social praise or criticism.2 Introverted personality — see Personality disorder, introverted type Involutional melancholia — see Affective psychosis, depressed type Involutional paranoid state — see Paraphrenia Isolated explosive disorder: A disorder of impulse control in which there is a single discrete episode characterized by failure to resist an impulse which leads to a single, violent externally-directed act, which has a catastrophic impact on others, and for which the available information does not justify the diagnosis of another mental disorder.2 Isolated phobia — see simple phobia under Phobia Jet lag syndrome: A phase-shift disruption of the 24-hour sleep-wake cycle due to rapid time-zone changes experienced in long-dis- tance travel.? Kanner’s syndrome — see Autism, infantile Kleptomania: A disorder of impulse control characterized by a recur- rent failure to resist impulses to steal objects not for immediate GLOSSARY OF MENTAL DISORDERS 1097 use or their monetary value. An increasing sense of tension is experienced prior to committing the act, with an intense ex- perience of gratification at the time of committing the theft.2 Korsakoff’s psychosis: alcoholic — see alcohol amnestic syndrome under Alcoholic psy- choses nonalcoholic — see Amnestic syndrome Latent schizophrenia — see Schizophrenia, latent Lesbianism — see Homosexuality Lobotomy syndrome — see Frontal lobe syndrome LSD reaction: Acute intoxication from hallucinogen abuse, mani- fested by hallucinatory states lasting only a few days or less.! Major depressive disorder — see Affective psychosis, depressed type Malingering: A clinical picture in which the predominant feature is the presentation of fake or grossly exaggerated physical or psy- chiatric illness apparently under voluntary control. In contrast to factitious illness, the symptoms produced in malingering are in pursuit of a goal which, when known, is recognizable and ob- viously understandable in light of knowledge of the individuals circumstances. Examples of understandable goals include, but are not limited to, becoming a “patient” in order to avoid con- scription or military duty, avoid work, obtain financial compen- sation, evade criminal prosecution, and obtain drugs.? Mania (monopolar) — see Affective psychosis, manic type Manic-depressive psychosis circular type — see Affective psychosis, bipolar depressed type — see Affective psychosis, depressed type manic type — see Affective psychosis, manic type mixed type — see Affective psychosis, mixed type Manic disorder — see Affective psychosis, manic type atypical — see Affective psychosis, manic type, atypical Masochistic personality — see Personality disorder, masochistic type Melancholia — see Affective psychoses involutional — see Affective psychosis, depressed type 1098 APPENDIX B Mental retardation: A condition of arrested or incomplete develop- ment of mind which is especially characterized by subnormality of intelligence. The coding should be made on the individuals current level of functioning without regard to its nature or causa- tion, such as psychosis, cultural deprivation, Down’s syndrome, etc. Where there is a specific cognitive handicap—such as in speech—the diagnosis of mental retardation should be based on assessments of cognition outside the area of specific handicap. The assessment of intellectual level should be based on whatever in- formation is available, including clinical evidence, adaptive behavior, and psychometric findings. The IQ levels given are based on a test with a mean of 100 and a standard deviation of 15, such as the Wechsler scales. They are provided only as a guide and should not be applied rigidly. Mental retardation often involves psychiatric disturbances and may often develop as a result of some physical disease or injury. In these cases, an addi- tional diagnosis should be recorded to identify any associated condition, psychiatric or physical.! mild mental retardation: IQ criteria 50-70. Individuals with this level of retardation are usually educable. During the pre- school period they can develop social and communication skills, have minimal retardation in sensorimotor areas, and often are not distinguished from normal children until a later age. During the school age period they can learn academic skills up to approximately the sixth-grade level. During the adult years, they can usually achieve social and vocational skills adequate for minimum self-support, but may need guidance and assistance when under social or economic stress.? moderate mental retardation: IQ criteria 35-49. Individuals with this level of retardation are usually trainable. During the pre-school period they can talk or learn to communicate. They have poor social awareness and fair motor develop- ment. During the school age period they can profit from training in social and occupational skills, but they are unlikely to progress beyond the second-grade level in academic subjects. During their adult years they may achieve self-maintenance in unskilled or semi-skilled work under sheltered conditions. They need supervision and gui- dance when under mild social or economic stress.2 severe mental retardation: IQ criteria 20-34. Individuals with this level of retardation evidence poor motor development, minimal speech, and are generally unable to profit from training and self-help during the pre-school period. During GLOSSARY OF MENTAL DISORDERS 1099 the school age period they can talk or learn to communi- cate, can be trained in elementary health habits, and may profit from systematic habit training. During the adult years they may contribute partially to self-maintenance under complete supervision? profound mental retardation: IQ criteria under 20. Individuals with this level of retardation evidence minimal capacity for sensorimotor functioning and need nursing care during the pre-school period. During the school age period some further motor development may occur, and they may re- spond to minimal or limited training in self-help. During the adult years some motor and speech development may occur, and they may achieve very limited self-care and need nursing care.’ Merycism — see Rumination, psychogenic Minimal brain dysfunction [MBD] — see Hyperkinetic syndrome of childhood Misery and unhappiness disorder: An emotional disorder characteris- tic of childhood in which the main symptoms involve misery and unhappiness. There may also be eating and sleep distur- bances.! Mood swings (brief compensatory) (rebound): Mild disorders of mood (depression and anxiety or elation and excitement, occur- ring alternatingly or episodically) seen in affective psychosis.! Motor tic disorders — see Tics Motor-verbal tic disorder — see Gilles de la Tourette’s disorder under Tics Multi-infarct dementia or psychosis — see Arteriosclerotic dementia Multiple operations syndrome — see Munchausen syndrome Multiple personality: A form of dissociative hysteria in which there is the domination of the individual at any one time by one of two or more distinct personalities. Each personality is a fully-in- tegrated and complex unit with memories, behavior patterns, and social friendships which determine the nature of the in- dividual’s acts when uppermost in consciousness.2 Munchausen syndrome: A chronic form of factitious illness in which the individual demonstrates a plausible presentation of volun- tarily produced physical symptomatology of such a degree that he is able to obtain and sustain multiple hospitalizations.? 1100 APPENDIX B Narcissistic personality — see Personality disorder, narcissistic type Nervous debility — see neurasthenia under Neurotic disorders Neurasthenia — see neurasthenia under Neurotic disorders Neurotic delinquency — see mixed disturbance of conduct and emo- tions under Conduct disorders Neurotic disorders: Neurotic disorders are mental disorders without any demonstrable organic basis in which the individual may have considerable insight and has unimpaired reality testing, in that he usually does not confuse his morbid subjective ex- periences and fantasies with external reality. Behavior may be greatly affected although usually remaining within socially ac- ceptable limits, but personality is not disorganized. The principal manifestations include excessive anxiety, hysterical symptoms, phobias, obsessional and compulsive symptoms, and depres- sion. ! anxiety states: Various combinations of physical and mental manifestations of anxiety, not attributable to real danger and occurring either in attacks [see Anxiety state, panic at- tacks] or as a persisting state [see Anxiety state, generalized]. The anxiety is usually diffuse and may extend to panic. Other neurotic features such as obsessional or hysterical symptoms may be present but do not dominate the clinical picture.! compensation neurosis: Certain unconscious neurotic reactions in which features of secondary gain, such as a situational or financial advantage, are prominent.’ depersonalization: A neurotic disorder with an unpleasant state of disturbed perception in which external objects or parts of one’s own body are experienced as changed in their quality, unreal, remote, or automatized. The patient is aware of the subjective nature of the change he experiences. If deper- sonalization occurs as a feature of anxiety, schizophrenia, or other mental disorder, the condition is classified according to the major psychiatric disorder.! depression: A neurotic disorder characterized by disproportion- ate depression which has usually recognizably ensued on a distressing experience; it does not include among its features delusions or hallucinations, and there is often preoccupation with the psychic trauma which preceded the illness, e.g., loss of a cherished person or possession. Anx- iety is also frequently present and mixed states of anxiety GLOSSARY OF MENTAL DISORDERS 1101 and depression should be included here. The distinction be- tween depressive neurosis and psychosis should be made not only upon the degree of depression but also on the presence or absence of other neurotic and psychotic charac- teristics, and upon the degree of disturbance of the in- dividual’s behavior.! hypochondriasis: A neurotic disorder in which the conspicuous features are excessive concern with one’s health in general or the integrity and functioning of some part of one’s body, or less frequently, one’s mind. It is usually associated with anxiety and depression. It may occur as a feature of some other severe mental disorder (e.g., manic-depressive psy- chosis, depressed type, schizophrenia, hysteria) and in that case should be classified according to the corresponding ma- jor disorder. ! hysteria: A neurotic mental disorder in which motives, of which the patient seems unaware, produce either a restriction of the field of consciousness or disturbances of motor or sen- sory function which may seem to have psychological ad- vantage or symbolic value.! There are three subtypes: conversion type: The chief or only symptoms of the hysterical neurosis consist of psychogenic disturbance of function in some part of the body, e.g., paralysis, tremor, blindness, deafness, seizures. ! dissociative type: The most prominent feature of the hysterical neurosis is a narrowing of the field of con- sciousness which seems to serve an unconscious pur- pose and is commonly accompanied or followed by a selective amnesia. There may be dramatic but essen- tially superficial changes of personality [multiple per- sonality], or sometimes the patient enters into a wan- dering state [fugue]. factitious illness: Physical or psychological symptoms that are not real, genuine, or natural, which are produced by the individual and are under his voluntary control.2 neurasthenia: A neurotic disorder characterized by fatigue, ir- ritability, headache, depression, insomnia, difficulty in con- centration, and lack of capacity for enjoyment [anhedonia]. It may follow or accompany an infection or exhaustion, or arise from continued emotional stress. If neurasthenia is associated with a physical disorder, the latter should also be recorded as a diagnosis.! 1102 APPENDIX B obsessive-compulsive: States in which the outstanding symptom is a feeling of subjective compulsion, which must be resisted, to carry out some action, to dwell on an idea, to recall an experience, or to ruminate on an abstract topic. Unwanted thoughts which intrude, the insistency of words or ideas, ruminations or trains of thought are perceived by the individual to be inappropriate or nonsensical. The ob- sessional urge or idea is recognized as alien to the per- sonality but as coming from within the self. Obsessional ac- tions may be quasi-ritual performances designed to relieve anxiety, e.g., washing the hands to cope with contamina- tion. Attempts to dispel the unwelcome thoughts or urges may lead to a severe inner struggle, with intense anxiety.! occupational: A neurosis characterized by a functional disorder of a group of muscles used chiefly in one’s occupation, marked by the occurrence of spasm, paresis, or incoordina- tion on attempt to repeat the habitual movements (e.g., wri- ters’ cramp).’ phobic disorders: Neurotic states with abnormally intense dread of certain objects or specific situations which would not normally have that effect. If the anxiety tends to spread from a specified situation or object to a wider range of cir- cumstances, it becomes akin to or identical with anxiety state and should be classified as such.! See also Phobia. somatization disorder: A chronic, but fluctuating, neurotic dis- order which begins early in life and is characterized by recurrent and multiple somatic complaints for which medi- cal attention is sought but which are not apparently due to any physical illness. Complaints are presented in a dra- matic, vague, or exaggerated way, or are part of a compli- cated medical history in which often many specific diag- noses have allegedly been made by other physicians. Com- plaints invariably refer to many organ systems (headache, fatigue, palpitations, fainting, nausea and vomiting, ab- dominal pains, bowel trouble, allergies, menstrual and sex- ual difficulties), and the individual frequently receives medical care from a number of physicians, sometimes simultaneously.2 Neurosis — see Neurotic disorders Nightmares: Anxiety attacks occurring in dreams during REM sleep.? Night terrors: A pathology of arousal from stage 4 sleep in which the individual experiences excessive terror and extreme panic GLOSSARY OF MENTAL DISORDERS 1103 (screaming, verbalizations), symptoms of autonomic activity, confusion, and poor recall for event.? Nymphomania: Abnormal and excessive need or desire in the woman for sexual intercourse.’ Obsessional personality — see Personality disorder, compulsive type Occupational neurosis — see Neurotic disorder, occupational Oneirophrenia — see Schizophrenia, acute episode Oppositional disorder of childhood or adolescence: A disorder characterized by pervasive opposition to all in authority regard- less of self-interest, a continuous argumentativeness, and an un- willingness to respond to reasonable persuasion, not accounted for by a conduct disorder, adjustment disorder, or a psychosis of childhood. The oppositional behavior in this disorder is evoked by any demand, rule, suggestion, request, or admonishment placed on the individual.? Organic affective syndrome: A clinical picture in which the pre- dominating symptoms closely resemble those seen in either the depressive or manic affective disorders, occurring in the pres- ence of evidence or history of a specific organic factor which is etiologically related to the disturbance, such as head trauma, en- docranial tumors, and exocranial tumors secreting neurotoxic diatheses (e.g., pancreatic carcinoma). Excessive use of steroids, Cushing’s syndrome, and other endocrine disorders may lead to an organic affective syndrome.? Organic personality syndrome: Chronic, mild states of memory dis- turbance and intellectual deterioration, of nonpsychotic nature, often accompanied by increased irritability, querulousness, lassitude, and complaints of physical weakness. These states are often associated with old age, and may precede more severe states due to brain damage classifiable under senile or presenile dementia, dementia associated with other chronic organic psy- chotic brain syndromes, or delirium, delusions, hallucinosis, and depression in transient organic psychotic conditions.! Organic psychosyndrome, focal (partial): A nonpsychotic organic mental disorder resembling the postconcussion syndrome associ- ated with localized diseases of the brain or surrounding tissues. ! Organic psychotic conditions: Syndromes in which there is impair- ment of orientation, memory, comprehension, calculation, learn- ing capacity, and judgment. These are the essential features but there may also be shallowness or lability of affect, or a more persistent disturbance of mood, lowering of ethical standards 1104 APPENDIX B and exaggeration or emergence of personality traits, and diminished capacity for independent decision.! See also Alcohol psychoses, Arteriosclerotic dementia, Drug psychoses, Presenile dementia, and Senile dementia. mixed paranoid and affective: Organic psychosis in which depressive and paranoid symptoms are the main features.! transient: States characterized by clouded consciousness, confu- sion, disorientation, illusions, and often vivid hallucina- tions. They are usually due to some intra- or extracerebral toxic, infectious, metabolic or other systemic disturbance and are generally reversible. Depressive and paranoid symptoms may also be present but are not the main feature. The diagnosis of the associated physical or neurological condition should also be recorded.! acute delirium: Short-lived states, lasting hours or days, of the above type.! subacute delirium: States of the above type in which the symptoms, usually less florid, last for several weeks or longer during which they may show marked fluctua- tions in intensity.! Organic reaction — see Organic psychotic conditions, transient Overanxious disorder: An ill-defined emotional disorder characteris- tic of childhood in which the main symptoms involve anxiety and fearfulness.! Panic disorder — see panic attack under Anxiety state Paranoia: A rare chronic psychosis in which logically constructed systematized delusions have developed gradually without con- comitant hallucinations or the schizophrenic type of disordered thinking. The delusions are mostly of grandeur (the paranoiac prophet or inventor), persecution, or somatic abnormality.! alcoholic — see alcoholic jealousy under Alcoholic psychoses querulans: A paranoid state which, though in many ways akin to schizophrenic or affective states, differs from other paranoid states and psychogenic paranoid psychosis. ! senile — see Paraphrenia Paranoid personality — see Personality disorder, paranoid type Paranoid reaction, acute: Paranoid states apparently provoked by some emotional stress. The stress is often misconstrued as an at- tack or threat. Such states are particularly prone to occur in GLOSSARY OF MENTAL DISORDERS 1105 prisoners or as acute reactions to a strange and threatening en- vironment, e.g., in immigrants. ! Paranoid schizophrenia — see Schizophrenia, paranoid type Paranoid state involutional — see Paraphrenia senile — see Paraphrenia simple: A ‘psychosis, acute or chronic, not classifiable as schizophrenia or affective psychosis, in which delusions, especially of being influenced, persecuted, or treated in some special way, are the main symptoms. The delusions are of a fairly fixed, elaborate, and systematized kind.! Paranoid traits — see Personality disorder, paranoid type Paraphilia — see Sexual deviations Paraphrenia: Paranoid psychosis in which there are conspicuous hallucinations, often in several modalities. Affective symptoms and disordered thinking, if present, do not dominate the clinical picture, and the personality is well preserved.! Paraphrenic schizophrenia — see Schizophrenia, paranoid type Passive-aggressive personality — see Personality disorder, passive- aggressive type Passive personality — see Personality disorder, dependent type Pathological alcohol intoxication — see Alcohol intoxication, idiosyncratic drug intoxication: Individual idiosyncratic reactions to com- paratively small quantities of a drug, which take the form of acute, brief psychotic states of any type.! drunkenness — see Alcohol intoxication, idiosyncratic gambling: A disorder of impulse control characterized by a chronic and progressive preoccupation with gambling and urge to gamble, with subsequent gambling behavior that compromises, disrupts, or damages personal, family, and vocational pursuits.2 personality — see Personality disorder Pedophilia: Sexual deviations in which an adult engages in sexual ac- tivity with a child of the same or opposite sex.! Peregrinating patient — see Malingering 1106 APPENDIX B Personality disorders: Deeply ingrained maladaptive patterns of behavior generally recognizable by the time of adolescence or earlier and continuing throughout most of adult life, although often becoming less obvious in middle or old age. The per- sonality is abnormal either in the balance of its components, their quality and expression, or in its total aspect. Because of this deviation or psychopathy the patient suffers or others have to suffer, and there is an adverse effect upon the individual or on society. It includes what is sometimes called psychopathic personality, but if this is determined primarily by malfunction- ing of the brain, it should be classified as one of the non- psychotic organic brain syndromes. When the patient exhibits an anomaly of personality directly related to his neurosis or psy- chosis, e.g., schizoid personality and schizophrenia or anancastic personality and obsessive compulsive neurosis, the relevant neurosis or psychosis which is in evidence should be diagnosed in addition. ! affective type: A chronic personality disorder characterized by lifelong predominance of a pronounced mood. The illness does not have a clear onset, and there may be intermittent periods of disturbed mood separated by periods of normal mood. ! anancastic [anankastic] type — see Personality disorder, com- pulsive type antisocial type: A personality disorder characterized by dis- regard for social obligations, lack of feeling for others, and impetuous violence or callous unconcern. There is a gross disparity between behavior and the prevailing social norms. Behavior is not readily modifiable by experience, including punishment. People with this personality are often affec- tively cold, and may be abnormally aggressive or irresponsi- ble. Their tolerance to frustration is low; they blame others or offer plausible rationalizations for the behavior which brings them into conflict with society. ! asthenic type — see Personality disorder, dependent type avoidant type: Individuals with this disorder exhibit excessive social inhibitions and shyness, a tendency to withdraw from opportunities for developing close relationships, and a fear- ful expectation that they will be belittled and humiliated. Desires for affection and acceptance are strong, but they are unwilling to enter relationships unless given unusually strong guarantees that they will be uncritically accepted. Therefore, they have few close relationships and suffer from feelings of loneliness and isolation.2 GLOSSARY OF MENTAL DISORDERS 1107 borderline type: Individuals with this disorder are characterized by instability in a variety of areas, including interpersonal relationships, behavior, mood, and self image. Interpersonal relationships are often intense and unstable with marked shifts of attitude over time. Frequently there is impulsive and unpredictable behavior which is potentially physically self-damaging. There may be problems tolerating being alone, and chronic feelings of emptiness or boredom.2 chronic depressive type: An affective personality disorder characterized by lifelong predominance of a chronic non- psychotic disturbance involving either intermittent or sus- tained periods of depressed mood (marked by worry, pessimism, low output of energy, and a sense of futility). chronic hypomanic type: An affective personality disorder characterized by lifelong predominance of a chronic non- psychotic disturbance involving either intermittent or sus- tained periods of abnormally elevated mood (unshakable optimism and an enhanced zest for life and activity).? compulsive type: A personality disorder characterized by feel- ings of personal insecurity, doubt, and incompleteness lead- ing to excessive conscientiousness, checking, stubbornness, and caution. There may be insistent and unwelcome thoughts or impulses which do not attain the severity of an obsessional neurosis. There is perfectionism and meticulous accuracy and a need to check repeatedly in an attempt to ensure this. Rigidity and excessive doubt may be con- spicuous.! cyclothymic type: A chronic nonpsychotic disturbance involving depressed and elevated mood, lasting at least two years, separated by periods of normal mood.2 dependent type: A personality disorder characterized by passive compliance with the wishes of elders and others and a weak inadequate response to the demands of daily life. Lack of vigor may show itself in the intellectual or emo- tional spheres; there is little capacity for enjoyment.! eccentric type: A personality disorder characterized by oddities of behavior which do not conform to the clinical syn- dromes of personality disorders described elsewhere.? explosive type: A personality disorder characterized by in- stability of mood with liability to intemperate outbursts of anger, hate, violence, or affection. Aggression may be ex- pressed in words or in physical violence. The outbursts can- 1108 APPENDIX B not readily be controlled by the affected persons, who are not otherwise prone to antisocial behavior.! histrionic type: A personality disorder characterized by shallow, labile affectivity, dependence on others, craving for ap- preciation and attention, suggestibility, and theatricality. There is often sexual immaturity, e.g., frigidity and over-re- sponsiveness to stimuli. Under stress hysterical symptoms [neurosis] may develop.! hysterical type — see Personality disorder, histrionic type inadequate type — see Personality disorder, dependent type introverted type: A form of schizoid personality in which the es- sential features are a profound defect in the ability to form social relationships and to respond to the usual forms of social reinforcements. Such patients are characteristically “loners” who do not appear distressed by their social dis- tance and are not interested in greater social involvement.2 masochistic type: A personality disorder in which the individual appears to arrange life situations so as to be defeated and humiliated.2 narcissistic type: A personality disorder in which interpersonal difficulties are caused by an inflated sense of self-worth, and indifference to the welfare of others. Achievement deficits and social irresponsibilities are justified and sus- tained by a boastful arrogance, expansive fantasies, facile rationalization, and frank prevarication.? paranoid type: A personality disorder in which there is ex- cessive sensitiveness to setbacks or to what are taken to be humiliations and rebuffs, a tendency to distort experience by misconstruing the neutral or friendly actions of others as hostile or contemptuous, and a combative and tenacious sense of personal rights. There may be a proneness to jealousy or excessive self-importance. Such persons may feel helplessly humiliated and put upon; others, likewise ex- cessively sensitive, are aggressive and insistent. In all cases there is excessive self-reference. ! passive-aggressive type: A personality disorder characterized by aggressive behavior manifested in passive ways, such as obstructionism, pouting, procrastination, intentional ineffi- ciency, or stubbornness. The aggression often arises from resentment at failing to find gratification in a relationship with an individual or institution upon which the individual is overdependent.’ GLOSSARY OF MENTAL DISORDERS 1109 passive type — see Personality disorder, dependent type schizoid type: A personality disorder in which there is with- drawal from affectional, social, and other contacts with autistic preference for fantasy and introspective reserve. Behavior may be slightly eccentric or indicate avoidance of competitive situations. Apparent coolness and detachment may mask an incapacity to express feeling.! schizotypal type: A form of schizoid personality in which in- dividuals with this disorder manifest various oddities of thinking, perception, communication, and behavior. The disturbance in thinking may be expressed as magical think- ing, ideas of reference, or paranoid ideation. Perceptual dis- turbances may include recurrent illusions and derealization [depersonalization]. Frequently, but not invariably, the behavioral manifestations include social isolation and con- stricted or inappropriate affect which interferes with rap- port in face-to-face interaction without any of the frank psychotic features which characterize schizophrenia.? Phobia: Neurotic states with abnormally intense dread of certain ob- jects or specific situations which would not normally have that effect. If the anxiety tends to spread from a specified situation or object to a wider range of circumstances, it becomes akin to or identical with anxiety state, and should be classified as such.! acrophobia: Fear of heights? agoraphobia: Fear of leaving the familiar setting of the home, and is almost always preceded by a phase during which there are recurrent panic attacks. Because of the anticipa- tory fear of helplessness when having a panic attack, the patient is reluctant or refuses to be alone, travel or walk alone, or to be in situations where there is no ready access to help, such as in crowds, closed or open spaces, or crowded stores.? ailurophobia: Fear of cats3 algophobia: Fear of pain’ claustrophobia: Fear of closed spaces? isolated phobia — see simple phobia below mysophobia: Fear of dirt or germs? obsessional — see Neurotic disorder, obsessive-compulsive panphobia: Fear of everything 1110 APPENDIX B simple phobia: Fear of a discrete object or situation which is neither fear of leaving the familiar setting of the home [agoraphobia], or of being observed by others in certain situations [social phobia]. Examples of simple phobia are fear of animals, acrophobia, and claustrophobia.2 social phobia: Fear of situations in which the subject is exposed to possible scrutiny by others, and the possibility exists that he may act in a fashion that will be considered shameful. The most common social phobias are fears of public speak- ing, blushing, eating in public, writing in front of others, or using public lavatories.2 xenophobia: Fear of strangers? Pica: Perverted appetite of nonorganic origin in which there is persis- tent eating of non-nutritional substances. Typically, infants in- gest paint, plaster, string, hair, or cloth. Older children may have access to animal droppings, sand, bugs, leaves, or pebbles. In the adult, eating of starch or clay-earth has been observed.? Postconcussion syndrome: States occurring after generalized contu- sion of the brain, in which the symptom picture may resemble that of the frontal lobe syndrome or that of any of the neurotic disorders, but in which in addition, headache, giddiness, fatigue, insomnia, and a subjective feeling of impaired intellectual ability are usually prominent. Mood may fluctuate, and quite ordinary stress may produce exaggerated fear and apprehension. There may be marked intolerance of mental and physical exertion, un- due sensitivity to noise, and hypochondriacal preoccupation. The symptoms are more common in persons who have previously suffered from neurotic or personality disorders, or when there is a possibility of compensation. This syndrome is particularly associated with the closed type of head injury when signs of localized brain damage are slight or absent, but it may also occur in other conditions.! Postcontusion syndrome or encephalopathy — see Postconcussion syndrome Postencephalitic syndrome: A nonpsychotic organic mental disorder resembling the postconcussion syndrome associated with central nervous system infections.! Postleucotomy syndrome — see Frontal lobe syndrome Posttraumatic brain syndrome, nonpsychotic — see Postconcussion syndrome GLOSSARY OF MENTAL DISORDERS 1111 Posttraumatic organic psychosis — see Organic psychotic conditions, transient Posttraumatic stress disorder: The development of characteristic symptoms (re-experiencing the traumatic event, numbing of re- sponsiveness to or involvement with the external world, and a variety of other autonomic, dysphoric, or cognitive symptoms) after experiencing a psychologically traumatic event or events outside the normal range of human experience (e.g., rape or assault, military combat, natural catastrophes such as flood or earthquake, or other disaster, such as airplane crash, fires, bomb- ings).2 acute: Brief, episodic, or recurrent disorders lasting less than six months’ duration after the onset of trauma.? prolonged: Chronic disorders of the above type lasting six months or more following the trauma.? Premature ejaculation — see premature ejaculation under Psychosex- ual dysfunctions Prepsychotic schizophrenia — see Schizophrenia, latent Presbyophrenia — see Organic personality syndrome Presenile dementia: Dementia occurring usually before the age of 65 in patients with the relatively rare forms of diffuse or lobar cerebral atrophy. The associated neurological condition (e.g., Alzheimer’s disease, Pick’s disease, Jakob-Creutzfeldt disease) should also be recorded as a diagnosis. Prodromal schizophrenia — see Schizophrenia, latent Pseudoneurotic schizophrenia — see Schizophrenia, latent Psychalgia: Pains of mental origin, e.g., headache or backache, for which a more precise medical or psychiatric diagnosis cannot be made.! Psychasthenia: A functional neurosis marked by stages of pathologi- cal fear or anxiety, obsessions, fixed ideas, tics, feelings of inade- quacy, self-accusation, and pecular feelings of strangeness, unreality, and depersonalization.* Psychic shock: A sudden disturbance of mental equilibrium pro- duced by strong emotion in response to physical or mental stress.* Psychic factors associated with physical diseases: Mental distur- bances or psychic factors of any type thought to have played a major part in the etiology of physical conditions, usually involv- 1112 APPENDIX B ing tissue damage, classified elsewhere. The mental disturbance is usually mild and nonspecific, and the psychic factors (worry, fear, conflict, etc.) may be present without any overt psychiatric disorder. Examples of these conditions are asthma, dermatitis, eczema, duodenal ulcer, ulcerative colitis, and urticaria, specified as due to psychogenic factors. Use an additional diagnosis to identify the physical condition. In the rare instance that an overt psychiatric disorder is thought to have caused the physical condition, the psychiatric diagnosis should be recorded in addition. ! Psychoneurosis — see Neurotic disorders Psycho-organic syndrome — see Organic psychotic conditions, tran- sient Psychopathic constitutional state — see Personality disorders Psychopathic personality — see Personality disorders Psychophysiological disorders: A variety of physical symptoms or types of physiological malfunctions of mental origin, not involv- ing tissue damage, and usually mediated through the autonomic nervous system. The disorders are classified according to the body system involved. If the physical symptom is secondary to a psychiatric disorder classifiable elsewhere, the physical symptom is not classified as a psychophysiological disorder. If tissue damage is involved, then the diagnosis is classified as a Psychic factor associated with diseases classified elsewhere.! Psychosexual dysfunctions: A group of disorders in which there is recurrent and persistent dysfunction encountered during sexual activity. The dysfunction may be lifelong or acquired, gen- eralized or situational, and total or partial.? functional dyspareunia: Recurrent and persistent genital pain associated with coitus.? functional vaginismus: A history of recurrent and persistent in- voluntary spasm of the musculature of the outer one-third of the vagina that interferes with sexual activity.2 inhibited female orgasm: Recurrent and persistent inhibition of the female orgasm as manifested by a delay or absence of orgasm following a normal sexual excitement phase during sexual activity.? inhibited male orgasm: Recurrent and persistent inhibition of the male orgasm as manifested by a delay or absence of GLOSSARY OF MENTAL DISORDERS 1113 either the emission or ejaculation phases, or more usually, both following an adequate phase of sexual excitement.? inhibited sexual desire: Persistent inhibition of desire for engag- ing in a particular form of sexual activity.? inhibited sexual excitement: Recurrent and persistent inhibition of sexual excitement during sexual activity, manifested either by partial or complete failure to attain or maintain erection until completion of the sexual act [impotence], or partial or complete failure to attain or maintain the lubrica- tion-swelling response of sexual excitement until comple- tion of the sexual act [frigidity].2 premature ejaculation: Ejaculation occurs before the individual wishes it, because of recurrent and persistent absence of reasonable voluntary control of ejaculation and orgasm dur- ing sexual activity.? Psychosexual gender identity disorders: Behavior occurring in preadolescents of immature psychosexuality, or in adults, in which there is an incongruence between the individual’s anatomic sex and gender identity.2 gender identity disorder: In children or in adults a condition in which the individual would prefer to be of the other sex, and strongly prefers the clothes, toys, activities, and com- panionship of the other sex. Cross-dressing is intermittent, although it may be frequent. In children the commonest form is feminism in boys.2 trans-sexualism: A psychosexual identity disorder centered around fixed beliefs that the overt bodily sex is wrong. The resulting behavior is directed towards either changing the sexual organs by operation, or completely concealing the bodily sex by adopting both the dress and behavior of the opposite sex.! Psychosomatic disorders — see Psychophysiological disorders Psychosis: Mental disorders in which impairment of mental function has developed to a degree that interferes grossly with insight, ability to meet some ordinary demands of life or to maintain adequate contact with reality. It is not an exact or well defined term. Mental retardation is excluded.! affective — see Affective psychoses alcoholic — see Alcoholic psychoses 1114 APPENDIX B atypical childhood: A variety of atypical infantile psychoses which may show some, but not all, of the features of infan- tile autism. Symptoms may include stereotyped repetitive movements, hyperkinesis, self-injury, retarded speech de- velopment, echolalia, and impaired social relationships. Such disorders may occur in children of any level of in- telligence but are particularly common in those with mental retardation. ! borderline, of childhood — see Psychosis, atypical childhood child: A group of disorders in children, characterized by distor- tions in the timing, rate, and sequence of many psychologi- cal functions involving language development and social relations in which the severe qualitative abnormalities are not normal for any stage of development.2 See also Autism, infantile, Psychosis, disintegrative, Psychosis, atypical child- hood. depressive — see Affective psychosis, depressed type depressive type: A depressive psychosis which can be similar in its symptoms to manic-depressive psychosis, depressed type but is apparently provoked by saddening stress such as a bereavement, or a severe disappointment or frustration. There may be less diurnal variation of symptoms than in manic-depressive psychosis, depressed type, and the delu- sions are more often understandable in the context of the life experiences. There is usually a serious disturbance of behavior, e.g., major suicidal attempt.! disintegrative: A disorder in which normal or near-normal de- velopment for the first few years is followed by a loss of social skills and of speech, together with a severe disorder of emotions, behavior, and relationships. Usually this loss of speech and of social competence takes place over a period of a few months and is accompanied by the emergence of overactivity and of stereotypies. In most cases there is intellectual impairment, but this is not a nec- essary part of the disorder. The condition may follow overt brain disease, such as measles encephalitis, but it may also occur in the absence of any known organic brain disease or damage. Any associated neurological disorder should also be recorded.! epileptic: An organic psychotic condition associated with epi- lepsy.! GLOSSARY OF MENTAL DISORDERS 1115 excitative type: An affective psychosis similar in its symptoms to manic-depressive psychosis, manic type, but apparently provoked by emotional stress.! hypomanic — see Affective psychosis, manic type hysterical — see Psychosis, reactive acute — see Psychosis, excitative type induced — see Shared paranoid disorder infantile — see Autism, infantile infective — see Organic psychotic conditions, transient Korsakoff’s: alcoholic — see alcohol amnestic syndrome under Alcoholic psychoses nonalcoholic — see Amnestic syndrome manic-depressive — see Affective psychoses multi-infarct — see Arteriosclerotic dementia paranoid chronic — see Paranoia protracted reactive — see Psychosis, paranoid, psychogenic psychogenic: Psychogenic or reactive paranoid psychosis of any type which is more protracted than the reactions described under Paranoid reaction, acute. ! acute — see Paranoid reaction, acute postpartum — see Psychosis, puerperal psychogenic — see Psychosis, reactive depressive — see Psychosis, depressive type puerperal: Any psychosis occurring within a fixed period (ap- proximately 90 days) after childbirth.? The diagnosis should be classified according to the predominant symptoms or characteristics, such as schizophrenia, affective psychosis, paranoid states, or other specified psychosis. reactive: A psychotic condition which is largely or entirely at- tributable to a recent life experience. This diagnosis is not used for the wider range of psychoses in which environ- mental factors play some, but not the major, part in etiology. ! 1116 APPENDIX B brief: A florid psychosis of at least a few hours’ duration but lasting no more than two weeks, with sudden onset immediately following a severe environmental stress and eventually terminating in complete recovery to the pre-psychotic state.? confusion: Mental disorders with clouded consciousness, disorientation (though less marked than in organic confusion), and diminished accessibility often accom- panied by excessive activity and apparently provoked by emotional stress. ! depressive — see Psychosis, depressive type schizo-affective — see Schizophrenia, schizo-affective type schizophrenic — see Schizophrenia schizophreniform — see Schizophrenia affective type — see Schizophrenia, schizo-affective type confusional type — see Schizophrenia, acute episode senile — see Senile dementia, delusional type Pyromania: A disorder of impulse control characterized by a recur- rent failure to resist impulses to set fires without regard for the consequences, or with deliberate destructive intent. Invariably there is intense fascination with the setting of fires, seeing fires burn, and a satisfaction with the resultant destruction.? Relationship problems of childhood: Emotional disorders characteris- tic of childhood in which the main symptoms involve relation- ship problems.! Repeated infarct dementia — see Arteriosclerotic dementia Residual schizophrenia — see Schizophrenia, residual type Restzustand (schizophrenia) — see Schizophrenia, residual type Rumination: obsessional: The constant preoccupation with certain thoughts, with inability to dismiss them from the mind.* See Neurotic disorder, obsessive-compulsive. psychogenic: In children the regurgitation of food, with failure to thrive or weight loss developing after a period of normal functioning. Food is brought up without nausea, retching, or disgust. The food is then ejected from the mouth, or chewed and reswallowed.? GLOSSARY OF MENTAL DISORDERS 117 Sander’s disease — see Paranoia Satyriasis: Pathologic or exaggerated sexual desire or excitement in the man.3 Schizoid personality disorder — see Personality disorder, schizoid type Schizophrenia: A group of psychoses in which there is a fundamen- tal disturbance of personality, a characteristic distortion of think- ing, often a sense of being controlled by alien forces, delusions which may be bizarre, disturbed perception, abnormal affect out of keeping with the real situation, and autism. Nevertheless, clear consciousness and intellectual capacity are usually main- tained. The disturbance of personality involves its most basic functions which give the normal person his feeling of in- dividuality, uniqueness, and self-direction. The most intimate thoughts, feelings, and acts are often felt to be known to or shared by others and explanatory delusions may develop, to the effect that natural or supernatural forces are at work to influence the schizophrenic person’s thoughts and actions in ways that are often bizarre. He may see himself as the pivot of all that hap- pens. Hallucinations, especially of hearing, are common and may comment on the patient or address him. Perception is frequently disturbed in other ways; there may be perplexity, irrelevant features may become all-important and accompanied by passivity feelings, may lead the patient to believe that everyday objects and situations possess a special, usually sinister, meaning intended for him. In the characteristic schizophrenic disturbance of thinking, peripheral and irrelevant features of a total concept, which are inhibited in normal directed mental activity, are brought to the forefront and utilized in place of the elements relevant and appropriate to the situation. Thus, thinking becomes vague, elliptical and obscure, and its expression in speech sometimes incomprehensible. Breaks and interpolations in the flow of consecutive thought are frequent, and the patient may be convinced that his thoughts are being withdrawn by some outside agency. Mood may be shallow, capricious, or in- congruous. Ambivalence and disturbance of volition may appear as inertia, negativism, or stupor. Catatonia may be present. The diagnosis “schizophrenia” should not be made unless there is, or has been evident during the same illness, characteristic distur- bance of thought, perception, mood, conduct, or personality— preferably in at least two of these areas. The diagnosis should not be restricted to conditions running a protracted, deteriorat- ing, or chronic course. In addition to making the diagnosis on the criteria just given, effort should be made to specify one of 1118 APPENDIX B the following subtypes of schizophrenia, according to the pre-: dominant symptoms. ! acute (undifferentiated): Schizophrenia of florid nature which cannot be classified as simple, catatonic, hebephrenic, paranoid, or any other types.! acute episode: Schizophrenic disorders, other than simple, hebephrenic, catatonic, and paranoid, in which there is a dream-like state with slight clouding of consciousness and perplexity. External things, people, and events may become charged with personal significance for the patient. There may be ideas of reference and emotional turmoil. In many such cases remission occurs within a few weeks or months, even without treatment. ! atypical — see Schizophrenia, acute (undifferentiated) borderline — see Schizophrenia, latent catatonic type: Includes as an essential feature prominent psy- chomotor disturbances often alternating between extremes such as hyperkinesis and stupor, or automatic obedience and negativism. Constrained attitudes may be maintained for long periods: if the patient’s limbs are put in some un- natural position they may be held there for some time after the external force has been removed. Severe excitement may be a striking feature of the condition. Depressive or hypomanic concomitants may be present.! cenesthopathic — see Schizophrenia, acute (undifferentiated) childhood type — see Psychosis, child chronic undifferentiated — see Schizophrenia, residual cyclic — see Schizophrenia, schizo-affective type disorganized type: A form of schizophrenia in which affective changes are prominent, delusions and hallucinations fleet- ing and fragmentary, behavior irresponsible and unpredicta- ble, and mannerisms common. The mood is shallow and inappropriate, accompanied by giggling or self-satisfied, self- absorbed smiling, or by a lofty manner, grimaces, manner- isms, pranks, hypochondriacal complaints, and reiterated phrases. Thought is disorganized. There is a tendency to re- main solitary, and behavior seems empty of purpose and feeling. This form of schizophrenia usually starts between the ages of 15 and 25 years.! GLOSSARY OF MENTAL DISORDERS 1119 hebephrenic type: — see Schizophrenia, disorganized type latent: It has not been possible to produce a generally acceptable description for this condition. It is not recommended for general use, but a description is provided for those who believe it to be useful: a condition of eccentric or inconse- quent behavior and anomalies of affect which give the im- pression of schizophrenia though no definite and character- istic schizophrenic anomalies, present or past, have been manifest. ! paranoid type: The form of schizophrenia in which relatively stable delusions, which may be accompanied by hallucina- tions, dominate the clinical picture. The delusions are fre- quently of persecution, but may take other forms (for ex- ample, of jealousy, exalted birth, Messianic mission, or bodily change). Hallucinations and erratic behavior may oc- cur; in some cases conduct is seriously disturbed from the outset, thought disorder may be gross, and affective flatten- ing with fragmentary delusions and hallucinations may develop.! prepsychotic — see Schizophrenia, latent prodromal — see Schizophrenia, latent pseudoneurotic — see Schizophrenia, latent pseudopsychopathic — see Schizophrenia, latent residual: A chronic form of schizophrenia in which the symptoms that persist from the acute phase have mostly lost their sharpness. Emotional response is blunted and thought disorder, even when gross, does not prevent the ac- complishment of routine work.! schizo-affective type: A psychosis in which pronounced manic or depressive features are intermingled with schizophrenic features and which tends towards remission without perma- nent defect, but which is prone to recur. The diagnosis should be made only when both the affective and schizophrenic symptoms are pronounced.! simple type: A psychosis in which there is insidious develop- ment of oddities of conduct, inability to meet the demands of society, and decline in total performance. Delusions and hallucinations are not in evidence and the condition is less obviously psychotic than are the hebephrenic, catatonic, and paranoid types of schizophrenia. With increasing social impoverishment vagrancy may ensue and the patient 1120 APPENDIX B becomes self-absorbed, idle, and aimless. Because the schizophrenic symptoms are not clear-cut, diagnosis of this form should be made sparingly, if at all.! simplex — see Schizophrenia, simple type Schizophrenic syndrome of childhood — see Psychosis, child Schizophreniform attack — see Schizophrenia, acute episode disorder — see Schizophrenia, acute episode psychosis — see Schizophrenia affective type — see Schizophrenia, schizo-affective type confusional type — see Schizophrenia, acute episode Schizotypal personality — see Personality disorder, schizotypal type Senile dementia— Dementia occurring usually after the age of 65 in which any cerebral pathology other than that of senile atrophic change can be reasonably excluded.! delirium: Senile dementia with a superimposed reversible episode of acute confusional state.! delusional type: A type of senile dementia characterized by de- velopment in advanced old age, progressive in nature, in which delusions, varying from simple poorly formed paranoid delusions to highly formed paranoid delusional states, and hallucinations are also present.!? depressed type: A type of senile dementia characterized by de- velopment in advanced old age, progressive in nature, in which depressive features, ranging from mild to severe forms of manic-depressive affective psychosis, are also present. Disturbance of the sleep-waking cycle and preoc- cupation with dead people are often particularly promi- nent.!-2 paranoid type — see Senile dementia, delusional type simple type — see Senile dementia Sensitiver Beziehungswahn: A paranoid state which, though in many ways akin to schizophrenic or affective states, differs from paranoia, simple paranoid state, shared paranoid disorder, or psychogenic psychosis.! Sensitivity reaction of childhood or adolescence — see Shyness dis- order of childhood GLOSSARY OF MENTAL DISORDERS 1121 Separation anxiety disorder: A clinical disorder in children in which the predominant disturbance is exaggerated distress at separation from parents, home, or other familial surroundings. When separation is instituted, the child may experience anxiety to the point of panic. In adults a similar disorder is seen in agoraphobic reactions.? Sexual deviations: Abnormal sexual inclinations or behavior which are part of a referral problem. The limits and features of normal sexual behavior have not been stated absolutely in different societies and cultures, but are broadly such as serve approved social and biological purposes. The sexual activity of affected persons is directed primarily either towards people not of the opposite sex, or towards sexual acts not associated with coitus normally, or towards coitus performed under abnormal circum- stances. If the anomalous behavior becomes manifest only dur- ing psychosis or other mental illness the condition should be classified under the major illness. It is common for more than one anomaly to occur together in the same individual; in that case the predominant deviation is classified. It is preferable not to diagnose sexual deviation in individuals who perform deviant sexual acts when normal sexual outlets are not available to them.! See also Exhibitionism, Fetishism, Homosexuality, Nym- phomania, Pedophilia, Satyriasis, Sexual masochism, Sexual sad- ism, Transvestism, Voyeurism, and Zoophilia. Gender identity disorder and trans-sexualism are considered to be psychosexual gender identity disorders and are not included here. Sexual masochism: A sexual deviation in which sexual arousal and pleasure is produced in an individual by his own physical or psy- chological suffering, and in which there are insistent and persis- tent fantasies wherein sexual excitement is produced as a result of suffering.? Sexual sadism: A sexual deviation in which physical or psychological suffering inflicted on another person is utilized as a method of stimulating erotic excitement and orgasm, and in which there are insistent and persistent fantasies wherein sexual excitement is produced as a result of suffering inflicted on the partner.2 Shared paranoid disorder: Mainly delusional psychosis, usually chronic and often without florid features, which appears to have developed as a result of a close, if not dependent, relationship with another person who already has an established similar psy- chosis. The delusions are at least partly shared. The rare cases in which several persons are affected should also be included here.! 1122 APPENDIX B Shifting sleep-work schedule: A sleep disorder in which the phase- shift disruption of the 24-hour sleep-wake cycle occurs due to rapid changes in the individual’s work schedule.? Short sleeper: Individuals who typically need only 4-6 hours of sleep within the 24-hour cycle.? Shyness disorder of childhood: A persistent and excessive shrinking from familiarity or contact with all strangers of sufficient severity as to interfere with peer functioning, yet there are warm and satisfying relationships with family members. A critical feature of this disorder is that the avoidant behavior with strangers persists even after prolonged exposure or contact.? Sibling jealousy or rivalry: An emotional disorder related to com- petition between siblings for the love of a parent or for other recognition or gain.3 Simple phobia — see simple phobia under Phobia Situational disturbance, acute — see Stress reaction, acute Social phobia — see social phobia under Phobia Social withdrawal of childhood — see Introverted disorder of childhood Socialized conduct disorder — see socialized conduct disorder under Conduct disorders Somatization disorder — see somatization disorder under Neurotic disorders Somatoform disorder, atypical — see hypochondriasis under Neurotic disorders Spasmus nutans — see Stereotyped repetitive movements Specific academic or work inhibition: An adjustment reaction in which a specific academic or work inhibition occurs in an in- dividual whose intellectual capacity, skills, and previous academic or work performance have been at least adequate, and in which the inhibition occurs despite apparent effort and is not due to any other mental disorder.? Stammering — see Stuttering Starch-eating — see Pica Status postcommotio cerebri — see Postconcussion syndrome Stereotyped repetitive movements: Disorders in which voluntary repetitive stereotyped movements, which are not due to any GLOSSARY OF MENTAL DISORDERS 1123 psychiatric or neurological condition, constitute the main feature. Includes head-banging, spasmus nutans, rocking, twirling, finger- flicking mannerisms, and eye poking. Such movements are par- ticularly common in cases of mental retardation with sensory impairment or with environmental monotony. ! Stereotypies — see Stereotyped repetitive movements Stress reaction acute: Acute transient disorders of any severity and nature of emotions, consciousness, and psychomotor states (singly or in combination) which occur in individuals, without any ap- parent pre-existing mental disorder, in response to excep- tional physical or mental stress, such as natural catastrophe or battle, and which usually subside within hours or days.! chronic — see Adjustment reaction Stupor catatonic — see Schizophrenia, catatonic type psychogenic — see Psychosis, reactive Stuttering: Disorders in the rhythm of speech, in which the in- dividual knows precisely what he wishes to say, but at the time is unable to say it because of an involuntary, repetitive prolonga- tion or cessation of a sound.! Subjective insomnia complaint: A complaint of insomnia made by the individual, which has not been investigated or proven.? Tension headache: Headache of mental origin for which a more pre- cise medical or psychiatric diagnosis cannot be made.! Systematized delusions — see Paranoia Tics: Disorders of no known organic origin in which the outstanding feature consists of quick, involuntary, apparently purposeless, and frequently repeated movements which are not due to any neurological condition. Any part of the body may be involved but the face is most frequently affected. Only one form of tic may be present, or there may be a combination of tics which are carried out simultaneously, alternatively, or consecutively.! chronic motor tic disorder: A tic disorder starting in childhood and persisting into adult life. The tic is limited to no more than three motor areas, and rarely has a verbal compo- nent.2 1124 APPENDIX B Gilles de la Tourette’s disorder [motor-verbal tic disorder]: A rare disorder occurring in individuals of any level of in- telligence in which facial tics and tic-like throat noises become more marked and more generalized, and in which later whole words or short sentences (often with obscene content) are ejaculated spasmodically and involuntarily. There is some overlap with other varieties of tic.! transient tic disorder of childhood: Facial or other tics begin- ning in childhood, but limited to one year in duration.? Tobacco use disorder: Cases in which tobacco is used to the detri- ment of a person’s health or social functioning or in which there is tobacco dependence. Dependence is included here rather than under drug dependence because tobacco differs from other drugs of dependence in its psychotoxic effects.! Tranquilizer abuse: Cases where an individual has taken the drug to ‘the detriment of his health or social functioning, in doses above or for periods beyond those normally regarded as therapeutic.! Transient organic psychotic condition — see Organic psychotic condi- tions, transient Trans-sexualism — see trans-sexualism under Psychosexual identity disorders Transvestism: Sexual deviation in which there is recurrent and per- sistent dressing in clothes of the opposite sex, and initially in the early stage of the illness, for the purpose of sexual arousal. Twilight state confusional — see Delirium, acute psychogenic — see Psychosis, reactive confusion Undersocialized conduct disorder — see undersocialized conduct dis- order under Conduct disorders Unsocialized aggressive disorder — see undersocialized conduct dis- order, aggressive type under Conduct disorders Vaginismus, functional — see functional vaginismus under Psy- chosexual dysfunctions Vorbeireden: The symptom of the approximate answer or talking past the point, seen in the Ganser syndrome, a form of fac- titious illness.? Voyeurism: A sexual deviation in which the individual repetitively seeks out situations in which he engages in looking at unsuspect- ing women who are either naked, in the act of disrobing, or GLOSSARY OF MENTAL DISORDERS 1125 engaging in sexual activity. The act of looking is accompanied by sexual excitement, frequently with orgasm. In its severe form, the act of peeping constitutes the preferred or exclusive sexual activity of the individual.? Wernicke-Korsakoff syndrome — see alcohol amnestic syndrome under Alcoholic psychoses Withdrawal reaction of childhood or adolescence — see Introverted disorder of childhood Word-deafness: A developmental delay in the comprehension of speech sounds.! Zoophilia: Sexual or anal intercourse with animals. ! 1. Manual of the [International 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 Sta- tistics, Robert L. Spitzer, Chairman. 3. A Psychiatric Glossary, Fourth Edition, American Psychiatric Association, Washington, D.C., 1975. 4. Dorland’s Illustrated Medical Dictionary, Twenty-fifth Edition, W. B. Saun- ders Company, Philadelphia, 1974. 5. Stedman’s Medical Dictionary. Illustrated, Twenty-third Edition, the Williams and Williams Company, Baltimore, 1976. on fl ake CLASSIFICATION OF DRUGS BY AMERICAN HOSPITAL FORMULARY SERVICE LIST NUMBER AND THEIR ICD-9-CM EQUIVALENTS The coding of adverse effects of drugs is keyed to the continually revised Hospital Formulary of the American Hospital Formulary Ser- vice (AHFS) published under the direction of the American Society of Hospital Pharmacists. The following section gives the ICD-9-CM diagnosis code for each AHFS list. ICD-9-CM Diagnosis AHFS* List Code 4:00 ANTIHISTAMINE DRUGS 963.0 8:00 ANTI-INFECTIVE AGENTS 8:04 Amebacides 961.5 hydroxyquinoline derivatives 961.3 arsenical anti-infectives 961.1 8:08 Anthelmintics 961.6 quinoline derivatives 961.3 8:12.04 Antifungal Antibiotics 960.1 nonantibiotics 961.9 8:12.06 Cephalosporins 960.5 8:12.08 Chloramphenicol 960.2 8:12.12 The Erythromycins 960.3 8:12.16 The Penicillins 960.0 8:12.20 The Streptomycins 960.6 8:12.24 The Tetracyclines 960.4 8:12.28 Other Antibiotics 960.8 antimycobacterial antibiotics 960.6 macrolides 960.3 8:16 Antituberculars 961.8 antibiotics 960.6 8:18 Antivirals 961.7 8:20 Plasmodicides (antimalarials) 961.4 8:24 Sulfonamides 961.0 8:26 The Sulfones 961.8 8:28 Treponemicides 961.2 * American Hospital Formulary Service 1127 1128 APPENDIX C ICD-9-CM Diagnosis AHFS* List Code 8:32 Trichomonacides 961.5 hydroxyquinoline derivatives 961.3 nitrofuran derivatives 961.9 8:36 Urinary Germicides 961.9 quinoline derivatives 961.3 8:40 Other Anti-Infectives 961.9 10:00 ANTINEOPLASTIC AGENTS 963.1 antibiotics 960.7 progestogens 962.2 12:00 AUTONOMIC DRUGS 12:04 Parasympathomimetic (Cholinergic) Agents 971.0 12:08 Parasympatholytic (Cholinergic Blocking) Agents 971.1 12:12 Sympathomimetic (Adrenergic) Agents 971.2 12:16 Sympatholytic (Adrenergic Blocking) Agents 971.3 12:20 Skeletal Muscle Relaxants 975.2 central nervous system muscle-tone depressants 968.0 16:00 BLOOD DERIVATIVES 964.7 20:00 BLOOD FORMATION AND COAGULATION 20:04 Antianemia Drugs 964.1 20:04.04 Iron Preparations 964.0 20:04.08 Liver and Stomach Preparations 964.1 20:12.04 Anticoagulants 964.2 20:12.08 Antiheparin agents 964.5 20:12.12 Coagulants 964.5 20.12.16 Hemostatics 964.5 capillary-active drugs 972.8 fibrinolysis-affecting agents 964.4 natural products 964.7 24:00 CARDIOVASCULAR DRUGS * American Hospital Formulary Service CLASSIFICATION OF DRUGS BY AHFS LIST 1129 ICD-9-CM Diagnosis AHFS* List Code 24:04 Cardiac Drugs 972.9 cardiotonic agents 972.1 rhythm regulators 972.0 24:06 Antilipemic Agents 971.2 thyroid derivatives 962.7 24:08 Hypotensive Agents 972.6 adrenergic blocking agents 971.3 ganglion-blocking agents 972.3 vasodilators 972.5 24:12 Vasodilating Agents 972.5 coronary 972.4 nicotinic acid derivatives 972.2 24:16 Sclerosing Agents 972.7 28:00 CENTRAL NERVOUS SYSTEM DRUGS 28:04 General Anesthetics 968.4 gaseous anesthetics 968.2 halothane 968.1 intravenous anesthetics 968.3 28:08 Analgesics and Antipyretics 965.9 antirheumatics 965.6 aromatic analgesics 965.4 non-narcotics NEC 965.7 opium alkaloids 965.00 heroin 965.01 methadone 965.02 specified type NEC 965.09 pyrazole derivatives 965.5 salicylates 965.1 specified type NEC 965.8 28:10 Narcotic Antagonists 970.1 28:12 Anticonvulsants 966.3 barbiturates 967.0 benzodiazepine-based tranquilizers 969.4 bromides 967.3 hydantoin derivatives 966.1 oxazolidine derivative 966.0 succinimides 966.2 * American Hospital Formulary Service 1130 APPENDIX C ICD-9-CM Diagnosis AHFS* List Code 28:16.04 Antidepressants 969.0 28:16.08 Tranquilizers 969.5 benzodiazepine-based 969.4 butyrophenone-based 969.2 major NEC 969.3 phenothiazine-based 969.1 28:16.12 Other Psychotherapeutic Agents 969.8 28:20 Respiratory and Cerebral Stimulants 970.9 analeptics 970.0 anorexigenic agents 977.0 psychostimulants 969.7 specified type NEC 970.8 28:24 Sedatives and Hypnotics 967.9 barbiturates 967.0 benzodiazepine-based tranquilizers 969.4 chloral hydrate group 967.1 glutethamide group 967.5 intravenous anesthetics 968.3 methaqualone 967.4 paraldehyde 967.2 phenothiazine-based tranquilizers 969.1 specified type NEC 967.8 thiobarbiturates 968.3 tranquilizer NEC 969.5 36:00 DIAGNOSTIC AGENTS 977.8 40:00 ELECTROLYTE, CALORIC, AND WATER BALANCE AGENTS NEC 974.5 40:04 Acidifying Agents 963.2 40:08 Alkalinizing Agents 963.3 40:10 Ammonia Detoxicants 974.5 40:12 Replacement Solutions NEC 974.5 plasma volume expanders 964.8 40:16 Sodium-Removing Resins 974.5 40:18 Potassium-Removing Resins 974.5 40:20 Caloric Agents 974.5 40:24 Salt and Sugar Substitutes 974.5 * American Hospital Formulary Service 40:28 40:36 40:40 44:00 48:00 52:00 52:04 52:04.04 52:04.06 52:04.08 52:04.12 CLASSIFICATION OF DRUGS BY AHFS LIST AHFS* List Diuretics NEC carbonic acid anhydrase inhibitors mercurials purine derivatives saluretics Irrigating Solutions Uricosuric Agents ENZYMES NEC fibrinolysis-affecting agents gastric agents EXPECTORANTS AND COUGH PREPARATIONS antihistamine agents antitussives codeine derivatives expectorants narcotic agents NEC EYE, EAR, NOSE, AND THROAT PREPARATIONS Anti-Infectives ENT ophthalmic Antibiotics ENT ophthalmic Antivirals ENT ophthalmic Sulfonamides ENT ophthalmic Miscellaneous Anti-Infectives ENT ophthalmic * American Hospital Formulary Service 1131 ICD-9-CM Diagnosis Code 974.4 974.2 974.0 974.1 974.3 974.5 974.7 963.4 964.4 973.4 963.0 975.4 965.09 975.5 965.09 976.6 976.5 976.6 976.5 976.6 976.5 976.6 976.5 976.6 976.5 1132 APPENDIX C AHFS* List 52:08 Anti-Inflammatory Agents ENT ophthalmic 52:10 Carbonic Anhydrase Inhibitors 52:12 Contact Lens Solutions 52:16 Local Anesthetics 52:20 Miotics 52:24 Mydriatics adrenergics anticholinergics antimuscarinics parasympatholytics spasmolytics sympathomimetics 52:28 Mouth Washes and Gargles 52:32 Vasoconstrictors 52:36 Unclassified Agents ENT ophthalmic 56:00 GASTROINTESTINAL DRUGS 56:04 Antacids and Absorbents 56:08 Anti-Diarrhea Agents 56:10 Antiflatulents 56:12 Cathartics NEC emollients irritants 56:16 Digestants 56:20 Emetics and Antiemetics antiemetics emetics 56:24 Lipotropic Agents 60:00 GOLD COMPOUNDS 64:00 HEAVY METAL ANTAGONISTS * American Hospital Formulary Service ICD-9-CM Diagnosis Code 976.6 976.5 974.2 976.5 968.5 971.0 971.2 971.1 971.1 971.1 971.1 971.2 976.6 971.2 976.6 976.5 973.0 973.5 973.8 973.3 973.2 973.1 973.4 963.0 973.6 977.1 965.6 963.8 CLASSIFICATION OF DRUGS BY AHFS LIST 1133 ICD-9-CM Diagnosis AHFS* List Code 68:00 HORMONES AND SYNTHETIC SUBSTITUTES 68:04 Adrenals 962.0 68:08 Androgens 962.1 68:12 Contraceptives 962.2 68:16 Estrogens 962.2 68:18 Gonadotropins 962.4 68:20 Insulins and Antidiabetic Agents 962.3 68:20.08 Insulins 962.3 68:24 Parathyroid 962.6 68:28 Pituitary anterior 962.4 posterior 962.5 68:32 Progestogens 962.2 68:34 Other Corpus Luteum Hormones 962.2 68:36 Thyroid and Antithyroid antithyroid 962.8 thyroid 962.7 72:00 LOCAL ANESTHETICS NEC 968.9 topical (surface) agents 968.5 infiltrating agents (intradermal) (sub- cutaneous) (submucosal) 968.5 nerve blocking agents (peripheral) (plexus) (regional) 968.6 spinal 968.7 76:00 OXYTOCICS 975.0 78:00 RADIOACTIVE AGENTS 990 80:00 SERUMS, TOXOIDS, AND VACCINES 80:04 Serums 979.9 immune globulin (gamma) (human) 964.6 80:08 Toxoids NEC 978.8 diphtheria 978.5 and tetanus 978.9 with pertussis component 978.6 *American Hospital Formulary Service 1134 APPENDIX C AHFS* List 80:08 Toxoids NEC — continued tetanus and diphtheria with pertussis component 80:12 Vaccines NEC bacterial NEC with other bacterial component pertussis component viral and rickettsial component rickettsial NEC with bacterial component pertussis component viral component viral NEC with bacterial component pertussis component rickettsial component 84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS 84:04 Anti-Infectives 84:04.04 Antibiotics 84:04.08 Fungicides 84:04.12 Scabicides and Pediculicides 84:04.16 Miscellaneous Local Anti-Infectives 84.06 Anti-Inflammatory Agents 84:08 Antipruritics and Local Anesthetics antipruritics local anesthetics 84:12 Astringents 84:16 Cell Stimulants and Proliferants 84:20 Detergents 84:24 Emollients, Demulcents, and Protectants 84:28 Keratolytic Agents 84:32 Keratoplastic Agents * American Hospital Formulary Service ICD-9-CM Diagnosis Code 978.4 978.9 978.6 979.9 978.8 978.9 978.6 979.7 979.6 979.7 978.6 979.7 979.6 979.7 978.6 979.7 976.0 976.0 976.0 976.0 976.0 976.0 976.1 968.5 976.2 976.8 976.2 976.3 976.4 976.4 84:36 86:00 88:00 88:04 88:08 88:12 88:16 88:20 88:24 88:28 92:00 CLASSIFICATION OF DRUGS BY AHFS LIST AHFS* List Miscellaneous Agents SPASMOLYTIC AGENTS antiasthmatics papaverine theophyllin VITAMINS Vitamin A Vitamin B Complex hematopoietic vitamin nicotinic acid derivatives Vitamin C Vitamin D Vitamin E Vitamin K Activity Multivitamin Preparations UNCLASSIFIED THERAPEUTIC AGENTS * American Hospital Formulary Service 1135 ICD-9-CM Diagnosis Code 976.8 975.1 975.7 972.5 974.1 963.5 963.5 964.1 972.2 963.5 963.5 963.5 964.3 963.5 977.8 = PE EE Trem > TT Tn He. BE " > a EN CLASSIFICATION OF INDUSTRIAL ACCIDENTS ACCORDING TO AGENCY Annex B to the Resolution concerning Statistics of Employment Injuries adopted by the Tenth International Conference of Labor 11 4 112 119 12 121 122 129 13 131 132 133 134 135 136 137 139 14 141 142 143 144 149 15 151 152 159 16 161 169 Statisticians on 12 October 1962 1 MACHINES Prime-Movers, except Electrical Motors Steam engines Internal combustion engines Others Transmission Machinery Transmission shafts Transmission belts, cables, pulleys, pinions, chains, gears Others Metalworking Machines Power presses Lathes Milling machines Abrasive wheels Mechanical shears Forging machines Rolling-mills Others Wood and Assimilated Machines Circular saws Other saws Molding machines Overhand planes Others Agricultural Machines Reapers (including combine reapers) Threshers Others Mining Machinery Under-cutters Others 1137 1138 APPENDIX D 19 Other Machines Not Elsewhere Classified 191 Earth-moving machines, excavating and scraping machines, ex- cept means of transport 192 Spinning, weaving and other textile machines 193 Machines for the manufacture of foodstuffs and beverages 194 Machines for the manufacture of paper 195 Printing machines 199 Others 2 MEANS OF TRANSPORT AND LIFTING EQUIPMENT 21 Lifting Machines and Appliances 211 Cranes 212 Lifts and elevators 213 Winches 214 Pulley blocks 219 Others 22 Means of Rail Transport 221 Inter-urban railways 222 Rail transport in mines, tunnels, quarries, industrial establish- ments, docks, etc. 229 Others 23 Other Wheeled Means of Transport, Excluding Rail Transport 231 Tractors 232 Lorries 233 Trucks 234 Motor vehicles, not elsewhere classified 235 Animal-drawn vehicles 236 Hand-drawn vehicles 239 Others 24 Means of Air Transport 25 Means of Water Transport 251 Motorized means of water transport 252 Non-motorized means of water transport 26 261 262 269 31 311 312 313 314 315 319 32 321 322 323 324 325 33 34 341 342 343 344 349 35 36 361 362 369 37 38 39 INDUSTRIAL ACCIDENTS ACCORDING TO AGENCY 1139 Other Means of Transport Cable-cars Mechanical conveyors, except cable-cars Others 3 OTHER EQUIPMENT Pressure Vessels Boilers Pressurized containers Pressurized piping and accessories Gas cylinders Caissons, diving equipment Others Furnaces, Ovens, Kilns Blast furnaces Refining furnaces Other furnaces Kilns Ovens Refrigerating Plants Electrical Installations, Including Electric Motors, but Ex- cluding Electric Hand Tools Rotating machines Conductors Transformers Control apparatus Others Electric Hand Tools Tools, Implements, and Appliances, Except Electric Hand Tools Power-driven hand tools, except electric hand tools Hand tools, not power-driven Others Ladders, Mobile Ramps Scaffolding Other Equipment, Not Elsewhere Classified 1140 APPENDIX D 4 MATERIALS, SUBSTANCES AND RADIATIONS 41 Explosives 42 Dusts, Gases, Liquids and Chemicals, Excluding Explosives 421 Dusts 422 Gases, vapors, fumes 423 Liquids, not elsewhere classified 424 Chemicals, not elsewhere classified 43 Flying Fragments 44 Radiations 441 Ionizing radiations 449 Others 49 Other Materials and Substances Not Elsewhere Classified 5 WORKING ENVIRONMENT 51 Outdoor 511 Weather 512 Traffic and working surfaces 513 Water 519 Others 52 Indoor 521 Floors 522 Confined quarters 523 Stairs 524 Other traffic and working surfaces 525 Floor openings and wall openings 526 Environmental factors (lighting, ventilation, temperature, noise, etc.) 529 Others 53 Underground 53) Roofs and faces of mine roads and tunnels, etc. 532 Floors of mine roads and tunnels, etc. 533 Working-faces of mines, tunnels, etc. 534 Mine shafts 535 Fire 536 Water 539 Others INDUSTRIAL ACCIDENTS ACCORDING TO AGENCY 1141 61 611 612 69 6 OTHER AGENCIES, NOT ELSEWHERE CLASSIFIED Animals Live animals Animals products Other Agencies, Not Elsewhere Classified 7 AGENCIES NOT CLASSIFIED FOR LACK OF SUFFICIENT DATA LIST OF THREE-DIGIT CATEGORIES 1. INFECTIOUS AND PARASITIC DISEASES Intestinal infectious diseases (001-009) 001 002 003 004 005 006 007 008 009 Cholera Typhoid and paratyphoid fevers Other salmonella infections Shigellosis Other food poisoning (bacterial) Amebiasis Other protozoal intestinal diseases Intestinal infections due to other organisms Ill-defined intestinal infections Tuberculosis (010-018) 010 011 012 013 014 015 016 017 018 Primary tuberculous infection Pulmonary tuberculosis Other respiratory tuberculosis Tuberculosis of meninges and central nervous system Tuberculosis of intestines, peritoneum, and mesenteric glands Tuberculosis of bones and joints Tuberculosis of genitourinary system Tuberculosis of other organs Miliary tuberculosis Zoonotic bacterial diseases (020-027) 020 021 022 023 024 025 026 027 Plague Tularemia Anthrax Brucellosis Glanders Melioidosis Rat-bite fever Other zoonotic bacterial diseases Other bacterial diseases (030-041) 030 031 032 033 Leprosy Diseases due to other mycobacteria Diphtheria Whooping cough 1143 1144 THREE-DIGIT CATEGORIES 034 Streptococcal sore throat and scarlatina 035 Erysipelas 036 Meningococcal infection 037 Tetanus 038 Septicemia 039 Actinomycotic infections 040 Other bacterial diseases 041 Bacterial infection in conditions classified elsewhere and of unspeci- fied site Roliomyelitis and other non-arthropod-borne viral diseases of central nervous system (045-049) 045 Acute poliomyelitis 046 Slow virus infection of central nervous system 047 Meningitis due to enterovirus 048 Other enterovirus diseases of central nervous system 049 Other non-arthropod-borne viral diseases of central nervous system Viral diseases accompanied by exanthem (050-057) 050 Smallpox 051 Cowpox and paravaccinia 052 Chickenpox 053 Herpes zoster 054 Herpex simplex 055 Measles 056 Rubella 057 Other viral exanthemata Arthropod-borne viral diseases (060-066) 060 Yellow fever 061 Dengue 062 Mosquito-borne viral encephalitis 063 Tick-borne viral encephalitis 064 Viral encephalitis transmitted by other and unspecified arthropods 065 Arthropod-borne hemorrhagic fever 066 Other arthropod-borne viral diseases APPENDIX E 1145 Other diseases due to viruses and Chlamydiae (070-079) 070 071 072 073 074 075 076 077 078 079 Viral hepatitis Rabies Mumps Ornithosis Specific diseases due to Coxsackie virus Infectious mononucleosis Trachoma Other diseases of conjunctiva due to viruses and Chlamydiae Other diseases due to viruses and Chlamydiae Viral infection in conditions classified elsewhere and of unspecified site Rickettsioses and other arthropod-borne diseases (080-088) 080 081 082 083 084 085 086 087 088 Louse-borne [epidemic] typhus Other typhus Tick-borne rickettsioses Other rickettsioses Malaria Leishmaniasis Trypanosomiasis Relapsing fever Other arthropod-borne diseases Syphilis and other venereal diseases (090-099) 090 091 092 093 094 095 096 097 098 099 Congenital syphilis Early syphilis, symptomatic Early syphilis, latent Cardiovascular syphilis Neurosyphilis Other forms of late syphilis, with symptoms Late syphilis, latent Other and unspecified syphilis Gonococcal infections Other venereal diseases Other spirochetal diseases (100-104) 100 101 Leptospirosis Vincent’s angina 1146 THREE-DIGIT CATEGORIES 102 Yaws 103 Pinta 104 Other spirochetal infection Mycoses (110-118) 110 Dermatophytosis 111 Dermatomycosis, other and unspecified 112 Candidiasis 114 Coccidioidomycosis 115 Histoplasmosis 116 Blastomycotic infection 117 Other mycoses 118 Opportunistic mycoses Helminthiases (120-129) 120 Schistosomiasis [bilharziasis] 121 Other trematode infections 122 Echinococcosis 123 Other cestode infection 124 Trichinosis 125 Filarial infection and dracontiasis 126 Ancylostomiasis and necatoriasis 127 Other intestinal helminthiases 128 Other and unspecified helminthiases 129 Intestinal parasitism, unspecified Other infectious and parasitic diseases (130-136) 130 Toxoplasmosis 131 Trichomoniasis 132 Pediculosis and phthirus infestation 133 Acariasis 134 Other infestation 135 Sarcoidosis 136 Other and unspecified infectious and parasitic diseases Late effects of infectious and parasitic diseases (137-139) 137 Late effects of tuberculosis 138 Late effects of acute poliomyelitis 139 Late effects of other infectious and parasitic diseases APPENDIX E 1147 2. NEOPLASMS Malignant neoplasm of lip, oral cavity, and pharynx (140-149) 140 Malignant neoplasm of lip 141 Malignant neoplasm of tongue 142 Malignant neoplasm of major salivary glands 143 Malignant neoplasm of gum 144 Malignant neoplasm of floor of mouth 145 Malignant neoplasm of other and unspecified parts of mouth 146 Malignant neoplasm of oropharynx 147 Malignant neoplasm of nasopharynx 148 Malignant neoplasm of hypopharynx 149 Malignant neoplasm of other and ill-defined sites within the lip, oral cavity, and pharynx Malignant neoplasm of digestive organs and peritoneum (150-159) 150 Malignant neoplasm of esophagus 151 Malignant neoplasm of stomach 152 Malignant neoplasm of small intestine, including duodenum 153 Malignant neoplasm of colon 154 Malignant neoplasm of rectum, rectosigmoid junction, and anus 155 Malignant neoplasm of liver and intrahepatic bile ducts 156 Malignant neoplasm of gallbaldder and extrahepatic bile ducts 157 Malignant neoplasm of pancreas 158 Malignant neoplasm of retroperitoneum and peritoneum 159 Malignant neoplasm of other and ill-defined sites within the digestive organs and peritoneum Malignant neoplasm of respiratory and intrathoracic organs (160-165) 160 Malignant neoplasm of nasal cavities, middle ear, and accessory sinuses 161 Malignant neoplasm of larynx 162 Malignant neoplasm of trachea, bronchus, and lung 163 Malignant neoplasm of pleura 164 Malignant neoplasm of thymus, heart, and mediastinum 165 Malignant neoplasm of other and ill-defined sites within the respira- tory system and intrathoracic organs 1148 THREE-DIGIT CATEGORIES Malignant neoplasm of bone, connective tissue, skin, and breast (170-175) 170 Malignant neoplasm of bone and articular cartilage 171 Malignant neoplasm of connective and other soft tissue 172 Malignant melanoma of skin 173 Other malignant neoplasm of skin 174 Malignant neoplasm of female breast 175 Malignant neoplasm of male breast Malignant neoplasm of genitourinary organs (179-189) 179 180 181 182 183 184 185 186 187 188 189 Malignant neoplasm of uterus, part unspecified Malignant neoplasm of cervix uteri Malignant neoplasm of placenta Malignant neoplasm of body of uterus Malignant neoplasm of ovary and other uterine adnexa Malignant neoplasm of other and unspecified female genital organs Malignant neoplasm of prostate Malignant neoplasm of testis Malignant neoplasm of penis and other male genital organs Malignant neoplasm of bladder Malignant neoplasm of kidney and other and unspecified urinary organs Malignant neoplasm of other and unspecified sites (190-199) 190 191 192 193 194 195 196 197 198 199 Malignant neoplasm of eye Malignant neoplasm of brain Malignant neoplasm of other and unspecified parts of nervous system Malignant neoplasm of thyroid gland Malignant neoplasm of other endocrine glands and related structures Malignant neoplasm of other and ill-defined sites Secondary and unspecified malignant neoplasm of lymph nodes Secondary malignant neoplasm of respiratory and digestive systems Secondary malignant neoplasm of other specified sites Malignant neoplasm without specification of site Malignant neoplasm of lymphatic and hematopoietic tissue (200-208) 200 201 Lymphosarcoma and reticulosarcoma Hodgkin’s disease APPENDIX E 1149 202 203 204 205 206 207 208 Other malignant neoplasm of lymphoid and histiocytic tissue Multiple myeloma and immunoproliferative neoplasms Lymphoid leukemia Myeloid leukemia Monocytic leukemia Other specified leukemia Leukemia of unspecified cell type Benign neoplasms (210-229) 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 22 Benign neoplasm of lip, oral cavity, and pharynx Benign neoplasm of other parts of digestive system Benign neoplasm of respiratory and intrathoracic organs Benign neoplasm of bone and articular cartilage Lipoma Other benign neoplasm of connective and other soft tissue Benign neoplasm of skin Benign neoplasm of breast Uterine leiomyoma Other benign neoplasm of uterus Benign neoplasm of ovary Benign neoplasm of other female genital organs Benign neoplasm of male genital organs Benign neoplasm of kidney and other urinary organs Benign neoplasm of eye Benign neoplasm of brain and other parts of nervous system Benign neoplasm of thyroid gland Benign neoplasm of other endocrine glands and related structures Hemangioma and lymphangioma, any site Benign neoplasm of other and unspecified sites Carcinoma in situ (230-234) 230 231 232 233 234 Carcinoma in situ of digestive organs Carcinoma in situ of respiratory system Carcinoma in situ of skin Carcinoma in situ of breast and genitourinary system Carcinoma in situ of other and unspecified sites Neoplasms of uncertain behavior (235-238) 235 Neoplasm of uncertain behavior of digestive and respiratory systems 1150 THREE-DIGIT CATEGORIES 236 Neoplasm of uncertain behavior of genitourinary organs 237 Neoplasm of uncertain behavior of endocrine glands and nervous system 238 Neoplasm of uncertain behavior of other and unspecified sites and tissues Neoplasms of unspecified nature (239) 239 Neoplasm of unspecified nature 3. ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES, AND IMMUNITY DISORDERS Disorders of thyroid gland (240-246) 240 Simple and unspecified goiter 241 Nontoxic nodular goiter 242 Thyrotoxicosis with or without goiter 243 Congenital hypothyroidism 244 Acquired hypothyroidism 245 Thyroiditis 246 Other disorders of thyroid Diseases of other endocrine glands (250-259) 250 Diabetes mellitus 251 Other disorders of pancreatic internal secretion 252 Disorders of parathyroid gland 253 Disorders of the pituitary gland and its hypothalamic control 254 Diseases of thymus gland 255 Disorders of adrenal glands 256 Ovarian dysfunction 257 Testicular dysfunction 258 Polyglandular dysfunction and related disorders 259 Other endocrine disorders Nutritional deficiencies (260-269) 260 Kwashiorkor 261 Nutritional marasmus 262 Other severe protein-calorie malnutrition 263 Other and unspecified protein-calorie malnutrition APPENDIX E 1151 264 265 266 267 268 269 Vitamin A deficiency Thiamine and niacin deficiency states Deficiency of B-complex components Ascorbic acid deficiency Vitamin D deficiency Other nutritional deficiencies Other metabolic disorders and immunity disorders (270-279) 270 271 272 273 274 275 276 277 278 279 Disorders of amino-acid transport and metabolism Disorders of carbohydrate transport and metabolism Disorders of lipoid metabolism Disorders of plasma protein metabolism Gout Disorders of mineral metabolism Disorders of fluid, electrolyte, and acid-base balance Other and unspecified disorders of metabolism Obesity and other hyperalimentation Disorders involving the immune mechanism Diseases of blood and blood-forming organs (280-289) 280 281 282 283 284 285 286 287 288 289 Iron deficiency anemias Other deficiency anemias Hereditary hemolytic anemias Acquired hemolytic anemias Aplastic anemia" Other and unspecified anemias Coagulation defects Purpura and other hemorrhagic conditions Diseases of white blood cells Other diseases of blood and blood-forming organs 5. MENTAL DISORDERS Organic psychotic conditions (290-294) 290 291 Senile and presenile organic psychotic conditions Alcoholic psychoses 1152 THREE-DIGIT CATEGORIES 292 Drug psychoses 293 Transient organic psychotic conditions 294 Other organic psychotic conditions (chronic) Other psychoses (295-299) 295 Schizophrenic psychoses 296 Affective psychoses 297 Paranoid states 298 Other nonorganic psychoses 299 Psychoses with origin specific to childhood Neurotic disorders, personality disorders, and other nonpsychotic mental disorders (300-316) 300 Neurotic disorders 301 Personality disorders 302 Sexual deviations and disorders 303 Alcohol dependence syndrome 304 Drug dependence 305 Nondependent abuse of drugs 306 Physiological malfunction arising from mental factors 307 Special symptoms or syndromes, not elsewhere classified 308 Acute reaction to stress 309 Adjustment reaction 310 Specific nonpsychotic mental disorders following organic brain damage 311 Depressive disorder, not elsewhere classified 312 Disturbance of conduct, not elsewhere classified 313 Disturbance of emotions specific to childhood and adolescence 314 Hyperkinetic syndrome of childhood 315 Specific delays in development 316 Psychic factors associated with diseases classified elsewhere Mental retardation (317-319) 317 Mild mental retardation 318 Other specified mental retardation 319 Unspecified mental retardation APPENDIX E 1153 6. DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS Inflammatory diseases of the central nervous system (320-326) 320 Bacterial meningitis 321 Meningitis due to other organisms 322 Meningitis of unspecified cause 323 Encephalitis, myelitis, and encephalomyelitis 324 Intracranial and intraspinal abscess 325 Phlebitis and thrombophlebitis of intracranial venous sinuses 326 Late effects of intracranial abscess or pyogenic infection Hereditary and degenerative diseases of the central nervous system (330-337) 330 Cerebral degenerations usually manifest in childhood 331 Other cerebral degenerations 332 Parkinson’s disease 333 Other extrapyramidal disease and abnormal movement disorders 334 Spinocerebellar disease 335 Anterior horn cell disease 336 Other diseases of spinal cord 337 Disorders of the autonomic nervous system Other disorders of the central nervous system (340-349) 340 Multiple sclerosis 341 Other demyelinating diseases of central nervous system 342 Hemiplegia 343 Infantile cerebral palsy 344 Other paralytic syndromes 345 Epilepsy 346 Migraine 347 Cataplexy and narcolepsy 348 Other conditions of brain 349 Other and unspecified disorders of the nervous system Disorders of the peripheral nervous system (350-359) 350 Trigeminal nerve disorders 3351 Facial nerve disorders 352 Disorders of other cranial nerves 1154 THREE-DIGIT CATEGORIES 353 354 355 356 357 358 339 Nerve root and plexus disorders Mononeuritis of upper limb and mononeuritis multiplex Mononeuritis of lower limb Hereditary and idiopathic peripheral neuropathy Inflammatory and toxic neuropathy Myoneural disorders Muscular dystrophies and other myopathies Disorders of the eye and adnexa (360-379) 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 371 378 379 Disorders of the globe Retinal detachments and defects Other retinal disorders Chorioretinal inflammations and scars and other disorders of choroid Disorders of iris and ciliary body Glaucoma Cataract Disorders of refraction and accommodation Visual disturbances Blindness and low vision Keratitis Corneal opacity and other disorders of cornea Disorders of conjunctiva Inflammation of eyelids Other disorders of eyelids Disorders of lacrimal system Disorders of the orbit Disorders of optic nerve and visual pathways | Strabismus and other disorders of binocular eye movements Other disorders of eye Diseases of the ear and mastoid process (380-389) 380 381 382 383 384 385 386 387 Disorders of external ear Nonsuppurative otitis media and Eustachian tube disorders Suppurative and unspecified otitis media Mastoiditis and related conditions Other disorders of tympanic membrane Other disorders of middle ear and mastoid Vertiginous syndromes and other disorders of vestibular system Otosclerosis APPENDIX E 1155 388 Other disorders of ear 389 Deafness 7. DISEASES OF THE CIRCULATORY SYSTEM Acute rheumatic fever (390-392) 390 Rheumatic fever without mention of heart involvement 391 Rheumatic fever with heart involvement 392 Rheumatic chorea Chronic rheumatic heart disease (393-398) 393 Chronic rheumatic pericarditis 394 Diseases of mitral valve 395 Diseases of aortic valve 396 Diseases of mitral and aortic valves 397 Diseases of other endocardial structures 398 Other rheumatic heart disease Hypertensive disease (401-405) 401 Essential hypertension 402 Hypertensive heart disease 403 Hypertensive renal disease 404 Hypertensive heart and renal disease 405 Secondary hypertension Ischemic heart disease (410-414) 410 Acute myocardial infarction 411 Other acute and subacute form of ischemic heart disease 412 Old myocardial infarction 413 Angina pectoris 414 Other forms of chronic ischemic heart disease Diseases of pulmonary circulation (415-417) 415 Acute pulmonary heart disease 416 Chronic pulmonary heart disease 417 Other diseases of pulmonary circulation 1156 THREE-DIGIT CATEGORIES Other forms of heart disease (420-429) 420 Acute pericarditis 421 Acute and subacute endocarditis 422 Acute myocarditis 423 Other diseases of pericardium 424 Other diseases of endocardium 425 Cardiomyopathy 426 Conduction disorders 427 Cardiac dysrhythmias 428 Heart failure 429 Ill-defined descriptions and complications of heart disease Cerebrovascular disease (430-438) 430 Subarachnoid hemorrhage 431 Intracerebral hemorrhage 432 Other and unspecified intracranial hemorrhage 433 Occlusion and stenosis of precerebral arteries 434 Occlusion of cerebral arteries 435 Transcient cerebral ischemia 436 Acute but ill-defined cerebrovascular disease 437 Other and ill-defined cerebrovascular disease 438 Late effects of cerebrovascular disease Diseases of arteries, arterioles, and capillaries (440-448) 440 Atherosclerosis 441 Aortic aneurysm 442 Other aneurysm 443 Other peripheral vascular disease 444 Arterial embolism and thrombosis 446 Polyarteritis nodosa and allied conditions 447 Other disorders of arteries and arterioles 448 Diseases of capillaries Diseases of veins and lymphatics, and other diseases of circulatory system (451-459) 451 Phlebitis and thrombophlebitis 452 Portal vein thrombosis 453 Other venous embolism and thrombosis 454 Varicose veins of lower extremities APPENDIX E 1157 455 Hemorrhoids 456 Varicose veins of other sites 457 Noninfective disorders of lymphatic channels 458 Hypotension 459 Other disorders of circulatory system 8. DISEASES OF THE RESPIRATORY SYSTEM Acute respiratory infections (460-466) 460 Acute nasopharyngitis [common cold] 461 Acute sinusitis 462 Acute pharyngitis 463 Acute tonsillitis 464 Acute laryngitis and tracheitis 465 Acute upper respiratory infections of multiple or unspecified sites 466 Acute bronchitis and bronchiolitis Other diseases of upper respiratory tract (470-478) 470 Deflected nasal septum 471 Nasal polyps 472 Chronic pharyngitis and nasopharyngitis 473 Chronic sinusitis 474 Chronic disease of tonsils and adenoids 475 Peritonsillar abscess 476 Chronic laryngitis and laryngotracheitis 477 Allergic rhinitis 478 Other diseases of upper respiratory tract Pneumonia and influenza (480-487) 480 Viral pneumonia 481 Pneumococcal pneumonia 482 Other bacterial pneumonia 483 Pneumonia due to other specified organism 484 Pneumonia in infectious diseases classified elsewhere 485 Bronchopneumonia, organism unspecified 486 Pneumonia, organism unspecified 487 Influenza 1158 THREE-DIGIT CATEGORIES Chronic obstructive pulmonary disease and allied conditions (490-496) 490 Bronchitis, not specified as acute or chronic 491 Chronic bronchitis 492 Emphysema 493 Asthma 494 Bronchiectasis 495 Extrinsic allergic alveolitis 496 Chronic airways obstruction, not elsewhere classified Pneumoconioses and other lung diseases due to external agents (500-508) 500 Coalworkers’ pneumoconiosis 501 Asbestosis 502 Pneumoconiosis due to other silica or silicates 503 Preumoconiosis due to other inorganic dust 504 Pneumopathy due to inhalation of other dust 505 Pneumoconiosis, unspecified 506 Respiratory conditions due to chemical fumes and vapors 507 Pneumonitis due to solids and liquids 508 Respiratory conditions due to other and unspecified external agents Other diseases of respiratory system (510-519) 510 511 512 513 514 515 516 517 518 519 Empyema Pleurisy Pneumothorax Abscess of lung and mediastinum Pulmonary congestion and hypostasis Postinflammatory pulmonary fibrosis Other alveolar and parietoalveolar pneumopathy Lung involvement in conditions classified elsewhere Other diseases of lung Other diseases of respiratory system 9. DISEASES OF THE DIGESTIVE SYSTEM Diseases of oral cavity, salivary glands, and jaws (520-529) 520 Disorders of tooth development and eruption APPENDIX E 1159 521 Diseases of hard tissues of teeth 522 Diseases of pulp and periapical tissues 523 Gingival and periodontal diseases 524 Dentofacial anomalies, including malocclusion 525 Other diseases and conditions of the teeth and supporting structures 526 Diseases of the jaws 527 Diseases of the salivary glands 528 Diseases of the oral soft tissues, excluding lesions specific for gingiva and tongue 529 Diseases and other conditions of the tongue Diseases of esophagus, stomach, and duodenum (530-537) 530 Diseases of esophagus 531 Gastric ulcer 532 Duodenal ulcer 533 Peptic ulcer, site unspecified 534 Gastrojejunal ulcer 535 Gastritis and duodenitis 536 Disorders of function of stomach 537 Other disorders of stomach and duodenum Appendicitis (540-543) 540 Acute appendicitis 541 Appendicitis, unqualified 542 Other appendicitis 543 Other diseases of appendix Hernia of abdominal cavity (550-553) 550 Inguinal hernia 551 Other hernia of abdominal cavity, with gangrene 552 Other hernia of abdominal cavity, with obstruction, but without mention of gangrene 553 Other hernia of abdominal cavity without mention of obstruction or gangrene Noninfective enteritis and colitis (555-558) 555 Regional enteritis 556 Idiopathic proctocolitis 1160 THREE-DIGIT CATEGORIES 557 Vascular insufficiency of intestine 558 Other noninfective gastroenteritis and colitis Other diseases of intestines and peritoneum (560-569) 560 Intestinal obstruction without mention of hernia 562 Diverticula of intestine 564 Functional digestive disorders, not elsewhere classified 565 Anal fissure and fistula 566 Abcess of anal and rectal regions 567 Peritonitis 568 Other disorders of peritoneum 569 Other disorders of intestine Other diseases of digestive system (570-579) 570 Acute and subacute necrosis of liver 571 Chronic liver disease and cirrhosis 572 Liver abscess and sequelae of chronic liver disease 573 Other disorders of liver 574 Cholelithiasis 575 Other disorders of gallbladder 576 Other disorders of biliary tract 577 Diseases of pancreas 578 Gastrointestinal hemorrhage 579 Intestinal malabsorption 10. DISEASES OF THE GENITOURINARY SYSTEM Nephritis, nephrotic syndrome, and nephrosis (580-589) 580 Acute glomerulonephritis 581 Nephrotic syndrome 582 Chronic glomerulonephritis 583 Nephritis and nephropathy, not specified as acute or chronic 584 Acute renal failure 585 Chronic renal failure 586 Renal failure, unspecified 587 Renal sclerosis, unspecified 588 Disorders resulting from impaired renal function 589 Small kidney of unknown cause APPENDIX E 1161 Other diseases of urinary system (590-599) 590 Infections of kidney 591 Hydronephrosis 592 Calculus of kidney and ureter 593 Other disorders of kidney and ureter 594 Calculus of lower urinary tract 595 Cystitis 596 Other disorders of bladder 597 Urethritis, not sexually transmitted, and urethral syndrome 598 Urethral stricture 599 Other disorders of urethra and urinary tract Diseases of male genital organs (600-608) 600 Hyperplasia of prostate 601 Inflammatory diseases of prostate 602 Other disorders of prostate 603 Hydrocele 604 Orchitis and epididymitis 605 Redundant prepuce and phimosis 606 Infertility, male 607 Disorders of penis 608 Other disorders of male genital organs Disorders of breast (610-611) 610 Benign mammary dysplasias 611 Other disorders of breast Inflammatory disease of female pelvic organs (614-616) 614 Inflammatory disease of ovary, fallopian tube, pelvic cellular tissue, and peritoneum 615 Inflammatory diseases of uterus, except cervix 616 Inflammatory disease of cervix, vagina, and vulva Other disorders of female genital tract (617-629) 617 Endometriosis 618 Genital prolapse 619 Fistula involving female genital tract 620 Noninflammatory disorders of ovary, fallopian tube, and broad ligament 1162 THREE-DIGIT CATEGORIES 621 622 623 624 625 626 627 628 629 Disorders of uterus, not elsewhere classified Noninflammatory disorders of cervix Noninflammatory disorders of vagina Noninflammatory disorders of vulva and perineum Pain and other symptoms associated with female genital organs Disorders of menstruation and other abnormal bleeding from female genital tract Menopausal and postmenopausal disorders Infertility, female Other disorders of female genital organs 11. COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM Ectopic and molar pregnancy and other pregnancy with abortive outcome (630-639) 630 631 632 633 634 635 636 637 638 639 Hydatidiform mole Other abnormal product of conception Missed abortion Ectopic pregnancy Spontaneous abortion Legally induced abortion Illegally induced abortion Unspecified abortion Failed attempted abortion Complications following abortion and ectopic and molar pregnancies Complications mainly related to pregnancy (640-648) 640 641 642 643 644 645 646 647 648 Hemorrhage in early pregnancy Antepartum hemorrhage, abruptio placentae, and placenta previa Hypertension complicating pregnancy, childbirth, and the puerperium Excessive vomiting in pregnancy Early or threatened labor Prolonged pregnancy Other complications of pregnancy, not elsewhere classified Infective and parasitic conditions in the mother classifiable else- where but complicating pregnancy, childbirth, and the puerperium Other current conditions in the mother classifiable elsewhere but complicating pregnancy, childbirth, and the puerperium APPENDIX E 1163 Normal delivery, and other indications for care in pregnancy, labor, and delivery (650-659) 650 651 652 653 654 655 656 657 658 659 Delivery in a completely normal case Multiple gestation Malposition and malpresentation of fetus Disproportion Abnormality of organs and soft tissues of pelvis Known or suspected fetal abnormality affecting management of mother Other fetal and placental problems affecting management of mother Polyhydramnios Other problems associated with amniotic cavity and membranes Other indications for care or intervention related to labor and de- livery and not elsewhere classified Complications occurring mainly in the course of labor and delivery (660-669) 660 Obstructed labor 661 Abnormality of forces of labor 662 Long labor 663 Umbilical cord complications 664 Trauma to perineum and vulva during delivery 665 Other obstetrical trauma 666 Postpartum hemorrhage 667 Retained placenta or membranes, without hemorrhage 668 Complications of the administration of anesthetic or other sedation in labor and delivery 669 Other complications of labor and delivery, not elsewhere classified Complications of the puerperium (670-676) 670 671 672 673 674 675 676 Major puerperal infection Venous complications in pregnancy and the puerperium Pyrexia of unknown origin during the puerperium Obstetrical pulmonary embolism Other and unspecified complications of the puerperium, not elsewhere classified Infections of the breast and nipple associated with childbirth Other disorders of the breast associated with childbirth, and dis- orders of lactation 1164 THREE-DIGIT CATEGORIES 12. DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE Infections of skin and subcutaneous tissue (680-686) 680 681 682 683 684 685 686 Carbuncle and furuncle Cellulitis and abscess of finger and toe Other cellulitis and abscess Acute lymphadenitis Impetigo Pilonidal cyst Other local infections of skin and subcutaneous tissue Other inflammatory conditions of skin and subcutaneous tissue (690-698) 690 Erythematosquamous dermatosis 691 Atopic dermatitis and related conditions 692 Contact dermatitis and other eczema 693 Dermatitis due to substances taken internally 694 Bullous dermatoses 695 Erythematous conditions 696 Psoriasis and similar disorders 697 Lichen 698 Pruritus and related conditions Other diseases of skin and subcutaneous tissue (700-709) 700 701 702 703 704 705 706 707 708 709 Corns and callosities Other hypertrophic and atrophic conditions of skin Other dermatoses Diseases of nail Diseases of hair and hair follicles Disorders of sweat glands Diseases of sebaceous glands Chronic ulcer of skin Urticaria Other disorders of skin and subcutaneous tissue APPENDIX E 1165 13. DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE Arthropathies and related disorders (710-719) 710 711 712 713 714 715 716 717 718 719 Diffuse diseases of connective tissue Arthropathy associated with infections Crystal arthropathies Arthropathy associated with other disorders classified elsewhere Rheumatoid arthritis and other inflammatory polyarthropathies Osteoarthrosis and allied disorders Other and unspecified arthropathies Internal derangement of knee Other derangement of joint Other and unspecified disorder of joint Dorsopathies (720-724) 720 721 722 723 724 Ankylosing spondylitis and other inflammatory spondylopathies Spondylosis and allied disorders Intervertebral disc disorders Other disorders of cervical region Other and unspecified disorders of back Rheumatism, excluding the back (725-729) 725 726 727 728 729 Polymyalgia rheumatica Peripheral enthesopathies and allied syndromes Other disorders of synovium, tendon, and bursa Disorders of muscle, ligament, and fascia Other disorders of soft tissues Osteopathies, chondropathies, and acquired musculoskeletal deformities (730-739) 730 Osteomyelitis, periostitis, and other infections involving bone 731 Osteitis deformans and osteopathies associated with other disorders classified elsewhere 732 Osteochondropathies 1166 THREE-DIGIT CATEGORIES 733 734 735 736 737 738 739 740 741 742 743 744 745 746 747 748 749 750 751 752 753 754 755 756 757 758 759 Other disorders of bone and cartilage Flat foot Acquired deformities of toe Other acquired deformities of limbs Curvature of spine Other acquired deformity Nonallopathic lesions, not elsewhere classified 14. CONGENITAL ANOMALIES Anencephalus and similar anomalies Spina bifida Other congenital anomalies of nervous system Congenital anomalies of eye Congenital anomalies of ear, face, and neck Bulbus cordis anomalies and anomalies of cardiac septal closure Other congenital anomalies of heart Other congenital anomalies of circulatory system Congenital anomalies of respiratory system Cleft palate and cleft lip Other congenital anomalies of upper alimentary tract Other congenital anomalies of digestive system Congenital anomalies of genital organs Congenital anomalies of urinary system Certain congenital musculoskeletal deformities Other congenital anomalies of limbs Other congenital musculoskeletal anomalies Congenital anomalies of the integument Chromosomal anomalies Other and unspecified congenital anomalies 15. CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD Maternal causes of perinatal morbidity and mortality (760-763) 760 Fetus or newborn affected by maternal conditions which may be unrelated to present pregnancy APPENDIX E 1167 761 Fetus or newborn affected by maternal complications of pregnancy 762 Fetus or newborn affected by complications of placenta, cord, and membranes 763 Fetus or newborn affected by other complications of labor and delivery Other conditions originating in the perinatal period (764-779) 764 Slow fetal growth and fetal malnutrition 765 Disorders relating to short gestation and unspecified low birthweight 766 Disorders relating to long gestation and high birthweight 767 Birth trauma 768 Intrauterine hypoxia and birth asphyxia 769 Respiratory distress syndrome 770 Other respiratory conditions of fetus and newborn 771 Infections specific to the perinatal period 772 Fetal and neonatal hemorrhage 773 Hemolytic disease of fetus or newborn, due to isoimmunization 774 Other perinatal jaundice 775 Endocrine and metabolic disturbances specific to the fetus and new- bom 776 Hematological disorders of fetus and newborn 777 Perinatal disorders of digestive system 778 Conditions involving the integument and temperature regulation of fetus and newborn 779 Other and ill-defined conditions originating in the perinatal period 16. SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS Symptoms (780-789) 780 General symptoms 781 Symptoms involving nervous and musculoskeletal systems 782 Symptoms involving skin and other integumentary tissue 783 Symptoms concerning nutrition, metabolism, and development 784 Symptoms involving head and neck 785 Symptoms involving cardiovascular system 786 Symptoms involving respiratory system and other chest symptoms 1168 THREE-DIGIT CATEGORIES 787 Symptoms involving digestive system 788 Symptoms involving urinary system 789 Other symptoms involving abdomen and pelvis Nonspecific abnormal findings (790-796) 790 Nonspecific findings on examination of blood 791 Nonspecific findings on examination of urine 792 Nonspecific abnormal findings in other body substances 793 Nonspecific abnormal findings on radiological and other examination of body structure 794 Nonspecific abnormal results of function studies 795 Nonspecific abnormal histological and immunological findings 796 Other nonspecific abnormal findings I1l-defined and unknown causes of morbidity and mortality (797-799) 797 Senility without mention of psychosis 798 Sudden death, cause unknown 799 Other ill-defined and unknown causes of morbidity and mortality 17. INJURY AND POISONING Fracture of skull (800-804) 800 Fracture of vault of skull 801 Fracture of base of skull 802 Fracture of face'bones 803 Other and unqualified skull fractures 804 Multiple fractures involving skull or face with other bones Fracture of spine and trunk (805-809) 805 Fracture of vertebral column without mention of spinal cord lesion 806 Fracture of vertebral column with spinal cord lesion 807 Fracture of rib(s), sternum, larynx, and trachea 808 Fracture of pelvis 809 Ill-defined fractures of bones of trunk APPENDIX E 1169 Fracture of upper limb (810-819) 810 811 812 813 814 815 816 817 818 819 Fracture of clavicle Fracture of scapula Fracture of humerus Fracture of radius and ulna Fracture of carpal bone(s) Fracture of metacarpal bone(s) Fracture of one or more phalanges of hand Multiple fractures of hand bones Ill-defined fractures of upper limb Multiple fractures involving both upper limbs, and upper limb with rib(s) and sternum Fracture of lower limb (820-829) 820 821 822 823 824 825 826 827 828 829 Fracture of neck of femur Fracture of other and unspecified parts of femur Fracture of patella Fracture of tibia and fibula Fracture of ankle Fracture of one or more tarsal and metatarsal bones Fracture of one or more phalanges of foot Other, multiple, and ill-defined fractures of lower limb Multiple fractures involving both lower limbs, lower with upper limb, and lower limb(s) with rib(s) and sternum Fracture of unspecified bones Dislocation (830-839) 830 831 832 833 834 835 836 837 838 839 Dislocation of jaw Dislocation of shoulder Dislocation of elbow Dislocation of wrist Dislocation of finger Dislocation of hip Dislocation of knee Dislocation of ankle Dislocation of foot Other, multiple, and ill-defined dislocations 1170 THREE-DIGIT CATEGORIES Sprains and strains of joints and adjacent muscles (840-848) 840 Sprains and strains of shoulder and upper arm 841 Sprains and strains of elbow and forearm 842 Sprains and strains of wrist and hand 843 Sprains and strains of hip and thigh 844 Sprains and strains of knee and leg 845 Sprains and strains of ankle and foot 846 Sprains and strains of sacroiliac region 847 Sprains and strains of other and unspecified parts of back 848 Other and ill-defined sprains and strains Intracranial injury, excluding those with skull fracture (850-854) 850 Concussion 851 Cerebral laceration and contusion 852 Subarachnoid, subdural, and extradural hemorrhage, following injury 853 Other and unspecified intracranial hemorrhage following injury 854 Intracranial injury of other and unspecified nature Internal injury of chest, abdomen, and pelvis (860-869) 860 Traumatic pneumothorax and hemothorax 861 Injury to heart and lung 862 Injury to other and unspecified intrathoracic organs 863 Injury to gastrointestinal tract 864 Injury to liver 865 Injury to spleen 866 Injury to kidney 867 Injury to pelvic organs 868 Injury to other intra-abdominal organs 869 Internal injury to unspecified or ill-defined organs Open wound of head, neck, and trunk (870-879) 870 Open wound of ocular adnexa 871 Open wound of eyeball 872 Open wound of ear 873 Other open wound of head 874 Open wound of neck APPENDIX E 1171 875 876 877 878 879 Open wound of chest (wall) Open wound of back Open wound of buttock Open wound of genital organs (external), including traumatic ampu- tation Open wound of other and unspecified sites, except limbs Open wound of upper limb (880-887) 880 881 882 883 884 885 886 887 Open wound of shoulder and upper arm Open wound of elbow, forearm, and wrist Open wound of hand except finger(s) alone Open wound of finger(s) Multiple and unspecified open wound of upper limb Traumatic amputation of thumb (complete) (partial) Traumatic amputation of other finger(s) (complete) (partial) Traumatic amputation of arm and hand (complete) (partial) Open wound of lower limb (890-897) 890 891 892 893 894 895 896 897 Open wound of hip and thigh Open wound of knee, leg [except thigh], and ankle Open wound of foot except toe(s) alone Open wound of toe(s) Multiple and unspecified open wound of lower limb Traumatic amputation of toe(s) (complete) (partial) Traumatic amputation of foot (complete) (partial) Traumatic amputation of leg(s) (complete) (partial) Injury to blood vessels (900-904) 900 901 902 903 904 Injury to blood vessels of head and neck Injury to blood vessels of thorax Injury to blood vessels of abdomen and pelvis Injury to blood vessels of upper extremity Injury to blood vessels of lower extremity and unspecified sites Late effects of injuries, poisonings, toxic effects, and other external causes (905-909) 905 Late effects of musculoskeletal and connective tissue injuries 1172 THREE-DIGIT CATEGORIES 906 907 908 909 Late effects of injuries to skin and subcutaneous tissues Late effects of injuries to the nervous system Late effects of other and unspecified injuries Late effects of other and unspecified external causes Superficial injury (910-919) 910 1 212 913 914 915 916 917 918 919 Superficial injury of face, neck, and scalp except eye Superficial injury of truck Superficial injury of shoulder and upper arm Superficial injury of elbow, forearm, and wrist Superficial injury of hand(s) except finger(s) alone Superficial injury of finger(s) Superficial injury of hip, thigh, leg, and ankle Superficial injury of foot and toe(s) Superficial injury of eye and adnexa Superficial injury of other, multiple, and unspecified sites Contusion with intact skin surface (920-924) 920 Contusion of face, scalp, and neck except eye(s) 921 Contusion of eye and adnexa 922 Contusion of trunk 923 Contusion of upper limb 924 Contusion of lower limb and of other and unspecified sites Crushing injury (925-929) 925 Crushing injury of face, scalp, and neck 926 Crushing injury of trunk 927 Crushing injury of upper limb 928 Crushing injury of lower limb 929 Crushing injury of multiple and unspecified sites Effects of foreign body entering through orifice (930-939) 930 931 032 933 934 Foreign body on external eye Foreign body in ear Foreign body in nose Foreign body in pharynx and larynx Foreign body in trachea, bronchus, and lung APPENDIX E 1173 935 Foreign body in mouth, esophagus, and stomach 936 Foreign body in intestine and colon 937 Foreign body in anus and rectum 938 Foreign body in digestive system, unspecified 939 Foreign body in genitourinary tract Burns (940-949) 940 Burn confined to eye and adnexa 941 Burn of face, head, and neck 942 Burn of trunk 943 Burn of upper limb, except wrist and hand 944 Bum of wrist(s) and hand(s) 945 Burn of lower limb(s) 946 Burns of multiple specified sites 947 Burn of internal organs 948 Buins classified according to extent of body surface involved 949 Bum, unspecified Injury to nerves and spinal cord (950-957) 950 Injury to optic nerve and pathways 951 Injury to other cranial nerve(s) 952 Spinal cord injury without evidence of spinal bone injury 953 Injury to nerve roots and spinal plexus 954 Injury to other nerve(s) of trunk excluding shoulder and pelvic girdles 955 Injury to peripheral nerve(s) of shoulder girdle and upper limb 956 Injury to peripheral nerve(s) of pelvic girdle and lower limb 957 Injury to other and unspecified nerves Certain traumatic complications and unspecified injuries (958-959) 958 Certain early complications of trauma 959 Injury, other and unspecified Poisoning by drugs, medicinals and biological substances (960-979) 960 Poisoning by antibiotics 961 Poisoning by other anti-infectives 962 Poisoning by hormones and synthetic substitutes 1174 THREE-DIGIT CATEGORIES 963 964 965 966 967 968 969 970 971 972 973 974 973 976 977 978 979 Poisoning by primarily systemic agents Poisoning by agents primarily affecting blood constituents Poisoning by analgesics, antipyretics, and antirheumatics Poisoning by anticonvulsants and anti-Parkinsonism drugs Poisoning by sedatives and hypnotics Poisoning by other central nervous system depressants and anesthetics Poisoning by psychotropic agents Poisoning by central nervous system stimulants Poisoning by drugs primarily affecting the autonomic nervous system Poisoning by agents primarily affecting the cardiovascular system Poisoning by agents primarily affecting the gastrointestinal system Poisoning by water, mineral, and uric acid metabolism drugs Poisoning by agents primarily acting on the smooth and skeletal muscles and respiratory system Poisoning by agents primarily affecting skin and mucous membrane, ophthalmological, otorhinolaryngological, and dental drugs Poisoning by other and unspecified drugs and medicinals Poisoning by bacterial vaccines Poisoning by other vaccines and biological substances Toxic effects of substances chiefly nonmedicinal as to source (980-989) 980 981 982 983 984 985 986 987 988 989 Toxic effect of alcohol Toxic effect of petroleum products Toxic effect of solvents other than petroleum-based Toxic effect of corrosive aromatics, acids, and caustic alkalis Toxic effect of lead and its compounds (including fumes) Toxic effect of other metals Toxic effect of carbon monoxide Toxic effect of other gases, fumes, or vapors Toxic effect of noxious substances eaten as food Toxic effect of other substances, chiefly nonmedicinal as to source Other and unspecified effects of external causes (990-995) 990 991 992 993 994 995 Effects of radiation, unspecified Effects of reduced temperature Effects of heat and light Effects of air pressure Effects of other external causes Certain adverse effects, not elsewhere classified APPENDIX E 1175 Complications of surgical and medical care, not elsewhere classified (996-999) 996 997 998 999 Complications peculiar to certain specified procedures Complications affecting specified body systems, not elsewhere class- ified Other complications of procedures, not elsewhere classified Complications of medical care, not elsewhere classified 1176 THREE-DIGIT CATEGORIES SUPPLEMENTARY CLASSIFICATION OF FACTORS INFLUENCING HEALTH STATUS AND CONTACT WITH HEALTH SERVICES Persons with potential health hazards related to communicable diseases (V01-V07) Vo1 Vo02 Vo03 Vo4 Vos VO06 Vo7 Contact with or exposure to communicable diseases Carrier or suspected carrier of infectious diseases Need for prophylactic vaccination and inoculation against bacterial diseases Need for prophylactic vaccination and inoculation against certain viral diseases Need for other prophylactic vaccination and inoculation against single diseases Need for prophylactic vaccination and inoculation against combina- tions of diseases Need for isolation and other prophylactic measures Persons with potential health hazards related to personal and family history (V10-V19) Vi0 Vil Vi2 V13 Vi4 V15 V1eé V17 Vi8 V19 Personal history of malignant neoplasm Personal history of mental disorder Personal history of certain other diseases Personal history of other diseases Personal history of allergy to medicinal agents Other personal history presenting hazards to health Family history of malignant neoplasm Family history of certain chronic disabling diseases Family history of certain other specific conditions Family history of other conditions Persons encountering health services in circumstances related to reproduction and development (V20-V28) V20 V21 V22 V23 V24 Health supervision of infant or child Constitutional states in development Normal pregnancy Supervision of high-risk pregnancy Postpartum care and examination APPENDIX E 1177 V25 V26 v27 V28 Contraceptive management Procreative management Outcome of delivery Antenatal screening Liveborn infants according to type of birth (V30-V39) V30 V31 V32 V33 V34 V35 V36 V37 V39 Singleton Twin, mate liveborn Twin, mate stillborn Twin, unspecified Other multiple, mates all liveborn Other multiple, mates all stillborn Other multiple, mates live- and stillborn Other multiple, unspecified Unspecified Persons with a condition influencing their health status (V40-V49) V40 V41 V42 V43 V44 V4s V4a6 va7 V48 V49 Mental and behavioral problems Problems with special senses and other special functions Organ or tissue replaced by transplant Organ or tissue replaced by other means Artificial opening status Other postsurgical states Other dependence on machines Other problems with internal organs Problems with head, neck, and trunk Problems with limbs and other problems Persons encountering health services for specific procedures and aftercare (V50-V59) V50 Elective surgery for purposes other than remedying health states V51 Aftercare involving the use of plastic surgery V52 Fitting and adjustment of prosthetic device V53 Fitting and adjustment of other device V54 Other orthopedic aftercare V55 Attention to artificial openings V56 Aftercare involving intermittent dialysis V57 Care involving use of rehabilitation procedures 1178 THREE-DIGIT CATEGORIES V58 V59 Other and unspecified aftercare Donors Persons encountering health services in other circumstances (V60-V68) V60 Housing, household, and economic circumstances V61 Other family circumstances V62 Other psychosocial circumstances V63 Unavailability of other medical facilities for care V64 Persons encountering health services for specific procedures, not carried out V65 Other persons seeking consultation without complaint or sickness V66 Convalescence V67 Follow-up examination V68 Encounters for administrative purposes Persons without reported diagnosis encountered during examina- tion and investigation of individuals and populations (V70-V82) V70 V71 V72 V73 V74 V75 V76 V77 V78 V79 V80 V8l1 v82 General medical examination Observation and evaluation for suspected conditions Special investigations and examinations Special screening examination for viral diseases Special screening examination for bacterial and spirochetal diseases Special screening examination for other infectious diseases Special screening for malignant neoplasms Special screening for endocrine, nutritional, metabolic, and immunity disorders Special screening for disorders of blood and blood-forming organs Special screening for mental disorders and developmental handicaps Special screening for neurological, eye, and ear diseases Special screening for cardiovascular, respiratory, and genitourinary diseases Special screening for other conditions APPENDIX E 1179 SUPPLEMENTARY CLASSIFICATION OF EXTERNAL CAUSES OF INJURY AND POISONING Railway accidents (E800-E807) E800 Railway accident involving collision with rolling stock E801 Railway accident involving collision with other object E802 Railway accident involving derailment without antecedent collision E803 Railway accident involving explosion, fire, or burning E804 Fallin, on, or from railway train E805 Hit-by rolling stock E806 Other specified railway accident E807 Railway accident of unspecified nature Motor vehicle traffic accidents (E810-E819) E810 Motor vehicle traffic accident involving collision with train E811 Motor vehicle traffic accident involving re-entrant collision with another motor vehicle E812 Other motor vehicle traffic accident involving collision with another motor vehicle E813 Motor vehicle traffic accident involving collision with other vehicle E814 Motor vehicle traffic accident involving collision with pedestrian E815 Other motor vehicle traffic accident involving collision on the highway E816 Motor vehicle traffic accident due to loss of control, without collision on the highway E817 Noncollision motor vehicle traffic accident while boarding or alighting E818 Other noncollision motor vehicle traffic accident E819 Motor vehicle traffic accident of unspecified nature Motor vehicle nontraffic accidents (E820-E825) E820 Nontraffic accident involving motor-driven snow vehicle E821 Nontraffic accident involving other off-road motor vehicle E822 Other motor vehicle nontraffic accident involving collision with moving object E823 Other motor vehicle nontraffic accident involving collision with stationary object E824 Other motor vehicle nontraffic accident while boarding and alighting E825 Other motor vehicle nontraffic accident of other and unspecified nature 1180 THREE-DIGIT CATEGORIES Other road vehicle accidents (E826-E829) E826 Pedal cycle accident E827 Animal-drawn vehicle accident E828 Accident involving animal being ridden E829 Other road vehicle accidents Water transport accidents (ES830-E838) E830 Accident to watercraft causing submersion E831 Accident to watercraft causing other injury E832 Other accidental submersion or drowning in water transport accident E833 Fall on stairs or ladders in water transport E834 Other fall from one level to another in water transport E835 Other and unspecified fall in water transport E836 Machinery accident in water transport E837 Explosion, fire, or burning in watercraft E838 Other and unspecified water transport accident Air and space transport accidents (E840-E845) E840 Accident to powered aircraft at takeoff or landing E841 Accident to powered aircraft, other and unspecified E842 Accident to unpowered aircraft E843 Fallin, on, or from aircraft E844 Other specified air transport accidents E845 Accident involving spacecraft Vehicle accidents, not elsewhere classifiable (E846-E849) E846 Accidents involving powered vehicles used solely within the buildings and premises cf an industrial or commercial establishment E847 Accidents involving cable cars not running on rails E848 Accidents involving other vehicles, not elsewhere classifiable E849 Place of occurrence Accidental poisoning by drugs, medicinal substances, and biologicals (E850-E858) E850 Accidental poisoning by analgesics, antipyretics, and antirheumatics E851 Accidental poisoning by barbiturates APPENDIX E 1181 E852 E853 E854 E855 E856 E857 E858 Accidental poisoning by other sedatives and hypnotics Accidental poisoning by tranquilizers Accidental poisoning by other psychotropic agents Accidental poisoning by other drugs acting on central and autonomic nervous systems Accidental poisoning by antibiotics Accidental poisoning by anti-infectives Accidental poisoning by other drugs Accidental poisoning by other solid and liquid substances, gases, and vapors (E860-E869) E860 E861 E862 E863 E864 E865 E866 E867 E868 E869 Accidental poisoning by alcohol, not elsewhere classified Accidental poisoning by cleansing and polishing agents, disinfectants, paints, and varnishes Accidental poisoning by petroleum products, other solvents and their vapors, not elsewhere classified Accidental poisoning by agricultural and horticultural chemical and pharmaceutical preparations other than plant foods and fertilizers Accidental poisoning by corrosives and caustics, not elsewhere class- ified Accidental poisoning from foodstuffs and poisonous plants Accidental poisoning by other and unspecified solid and liquid sub- stances Accidental poisoning by gas distributed by pipeline Accidental poisoning by other utility gas and other carbon monoxide Accidental poisoning by other gases and vapors Misadventures to patients during surgical and medical care (E870-E876) E870 E871 E872 E873 E874 E875 E876 Accidental cut, puncture, perforation, or hemorrhage during medical care Foreign object left in body during procedure Failure of sterile precautions during procedure Failure in dosage Mechanical failure of instrument or apparatus during procedure Contaminated or infected blood, other fluid, drug, or biological substance Other and unspecified misadventures during medical care 1182 THREE-DIGIT CATEGORIES 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) 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 E879 Other procedures, without mention of misadventure at the time of procedure, as the cause of abnormal reaction of patient, or of later complication Accidental falls (ES880-E888) E880 Fall on or from stairs or steps E881 Fall on or from ladders or scaffolding E882 Fall from or out of building or other structure E883 Fall into hole or other opening in surface E884 Other fall from one level to another E885 Fall on same level from slipping, tripping, or stumbling E886 Fall on same level from collision, pushing or shoving, by or with other person E887 Fracture, cause unspecified E888 Other and unspecified fall Accidents caused by fire and flames (E890-E899) E890 Conflagration in private dwelling E891 Conflagration in other and unspecified building or structure E892 Conflagration not in building or structure E893 Accident caused by ignition of clothing E894 Ignition of highly inflammable material E895 Accident caused by controlled fire in private dwelling E896 Accident caused by controlled fire in other and unspecified building or structure E897 Accident caused by controlled fire not in building or structure E898 Accident caused by other specified fire and flames E899 Accident caused by unspecified fire Accidents due to natural and environmental factors (E900-E909) E900 Excessive heat E901 Excessive cold APPENDIX E 1183 E902 E903 E904 E905 E906 E907 E908 E909 High and low air pressure and changes in air pressure Travel and motion Hunger, thirst, exposure, and neglect Venomous animals and plants as the cause of poisoning and toxic reactions Other injury caused by animals Lightning Cataclysmic storms, and floods resulting from storms Cataclysmic earth surface movements and eruptions Accidents caused by submersion, suffocation, and foreign bodies (E910-E915) E910 E911 E912 E913 E914 E915 Accidental drowning and submersion Inhalation and ingestion of food causing obstruction of respiratory tract or suffocation Inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation Accidental mechanical suffocation Foreign body accidentally entering eye and adnexa Foreign body accidentally entering other orifice Other accidents (E916-E928) E916 E917 E918 E919 E920 E921 E922 E923 E924 E925 E926 E927 E928 Struck accidentally by falling object Striking against or struck accidentally by objects or persons Caught accidentally in or between objects Accidents caused by machinery Accidents caused by cutting and piercing instruments or objects Accident caused by explosion of pressure vessel Accident caused by firearm missile Accident caused by explosive material Accident caused by hot substance or object, caustic or corrosive material, and steam Accident caused by electric current Exposure to radiation Overexertion and strenuous movements Other and unspecified environmental and accidental causes 1184 THREE-DIGIT CATEGORIES Late effects of accidental injury (E929) E929 Late effects of accidental injury Drugs, medicinal and biological substances causing adverse effects in therapeutic use (E930-E949) E930 E931 E932 E933 E934 E935 E936 E937 E938 E939 E940 E941 E942 E943 E944 E945 E946 E947 E948 E949 Antibiotics Other anti-infectives Hormones and synthetic substitutes Primarily systemic agents Agents primarily affecting blood constituents Analgesics, antipyretics, and antirheumatics Anticonvulsants and anti-Parkinsonism drugs Sedatives and hypnotics Other central nervous system depressants and anesthetics Psychotropic agents Central nervous system stimulants Drugs primarily affecting the autonomic nervous system Agents primarily affecting the cardiovascular system Agents primarily affecting gastrointestinal system Water, mineral, and uric acid metabolism drugs Agents primarily acting on the smooth and skeletal muscles and respiratory system Agents primarily affecting skin and mucous membrane, ophthal- mological, otorhinolaryngological, and dental drugs Other and unspecified drugs and medicinal substances Bacterial vaccines Other vaccines and biological substances Suicide and self-inflicted injury (E950-E959) E950 E951 E952 E953 E954 E955 E956 E957 Suicide and self-inflicted poisoning by solid or liquid substances Suicide and self-inflicted poisoning by gases in domestic use Suicide and self-inflicted poisoning by other gases and vapors Suicide and self-inflicted injury by hanging, strangulation, and suf- focation Suicide and self-inflicted injury by submersion [drowning] Suicide and self-inflicted injury by firearms and explosives Suicide and self-inflicted injury by cutting and piercing instruments Suicide and self-inflicted injuries by jumping from high place APPENDIX E 1185 E958 Suicide and self-inflicted injury by other and unspecified means E959 Late effects of self-inflicted injury Homicide and injury purposely inflicted by other persons (E960-E969) E960 Fight, brawl, and rape E961 Assault by corrosive or caustic substance, except poisoning E962 Assault by poisoning E963 Assault by hanging and strangulation E964 Assault by submersion [drowning] E965 Assault by firearms and explosives E966 Assault by cutting and piercing instrument E967 Child battering and other maltreatment E968 Assault by other and unspecified means E969 Late effects of injury purposely inflicted by other person Legal intervention (E970-E978) E970 Injury due to legal intervention by firearms E971 Injury due to legal intervention by explosives E972 Injury due to legal intervention by gas E973 Injury due to legal intervention by blunt object E974 Injury due to legal intervention by cutting and piercing instruments E975 Injury due to legal intervention by other specified means E976 Injury due to legal intervention by unspecified means E977 Late effects of injuries due to legal intervention E978 Legal execution Injury undetermined whether accidentally or purposely inflicted (E980-E989) E980 Poisoning by solid or liquid substances, undetermined whether acci- dentally or purposely inflicted E981 Poisoning by gases in domestic use, undetermined whether acciden- tally or purposely inflicted E982 Poisoning by other gases, undetermined whether accidentally or pur- posely inflicted E983 Hanging, strangulation, or suffocation, undetermined whether acciden- tally or purposely inflicted 1186 THREE-DIGIT CATEGORIES E984 E985 E986 E987 E988 E989 Submersion [drowning], undetermined whether accidentally or purposely inflicted Injury by firearms and explosives, undetermined whether accidentally or purposely inflicted Injury by cutting and piercing instruments, undetermined whether accidentally or purposely inflicted Falling from high place, undetermined whether accidentally or pur- posely inflicted Injury by other and unspecified means, undetermined whether acci- dentally or purposely inflicted : Late effects of injury, undetermined whether accidentally or pur- posely inflicted Injury resulting from operations of war (E990-E999) E990 E991 E992 E993 E994 E995 E996 E997 E998 E999 Injury due to war operations by fires and conflagrations Injury due to war operations by bullets and fragments Injury due to war operations by explosion of marine weapons Injury due to war operations by other explosion Injury due to war operations by destruction of aircraft Injury due to war operations by other and unspecified forms of conventional warfare Injury due to war operations by nuclear weapons Injury due to war operations by other forms of unconventional warfare Injury due to war operations but occurring after cessation of hostilities Late effects of injury due to war operations U.C. BERKELEY } (02853578y | |