CLASSIFICATION OF DISEASES AND INJURIES I. INFECTIOUS AND PARASITIC DISEASES (001-139) Includes: diseases generally recognized as communicable or transmissible as well as a few diseases of unknown but possibly infectious origin Excludes: acute respiratory infections (460-466) influenza (487.-) certain localized infections Note: Categories for "late effects" of infectious and parasitic diseases are to be found at 137.- to 139.- INTESTINAL INFECTIOUS DISEASES (001-009) Excludes: helminthiases (120-129) 001 Cholera 001.0 Due to Vibrio cholerae 001.1 Due to Vibrio cholerae el tor 001.9 Unspecified 002 Typhoid and paratyphoid fevers 002.0 Typhoid fever Typhoid (fever) (infection) [any site] 002.1 Paratyphoid fever A 002.2 Paratyphoid fever B 002.3 Paratyphoid fever C 002.9 Paratyphoid fever, unspecified 003 Other salmonella infections Includes: infection or food poisoning by Salmonella [any serotype] 003.0 Salmonella gastroenteritis Salmonellosis 003.1 Salmonella septicaemia 003.2 Localized salmonella infections Salmonella: Salmonella: arthritis osteomyelitis meningitis pneumonia 003.8 Other 003.9 Unspecified Salmonella infection NOS 004 Shigellosis Includes: bacillary dysentery 004.0 Shigella dysenteriae Infection by group A Shigella (Schmitz) (Shiga) 004.1 Shigella flexneri Infection by group B Shigella 004.2 Shigella boydii Infection by group C Shigella 004.3 Shigella sonnei Infection by group D Shigella 004.8 Other 004.9 Unspecified 005 Other food poisoning (bacterial) Excludes: salmonella infections (003.-) toxic effect of noxious foodstuffs (988.-) 005.0 Staphylococcal food poisoning Staphylococcal toxaemia specified as due to food 005.1 Botulism Food poisoning due to Clostridium botulinum 005.2 Food poisoning due to Clostridium perfringens [Cl. 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 Excludes: salmonella food poisoning (003.-) 005.9 Food poisoning, unspecified 006 Amoebiasis Includes: infection due to Entamoeba histolytica Excludes: amoebiasis due to organisms other than Entamoeba histolytica (007.8) 006.0 Acute amoebic dysentery without mention of abscess Acute amoebiasis 006.1 Chronic intestinal amoebiasis without mention of abscess Chronic: amoebiasis amoebic dysentery 006.2 Amoebic nondysenteric colitis 006.3 Amoebic liver abscess 006.4 Amoebic lung abscess Amoebic abscess of lung (and liver) 006.5 Amoebic brain abscess Amoebic abscess of brain (and liver) (and lung) 006.6 Amoebic skin ulceration 006.8 Amoebic infection of other sites Amoebic: Amoeboma appendicitis balanitis Excludes: specific infections by free-living amoebae (136.2) 006.9 Amoebiasis, unspecified Amoebiasis NOS 007 Other protozoal intestinal diseases Includes: protozoal: colitis diarrhea dysentery 007.0 Balantidiasis Infection by Balantidium coli 007.1 Giardiasis Infection by Giardia lamblia Lambliasis 007.2 Coccidiosis Infection by Isospora belli and Isospora hominis Isosporosis 007.3 Intestinal trichomoniasis 007.8 Other protozoal intestinal diseases 007.9 Unspecified Flagellate diarrhea Protozoal dysentery NOS 008 Intestinal infections due to other organisms Includes: any terms listed in 009.-with mention of the responsible organisms Excludes: food poisoning by these organisms (005.-) 008.0 Escherichia coli [E. coli] 008.1 Arizona 008.2 Aerobacter aerogenes 008.3 Proteus (mirabilis) (morganii) 008.4 Other specified bacteria Staphylococcal enterocolitis 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 Excludes: influenza with involvement of gastrointestinal tract (487.8) 009 Ill-defined intestinal infections Excludes: diarrheal disease due to specified organism (001-008) diarrhea following gastrointestinal surgery (564.4) intestinal malabsorption (579.-) ischaemic enteritis (557.-) other noninfective gastroenteritis and colitis (558) regional enteritis (555.-) ulcerative colitis (556) 009.0 Infectious colitis, enteritis, and gastroenteritis Colitis (septic) Dysentery: Enteritis (septic) NOS Gastroenteritis (septic) catarrhal hemorrhagic 009.2 Infectious diarrhea Diarrhea: dysenteric epidemic Infectious diarrheal disease NOS TUBERCULOSIS (010-018) Includes: infection by Mycobacterium tuberculosis (human) (bovine) Excludes: congenital tuberculosis (771.2) 010 Primary tuberculous infection 010.0 Primary tuberculous complex 010.1 Tuberculous pleurisy in primary progressive tuberculosis 010.8 Other primary progressive tuberculosis Excludes: tuberculous erythema nodosum (017.1) 010.9 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 Excludes: isolated bronchial tuberculosis (012.2) 011.4 Tuberculous fibrosis of lung 011.5 Tuberculous bronchiectasis 011.6 Tuberculous pneumonia [any form] 011.7 Tuberculous pneumothorax 011.8 Other pulmonary tuberculosis 011.9 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 empyema Tuberculous hydrothorax Excludes: pleurisy with effusion without mention of cause (511.9) tuberculous pleurisy in primary progressive tuberculosis (010.1) 012.1 Tuberculosis of intrathoracic lymph nodes Tuberculosis of lymph nodes: hilar mediastinal tracheobronchial Excludes: when specified as primary (010.-) 012.2 Isolated tracheal or bronchial tuberculosis 012.3 Tuberculous laryngitis Tuberculosis of glottis 012.8 Other Tuberculosis of: mediastinum nasopharynx nose (septum) sinus [any nasal] 013 Tuberculosis of meninges and central nervous system 013.0 Tuberculous meningitis Tuberculosis of meninges (cerebral) (spinal) Tuberculous: leptomeningitis meningoencephalitis Excludes: tuberculoma of meninges (013.1) 013.1 Tuberculoma of meninges 013.8 Other Tuberculoma } of Tuberculosis } brain Tuberculous: abscess of brain myelitis 013.9 Unspecified Tuberculosis of central nervous system NOS 014 Tuberculosis of intestines, peritoneum, and mesenteric glands Tuberculosis (of): Tuberculous anus ascites intestine (large) (small) enteritis rectum peritonitis retroperitoneal (lymph nodes) 015 Tuberculosis of bones and joints Includes: tuberculous: arthritis necrosis of bone osteitis osteomyelitis synovitis tenosynovitis 015.0 Vertebral column Pott's: Tuberculous: curvature kyphosis disease spondylitis 015.1 Hip 015.2 Knee 015.7 Other bone Tuberculous dactylitis Tuberculous mastoiditis 015.8 Other joint 015.9 Unspecified 016 Tuberculosis of genitourinary system 016.0 Kidney Tuberculous pyelitis Tuberculous pyelonephritis 016.1 Other urinary organs Tuberculosis of bladder Tuberculosis of ureter 016.2 Epididymis 016.3 Other male genital organs Tuberculosis of: prostate seminal vesicle testis 016.4 Female genital organs Tuberculous: oophoritis salpingitis 016.9 Unspecified 017 Tuberculosis of other organs 017.0 Skin and subcutaneous cellular tissue Lupus: Tuberculosis: NOS colliquativa exedens cutis vulgaris lichenoides Scrofuloderma papulonecrotica verrucosa cutis Excludes: lupus erythematosus (695.4) disseminated (710.0) lupus NOS (710.0) 017.1 Erythema nodosum with hypersensitivity reaction in tuberculosis Bazin's disease Erythema: induratum nodosum, tuberculous Tuberculosis indurativa Excludes: erythema nodosum NOS (695.2) 017.2 Peripheral lymph nodes Scrofula Scrofulous abscess Tuberculous adenitis Excludes: tuberculosis of lymph nodes: bronchial and mediastinal (012.1) mesenteric and retroperitoneal (014) tuberculous tracheobronchial adenopathy (012.1) 017.3 Eye Tuberculous: chorioretinitis, disseminated episcleritis interstitial keratitis iridocyclitis, chronic keratoconjunctivitis (phlyctenular) 017.4 Ear Tuberculosis of ear Tuberculous otitis media Excludes: tuberculous mastoiditis (015.7) 017.5 Thyroid gland 017.6 Adrenal glands Addison's disease, tuberculous 017.7 Spleen 017.8 Other Tuberculosis of: endocardium [any valve] esophagus myocardium pericardium 018 Miliary tuberculosis Includes: tuberculosis: disseminated generalized miliary, whether of a single specified site, multiple sites, or unspecified site polyserositis 018.0 Acute 018.8 Other 018.9 Unspecified ZOONOTIC BACTERIAL DISEASES (020-027) 020 Plague Includes: infection by Yersinia pestis 020.0 Bubonic 020.1 Cellulocutaneous 020.2 Septicaemic 020.3 Primary pneumonic 020.4 Secondary pneumonic 020.5 Pneumonic, unspecified 020.8 Other Abortive plague Ambulatory plague Pestis minor 020.9 Unspecified 021 Tularemia Includes: infection by Francisella tularensis Deer fly fever rabbit fever 022 Anthrax 022.0 Cutaneous anthrax Malignant pustule 022.1 Pulmonary anthrax Respiratory anthrax Wool-sorters' disease 022.2 Gastrointestinal anthrax 022.3 Anthrax septicaemia 022.8 Other manifestations 022.9 Unspecified 023 Brucellosis Includes: fever: Malta Mediterranean undulant 023.0 Brucella melitensis 023.1 Brucella abortus 023.2 Brucella suis 023.3 Brucella canis 023.8 Other Infection by more than one organism 023.9 Unspecified 024 Glanders Infection by: Actinobacillus mallei Farcy Malleomyces mallei Malleus 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 027 Other zoonotic bacterial diseases 027.0 Listeriosis Infection by Listeria monocytogenes Meningitis by Listeria monocytogenes Meningoencephalitis by Listeria monocytogenes Septicaemia by Listeria monocytogenes Excludes: congenital listeriosis (771.2) 027.1 Erysipelothrix infection Erysipeloid (of Rosenbach) Infection by Erysipelothrix insidiosa [E. rhusiopathiae] Septicaemia by Erysipelothrix insidiosa [E. rhusiopathiae] 027.2 Pasteurellosis Pasteurella pseudotuberculosis infection Mesenteric adenitis by Pasteurella multocida [P. septica] Septic infection (cat bite) (dog bite) by Pasteurella multocida [P. septica] Excludes: infection by: Francisella tularensis (021) Yersinia pestis (020.-) 027.8 Other 027.9 Unspecified OTHER BACTERIAL DISEASES (030-041) Excludes: bacterial venereal diseases (098.-, 099.-) bartonellosis (088.0) 030 Leprosy Includes: Hansen's disease Infection by Mycobacterium leprae 030.0 Lepromatous [type L] Lepromatous leprosy (macular) (diffuse) (infiltrated) (nodular) (neuritic) 030.1 Tuberculoid [type T] Tuberculoid leprosy (macular) (maculoanesthetic) (major) (minor) (neuritic) 030.2 Indeterminate [group I] Indeterminate leprosy (macular) (neuritic) 030.3 Borderline [group B] Borderline or dimorphous leprosy (infiltrated) (neuritic) 030.8 Other 030.9 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 031.9 Unspecified Atypical mycobacterium infection NOS 032 Diphtheria Includes: infection by Corynebacterium diphtheriae 032.0 Faucial diphtheria Membranous angina, diphtheritic 032.1 Nasopharyngeal diphtheria 032.2 Anterior nasal diphtheria 032.3 Laryngeal diphtheria Laryngotracheitis, diphtheritic 032.8 Other Cutaneous diphtheria 032.9 Diphtheria, unspecified 033 Whooping cough 033.0 Bordetella pertussis [B. pertussis] 033.1 Bordetella parapertussis [B. parapertussis] 033.8 Other specified organism 033.9 Whooping cough, unspecified organism 034 Streptococcal sore throat and scarlatina 034.0 Streptococcal sore throat Streptococcal: Septic: angina angina laryngitis sore throat pharyngitis tonsillitis 034.1 Scarlatina Scarlet fever 035 Erysipelas Excludes: postpartum or puerperal erysipelas (670) 036 Meningococcal infection 036.0 Meningococcal meningitis Cerebrospinal fever (meningococcal) Meningitis: cerebrospinal epidemic 036.1 Meningococcal encephalitis 036.2 Meningococcaemia Meningococcal septicaemia 036.3 Waterhouse-Friderichsen syndrome, meningococcal Meningococcal hemorrhagic adrenalitis Meningococcic adrenal syndrome Waterhouse-Friderichsen syndrome NOS 036.4 Meningococcal carditis Meningococcal: endocarditis pericarditis 036.8 Other Meningococcal optic neuritis 036.9 Unspecified Meningococcal infection NOS 037 Tetanus Excludes: tetanus: complicating abortion (634-638 with fourth digit .0, 639.0) complicating ectopic or molar pregnancy (639.0) neonatorum (771.3) puerperal (670) 038 Septicaemia Excludes: during labor (659.3) following ectopic or molar pregnancy (639.0) following infusion, injection, transfusion, or vaccination (999.3) postoperative (998.5) postpartum, puerperal (670) when complicating abortion (634-638 with fourth digit .0, 639.0) 038.0 Streptococcal septicaemia 038.1 Staphylococcal septicaemia 038.2 Pneumococcal septicaemia 038.3 Septicaemia due to anaerobes Excludes: gas gangrene (040.0) anaerobic streptococci (038.0) 038.4 Septicaemia due to other gram-negative organisms Gram-negative septicaemia NOS 038.8 Other specified septicaemias Excludes: septicaemia (due to): anthrax (022.3) gonococcal (098.8) herpetic (054.5) meningococcal (036.2) septicaemic plague (020.2) 038.9 Unspecified septicaemia Septicaemia NOS Excludes: bacteremia NOS (790.7) 039 Actinomycotic infections Includes: actinomycotic mycetoma infection by Actinomycetales such as species of Actinomyces, Actinomadura, Nocardia, Streptomyces maduromycosis (actinomycotic) 039.0 Cutaneous Erythrasma Trichomycosis axillaris 039.1 Pulmonary 039.2 Abdominal 039.3 Cervicofacial 039.4 Madura foot Excludes: madura foot due to mycotic infection (117.4) 039.8 Of other specified sites 039.9 Of unspecified site Actinomycosis NOS Maduromycosis NOS Nocardiosis NOS 040 Other bacterial diseases Excludes: bacteraemia NOS (790.7) bacterial infection NOS (041.9) 040.0 Gas gangrene Gas bacillus infection or gangrene Malignant edema Myositis, clostridial Infection by Clostridium: histolyticum oedematiens perfringens [welchii] septicum sordellii 040.1 Rhinoscleroma 040.2 Whipple's disease Intestinal lipodystrophy 040.3 Necrobacillosis 040.8 Other bacterial diseases Tropical pyomyositis 041 Bacterial infection in conditions classified elsewhere and of unspecified site Note: This category will rarely be used for primary coding. It is provided as an additional code where it is desired to identify the bacterial agent in diseases classified elsewhere. This category will also be used in primary coding to classify bacterial infections of unspecified nature or site. Excludes: bacteraemia NOS (790.7) septicaemia (038.-) 041.0 Streptococcus 041.1 Staphylococcus 041.2 Pneumococcus 041.3 Friedlander's bacillus 041.4 Escherichia coli [E.coli] 041.5 Haemophilus influenzae [H. influenzae] 041.6 Proteus (mirabilis) (morganii) 041.7 Pseudomonas 041.8 Other Aerobacter aerogenes Other cocci, not elsewhere classified Eaton's agent Pleuropneumonia-like organisms [PPLO] Mima polymorpha Mycoplasma 041.9 Bacterial infection, unspecified HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION (042-044) Note: Beginning with data for 1987, the National Center for Health Statistics introduced categories 042-044 for classifying and coding HIV infection. Note: In this classification, the following terms are used to define and to represent other terms that are referable to these categories 042-044. 1. AIDS: Acquired immune deficiency syndrome Acquired immunodeficiency syndrome 2. AIDS-like syndrome: AIDS-like disease (illness) (syndrome) ARC AIDS-related complex Pre-AIDS AIDS-related conditions Prodromal-AIDS 3. HIV infection (disease) (illness) AAV (disease) (illness) (infection) AIDS-associated retrovirus (disease) (illness) (infection) AIDS-associated virus (disease) (illness) (infection) AIDS-related virus (disease) (illness) (infection) AIDS virus (disease) (illness) (infection) ARV (disease) (illness) (infection) Human immunodeficiency virus (disease) (illness) (infection) Human immunovirus (disease) (illness) (infection) Human T-cell lymphotropic virus-III (disease) (illness) (infection) HTLV-III (disease) (illness) (infection) HTLV-III/LAV (disease) (illness) (infection) LAV (disease) (illness) (infection) LAV/HTLV-III (disease) (illness) (infection) Lymphadenopathy-associated virus (disease) (illness) (infection) 042 Human immunodeficiency virus infection with specified conditions Includes: acquired immunodeficiency syndrome AIDS 042.0 With specified infections Includes only: candidiasis of lung (112.4) } coccidiosis (007.2) } cryptosporidiosis (007.2) } With isosporiasis (007.2) } HIV cryptococcosis (117.5) } infection pneumocystosis (136.3) } progressive multifocal leukoencephalopathy (046.3) } toxoplasmosis (130) } 042.1 Causing other specified infections Includes only: candidiasis } disseminated (112.5) } of: mouth (112.0) } skin and nails (112.3) } other and unspecified sites (112.8,112.9) } (excludes:112.1,112.2,112.4) } coccidioidomycosis (114) } cytomegalic inclusion disease (078.5) } herpes simplex (054) } herpes zoster (053) } histoplasmosis (115) } Due to mycobacteriosis, other and unspecified } HIV (031.8,031.9) (excludes: 031.0,031.1) } infection Nocardia infection (039) } opportunistic mycoses (118) } pneumonia: } NOS (486) } viral NOS (480.9) } Salmonella infections (003.1-003.9) } (excludes: gastroenteritis 003.0) } septicemia (038) } strongyloidiasis (127.2) } tuberculosis (010-018) } 042.2 With specified malignant neoplasms Includes only: Burkitt's tumor or lymphoma (200.2) } Kaposi's sarcoma (173) } Due to immunoblastic sarcoma (200.8) } HIV primary lymphoma of the brain (202.8) } infection reticulosarcoma (200.0) } 042.9 Acquired immunodeficiency syndrome, unspecified AIDS with other conditions classifiable elsewhere except as in 042.0-042.2 043 Human immunodeficiency virus infection causing other specified conditions Includes: AIDS-like syndrome AIDS-related complex ARC Excludes: HIV infection classifiable to 042 043.0 Causing lymphadenopathy Enlarged lymph nodes (785.6) } Due to HIV Swollen glands (785.6) } infection 043.1 Causing specified diseases of the central nervous system Includes only: central nervous system: } demyelinating disease NOS (341.9) } disorders NOS (348.9,349.9) } non-arthropod borne viral diseases, other } and unspecified (049.8,049.9) } slow virus infection, other and unspecified } (046.8,046.9) } dementia: } NOS (298.9) } Due to organic (294.9) } HIV presenile (290.1) } infection encephalitis (323.9) } encephalomyelitis (323.9) } encephalopathy (348.3) } myelitis (323.9) } myelopathy (336.9) } organic brain syndrome NOS } (nonpsychotic) (310.9) } psychotic (294.9) } 043.2 Causing other disorders involving the immune mechanism 043.3 Causing other specified conditions Includes only: abnormal weight loss (783.2) } abnormality,respiratory (786.0) } Due to agranulocytosis (288.0) } HIV anemia: } infection NOS (285.9) } aplastic, other and unspecified (284.8,284.9) } deficiency (280-281) } hemolytic, acquired (283) } arthritis: } pyogenic (711.0) } infective (711.9) } blindness or low vision (369) } blood and blood-forming organs, } unspecified disease (289.9) } cachexia (799.4) } dermatomycosis (111) } dermatophytosis (110) } diarrhea (noninfectious) (558), } infectious (009) } disease or disorder NOS: } Blood and blood-forming organs (289.9) } salivary gland (527.9) } skin and subcutaneous tissue (709.9) } dyspnea (786.0) } fatigue (780.7) } fever (780.6) } Due to gastroenteritis (noninfectious (558), } HIV infectious (009) } infection hepatomegaly (789.1) } hyperhidrosis (780.8) } hypersplenism (289.4) } infection: intestinal, ill-defined (009) } lack of expected physiological } development in infant (783.4) } leukoplakia of oral mucosa(tongue) (528.6) } malabsorption, intestinal (579.9) } malaise (780.7) } neuralgia NOS (729.2) } neuritis NOS (729.2) } nutritional deficiencies (260-269) } pneumonitis,lymphoid,interstitial (516.8) } polyneuropathy (357.0,357.8,357.9) } pyrexia (780.6) } radiculitis NOS (729.2) } rash NOS (782.1) } retinal vascular changes (362.1) } retinopathy, background (362.1) } splenomegaly (789.2) } thrombocytopenia, secondary and } unspecified (287.4,287.5) } volume depletion (276.5) } 043.9 Acquired immunodeficiency syndrome-related complex, unspecified AIDS-related complex (ARC) with other conditions classifiable elsewhere except as in 042.0-043.3 044 Other human immunodeficiency virus infection Excludes: HIV infection classifiable to 042 or 043 044.0 Causing specified acute infections Includes only: acute lymphadenitis (683) } Due aseptic meningitis (047.9) } to viral infection ("infectious mononucleosis-like } HIV syndrome") (079.9) } infection 044.9 Human immunodeficiency virus infection, unspecified HIV infection with other conditions classifiable elsewhere except as in 042.0-044.0 POLIOMYELITIS AND OTHER NON-ARTHROPOD-BORNE VIRAL DISEASES OF CENTRAL NERVOUS SYSTEM (045-049) 045 Acute poliomyelitis 045.0 Acute paralytic poliomyelitis specified as bulbar Infantile paralysis (acute) specified as bulbar Poliomyelitis (acute) (anterior) specified as bulbar Polioencephalitis (acute) (bulbar) Polioencephalomyelitis (acute) (anterior) (bulbar) 045.1 Acute poliomyelitis with other paralysis Paralysis: acute atrophic, spinal infantile, paralytic Poliomyelitis (acute) with paralysis except bulbar anterior with paralysis except bulbar epidemic with paralysis except bulbar 045.2 Acute nonparalytic poliomyelitis Poliomyelitis (acute) specified as nonparalytic anterior specified as nonparalytic epidemic specified as nonparalytic 045.9 Acute poliomyelitis, unspecified Infantile paralysis Poliomyelitis (acute) unspecified whether paralytic or nonparalytic anterior unspecified whether paralytic or nonparalytic epidemic unspecified whether paralytic or nonparalytic 046 Slow virus infection of central nervous system 046.0 Kuru 046.1 Jakob-Creutzfeldt disease Subacute spongioform encephalopathy 046.2 Subacute sclerosing panencephalitis Dawson's inclusion body encephalitis Van Bogaert's sclerosing leucoencephalitis 046.3 Progressive multifocal leucoencephalopathy Multifocal leucoencephalopathy NOS 046.8 Other 046.9 Unspecified 047 Meningitis due to enterovirus Includes: meningitis: abacterial aseptic viral Excludes: meningitis due to: adenovirus (049.1) arthropod-borne virus (060-066) leptospira (100.8) virus of: herpes simplex (054.7) herpes zoster (053.0) lymphocytic choriomeningitis (049.0) mumps (072.1) poliomyelitis (045.-) any other infection specifically classified elsewhere 047.0 Coxsackie virus 047.1 ECHO virus 047.8 Other 047.9 Unspecified Viral meningitis NOS 048 Other enterovirus diseases of central nervous system Boston exanthem 049 Other non-arthropod-borne viral diseases of central nervous system 049.0 Lymphocytic choriomeningitis Lymphocytic: meningitis (serous) meningoencephalitis (serous) 049.1 Meningitis due to adenovirus 049.8 Other Encephalitis: acute: inclusion body necrotizing epidemic lethargica Rio Bravo von Economo's disease 049.9 Unspecified Viral encephalitis NOS VIRAL DISEASES ACCOMPANIED BY EXANTHEM (050-057) Excludes: arthropod-borne viral diseases (060-066) 050 Smallpox 050.0 Variola major Hemorrhagic (pustular) smallpox Malignant smallpox Purpura variolosa 050.1 Alastrim Variola minor 050.2 Modified smallpox 050.9 Smallpox, unspecified 051 Cowpox and paravaccinia 051.0 Cowpox Vaccinia not from vaccination Excludes: vaccinia (generalized) (from vaccination) (999.0) 051.1 Pseudocowpox Milkers' node 051.2 Contagious pustular dermatitis Ecthyma contagiosum Orf 051.9 Paravaccinia, unspecified 052 Chickenpox Varicella 053 Herpes zoster Includes: shingles zona 053.0 With meningitis 053.1 With other nervous system complications Geniculate herpes zoster Post-herpetic: Herpetic geniculate ganglionitis polyneuropathy trigeminal neuralgia 053.2 With ophthalmic complications Herpes zoster: dermatitis of eyelids iridocyclitis keratoconjunctivitis 053.7 With other complications 053.8 With unspecified complication 053.9 Herpes zoster without mention of complication 054 Herpes simplex Excludes: congenital herpes simplex (771.2) 054.0 Eczema herpeticum Kaposi's varicelliform eruption 054.1 Genital herpes Herpetic vulvovaginitis Herpetic ulceration of vulva 054.2 Herpetic gingivostomatitis 054.3 Herpetic meningoencephalitis Herpes encephalitis Simian B disease 054.4 With ophthalmic complications Herpes simplex: Keratitis: dermatitis of eyelids dendritic keratitis disciform keratoconjunctivitis Iritis due to herpes simplex 054.5 Herpetic septicaemia 054.6 Herpetic whitlow 054.7 With other complications Meningitis due to herpes simplex Visceral herpes simplex 054.8 With unspecified complication 054.9 Herpes simplex without mention of complication 055 Measles Includes: morbilli rubeola 055.0 Postmeasles encephalitis 055.1 Postmeasles pneumonia 055.2 Postmeasles otitis 055.7 With other complications 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 Encephalomyelitis 056.7 With other complications Rubella arthritis 056.8 With unspecified complications 056.9 Rubella without mention of complication 057 Other viral exanthemata 057.0 Erythema infectiosum [fifth disease] 057.8 Other Dukes(-Filatow) disease Exanthema subitum Fourth disease Parascarlatina Pseudoscarlatina Roseola infantum Sixth disease 057.9 Unspecified ARTHROPOD-BORNE VIRAL DISEASES (060-066) 060 Yellow fever 060.0 Sylvatic Jungle yellow fever 060.1 Urban 060.9 Unspecified 061 Dengue Breakbone fever Excludes: hemorrhagic fever caused by dengue virus (065.4) 062 Mosquito-borne viral encephalitis 062.0 Japanese encephalitis 062.1 Western equine encephalitis 062.2 Eastern equine encephalitis Excludes: Venezuelan equine encephalitis (066.2) 062.3 St. Louis encephalitis 062.4 Australian encephalitis Australian arboencephalitis Australian X disease 062.5 California virus encephalitis Encephalitis: California La Crosse Tahyna fever 062.8 Other Encephalitis by Ilheus virus 062.9 Unspecified 063 Tick-borne viral encephalitis Includes: diphasic meningoencephalitis 063.0 Russian spring-summer [taiga] encephalitis 063.1 Louping ill 063.2 Central European encephalitis 063.8 Other Langat encephalitis Powassan encephalitis 063.9 Unspecified 064 Viral encephalitis transmitted by other and unspecified arthropods Arthropod-borne viral encephalitis, vector unknown Negishi virus encephalitis Excludes: viral encephalitis NOS (049.9) 065 Arthropod-borne hemorrhagic fever 065.0 Crimean hemorrhagic fever [CHF Congo virus] Central Asian hemorrhagic fever 065.1 Omsk hemorrhagic fever 065.2 Kyasanur Forest disease 065.3 Other tick-borne hemorrhagic fever 065.4 Mosquito-borne hemorrhagic fever Chikungunya hemorrhagic fever Dengue hemorrhagic fever Excludes: Chikungunya fever (066.3) dengue (061) yellow fever (060.-) 065.8 Other 065.9 Unspecified Arbovirus hemorrhagic fever NOS 066 Other arthropod-borne viral diseases 066.0 Phlebotomus fever Changuinola fever Sandfly fever 066.1 Tick-borne fever Nairobi sheep disease Tick fever: Tick fever: American mountain Kemerovo Colorado Quaranfil 066.2 Venezuelan equine fever 066.3 Other mosquito-borne fever Fever (viral): Fever (viral): Bunyamwera Oropouche Bwamba Pixuna Chikungunya Rift valley Guama Wesselsbron Mayaro West Nile Mucambo Zika O'nyong-Nyong Excludes: dengue (061) yellow fever (060.-) 066.8 Other Chandipura fever Piry fever 066.9 Unspecified Arbovirus infection NOS OTHER DISEASES DUE TO VIRUSES AND CHLAMYDIAE (070-079) 070 Viral hepatitis Excludes: 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 070.3 Viral hepatitis B without mention of hepatic coma Serum hepatitis 070.4 Other specified viral hepatitis with hepatic coma 070.5 Other specified viral hepatitis without mention of hepatic coma 070.6 Unspecified viral hepatitis with hepatic coma 070.9 Unspecified viral hepatitis without mention of hepatic coma Viral hepatitis NOS 071 Rabies Hydrophobia Lyssa 072 Mumps 072.0 Mumps orchitis 072.1 Mumps meningitis 072.2 Mumps encephalitis Mumps meningoencephalitis 072.3 Mumps pancreatitis 072.7 Mumps with other complications 072.8 Mumps with unspecified complication 072.9 Mumps without mention of complication Epidemic parotitis Infectious parotitis 073 Ornithosis Parrot fever Psittacosis 074 Specific diseases due to Coxsackie virus Excludes: Coxsackie virus: infection NOS (079.2) meningitis (047.0) 074.0 Herpangina Vesicular pharyngitis 074.1 Epidemic pleurodynia Bornholm disease Devil's grip Epidemic: myalgia myositis 074.2 Coxsackie carditis Aseptic myocarditis of newborn Coxsackie: endocarditis myocarditis pericarditis 074.3 Hand, foot and mouth disease Vesicular stomatitis and exanthem 074.8 Other Acute lymphonodular pharyngitis 075 Infectious mononucleosis Glandular fever Monocytic angina Pfeiffer's disease 076 Trachoma Excludes: late effect of trachoma; see category 139.1 076.0 Initial stage Trachoma dubium 076.1 Active stage Granular conjunctivitis Trachomatous: (trachomatous) follicular conjunctivitis pannus 076.9 Unspecified Trachoma NOS 077 Other diseases of conjunctiva due to viruses and Chlamydiae Excludes: ophthalmic complications of viral diseases classified elsewhere 077.0 Inclusion conjunctivitis Paratrachoma Swimming pool conjunctivitis Excludes: inclusion blennorrhoea (neonatal) (771.6) 077.1 Epidemic keratoconjunctivitis Shipyard eye 077.2 Pharyngoconjunctival fever Viral pharyngoconjunctivitis 077.3 Other adenoviral conjunctivitis Acute adenoviral follicular conjunctivitis 077.4 Epidemic hemorrhagic conjunctivitis Apollo: conjunctivitis disease Conjunctivitis due to enterovirus type 70 Hemorrhagic conjunctivitis (acute) (epidemic) 077.8 Other viral conjunctivitis Newcastle conjunctivitis 077.9 Unspecified Viral conjunctivitis NOS 078 Other diseases due to viruses and Chlamydiae Excludes: Viral infection NOS (079.-) Viraemia 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 Epizootic: aphthae stomatitis 078.5 Cytomegalic inclusion disease Cytomegalic inclusion virus hepatitis Salivary gland virus disease Excludes: congenital cytomegalovirus infection (771.1) 078.6 Hemorrhagic nephrosonephritis Hemorrhagic fever: epidemic Korean Russian with renal syndrome 078.7 Arenaviral hemorrhagic fever Hemorrhagic fever: Argentine Bolivian Junin virus Machupo virus 078.8 Other Epidemic: Marburg disease cervical myalgia Tanapox vertigo Winter vomiting disease vomiting syndrome 079 Viral infection in conditions classified elsewhere and of unspecified site Note: This category will rarely be used for primary coding. It is provided as an additional code where it is desired to identify the viral agent in diseases classified elsewhere. This category will also be used in primary coding to classify virus infection of unspecified nature or site. 079.0 Adenovirus 079.1 ECHO virus 079.2 Coxsackie virus 079.3 Rhinovirus 079.8 Other 079.9 Unspecified Viral infection NOS Excludes: viraemia NOS (790.8) RICKETTSIOSES AND OTHER ARTHROPOD-BORNE DISEASES (080-088) Excludes: arthropod-borne viral diseases (060-066) 080 Louse-borne [epidemic] typhus Typhus (fever): classical epidemic exanthematic NOS louse-borne 081 Other typhus 081.0 Murine [endemic] typhus Typhus (fever): endemic flea-borne 081.1 Brill's disease Brill-Zinsser disease Recrudescent typhus (fever) 081.2 Scrub typhus Japanese river fever Mite-borne typhus Kedani fever Tsutsugamushi 081.9 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 Lone star fever 082.9 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 083.9 Unspecified 084 Malaria Excludes: congenital malaria (771.2) Note: Subcategories 084.0-084.6 exclude the listed conditions with mention of pernicious complications (084.8, 084.9). 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 (fever) by more than one parasite 084.6 Unspecified Malaria (fever) NOS 084.7 Induced malaria Therapeutically induced malaria Excludes: accidental infection from syringe, blood transfusion, etc. (084.0-084.6, above, according to parasite species) transmission from mother to child during delivery (771.2) 084.8 Blackwater fever Hemoglobinuric: Malarial hemoglobinuria fever (bilious) malaria 084.9 Other pernicious complications of malaria Algid malaria Malarial: Cerebral malaria hepatitis nephrosis 085 Leishmaniasis 085.0 Visceral [kala-azar] Dumdum fever Leishmaniasis: Infection by Leishmania: dermal, post-kala-azar donovani Mediterranean infantum visceral (Indian) 085.1 Cutaneous, urban Aleppo boil Leishmaniasis, cutaneous: Baghdad boil dry form Delhi boil late Infection by Leishmania tropica recurrent Oriental sore ulcerating 085.2 Cutaneous, Asian desert Infection by Leishmania tropica major Leishmaniasis, cutaneous: Leishmaniasis, cutaneous: acute necrotizing wet form rural zoonotic form 085.3 Cutaneous, Ethiopian Infection by Leishmania ethiopica Leishmaniasis, cutaneous: diffuse lepromatous 085.4 Cutaneous, American Chiclero ulcer Infection by Leishmania mexicana Leishmaniasis tegumentaria diffusa 085.5 Mucocutaneous (American) Espundia Uta Infection by Leishmania brasiliensis 085.9 Unspecified 086 Trypanosomiasis Includes: with meningoencephalitis 086.0 Chagas's disease with heart involvement Any condition in 086.2 with heart involvement 086.1 Chagas's disease with other organ involvement Any condition in 086.2 with involvement of organ other than heart 086.2 Chagas's 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 Unspecified 087 Relapsing fever Recurrent fever 087.0 Louse-borne 087.1 Tick-borne 087.9 Unspecified 088 Other arthropod-borne diseases 088.0 Bartonellosis Carrion's disease Oroya fever Verruga peruana 088.8 Other 088.9 Unspecified Arthropod-borne disease, not elsewhere classified SYPHILIS AND OTHER VENEREAL DISEASES (090-099) Excludes: nonvenereal endemic syphilis (104.0) urogenital trichomoniasis (131.0) 090 Congenital syphilis 090.0 Early congenital syphilis, symptomatic Congenital syphilitic: Syphilitic (congenital): choroiditis epiphysitis coryza (chronic) osteochondritis hepatomegaly pemphigus mucous patches Any congenital syphilitic condition periostitis specified as early or manifest less splenomegaly than two years after birth 090.1 Early congenital syphilis, latent [Not to be used for underlying cause of death] Congenital syphilis without clinical manifestations, with positive serological reaction and negative spinal fluid test, less than two years after birth 090.2 Early congenital syphilis, unspecified Congenital syphilis NOS, less than two years after birth 090.3 Syphilitic interstitial keratitis Syphilitic keratitis: parenchymatous punctata profunda Excludes: interstitial keratitis NOS (370.5) 090.4 Juvenile neurosyphilis Congenital: Dementia paralytica juvenilis neurosyphilis Juvenile: syphilitic: general paresis encephalitis tabes meningitis taboparesis Use additional code, if desired, to identify any associated mental disorder. 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 [Not to be used for underlying cause of death] Congenital syphilis without clinical manifestations, with positive serological reaction and negative spinal fluid test, two years or more after birth 090.7 Late congenital syphilis, unspecified Congenital syphilis NOS, two years or more after birth 090.9 Congenital syphilis, unspecified 091 Early syphilis, symptomatic Excludes: early cardiovascular syphilis (093.-) early neurosyphilis (094.-) 091.0 Genital syphilis (primary) Genital chancre 091.1 Primary anal syphilis 091.2 Other primary syphilis Primary syphilis of: fingers lip tonsils 091.3 Secondary syphilis of skin or mucous membranes Condyloma latum Secondary syphilis of: Secondary syphilis of: anus skin mouth tonsils pharynx vulva 091.4 Adenopathy due to secondary syphilis Syphilitic adenopathy (secondary) Syphilitic lymphadenitis (secondary) 091.5 Uveitis due to secondary syphilis Syphilitic chorioretinitis (secondary) Syphilitic iridocyclitis (secondary) 091.6 Secondary syphilis of viscera and bone Secondary syphilis of liver Secondary syphilitic: Secondary syphilitic: hepatitis periostitis 091.7 Secondary syphilis, relapse Secondary syphilis, relapse (treated) (untreated) 091.8 Other forms of secondary syphilis Acute syphilitic meningitis Syphilitic alopecia 091.9 Unspecified secondary syphilis 092 Early syphilis, latent [Not to be used for underlying cause of death] 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 Syphilitic: aortic incompetence or stenosis ostial coronary disease 093.8 Other Syphilitic: myocarditis pericarditis 093.9 Unspecified 094 Neurosyphilis 094.0 Tabes dorsalis Arthropathy: neurogenic (Charcot) tabetic Charcot's joint disease Locomotor ataxia (progressive) Posterior spinal sclerosis (syphilitic) Tabetic neurosyphilis 094.1 General paresis Dementia paralytica General paralysis (of insane) (progressive) Paretic neurosyphilis Taboparesis 094.2 Syphilitic meningitis Meningovascular syphilis 094.3 Asymptomatic neurosyphilis [Not to be used for underlying cause of death] 094.8 Other Syphilitic: acoustic neuritis disseminated retinochoroiditis encephalitis optic atrophy Parkinsonism retrobulbar neuritis ruptured cerebral aneurysm 094.9 Unspecified Gumma (syphilitic) of central nervous system NOS Syphilis (early) (late) of central nervous system NOS Syphiloma of central nervous system NOS 095 Other forms of late syphilis, with symptoms Gumma (syphilitic) } any site except those classifiable in Syphilis, late or tertiary } 093.- and 094.- Gumma (syphilitic) NOS Syphilis [stage unspecified]: Syphilitic: bone episcleritis kidney peritonitis liver lung muscle 096 Late syphilis, latent [Not to be used for underlying cause of death] 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 [Not to be used for underlying cause of death] Positive serological reaction for syphilis 097.9 Syphilis, unspecified Syphilis (acquired) NOS Excludes: syphilis NOS causing death under two years of age (090.9) 098 Gonococcal infections 098.0 Acute, of lower genitourinary tract Gonococcal: Gonorrhea (acute): Bartholinitis (acute) NOS urethritis (acute) genitourinary (tract) NOS vulvovaginitis (acute) 098.1 Acute, of upper genitourinary tract Gonococcal: Gonorrhea (acute): endometritis (acute) bladder orchitis (acute) cervix prostatitis (acute) seminal vesicle salpingitis, acute 098.2 Chronic, of lower genitourinary tract Any condition in 098.0 specified as chronic or with duration of two months or over 098.3 Chronic, of upper genitourinary tract Any condition in 098.1 specified as chronic or with duration of two months or over Gonococcal salpingitis (chronic) 098.4 Of eye Gonococcal: conjunctivitis (neonatorum) iridocyclitis (364.0*) ophthalmia (neonatorum) 098.5 Of joint Gonococcal: Gonococcal: arthritis synovitis bursitis tenosynovitis 098.6 Of pharynx 098.7 Of anus and rectum 098.8 Of other sites Gonococcaemia Gonococcal: Gonococcal: meningitis endocarditis peritonitis keratosis (blenorrhagica) 099 Other venereal diseases 099.0 Chancroid Bubo (inguinal): Chancre: chancroidal Ducrey's due to Hemophilus ducreyi simple Ulcus molle (cutis) (skin) soft 099.1 Lymphogranuloma venereum Climatic or tropical bubo (Durand-) Nicolas-Favre disease Esthiomene Lymphogranuloma inguinale 099.2 Granuloma inguinale Donovanosis Granuloma pudendi (ulcerating) Granuloma venereum 099.3 Reiter's disease Reiter's syndrome 099.4 Other nongonococcal urethritis Nonspecific and nongonococcal urethritis so stated 099.8 Other 099.9 Unspecified OTHER SPIROCHETAL DISEASES (100-104) 100 Leptospirosis 100.0 Leptospirosis icterohemorrhagica Leptospiral or spirochetal jaundice (hemorrhagic) Weil's disease 100.8 Other Fever: Fort Bragg pretibial swamp Infection by Leptospira: australis bataviae pyrogenes Leptospiral meningitis (aseptic) 100.9 Unspecified 101 Vincent's angina Acute necrotizing ulcerative: gingivitis stomatitis Fusospirochaetal pharyngitis Spirochetal stomatitis Trench mouth Vincent's: gingivitis infection [any site] 102 Yaws Includes: frambesia pian 102.0 Initial lesions Chancre of yaws Initial framboesial ulcer Framboesia, initial or primary Mother yaw 102.1 Multiple papillomata and wet crab yaws Butter yaws Framboesioma Pianoma Plantar or palmar papilloma of yaws 102.2 Other early skin lesions Early yaws (cutaneous) (macular) (papular) (maculopapular) (micropapular) Framboeside of early yaws Cutaneous yaws, less than five years after infection 102.3 Hyperkeratosis Ghoul hand Hyperkeratosis, palmar or plantar (early) (late) due to yaws Worm-eaten soles 102.4 Gummata and ulcers Nodular late yaws (ulcerated) Gummatous framboeside 102.5 Gangosa Rhinopharyngitis mutilans 102.6 Bone and joint lesions Goundou of yaws (late) Gumma, bone of yaws (late) Gummatous osteitis or periostitis of yaws (late) Ganglion Hydrarthrosis of yaws (early) (late) Osteitis of yaws (early) (late) Periostitis (hypertrophic) of yaws (early) (late) 102.7 Other manifestations Juxta-articular nodules of yaws Mucosal yaws 102.8 Latent yaws [Not to be used for underlying cause of death] Yaws without clinical manifestations, with positive serology 102.9 Yaws, unspecified 103 Pinta 103.0 Primary lesions Chancre (primary) of pinta [carate] Papule (primary) of pinta [carate] Pintid of pinta [carate] 103.1 Intermediate lesions Erythematous plaques of pinta [carate] Hyperchromic lesions of pinta [carate] Hyperkeratosis of pinta [carate] 103.2 Late lesions Cardiovascular lesions of pinta [carate] Skin lesions of pinta [carate]: achromic of pinta [carate] cicatricial of pinta [carate] dyschromic of pinta [carate] Vitiligo of pinta [carate] 103.3 Mixed lesions Achromic and hyperchromic skin lesions of pinta [carate] 103.9 Unspecified 104 Other spirochaetal infection 104.0 Nonvenereal endemic syphilis Bejel Njovera 104.8 Other Excludes: relapsing fever (087.-) syphilis (090-097) 104.9 Unspecified MYCOSES (110-118) Excludes: infection by Actinomycetales such as species of Actinomyces, Actinomadura, Nocardia, Streptomyces (039.-) 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 scalp [black dot tinea] 110.1 Of nail Dermatophytic onychia Onychomycosis Tinea unguium 110.2 Of hand Tinea manuum 110.3 Of groin and perianal area Dhobie itch Eczema marginatum 110.4 Of foot Athlete's foot Tinea pedis 110.5 Of the body Herpes circinatus Tinea imbricata [Tokelau] 110.6 Deep seated dermatophytosis Granuloma trichophyticum Majocchi's granuloma 110.8 Of other sites 110.9 Of unspecified site Favus NOS Microsporic tinea NOS Ringworm NOS 111 Dermatomycosis, other and unspecified 111.0 Pityriasis versicolor Infection by Malassezia [Pityrosporum] furfur Tinea flava Tinea versicolor 111.1 Tinea nigra Infection by Cladosporium species Keratomycosis nigricans Microsporosis nigra Pityriasis nigra Tinea palmaris nigra 111.2 Tinea blanca Infection by Trichosporon (beigelii) cutaneum White piedra 111.3 Black piedra Infection by Piedraia hortai 111.8 Other 111.9 Unspecified 112 Candidiasis Includes: infection by Candida species candidiasis moniliasis Excludes: neonatal monilial infection (771.7) 112.0 Of mouth Thrush 112.1 Of vulva and vagina Candidal vulvovaginitis Monilial vulvovaginitis 112.2 Of other urogenital sites 112.3 Of skin and nails Candidal intertrigo Candidal perionyxis [paronychia] Candidal onychia 112.4 Of lung 112.5 Disseminated Systemic candidiasis 112.8 Of other sites Candidal endocarditis 112.9 Of unspecified site 114 Coccidioidomycosis Coccidioidal granuloma Posada-Wernicke disease Desert rheumatism San Joaquin Valley fever Infection by Coccidioides (immitis) 115 Histoplasmosis 115.0 Infection by Histoplasma capsulatum American histoplasmosis Reticuloendothelial cytomycosis Darling's disease Small form histoplasmosis 115.1 Infection by Histoplasma duboisii African histoplasmosis Large form histoplasmosis 115.9 Unspecified Histoplasmosis NOS 116 Blastomycotic infection 116.0 Blastomycosis Blastomycetic dermatitis Chicago disease Cutaneous blastomycosis Disseminated blastomycosis Gilchrist's disease Infection by Blastomyces [Ajellomyces] dermatitidis North American blastomycosis Primary pulmonary blastomycosis 116.1 Paracoccidioidomycosis Brazilian blastomycosis Infection by Paracoccidioides [Blastomyces] brasiliensis Lutz-Splendore-Almeida disease Mucocutaneous-lymphangitic paracoccidioidomycosis Pulmonary paracoccidioidomycosis South American blastomycosis Visceral paracoccidioidomycosis 116.2 Lobomycosis Infections by Loboa [Blastomyces] loboi Keloidal blastomycosis Lobo's disease 117 Other mycoses 117.0 Rhinosporidiosis Infection by Rhinosporidium seeberi 117.1 Sporotrichosis Cutaneous sporotrichosis Disseminated sporotrichosis Infection by Sporothrix [Sporotrichum] schenckii Lymphocutaneous sporotrichosis Pulmonary sporotrichosis Sporotrichosis of the bones 117.2 Chromoblastomycosis Chromomycosis Infection by Cladosporidium carrionii, Fonsecaea compactum, Fonsecaea pedrosoi, Phialophora verrucosa 117.3 Aspergillosis Infection by Aspergillus species, mainly A. fumigatus, A. flavus group, A. terreus group 117.4 Mycotic mycetomas Infection by various genera and species of Ascomycetes and Deuteromycetes, such as Acremonium [Cephalosporium] falciforme, Neotestudina rosatii, Madurella grisea, Madurella mycetomii, Pyrenochaeta romeroi, Zopfia [Leptosphaeria] senegalensis Madura foot, mycotic Maduromycosis, mycotic Excludes: actinomycotic mycetomas (039.-) 117.5 Cryptococcosis Busse-Buschke's disease Pulmonary cryptococcosis Cryptococcal meningitis Systemic cryptococcosis European cryptococcosis Torula Infection by Cryptococcus neoformans 117.6 Allescheriosis [Petriellidosis] Infections by Allescheria [Petriellidium] boydii [Monosporium apiospermum] Excludes: mycotic mycetoma (117.4) 117.7 Zygomycosis [Phycomycosis or Mucormycosis] Infection by species of Absidia, Basidiobolus, Conidiobolus, Cunninghamella, Entomophthora, Mucor, Rhizopus, Saksenaea 117.8 Infection by dematiacious fungi [Phaehyphomycosis] Infection by dematiacious fungi such as Cladosporium trichoides [bantianum], Dreschlera hawaiiensis, Phialophora gougerotii, Phialophora jeanselmei 117.9 Other and unspecified 118 Opportunistic mycoses Infection of skin, subcutaneous tissues and/or organs by a wide variety of fungi generally considered to be pathogenic to compromised hosts only, e.g., infection by species of Alternaria, Dreschlera, Fusarium HELMINTHIASES (120-129) 120 Schistosomiasis[bilharziasis] 120.0 Schistosoma haematobium Vesical schistosomiasis NOS 120.1 Schistosoma mansoni Intestinal schistosomiasis NOS 120.2 Schistosoma japonicum Asiatic schistosomiasis NOS Katayama disease or fever 120.3 Cutaneous Cercarial dermatitis Infection by cercariae of Schistosoma Schistosome dermatitis 120.8 Other Infection by Schistosoma: bovis intercalatum mattheii Spindale Schistosomiasis chestermani 120.9 Unspecified Blood flukes NOS Haemic distomiasis 121 Other trematode infections 121.0 Opisthorchiasis Infection by: cat liver fluke Opisthorchis (felineus) (tenuicollis) (viverrini) 121.1 Clonorchiasis Biliary cirrhosis due to clonorchiasis Chinese liver fluke disease Hepatic distomiasis due to Clonorchis sinensis Oriental liver fluke disease 121.2 Paragonimiasis Infection by Paragonimus Lung fluke disease (oriental) Pulmonary distomiasis 121.3 Fascioliasis Infection by Fasciola: gigantica hepatica Liver flukes NOS Sheep liver fluke infection 121.4 Fasciolopsiasis Infection by Fasciolopsis (buski) Intestinal distomiasis 121.5 Metagonimiasis Infection by Metagonimus yokogawai 121.6 Heterophyiasis Infection by: Heterophyes heterophyes Stellantchasmus falcatus 121.8 Other Infection by: Dicrocoelium dendriticum Echinostomum ilocanum Gastrodiscoides hominis 121.9 Unspecified Distomiasis NOS Fluke disease NOS 122 Echinococcosis Includes: echinococciasis hydatid disease hydatidosis 122.0 Echinococcus granulosus infection of liver 122.1 Echinococcus granulosus infection of lung 122.2 Echinococcus granulosus infection of thyroid 122.3 Echinococcus granulosus infection, other 122.4 Echinococcus granulosus infection, unspecified 122.5 Echinococcus multilocularis infection of liver 122.6 Echinococcus multilocularis infection, other 122.7 Echinococcus multilocularis infection, unspecified 122.8 Echinococcosis, unspecified, of liver 122.9 Echinococcosis, other and unspecified 123 Other cestode infection 123.0 Taenia solium infection, intestinal form Pork tapeworm (adult) (infection) 123.1 Cysticercosis Cysticerciasis Infection by: Cysticercus cellulosae [larval form of Taenia solium] 123.2 Taenia saginata infection Beef tapeworm (infection) Infection by Taeniarhyuchus 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 Diplogonoporus (grandis) infection Dipylidium (caninum) infection Dog tapeworm (infection) 123.9 Unspecified Tapeworm (infection) NOS 124 Trichinosis Trichinella spiralis infection Trichinellosis Trichiniasis 125 Filarial infection and dracontiasis 125.0 Bancroftian filariasis Chyluria due to Wuchereria bancrofti Elephantiasis due to Wuchereria bancrofti Infection due to Wuchereria bancrofti Lymphadenitis due to Wuchereria bancrofti Lymphangitis due to Wuchereria bancrofti Wuchereriasis due to Wuchereria bancrofti 125.1 Malayan filariasis Brugia filariasis due to Brugia [Wuchereria] malayi Chyluria due to Brugia [Wuchereria] malayi Elephantiasis due to Brugia [Wuchereria] malayi Infection due to Brugia [Wuchereria] malayi Lymphadenitis due to Brugia [Wuchereria] malayi Lymphangitis due to Brugia [Wuchereria] malayi 125.2 Loiasis Eyeworm disease of Africa Loa loa infection 125.3 Onchocerciasis Onchocerca volvulus infection Onchocercosis 125.4 Dipetalonemiasis Infection by: Acanthocheilonema perstans Dipetalonema perstans 125.5 Mansonella ozzardi infection Filariasis ozzardi 125.6 Other specified filariasis Dirofilaria infection Infection by: Acanthocheilonema streptocerca Dipetalonema streptocerca 125.7 Dracontiasis Guinea-worm infection Infection by Dracunculus medinensis 125.9 Unspecified filariasis 126 Ancylostomiasis and necatoriasis Includes: cutaneous larva migrans due to Ancylostoma hookworm (disease) (infection) uncinariasis 126.0 Ancylostoma duodenale 126.1 Necator americanus 126.2 Ancylostoma braziliense 126.3 Ancylostoma ceylanicum 126.8 Other specified Ancylostoma 126.9 Unspecified Creeping eruption NOS Cutaneous larva migrans NOS 127 Other intestinal helminthiases 127.0 Ascariasis Ascaridiasis Infection by Ascaris lumbricoides Roundworm infection 127.1 Anisakiasis Infection by Anisakis larva 127.2 Strongyloidiasis Infection by Strongyloides stercoralis Excludes: trichostrongyliasis (127.6) 127.3 Trichuriasis Infection by Trichuris trichiura Trichocephaliasis Whipworm (disease) (infection) 127.4 Enterobiasis Infection by Enterobius vermicularis Oxyuriasis Oxyuris vermicularis infection Pinworm (disease) (infection) Threadworm infection 127.5 Capillariasis Infection by Capillaria philippinensis Excludes: infection by Capillaria hepatica (128.8) 127.6 Trichostrongyliasis Infection by Trichostrongylus species 127.7 Other intestinal helminthiasis Infection by: Oesophagostomum apiostomum and related species Ternidens diminutus other specified intestinal helminth Physalopteriasis 127.8 Mixed intestinal helminthiasis Infection by intestinal helminths classified to more than one of the categories 120.0-127.7 Mixed helminthiasis NOS 127.9 Intestinal helminthiasis, unspecified 128 Other and unspecified helminthiases 128.0 Toxocariasis Larva migrans visceralis Toxocara (canis) (cati) infection Visceral larva migrans syndrome 128.1 Gnathostomiasis Infection by Gnathostoma spinigerum and related species 128.8 Other Infection by: Angiostrongylus cantonensis Capillaria hepatica other specified helminth 128.9 Unspecified Helminthiasis NOS Worms NOS 129 Intestinal parasitism, unspecified OTHER INFECTIOUS AND PARASITIC DISEASES (130-136) 130 Toxoplasmosis Infection by Toxoplasma gondii Chorioretinitis } Hepatitis } Meningoencephalitis } Due to acquired toxoplasmosis Myocarditis } Pneumonitis } Excludes: congenital toxoplasmosis (771.2) 131 Trichomoniasis 131.0 Urogenital trichomoniasis Fluor (vaginalis) } Leukorrhoea (vaginalis) } Prostatitis } trichomonal or due to Trichomonas (vaginalis) Urethritis } Vaginitis } Vulvovaginitis } 131.8 Other sites Excludes: intestinal (007.3) 131.9 Unspecified 132 Pediculosis and phthirus infestation 132.0 Pediculus capitis [head louse] 132.1 Pediculus corporis [body louse] 132.2 Phthirus pubis [pubic louse] 132.3 Mixed Infestation classifiable to more than one of the categories 132.0-132.2 132.9 Pediculosis, unspecified 133 Acariasis 133.0 Scabies Infestation by Sarcoptes scabiei Sarcoptic itch 133.8 Other Chiggers Infestation by: Demodex folliculorum Trombiculae 133.9 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: chigoe sand flea Tunga penetrans Jigger disease Scarabiasis 134.2 Hirudiniasis Hirudiniasis (external) (internal) Leeches (aquatic) (land) 134.8 Other 134.9 Unspecified Infestation (skin) NOS Skin parasites NOS 135 Sarcoidosis Besnier-Boeck-Schaumann disease Lupoid (miliary) of Boeck Lupus pernio (Besnier) Lymphogranulomatosis, benign (Schaumann) Sarcoid (any site): NOS Boeck Darier-Roussy Uveoparotid fever 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 amoebae Meningoencephalitis due to Naegleria 136.3 Pneumocystosis Pneumonia due to Pneumocystis carinii 136.4 Psorospermiasis 136.5 Sarcosporidiosis 136.8 Other Candiru infestation 136.9 Unspecified LATE EFFECTS OF INFECTIOUS AND PARASITIC DISEASES (137-139) 137 Late effects of tuberculosis Note: This category is to be used to indicate conditions in 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 in to 045.- as the cause of late effects, which are themselves classified elsewhere. The "late effects" include conditions specified as such, or as sequelae, or 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 in categories 001-009, 020-041, 046-136 as the cause of late effects, which are themselves classified elsewhere. The "late effects" include conditions specified as such; they also include sequela of diseases classifiable to the above categories if there is evidence that the disease itself is no longer present. 139.0 Late effects of viral encephalitis Late effects of conditions classifiable to 049.8, 049.9, 062-064 139.1 Late effects of trachoma Late effects of conditions classifiable to 076.- 139.8 Late effects of other and unspecified infectious and parasitic diseases II. NEOPLASMS 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 140] 239 Neoplasms of unspecified nature 2. Functional activity All neoplasms are classified in this chapter, whether or not functionally active. 3. Malignant neoplasms overlapping site boundaries Categories 140-195 are for the classification of primary malignant neoplasms according to their point of origin. A malignant neoplasm that overlaps two or more subcategories within a three-digit rubric and whose point of origin cannot be determined should be classified to the subcategory .8 "Other." For example: "carcinoma involving tip and ventral surface of tongue" should be assigned to 141.8. On the other hand, "carcinoma of tip of tongue extending to involve the ventral surface" should be coded to 141.2 as the point of origin, the tip, is known. Three subcategories (149.8, 159.8, 165.8) have been provided for malignant neoplasms that overlap the boundaries of three-digit rubrics within certain systems. Overlapping malignant neoplasms that cannot be classified as indicated above should be assigned to the appropriate subdivision of category 195 (Malignant neoplasm of other and ill-defined sites). MALIGNANT NEOPLASM OF LIP, ORAL CAVITY, AND PHARYNX (140-149) 140 Malignant neoplasm of lip Excludes: skin of lip (173.0) 140.0 Upper lip, vermilion border Upper lip: NOS external lipstick area 140.1 Lower lip, vermilion border Lower lip: NOS external lipstick area 140.3 Upper lip, inner aspect Upper lip: buccal aspect frenulum mucosa oral aspect 140.4 Lower lip, inner aspect Lower lip: buccal aspect frenulum mucosa oral aspect 140.5 Lip, unspecified, inner aspect Lip, not specified whether upper or lower: buccal aspect frenulum mucosa oral aspect 140.6 Commissure of lip 140.8 Other [see Note 3 at beginning of Chapter II] 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 Excludes: dorsal surface of base of tongue (141.0) 141.2 Tip and lateral border of tongue 141.3 Ventral surface of tongue Anterior two-thirds of tongue, ventral surface Frenulum linguae 141.4 Anterior two-thirds of tongue, part unspecified Mobile part of tongue NOS 141.5 Junctional zone Border of tongue at junction of fixed and mobile parts at insertion of anterior tonsillar pillar 141.6 Lingual tonsil 141.8 Other [see Note 3 at beginning of Chapter II] 141.9 Tongue, unspecified Tongue NOS 142 Malignant neoplasm of major salivary glands Excludes: malignant neoplasm of minor salivary glands, which are to be classified according to their anatomical location; if location is not specified, classify to 145.9. 142.0 Parotid gland 142.1 Submandibular gland Submaxillary gland 142.2 Sublingual gland 142.8 Other [see Note 3 at beginning of Chapter II] 142.9 Site unspecified Salivary gland (major) NOS 143 Malignant neoplasm of gum Includes: alveolar (ridge) mucosa gingiva Excludes: malignant odontogenic neoplasms (170.-) 143.0 Upper gum 143.1 Lower gum 143.8 Other [see Note 3 at beginning of Chapter II] 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 [see Note 3 at beginning of Chapter II] 144.9 Part unspecified 145 Malignant neoplasm of other and unspecified parts of mouth Excludes: mucosa of lips (140.-) 145.0 Cheek mucosa Buccal mucosa Internal cheek 145.1 Vestibule of mouth Buccal sulcus (upper) (lower) Labial sulcus (upper) (lower) 145.2 Hard palate 145.3 Soft palate Excludes: nasopharyngeal [posterior] [superior] surface of soft palate (147.3) 145.4 Uvula 145.5 Palate, unspecified Junction of hard and soft palate Roof of mouth 145.6 Retromolar area 145.8 Other [see Note 3 at beginning of Chapter II] 145.9 Mouth, unspecified Minor salivary gland, unspecified site Oral cavity NOS 146 Malignant neoplasm of oropharynx 146.0 Tonsil Tonsil: NOS faucial palatine Excludes: lingual tonsil (141.6) pharyngeal tonsil (147.1) 146.1 Tonsillar fossa 146.2 Tonsillar pillars (anterior) (posterior) Palatoglossal arch Palatopharyngeal arch 146.3 Vallecula Anterior and medial surface of the pharyngoepiglottic fold 146.4 Anterior aspect of epiglottis Epiglottis, free border [margin] Glossoepiglottic fold(s) Excludes: epiglottis: NOS (161.1) suprahyoid portion (161.1) 146.5 Junctional region Junction of the free margin of the epiglottis, the aryepiglottic fold, and the pharyngoepiglottic fold 146.6 Lateral wall of oropharynx 146.7 Posterior wall of oropharynx 146.8 Other [see Note 3 at beginning of Chapter II] 146.9 Oropharynx, unspecified 147 Malignant neoplasm of nasopharynx 147.0 Superior wall Roof of nasopharynx 147.1 Posterior wall Adenoid Pharyngeal tonsil 147.2 Lateral wall Fossa of Rosenmller 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 [see Note 3 at beginning of Chapter II] 147.9 Nasopharynx, unspecified Nasopharyngeal wall NOS 148 Malignant neoplasm of hypopharynx 148.0 Postcricoid region 148.1 Pyriform sinus Pyriform fossa 148.2 Aryepiglottic fold, hypopharyngeal aspect Aryepiglottic fold or interarytenoid fold: NOS marginal zone Excludes: aryepiglottic fold or interarytenoid fold, laryngeal aspect (161.1) 148.3 Posterior hypopharyngeal wall 148.8 Other [see Note 3 at beginning of Chapter II] 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 [see Note 3 at beginning of Chapter II] Malignant neoplasms of lip, oral cavity, and pharynx whose point of origin cannot be assigned to any one of the categories 140-148 149.9 Ill-defined MALIGNANT NEOPLASM OF DIGESTIVE ORGANS AND PERITONEUM (150-159) 150 Malignant neoplasm of esophagus Note: Two alternative subclassifications are given:-- .0-.2 by anatomical description .3-.5 by thirds This departure from the principle that categories should be mutually exclusive is deliberate, since both forms of terminology are currently encountered on medical records. 150.0 Cervical part 150.1 Thoracic part 150.2 Abdominal part 150.3 Upper third 150.4 Middle third 150.5 Lower third 150.8 Other [see Note 3 at beginning of Chapter II] 150.9 Esophagus, unspecified 151 Malignant neoplasm of stomach 151.0 Cardia Cardiac orifice Cardio-esophageal junction 151.1 Pylorus Prepylorus Pyloric canal 151.2 Pyloric antrum Antrum of stomach NOS 151.3 Fundus of stomach 151.4 Body of stomach 151.5 Lesser curvature, unspecified Lesser curvature, not classifiable to 151.1-151.4 151.6 Greater curvature, unspecified Greater curvature, not classifiable to 151.0-151.4 151.8 Other [see Note 3 at beginning of Chapter II] Anterior wall, not classifiable to 151.0-151.4 Posterior wall, not classifiable to 151.0-151.4 151.9 Stomach, unspecified Carcinoma ventriculi Gastric cancer 152 Malignant neoplasm of small intestine, including duodenum 152.0 Duodenum 152.1 Jejunum 152.2 Ileum Excludes: ileocaecal valve (153.4) 152.3 Meckel's diverticulum 152.8 Other [see Note 3 at beginning of Chapter II] Duodenojejunal junction 152.9 Small intestine, unspecified 153 Malignant neoplasm of colon 153.0 Hepatic flexure 153.1 Transverse colon 153.2 Descending colon 153.3 Sigmoid colon Sigmoid (flexure) Excludes: rectosigmoid junction (154.0) 153.4 Caecum Ileocecal valve 153.5 Appendix 153.6 Ascending colon 153.7 Splenic flexure 153.8 Other [see Note 3 at beginning of Chapter II] 153.9 Colon, unspecified Large intestine NOS 154 Malignant neoplasm of rectum, rectosigmoid junction, and anus 154.0 Rectosigmoid junction Colon and rectum Rectosigmoid (colon) 154.1 Rectum Rectal ampulla 154.2 Anal canal Anal sphincter 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 [see Note 3 at beginning of Chapter II] Anorectum Cloacogenic zone 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 155.2 Liver, not specified as primary or secondary 156 Malignant neoplasm of gallbladder and extrahepatic bile ducts 156.0 Gallbladder 156.1 Extrahepatic bile ducts Biliary duct or passage NOS Cystic duct Common bile duct Hepatic duct 156.2 Ampulla of Vater 156.8 Other [see Note 3 at beginning of Chapter II] 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 157.8 Other [see Note 3 at beginning of Chapter II] 157.9 Part unspecified 158 Malignant neoplasm of retroperitoneum and peritoneum 158.0 Retroperitoneum 158.8 Specified parts of peritoneum [see Note 3 at beginning of Chapter II] Mesentery Peritoneum: Mesocolon parietal Omentum pelvic 158.9 Peritoneum, unspecified 159 Malignant neoplasm of other and ill-defined sites within the digestive organs and peritoneum 159.0 Intestinal tract, part unspecified Intestine NOS 159.1 Spleen, not elsewhere classified Angiosarcoma of spleen Fibrosarcoma of spleen Excludes: Hodgkin's disease (201.-) lymphosarcoma (200.1) reticulosarcoma (200.0) 159.8 Other [see Note 3 at beginning of Chapter II] Malignant neoplasm of digestive organs and peritoneum whose point of origin cannot be assigned to any one of the categories 150-158 Excludes: cardio-esophageal junction (151.0) colon and rectum (154.0) 159.9 Ill-defined Alimentary canal or tract NOS Gastrointestinal tract NOS MALIGNANT NEOPLASM OF RESPIRATORY AND INTRATHORACIC ORGANS (160-165) 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 Excludes: nasal bone (170.0) nose NOS (195.0) olfactory bulb (192.0) posterior margin of septum and choanae (147.3) skin of nose (172.3, 173.3) 160.1 Auditory tube, middle ear, and mastoid air cells Antrum tympanicum Tympanic cavity Eustachian tube Excludes: auricular canal (external) (172.2, 173.2) bone of ear (meatus) (170.0) cartilage of ear (171.0) ear (external) (skin) (172.2, 173.2) 160.2 Maxillary sinus Antrum (Highmore) (maxillary) 160.3 Ethmoidal sinus 160.4 Frontal sinus 160.5 Sphenoidal sinus 160.8 Other [see Note 3 at beginning of Chapter II] 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 Excludes: anterior aspect of epiglottis (146.4) aryepiglottic fold or interarytenoid fold: NOS (148.2) hypopharyngeal aspect (148.2) marginal zone (148.2) 161.2 Subglottis 161.3 Laryngeal cartilages Cartilage: Cartilage: arytenoid cuneiform cricoid thyroid 161.8 Other [see Note 3 at beginning of Chapter II] 161.9 Larynx, unspecified 162 Malignant neoplasm of trachea, bronchus, and lung 162.0 Trachea 162.2 Main bronchus Carina Hilus 162.3 Upper lobe, bronchus or lung 162.4 Middle lobe, bronchus or lung 162.5 Lower lobe, bronchus or lung 162.8 Other [see Note 3 at beginning of Chapter II] 162.9 Bronchus and lung, unspecified 163 Malignant neoplasm of pleura 163.0 Parietal 163.1 Visceral 163.8 Other [see Note 3 at beginning of Chapter II] 163.9 Pleura, unspecified 164 Malignant neoplasm of thymus, heart, and mediastinum 164.0 Thymus 164.1 Heart Pericardium Excludes: great vessels (171.4) 164.2 Anterior mediastinum 164.3 Posterior mediastinum 164.8 Other [see Note 3 at beginning of Chapter II] 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 [see Note 3 at beginning of Chapter II] Malignant neoplasms of respiratory and intrathoracic organs whose point of origin cannot be assigned to any one of the categories 160-164 165.9 Ill-defined sites within the respiratory system Respiratory tract NOS Excludes: intrathoracic NOS (195.1) thoracic NOS (195.1) MALIGNANT NEOPLASM OF BONE, CONNECTIVE TISSUE, SKIN, AND BREAST (170-175) 170 Malignant neoplasm of bone and articular cartilage Excludes: bone marrow NOS (202.9) cartilage: ear (171.0) eyelid (171.0) larynx (161.3) nose (160.0) synovia (171.-) 170.0 Bones of skull and face Bone: Bone: ethmoid sphenoid frontal temporal malar zygomatic nasal Maxilla occipital Turbinate orbital Vomer parietal Excludes: carcinoma, any type other than intraosseous or odontogenic: maxilla, maxillary (sinus) (160.2) upper jaw bone (143.0) jaw bone (lower) (170.1) 170.1 Lower jaw bone Mandible Jaw bone NOS Excludes: carcinoma, any type other than intraosseous or odontogenic: jaw bone NOS (143.9) lower (143.1) upper jaw bone (170.0) 170.2 Vertebral column, excluding sacrum and coccyx Spinal column Vertebra Spine 170.3 Ribs, sternum, and clavicle Costal cartilage Xiphoid process 170.4 Long bones of upper limb and scapula Acromion process Radius Bones NOS of upper limb Ulna Humerus 170.5 Upper limbs, Short bones Carpal Scaphoid (of hand) Cuneiform, wrist Semilunar or lunate Metacarpal Trapezium Phalanges of hand Trapezoid Pisiform Unciform 170.6 Pelvic bones, sacrum, and coccyx Coccygeal vertebra Ilium Ischium Pubic bone Sacral vertebra 170.7 Lower limb, long bones Bones NOS of lower limb Femur Fibula Tibia 170.8 Lower limb, short bones Astragalus Navicular (of ankle) Calcaneus Patella Cuboid Phalanges of foot Cuneiform, ankle Tarsal Metatarsal 170.9 Site unspecified Chondrosarcoma } Chondromyxosarcoma } site unspecified Ewing's sarcoma or tumor } Osteosarcoma } 171 Malignant neoplasm of connective and other soft tissue Includes: blood vessel peripheral, sympathetic, and bursa parasympathetic nerves fascia and ganglia fat synovia ligament, except uterine tendon (sheath) muscle Excludes: cartilage (of): articular (170.-) larynx (161.3) nose (160.0) connective tissue of breast (174.-) heart (164.1) 171.0 Head, face, and neck Cartilage of: ear eyelid 171.2 Upper limb, including shoulder 171.3 Lower limb, including hip 171.4 Thorax Axilla Diaphragm Great vessels Excludes: thymus, heart and mediastinum (164.-) 171.5 Abdomen Abdominal wall Hypochondrium 171.6 Pelvis Buttock Groin Perineum Excludes: uterine ligament, any (183.-) 171.7 Trunk, unspecified Back NOS 171.8 Other [see Note 3 at beginning of Chapter II] 171.9 Site unspecified Fibrosarcoma } Hemangiosarcoma } Leiomysarcoma } Liposarcoma } Lymphangiosarcoma } site unspecified Myosarcoma } Myxosarcoma } Rhabdomyosarcoma } Sarcoma } Sarcomatosis } 172 Malignant melanoma of skin Includes: melanocarcinoma melanoma (skin) NOS Excludes: skin of genital organs (184.-) 172.0 Lip Excludes: vermilion border of lip (140.-) 172.1 Eyelid, including canthus 172.2 Ear and external auditory canal Auricle (ear) Pinna External meatus 172.3 Other and unspecified parts of face Cheek (external) Nose, external Eyebrow Temple 172.4 Scalp and neck 172.5 Trunk, except scrotum Axilla Perianal skin Breast Perineum Buttock Umbilicus Groin Excludes: anus NOS (154.3) scrotum (187.7) 172.6 Upper limb, including shoulder 172.7 Lower limb, including hip 172.8 Other [see Note 3 at beginning of Chapter II] 172.9 Site unspecified 173 Other malignant neoplasm of skin Includes: malignant neoplasm of: sebaceous glands sweat glands Excludes: malignant melanoma of skin (172.-) skin of genital organs (184.-, 187.-) 173.0 Skin of lip Excludes: vermilion border of lip (140.-) 173.1 Eyelid, including canthus Excludes: cartilage of eyelid (171.0) 173.2 Ear and external auricular canal Auricle (ear) Pinna External meatus Excludes: cartilage of ear (171.0) 173.3 Skin of other and unspecified parts of face Cheek, external Nose, external Eyebrow Temple 173.4 Scalp and skin of neck 173.5 Skin of trunk, except scrotum Axillary fold Perianal skin Umbilicus Skin of: abdominal wall anus back breast buttock chest wall groin perineum Excludes: anal canal (154.2) anus NOS (154.3) skin of scrotum (187.7) 173.6 Skin of upper limb, including shoulder 173.7 Skin of lower limb, including hip 173.8 Other [see Note 3 at beginning of Chapter II] 173.9 Site unspecified 174 Malignant neoplasm of female breast Includes: breast (female) connective tissue soft parts Paget's disease of: breast nipple Excludes: skin of breast (172.5, 173.5) 174.0 Nipple and areola 174.1 Central portion 174.2 Upper-inner quadrant 174.3 Lower-inner quadrant 174.4 Upper-outer quadrant 174.5 Lower-outer quadrant 174.6 Axillary tail 174.8 Other [see Note 3 at beginning of Chapter II] Ectopic sites 174.9 Breast, unspecified 175 Malignant neoplasm of male breast Excludes: skin of breast (172.5, 173.5) MALIGNANT NEOPLASM OF GENITOURINARY ORGANS (179-189) 179 Malignant neoplasm of uterus, part unspecified 180 Malignant neoplasm of cervix uteri 180.0 Endocervix Cervical canal NOS Endocervical gland Endocervical canal 180.1 Exocervix 180.8 Other [see Note 3 at beginning of Chapter II] 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) 182 Malignant neoplasm of body of uterus 182.0 Corpus uteri, except isthmus Cornu Fundus Endometrium Myometrium 182.1 Isthmus Lower uterine segment 182.8 Other [see Note 3 at beginning of Chapter II] 183 Malignant neoplasm of ovary and other uterine adnexa 183.0 Ovary 183.2 Fallopian tube Oviduct Uterine tube 183.3 Broad ligament 183.4 Parametrium Uterine ligament NOS 183.5 Round ligament 183.8 Other [see Note 3 at beginning of Chapter II] 183.9 Uterine adnexa, unspecified 184 Malignant neoplasm of other and unspecified female genital organs 184.0 Vagina 184.1 Labia majora Greater vestibular [Bartholin's] gland 184.2 Labia minora 184.3 Clitoris 184.4 Vulva, unspecified External female genitalia NOS Pudendum 184.8 Other [see Note 3 at beginning of Chapter II] 184.9 Site unspecified Female genitourinary tract NOS 185 Malignant neoplasm of prostate 186 Malignant neoplasm of testis 186.0 Undescended Ectopic testis Retained testis 186.9 Other and unspecified Testis: NOS descended scrotal 187 Malignant neoplasm of penis and other male genital organs 187.1 Prepuce Foreskin 187.2 Glans penis 187.3 Body of penis Corpus cavernosum 187.4 Penis, part unspecified Skin of penis NOS 187.5 Epididymis 187.6 Spermatic cord 187.7 Scrotum Skin of scrotum 187.8 Other [see Note 3 at beginning of Chapter II] 187.9 Site unspecified Male genital organ or tract NOS 188 Malignant neoplasm of bladder 188.0 Trigone 188.1 Dome 188.2 Lateral wall 188.3 Anterior wall 188.4 Posterior wall 188.5 Bladder neck Internal urethral orifice 188.6 Ureteric orifice 188.7 Urachus 188.8 Other [see Note 3 at beginning of Chapter II] 188.9 Part unspecified 189 Malignant neoplasm of kidney and other and unspecified urinary organs 189.0 Kidney, except pelvis 189.1 Renal pelvis Renal calyces Pelviureteric junction 189.2 Ureter Excludes: ureteric orifice of bladder (188.6) 189.3 Urethra Excludes: urethral orifice of bladder (188.5) 189.4 Paraurethral glands 189.8 Other [see Note 3 at beginning of Chapter II] 189.9 Site unspecified Urinary system NOS MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED SITES (190-199) 190 Malignant neoplasm of eye Excludes: eyelid (skin) (172.1, 173.1) cartilage of eyelid (171.0) optic nerve (192.0) orbital bone (170.0) 190.0 Eyeball, except conjunctiva, cornea, retina, and choroid Ciliary body 190.1 Orbit Connective tissue of orbit Retrobulbar Extraocular muscle Excludes: orbit bone (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 [see Note 3 at beginning of Chapter II] 190.9 Part unspecified 191 Malignant neoplasm of brain Excludes: cranial nerves (192.-) retrobulbar area (190.1) 191.0 Cerebrum, except lobes and ventricles 191.1 Frontal lobe 191.2 Temporal lobe 191.3 Parietal lobe 191.4 Occipital lobe 191.5 Ventricles Floor of ventricle 191.6 Cerebellum 191.7 Brain stem 191.8 Other [see Note 3 at beginning of Chapter II] 191.9 Brain, unspecified Astrocytoma } Astroblastoma } Ependymoma } site unspecified Glioma } Medulloblastoma } Neuroepithelioma } Oligodendroblastoma } 192 Malignant neoplasm of other and unspecified parts of nervous system Excludes: peripheral, sympathetic, and parasympathetic nerves and ganglia (171.-) 192.0 Cranial nerves 192.1 Cerebral meninges Meninges NOS 192.2 Spinal cord 192.3 Spinal meninges 192.8 Other [see Note 3 at beginning of Chapter II] 192.9 Part unspecified Nervous system (central) NOS Excludes: meninges NOS (192.1) 193 Malignant neoplasm of thyroid gland 194 Malignant neoplasm of other endocrine glands and related structures Excludes: islets of Langerhans (157.4) 194.0 Suprarenal gland Adrenal gland 194.1 Parathyroid gland 194.3 Pituitary gland and craniopharyngeal duct 194.4 Pineal gland 194.5 Carotid body 194.6 Aortic body and other paraganglia 194.8 Other Pluriglandular involvement NOS Note: If the sites of multiple involvements are known, they should be coded separately. 194.9 Site unspecified Endocrine gland NOS 195 Malignant neoplasm of other and ill-defined sites Includes: overlapping neoplasms, not elsewhere classified [see Note 3 at beginning of Chapter II] Excludes: malignant neoplasm: lymphatic and hematopoietic tissue (200-208) unspecified site (199.-) 195.0 Head, face, and neck Cheek NOS Nose NOS 195.1 Thorax Axilla 195.2 Abdomen 195.3 Pelvis Groin Sites overlapping systems within pelvis, such as: rectovaginal (septum) rectovesical (septum) 195.4 Upper limb 195.5 Lower limb 195.8 Other specified sites 196 Secondary and unspecified malignant neoplasm of lymph nodes [Not to be used for underlying cause of death] Excludes: any malignant neoplasm of lymph nodes, specified as primary (200-202) Hodgkin's disease (201.-) lymphosarcoma (200.1) other forms of lymphoma (202.-) reticulosarcoma (200.0) 196.0 Head, face, and neck Cervicofacial Supraclavicular 196.1 Intrathoracic Bronchopulmonary Tracheobronchial Mediastinal 196.2 Intra-abdominal Intestinal Retroperitoneal Mesenteric 196.3 Axilla and upper limb Brachial Pectoral Epitrochlear 196.5 Inguinal and lower limb Groin Tibial Popliteal 196.6 Intrapelvic lymph nodes Iliac Obturator 196.8 Multiple sites 196.9 Site unspecified Lymph nodes NOS 197 Secondary malignant neoplasm of respiratory and digestive systems [Not to be used for underlying cause of death]. 197.0 Lung 197.1 Mediastinum 197.2 Pleura 197.3 Other respiratory organs 197.4 Small intestine, including duodenum 197.5 Large intestine and rectum 197.6 Retroperitoneum and peritoneum 197.7 Liver 197.8 Other digestive organs 198 Secondary malignant neoplasm of other specified sites [Not to be used for underlying cause of death] 198.0 Kidney 198.1 Other urinary organs 198.2 Skin 198.3 Brain and spinal cord 198.4 Other parts of nervous system Meninges (cerebral) (spinal) 198.5 Bone and bone marrow 198.6 Ovary 198.7 Suprarenal gland 198.8 Other specified sites 199 Malignant neoplasm without specification of site 199.0 Disseminated Carcinomatosis unspecified site (primary) (secondary) Generalized: cancer unspecified site (primary) (secondary) malignancy unspecified site (primary) (secondary) Multiple cancer unspecified site (primary) (secondary) 199.1 Other Cancer unspecified site (primary) (secondary) Carcinoma unspecified site (primary) (secondary) Malignancy unspecified site (primary) (secondary) MALIGNANT NEOPLASM OF LYMPHATIC AND HEMATOPOIETIC TISSUE (200-208) Excludes: secondary and unspecified neoplasm of lymph nodes (196.-) 200 Lymphosarcoma and reticulosarcoma 200.0 Reticulosarcoma 200.1 Lymphosarcoma Excludes: lymphosarcoma cell leukemia (207.8) 200.2 Burkitt's tumor 200.8 Other named variants Reticulolymphosarcoma 201 Hodgkin's disease Note: Two alternative sub-classifications are given: .0-.2 Parker-Jackson .4-.7 Rye modification of Lukes-Butler This departure from the principle that categories should be mutually exclusive is deliberate, since both forms of terminology are currently encountered on medical records. 201.0 Hodgkin's paragranuloma 201.1 Hodgkin's granuloma 201.2 Hodgkin's sarcoma 201.4 Lymphocytic-histiocytic predominance 201.5 Nodular sclerosis 201.6 Mixed cellularity 201.7 Lymphocytic depletion 201.9 Unspecified 202 Other malignant neoplasms of lymphoid and histiocytic tissue 202.0 Nodular lymphoma Brill-Symmers disease Follicular lymphoma 202.1 Mycosis fungoides 202.2 S‚zary's disease 202.3 Malignant histiocytosis 202.4 Leukemic reticuloendotheliosis Hairy-cell leukemia 202.5 Letterer-Siwe disease Acute: differentiated progressive histiocytosis progressive histiocytosis X infantile reticuloendotheliosis reticulosis of infancy Excludes: histiocytosis (acute) (chronic) (277.8) histiocytosis X (chronic) (277.8) 202.6 Malignant mast-cell tumors Malignant: Mast-cell sarcoma mastocytoma mastocytosis Excludes: mast-cell leukemia (207.8) 202.8 Other lymphomas Lymphoma (malignant): NOS diffuse 202.9 Other and unspecified 203 Multiple myeloma and immunoproliferative neoplasms 203.0 Multiple myeloma Kahler's disease Myelomatosis Excludes: solitary myeloma (238.6) 203.1 Plasma cell leukemia 203.8 Other immunoproliferative neoplasms 204 Lymphoid leukemia Includes: leukemia: lymphatic lymphocytic 204.0 Acute Excludes: acute exacerbation of chronic lymphoid leukemia (204.1) 204.1 Chronic 204.2 Subacute 204.8 Other 204.9 Unspecified 205 Myeloid leukemia Includes: leukemia: granulocytic myelogenous 205.0 Acute Excludes: acute exacerbation of chronic myeloid leukemia (205.1) 205.1 Chronic 205.2 Subacute 205.3 Myeloid sarcoma Chloroma Granulocytic sarcoma 205.8 Other 205.9 Unspecified 206 Monocytic leukemia Includes: monocytoid leukemia 206.0 Acute Excludes: acute exacerbation of chronic monocytic leukemia (206.1) 206.1 Chronic 206.2 Subacute 206.8 Other 206.9 Unspecified 207 Other specified leukemia Excludes: leukemic reticuloendotheliosis (202.4) plasma cell leukemia (203.1) 207.0 Acute erythremia and erythroleukemia Acute erythremic myelosis Di Guglielmo's disease 207.1 Chronic erythremia Heilmeyer-Sch”ner disease 207.2 Megakaryocytic leukemia 207.8 Other Lymphosarcoma cell leukemia 208 Leukemia of unspecified cell type 208.0 Acute Acute leukemia NOS Stem cell leukemia Blast cell leukemia Excludes: acute exacerbation of unspecified leukemia (208.1) 208.1 Chronic Chronic leukemia NOS 208.2 Subacute Subacute leukemia NOS 208.8 Other 208.9 Unspecified Leukemia NOS BENIGN NEOPLASMS (210-229) 210 Benign neoplasm of lip, oral cavity, and pharynx Excludes: cyst of jaw (522.-, 526.-) cyst of oral soft tissue (528.-) 210.0 Lip Frenulum labii Lip (inner aspect) (mucosa) (vermilion border) Excludes: labial commissure (210.4) skin of lip (216.0) 210.1 Tongue Lingual tonsil 210.2 Major salivary glands Gland: parotid sublingual submandibular Excludes: benign neoplasms of minor salivary glands which are to be classified according to their anatomical location; if location is not specified, classify to 210.4 210.3 Floor of mouth 210.4 Other and unspecified parts of mouth Gingiva Oral mucosa Labial commissure Palate (hard) (soft) Oral cavity NOS Uvula Excludes: benign odontogenic neoplasms (213.-) mucosa of lips (210.0) nasopharyngeal [posterior] [superior] surface of soft palate (210.7) 210.5 Tonsil Tonsil (faucial) (palatine) Excludes: lingual tonsil (210.1) pharyngeal tonsil (210.7) tonsillar: fossa (210.6) pillars (210.6) 210.6 Other parts of oropharynx Epiglottis, anterior aspect Vallecula Tonsillar: fossa pillars Excludes: epiglottis: NOS (212.1) suprahyoid portion (212.1) 210.7 Nasopharynx 210.8 Hypopharynx 210.9 Pharynx, unspecified 211 Benign neoplasm of other parts of digestive system 211.0 Esophagus 211.1 Stomach 211.2 Small intestine, including duodenum Excludes: ampulla of Vater (211.5) ileocecal valve (211.3) 211.3 Colon Excludes: rectosigmoid junction (211.4) 211.4 Rectum and anal canal Anus NOS Excludes: anus: margin (216.5) skin (216.5) perianal skin (216.5) 211.5 Liver and biliary passages 211.6 Pancreas, except islets of Langerhans 211.7 Islets of Langerhans Islet cell tumor 211.8 Retroperitoneum and peritoneum 211.9 Other and unspecified site Alimentary canal or tract 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 Excludes: auricular canal (external) (216.2) bone of: ear (213.0) nose (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 (387.9) nasal cavity (471.0) posterior margin of septum and choanae (210.7) 212.1 Larynx Excludes: epiglottis, anterior aspect (210.6) polyp of vocal cord or larynx (478.4) 212.2 Trachea 212.3 Bronchus and lung 212.4 Pleura 212.5 Mediastinum 212.6 Thymus 212.7 Heart Excludes: great vessels (215.4) 212.8 Other specified sites 212.9 Site unspecified Respiratory organ NOS Upper respiratory tract NOS Excludes: intrathoracic NOS (229.8) thoracic NOS (229.8) 213 Benign neoplasm of bone and articular cartilage Excludes: cartilage of: ear (215.0) eyelid (215.0) larynx (212.1) nose (212.0) synovia (215.-) 213.0 Bones of skull and face Excludes: lower jaw bone (213.1) 213.1 Lower jaw bone 213.2 Vertebral column, excluding sacrum and coccyx 213.3 Ribs, sternum, and clavicle 213.4 Long bones of upper limb and scapula 213.5 Upper limb, short bones 213.6 Pelvic bones, sacrum, and coccyx 213.7 Lower limb, long bones 213.8 Lower limb, short bones 213.9 Site unspecified Chondroma } site Osteoma } unspecified 214 Lipoma Any site: Angiolipoma Fibrolipoma Hibernoma Lipoma (fetal) (infiltrating) (intramuscular) Myxolipoma 215 Other benign neoplasm of connective and other soft tissue Includes: blood vessel peripheral, sympathetic, and bursa parasympathetic nerves and ganglia fascia synovia ligament tendon (sheath) muscle Excludes: cartilage: articular (213.-) larynx (212.1) nose (212.0) connective tissue of breast (217) 215.0 Head, face, and neck 215.2 Upper limb, including shoulder 215.3 Lower limb, including hip 215.4 Thorax Excludes: heart (212.7) mediastinum (212.5) thymus (212.6) 215.5 Abdomen 215.6 Pelvis Excludes: uterine: leiomyoma (218) ligament, any (221.0) 215.7 Trunk, unspecified Back NOS 215.8 Other specified sites 215.9 Site unspecified Leiomyoma } Myoma } site Myxofibroma } unspecified Myxoma } Rhabdomyoma } 216 Benign neoplasm of skin Includes: blue naevus dermatofibroma hydrocystoma pigmented naevus syringoadenoma syringoma Excludes: skin of genital organs (221.-, 222.-) 216.0 Skin of lip Excludes: vermilion border of lip (210.0) 216.1 Eyelid, including canthus Excludes: cartilage of eyelid (215.0) 216.2 Ear and external auditory canal Auricle (ear) Pinna External meatus Excludes: 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 abdominal wall Umbilicus anus back breast buttock chest wall groin perineum Excludes: anal canal (211.4) anus NOS (211.4) skin of scrotum (222.4) 216.6 Skin of upper limb, including shoulder 216.7 Skin of lower limb, including hip 216.8 Other 216.9 Site unspecified 217 Benign neoplasm of breast Breast (male) (female) connective tissue soft parts Excludes: benign cyst of breast (610.-) skin of breast (216.5) 218 Uterine leiomyoma Fibroid (uterus) Fibromyoma } uterus Myoma } 219 Other benign neoplasm of uterus 219.0 Cervix uteri 219.1 Corpus uteri 219.8 Other specified parts 219.9 Part unspecified 220 Benign neoplasm of ovary 221 Benign neoplasm of other female genital organs Includes: adenomatous polyp benign teratoma 221.0 Uterine tube and ligaments Fallopian tube Oviduct Uterine ligament (broad) (round) 221.1 Vagina 221.2 Vulva Clitoris External female genitalia NOS Greater vestibular [Bartholin's] gland Labia (majora) (minora) Pudendum 221.8 Other specified sites 221.9 Site unspecified 222 Benign neoplasm of male genital organs 222.0 Testis 222.1 Penis Corpus cavernosum Glans penis Prepuce 222.2 Prostate Excludes: 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 Seminal vesicle Spermatic cord 222.9 Site unspecified 223 Benign neoplasm of kidney and other urinary organs 223.0 Kidney, except pelvis Excludes: renal: calyces (223.1) pelvis (223.1) 223.1 Renal pelvis 223.2 Ureter Excludes: ureteric orifice of bladder (223.3) 223.3 Bladder 223.8 Other specified sites Paraurethral glands Urethra Excludes: urethral orifice of bladder(223.3) 223.9 Site unspecified Urinary system NOS 224 Benign neoplasm of eye Excludes: cartilage of eyelid (215.0) eyelid (skin) (216.1) optic nerve (225.1) orbital bone (213.0) 224.0 Eyeball, except conjunctiva, cornea, retina, and choroid 224.1 Orbit 224.2 Lacrimal gland 224.3 Conjunctiva 224.4 Cornea 224.5 Retina Excludes: haemangioma of retina (228.0) 224.6 Choroid 224.7 Lacrimal duct Lacrimal sac Nasolacrimal duct 224.8 Other specified parts 224.9 Part unspecified 225 Benign neoplasm of brain and other parts of nervous system Excludes: haemangioma (228.0) peripheral, sympathetic, and parasympathetic nerves and ganglia (215.-) retrobulbar (224.1) 225.0 Brain 225.1 Cranial nerves 225.2 Cerebral meninges Meninges NOS Meningioma (cerebral) 225.3 Spinal cord 225.4 Spinal meninges Spinal meningioma 225.8 Other 225.9 Part unspecified Nervous system (central) NOS Excludes: meninges NOS (225.2) 226 Benign neoplasm of thyroid glands 227 Benign neoplasm of other endocrine glands and related structures 227.0 Suprarenal gland Adrenal gland 227.1 Parathyroid gland 227.3 Pituitary gland and craniopharyngeal duct 227.4 Pineal gland 227.5 Carotid body 227.6 Aortic body and other paraganglia 227.8 Other 227.9 Site unspecified Endocrine gland NOS 228 Hemangioma and lymphangioma, any site Excludes: blue or pigmented naevus (216.-) 228.0 Haemangioma, any site Angioma (benign) (cavernous) (congenital) NOS Glomus tumor Haemangioma (benign) (congenital) Naevus: NOS cavernous vascular Systemic angiomatosis 228.1 Lymphangioma, any site Congenital lymphangioma Lymphatic nevus 229 Benign neoplasm of other and unspecified sites 229.0 Lymph nodes 229.8 Other specified sites 229.9 Site unspecified CARCINOMA IN SITU (230-234) Includes: Bowen's disease erythroplasia Queyrat's erythroplasia 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 Excludes: aryepiglottic fold or interarytenoid fold, laryngeal aspect (231.0) epiglottis: NOS (231.0) suprahyoid portion (231.0) skin of lip (232.0) 230.1 Esophagus 230.2 Stomach 230.3 Colon Excludes: rectosigmoid junction (230.4) 230.4 Rectum 230.5 Anal canal 230.6 Anus, unspecified Excludes: anus: margin (232.5) skin (232.5) perianal skin (232.5) 230.7 Other and unspecified parts of intestine Excludes: ampulla of Vater (230.8) 230.8 Liver and biliary system 230.9 Other and unspecified digestive organs Digestive organ NOS Pancreas 231 Carcinoma in situ of respiratory system 231.0 Larynx Excludes: aryepiglottic fold or interarytenoid fold: NOS (230.0) hypopharyngeal aspect (230.0) marginal zone (230.0) 231.1 Trachea 231.2 Bronchus and lung 231.8 Other specified parts Accessory sinuses Nasal cavities Middle ear Excludes: ear (external) (skin) (232.2) nose NOS (234.8) skin (232.3) 231.9 Part unspecified Respiratory organ NOS 232 Carcinoma in situ of skin Includes: pigment cells 232.0 Skin of lip Excludes: vermilion border of lip (230.0) 232.1 Eyelid, including canthus 232.2 Ear and external auditory canal 232.3 Skin of other and unspecified parts of face 232.4 Scalp and skin of neck 232.5 Skin of trunk, except scrotum Anus, margin Skin of: Axillary fold abdominal wall Perianal skin anus Umbilicus back breast buttock chest wall groin perineum Excludes: anal canal (230.5) anus NOS (230.6) skin of genital organs (233.3, 233.5, 233.6) 232.6 Skin of upper limb, including shoulder 232.7 Skin of lower limb, including hip 232.8 Other specified sites 232.9 Site unspecified 233 Carcinoma in situ of breast and genitourinary system 233.0 Breast Excludes: skin of breast (232.5) 233.1 Cervix uteri 233.2 Other and unspecified parts of uterus 233.3 Other and unspecified female genital organs 233.4 Prostate 233.5 Penis 233.6 Other and unspecified male genital organs 233.7 Bladder 233.9 Other and unspecified urinary organs 234 Carcinoma in situ of other and unspecified sites 234.0 Eye Excludes: eyelid (skin) (232.1) 234.8 Other specified sites Endocrine gland [any] 234.9 Site unspecified Carcinoma in situ NOS NEOPLASMS OF UNCERTAIN BEHAVIOR (235-238) Note: Categories 235-238 classify by site certain histo-morphologically well-defined neoplasms the subsequent behavior of which cannot be predicted from the present appearance. 235 Neoplasm of uncertain behavior of digestive and respiratory systems 235.0 Major salivary glands Gland: parotid sublingual submandibular 235.1 Lip, oral cavity, and pharynx Gingiva Nasopharynx Hypopharynx Oropharynx Mouth Tongue Excludes: aryepiglottic fold or interarytenoid fold, laryngeal aspect (235.6) epiglottis: NOS (235.6) suprahyoid portion (235.6) skin of lip (238.2) 235.2 Stomach, intestines, and rectum 235.3 Liver and biliary passages Ampulla of Vater Gallbladder Bile ducts [any] Liver 235.4 Retroperitoneum and peritoneum 235.5 Other and unspecified digestive organs Anal: canal sphincter Anus NOS Esophagus Pancreas Excludes: anus: margin (238.2) skin (238.2) perianal skin (238.2) 235.6 Larynx Excludes: aryepiglottic fold or interarytenoid fold: NOS (235.1) hypopharyngeal aspect (235.1) marginal zone (235.1) 235.7 Trachea, bronchus, and lung 235.8 Pleura, thymus, and mediastinum 235.9 Other and unspecified respiratory organs Accessory sinuses Nasal cavities Middle ear Respiratory organ NOS Excludes: ear (external) (skin) (238.2) nose (238.8) skin (238.2) 236 Neoplasm of uncertain behavior of genitourinary organs 236.0 Uterus 236.1 Placenta Chorioadenoma (destruens) Malignant hydatid(iform) mole 236.2 Ovary 236.3 Other and unspecified female genital organs 236.4 Testis 236.5 Prostate 236.6 Other and unspecified male genital organs 236.7 Bladder 236.9 Other and unspecified urinary organs Kidney Urethra Ureter 237 Neoplasm of uncertain behavior of endocrine glands and nervous system 237.0 Pituitary gland and craniopharyngeal duct 237.1 Pineal gland 237.2 Suprarenal gland Adrenal gland 237.3 Paraganglia 237.4 Other and unspecified endocrine glands Parathyroid gland Thyroid gland 237.5 Brain and spinal cord 237.6 Meninges Meninges: NOS cerebral spinal 237.7 Neurofibromatosis von Recklinghausen's disease 237.9 Other and unspecified parts of nervous system Cranial nerves 238 Neoplasm of uncertain behavior of other and unspecified sites and tissues 238.0 Bone and articular cartilage Excludes: cartilage: ear (238.1) eyelid (238.1) larynx (235.6) nose (235.9) synovia (238.1) 238.1 Connective and other soft tissue Excludes: cartilage (of): articular (238.0) larynx (235.6) nose (235.9) connective tissue of breast (238.3) 238.2 Skin Excludes: anus NOS (235.5) skin of genital organs (236.3, 236.6) vermilion border of lip (235.1) 238.3 Breast Excludes: skin of breast (238.2) 238.4 Polycythemia vera 238.5 Histiocytic and mast cells Mast cell tumor NOS Mastocytoma NOS 238.6 Plasma cells Plasmacytoma NOS Solitary myeloma 238.7 Other lymphatic and hematopoietic tissues Disease: lymphoproliferative (chronic) NOS myeloproliferative (chronic) NOS Idiopathic thrombocythemia Megakaryocytic myelosclerosis Myelosclerosis with myeloid metaplasia Panmyelosis (acute) Excludes: myelofibrosis (298.8) myelosclerosis NOS (289.8) myelosis: NOS (205.9) megakaryocytic (207.2) 238.8 Other specified sites Eye Heart Excludes: eyelid (skin) (238.2) cartilage (238.1) 238.9 Site unspecified NEOPLASMS OF UNSPECIFIED NATURE (239) Note: Category 239 classifies by site neoplasms of unspecified morphology and behavior. 239 Neoplasms of unspecified nature Includes: "growth" NOS neoplasm NOS new growth NOS tumor NOS 239.0 Digestive system Excludes: anus: margin (239.2) skin (239.2) perianal skin (239.2) 239.1 Respiratory system 239.2 Bone, soft tissue, and skin Excludes: anal canal (239.0) anus NOS (239.0) cartilage: larynx (239.1) nose (239.1) connective tissue of breast (239.3) skin of genital organs (239.5) vermilion border of lip (239.8) 239.3 Breast Excludes: skin of breast (239.2) 239.4 Bladder 239.5 Other genitourinary organs 239.6 Brain Excludes: cerebral meninges (239.7) cranial nerves (239.7) 239.7 Endocrine glands and other parts of nervous system Excludes: peripheral, sympathetic, and parasympathetic nerves and ganglia (239.2) 239.8 Other specified sites Excludes: eyelid (skin) (239.2) cartilage (239.2) great vessels (239.2) optic nerve (239.7) 239.9 Site unspecified III. ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES, AND IMMUNITY DISORDERS Excludes: endocrine and metabolic disturbances specific to the fetus and newborn (775.-) 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 Includes: conditions in 240.9, specified as simple 240.9 Goiter, unspecified Enlargement of thyroid Goiter or struma: NOS diffuse colloid endemic hyperplastic parenchymatous Excludes: congenital (dyshormonogenic) goiter (246.1) 241 Nontoxic nodular goiter Excludes: adenoma of thyroid (226) cystadenoma of thyroid (226) 241.0 Nontoxic uninodular goiter Thyroid nodule Uninodular goiter (nontoxic) 241.1 Nontoxic multinodular goiter Multinodular goiter (nontoxic) 241.9 Unspecified Adenomatous goiter Struma nodosa (simplex) Nodular goiter (nontoxic) NOS 242 Thyrotoxicosis with or without goiter Excludes: neonatal thyrotoxicosis (775.3) 242.0 Toxic diffuse goiter Exophthalmic or toxic goiter NOS 242.1 Toxic uninodular goiter Thyroid nodule, toxic or with hyperthyroidism Uninodular goiter, toxic or with hyperthyroidism 242.2 Toxic multinodular goiter 242.3 Toxic nodular goiter, unspecified Any condition in 241.9 specified as toxic or with hyperthyroidism 242.4 Thyrotoxicosis from ectopic thyroid nodule 242.8 Thyrotoxicosis of other specified origin Overproduction of thyroid-stimulating hormone 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 243 Congenital hypothyroidism Congenital thyroid insufficiency Cretinism Use additional code, if desired, to identify associated mental retardation Excludes: congenital (dyshormonogenic) goiter (246.1) 244 Acquired hypothyroidism [Not to be used for underlying cause of death] Includes: hypothyroidism (acquired) myxedema (adult) (juvenile) 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 244.3 Other iatrogenic hypothyroidism Hypothyroidism resulting from: P-aminosalicylic acid [PAS] Phenylbutazone Resorcinol Use additional E code, if desired, to identify drug 244.8 Other 244.9 Unspecified hypothyroidism Hypothyroidism, primary or NOS Myxedema, primary or NOS 245 Thyroiditis 245.0 Acute thyroiditis Abscess of thyroid Thyroiditis: pyogenic suppurative Use additional code, if desired, to identify organism 245.1 Subacute thyroiditis Thyroiditis: de Quervain's giant-cell granulomatous 245.2 Chronic lymphocytic thyroiditis Autoimmune thyroiditis Lymphocytic thyroiditis (chronic) Hashimoto's disease Struma lymphomatosa 245.3 Chronic fibrous thyroiditis Thyroiditis: 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 245.9 Unspecified Thyroiditis NOS 246 Other disorders of thyroid 246.0 Disorders of thyrocalcitonin secretion Hypersecretion of calcitonin or thyrocalcitonin 246.1 Dyshormonogenic goiter Congenital goiter Goiter due to enzyme defect in synthesis of thyroid hormone 246.2 Cyst of thyroid Excludes: cystadenoma (226) 246.3 Hemorrhage and infarction of thyroid 246.8 Other Abnormality of thyroid-binding globulin Atrophy of thyroid 246.9 Unspecified DISEASES OF OTHER ENDOCRINE GLANDS (250-259) 250 Diabetes mellitus Excludes: neonatal diabetes mellitus (775.1) nonclinical diabetes (790.2) when complicating pregnancy, childbirth, or the puerperium (648.0) 250.0 Diabetes mellitus without mention of complication Diabetes mellitus without mention of complication or manifestation classifiable to 250.1-250.9 Diabetes (mellitus) NOS 250.1 Diabetes with ketoacidosis Diabetic: acidosis without mention of coma ketosis without mention of coma 250.2 Diabetes with coma Diabetic coma (with ketoacidosis) Diabetes with hyperosmolar coma 250.3 Diabetes with renal manifestations Diabetic nephropathy Intercapillary glomerulosclerosis Kimmelstiel-Wilson syndrome 250.4 Diabetes with ophthalmic manifestations Diabetic: cataract retinopathy 250.5 Diabetes with neurological manifestations Diabetic: Diabetic polyneuropathy amyotrophy mononeuropathy 250.6 Diabetes with peripheral circulatory disorders Diabetic: gangrene peripheral angiopathy 250.7 Diabetes with other specified manifestations Excludes: intercurrent infections in diabetic patients 250.9 Diabetes with unspecified complications 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: Hyperplasia of pancreatic islet beta cells NOS NOS ectopic functional 251.2 Hypoglycemia, unspecified 251.3 Postsurgical hypoinsulinemia [Not to be used for underlying cause of death] Postpancreatectomy hyperglycemia 251.4 Abnormality of secretion of glucagon Hyperplasia of pancreatic islet alpha cells with glucagon excess 251.5 Abnormality of secretion of gastrin Hyperplasia of pancreatic alpha cells with gastrin excess Zollinger-Ellison syndrome 251.8 Other 251.9 Unspecified Islet cell hyperplasia NOS 252 Disorders of parathyroid gland 252.0 Hyperparathyroidism Hyperplasia of parathyroid Osteitis fibrosa cystica generalisata [von Recklinghausen's disease of bone] Excludes: secondary hyperparathyroidism (of renal origin) (588.8) 252.1 Hypoparathyroidism Parathyroiditis (autoimmune) Tetany: parathyroid parathyroprival Excludes: pseudohypoparathyroidism (275.4) pseudopseudohypoparathyroidism (275.4) tetany NOS (781.7) transitory neonatal hypoparathyroidism (775.4) 252.8 Other 252.9 Unspecified 253 Disorders of the pituitary gland and its hypothalamic control Includes: the listed conditions whether the disorder is in the pituitary or the hypothalamus Excludes: Cushing's syndrome (255.0) 253.0 Acromegaly and gigantism Arthropathy associated with acromegaly Overproduction of growth hormone 253.1 Other anterior pituitary hyperfunction Excludes: overproduction of: ACTH (255.3) thyroid-stimulating hormone (242.8) 253.2 Panhypopituitarism Cachexia, pituitary Necrosis of pituitary (post-partum) Pituitary insufficiency NOS Sheehan's syndrome Simmonds's disease Excludes: iatrogenic hypopituitarism (253.7) 253.3 Pituitary dwarfism Isolated deficiency of growth hormone Lorain-Levi dwarfism 253.4 Other anterior pituitary disorders Isolated or partial deficiency of an anterior pituitary hormone, other than growth hormone 253.5 Diabetes insipidus Excludes: nephrogenic diabetes insipidus (588.1) 253.6 Other disorders of neurohypophysis Syndrome of inappropriate secretion of antidiuretic hormone 253.7 Iatrogenic pituitary disorders Hypopituitarism: hormone-induced hypophysectomy-induced 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 Fr”hlich's syndrome 253.9 Unspecified Dyspituitarism 254 Diseases of thymus gland Excludes: aplasia or dysplasia 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 254.9 Unspecified 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: Cushing's syndrome: NOS iatrogenic idiopathic pituitary-dependent Ectopic ACTH syndrome Overproduction of cortisol Use additional E code, if desired, to identify cause, if drug-induced 255.1 Hyperaldosteronism 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 Adrenogenital syndrome Female adrenal pseudohermaphroditism Male: macrogenitosomia praecox sexual precocity with adrenal hyperplasia Virilization (female) 255.3 Other corticoadrenal overactivity Overproduction of ACTH 255.4 Corticoadrenal insufficiency Addisonian crisis Addison's disease: NOS tuberculous Adrenal: atrophy (autoimmune) calcification crisis hemorrhage infarction insufficiency NOS 255.5 Other adrenal hypofunction 255.6 Medulloadrenal hyperfunction Catecholamine secretion by pheochromocytoma Note: Not to be used as the primary code for phaeochromocytoma. See note at beginning of Chapter III. 255.8 Other Abnormality of cortisol-binding globulin 255.9 Unspecified 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 Stein-Leventhal syndrome 256.8 Other 256.9 Unspecified 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 Testicular hypogonadism Excludes: azoospermia (606.0) 257.8 Other Goldberg-Maxwell syndrome Male pseudohermaphroditism with testicular feminization Testicular feminization 257.9 Unspecified 258 Polyglandular dysfunction and related disorders 258.0 Polyglandular activity in multiple endocrine adenomatosis Wermer's syndrome Note: Not to be used as the primary code for multiple endocrine adenomatosis. See note at beginning of Chapter III. 258.1 Other combinations of endocrine dysfunction Lloyd's syndrome Schmidt's syndrome 258.8 Other 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 Note: Not to be used as the primary code for carcinoid tumor. See note at beginning of Chapter III. 259.3 Ectopic hormone secretion, not elsewhere classified 259.4 Dwarfism, not elsewhere classified Dwarfism: NOS constitutional Excludes: dwarfism: achondroplastic (756.4) intrauterine (759.7) nutritional (263.2) pituitary (253.3) renal (588.0) progeria (259.8) 259.8 Other Pineal gland dysfunction Werner's syndrome Progeria 259.9 Unspecified Disturbance: endocrine NOS hormone NOS Infantilism NOS NUTRITIONAL DEFICIENCIES (260-269) Excludes: deficiency anemias (280.-, 281.-) 260 Kwashiorkor Nutritional edema with dyspigmentation of skin and hair 261 Nutritional marasmus Nutritional atrophy Severe calorie deficiency Severe malnutrition NOS 262 Other severe protein-calorie malnutrition Malnutrition of third degree according to Gomez classification [weight for age less than 60% of standard] Nutritional edema without mention of dyspigmentation of skin and hair 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% to less than 75% of standard] 263.1 Malnutrition of mild degree Malnutrition of first degree according to Gomez classification [weight for age 75% to less than 90% 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 Dystrophy due to malnutrition Malnutrition (calorie) NOS Excludes: nutritional deficiency NOS (269.9) 264 Vitamin A deficiency 264.0 With conjunctival xerosis 264.1 With conjunctival xerosis and Bitot's spot Bitot's spot in the young child 264.2 With corneal xerosis 264.3 With corneal ulceration and xerosis 264.4 With keratomalacia 264.5 With night blindness 264.6 With xerophthalmic scars of cornea 264.7 Other ocular manifestations of vitamin A deficiency Xerophthalmia due to vitamin A deficiency 264.8 Other manifestations of vitamin A deficiency Follicular keratosis due to vitamin A deficiency Xeroderma due to vitamin A deficiency 264.9 Unspecified Hypovitaminosis A NOS 265 Thiamine and niacin deficiency states 265.0 Beriberi 265.1 Other and unspecified manifestations of thiamine deficiency Other vitamin B1 deficiency states 265.2 Pellagra Deficiency: niacin (-tryptophan) nicotinamide nicotinic acid vitamin PP Pellagra (alcoholic) 266 Deficiency of B-complex components 266.0 Ariboflavinosis Riboflavin deficiency 266.1 Vitamin B6 deficiency Deficiency: pyridoxal pyridoxamine pyridoxine Vitamin B6 deficiency syndrome Excludes: vitamin B6-responsive sideroblastic anemia (285.0) 266.2 Other B-complex deficiencies Deficiency: cyanocobalamin folic acid vitamin B12 Excludes: deficiency anemias (281.-) 266.9 Unspecified vitamin B deficiency 267 Ascorbic acid deficiency Deficiency of vitamin C Scurvy Excludes: scorbutic anemia (281.8) 268 Vitamin D deficiency Excludes: vitamin D-resistant rickets and osteomalacia (275.3) 268.0 Rickets, active Excludes: coeliac 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 268.2 Osteomalacia 268.9 Unspecified Avitaminosis D 269 Other nutritional deficiencies 269.0 Deficiency of vitamin K Excludes: deficiency of coagulation factor due to vitamin K deficiency (286.7) vitamin K deficiency of newborn (776.0) 269.1 Deficiency of other vitamins Deficiency: vitamin E vitamin P 269.2 Unspecified vitamin deficiency 269.3 Mineral deficiency, not elsewhere classified Excludes: deficiency: potassium (276.8) sodium (276.1) 269.8 Other nutritional deficiency Excludes: failure to thrive (783.4) feeding problems (783.3) newborn (779.3) 269.9 Unspecified OTHER METABOLIC DISORDERS AND IMMUNITY DISORDERS (270-279) Use additional code, if desired, to identify any associated mental retardation 270 Disorders of amino-acid transport and metabolism Excludes: abnormal findings without manifest disease (791-796) disorders of purine and pyrimidine metabolism (277.2) gout (274.-) 270.0 Disturbances of amino-acid transport Cystinosis Glycinuria (renal) Cystinuria Hartnup disease Fanconi (-de Toni) (-Debr82) syndrome 270.1 Phenylketonuria Hyperphenylalaninemia 270.2 Other disturbances of aromatic amino-acid metabolism Albinism Hypertyrosinemia Alkaptonuria Oasthouse urine disease Disturbances of metabolism of Ochronotic arthritis tyrosine and tryptophan Tyrosinosis Hydroxykynureninuria Tyrosinuria Excludes: vitamin B6-deficiency syndrome (266.1) 270.3 Disturbances of branched-chain amino-acid metabolism Disturbances of metabolism of leucine, isoleucine, and valine Hypervalinemia Leucinosis Maple syrup urine disease 270.4 Disturbances of sulphur-bearing amino-acid metabolism Cystathioninuria Homocystinuria Disturbances of metabolism of Hypermethioninemia methionine, homocystine, and cystathionine 270.5 Disturbances of histidine metabolism Histidinemia Hyperhistidinemia Imidazole amino aciduria 270.6 Disorders of urea cycle metabolism Argininosuccinic aciduria Hyperammonemia Citrullinemia Hyperornithinemia Disorders of metabolism of ornithine, citrulline, argininosuccinic acid, arginine, and ammonia 270.7 Other disturbances of straight-chain amino-acid metabolism Hyperglycinemia Other disturbances of metabolism of Hyperlysinemia glycine, threonine, serine, Pipecolic acidemia glutamine, and lysine Saccharopinuria 270.8 Other Ethanolaminuria Iminoacidopathy Hydroxyprolinemia Sarcosinemia Hyperprolinemia 270.9 Unspecified 271 Disorders of carbohydrate transport and metabolism Excludes: abnormality of secretion of glucagon (251.4) diabetes mellitus (250.-) hypoglycemia NOS (251.2) mucopolysaccharidosis (277.5) 271.0 Glycogenosis Glycogen-storage disease 271.1 Galactosemia 271.2 Hereditary fructose intolerance 271.3 Intestinal disaccharidase deficiencies and disaccharide malabsorption Intolerance or malabsorption (congenital): glucose-galactose lactose sucrose-isomaltose 271.4 Renal glycosuria Renal diabetes 271.8 Other Hyperoxaluria (primary) Oxalosis 271.9 Unspecified 272 Disorders of lipoid metabolism Excludes: localized cerebral lipidoses (330.1) 272.0 Pure hypercholesterolemia Familial hypercholesterolemia Fredrickson's Type IIa hyperlipoproteinemia Hyper-beta-lipoproteinemia Hyperlipidemia, Group A Low-density-lipoid-type [LDL] hyperlipoproteinemia 272.1 Pure hyperglyceridemia Endogenous hyperglyceridemia Fredrickson's Type IV hyperlipoproteinemia Hyperlipidemia, Group B Hyper-pre-beta-lipoproteinemia Hypertriglyceridemia, essential Very-low-density-lipoid-type [VLDL] hyperlipoproteinemia 272.2 Mixed hyperlipidemia Broad- or floating-beta-lipoproteinemia Fredrickson's Type IIb or III hyperlipoproteinemia Hypercholesterolemia with endogenous hyperglyceridemia Hyper-beta-lipoproteinemia with pre-beta-lipoproteinemia Hyperlipidaemia, Group C Tubo-eruptive xanthoma Xanthoma tuberosum 272.3 Hyperchylomicronemia Fredrickson's type I or V Hyperlipidemia, Group D hyperlipoproteinemia Mixed hyperglyceridemia 272.4 Other and unspecified hyperlipidemia Alpha-lipoproteinemia Hyperlipidemia NOS Combined hyperlipidemia 272.5 Lipoprotein deficiencies A-beta-lipoproteinemia Hypo-beta-lipoproteinemia (familial High-density lipoid deficiency Lecithin cholesterol acyltransferase Hypo-alpha-lipoproteinemia deficiency Tangier disease 272.6 Lipodystrophy Barraquer-Simons disease Progressive lipodystrophy Use additional E code, if desired, to identify cause, if iatrogenic Excludes: intestinal lipodystrophy (040.2) 272.7 Lipidoses Chemically induced lipidosis Disease: Disease: pseudo-Hurler's or mucolipidosis III Anderson's Sandhoff's Fabry's triglyceride-storage, Type I or II Gaucher's Wolman's or triglyceride-storage, I-cell or mucolipidosis I Type III lipoid-storage NOS Mucolipidosis II Niemann-Pick Primary familial xanthomatosis 272.8 Other disorders of lipoid metabolism Hoffa's disease or liposynovitis prepatellaris Launois-Bensaude's lipomatosis 272.9 Unspecified disorders of lipoid metabolism 273 Disorders of plasma protein metabolism Excludes: agammaglobulinemia and hypogammaglobulinemia (279.-) coagulation defects (286.-) hereditary hemolytic anemias (282.-) 273.0 Polyclonal hypergammaglobulinemia Waldenstr”m's hypergammaglobulinemic purpura: 273.1 Monoclonal paraproteinemia Monoclonal gammopathy: NOS associated with lymphoplasmacytic dyscrasias benign Paraproteinemia: benign (familial) secondary to malignant or inflammatory disease 273.2 Other paraproteinemias Cryoglobulinemic: purpura vasculitis Mixed cryoglobulinemia 273.3 Macroglobulinemia Macroglobulinemia (idiopathic) (primary) Waldenstr”m's macroglobulinemia 273.8 Other Abnormality of transport protein Bisalbuminemia 273.9 Unspecified 274 Gout Excludes: lead gout (984.-) 274.0 Gouty arthropathy 274.1 Gouty nephropathy Gouty nephropathy NOS Uric acid nephrolithiasis 274.8 Gout with other manifestations Gouty tophi of: ear heart 274.9 Gout, unspecified 275 Disorders of mineral metabolism Excludes: abnormal findings without clinical significance (790.-) 275.0 Disorders of iron metabolism Hemochromatosis Excludes: anemia: iron deficiency (280.-) 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 Pseudopseudohypoparathyroidism Excludes: parathyroid disorders (252.-) vitamin D deficiency (268.-) 275.8 Other 275.9 Unspecified 276 Disorders of fluid, electrolyte, and acid-base balance Excludes: diabetes insipidus (253.5) familial periodic paralysis (359.3) 276.0 Hyperosmolality and/or hypernatremia Na excess Na overload 276.1 Hyposmolality and/or hyponatremia Na deficiency 276.2 Acidosis Acidosis: NOS lactic metabolic respiratory Excludes: diabetic acidosis (250.1) 276.3 Alkalosis Alkalosis: NOS metabolic respiratory 276.4 Mixed acid-base balance disorder 276.5 Volume depletion Dehydration Depletion of volume of plasma or extracellular fluid Hypovolemia Excludes: hypovolemic shock: postoperative (998.0) traumatic (958.4) 276.6 Fluid overload Fluid retention 276.7 Hyperpotassemia K overload K excess 276.8 Hypopotassemia K deficiency 276.9 Electrolyte and fluid disorders not elsewhere classified Electrolyte imbalance Hypochloremia Hyperchloremia Excludes: electrolyte imbalance: associated with hyperemesis gravidarum (643.1) following abortion and ectopic or molar pregnancy (634-638 with fourth digit .4, 639.4) 277 Other and unspecified disorders of metabolism 277.0 Cystic fibrosis Fibrocystic disease of the pancreas Mucoviscidosis 277.1 Disorders of porphyrin metabolism Porphyria Porphyrinuria 277.2 Other disorders of purine and pyrimidine metabolism Hypoxanthine-guanine-phosphoribosyltransferase deficiency [HG-PRT deficiency] Lesch-Nyhan syndrome Excludes: gout (274.-) orotaciduria anemia (281.4) 277.3 Amyloidosis Amyloidosis: NOS inherited systemic nephropathic neuropathic (Portuguese) (Swiss) secondary Familial Mediterranean fever Hereditary cardiac amyloid 277.4 Disorders of bilirubin excretion Syndrome: Crigler-Najjar Dubin-Johnson Gilbert's Rotor's Excludes: hyperbilirubinemias specific to the perinatal period (774.-) 277.5 Mucopolysaccharidosis Gargoylism Hurler's syndrome Hunter's syndrome 277.6 Other deficiencies of circulating enzymes Alpha 1-antitrypsin deficiency Hereditary angioedema 277.8 Other 277.9 Unspecified 278 Obesity and other hyperalimentation Excludes: hyperalimentation NOS (783.6) poisoning by vitamin preparations (963.5) 278.0 Obesity Excludes: 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 279 Disorders involving the immune mechanism 279.0 Deficiency of humoral immunity Agammaglobulinaemia: Hypogammaglobulinaemia NOS brulous 279.1 Deficiency of cell-mediated immunity Di George syndrome Wiskott-Aldrich syndrome Nezelof syndrome Excludes: ataxia-telangiectasia (334.8) 279.2 Combined immunity deficiency Agammaglobulinemia, Swiss type Combined immunity deficiency syndrome Reticular dysgenesis Thymic: alymphoplasia aplasia or dysplasia with immunodeficiency 279.3 Unspecified immunity deficiency 279.4 Autoimmune disease, not elsewhere classified Autoimmune disease NOS 279.8 Other 279.9 Unspecified IV. DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS Excludes: anemia complicating pregnancy or puerperium (648.2) 280 Iron deficiency anemias Anemia: Anemia: asiderotic Kelly-Paterson syndrome hypochromic Plummer-Vinson syndrome due to blood loss (chronic) Sideropenic dysphagia posthaemorrhagic Excludes: acute posthaemorrhagic anemia (285.1) 281 Other deficiency anemias 281.0 Pernicious anemia Anemia: Addison's Biermer's congenital pernicious Congenital intrinsic factor deficiency 281.1 Other vitamin B12 deficiency anemia Anemia: vegan's vitamin B12 deficiency (dietary) due to selective vitamin B12 malabsorption with proteinuria Syndrome: Imerslund's Imerslund-Gr„sbeck 281.2 Folate-deficiency anemia Folate or folic acid deficiency anemia: NOS dietary drug-induced Nutritional megaloblastic anemia Use additional E code, if desired, to identify drug 281.3 Other specified megaloblastic anemias not elsewhere classified 281.4 Protein-deficiency anemia Amino-acid-deficiency anemia 281.8 Anemia associated with other specified nutritional deficiency Scorbutic anemia 281.9 Unspecified Anemia: megaloblastic NOS nutritional NOS simple chronic 282 Hereditary hemolytic anemias 282.0 Hereditary spherocytosis Acholuric (familial) jaundice Congenital spherocytosis Minkowski-Chauffard syndrome 282.1 Hereditary elliptocytosis Elliptocytosis (congenital) Ovalocytosis (congenital) (hereditary) 282.2 Anemias due to disorders of glutathione metabolism Anemia: enzyme-deficiency, drug induced erythrocytic glutathione deficiency glucose-6-phosphate dehydrogenase [G-6-PD] deficiency glutathione-reductase deficiency hemolytic nonspherocytic (hereditary), type I Favism 282.3 Other hemolytic anemias due to enzyme deficiency Anemia: hemolytic nonspherocytic (hereditary), type II hexokinase deficiency pyruvate-kinase [PK] deficiency triose phosphate isomerase deficiency 282.4 Thalassemias Cooley's anemia Mediterranean anemia (with other hemoglobinopathy) Sickle-cell thalassemia Thalassemia (alpha) (beta) (intermedia) (major) (minor) (mixed) (trait) (with other hemoglobinopathy) 282.5 Sickle-cell trait Hb-AS genotype Hemoglobin S [Hb-S] trait Heterozygous: hemoglobin S Hb-S Excludes: with other hemoglobinopathy (282.6-) with thalassemia (282.4) 282.6 Sickle-cell anemia Hb-S disease Sickle-cell/Hb-C disease Hb-S/Hb-C disease Sickle-cell/Hb-D disease Hb-S/Hb-D disease Sickle-cell/Hb-E disease Hb-S/Hb-E disease Excludes: sickle-cell thalassemia (282.4) 282.7 Other hemoglobinopathies Abnormal hemoglobin NOS Hemoglobinopathy NOS Congenital Heinz-body anemia Hereditary persistence of fetal Disease: hemoglobin [HPFH] Hb-C Unstable hemoglobin hemolytic disease Hb-D Hb-E Excludes: familial polycythemia (289.6) Hb-M disease (289.7) high-oxygen-affinity hemoglobin (289.0) 282.8 Other Stomatocytosis 282.9 Unspecified Hereditary hemolytic anemia NOS 283 Acquired hemolytic anemias 283.0 Autoimmune hemolytic anemias Autoimmune hemolytic disease (cold type) (warm type) Chronic cold hemagglutinin disease Cold agglutinin disease or hemoglobinuria Hemolytic anemia: cold type (secondary) (symptomatic) warm type (secondary) (symptomatic) Excludes: Evans' syndrome (287.3) hemolytic disease of newborn (773.-) 283.1 Non-autoimmune hemolytic anemias Hemolytic anemia: Hemolytic anemia: mechanical toxic microangiopathic Hemolytic-uraemic syndrome Use additional E code, if desired, to identify cause 283.2 Hemoglobinuria due to hemolysis from external causes 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 Unspecified Acquired hemolytic anemia NOS Chronic idiopathic hemolytic anemia 284 Aplastic anemia 284.0 Constitutional aplastic anemia Aplasia, (pure) red cell: Blackfan-Diamond syndrome congenital Familial hypoplastic anemia of infants Fanconi's anemia primary Pancytopenia with malformations 284.8 Other Aplastic anemia (due to): Pancytopenia (acquired) drugs Red cell aplasia (acquired) infection (adult) (pure) (with thymoma) radiation toxic Use additional E code, if desired, to identify cause 284.9 Unspecified Anemia: Medullary hypoplasia aplastic (idiopathic) NOS hypoplastic NOS 285 Other and unspecified anemias 285.0 Sideroblastic anemia Anemia: Anemia, sideroblastic pyridoxine-responsive primary sidero-achrestic refractory sideroblastic secondary (drug-induced) acquired (due to disease) congenital sex-linked hypochromic hereditary vitamin B6-responsive Use additional E code, if desired, to identify cause if drug-induced 285.1 Acute posthemorrhagic anemia 285.8 Other specified anemias Anemia: dyserythropoietic (congenital) dyshematopoietic (congenital) leukoerythroblastic Infantile pseudoleukemia 285.9 Anemia, unspecified 286 Coagulation defects 286.0 Congenital factor VIII disorder Factor VIII (functional) Hemophilia: deficiency NOS A Excludes: factor VIII deficiency with vascular defect (286.4) 286.1 Congenital factor IX disorder Christmas disease Hemophilia B Deficiency: factor IX (functional) plasma thromboplastin component [PTC] 286.2 Congenital factor XI deficiency Hemophilia C Plasma thromboplastin antecedent [PTA] deficiency 286.3 Congenital deficiency of other clotting factors Congenital afibrinogenemia Deficiency: Deficiency of factor: AC globulin I or fibrinogen proaccelerin II or prothrombin Disease: V or labile Owren's VII or stable Stuart-Prower X or Stuart-Prower Dysfibrinogenemia (congenital) XII or Hageman Hypoproconvertinemia XIII or fibrin stabilizing 286.4 von Willebrand's disease Angiohemophilia Factor VIII deficiency with vascular defect Vascular hemophilia Excludes: factor VIII deficiency: NOS (286.0) with functional defect (286.0) hereditary capillary fragility (287.8) 286.5 Hemorrhagic disorder due to circulating anticoagulants Hyperheparinemia Increase in: anti-VIIIa anti-IXa anti-Xa anti-XIa antithrombin Systemic lupus erythematosus inhibitor Use additional E code, if desired, to identify any administered anticoagulant 286.6 Defibrination syndrome Afibrinogenemia, acquired Consumption coagulopathy Diffuse or disseminated intravascular coagulation Fibrinolytic hemorrhage, acquired Purpura: fibrinolytic fulminans Excludes: complicating abortion, pregnancy or the puerperium (634-638 with fourth digit .1, 639.1, 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 Excludes: 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 Prolongation of time of: bleeding coagulation Excludes: complicating abortion, pregnancy or the puerperium (634-638 with fourth digit .1, 639.1, 641.3, 666.3) 287 Purpura and other hemorrhagic conditions Excludes: hemorrhagic thrombocythemia (238.7) purpura fulminans (286.6) 287.0 Allergic purpura Purpura: anaphylactoid Henoch (-Sch”nlein) nonthrombocytopenic: hemorrhagic idiopathic Vascular purpura Vasculitis, allergic 287.1 Qualitative platelet defects Thrombasthenia (hemorrhagic) (hereditary) Thrombocytopathy Excludes: von Willebrand's disease (286.4) 287.2 Other nonthrombocytopenic purpuras Purpura: NOS senile simplex 287.3 Primary thrombocytopenia Megakaryocytic hypoplasia Thrombocytopenia: Purpura, thrombocytopenic congenital congenital hereditary hereditary primary idiopathic 287.4 Secondary thrombocytopenia Thrombocytopenia (due to): dilutional drugs extracorporeal circulation of blood massive blood transfusion platelet alloimmunization Use additional E code, if desired, to identify cause 287.5 Thrombocytopenia, unspecified 287.8 Other specified hemorrhagic conditions Capillary fragility (hereditary) Vascular pseudohemophilia 287.9 Unspecified hemorrhagic conditions 288 Diseases of white blood cells 288.0 Agranulocytosis Agranulocytic angina Infantile genetic agranulocytosis Kostmann's syndrome Neutropenia: NOS cyclic drug-induced periodic splenic (primary) toxic Neutropenic splenomegaly Use additional code, if desired, to identify drug 288.1 Functional disorders of neutrophils polymorphonuclears Chronic (childhood) granulomatous disease Congenital dysphagocytosis Progressive septic granulomatosis 288.2 Genetic anomalies of leucocytes Anomaly (granulation) (granulocyte) or syndrome: Alder's Chediak-Steinbrink May-Hegglin Pelger-Hu‰t Hereditary: hypersegmentation hyposegmentation leukomelanopathy 288.3 Eosinophilia Eosinophilia allergic hereditary Excludes: pulmonary eosinophilia (518.3) 288.8 Other Leukemoid reaction Lymphocytosis (symptomatic) lymphocytic Lymphopenia monocytic Monocytosis (symptomatic) myelocytic Plasmacytosis Leukocytosis Excludes: immunity disorders (279.-) 288.9 Unspecified 289 Other diseases of blood and blood-forming organs 289.0 Secondary polycythemia Polycythemia: Polycythemia, due to acquired erythropoietin due to: hypoxemic fall in plasma volume nephrogenous high altitude relative emotional stress Excludes: polycythemia neonatorum (776.4) polycythemia vera (238.4) 289.1 Chronic lymphadenitis Chronic: adenitis, any lymph node except mesenteric lymphadenitis, any lymph node except mesenteric Excludes: acute lymphadenitis (683) mesenteric (289.2) enlarged glands NOS (785.6) 289.2 Nonspecific mesenteric lymphadenitis Mesenteric lymphadenitis (acute) (chronic) 289.3 Lymphadenitis, unspecified, except mesenteric 289.4 Hypersplenism 289.5 Other diseases of spleen Atrophy of spleen Chronic congestive splenomegaly Cyst of spleen Fibrosis of spleen: Infarction of spleen NOS Rupture, nontraumatic of spleen Perisplenitis Excludes: splenomegaly NOS (789.2) 289.6 Familial polycythemia Familial: benign polycythemia erythrocytosis 289.7 Methemoglobinemia Congenital NADH-methemoglobin-reductase deficiency Hemoglobin M disease Methemoglobinemia: NOS acquired (with sulfhemoglobinemia) hereditary toxic Use additional E code, if desired, to identify cause 289.8 Other 289.9 Unspecified V. MENTAL DISORDERS This section of the Classification differs from the others in that it includes a glossary, prepared after consultation with experts from many different countries, defining the contents of the rubrics. This difference is considered to be justified because of the special problems posed for psychiatrists by the relative lack of independent laboratory information upon which to base their diagnoses. The diagnosis of many of the most important mental disorders still relies largely upon descriptions of abnormal experience and behavior, and without some guidance in the form of a glossary that can serve as a common frame of reference, psychiatric communications easily become unsatisfactory at both clinical and statistical levels. Many well-known terms have different meanings in current use. It is important for the user to use the glossary descriptions and not merely the category titles when searching for the best fit for the condition he is trying to code. This is particularly important if a separate national glossary also exists. The instructions "Use additional code to identify..." are important because of the nature of many psychiatric conditions in which two or more codes are necessary to describe the condition and the associated or causal factors. It should be used whenever possible. PSYCHOSES (290-299) 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. ORGANIC PSYCHOTIC CONDITIONS (290-294) Syndromes in which there is impairment of orientation, memory, comprehension, calculation, learning capacity and judgement. 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 and exaggeration or emergence of personality traits, and diminished capacity for independent decision. Psychoses of the types classifiable to 295-298 and without the above features are excluded even though they may be associated with organic conditions. The term "dementia" in this glossary includes organic psychoses as just specified, of a chronic or progressive nature, which if untreated are usually irreversible and terminal. The term "delirium" in this glossary includes organic psychoses with a short course in which the above features are overshadowed by clouded consciousness, confusion, disorientation, delusions, illusions and often vivid hallucinations. Includes: psychotic organic brain syndrome Excludes: nonpsychotic syndromes of organic etiology (see 310.-) psychoses classifiable to 295-298 and without the above features but associated with physical disease, injury, or condition affecting the brain [e.g., following childbirth] code to 295-298 and use additional code to identify the associated physical condition. 290 Senile and presenile organic psychotic conditions Excludes: psychoses classifiable to 295-298.8 occurring in the senium without dementia or delirium (295.0-298.8) transient organic psychotic conditions (293.-) dementia not classified as senile, presenile, or arterio- sclerotic (294.1) 290.0 Senile dementia, simple type Dementia occurring usually after the age of 65 in which any cerebral pathology other than that of senile atrophic change can be reasonably excluded. Excludes: mild memory disturbances, not amounting to dementia, associated with senile brain disease (310.1) senile dementia: depressed or paranoid type (290.2) with confusion and/or delirium (290.3) 290.1 Presenile dementia Dementia occurring usually before the age of 65 in patients with the relatively rare forms of diffuse or lobar cerebral atrophy. Use additional code to identify the associated neurological condition. Brain syndrome with presenile brain disease Circumscribed atrophy of the brain Dementia in: Alzheimer's disease Pick's disease of the brain Excludes: arteriosclerotic dementia (290.4) dementia associated with other cerebral conditions (294.1) 290.2 Senile dementia, depressed or paranoid type A type of senile dementia characterized by development of advanced old age, progressive in nature, in which a variety of delusions and hallucinations of a persecutory, depressive and somatic content are also present. Disturbance of the sleep/waking cycle and preoccupation with dead people are often particularly prominent. Senile psychosis NOS Excludes: senile dementia: NOS (290.0) with delirium and/or confusion (290.3) 290.3 Senile dementia with acute confusional state Senile dementia with a superimposed reversible episode of acute confusional state Excludes: senile: dementia NOS (290.0) psychosis NOS (290.2) 290.4 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. Use additional code to identify cerebral atherosclerosis (437.0). Excludes: suspected cases with no clear evidence of arteriosclerosis (290.9) 290.8 Other 290.9 Unspecified 291 Alcoholic psychoses Organic psychotic states due mainly to excessive consumption of alcohol; defects of nutrition are taught to play an important role. In some of these states, withdrawal of alcohol can be of aetiological significance. Excludes: alcoholism without psychosis (303) 291.0 Delirium tremens Acute or subacute organic psychotic states in alcoholics, characterized by clouded consciousness, disorientation, fear, illusions, delusions, hallucinations of any kind, notably visual and tactile, and restlessness, tremor and sometimes fever. Alcoholic delirium 291.1 Korsakoff's psychosis, alcoholic A syndrome of prominent and lasting reduction of memory span, including striking loss of recent memory, disordered time appreciation and confabulation, 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 accompanied by peripheral neuritis and may be associated with Wernicke's encephalopathy. Alcoholic polyneuritic psychosis Excludes: Korsakov's psychosis: NOS (294.0) nonalcoholic (294.0) 291.2 Other alcoholic dementia Nonhallucinatory dementias occurring in association with alcoholism but not characterized by the features of either delirium tremens or Korsakov's psychosis. Alcoholic dementia NOS Chronic alcoholic brain syndrome 291.3 Other alcoholic 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. Excludes: schizophrenia (295.-) and paranoid states (297.-) taking the form of chronic hallucinosis with clear consciousness in an alcoholic 291.4 Pathological drunkenness Acute psychotic episodes induced by relatively small amounts of alcohol. These are regarded as individual idiosyncratic reactions to alcohol, not due to excessive consumption and without conspicuous neurological signs of intoxication. Excludes: simple drunkenness (305.0) 291.5 Alcoholic jealousy Chronic paranoid psychosis characterized by delusional jealousy and associated with alcoholism. Alcoholic paranoia Excludes: nonalcoholic paranoid states (297.-) schizophrenia, paranoid type (295.3) 291.8 Other Alcohol withdrawal syndrome Excludes: delirium tremens (291.0) 291.9 Unspecified Alcoholic: Alcoholism (chronic) with psychosis mania NOS psychosis NOS 292 Drug psychoses Syndromes that do not fit the descriptions given in 295-298 (nonorganic psychoses) and which are due to consumption of drugs [notably amphetamines, barbiturates and the opiate and LSD groups] and solvents. Some of the syndromes in this group are not as severe as most conditions labeled "psychotic" but they are included here for practical reasons. Use additional E code to identify the drug and also code drug dependence (304.-) if present. 292.0 Drug withdrawal syndrome States associated with drug withdrawal ranging from severe, as specified for alcohol under 291.0 (delirium tremens) to less severe states characterized by one or more symptoms such as convulsions, tremor, anxiety, restlessness, gastrointestinal and muscular complaints, and mild disorientation and memory disturbance. 292.1 Paranoid and/or hallucinatory states induced by drugs States or more than a few days but not usually of more than a few months duration, associated with large or prolonged intake of drugs, notably of the amphetamine and LSD groups. Auditory hallucinations usually predominate, and there maybe anxiety and restlessness. Excludes: the described conditions with confusion or delirium (293.-) states following LSD or other hallucinogens, lasting only a few days or less ["bad trips"] (305.3) 292.2 Pathological drug intoxication Individual idiosyncratic reactions to comparatively small quantities of a drug, which take the form of acute, brief psychotic states of any type. Excludes: expected brief psychotic reactions to hallucinogens ["bad trips"] (305.3) physiological side-effects of drugs (e.g., dystonias) 292.8 Other 292.9 Unspecified 293 Transient organic psychotic conditions States characterized by clouded consciousness, confusion, disorientation, illusions and often vivid hallucinations. 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. Use additional code to identify the associated physical or neurological condition. Excludes: confusional state or delirium superimposed on senile dementia (290.3) dementia due to: alcohol (291.-) arteriosclerosis (290.4) senility (290.0) 293.0 Acute delirium Short-lived states, lasting hours or days, of the above type. Acute: Acute: delirium psychosis associated with endocrine, infective psychosis metabolic, or cerebrovascular organic reaction disorder post-traumatic organic Epileptic: psychosis confusional state psycho-organic syndrome twilight state 293.1 Subacute confusional state 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. Subacute: Subacute: delirium psycho-organic syndrome infective psychosis psychosis associated with endocrine or organic reaction metabolic disorder post-traumatic organic psychosis 293.8 Other 293.9 Unspecified 294 Other organic psychotic conditions (chronic) 294.0 Korsakoff's psychosis or syndrome (nonalcoholic) Syndromes as described under 291.1 but not due to alcohol. 294.8 Other States that fulfill the criteria of an organic psychosis but do not take the form of a confusional state (293.-), a nonalcoholic Korsakov's psychosis (294.0) or a dementia (294.1). Epileptic psychosis NOS Mixed paranoid and affective organic (code also 345.-) psychotic states Excludes: mild memory disturbances, not amounting to dementia (310.1) 294.9 Unspecified OTHER PSYCHOSES (295-299) 295 Schizophrenic disorders A group of psychoses in which there is a fundamental disturbance of personality, a characteristic distortion of thinking, 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 maintained. The disturbance of personality involves its most basic functions which give the normal person his feeling of individuality, 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 happens. 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 incongruous. 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 disturbance 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, deteriorating, or chronic course. In addition to making the diagnosis on the criteria just given, effort should be made to specify one of the following subdivisions of schizophrenia, according to the predominant symptoms. Includes: schizophrenia of the types described in 295.0-295.9 occurring in children Excludes: childhood type schizophrenia (299.9) infantile autism (299.0) 295.0 Simple type A psychosis in which there is insidious development 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 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. Schizophrenia simplex Excludes: latent schizophrenia (295.5) 295.1 Hebephrenic type A form of schizophrenia in which affective changes are prominent, delusions and hallucinations fleeting and fragmentary, behavior irresponsible and unpredictable and mannerisms common. The mood is shallow and inappropriate, accompanied by giggling or self-satisfied, self-absorbed smiling, or by a lofty manner, grimaces, mannerisms, pranks, hypochondriacal complaints and reiterated phrases. Thought is disorganized. There is a tendency to remain solitary, and behavior seems empty of purpose and feeling. This form of schizophrenia usually starts between the ages of 15 and 25 years. Hebephrenia 295.2 Catatonic type Includes as an essential feature prominent psychomotor 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 unnatural 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. Catatonic: Schizophrenic: agitation catalepsy excitation catatonia stupor flexibilitas cerea 295.3 Paranoid type The form of schizophrenia in which relatively stable delusions, which may be accompanied by hallucinations, dominate the clinical picture. The delusions are frequently of persecution but may take other forms [for example of jealousy, exalted birth, Messianic mission, or bodily change]. Hallucinations and erratic behavior may occur; in some cases conduct is seriously disturbed from the outset, thought disorder may be gross, and affective flattening with fragmentary delusions and hallucinations may develop. Paraphrenic schizophrenia Excludes: paraphrenia, involutional paranoid state (297.2) paranoia (297.1) 295.4 Acute schizophrenic episode Schizophrenic disorders, other than those listed above, 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. Oneirophrenia Schizophreniform: attack psychosis, confusional type Excludes: acute forms of schizophrenia of: catatonic type (295.2) hebephrenic type (295.1) paranoid type (295.3) simple type (295.0) 295.5 Latent schizophrenia 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 inconsequent behavior and anomalies of affect which give the impression of schizophrenia though no definite and characteristic schizophrenic anomalies, present or past, have been manifest. The inclusion terms indicate that this is the best place to classify some other poorly defined varieties of schizophrenia. Latent schizophrenic reaction Schizophrenia: borderline prepsychotic prodromal pseudoneurotic pseudopsychopathic Excludes: schizoid personality (301.2) 295.6 Residual schizophrenia 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 accomplishment of routine work. Chronic undifferentiated Restzustand (schizophrenic) schizophrenia Schizophrenic residual state 295.7 Schizo-affective type A psychosis in which pronounced manic or depressive features are intermingled with schizophrenic features and which tends towards remission without permanent defect, but which is prone to recur. The diagnosis should be made only when both the affective and schizophrenic symptoms are pronounced. Cyclic schizophrenia Schizo-affective psychosis Mixed schizophrenic and Schizophreniform psychosis, affective type affective psychosis 295.8 Other Schizophrenia of specified types not classifiable under 259.0-295.7. Acute (undifferentiated) Atypical schizophrenia schizophrenia Cenesthopathic schizophrenia Excludes: infantile autism (299.0) 295.9 Unspecified To be used only as a last resort. Schizophrenia NOS Schizophreniform psychosis NOS Schizophrenic reaction NOS 296 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 excitement] which is accompanied by one or more of the following: delusions, perplexity, disturbed attitude to self, disorder of perception and behavior; these are all in keeping with the patient's prevailing mood [as are hallucinations when they occur]. 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 particularly to mild hypomania. Excludes: neurotic depression (300.4) reactive depressive psychosis (298.0) reactive excitation (298.1) 296.0 Manic-depressive psychosis, manic type Mental disorders characterized by states of elation or excitement out of keeping with the patient's circumstances and varying from enhanced liveliness [hypomania] to violent, almost uncontrollable excitement. Aggression and anger, flight of ideas, distractibility, impaired judgement, and grandiose ideas are common. Hypomania NOS Manic psychosis Hypomanic psychosis Manic-depressive psychosis or reaction: Mania (monopolar) NOS hypomanic Manic disorder manic Excludes: circular type, if there was a previous attack of depression (296.4) 296.1 Manic-depressive psychosis, depressed type An affective 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 a marked tendency to recurrence; in a few cases this may be at regular intervals. Depressive psychosis Manic-depressive psychosis or reaction Endogenous depression Monopolar depression Involutional melancholia Psychotic depression Excludes: circular type, if previous attack was of manic type (296.3) depression NOS (311) 296.2 Manic-depressive psychosis, circular type but currently manic An affective psychosis which has appeared in both the depressive and the manic form, either alternating or separated by an interval of normality, but in which the manic form is currently present. [The manic phase is far less frequent than the depressive.] Bipolar disorder, now manic Excludes: brief compensatory or rebound mood swings (296.8) 296.3 Manic-depressive psychosis, circular type but currently depressed Circular type (see 296.2) in which the depressive form is currently present. Bipolar disorder, now depressed Excludes: brief compensatory or rebound mood swings (296.8) 296.4 Manic-depressive psychosis, circular type, mixed An affective psychosis in which both manic and depressive symptoms are present at the same time. 296.5 Manic-depressive psychosis, circular type, current condition not specified Circular type (see 296.2) in which the current condition is not specified as either manic or depressive. 296.6 Manic-depressive psychosis, other and unspecified Use this code for cases where no other information is available, except the unspecified term, manic-depressive psychosis, or for syndromes corresponding to the descriptions of depressed (296.1) or manic (296.0) types but which for other reasons cannot be classified under 296.0-296.5. Manic-depressive: Manic-depressive psychosis: reaction NOS NOS syndrome NOS mixed type 296.8 Other Excludes: psychogenic affective psychoses (298.-) 296.9 Unspecified Affective psychosis NOS Melancholia NOS 297 Paranoid states Excludes: acute paranoid reaction (298.3) alcoholic jealousy (291.5) paranoid schizophrenia (295.3) 297.0 Paranoid state, 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. 297.1 Paranoia A rare chronic psychosis in which logically constructed systematized delusions have developed gradually without concomitant hallucinations or the schizophrenic type of disordered thinking. The delusions are mostly of grandeur [the paranoiac prophet or inventor], persecution or somatic abnormality. Excludes: paranoid personality disorder (301.0) 297.2 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. Involutional paranoid state Late paraphrenia 297.3 Induced psychosis Mainly delusions 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 psychosis. The delusions are at least partly shared. The rare cases in which several persons are affected should also be included here. Folie … deux Induced paranoid disorder 297.8 Other Paranoid states which, though in many ways akin to schizophrenic or affective states, cannot readily be classified under any of the preceding rubrics, nor under 298.4. Paranoia querulans Sensitiver Beziehungswahn Excludes: senile paranoid state (297.2) 297.9 Unspecified Paranoid: psychosis NOS reaction NOS state NOS 298 Other nonorganic psychoses Categories 298.0-298.8 should be restricted to the small group of psychotic conditions that are largely or entirely attributable to a recent life experience. They should not be used for the wider range of psychoses in which environmental factors play some [but not the major] part in aetiology. 298.0 Depressive type A depressive psychosis which can be similar in its symptoms to manic-depressive psychosis, depressed type (296.1) 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 296.1, and the delusions are more often understandable in the context of the life experiences. There is usually a serious disturbance of behavior, e.g., major suicidal attempt. Psychogenic depressive psychosis Reactive depressive psychosis Excludes: manic-depressive psychosis, depressed type (296.1) neurotic depression (300.4) 298.1 Excitative type An affective psychosis similar in its symptoms to manic-depressive psychosis, manic type, but apparently provoked by emotional stress. Excludes: manic-depressive psychosis, manic type (296.0) 298.2 Reactive confusion Mental disorders with clouded consciousness, disorientation [though less marked than in organic confusion] and diminished accessibility often accompanied by excessive activity and apparently provoked by emotional stress. Psychogenic confusion Psychogenic twilight state Excludes: acute confusional state (293.0) 298.3 Acute paranoid reaction Paranoid states apparently provoked by some emotional stress. The stress is often misconstrued as an attack or threat. Such states are particularly prone to occur in prisoners or as acute reactions to a strange and threatening environment, e.g., in immigrants. Bouff‚e d‚lirante Excludes: paranoid states (297.-) 298.4 Psychogenic paranoid psychosis Psychogenic or reactive paranoid psychosis of any type which is more protracted than the acute reactions covered in 298.3. Where there is a diagnosis of psychogenic paranoid psychosis which does not specify "acute" this coding should be made. Protracted reactive paranoid psychosis 298.8 Other and unspecified reactive psychosis Hysterical psychosis Psychogenic stupor Psychogenic psychosis NOS 298.9 Unspecified psychosis To be used only as a last resort, when no other term can be used. Psychosis NOS 299 Psychoses with origin specific to childhood This category should be used only for psychoses which always begin before puberty. Adult type psychoses such as schizophrenia or manic-depressive psychoses when occurring in childhood should be coded elsewhere under the appropriate heading--i.e., 295 and 296 for the examples given. 299.0 Infantile autism 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 development 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 symbolic thought and for imaginative play is diminished. Intelligence ranges from severely subnormal to normal or above. Performance is usually better on tasks involving rote memory or visuospatial skills than on those requiring symbolic or linguistic skills. Childhood autism Kanner's syndrome Infantile psychosis Excludes: disintegrative psychosis (299.1) Heller's syndrome (299.1) schizophrenic syndrome of childhood (299.9) 299.1 Disintegrative psychosis A disorder in which normal or near-normal development 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 necessary 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. Use additional code to identify any associated neurological disorder. Heller's syndrome Excludes: infantile autism (299.0) schizophrenic syndrome of childhood (299.9) 299.8 Other A variety of atypical infantile psychoses which may show some, but not all, of the features of infantile autism. Symptoms may include stereotyped repetitive movements, hyperkinesis, self-injury, retarded speech development, echolalia and impaired social relationships. Such disorders may occur in children of any level of intelligence but are particularly common in those with mental retardation. Atypical childhood psychosis Excludes: simple stereotypies without psychotic disturbance (307.3) 299.9 Unspecified Child psychosis NOS Schizophrenia, childhood type NOS Schizophrenic syndrome of childhood NOS Excludes: schizophrenia of adult type occurring in childhood (295.0-295.8) NEUROTIC DISORDERS, PERSONALITY DISORDERS, AND OTHER NONPSYCHOTIC MENTAL DISORDERS (300-316) 300 Neurotic disorders The distinction between neurosis and psychosis is difficult and remains subject to debate. However, it has been retained in view of its wide use. Neurotic disorders are mental disorders without any demonstrable organic basis in which the patient may have considerable insight and has unimpaired reality testing, in that he usually does not confuse his morbid subjective experiences and fantasies with external reality. Behavior may be greatly affected although usually remaining within socially acceptable limits, but personality is not disorganized. The principal manifestations include excessive anxiety, hysterical symptoms, phobias, obsessional and compulsive symptoms, and depression. 300.0 Anxiety states Various combinations of physical and mental manifestations of anxiety, not attributable to real danger and occurring either in attacks or as a persisting state. 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. Anxiety: Panic: neurosis attack reaction disorder reaction state state (neurotic) Excludes: neurasthenia (300.5) psychophysiologic disorders (306.-) 300.1 Hysteria Mental disorders in which motives, of which the patient seems unaware, produce either a restriction of the field of consciousness or disturbances of motor or sensory function which may seem to have psychological advantage or symbolic value. It may be characterized by conversion phenomena or dissociative phenomena. In the conversion form the chief or only symptoms consist of psychogenic disturbance of function in some part of the body, e.g., paralysis, tremor, blindness, deafness, seizures. In the dissociative variety, the most prominent feature is a narrowing of the field of consciousness which seems to serve an unconscious purpose and is commonly accompanied or followed by a selective amnesia. There may be dramatic but essentially superficial changes of personality sometimes taking the form of a fugue [wandering state]. Behavior may mimic psychosis or, rather, the patient's idea of psychosis. Astasia-abasia, hysterical Dissociative reaction of state Compensation neurosis Ganser's syndrome, hysterical Conversion hysteria Hysteria NOS Conversion reaction Multiple personality Excludes: adjustment reaction (309.-) anorexia nervosa (307.1) gross stress reaction (308.-) hysterical personality (301.5) psychophysiologic disorders (306.-) 300.2 Phobic state 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 circumstances, it becomes akin to or identical with anxiety state, and should be classified as such (300.0) Agoraphobia Claustrophobia Animal phobias Phobia NOS Anxiety-hysteria Excludes: anxiety state (300.0) obsessional phobias (300.3) 300.3 Obsessive-compulsive disorders 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 patient to be inappropriate or nonsensical. The obsessional urge or idea is recognized as alien to the personality but as coming from within the self. Obsessional actions may be quasi-ritual performances designed to relieve anxiety, e.g., washing the hands to cope with contamination. Attempts to dispel the unwelcome thoughts or urges may lead to a severe inner struggle, with intense anxiety. Anankastic neurosis Compulsive neurosis Excludes: obsessive-compulsive symptoms occurring in: endogenous depression (296.1) schizophrenia (295.-) organic states (e.g., encephalitis) 300.4 Neurotic depression A neurotic disorder characterized by disproportionate 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. Anxiety is also frequently present and mixed states of anxiety and depression should be included here. The distinction between 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 characteristics and upon the degree of disturbance of the patient's behavior. Anxiety depression Reactive depression Depressive reaction Neurotic depressive state Excludes: adjustment reaction with depressive symptoms (309.0) depression NOS (311) manic-depressive psychosis, depressed type (296.1) reactive depressive psychosis (298.0) 300.5 Neurasthenia A neurotic disorder characterized by fatigue, irritability, headache, depression, insomnia, difficulty in concentration, 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 coded. Nervous debility Excludes: anxiety state (300.0) neurotic depression (300.4) psychophysiological disorders (306.-) specific nonpsychotic mental disorders following organic brain damage (310.-) 300.6 Depersonalization syndrome 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. Depersonalization may occur as a feature of several mental disorders including depression, obsessional neurosis, anxiety and schizophrenia; in that case the condition should not be classified here but in the corresponding major category. Derealization (neurotic) 300.7 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 severe mental disorder and in that case should not be classified here but in the corresponding major category. Excludes: hysteria (300.1) manic-depressive psychosis, depressed type (296.1) neurasthenia (300.5) obsessional disorder (300.3) schizophrenia (295.-) 300.8 Other neurotic disorders Neurotic disorders not classified elsewhere, e.g., occupational neurosis. Patients with mixed neuroses should not be classified in this category but according to the most prominent symptoms they display. Briquet's disorder Psychasthenia Occupational neurosis, Psychasthenic neurosis including writer's cramp 300.9 Unspecified To be used only as a last resort. Neurosis NOS Psychoneurosis NOS 301 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 personality is abnormal either in the balance of 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 malfunctioning of the brain, it should not be classified here but as one of the nonpsychotic organic brain syndromes (310). When the patient exhibits an anomaly of personality directly related to his neurosis or psychosis, e.g., schizoid personality and schizophrenia or anankastic personality and obsessive compulsive neurosis, the relevant neurosis or psychosis which is in evidence should be diagnosed in addition. Character neurosis 301.0 Paranoid personality disorder Personality disorder in which there is excessive 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 excessively sensitive, are aggressive and insistent. In all cases there is excessive self-reference. Fanatic personality Paranoid traits Paranoid personality (disorder) Excludes: acute paranoid reaction (298.3) alcoholic paranoia (291.5) paranoid schizophrenia (295.3) paranoid states (297.-) 301.1 Affective personality disorder Personality disorder characterized by lifelong predominance of a pronounced mood which may be persistently depressive, persistently elated, or alternately one then the other. During periods of elation there is unshakeable optimism and an enhanced zest for life and activity, whereas periods of depression are marked by worry, pessimism, low output of energy and a sense of futility. Cycloid personality Depressive personality Cyclothymic personality Excludes: affective psychoses (296.-) cyclothymia(296.2-296.5) neurasthenia (300.5) neurotic depression (300.4) 301.2 Schizoid personality disorder Personality disorder in which there is withdrawal 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. Excludes: schizophrenia (295.-) 301.3 Explosive personality disorder Personality disorder characterized by instability of mood with liability to intemperate outbursts of anger, hate, violence or affection. Aggression may be expressed in words or in physical violence. The outbursts cannot readily be controlled by the affected persons, who are not otherwise prone to antisocial behavior. Aggressive: Emotional instability personality (excessive) reaction Pathological emotionality Aggressiveness Quarrelsomeness Excludes: dyssocial personality (301.7) hysterical neurosis (300.1) 301.4 Anankastic personality disorder Personality disorder characterized by feelings of personal insecurity, doubt and incompleteness leading 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 conspicuous. Compulsive personality Obsessional personality Excludes: obsessive-compulsive disorder (300.3) phobic state (300.2) 301.5 Hysterical personality disorder Personality disorder characterized by shallow, labile affectivity, dependence on others, craving for appreciation and attention, suggestibility and theatricality. There is often sexual immaturity, e.g., frigidity and over- responsiveness to stimuli. Under stress hysterical symptoms [neurosis] may develop. Psychoinfantile personality Histrionic personality Excludes: hysterical neurosis (300.1) 301.6 Asthenic personality disorder 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 emotional spheres; there is little capacity for enjoyment. Dependent personality Passive personality Inadequate personality Excludes: neurasthenia (300.5) 301.7 Personality disorder with predominantly sociopathic or asocial manifestation Personality disorder characterized by disregard 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 affectively cold and may be abnormally aggressive or irresponsible. Their tolerance to frustration is low; they blame others or offer plausible rationalizations for the behavior which brings them into conflict with society. Amoral personality Asocial personality Antisocial personality Excludes: disturbance of conduct without specifiable personality disorder (312.-) explosive personality (301.3) 301.8 Other personality disorders Personality: eccentric "haltlose" type immature passive-aggressive psychoneurotic Excludes: psychoinfantile personality (301.5) 301.9 Unspecified Pathological personality NOS Psychopathic: Personality disorder NOS constitutional state personality (disorder) 302 Sexual deviations and disorders Abnormal sexual inclinations or behavior which are part of a referral problem. The limits and features of normal sexual inclination and 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 circumstances. If the anomalous behavior becomes manifest only during 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 include in this category individuals who perform deviant sexual acts when normal sexual outlets are not available to them. 302.0 Homosexuality Exclusive or predominant sexual attraction for persons of the same sex with or without physical relationship. Code homosexuality here whether or not it is considered as a mental disorder. Lesbianism Excludes: homosexual paedophilia (302.2) 302.1 Bestiality Sexual or anal intercourse with animals. 302.2 Paedophilia Sexual deviations in which an adult engages in sexual activity with a child of the same or opposite sex. 302.3 Transvestism Sexual deviation in which sexual pleasure is derived from dressing in clothes of the opposite sex. There is no consistent attempt to take on the identity or behavior of the opposite sex. Excludes: trans-sexualism (302.5) 302.4 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. 302.5 Trans-sexualism Sexual deviation 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. Excludes: transvestism (302.3) 302.6 Disorders of psychosexual identity Behavior occurring in preadolescents of immature psychosexuality which is similar to that shown in the sexual deviations described under transvestism (302.3) and trans-sexualism (302.5). Cross-dressing is intermittent, although it may be frequent, and identification with the behavior and appearance of the opposite sex is not yet fixed. The commonest form is feminism in boys. Gender-role disorder Excludes: homosexuality (302.0) trans-sexualism (302.5) transvestism (302.3) 302.7 Frigidity and impotence Frigidity--dislike of or aversion to sexual intercourse, of psychological origin, of sufficient intensity to lead, if not to active avoidance, to marked anxiety, discomfort or pain when normal sexual intercourse takes place. Less severe degrees of this disorder that also give rise to consultation should also be coded here. Impotence--sustained inability, due to psychological causes, to maintain an erection which will allow normal heterosexual penetration and ejaculation to take place. Dyspareunia, psychogenic Excludes: impotence of organic origin normal transient symptoms from ruptured hymen transient or occasional failures of erection due to fatigue, anxiety, alcohol or drugs 302.8 Other Fetishism Sadism Masochism 302.9 Unspecified 303 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 experience its psychic effects, and sometimes to avoid the discomfort of its absence; tolerance may or may not be present. A person may be dependent on alcohol and other drugs; if so also make the appropriate 304 coding. If dependence is associated with alcoholic psychosis or with physical complications, both should be coded. Acute drunkenness in Chronic alcoholism alcoholism Dipsomania Excludes: alcoholic psychoses (291.-) drunkenness NOS (305.0) physical complications of alcohol, such as: cirrhosis of liver (571.2) epilepsy (345.-) gastritis (535.3) 304 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 psychic effects, and sometimes to avoid the discomfort of its absence. Tolerance may or may not be present. A person may be dependent on more than one drug. Excludes: nondependent abuse of drugs (305.-) 304.0 Morphine type Heroin Opium alkaloids and their derivatives Methadone Synthetics with morphine-like effect Opium 304.1 Barbiturate type Barbiturates Nonbarbiturate sedatives and tranquilizers with a similar effect: chlordiazepoxide diazepam glutethimide meprobamate 304.2 Cocaine Coca leaves and derivatives 304.3 Cannabis Hashish Marijuana Hemp 304.4 Amphetamine type and other psychostimulants Methylphenidate Phenmetrazine 304.5 Hallucinogens LSD and derivatives Psilocybin Mescaline 304.6 Other Absinthe addiction Glue sniffing Excludes: tobacco dependence (305.1) 304.7 Combinations of morphine type drug with any other 304.8 Combinations of drug dependence excluding morphine type drug 304.9 Unspecified Drug addiction NOS Drug dependence NOS 305 Nondependent abuse of drugs 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 (as defined in 304.-) and that he has taken on his own initiative to the detriment of his health or social functioning. When drug abuse is secondary to a psychiatric disorder, code the disorder. Excludes: alcohol dependence syndrome (303) drug dependence (304.-) drug withdrawal syndrome (292.0) poisoning by drugs or medicinal substances (960-979) 305.0 Alcohol Cases of acute intoxication or "hangover" effects. Drunkenness NOS Excessive drinking of alcohol NOS "Hangover" (alcohol) Inebriety NOS Excludes: alcoholic psychoses (291.-) physical complications of alcohol, such as: cirrhosis of liver (571.2) epilepsy (345.-) gastritis (535.3) 305.1 Tobacco Cases in which tobacco is used to the detriment of a person's health or social functioning or in which there is tobacco dependence. Dependence is included here rather than under 304.- because tobacco differs from other drugs of dependence in its psychotoxic effects. Tobacco dependence 305.2 Cannabis 305.3 Hallucinogens Cases of acute intoxication or "bad trips". LSD reaction 305.4 Barbiturates and tranquillizers Cases where a person 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. 305.5 Morphine type 305.6 Cocaine type 305.7 Amphetamine type 305.8 Antidepressants 305.9 Other, mixed, or unspecified "Laxative habit" Nonprescribed use of drugs or Misuse of drugs NOS patent medicinals 306 Physiological malfunction arising from mental factors A variety of physical symptoms or types of physiological malfunction of mental origin, not involving tissue damage and usually mediated through the autonomic nervous system. The disorders are grouped according to body system. Codes 306.0-306.9 should not be used if the physical symptom is secondary to a psychiatric disorder classifiable elsewhere. If tissue damage is involved, code under 316. Excludes: hysteria (300.1) psychic factors associated with physical conditions involving tissue damage classified elsewhere (316) specific nonpsychotic mental disorders following organic brain damage (310.-) 306.0 Musculoskeletal Psychogenic torticollis Excludes: Gilles de la Tourette's syndrome (307.2) tics (307.2) 306.1 Respiratory Air hunger Psychogenic cough Hiccough (psychogenic) Yawning Hyperventilation Excludes: psychogenic asthma (316 and 493.9) 306.2 Cardiovascular Cardiac neurosis Neurocirculatory asthenia Cardiovascular neurosis Psychogenic cardiovascular disorder Excludes: psychogenic paroxysmal tachycardia (316 and 427.9 306.3 Skin Psychogenic pruritus Excludes: psychogenic: alopecia (316 and 704.0) dermatitis (316 and 692.-) eczema (316 and 691.9 or 692.-) urticaria (316 and 708.-) 306.4 Gastrointestinal Aerophagy Cyclical vomiting, psychogenic Excludes: 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.-) gastric ulcer (316 and 531.-) peptic ulcer (316 and 533.-) 306.5 Genitourinary Psychogenic dysmenorrhoea Excludes: dyspareunia (302.7) enuresis (307.6) frigidity (302.7) impotence (302.7) 306.6 Endocrine 306.7 Organs of special sense Excludes: hysterical blindness or deafness (300.1) 306.8 Other Teeth grinding 306.9 Unspecified Psychophysiologic disorder NOS Psychosomatic disorder NOS 307 Special symptoms or syndromes, not elsewhere classified Conditions in which an outstanding symptom or group of symptoms is not manifestly part of a more fundamental classifiable condition. Excludes: when due to mental disorders classified elsewhere when of organic origin 307.0 Stammering and stuttering Disorders in the rhythm of speech, in which the individual knows precisely what he wishes to say, but at the time is unable to say it because of an involuntary, repetitive prolongation or cessation of a sound. Excludes: dysphasia (784.5) lisping or lalling (307.9) retarded development of speech (315.3) 307.1 Anorexia nervosa A disorder in which the main features are persistent 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 occurs in males. Amenorrhoea is usual and there may be a variety of other physiological changes including slow pulse and respiration, low body temperature and dependent oedema. Unusual eating habits and attitudes toward food are typical and sometimes starvation follows or alternates with periods of overeating. The accompanying psychiatric symptoms are diverse. Excludes: eating disturbance NOS (307.5) loss of appetite (783.0) of nonorganic origin (307.5) 307.2 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. Gilles de la Tourette's syndrome refers to a rare disorder occurring in individuals of any level of intelligence 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 an obscene content] are ejaculated spasmodically and involuntarily. There is some overlap with other varieties of tic. Excludes: nail-biting or thumb-sucking (307.9) stereotypies occurring in isolation (307.3) tics of organic origin (333.3) 307.3 Stereotyped repetitive movements Disorders in which voluntary repetitive stereotyped movements, which are not due to any psychiatric or neurological condition, constitute the main feature. Includes head-banging, spasmus nutans, rocking, twirling, finger-flicking mannerisms and eye poking. Such movements are particularly common in cases of mental retardation with sensory impairment or with environmental monotony. Stereotypies NOS Excludes: tics: NOS (307.2) of organic origin (333.3) 307.4 Specific disorders of sleep This category should only be used when a more precise medical or psychiatric diagnosis cannot be made. Of nonorganic origin: Of nonorganic origin: Hypersomnia Nightmares Insomnia Night terrors Inversion of sleep rhythm Sleepwalking Excludes: narcolepsy (347) when of unspecified cause (780.5) 307.5 Other and unspecified disorders of eating This category should only be used when a more precise medical or psychiatric diagnosis cannot be made. Of nonorganic origin: Of nonorganic origin: Infantile feeding Overeating disturbances Pica Loss of appetite Psychogenic vomiting Excludes: anorexia: nervosa (307.1) of unspecified cause (783.0) overeating of unspecified cause (783.6) vomiting: NOS (787.0) cyclical (536.2) psychogenic (306.4) 307.6 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. Enuresis (primary) (secondary) of nonorganic origin Excludes: enuresis of unspecified cause (788.3) 307.7 Encopresis A disorder in which the main manifestation is the persistent voluntary or involuntary passage of formed motions of normal 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 control, 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 faeces. The condition would not usually be diagnosed under the age of four years. Encopresis (continuous) (discontinuous) of nonorganic origin Excludes: encopresis of unspecified cause (787.6) 307.8 Psychalgia Cases in which there are pains of mental origin, e.g., headache or backache, when a more precise medical or psychiatric diagnosis cannot be made. Psychogenic backache Tension headache Excludes: migraine (346.-) pains not specifically attributable to a psychological cause (in): back (784.5) headache (784.0) joint (719.4) limb (729.5) lumbago (724.2) rheumatic (729.0) 307.9 Other and unspecified The use of this category should be discouraged. Most of the items listed in the inclusion terms are not indicative of psychiatric disorder and are included only because such terms may sometimes still appear as diagnoses. Hair plucking Masturbation Lalling Nail-biting Lisping Thumb-sucking 308 Acute reaction to stress Very transient disorders of any severity and nature which occur in individuals without any apparent mental disorder in response to exceptional physical or mental stress, such as natural catastrophe or battle, and which usually sub- side within hours or days. Catastrophic stress Exhaustion delirium Combat fatigue Excludes: adjustment reaction (309.-) 308.0 Predominant disturbance of emotions Panic states, excitability, fear, depressions and anxiety fulfilling the above criteria. 308.1 Predominant disturbance of consciousness Fugues fulfilling the above criteria. 308.2 Predominant psychomotor disturbance Agitation states, stupor fulfilling the above criteria. 308.3 Other Acute situational disturbance 308.4 Mixed Many gross stress reactions include several elements but whenever possible a specific coding under .0, .1, .2, or .3 should be made according to the preponderant type of disturbance. The category of mixed disorders should only be used when there is such an admixture that this cannot be done. 308.9 Unspecified 309 Adjustment reaction Mild or transient disorders lasting longer than acute stress reactions (308.-) 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 bereave- ment, migration or separation experiences. Reactions to major stress that last longer than a few days are also included here. In children such disorders are associated with no significant distortion of development. Excludes: acute reaction to major stress (308.-) neurotic disorders (300.-) 309.0 Brief depressive reaction States of depression, not specifiable as manic-depressive, psychotic or neurotic, generally transient, in which the depressive symptoms are usually closely related in time and content to some stressful event. Grief reaction Excludes: affective psychoses (296.-) neurotic depression (300.4) prolonged depressive reaction (309.1) psychogenic depressive psychosis (298.0) 309.1 Prolonged depressive reaction States of depression, not specifiable as manic-depressive, psychotic or neurotic, generally long-lasting; usually developing in association with prolonged exposure to a stressful situation. Excludes: affective psychoses (296.-) brief depressive reaction (309.0) neurotic depression (300.4) psychogenic depressive psychosis (298.0) 309.2 With predominant disturbance of other emotions States, fulfilling the general criteria for adjustment reaction, in which the main symptoms are emotional in type [anxiety, fear, worry, etc.] but not specifically depressive. Abnormal separation anxiety Culture shock 309.3 With predominant disturbance of conduct Mild or transient disorders, fulfilling the general criteria for adjustment reaction, in which the main disturbance predominantly involves a disturbance of conduct. For example, an adolescent grief reaction resulting in aggressive or antisocial disorder would be included here. Excludes: disturbance of conduct NOS (312.-) personality disorder with predominantly sociopathic or asocial manifestations (301.7) 309.4 With mixed disturbance of emotions and conduct Disorders fulfilling the general definition in which both emotional disturbance and disturbance of conduct are prominent features. 309.8 Other Adjustment reaction with elective mutism Hospitalism in children NOS 309.9 Unspecified Adaptation reaction NOS Adjustment reaction NOS 310 Specific nonpsychotic mental disorders following organic brain damage Note: This category should be used only for conditions where the form of the disorder is determined by the brain pathology. Excludes: neuroses, personality disorders, or other nonpsychotic conditions occurring in a form similar to that seen with functional disorders but in association with a physical condition; code to 300.-, 300.-, etc., and use additional code to identify the physical condition 310.0 Frontal lobe syndrome Changes in behavior following damage to the frontal areas of the brain or following interference with the connections 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 humour, and the development of unrealistic ambitions; the direction of change usually depends upon the previous personality. A considerable degree of recovery is possible and continue over the course of several years. Lobotomy syndrome Postleucotomy syndrome [state] Excludes: postcontusional syndrome (310.2) 310.1 Cognitive or personality change of other type Chronic, mild states of memory disturbance and intellectual deterioration, 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 dementia of any type (290.-,and 294.-) or any condition in 293.-(Transient organic psychotic conditions). Mild memory disturbance Organic psychosyndrome of nonpsychotic severity 310.2 Postconcussional syndrome States occurring after generalized contusion of the brain, in which the symptom picture may resemble that of the frontal lobe syndrome (310.0) or that of any of the neurotic disorders (300.0-300.9), 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, undue 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. Postcontusional syndrome (encephalopathy) Post-traumatic brain syndrome, nonpsychotic Status postcommotio cerebri Excludes: frontal lobe syndrome (310.0) postencephalitic syndrome (310.8) any organic psychotic conditions following head injury (290.- to 294.0) 310.8 Other Include here disorders resembling the postcontusional syndrome(310.2), associated with infective or other diseases of the brain or surrounding tissues. Other focal (partial) organic psychosyndromes 310.9 Unspecified 311 Depressive disorder, not elsewhere classified States of depression, usually of moderate but occasionally 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. Depressive disorder NOS Depressive state NOS Depression NOS Excludes: acute reaction to major stress with depressive symptoms (308.0) affective personality disorder (301.1) affective psychoses (296.-) brief depressive reaction (309.0) 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 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. Excludes: adjustment reaction with disturbance of conduct (309.3) drug dependence (304.-) personality disorder with predominantly sociopathic or asocial manifestations (301.7) sexual deviations (302.-) 312.0 Unsocialized disturbance of conduct Disorders characterized by behaviors such as defiance, disobedience, quarrelsomeness, aggression, destructive behavior, tantrums, solitary stealing, lying, teasing, bullying and disturbed relationships with others. The defiance may sometimes take the form of sexual misconduct. Unsocialized aggressive disorder 312.1 Socialized disturbance of 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 promiscuity. Group delinquency 312.2 Compulsive conduct disorder Disorder of conduct or delinquent act which is specifically compulsive in origin. Kleptomania 312.3 Mixed disturbance of conduct and emotions Disorders involving behaviors listed for 312.0 and 312.1 but in which there is also considerable emotional disturbance as shown for example by anxiety, misery or obsessive manifestations. Neurotic delinquency Excludes: compulsive conduct disorder (312.2) 312.8 Other 312.9 Unspecified 313 Disturbance of emotions specific to childhood and adolescence Less well differentiated emotional disorders characteristic of the childhood period. Where the emotional disorder takes the form of a neurotic disorder described under 300.-, the appropriate 300.- coding should be made. This category differs from category 308.- in terms of longer duration and by the lack of close relationship in time and content to some stress. Excludes: adjustment reaction (309.-) masturbation, nail-biting, thumb-sucking, and other isolated symptoms (307.-) 313.0 With anxiety and fearfulness Ill-defined emotional disorders characteristic of childhood in which the main symptoms involve anxiety and fearfulness. Many cases of school refusal or elective mutism might be included here. Overanxious reaction of childhood and adolescence Excludes: abnormal separation anxiety (309.2) anxiety states (300.0) hospitalism in children (309.8) phobic state (300.2) 313.1 With misery and unhappiness Emotional disorders characteristic of childhood in which the main symptoms involve misery and unhappiness. There may also be eating and sleep disturbances. Excludes: depressive neurosis (300.4) 313.2 With sensitivity, shyness, and social withdrawal Emotional disorders characteristic of childhood in which the main symptoms involve sensitivity, shyness, or social withdrawal. Some cases of elective mutism might be included here. Withdrawing reaction of childhood or adolescence Excludes: infantile autism (299.0) schizoid personality (301.2) schizophrenia (295.-) 313.3 Relationship problems Emotional disorders characteristic of childhood in which the main symptoms involve relationship problems. Sibling jealousy Excludes: relationship problems associated with aggression, destruction, or other forms of conduct disturbance (312.-) 313.8 Other or mixed Many emotional disorders of childhood include several elements but whenever possible a specific coding under .0, .1, .2 or .3 should be made according to the preponderant type of disturbance. The category of mixed disorders should only be used when there is such an admixture that this cannot be done. 313.9 Unspecified 314 Hyperkinetic syndrome of childhood Disorders in which the essential features are short attention-span and distractibility. In early childhood the most striking symptom is disinhibited, poorly organized and poorly regulated extreme overactivity but in adolescence this may be replaced by underactivity. Impulsiveness, marked mood fluctua- tions and aggression are also common symptoms. Delays in the development of specific skills are often present and disturbed, poor relationships are common. If the hyperkinesis is symptomatic of an underlying disorder, code the underlying disorder instead. 314.0 Simple disturbance of activity and attention Cases in which short attention span, distractibility, and overactivity are the main manifestations without significant disturbance of conduct or delay in specific skills. Overactivity NOS 314.1 Hyperkinesis with developmental delay Cases in which the hyperkinetic syndrome is associated with speech delay, clumsiness, reading difficulties or other delays in specific skills. Developmental disorder of hyperkinesis Use additional code to identify any associated neurological disorder 314.2 Hyperkinetic conduct disorder Cases in which the hyperkinetic syndrome is associated with marked conduct disturbance but not developmental delay. Hyperkinetic conduct disorder Excludes: hyperkinesis with significant delays in specific skills (314.1) 314.8 Other 314.9 Unspecified Hyperkinetic reaction of childhood or adolescence NOS Hyperkinetic syndrome NOS 315 Specific delays in development A group of disorders in which a specific delay in development is the main feature. In each case development is related to biological maturation but it is also influenced by nonbiological factors and the coding carries no aetiological implications. Excludes: when due to a neurological disorder (320-389) 315.0 Specific reading retardation Disorders in which the main feature is a serious impairment in the development of reading or spelling skills which is not explicable in terms of general intellectual retardation or of inadequate schooling. Speech or language difficulties, impaired right-left differentiation, perceptuo-motor problems, and coding difficulties are frequently associated. Similar problems are often present in other members of the family. Adverse psychosocial factors may be present. Developmental dyslexia Specific spelling difficulty 315.1 Specific arithmetical retardation Disorders in which the main feature is a serious impairment in the development of arithmetical skills which is not explicable in terms of general intellectual retardation or of inadequate schooling. Dyscalculia 315.2 Other specific learning difficulties Disorders in which the main feature is a serious impairment in the development of other learning skills which are not explicable in terms of general intellectual retardation or of inadequate schooling. Excludes: specific arithmetical retardation (315.1) specific reading retardation (315.0) 315.3 Developmental speech or language disorder Disorders in which the main feature is a serious impairment in the development of speech or language [syntax or semantics] which is not explicable 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 frequent. 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. Developmental aphasia Dyslalia Excludes: acquired aphasia (784.3) elective mutism (309.8, 313.0, 313.2) lisping and lalling (307.9) stammering and stuttering (307.0) 315.4 Specific motor retardation Disorders in which the main feature is a serious impairment in the development of motor coordination which is not explicable in terms of general intellectual retardation. The clumsiness is commonly associated with perceptual difficulties. Clumsiness syndrome Dyspraxia syndrome 315.5 Mixed development disorder A delay in the development of one specific skill [e.g., reading, arithmetic, speech or coordination] is frequently associated with lesser delays in other skills. When this occurs the coding should be made according 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. 315.8 Other 315.9 Unspecified Developmental disorder NOS 316 Psychic factors associated with diseases classified elsewhere Mental disturbances or psychic factors of any type thought to have played a major part in the aetiology of physical conditions, usually involving tissue damage, classified elsewhere. The mental disturbance is usually mild and nonspecific and psychic factors [worry, fear, conflict, etc.] may be present without any overt psychiatric disorder. Use an additional code to identify the physical condition. In the rare instance that an overt psychiatric disorder is thought to have caused a physical condition, use a second additional code to record the psychiatric diagnosis. Examples of the use of this category are: psychogenic: asthma (316 and 493.9) dermatitis (316 and 692.-) eczema (316 and 691.-, or 692.-) gastric ulcer (316 and 531.-) mucous colitis (316 and 564.1) ulcerative colitis (316 and 556) urticaria (316 and 708.-) psychosocial dwarfism (316 and 259.4) Excludes: physical symptoms and physiological malfunctions, not involving tissue damage, of mental origin (306.-) MENTAL RETARDATION (317-319) A condition of arrested or incomplete development of mind which is especially characterized by subnormality of intelligence. The coding should be made on the individual's current level of functioning without regard to its nature or causation such as psychosis, cultural deprivation, Down's syndrome etc. Where there is a specific cognitive handicap, such as in speech, the four-digit coding should be based on assessments of cognition outside the area of specific handicap. The assessment of intellectual level should be based on whatever information 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 additional code or codes should be used to identify any associated condition, psychiatric or physical. The Impairment and Handicap codes should also be consulted. 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 IQ 35-49 Moderate mental subnormality 318.1 Severe mental retardation IQ 20-34 Severe mental subnormality 318.2 Profound mental retardation Idiocy Profound mental subnormality IQ under 20 319 Unspecified mental retardation Mental deficiency NOS Mental subnormality NOS VI. DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS INFLAMMATORY DISEASES OF THE CENTRAL NERVOUS SYSTEM (320-326) 320 Bacterial meningitis Includes: arachnoiditis bacterial leptomeningitis bacterial meningitis bacterial meningoencephalitis bacterial meningomyelitis bacterial pachymeningitis bacterial 320.0 Hemophilus meningitis Meningitis due to Hemophilus influenzae [H. influenzae] 320.1 Pneumococcal meningitis 320.2 Streptococcal meningitis 320.3 Staphylococcal meningitis 320.8 Meningitis due to other specified bacteria Meningitis due to: escherichia coli [E. coli] Friedl„nder bacillus 320.9 Meningitis due to unspecified bacterium Meningitis: bacterial NOS purulent NOS pyogenic NOS suppurative NOS 322 Meningitis of unspecified cause Includes: arachnoiditis with no organism specified as cause leptomeningitis with no organism specified as cause meningitis with no organism specified as cause pachymeningitis with no organism specified as cause 322.0 Nonpyogenic meningitis Meningitis with clear cerebrospinal fluid 322.1 Eosinophilic meningitis 322.2 Chronic meningitis 322.9 Meningitis, unspecified 323 Encephalitis, myelitis, and encephalomyelitis Includes: acute disseminated encephalomyelitis meningoencephalitis, except bacterial meningomyelitis, except bacterial myelitis (acute): ascending transverse Excludes: bacterial: meningoencephalitis meningomyelitis 323.5 Encephalitis following immunization procedures Encephalitis postimmunization or postvaccinal Encephalomyelitis postimmunization or postvaccinal Use additional E code, if desired, to identify vaccine 323.8 Other 323.9 Unspecified cause 324 Intracranial and intraspinal abscess 324.0 Intracranial abscess Abscess (embolic) of brain Abscess (embolic): [any part]: cerebellar epidural cerebral extradural otogenic subdural 324.1 Intraspinal abscess Abscess (embolic) of spinal cord [any part]: epidural extradural subdural 324.9 Of unspecified site Extradural or subdural abscess NOS 325 Phlebitis and thrombophlebitis of intracranial venous sinuses Embolism } Endophlebitis } of cavernous, lateral, or other Phlebitis, septic or suppurative } intracranial or unspecified Thrombophlebitis } intracranial venous sinus Thrombosis } Excludes: when specified as: complicating pregnancy, childbirth, or the puerperium (671.5) of nonpyogenic origin (437.6) 326 Late effects of intracranial abscess or pyogenic infection Note: This category is to be used to indicate conditions whose primary classification is to 320-325 as the cause of late effects, themselves classifiable elsewhere. The "late effects" include conditions specified as such, or as sequelae, which may occur at any time after the resolution of the causal condition. HEREDITARY AND DEGENERATIVE DISEASES OF THE CENTRAL NERVOUS SYSTEM (330-337) Excludes: hepatolenticular degeneration (275.1) multiple sclerosis (340) other demyelinating diseases of central nervous system (341.-) 330 Cerebral degenerations usually manifest in childhood Use additional code, if desired, to identify associated mental retardation 330.0 Leukodystrophy Krabbe's disease Leukodystrophy: NOS globoid cell metachromatic sudanophilic 330.1 Cerebral lipidoses Amaurotic (family) idiocy Disease: Batten Jansky-Bielschowsky Kufs Spielmeyer-Vogt Tay-Sachs Gangliosidosis 330.8 Other cerebral degenerations in childhood Alpers' disease or gray-matter degeneration Leigh's disease or subacute necrotizing encephalopathy 330.9 Unspecified 331 Other cerebral degenerations Use additional code, if desired, to identify associated mental disorder 331.0 Alzheimer's disease 331.1 Pick's disease 331.2 Senile degeneration of brain Excludes: senility NOS (797) 331.3 Communicating hydrocephalus Excludes: congenital hydrocephalus (741.0, 742.3) 331.4 Obstructive hydrocephalus Acquired hydrocephalus NOS Excludes: congenital hydrocephalus (741.0, 742.3) 331.8 Other cerebral degeneration 331.9 Unspecified 332 Parkinson's disease 332.0 Paralysis agitans Parkinsonism or Parkinson's disease: NOS idiopathic primary 332.1 Secondary Parkinsonism Parkinsonism: due to drugs Use additional E code, if desired, to identify drug, if drug-induced 333 Other extrapyramidal disease and abnormal movement disorders Includes: other forms of extrapyramidal, basal ganglia, or striatopallidal disease Excludes: abnormal movements of head NOS (781.0) 333.0 Other degenerative diseases of the basal ganglia Atrophy or degeneration: Hallervorden-Spatz disease or pigmentary pallidal degeneration Olivopontocerebellar degeneration Parkinsonian syndrome associated with: idiopathic orthostatic hypotension symptomatic orthostatic hypotension Progressive supranuclear ophthalmoplegia Shy-Drager syndrome Striatonigral degeneration 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 Excludes: tremor NOS (781.0) 333.2 Myoclonus Familial essential myoclonus Unverricht-Lundborg disease Progressive myoclonic epilepsy Use additional E code, if desired, to identify drug, if drug-induced 333.3 Tics of organic origin Excludes: Gilles de la Tourette's syndrome (307.2) habit spasm (307.2) tic NOS (307.2) 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 Excludes: Sydenham's or rheumatic chorea (392.-) Use additional E code, if desired, to identify drug, if drug-induced 333.6 Idiopathic torsion dystonia Dystonia musculorum deformans or (Schwalbe-) Ziehen-Oppenheim disease 333.7 Symptomatic torsion dystonia Athetoid cerebral palsy or Vogt's disease Double athetosis Use additional E code, if desired, to identify drug, if drug-induced 333.8 Fragments of torsion dystonia Blepharospasm Orofacial dyskinesia Organic writer' cramp Spasmodic torticollis Use additional E code, if desired, to identify drug, if drug-induced 333.9 Other and unspecified Restless legs Stiff man syndrome 334 Spinocerebellar disease Excludes: olivopontocerebellar degeneration (333.0) peroneal muscular atrophy (356.1) 334.0 Friedreich's ataxia 334.1 Hereditary spastic paraplegia 334.2 Primary cerebellar degeneration Primary cerebellar degeneration: NOS hereditary sporadic 334.3 Other cerebellar ataxia Cerebellar ataxia NOS Use additional E code to identify drug, if drug-induced 334.8 Other Ataxia-telangiectasia or Louis-Bar syndrome 334.9 Unspecified 335 Anterior horn cell disease 335.0 Werdnig-Hoffmann disease Infantile spinal muscular atrophy 335.1 Spinal muscular atrophy Kugelberg-Welander disease Adult spinal muscular atrophy 335.2 Motor neuron disease Amyotrophic lateral sclerosis Progressive muscular atrophy (pure) Motor neuron disease (bulbar) (mixed type) 335.8 Other 335.9 Unspecified 336 Other diseases of spinal cord 336.0 Syringomyelia and syringobulbia 336.1 Vascular myelopathies Acute infarction of spinal cord (embolic) (nonembolic) Arterial thrombosis of spinal cord Edema of spinal cord Hematomyelia Subacute necrotic myelopathy 336.8 Other myelopathy Myelopathy: drug-induced radiation-induced Use additional E code, if desired, to identify cause 336.9 Unspecified diseases of spinal cord Cord compression NOS Myelopathy NOS Excludes: myelitis (323.-) 337 Disorders of the autonomic nervous system Includes: disorders of peripheral autonomic, sympathetic, parasympathetic, or vegetative system Excludes: familial dysautonomia [Riley-Day syndrome] (742.8) 337.0 Idiopathic peripheral autonomic neuropathy 337.9 Unspecified OTHER DISORDERS OF THE CENTRAL NERVOUS SYSTEM (340-349) 340 Multiple sclerosis Disseminated or multiple sclerosis: NOS brain stem cord generalized 341 Other demyelinating diseases of central nervous system 341.0 Neuromyelitis optica 341.1 Schilder's disease Balo's concentric sclerosis Encephalitis periaxialis: concentrica diffusa 341.8 Other 341.9 Unspecified 342 Hemiplegia Note: For primary coding, this category is to be used only when hemiplegia (complete) (incomplete), except of types listed in 343.1 and 343.4, 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. 342.0 Flaccid hemiplegia 342.1 Spastic hemiplegia 342.9 Unspecified 343 Infantile cerebral palsy Includes: cerebral: palsy NOS spastic infantile paralysis congenital spastic paralysis (cerebral) Little's disease paralysis (spastic) due to birth injury: intracranial spinal Excludes: hereditary cerebral paralysis, such as: hereditary spastic paraplegia (334.1) Vogt's disease (333.7) 343.0 Diplegic Congenital diplegia Congenital paraplegia 343.1 Hemiplegic Congenital hemiplegia Excludes: infantile hemiplegia NOS (343.4) 343.2 Quadriplegic Tetraplegic 343.3 Monoplegic 343.4 Infantile hemiplegia Infantile hemiplegia (postnatal) NOS 343.8 Other 343.9 Unspecified 344 Other paralytic syndromes Note: For primary coding, this category is to be used only when the listed conditions are reported without further specification, or are stated to be old or longstanding but of unspecified cause. The category is also for use in multiple coding to identify these conditions resulting from any cause. Includes: paralysis (complete) (incomplete), except as in 342.- and 343.- 344.0 Quadriplegia 344.1 Paraplegia Paralysis of both lower limbs Paraplegia (lower) 344.2 Diplegia of upper limbs Diplegia (upper) Paralysis of both upper limbs 344.3 Monoplegia of lower limb Paralysis of lower limb 344.4 Monoplegia of upper limb Paralysis of upper limb 344.5 Unspecified monoplegia 344.6 Cauda equina syndrome Cord bladder Neurogenic bladder 344.8 Other 344.9 Unspecified 345 Epilepsy Excludes: progressive myoclonic epilepsy (333.2) 345.0 Generalized nonconvulsive epilepsy Absences: Seizures: atonic akinetic typical atonic Petit mal 345.1 Generalized convulsive epilepsy Epileptic seizures: Grand mal clonic Major epilepsy myoclonic tonic tonic-clonic Excludes: infantile spasms (345.6) 345.2 Petit mal status Epileptic absence status 345.3 Grand mal status Status epilepticus NOS Excludes: epilepsia partialis continua (345.7) 345.4 Partial epilepsy, with impairment of consciousness Epilepsy: Epileptic automatism partial: secondarily generalized with memory and ideational disturbances psychomotor psychosensory 345.5 Partial epilepsy, without mention of impairment of consciousness Epilepsy: Epilepsy: Bravais-Jacksonian NOS somatomotor focal (motor) NOS somatosensory Jacksonian NOS visceral motor partial visual partial NOS 345.6 Infantile spasms Hypsarrhythmia Salaam attacks Lightning spasms Excludes: salaam tic (781.0) 345.7 Epilepsia partialis continua Kojevnikov's epilepsy 345.8 Other 345.9 Unspecified Epileptic convulsions, fits, or seizures NOS 346 Migraine 346.0 Classical migraine Migraine preceded or accompanied by transient focal neurological phenomena Migraine with aura 346.1 Common migraine 346.2 Variants of migraine Cluster headache Neuralgia: Migraine: ciliary basilar migrainous lower half retinal 346.8 Other Migraine: hemiplegic ophthalmoplegic 346.9 Unspecified 347 Cataplexy and narcolepsy 348 Other conditions of brain 348.0 Cerebral cysts Arachnoid cyst Porencephalic cyst 348.1 Anoxic brain damage Excludes: when attributable to medical care for abortion, ectopic or molar pregnancy, labor or delivery (634-638) with fourth digit .7, 639.8, 668.2, 669.4) when of newborn (767.0, 768.-, 772.1-772.2) Use additional E code, if desired, to identify cause [e.g., anaesthesia] 348.2 Benign intracranial hypertension 348.3 Encephalopathy, unspecified 348.4 Compression of brain Compression brain (stem) Herniation brain (stem) 348.5 Cerebral edema 348.8 Other Cerebral: calcification fungus 348.9 Unspecified 349 Other and unspecified disorders of the nervous system 349.0 Reaction to spinal or lumbar puncture Headache following lumbar puncture 349.1 Nervous system complications from surgically implanted device Excludes: immediate postoperative complications (997.0) mechanical complications classifiable to 996.2 (996.2) 349.2 Disorders of meninges, not elsewhere classified Adhesions, meningeal (cerebral) (spinal) 349.8 Other 349.9 Unspecified DISORDERS OF THE PERIPHERAL NERVOUS SYSTEM (350-359) Excludes: diseases of: acoustic [8th] nerve (388.5) oculomotor [3rd, 4th, 6th] nerves (378.-) optic [2nd] nerve (377.-) neuralgia NOS or "rheumatic" (729.2) neuritis NOS or "rheumatic" (729.2) radiculitis NOS or "rheumatic" (729.2) peripheral neuritis in pregnancy (646.4) 350 Trigeminal nerve disorders Includes: disorders of 5th cranial nerve 350.1 Other trigeminal neuralgia 350.2 Atypical face pain 350.8 Other 350.9 Unspecified 351 Facial nerve disorders Includes: disorders of 7th cranial nerve 351.0 Bell's palsy Facial palsy 351.1 Geniculate ganglionitis Geniculate ganglionitis: NOS 351.8 Other 351.9 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 352.4 Disorders of accessory [11th] nerve 352.5 Disorders of hypoglossal [12th] nerve 352.6 Multiple cranial nerve palsies Polyneuritis cranialis 352.9 Unspecified 353 Nerve root and plexus disorders Excludes: conditions due to: intervertebral disc disorders (722.-) spondylosis (720.-, 721.-) vertebrogenic disorders (723.-, 724.-) 353.0 Brachial plexus lesions Excludes: brachial neuritis or radiculitis NOS (723.4) 353.1 Lumbosacral plexus lesions 353.2 Cervical root lesions, not elsewhere classified 353.3 Thoracic root lesions, not elsewhere classified 353.4 Lumbosacral root lesions, not elsewhere classified 353.5 Neuralgic amyotrophy Parsonage-Aldren-Turner syndrome 353.6 Phantom limb 353.8 Other 353.9 Unspecified 354 Mononeuritis of upper limb and mononeuritis multiplex 354.0 Carpal tunnel syndrome 354.1 Other lesion of median nerve 354.2 Lesion of ulnar nerve Tardy ulnar nerve palsy 354.3 Lesion of radial nerve 354.4 Causalgia 354.5 Mononeuritis multiplex Combinations of single conditions classifiable to 354.- or to 355.- 354.8 Other 354.9 Unspecified 355 Mononeuritis of lower limb 355.0 Lesion of sciatic nerve Excludes: sciatica NOS (724.3) 355.1 Meralgia paresthetica Lateral cutaneous nerve of thigh syndrome 355.2 Lesion of femoral nerve 355.3 Lesion of lateral popliteal nerve 355.4 Lesion of medial popliteal nerve 355.5 Tarsal tunnel syndrome 355.6 Lesion of plantar nerve Morton's metatarsalgia 355.7 Other 355.8 Unspecified Mononeuritis of lower limb 355.9 Mononeuritis of unspecified site 356 Hereditary and idiopathic peripheral neuropathy 356.0 Hereditary peripheral neuropathy Dejerine-Sottas disease 356.1 Peroneal muscular atrophy Charcot-Marie-Tooth disease 356.2 Hereditary sensory neuropathy 356.3 Refsum's disease 356.4 Idiopathic progressive polyneuropathy 356.8 Other specified idiopathic peripheral neuropathy 356.9 Unspecified 357 Inflammatory and toxic neuropathy 357.0 Acute infective polyneuritis Guillain-Barre syndrome 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 358 Myoneural disorders 358.0 Myasthenia gravis 358.2 Toxic myoneural disorders Use additional E code, if desired, to identify toxic agent 358.8 Other 358.9 Unspecified 359 Muscular dystrophies and other myopathies Excludes: idiopathic polymyositis (710.4) 359.0 Congenital hereditary muscular dystrophy Benign congenital myopathy Myotubular myopathy Central core disease Nemaline body disease Excludes: arthrogryposis multiplex congenita (755.8) 359.1 Hereditary progressive muscular dystrophy Muscular dystrophy: Muscular dystrophy: NOS Landouzy-Dejerine distal limb-girdle Duchenne ocular Erb's oculopharyngeal fascioscapulohumeral 359.2 Myotonic disorders Dystrophia myotonica Paramyotonia congenita Myotonia congenita Steinert'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 359.8 Other 359.9 Unspecified DISORDERS OF THE EYE AND ADNEXA (360-379) 360 Disorders of the globe Includes: disorders affecting multiple structures of eye 360.0 Purulent endophthalmitis Panophthalmitis Vitreous abscess 360.1 Other endophthalmitis Ophthalmia nodosa Sympathetic uveitis Parasitic endophthalmitis NOS 360.2 Degenerative disorders of globe Chalcosis Siderosis of eye Malignant myopia 360.3 Hypotony of eye 360.4 Degenerated conditions of globe Absolute glaucoma Haemophthalmos Atrophy of globe Phthisis bulbi 360.5 Retained (old) intraocular foreign body, magnetic Retained (old) magnetic foreign body (in): anterior chamber ciliary body iris lens vitreous posterior wall 360.6 Retained (old) intraocular foreign body, nonmagnetic Retained (old) foreign body in sites listed in 360.5: NOS nonmagnetic 360.8 Other disorders of globe Luxation of globe 360.9 Unspecified 361 Retinal detachments and defects 361.0 Retinal detachment with retinal defect Giant tear of retina (with detachment) Rhegmatogenous retinal detachment 361.1 Retinoschisis and retinal cysts Cyst of ora serrata Pseudocyst of retina Excludes: microcystoid degeneration of retina (362.6) parasitic cyst of retina (360.1) 361.2 Serous retinal detachment Retinal detachment without retinal defect 361.3 Retinal defects without detachment Horseshoe tear } Round hole } of retina, without mention of detachment Operculum } 361.8 Other forms of retinal detachment Traction detachment of retina 361.9 Unspecified 362 Other retinal disorders Excludes: chorioretinal scars (363.3) chorioretinitis (363.-) 362.1 Other background retinopathy and retinal vascular changes Changes in retinal vascular Retinopathy: appearance NOS Retinal: atherosclerotic(440.8) micro-aneurysms NOS background NOS neovascularization NOS Coat's perivasculitis exudative varices vascular sheathing vasculitis 362.2 Other proliferative retinopathy Retrolental fibroplasia 362.3 Retinal vascular occlusion Microembolism, retinal Occlusion (partial) (total) (transient): retinal artery (branch) (central) retinal vein (central) (tributary) Venous engorgement, retina 362.4 Separation of retinal layers Central serous chorioretinopathy Detachment of retinal pigment epithelium Excludes: serous retinal detachment (361.2) 362.5 Degeneration of macula and posterior pole Cyst } Kuhnt-Junius degeneration Hole } of macula Senile macular generation Puckering } (atrophic)(exudative) Drusen (degenerative) Toxic maculopathy Use additional E code, if desired, to identify drug, if drug-induced 362.6 Peripheral retinal degenerations Degeneration, retina: Degeneration, retina: lattice paving stone microcystoid peripheral palisade reticular 362.7 Hereditary retinal dystrophies Dystrophy: Retinitis pigmentosa retinal (albipunctate) Stargardt's disease (pigmentary) (vitelliform) tapetoretinal vitreoretinal 362.8 Other retinal disorders Hemorrhage: Retinal: preretinal cotton wool spots retinal (deep) edema (localized) (macular) (peripheral) (superficial) exudes subretinal ischemia Excludes: chorioretinal inflammations and scars (363.-) 362.9 Unspecified 363 Chorioretinal inflammations, scars, and other disorders of choroid 363.0 Focal chorioretinitis and focal retinochoroiditis Focal: chorioretinitis or choroiditis retinochoroiditis or retinitis: NOS 363.1 Disseminated chorioretinitis and disseminated retinochoroiditis Disseminated: choroiditis or chorioretinitis NOS retinitis or retinochoroiditis NOS Excludes: retinal: perivasculitis (362.1) vasculitis (362.1) 363.2 Other and unspecified forms of chorioretinitis and retinochoroiditis Pars planitis Posterior cyclitis Excludes: panophthalmitis (360.02) sympathetic uveitis (360.11) 363.3 Chorioretinal scars Scar (postinflammatory) (postsurgical) (posttraumatic): choroid macula posterior pole retina Solar retinopathy 363.4 Choroidal degenerations Angioid streaks of choroid Atrophy of choroid Sclerosis of choroid 363.5 Hereditary choroidal dystrophies Choroideremia Dystrophy, choroidal (central areolar) (generalized) (gyrate) (peripapillary) Gyrate atrophy, choroid 363.6 Choroidal hemorrhage and rupture Choroidal hemorrhage: NOS expulsive 363.7 Choroidal detachment 363.8 Other disorders of choroid 363.9 Unspecified 364 Disorders of iris and ciliary body 364.0 Acute and subacute iridocyclitis Anterior uveitis } acute Cyclitis } recurrent Iridocyclitis } subacute Iritis } with hypopyon 364.1 Chronic iridocyclitis Iridocyclitis: chronic 364.2 Certain types of iridocyclitis Fuchs's heterochromic cyclitis Lens-induced iridocyclitis Glaucomatocyclitic crises 364.3 Unspecified iridocyclitis 364.4 Vascular disorders of iris and ciliary body Hemorrhage of iris or ciliary body Neovascularization of iris or ciliary body Hyphaema Rubeosis of iris 364.5 Degenerations of iris and ciliary body Degeneration: Miotic pupillary cyst iris (pigmentary) Translucency of iris pupillary margin Iris atrophy (essential) (progressive) Iridoschisis 364.6 Cysts of iris, ciliary body, and anterior chamber Cyst of iris, ciliary body or anterior chamber: NOS exudative implantation Excludes: miotic pupillary cyst (364.5) parasitic cyst (360.1) 364.7 Adhesions and disruptions of iris and ciliary body Ectopic pupil Recession, chamber angle Goniosynechiae Synechiae (iris): Iridodialysis NOS Pupillary: anterior membranes posterior occlusion seclusion 364.8 Other disorders of iris and ciliary body 364.9 Unspecified 365 Glaucoma Excludes: glaucoma: absolute (360.4) congenital (743.2) 365.0 Borderline glaucoma Anatomical narrow angle Open-angle with: Ocular hypertension borderline intraocular pressure Steroid responder cupping of discs 365.1 Open-angle glaucoma Glaucoma (primary) (residual stage): chronic simple low tension open angle pigmentary 365.2 Primary angle-closure glaucoma Angle-closure glaucoma (primary) (residual stage): acute chronic intermittent 365.3 Corticosteroid-induced glaucoma Corticosteroid-induced glaucoma (glaucomatous stage) (residual stage) Use additional E code, if desired, to identify drug 365.4 Glaucoma associated with congenital anomalies, with dystrophies, and with systemic syndromes 365.5 Glaucoma associated with disorders of the lens Glaucoma (in): Glaucoma (in): hypermature cataract pseudoexfoliation of capsule postdislocation of lens phacolytic glaucoma 365.6 Glaucoma associated with other ocular disorders Glaucoma in: Glaucoma (in): concussion of globe rubeosis of iris iridocyclitis tumours of globe retinal vein occlusion 365.8 Other glaucoma Hypersecretion glaucoma 365.9 Unspecified 366 Cataract Excludes: congenital cataract (743.3) 366.0 Infantile, juvenile, and presenile cataract 366.1 Senile cataract Senile cataract (hypermature) (incipient) (mature) Pseudoexfoliation of (lens) capsule 366.2 Traumatic cataract 366.3 Cataract secondary to ocular disorders Cataracta complicata Cataract in chronic iridocyclitis Glaucomatous flecks (subcapsular) 366.4 Cataract associated with other disorders Cataract: drug-induced Use additional E code, if desired, to identify cause if due to drug or other toxic substance 366.5 After-cataract Secondary cataract Soemering's ring 366.8 Other cataract 366.9 Unspecified 367 Disorders of refraction and accommodation 367.0 Hypermetropia 367.1 Myopia 367.2 Astigmatism 367.3 Anisometropia and aniseikonia 367.4 Presbyopia 367.5 Disorders of accommodation Internal ophthalmoplegia Paresis of accommodation (complete) (total) Spasm of accommodation 367.8 Other 367.9 Unspecified 368 Visual disturbances Excludes: electrophysiological disturbances (794.1) 368.0 Amblyopia ex anopsia Amblyopia: Amblyopia: deprivation suppression strabismic 368.1 Subjective visual disturbances Asthenopia Sudden visual loss Metamorphopsia Visual: Photophobia hallucinations Scintillating scotoma halos 368.2 Diplopia Double vision 368.3 Other disorders of binocular vision Abnormal retinal correspondence Fusion with defective stereopsis Simultaneous visual perception without fusion Suppression of binocular vision 368.4 Visual field defects Enlarged blind spot Scotoma: Generalized contraction of arcuate visual field Bjerrum Hemianop(s)ia (heteronymous) central (homonymous) ring Quadrant anop(s)ia 368.5 Color vision deficiencies Achromatopsia Protanopia Deuteranomaly Tritanomaly Deuteranopia Tritanopia Protanomaly 368.6 Night blindness Night blindness: NOS 368.8 Other visual disturbances 368.9 Unspecified 369 Blindness and low vision 369.0 Blindness, both eyes 369.1 Blindness, one eye, low vision other eye 369.2 Low vision, both eyes 369.3 Unqualified visual loss, both eyes 369.6 Blindness, one eye 369.7 Low vision, one eye 369.8 Unqualified visual loss, one eye 369.9 Unspecified visual loss Note: The table below gives a classification of severity of visual impairment recommended by a WHO Study Group on the Prevention of Blindness, Geneva, 6-10 November 1972.1 The term "low vision" in the above category comprises categories 1 and 2 of the table below, the term "blindness" categories 3, 4 and 5 and the term "unqualified visual loss" category 9. 370 Keratitis 370.0 Corneal ulcer Ulcer: cornea (central) (marginal) (perforated) (ring) hypopyon Mooren's _________________________________________________________________________ Category of | Visual acuity with best possible correction visual |________________________________________________________________ impairment | maximum less than | minimum equal to or better than ____________|______________________________|_________________________________ | | | 6/18 | 6/60 1 | 3/10 (0.3) | 1/10 (0.1) | 20/70 | 20/200 ____________|______________________________|_________________________________ | | | 6/60 | 3/60 2 | 1/10 (0.1) | 1/20 (0.05) | 20/200 | 20/400 ____________|______________________________|_________________________________ | | | 3/60 | 1/60 (finger counting at 3 | | 1 metre) | 1/20 (0.05) | 1/50 (0.02) | 20/400 | 5/300 (20/1200) ____________|______________________________|_________________________________ | | | 1/60 (finger counting at | 4 | 1 metre) | Light perception | 1/50 (0.02) | | 5/300 (20/1200) | ____________|______________________________|_________________________________ | 5 | No light perception ____________|________________________________________________________________ | 9 | Undetermined or unspecified ____________|________________________________________________________________ If the extent of the visual field is taken into account, patients with a field no greater than 10ø but greater than 5ø around central fixation should be placed in category 3 and patients with a field no greater than 5ø around central fixation should be placed in category 4, even if the central acuity is not impaired. 370.2 Other superficial keratitis without conjunctivitis Keratitis: Keratitis: areolar striate filamentary superficial punctate nummular Photokeratitis stellate Snow blindness 370.3 Certain types of keratoconjunctivitis Keratoconjunctivitis: exposure neurotrophic phlyctenular 370.4 Other and unspecified keratoconjunctivitis Keratitis or keratoconjunctivitis in other exanthemata NOS Superficial keratitis with conjunctivitis 370.5 Interstitial and deep keratitis Corneal abscess Keratitis: Interstitial keratitis: sclerosing NOS nonsyphilitic 370.6 Corneal neovascularization Ghost vessels (corneal) Pannus (corneal) 370.8 Other forms of keratitis 370.9 Unspecified 371 Corneal opacity and other disorders of cornea 371.0 Corneal scars and opacities Corneal: leucoma (adherent)) macula nebula 371.1 Corneal pigmentations and deposits Haematocornea Krukenberg spindle Kayser-Fleischer ring Staehli's line 371.2 Corneal edema Bullous keratopathy 371.3 Changes of corneal membranes Fold in Descemet's membrane Rupture in Descemet's membrane 371.4 Corneal degenerations Arcus senilis Recurrent corneal erosion Band-shaped keratopathy Excludes: Mooren's ulcer (370.0) 371.5 Hereditary corneal dystrophies Corneal dystrophy (epithelial) (granular) (lattice) (macular) Fuchs's endothelial dystrophy 371.6 Keratoconus 371.7 Other corneal deformities Corneal ectasia Descemetocele Corneal staphyloma 371.8 Other corneal disorders Anesthesia } of Hypoesthesia } cornea 371.9 Unspecified 372 Disorders of conjunctiva Excludes: keratoconjunctivitis (370.3, 370.4) 372.0 Acute conjunctivitis Conjunctivitis: mucopurulent serous Excludes: ophthalmia neonatorum NOS 372.1 Chronic conjunctivitis Vernal conjunctivitis 372.2 Blepharoconjunctivitis 372.3 Other and unspecified conjunctivitis 372.4 Pterygium Excludes: pseudopterygium (372.5) 372.5 Conjunctival degenerations and deposits Conjunctival: Conjunctival xerosis: argyrosis NOS concretions Pseudopterygium pigmentation 372.6 Conjunctival scars Symblepharon 372.7 Conjunctival vascular disorders and cysts Aneurysm of conjunctiva Hyposphagma Chemosis of conjunctiva Subconjunctival hemorrhage 372.8 Other disorders of conjunctiva 372.9 Unspecified 373 Inflammation of eyelids 373.0 Blepharitis Excludes: blepharoconjunctivitis (372.2) 373.1 Hordeolum and other deep inflammation of eyelid Abscess of eyelid Stye Furuncle of eyelid 373.2 Chalazion Meibomian (gland) cyst 373.3 Noninfectious dermatoses of eyelid Dermatitis: } allergic } contact } of eyelid eczematous } Discoid lupus erythematosus } Xeroderma } 373.8 Other 373.9 Unspecified 374 Other disorders of eyelids 374.0 Entropion and trichiasis of eyelid 374.1 Ectropion 374.2 Lagophthalmos 374.3 Ptosis of eyelid Blepharochalasis 374.4 Other disorders affecting eyelid function Ankyloblepharon Lid retraction Blepharophimosis Excludes: blepharospasm (333.8) tic (psychogenic) (307.2) organic (333.3) 374.5 Degenerative disorders of eyelid and periocular area Chloasma } Hypertrichosis } of eyelid Vitiligo } Madarosis 374.8 Other disorders of eyelid Retained foreign body in eyelid 374.9 Unspecified 375 Disorders of lacrimal system 375.0 Dacryoadenitis Chronic enlargement of lacrimal gland 375.1 Other disorders of lacrimal gland Dacryops Lacrimal: Dry eye syndrome atrophy cyst 375.2 Epiphora 375.3 Acute and unspecified inflammation of lacrimal passages Canaliculitis, lacrimal } NOS Dacryocystitis (phlegmonous) } acute Dacryopericystitis } subacute Excludes: neonatal dacryocystitis (771.6) 375.4 Chronic inflammation of lacrimal passages Canaliculitis, lacrimal } Dacryocystitis (phlegmonous) } chronic Mucocele, lacrimal } 375.5 Stenosis and insufficiency of lacrimal passages Dacryolith Eversion of lacrimal punctum Stenosis: lacrimal canaliculi punctum sac nasolacrimal duct 375.6 Other changes of lacrimal passages Lacrimal fistula 375.8 Other disorders of lacrimal system 375.9 Unspecified 376 Disorders of the orbit 376.0 Acute inflammation of orbit Cellulitis } Tenonitis Abscess } of orbit periostitis } Osteomyelitis } 376.1 Chronic inflammatory disorders of orbit Granuloma } Pseudotumor } of orbit Myositis } 376.3 Other exophthalmic conditions Displacement of globe Hemorrhage } of orbit (lateral) NOS Edema } Exophthalmos 376.4 Deformity of orbit Atrophy of orbit Exostosis of orbit 376.5 Enophthalmos 376.6 Retained (old) foreign body following penetrating wound of orbit Retrobulbar foreign body 376.8 Other disorders of orbit Cyst of orbit Myopathy of extraocular muscles 376.9 Unspecified 377 Disorders of optic nerve and visual pathways 377.0 Papilledema 377.1 Optic atrophy Optic atrophy: NOS Temporal pallor, optic disc 377.2 Other disorders of optic disc Drusen of optic disc Pseudopapilledema Coloboma of optic disc 377.3 Optic neuritis Optic neuropathy, except Retrobulbar neuritis: ischemic NOS Optic papillitis 377.4 Other disorders of optic nerve Compression of optic nerve Hemorrhage in optic nerve sheath Optic neuropathy, ischaemic 377.5 Disorders of optic chiasm 377.6 Disorders of other visual pathways Disorders of optic tracts, geniculate nuclei and optic radiations 377.7 Disorders of visual cortex 377.9 Unspecified 378 Strabismus and other disorders of binocular eye movements Excludes: nystagmus and other irregular eye movements (379.5) 378.0 Convergent concomitant strabismus Esotropia (alternating) (monocular), except intermittent 378.1 Divergent concomitant strabismus Exotropia (alternating) (monocular), except intermittent 378.2 Intermittent heterotropia Intermittent: esotropia } (alternating) exotropia } (monocular) 378.3 Other and unspecified heterotropia Hypertropia Microtropia Vertical heterotropia Monofixation syndrome Hypotropia Concomitant strabismus NOS Cyclotropia 378.4 Heterophoria Esophoria Alternating hyperphoria Exophoria 378.5 Paralytic strabismus Strabismus due to palsy: Total (external) ophthalmoplegia Third or oculomotor nerve Fourth or trochlear nerve Sixth or abducent nerve 378.6 Mechanical strabismus Brown's sheath syndrome Traumatic limitation of duction of Strabismus due to adhesions eye muscle 378.7 Other strabismus Duane's syndrome Progressive external ophthalmoplegia 378.8 Other disorders of binocular eye movements Conjugate gaze palsy or spasm Dissociated deviation of eye movements Convergence: Internuclear ophthalmoplegia excess insufficiency 378.9 Unspecified Ophthalmoplegia NOS Strabismus NOS 379 Other disorders of eye 379.0 Scleritis and episcleritis Episcleritis: Scleromalacia perforans NOS Sclerotenonitis 379.1 Other disorders of sclera Equatorial staphyloma Scleral ectasia 379.2 Disorders of vitreous body Asteroid hyalitis Vitreous: Synchysis scintillans detachment floaters hemorrhage opacities prolapse 379.3 Aphakia and other disorders of lens Dislocation of lens Subluxation of lens 379.4 Anomalies of pupillary function Adie pupil Miosis (persistent), not due to Anisocoria mydriatics Argyll Robertson phenomenon Pupillary reaction: or pupil (syphilitic) abnormal atypical(nonsyphilitic) tonic Hippus unequal 379.5 Nystagmus and other irregular eye movements Nystagmus: Nystagmus: NOS dissociated congenital latent deprivation 379.8 Other disorders of eye and adnexa 379.9 Unspecified DISEASES OF THE EAR AND MASTOID PROCESS (380-389) 380 Disorders of external ear 380.0 Perichondritis of pinna Perichondritis of auricle 380.1 Infective otitis externa Otitis externa: Swimmer's ear NOS diffuse hemorrhagica malignant 380.2 Other otitis externa Cholesteatoma of external ear (canal) Eczema or external ear (canal) Keratosis obturans 380.3 Noninfective disorders of pinna Acquired deformity: Hematoma: auricle auricle pinna pinna 380.4 Impacted cerumen Wax in ear 380.5 Acquired stenosis of external ear canal Collapse of external ear canal 380.8 Other disorders of external ear Exostosis of external ear canal 380.9 Unspecified 381 Nonsuppurative otitis media and Eustachian tube disorders 381.0 Acute nonsuppurative otitis media Acute tubotympanic catarrh Otitis media, acute: Otitis media, acute: secretory allergic seromucinous catarrhal serous exudative transudative mucoid with effusion 381.1 Chronic serous otitis media Chronic tubotympanal catarrh 381.2 Chronic mucoid otitis media Glue ear Otitis media, chronic mucinous Excludes: adhesive middle ear disease (385.1) 381.3 Other and unspecified chronic nonsuppurative otitis media Otitis media, chronic: Otitis media, chronic: allergic seromucinous exudative transudative secretory with effusion 381.4 Nonsuppurative otitis media, not specified as acute or chronic Otitis media: Otitis media: allergic seromucinous catarrhal serous exudative transudative mucoid with effusion secretory 381.5 Eustachian salpingitis 381.6 Obstruction of Eustachian tube Compression of Eustachian tube Stricture of Eustachian tube Stenosis of Eustachian tube 381.7 Patulous Eustachian tube 381.8 Other disorders of Eustachian tube 381.9 Unspecified Eustachian tube disorder 382 Suppurative and unspecified otitis media 382.0 Acute suppurative otitis media Otitis media, acute necrotizing (in): NOS Otitis media, acute purulent 382.1 Chronic tubotympanic suppurative otitis media Benign chronic suppurative otitis media Chronic tubotympanic disease 382.2 Chronic atticoantral suppurative otitis media Chronic atticoantral disease 382.3 Unspecified chronic suppurative otitis media Chronic purulent otitis media 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 383.1 Chronic mastoiditis Caries of mastoid Fistula of mastoid 383.2 Petrositis Inflammation of petrous bone (acute) (chronic) 383.3 Complications following mastoidectomy [Not to be used for underlying cause of death] Cyst } Granulations } of postmastoidectomy cavity Inflammation } 383.8 Other 383.9 Unspecified mastoiditis 384 Other disorders of tympanic membrane 384.0 Acute myringitis without mention of otitis media Acute tympanitis Bullous myringitis 384.1 Chronic myringitis without mention of otitis media Chronic tympanitis 384.2 Perforation of tympanic membrane Perforation of ear drum: NOS persistent post-traumatic postinflammatory 384.8 Other 384.9 Unspecified 385 Other disorders of middle ear and mastoid 385.0 Tympanosclerosis 385.1 Adhesive middle ear disease Adhesive otitis Excludes: glue ear (381.2) 385.2 Other acquired abnormality of ear ossicles Ankylosis } Impaired mobility } of ear ossicles Partial loss } 385.3 Cholesteatoma of middle ear and mastoid Polyp of (middle) ear 385.8 Other 385.9 Unspecified 386 Vertiginous syndromes and other disorders of vestibular system Excludes: vertigo NOS (780.4) 386.0 M‚niŠre's disease Endolymphatic hydrops Lermoyez's syndrome M‚niŠre's syndrome or vertigo 386.1 Other and unspecified peripheral vertigo Aural vertigo Benign paroxysmal vertigo or nystagmus Otogenic vertigo Vestibular neuronitis 386.2 Vertigo of central origin Central positional nystagmus 386.3 Labyrinthitis 386.4 Labyrinthine fistula 386.5 Labyrinthine dysfunction Hypofunction } Hypersensitivity } of labyrinth Loss of function } 386.8 Other disorders of labyrinth 386.9 Unspecified vertiginous syndromes and labyrinthine disorders 387 Otosclerosis Includes: otospongiosis 387.0 Otosclerosis involving oval window, nonobliterative 387.1 Otosclerosis involving oval window, obliterative 387.2 Cochlear otosclerosis Otosclerosis involving: otic capsule round window 387.8 Other 387.9 Unspecified 388 Other disorders of ear 388.0 Degenerative and vascular disorders of ear Presbyacusis Transient ischemic deafness 388.1 Noise effects on inner ear Acoustic trauma (explosive) to ear Noise-induced hearing loss 388.2 Sudden hearing loss, unspecified 388.3 Tinnitus 388.4 Other abnormal auditory perception Auditory recruitment Hyperacusis Diplacusis Impairment of auditory discrimination 388.5 Disorders of acoustic nerve Acoustic neuritis: Degeneration of acoustic or eighth nerve NOS Disorder of acoustic or eighth nerve 388.6 Otorrhea Discharging ear 388.7 Otalgia Earache 388.8 Other 388.9 Unspecified 389 Deafness 389.0 Conductive deafness Conductive hearing loss 389.1 Sensorineural deafness Deafness: Hearing loss: central central neural neural perceptive perceptive sensory sensorineural sensory Excludes: abnormal auditory perception (388.4) psychogenic deafness (306.7) 389.2 Mixed conductive and sensorineural deafness Deafness or hearing loss of type in 389.0 with type in 389.1 389.7 Deaf mutism, not elsewhere classifiable 389.8 Other specified forms of deafness 389.9 Unspecified deafness Hearing loss NOS VII. DISEASES OF THE CIRCULATORY SYSTEM 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 391 Rheumatic fever with heart involvement Excludes: chronic heart diseases of rheumatic origin (393-398) unless rheumatic fever is also present or there is evidence of recrudescence or activity of the rheumatic process. 391.0 Acute rheumatic pericarditis Rheumatic pericarditis (acute) Any condition in 390 with pericarditis Excludes: when not specified as rheumatic (420.-) 391.1 Acute rheumatic endocarditis Rheumatic: endocarditis, acute valvulitis acute Any condition in 390 with endocarditis or valvulitis 391.2 Acute rheumatic myocarditis Any condition in 390 with myocarditis 391.8 Other acute rheumatic heart disease Rheumatic pancarditis, acute Any condition in 390 with other or multiple types of heart involvement 391.9 Acute rheumatic heart disease, unspecified Rheumatic: carditis, acute heart disease, active or acute Any condition in 390 with unspecified type of heart involvement 392 Rheumatic chorea Includes: Sydenham's chorea Excludes: Chorea: NOS (333.5) Huntington's (333.4) 392.0 With heart involvement Rheumatic chorea with heart involvement of any type classifiable under 391.- 392.9 Without mention of heart involvement CHRONIC RHEUMATIC HEART DISEASE (393-398) 393 Chronic rheumatic pericarditis Adherent pericardium, rheumatic Chronic rheumatic: mediastinopericarditis myopericarditis Excludes: when not specified as rheumatic (423.9) 394 Diseases of mitral valve 394.0 Mitral stenosis Mitral (valve) obstruction (rheumatic) 394.1 Rheumatic mitral insufficiency Rheumatic mitral: Rheumatic mitral: incompetence regurgitation Excludes: when 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): Mitral (valve): disease (chronic) failure 395 Diseases of aortic valve Excludes: when not specified as rheumatic (424.1) 395.0 Rheumatic aortic stenosis Rheumatic aortic (valve) obstruction 395.1 Rheumatic aortic insufficiency Rheumatic aortic: incompetence regurgitation 395.2 Rheumatic aortic stenosis with insufficiency Rheumatic aortic stenosis with incompetence or regurgitation 395.9 Other and unspecified Rheumatic aortic (valve) disease 396 Diseases of mitral and aortic valves Involvement of both mitral and aortic valves whether specified as rheumatic or not 397 Diseases of other endocardial structures 397.0 Diseases of tricuspid valve Tricuspid (valve) (rheumatic): disease obstruction stenosis 397.1 Rheumatic diseases of pulmonary valve Excludes: when not specified as rheumatic (424.3) 397.9 Rheumatic diseases of endocardium, valve unspecified Rheumatic: endocarditis (chronic) valvulitis (chronic) Excludes: when not specified as rheumatic (424.9) 398 Other rheumatic heart disease 398.0 Rheumatic myocarditis Excludes: myocarditis not specified as rheumatic (429.0) 398.9 Other and unspecified Rheumatic: carditis heart disease NOS Excludes: carditis not specified as rheumatic (429.8) heart disease NOS not specified as rheumatic (429.9) HYPERTENSIVE DISEASE (401-404) The following fourth-digit subdivisions are for use with categories 401-404: .0 Specified as malignant .1 Specified as benign .9 Not specified as malignant or benign Excludes: when complicating pregnancy, childbirth, or the puerperium (642.-) when involving coronary vessels (410-414) 401 Essential hypertension [See 401-404 for fourth-digit subdivisions.] Includes: high blood pressure hyperpiesia hyperpiesis hypertension (arterial) (essential) (primary) (systemic) Excludes: when involving vessels of: brain (430-438) eye (362.1) 402 Hypertensive heart disease [See 401-404 for fourth-digit subdivisions.] Includes: hypertensive heart (disease) (failure) any condition in 428, 429.0-429.3, 429.8, 429.9 due to hypertension 403 Hypertensive renal disease [See 401-404 for fourth-digit subdivisions.] Includes: arteriolar nephritis arteriosclerosis of kidney arteriosclerotic nephritis (chronic) (interstitial) hypertensive: nephropathy renal failure nephrosclerosis any condition in 585, 586, or 587 with any condition in 401 404 Hypertensive heart and renal disease [See 401-404 for fourth-digit subdivisions.] Includes: disease: cardiorenal cardiovascular renal any condition in 402.- with any condition in 403.- ISCHEMIC HEART DISEASE (410-414) Includes: mention of hypertension (conditions in 401-404) Use additional code, if desired, to identify presence of hypertension 410 Acute myocardial infarction Cardiac infarction Rupture: Coronary (artery): heart embolism myocardium occlusion Subendocardial infarction rupture Any condition in 414.1-414.9 specified thrombosis as acute or with a stated duration Infarction: of 8 weeks or less heart myocardium ventricle 411 Other acute and subacute forms of ischemic heart disease Coronary: Microinfarct of heart failure Preinfarction syndrome insufficiency (acute) Postmyocardial infarction or Intermediate coronary syndrome Dressler's syndrome 412 Old myocardial infarction Healed myocardial infarction Past myocardial infarction diagnosed on ECG or other special investigation, but currently presenting no symptoms 413 Angina pectoris Angina: Anginal syndrome NOS Stenocardia cardiac decubitus of effort 414 Other forms of chronic ischemic heart disease Excludes: cardiovascular arteriosclerosis, degeneration, disease or sclerosis (429.2) 414.0 Coronary atherosclerosis Atherosclerotic heart disease Coronary atheroma Coronary (artery) sclerosis 414.1 Aneurysm of heart Aneurysm: coronary mural ventricular aneurysm 414.8 Other Ischemia, myocardial (chronic) Any condition in 410 specified as chronic, or with a stated duration of over 8 weeks 414.9 Unspecified Ischemic heart disease NOS DISEASES OF PULMONARY CIRCULATION (415-417) 415 Acute pulmonary heart disease 415.0 Acute cor pulmonale 415.1 Pulmonary embolism Pulmonary (artery) (vein): apoplexy infarction (hemorrhagic) thrombosis Excludes: when complicating: abortion (634-638 with fourth digit .6, 639.6) ectopic or molar pregnancy (639.6) pregnancy, childbirth, or the puerperium (673.-) 416 Chronic pulmonary heart disease 416.0 Primary pulmonary hypertension Pulmonary hypertension (idiopathic) (primary) 416.1 Kyphoscoliotic heart disease 416.8 Other 416.9 Pulmonary heart disease, unspecified Chronic cardiopulmonary disease Cor pulmonale (chronic) NOS 417 Other diseases of pulmonary circulation 417.0 Arteriovenous fistula of pulmonary vessels 417.1 Aneurysm of pulmonary artery 417.8 Other Rupture of pulmonary vessel Stricture of pulmonary vessel 417.9 Unspecified OTHER FORMS OF HEART DISEASE (420-429) 420 Acute pericarditis Includes: acute: mediastinopericarditis myopericarditis pericardial effusion pleuropericarditis pneumopericarditis 420.9 Other and unspecified acute pericarditis Pericarditis: Pericarditis: infective streptococcal pneumococcal viral purulent Pyopericarditis staphylococcal 421 Acute and subacute endocarditis 421.0 Acute and subacute bacterial endocarditis Endocarditis (acute) (chronic) (subacute): bacterial infective NOS lenta malignant septic ulcerative vegetative Infective aneurysm Use additional code, if desired, to identify infectious organism [e.g., Streptococcus 041.0, Staphylococcus 041.1] 421.9 Acute endocarditis, unspecified Endocarditis, acute or subacute Myoendocarditis, acute or subacute Periendocarditis, acute or subacute Excludes: acute rheumatic endocarditis (391.1) 422 Acute myocarditis 422.9 Other and unspecified acute myocarditis Acute or subacute Septic myocarditis (interstitial) myocarditis Toxic myocarditis 423 Other diseases of pericardium Excludes: when specified as rheumatic (393) 423.0 Hemopericardium 423.1 Adhesive pericarditis Adherent pericardium 423.2 Constrictive pericarditis 423.8 Other 423.9 Unspecified 424 Other diseases of endocardium 424.0 Mitral valve disorders Mitral (valve): incompetence NOS of specified cause, except rheumatic insufficiency NOS of specified cause, except rheumatic regurgitation NOS of specified cause, except rheumatic Excludes: mitral (valve): disease (394.9) failure (394.9) stenosis (394.0) the listed conditions: when specified as rheumatic (394.1) when of unspecified cause but with mention of: diseases of aortic valve (396) mitral stenosis or obstruction (394.2) 424.1 Aortic valve disorders Aortic (valve): } incompetence } NOS insufficiency } of specified cause, regurgitation } except rheumatic stenosis } Excludes: hypertrophic subaortic stenosis (425.1) when specified as rheumatic (395.-) when of unspecified cause but with mention of diseases of mitral valve (396) 424.2 Tricuspid valve disorders, specified as nonrheumatic Tricuspid valve: } incompetence } of specified cause, insufficiency } except rheumatic regurgitation } stenosis } Excludes: when of unspecified cause (397.0) 424.3 Pulmonary valve disorders Pulmonic regurgitation: Pulmonic regurgitation: NOS syphilitic Excludes: when specified as rheumatic (397.1) 424.9 Endocarditis, valve unspecified Endocarditis (chronic ) Valvular: } incompetence } of un- { specified cause, insufficiency } specified { except rheumatic regurgitation } valve { unspecified cause stenosis } Valvulitis (chronic) } Excludes: when specified as rheumatic (397.9) endocardial fibroelastosis (425.3) 425 Cardiomyopathy Includes: myocardiopathy Excludes: cardiomyopathy arising during pregnancy or the puerperium (674.8) 425.0 Endomyocardial fibrosis 425.1 Hypertrophic obstructive cardiomyopathy Hypertrophic subaortic stenosis 425.2 Obscure cardiomyopathy of Africa Becker's disease 425.3 Endocardial fibroelastosis 425.4 Other primary cardiomyopathies Cardiovascular collagenosis Cardiomyopathy: Cardiomyopathy: NOS hypertrophic nonobstructive constrictive idiopathic familial obstructive 425.5 Alcoholic cardiomyopathy 425.9 Secondary cardiomyopathy, unspecified 426 Conduction disorders 426.0 Atrioventricular block, complete 426.1 Atrioventricular block, other and unspecified Atrioventricular block NOS Wenkebach's phenomenon (incomplete) (partial) Incomplete atrioventricular block 426.2 Left bundle branch hemiblock 426.3 Other left bundle branch block 426.4 Right bundle branch block 426.5 Bundle branch block, unspecified 426.6 Other heart block Sinoatrial block Sinoauricular block 426.7 Anomalous atrioventricular excitation Atrioventricular conduction: Wolff-Parkinson-White syndrome accelerated accessory pre-excitation 426.8 Other specified conduction disorders Atrioventricular [AV] Interference dissociation dissociation Lown-Ganong-Levine syndrome 426.9 Unspecified Heart block NOS Stokes-Adams syndrome 427 Cardiac dysrhythmias Excludes: postoperative (997.1) when attributable to medical care for abortion, ectopic or molar pregnancy, labor or delivery (634-638 with fourth digit .7, 639.8, 668.1, 669.4) 427.0 Paroxysmal supraventricular tachycardia Paroxysmal tachycardia: Paroxysmal tachycardia: atrial junctional atrioventricular [AV] nodal 427.1 Paroxysmal ventricular tachycardia 427.2 Paroxysmal tachycardia, unspecified Bouveret-Hoffman syndrome 427.3 Atrial fibrillation and flutter 427.4 Ventricular fibrillation and flutter 427.5 Cardiac arrest 427.6 Premature beats Ectopic beats Premature: Extrasystoles beats extrasystolic arrhythmia atrial nodal supraventricular ventricular contractions 427.8 Other Rhythm disorder: Syndrome: coronary sinus sick sinus ectopic tachycardia-bradycardia nodal Wandering pacemaker 427.9 Unspecified Arrhythmia (cardiac) NOS 428 Heart failure Excludes: postoperative (997.1) when attributable to medical care for abortion, ectopic or molar pregnancy, labor or delivery (634-638 with fourth digit .7, 639.8, 668.1, 669.4) when due to hypertension (402.-) 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 mention of heart disease Acute pulmonary edema } NOS or heart failure Cardiac asthma Left ventricular failure 428.9 Unspecified Cardiac, heart or myocardial failure NOS Weak heart 429 Ill-defined descriptions and complications of heart disease Excludes: any condition in 429.0-429.3,429.8, 429.9 due to hypertension (402.-) 429.0 Myocarditis, unspecified Myocarditis } NOS } chronic (interstitial) } (with mention of arteriosclerosis) fibroid } senile } Use additional code, if desired, to identify presence of arteriosclerosis 429.1 Myocardial degeneration Degeneration of heart or myocardium: } fatty } mural } muscular } (with mention of arteriosclerosis) Myocardial } degeneration } disease } Use additional code, if desired, to identify presence of arteriosclerosis 429.2 Cardiovascular disease, unspecified Cardiovascular arteriosclerosis Cardiovascular } degeneration } (with mention of arteriosclerosis) disease } sclerosis } Use additional code, if desired, to identify presence of arteriosclerosis 429.3 Cardiomegaly Cardiac: dilatation hypertrophy Ventricular dilatation 429.4 Functional disturbances following cardiac surgery [Not to be used for underlying cause of death] Cardiac insufficiency following cardiac surgery or due to presence of prosthesis Heart failure following cardiac surgery or due to presence of prosthesis Postcardiotomy syndrome Excludes: cardiac failure in the immediate postoperative period (997.1) 429.5 Rupture of chordae tendineae 429.6 Rupture of papillary muscle 429.8 Other Carditis 429.9 Unspecified Heart disease (organic) NOS Morbus cordis NOS CEREBROVASCULAR DISEASE (430-438) Includes: with mention of hypertension (conditions in 401) Use additional code, if desired, to identify presence of hypertension Excludes: any condition in 430-434, 436, 437 occurring during pregnancy, childbirth, or the puerperium, or specified as puerperal (674.0) 430 Subarachnoid hemorrhage Meningeal hemorrhage Ruptured (congenital) cerebral aneurysm: NOS 431 Intracerebral hemorrhage Hemorrhage (of): Hemorrhage (of): basilar internal capsule bulbar intrapontine cerebral pontine cerebromeningeal subcortical cerebellar ventricular cortical Rupture of blood vessel in brain 432 Other and unspecified intracranial hemorrhage 432.0 Nontraumatic extradural hemorrhage Nontraumatic epidural hemorrhage 432.1 Subdural hemorrhage Subdural hemorrhage (nontraumatic) 432.9 Unspecified intracranial hemorrhage 433 Occlusion and stenosis of precerebral arteries Includes: embolism of basilar, carotid, and vertebral arteries narrowing of basilar, carotid, and vertebral arteries obstruction (complete) (partial) of basilar, carotid, and vertebral arteries thrombosis of basilar, carotid, and vertebral arteries Excludes: insufficiency NOS of precerebral arteries (435) 433.0 Basilar artery 433.1 Carotid artery 433.2 Vertebral artery 433.3 Multiple and bilateral 433.8 Other 433.9 Unspecified Precerebral artery NOS 434 Occlusion of cerebral arteries 434.0 Cerebral thrombosis Thrombosis of cerebral arteries 434.1 Cerebral embolism 434.9 Unspecified Cerebral infarction NOS 435 Transient cerebral ischemia Basilar artery syndrome Intermittent cerebral ischemia Cerebrovascular insufficiency Spasm of cerebral arteries (acute) with transient Subclavian steal syndrome focal neurological Vertebral artery syndrome signs and symptoms Transient ischemic attack [TIA] Insufficiency: basilar artery carotid artery vertebral artery Excludes: acute cerebrovascular insufficiency NOS (437.1) when due to any conditions in 433.- (433.-) 436 Acute but ill-defined cerebrovascular disease Apoplexy, apoplectic: Cerebrovascular accident NOS NOS Stroke attack seizure 437 Other and ill-defined cerebrovascular disease 437.0 Cerebral atherosclerosis Atheroma of cerebral arteries 437.1 Other generalized ischemic cerebrovascular disease Acute cerebrovascular insufficiency NOS Cerebral ischemia (chronic) 437.2 Hypertensive encephalopathy 437.3 Cerebral aneurysm, nonruptured 437.4 Cerebral arteritis 437.5 Moyamoya disease 437.6 Nonpyogenic thrombosis of intracranial venous sinus 437.8 Other 437.9 Unspecified 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 elsewhere. The "late effects" include conditions specified as such, as sequelae, or present one year or more after the onset of the causal condition. DISEASES OF ARTERIES, ARTERIOLES, AND CAPILLARIES (440-448) 440 Atherosclerosis Includes: arteriolosclerosis arteriosclerosis arteriosclerotic vascular disease atheroma degeneration: arterial arteriovascular vascular endarteritis deformans or obliterans senile: arteritis endarteritis 440.0 Of aorta 440.1 Of renal artery Excludes: atherosclerosis of renal arterioles (403.0) 440.2 Of arteries of the extremities M”nckeberg's (medial) sclerosis 440.8 Of other specified arteries Excludes: cerebral (437.0) coronary (414.0) mesenteric (557.1) pulmonary (416.0) 440.9 Generalized and unspecified 441 Aortic aneurysm 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 441.6 Aortic aneurysm of unspecified site without mention of rupture Aneurysm } Dilatation } of aorta Hyaline necrosis } 442 Other aneurysm Includes: aneurysm (rupture) (cirsoid) (false) (varicose) aneurysmal varix Excludes: arteriovenous aneurysm, acquired (447.0) 442.0 Of artery of upper extremity 442.1 Of renal artery 442.2 Of iliac artery 442.3 Of artery of lower extremity 442.8 Of other specified artery Excludes: cerebral (nonruptured) (437.3) ruptured (430) coronary (414.1) heart (414.1) pulmonary (417.1) 442.9 Of unspecified site 443 Other peripheral vascular disease 443.0 Raynaud's syndrome Raynaud's: Raynaud's: disease phenomenon (secondary) 443.1 Thromboangiitis obliterans [Buerger's disease] 443.8 Other Acrocyanosis Erythrocyanosis Acroparaesthesia: Erythromelalgia simple [Schulze's type] vasomotor [Nothnagel's type] Excludes: chilblains (991.5) frostbite (991.0 - 991.3, E901.-) immersion foot (991.4, E901.0) 443.9 Unspecified Intermittent claudication NOS Spasm of artery Peripheral vascular disease NOS Excludes: spasm of cerebral artery (435) 444 Arterial embolism and thrombosis Includes: infarction: embolic thrombotic occlusion Excludes: when complicating: abortion (634-638 with fourth digit .6, 639.6) ectopic or molar pregnancy (639.6) pregnancy, childbirth, or the puerperium (673.-) 444.0 Of abdominal aorta Aortic bifurcation syndrome Leriche's syndrome 444.1 Of other aorta 444.2 Of arteries of the extremities Peripheral arterial embolism 444.8 Of other specified artery Excludes: basilar (433.0) carotid (433.1) cerebral (434.-) coronary (410) mesenteric (557.0) ophthalmic (362.3) precerebral (433.-) pulmonary (415.1) renal (593.8) retinal (362.3) vertebral (433.2) 444.9 Of unspecified artery 446 Polyarteritis nodosa and allied conditions 446.0 Polyarteritis nodosa Disseminated necrotizing periarteritis Panarteritis Periarteritis (nodosa) 446.1 Acute febrile mucocutaneous lymph node syndrome [MCLS] 446.2 Hypersensitivity angiitis Goodpasture's syndrome 446.3 Lethal midline granuloma 446.4 Wegener's granulomatosis 446.5 Giant cell arteritis Cranial arteritis Temporal arteritis Horton's disease 446.6 Thrombotic microangiopathy Thrombotic thrombocytopenic purpura 446.7 Takayasu's disease Aortic arch arteritis Pulseless disease 447 Other disorders of arteries and arterioles 447.0 Arteriovenous fistula, acquired Arteriovenous aneurysm, acquired Excludes: cerebral (437.3) coronary (414.1) pulmonary (417.0) traumatic (900-904) 447.1 Stricture of artery 447.2 Rupture of artery Erosion of artery Fistula of artery Ulcer of artery Excludes: traumatic rupture of artery (900.-904.-) 447.3 Hyperplasia of renal artery 447.4 Coeliac artery compression syndrome 447.5 Necrosis of artery 447.6 Arteritis, unspecified Aortitis NOS Endarteritis NOS Excludes: arteritis, endarteritis: aortic arch (446.7) cerebral (437.4) coronary (414.8) deformans (440.-) obliterans (440.-) senile (440.-) 447.8 Other Fibromuscular hyperplasia of arteries 447.9 Unspecified 448 Diseases of capillaries 448.0 Hereditary hemorrhagic telangiectasia Rendu-Osler-Weber disease 448.1 Nevus, non-neoplastic Nevus: araneus senile spider stellar 448.9 Other and unspecified DISEASES OF VEINS AND LYMPHATICS, AND OTHER DISEASES OF CIRCULATORY SYSTEM (451-459) 451 Phlebitis and thrombophlebitis Includes: endophlebitis inflammation, vein periphlebitis suppurative phlebitis Excludes: when complicating: abortion (634-638 with fourth digit .7, 639.8) ectopic or molar pregnancy (639.8) pregnancy, childbirth, or the puerperium (671.-) 451.0 Of superficial vessels of lower extremities 451.1 Of deep vessels of lower extremities 451.2 Of lower extremities, unspecified 451.8 Of other sites Use additional E code, if desired, to identify drug, if drug-induced Excludes: intracranial venous sinus (325) nonpyogenic (437.6) portal (vein) (572.1) 451.9 Of unspecified site 452 Portal vein thrombosis Portal (vein) obstruction Excludes: phlebitis of portal vein (572.1) 453 Other venous embolism and thrombosis Excludes: when complicating: abortion (634-638 with fourth digit .7, 639.8) ectopic or molar pregnancy (639.8) pregnancy, childbirth, or the puerperium (671.-) 453.0 Budd-Chiari syndrome 453.1 Thrombophlebitis migrans 453.2 Of vena cava 453.3 Of renal vein 453.8 Of other specified veins Excludes: cerebral (434.-) coronary (410) intracranial venous sinus (325) nonpyogenic (437.6) lower extremities (451.0-451.2) mesenteric (557.0) portal (452) precerebral (433.-) pulmonary (415.1) 453.9 Of unspecified site Embolism of vein Thrombosis (vein) 454 Varicose veins of lower extremities Excludes: when complicating pregnancy or the puerperium (671.0) 454.0 With ulcer Varicose ulcer (lower extremity, any part) Any condition in 454.9 with ulcer or specified as ulcerated 454.1 With inflammation Any condition in 454.9 with inflammation or specified as inflamed 454.2 With ulcer and inflammation Any condition in 454.9 with ulcer and inflammation 454.9 Without mention of ulcer or inflammation Phlebectasia of lower extremity [any part] or of unspecified site Varicose veins of lower extremity [any part] or of unspecified site Varix of lower extremity [any part] or of unspecified site 455 Hemorrhoids Includes: hemorrhoids (rectum) piles varicose veins, anus or rectum Excludes: when complicating pregnancy, childbirth, or the puerperium (671.8) 455.0 Internal hemorrhoids without mention of complication 455.1 Internal thrombosed hemorrhoids 455.2 Internal hemorrhoids with other complication Internal hemorrhoids: bleeding prolapsed strangulated ulcerated 455.3 External hemorrhoids without mention of complication 455.4 External thrombosed hemorrhoids 455.5 External hemorrhoids with other complication External hemorrhoids: bleeding prolapsed strangulated ulcerated 455.6 Unspecified hemorrhoids without mention of complication Hemorrhoids NOS 455.7 Unspecified thrombosed hemorrhoids Thrombosed hemorrhoids, unspecified whether internal or external 455.8 Unspecified hemorrhoids with other complication Hemorrhoids, unspecified whether internal or external: bleeding prolapsed strangulated ulcerated 455.9 Residual hemorrhoidal skin tags Skin tags, anus or rectum 456 Varicose veins of other sites 456.0 Esophageal varices with bleeding 456.1 Esophageal varices without mention of bleeding 456.3 Sublingual varices 456.4 Scrotal varices Varicocele 456.5 Pelvic varices 456.6 Vulval varices Excludes: when complicating pregnancy, childbirth, or the puerperium (671.1) 456.8 Other Excludes: retinal varices (362.1) varicose veins of unspecified site (454.9) 457 Noninfective disorders of lymphatic channels 457.0 Postmastectomy lymphedema syndrome [Not to be used for underlying cause of death] Elephantiasis due to mastectomy operation Obliteration of lymphatic vessel due to mastectomy operation 457.1 Other lymphedema Elephantiasis (nonfilarial) NOS Lymphangiectasis Obliteration, lymphatic vessel Excludes: elephantiasis (nonfilarial): congenital (757.0) eyelid (374.8) vulva (624.8) 457.2 Lymphangitis Lymphangitis: NOS chronic subacute Excludes: acute lymphangitis (682.-) 457.8 Other noninfective disorders of lymphatic channels Chylocele (nonfilarial) Excludes: chylocele: filarial (125.-) tunica vaginalis (nonfilarial) (608.8) 457.9 Unspecified 458 Hypotension Includes: hypopiesis Excludes: cardiovascular collapse (785.5) maternal hypotension syndrome (669.2) Shy-Drager syndrome (333.0) 458.0 Orthostatic hypotension Hypotension: orthostatic (chronic) postural 458.1 Chronic hypotension Permanent idiopathic hypotension 458.9 Unspecified Hypotension (arterial) NOS 459 Other disorders of circulatory system 459.0 Hemorrhage, unspecified Excludes: hemorrhage: gastrointestinal (578.9) in newborn NOS (772.9) 459.1 Postphlebitic syndrome 459.2 Compression of vein Stricture of vein Vena cava syndrome (inferior) (superior) 459.8 Other Collateral circulation (venous), any site Phlebosclerosis 459.9 Unspecified VIII. DISEASES OF THE RESPIRATORY SYSTEM Use additional code, if desired, to identify infectious organism ACUTE RESPIRATORY INFECTIONS (460-466) Excludes: pneumonia and influenza (480-487) 460 Acute nasopharyngitis [common cold] Coryza (acute) Rhinitis: Nasal catarrh, acute acute Nasopharyngitis: infective NOS acute infective NOS Excludes: nasopharyngitis, chronic (472.2) pharyngitis: acute or unspecified (462) chronic (472.1) rhinitis: allergic (477.-) chronic or unspecified (472.0) sore throat: acute or unspecified (462) chronic (472.1) 461 Acute sinusitis Includes: abscess, acute, of sinus (accessory) (nasal) empyema, acute, of sinus (accessory) (nasal) infection, acute, of sinus (accessory) (nasal) inflammation, acute, of sinus (accessory) (nasal) suppuration, acute, of sinus (accessory) (nasal) Excludes: chronic or unspecified (473.-) 461.0 Maxillary Acute antritis 461.1 Frontal 461.2 Ethmoidal 461.3 Sphenoidal 461.8 Other Acute pansinusitis 461.9 Unspecified Acute sinusitis NOS 462 Acute pharyngitis Acute sore throat NOS Pharyngitis (acute): Pharyngitis (acute): NOS staphylococcal gangrenous suppurative infective ulcerative phlegmonous Sore throat (viral) NOS pneumococcal Viral pharyngitis Excludes: abscess: peritonsillar [quinsy] (475) pharyngeal (478.2) retropharyngeal (478.2) chronic pharyngitis (472.1) that conditions if specified as (due to): Coxsackie (virus) (074.0) herpes simplex (054.7) influenzal (487.1) septic (034.0) streptococcal (034.0) 463 Acute tonsillitis Tonsillitis (acute): Tonsillitis (acute): NOS septic follicular staphylococcal gangrenous suppurative infective ulcerative pneumococcal viral Excludes: peritonsillar abscess [quinsy] (475) sore throat: acute or NOS (462) septic (034.0) streptococcal tonsillitis (034.0) 464 Acute laryngitis and tracheitis Excludes: when specified as due to Streptococcus (034.0) 464.0 Acute laryngitis Laryngitis (acute): Laryngitis (acute): NOS pneumococcal Hemophilus influenzae septic [H. influenzae] suppurative oedematous ulcerative Excludes: chronic laryngitis (476.-) influenzal laryngitis (487.1) 464.1 Acute tracheitis Tracheitis (acute): NOS catarrhal viral Excludes: chronic tracheitis (491.8) 464.2 Acute laryngotracheitis Laryngotracheitis (acute) Tracheitis (acute) with laryngitis (acute) 464.3 Acute epiglottitis 464.4 Croup 465 Acute upper respiratory infections of multiple or unspecified sites 465.0 Acute laryngopharyngitis 465.8 Other multiple sites 465.9 Unspecified site Upper respiratory: disease (acute) infection (acute) Excludes: upper respiratory infection due to: influenza (487.1) streptococcus (034.0) 466 Acute bronchitis and bronchiolitis Includes: the listed conditions with or without mention of obstruction or bronchospasm Excludes: for single-condition coding, acute exacerbation of chronic bronchitis (491.-) 466.0 Acute bronchitis Bronchitis, acute or subacute: Bronchitis, acute or subacute: fibrinous viral membranous with tracheitis pneumococcal Croupous bronchitis purulent Tracheobronchitis, acute septic 466.1 Acute bronchiolitis Bronchiolitis (acute) Capillary pneumonia OTHER DISEASES OF THE UPPER RESPIRATORY TRACT (470-478) 470 Deflected nasal septum Deflection or deviation of septum (nasal) (acquired) 471 Nasal polyps Excludes: adenomatous polyps (212.0) 471.0 Polyp of nasal cavity Polyp: choanal nasopharyngeal 471.1 Polypoid sinus degeneration Woakes' syndrome or ethmoiditis 471.8 Other polyp of sinus Polyp of sinus: accessory ethmoidal maxillary sphenoidal 471.9 Unspecified Nasal polyp NOS 472 Chronic pharyngitis and nasopharyngitis 472.0 Chronic rhinitis Ozena Rhinitis: NOS atrophic granulomatous hypertrophic obstructive purulent ulcerative Excludes: allergic rhinitis (477.-) 472.1 Chronic pharyngitis Chronic sore throat Pharyngitis: atrophic granular (chronic) hypertrophic 472.2 Chronic nasopharyngitis Excludes: acute or unspecified nasopharyngitis (460) 473 Chronic sinusitis Includes: abscess (chronic) of sinus (accessory) (nasal) empyema (chronic) of sinus (accessory) (nasal) infection (chronic) of sinus (accessory) (nasal) suppuration (chronic) of sinus (accessory) (nasal) Excludes: acute sinusitis (461.-) 473.0 Maxillary Antritis (chronic) 473.1 Frontal 473.2 Ethmoidal 473.3 Sphenoidal 473.8 Other Pansinusitis (chronic) 473.9 Unspecified Sinusitis (chronic) NOS 474 Chronic disease of tonsils and adenoids 474.0 Chronic tonsillitis Excludes: acute or unspecified tonsillitis (463) 474.1 Hypertrophy of tonsils and adenoids Enlargement of tonsils (and adenoids) Hyperplasia of tonsils (and adenoids) Hypertrophy of tonsils (and adenoids) 474.2 Adenoid vegetations 474.8 Other chronic disease of tonsils and adenoids Amygdalolith Tonsillar tag Calculus, tonsil Ulcer, tonsil Cicatrix of tonsil (and adenoid) 474.9 Unspecified Disease (chronic) of tonsils (and adenoids) 475 Peritonsillar abscess Abscess of tonsil Peritonsillar cellulitis Quinsy Excludes: tonsillitis: acute or NOS (463) chronic (474.0) 476 Chronic laryngitis and laryngotracheitis 476.0 Chronic laryngitis Laryngitis: catarrhal hypertrophic sicca 476.1 Chronic laryngotracheitis Laryngitis, chronic, with tracheitis (chronic) Tracheitis, chronic, with laryngitis Excludes: chronic tracheitis (491.8) laryngitis and tracheitis, acute or unspecified (464.-) 477 Allergic rhinitis Includes: allergic rhinitis (nonseasonal) (seasonal) hay fever pollinosis spasmodic rhinorrhea Excludes: allergic rhinitis with asthma (bronchial) (493.0) 477.0 Due to pollen 477.8 Due to other allergen 477.9 Cause unspecified 478 Other diseases of upper respiratory tract 478.0 Hypertrophy of nasal turbinates 478.1 Other diseases of nasal cavity and sinuses Abscess of nose (septum) Cyst or mucocele of sinus (nasal) Necrosis of nose (septum) Rhinolith Ulceration of nose (septum) Excludes: varicose ulcer of nasal septum (456.8) 478.2 Other diseases of pharynx, not elsewhere classified Abscess of pharynx or nasopharynx Cellulitis of pharynx or nasopharynx Cyst of pharynx or nasopharynx Edema of pharynx or nasopharynx Retropharyngeal abscess Excludes: ulcerative pharyngitis (462) 478.3 Paralysis of vocal cords or larynx Laryngoplegia Paralysis of glottis 478.4 Polyp of vocal cord or larynx Excludes: adenomatous polyps (212.1) 478.5 Other diseases of vocal cords Abscess of vocal cords Leukoplakia of vocal cords Cellulitis of vocal cords Chorditis (fibrinous) (nodosa) (tuberosa) Granuloma of vocal cords Singers' nodes 478.6 Edema of larynx Edema (of): glottis subglottic supraglottic 478.7 Other diseases of larynx, not elsewhere classified Abscess of larynx Perichondritis of larynx Cellulitis of larynx Spasm of larynx Necrosis of larynx Stenosis of larynx Obstruction of larynx Ulcer of larynx Pachyderma of larynx Laryngismus (stridulus) Excludes: ulcerative laryngitis (464.0) 478.8 Upper respiratory tract hypersensitivity reaction, site unspecified 478.9 Other and unspecified diseases of upper respiratory tract Abscess of trachea Cicatrix of trachea PNEUMONIA AND INFLUENZA (480-487) Excludes: pneumonia: allergic or eosinophilic (518.3) aspiration: NOS (507.0) newborn (770.1) solids and liquids (507.-) 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 Excludes: congenital rubella pneumonitis (771.0) influenza with pneumonia, any form (487.0) pneumonia complicating viral diseases classified elsewhere (045-079) 480.9 Viral pneumonia, unspecified 481 Pneumococcal pneumonia Lobar pneumonia, organism unspecified 482 Other bacterial pneumonia 482.0 Pneumonia due to Klebsiella pneumoniae 482.1 Pneumonia due to Pseudomonas 482.2 Pneumonia due to Hemophilus influenzae [H. influenzae] 482.3 Pneumonia due to Streptococcus 482.4 Pneumonia due to Staphylococcus 482.8 Pneumonia due to other specified bacteria Pneumonia due to: Escherichia coli [E. coli] Proteus Excludes: pneumonia complicating infectious diseases classified elsewhere (001-136) 482.9 Bacterial pneumonia, unspecified 483 Pneumonia due to other specified organism Pneumonia due to: Eaton's agent Mycoplasma(pneumoniae) Pleuropneumonia-like organisms [PPLO] 485 Bronchopneumonia, organism unspecified Excludes: bronchiolitis (466.1) lipoid pneumonia (507.1) 486 Pneumonia, organism unspecified Excludes: hypostatic or passive pneumonia (514) influenza with pneumonia, any form (487.0) inhalation or aspiration pneumonia due to foreign material (507.-) pneumonitis due to fumes and vapors (506.0) 487 Influenza Excludes: Hemophilus influenzae [H. influenzae]: infection NOS (041.5) 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: Influenzal: pharyngitis laryngitis respiratory infection (upper) (acute) 487.8 With other manifestations Encephalopathy due to influenza Influenza with involvement of gastrointestinal tract CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND ALLIED CONDITIONS (490-496) 490 Bronchitis, not specified as acute or chronic Bronchitis NOS: catarrhal with tracheitis NOS Tracheobronchitis NOS Excludes: bronchitis: allergic NOS (493.9) asthmatic NOS (493.9) due to fumes and vapors (506.0) 491 Chronic bronchitis Includes: in single-condition coding, acute exacerbation of chronic bronchitis 491.0 Simple chronic bronchitis Catarrhal bronchitis, chronic Smokers' cough 491.1 Mucopurulent chronic bronchitis Bronchitis (chronic) (recurrent): mucopurulent purulent 491.2 Obstructive chronic bronchitis Bronchitis: Bronchitis: asthmatic, chronic obstructive (chronic) (diffuse) emphysematous with airways obstruction 491.8 Other chronic bronchitis Chronic: tracheitis tracheobronchitis 491.9 Unspecified 492 Emphysema Emphysema (lung or pulmonary): Emphysematous bleb bullous MacLeod's syndrome or unilateral emphysema centriacinar centrilobular obstructive panacinar panlobular vesicular Excludes: emphysema: compensatory (518.2) due to fumes and vapours (506.4) interstitial (518.1) newborn (770.2) mediastinal (518.1) surgical (subcutaneous) (998.8) traumatic (958.7) 493 Asthma 493.0 Extrinsic asthma Asthma: allergic, stated cause atopic childhood hay platinum Hayfever with asthma Excludes: 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 Status asthmaticus 494 Bronchiectasis Bronchiectasis (fusiform) (postinfectional) (recurrent) Bronchiolectasis Excludes: 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 495.2 Bird-fanciers' lung Budgerigar-fanciers' disease or lung Pigeon-fanciers' disease or lung 495.3 Suberosis Corkhandlers' disease or lung 495.4 Malt workers' lung Alveolitis due to Aspergillus clavatus 495.5 Mushroom workers' lung 495.6 Maple bark-strippers' lung Alveolitis due to Cryptostroma corticale 495.7 "Ventilation" pneumonitis Allergic alveolitis due to fungal, thermophilic actinomycete, and other organisms growing in ventilation [air conditioning] systems 495.8 Other allergic pneumonitis Cheese-washers' lung Grain-handlers' disease or lung Coffee workers' lung Pituitary snuff-takers' disease Fish-meal workers' lung Sequoiosis or red-cedar asthma Furriers' lung 495.9 Unspecified allergic alveolitis Alveolitis, allergic (extrinsic) Hypersensitivity pneumonitis 496 Chronic airway obstruction, not elsewhere classified Chronic: nonspecific lung disease obstructive lung disease Excludes: that with mention of: allergic alveolitis (495.-) asthma (493.-) bronchiectasis (494) bronchitis (491.2) emphysema (492) PNEUMOCONIOSES AND OTHER LUNG DISEASES DUE TO EXTERNAL AGENTS (500-508) 500 Coal workers' pneumoconiosis Anthracosilicosis Coal workers' lung Anthracosis Miners' asthma 501 Asbestosis 502 Pneumoconiosis due to other silica or silicates Pneumoconiosis due to talc Silicotic fibrosis (massive) of lung Silicosis (simple) (complicated) 503 Pneumoconiosis due to other inorganic dust Aluminosis (of lung) Graphite fibrosis (of lung) Bauxite fibrosis (of lung) Siderosis Berylliosis Stannosis 504 Pneumonopathy due to inhalation of other dust Byssinosis Flax-dressers' disease Cannabinosis Excludes: allergic alveolitis (495.-) 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) 506.2 Upper respiratory inflammation due to fumes and vapors 506.3 Other acute and subacute respiratory conditions due to fumes and vapors 506.4 Chronic respiratory conditions due to fumes and vapors Emphysema (diffuse) (chronic) due to inhalation of chemical fumes and vapors Obliterative bronchiolitis (chronic) (subacute) due to inhalation of chemical fumes and vapors Pulmonary fibrosis (chronic) due to inhalation of chemical fumes and vapors 506.9 Unspecified Silo-fillers' disease 507 Pneumonitis due to solids and liquids Excludes: fetal aspiration pneumonitis (770.1) 507.0 Due to inhalation of food or vomit Aspiration pneumonia (due to): NOS food (regurgitated) gastric secretions milk vomit Excludes: pneumonia due to aspiration of microorganisms(480.-) postoperative [Mendelson's syndrome] (997.3) 507.1 Due to inhalation of oils and essences Lipoid pneumonia (exogenous) Excludes: endogenous lipoid pneumonia (516.8) 507.8 Other Detergent asthma 508 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 Other 508.9 Unspecified OTHER DISEASES OF RESPIRATORY SYSTEM (510-519) 510 Empyema Use additional code, if desired, to identify infectious organism 510.0 With fistula Any condition in 510.9 with Fistula: fistula mediastinal Fistula: pleural bronchocutaneous thoracic hepatopleural 510.9 Without mention of fistula Abscess: Pleurisy: pleura fibrinopurulent thorax purulent Empyema (chest) (lung) (pleura) septic Fibrinopurulent pleurisy seropurulent Pyopneumothorax suppurative Pyothorax 511 Pleurisy Excludes: 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) (sterile): pneumococcal diaphragmatic staphylococcal fibrinous streptococcal interlobar Thickening of pleura 511.1 With effusion, with mention of a bacterial cause other than tuberculosis Pleurisy (with effusion) (exudative) (serous) (serofibrinous): pneumococcal staphylococcal streptococcal other specified nontuberculous bacterial cause 511.8 Other specified forms of effusion, except tuberculous Encysted pleurisy Hydropneumothorax Hemopneumothorax Hydrothorax Hemothorax 511.9 Unspecified pleural effusion Pleural effusion NOS Pleurisy: exudative serofibrinous serous with effusion NOS 512 Pneumothorax Pneumothorax: NOS acute chronic spontaneous tension Excludes: pneumothorax: congenital (770.2) traumatic (860.-) tuberculous, current disease (011.7) 513 Abscess of lung and mediastinum 513.0 Abscess of lung Abscess (multiple) of lung Gangrenous or necrotic pneumonia Pulmonary gangrene or necrosis 513.1 Abscess of mediastinum 514 Pulmonary congestion and hypostasis Hypostatic: Pulmonary congestion (passive) bronchopneumonia Pulmonary edema: pneumonia NOS Passive pneumonia chronic Excludes: acute pulmonary edema: NOS (518.4) with mention of heart disease or failure (428.1) 515 Postinflammatory pulmonary fibrosis Cirrhosis of lung, chronic or unspecified Fibrosis of lung (atrophic) (confluent) (massive) (perialveolar) (peribronchial), chronic or unspecified Induration of lung, chronic or unspecified 516 Other alveolar and parietoalveolar pneumonopathy 516.0 Pulmonary alveolar proteinosis 516.2 Pulmonary alveolar microlithiasis 516.3 Idiopathic fibrosing alveolitis Alveolarcapillary block Diffuse (idiopathic) (interstitial) Hamman-Rich syndrome pulmonary fibrosis 516.8 Other 516.9 Unspecified 518 Other diseases of lung 518.0 Pulmonary collapse Atelectasis Collapse of lung Excludes: congenital atelectasis (770.4) partial (770.5) tuberculous atelectasis, current disease (011.8) 518.1 Interstitial emphysema Mediastinal emphysema Excludes: in fetus or newborn (770.2) surgical (subcutaneous) emphysema (998.8) traumatic emphysema (958.7) 518.2 Compensatory emphysema 518.3 Pulmonary eosinophilia Eosinophilic asthma Pneumonia: Loeffler's syndrome allergic Tropical eosinophilia eosinophilic 518.4 Acute edema of lung, unspecified Excludes: pulmonary edema: acute, with mention of heart disease or failure (428.1) chronic or unspecified (514) due to external agents (506-508) 518.5 Pulmonary insufficiency following trauma and surgery Adult respiratory distress Shock lung syndrome Pulmonary insufficiency Pulmonary insufficiency following: following: surgery shock trauma 518.8 Other diseases of lung, not elsewhere classified Broncholithiasis Calcification of lung Pulmolithiasis 519 Other diseases of respiratory system 519.0 Tracheostomy malfunction Hemorrhage from tracheostomy stoma Sepsis of tracheostomy stoma Obstruction of tracheostomy airway Tracheoesophageal fistula following tracheostomy Tracheostomy: hemorrhage obstruction sepsis 519.1 Other diseases of trachea and bronchus, not elsewhere classified Calcification of bronchus or trachea Stenosis of bronchus or trachea Ulcer of bronchus or trachea 519.2 Mediastinitis 519.3 Other diseases of mediastinum, not elsewhere classified Fibrosis of mediastinum Hernia of mediastinum Retraction of mediastinum 519.4 Disorders of diaphragm Diaphragmatitis Paralysis of diaphragm Relaxation of diaphragm Excludes: congenital defect of diaphragm (756.6) diaphragmatic hernia (553.3) congenital (756.6) 519.8 Other diseases of respiratory system, not elsewhere classified 519.9 Unspecified Respiratory disease (chronic) NOS IX. DISEASES OF THE DIGESTIVE SYSTEM DISEASES OF ORAL CAVITY, SALIVARY GLANDS, AND JAWS (520-529) 520 Disorders of tooth development and eruption 520.0 Anodontia Hypodontia Oligodontia 520.1 Supernumerary teeth Distomolar Paramolar Fourth molar Supplemental teeth Mesiodens 520.2 Abnormalities of size and form Concrescence of teeth Enamel pearls Fusion of teeth Macrodontia Gemination of teeth Microdontia Dens evaginatus Peg-shaped [conical] teeth Dens in dente Taurodontism Dens invaginatus Tuberculum paramolare Excludes: tuberculum Carabelli, which is regarded as a normal variation 520.3 Mottled teeth Dental fluorosis Nonfluoride enamel opacities Mottling of enamel 520.4 Disturbances of tooth formation Aplasia and hypoplasia of Regional odontodysplasia cementum Turner tooth Dilaceration of tooth Enamel hypoplasia (neonatal) (postnatal) (prenatal) Excludes: Hutchinson's teeth and mulberry molars in congenital syphilis (090.5) mottled teeth (520.3) 520.5 Hereditary disturbances in tooth structure, not elsewhere classified Amelogenesis imperfecta Dentinal dysplasia Dentinogenesis imperfecta Shell teeth Odontogenesis imperfecta 520.6 Disturbances in tooth eruption Teeth: Tooth eruption: embedded late impacted premature natal neonatal primary [deciduous]: persistent shedding, premature Excludes: 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 disorders of tooth development Color changes during tooth formation 520.9 Unspecified 521 Diseases of hard tissues of teeth 521.0 Dental caries Caries (of): Infantile melanodontia arrested Odontoclasia cementum White spot lesions of teeth dentine (acute) (chronic) enamel (acute) (chronic) (incipient) 521.1 Excessive attrition Approximal wear Occlusal wear 521.2 Abrasion Abrasion of teeth: Abrasion of teeth: dentifrice ritual habitual traditional occupational Wedge defect NOS of teeth 521.3 Erosion Erosion of teeth: NOS due to: medicine persistent vomiting idiopathic occupational 521.4 Pathological resorption Internal granuloma of pulp Resorption of teeth (external) 521.5 Hypercementosis Cementation hyperplasia 521.6 Ankylosis of teeth 521.7 Posteruptive color changes Staining of teeth Excludes: accretions [deposits] on teeth (523.6) 521.8 Other diseases of hard tissues of teeth Irradiated enamel Sensitive dentine 521.9 Unspecified 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 dentine 522.4 Acute apical periodontitis of pulpal origin 522.5 Periapical abscess without sinus Dental abscess Dentoalveolar abscess 522.6 Chronic apical periodontitis Apical or periapical granuloma Apical periodontitis NOS 522.7 Periapical abscess with sinus 522.8 Radicular cyst Cyst: Residual radicular cyst apical (periodontal) periapical Excludes: lateral developmental cyst (526.0) 522.9 Other and unspecified 523 Gingival and periodontal diseases 523.0 Acute gingivitis Excludes: acute necrotizing ulcerative gingivitis (101) herpetic gingivostomatitis (054.2) 523.1 Chronic gingivitis Gingivitis (chronic): NOS desquamative hyperplastic simple marginal ulcerative 523.2 Gingival recession Gingival recession (generalized) (localized) (postinfective) (postoperative) 523.3 Acute periodontitis Acute pericoronitis Periodontal abscess Paradontal abscess Excludes: acute apical periodontitis (522.4) periapical abscess (522.5, 522.7) 523.4 Chronic periodontitis Chronic pericoronitis Periodontitis: NOS complex simplex 523.5 Periodontosis 523.6 Accretions on teeth Dental calculus: Deposit on teeth: subgingival betel supragingival black green materia alba orange tobacco 523.8 Other periodontal diseases Giant cell: epulis peripheral granuloma Gingival: cysts enlargement NOS fibromatosis polyp Periodontal lesions due to traumatic occlusion 523.9 Unspecified 524 Dentofacial anomalies, including malocclusion 524.0 Major anomalies of jaw size Hyperplasia, hypoplasia: mandibular maxillary Macrognathism (mandibular) (maxillary) Micrognathism (mandibular) (maxillary) Excludes: hemifacial atrophy or hypertrophy (754.0) unilateral condylar hyperplasia (526.8) 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 of (posterior) mandibular teeth Soft tissue impingement Excludes: hemifacial atrophy or hypertrophy (754.0) unilateral condylar hyperplasia (526.8) 524.3 Anomalies of tooth position Crowding of tooth, teeth Transposition of tooth, teeth Diastema of tooth, teeth Impacted or embedded teeth with Displacement of tooth, teeth abnormal position of such teeth or Rotation of tooth, teeth adjacent teeth Spacing, abnormal, of tooth, teeth 524.4 Malocclusion, unspecified 524.5 Dentofacial functional abnormalities Abnormal jaw closure Malocclusion due to: abnormal swallowing mouth breathing tongue, lip, or finger habits 524.6 Temporomandibular joint disorders Costen's complex or syndrome Derangement of temporomandibular joint Snapping jaw Temporomandibular joint-pain-dysfunction syndrome Excludes: current temporomandibular joint: dislocation (830.-) strain (848.1) 524.8 Other dentofacial anomalies 524.9 Unspecified 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 525.2 Atrophy of edentulous alveolar ridge 525.3 Retained dental root 525.8 Other Enlargement of alveolar ridge NOS Irregular alveolar process 525.9 Unspecified 526 Diseases of the jaws 526.0 Developmental odontogenic cysts Cyst: Cyst: dentigerous lateral periodontal eruption primordial follicular Keratocyst Excludes: radicular cyst (522.8) 526.1 Fissural cysts of jaw Cyst: Cyst: globulomaxillary nasopalatine incisor canal palatine of papilla median palatal 526.2 Other cysts of jaws Cyst of jaw: NOS aneurysmal hemorrhagic traumatic 526.3 Central giant cell (reparative) granuloma Excludes: peripheral giant cell granuloma (523.8) 526.4 Inflammatory conditions Osteitis of jaw (acute) (chronic) (suppurative) Osteomyelitis (neonatal) of jaw (acute) (chronic) (suppurative) Periostitis of jaw (acute) (chronic) (suppurative) Sequestrum of jaw bone 526.5 Alveolitis of jaw Alveolar osteitis Dry socket 526.6 Other diseases of the jaws Cherubism Torus: Exostosis of jaw mandibularis Fibrous dysplasia of jaw(s) palatinus Latent bone cyst of jaw(s) Unilateral condylar hyperplasia Osteoradionecrosis of jaw(s) or hypoplasia of mandible 526.9 Unspecified 527 Diseases of the salivary glands 527.0 Atrophy 527.1 Hypertrophy 527.2 Sialoadenitis Excludes: epidemic parotitis (072.9) uveoparotid fever (135) 527.3 Abscess 527.4 Fistula Excludes: congenital fistula of salivary gland (750.2) 527.5 Sialolithiasis Calculus of salivary gland or duct Stone 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 Ptyalism Xerostomia 527.8 Other Benign lymphoepithelial Sialosis lesion of salivary gland Stenosis of salivary duct Sialectasia Stricture of salivary duct 527.9 Unspecified 528 Diseases of the oral soft tissues, excluding lesions specific for gingiva and tongue 528.0 Stomatitis Stomatitis: NOS ulcerative Stomatitis, vesicular Excludes: stomatitis: acute necrotizing ulcerative (101) aphthous (528.2) gangrenous (528.1) herpetic (054.2) 528.1 Cancrum oris Gangrenous stomatitis Noma 528.2 Oral aphthae Aphthous stomatitis Recurrent aphthous ulcer Periadenitis mucosa necrotica Stomatitis herpetiformis recurrens 528.3 Cellulitis and abscess Cellulitis of mouth (floor) 528.4 Cysts Dermoid cyst of mouth Nasoalveolar cyst of mouth Epidermoid cyst of mouth Nasolabial cyst of mouth Epstein's pearl of mouth Palatal papilla cyst of mouth Lymphoepithelial cyst of mouth 528.5 Diseases of lips Cheilitis: Cheilodynia NOS Cheilosis angular Excludes: actinic cheilitis (692.8) 528.6 Leukoplakia of oral mucosa, including tongue Excludes: leukokeratosis nicotina palati (528.7) 528.7 Other disturbances of oral epithelium, including tongue Erythroplakia of mouth or tongue Focal epithelial hyperplasia of mouth or tongue Leukoedema of mouth or tongue Leukokeratosis nicotina palati Excludes: white sponge naevus (750.2) 528.8 Oral submucosal fibrosis, including of tongue 528.9 Other and unspecified Cheek and lip biting Eosinophilic granuloma of oral mucosa Denture sore mouth Irritative hyperplasia of oral mucosa Denture stomatitis Pyogenic granuloma of oral mucosa Melanoplakia Ulcer (traumatic) of oral mucosa Papillary hyperplasia of palate 529 Diseases and other conditions of the tongue 529.0 Glossitis Abscess of tongue Ulceration (traumatic) of tongue 529.1 Geographic tongue Benign migratory glossitis Glossitis areata exfoliativa 529.2 Median rhomboid glossitis 529.3 Hypertrophy of tongue papillae Black hairy tongue Hypertrophy of foliate papillae Coated tongue Lingua villosa nigra 529.4 Atrophy of tongue papillae 529.5 Plicated tongue Fissured tongue Furrowed tongue Scrotal tongue Excludes: fissure of tongue, congenital (750.1) 529.6 Glossodynia Glossopyrosis Painful tongue 529.8 Other conditions of the tongue Atrophy (of) tongue Enlargement of tongue Crenated (of) tongue Hypertrophy of tongue Excludes: congenital macroglossia (750.1) 529.9 Unspecified DISEASES OF ESOPHAGUS, STOMACH, AND DUODENUM (530-537) 530 Diseases of esophagus Excludes: esophageal varices (456.0, 456.1) 530.0 Achalasia and cardiospasm Achalasia (of cardia) Excludes: congenital cardiospasm (750.7) 530.1 Esophagitis Abscess of esophagus Esophagitis: NOS chemical peptic postoperative reflux Esophageal reflux Use additional E code, if desired, to identify cause, if induced by chemical 530.2 Ulcer of esophagus Ulcer of esophagus fungal peptic Ulcer of esophagus due to ingestion of: aspirin chemicals medicines Use additional E code, if desired, to identify cause, if induced by chemical or drug 530.3 Stricture and stenosis of esophagus Compression of esophagus Obstruction of esophagus Excludes: congenital stricture of esophagus (750.3) 530.4 Perforation of esophagus Rupture of esophagus Excludes: traumatic perforation of esophagus (862.-, 874.4) 530.5 Dyskinesia of esophagus Corkscrew esophagus Diffuse esophageal spasm Spasm of esophagus Excludes: cardiospasm (530.0) 530.6 Diverticulum of esophagus, acquired Esophageal pouch, acquired Excludes: congenital diverticulum of esophagus (750.4) 530.7 Gastroesophageal laceration-hemorrhage syndrome Mallory-Weiss syndrome 530.8 Other disorders of esophagus Hemorrhage of esophagus 530.9 Unspecified The following fourth-digit subdivisions are for use with categories 531-534: .0 acute with hemorrhage .1 acute with perforation .2 acute with hemorrhage and perforation .3 acute without mention of hemorrhage or perforation .4 chronic or unspecified with hemorrhage .5 chronic or unspecified with perforation .6 chronic or unspecified with hemorrhage and perforation .7 chronic or unspecified without mention of hemorrhage or perforation .9 unspecified as acute or chronic, without mention of hemorrhage or perforation 531 Gastric ulcer [See fourth-digit subdivisions listed prior to 531] Includes: erosion (acute) of stomach ulcer (peptic): pylorus stomach Excludes: peptic ulcer NOS (533.-) Use additional E code, if desired, to identify drug, if drug-induced 532 Duodenal ulcer [See fourth-digit subdivisions listed prior to 531] Includes: erosion (acute) of duodenum ulcer (peptic): duodenum postpyloric Excludes: peptic ulcer NOS (533.-) Use additional E code, if desired, to identify drug, if drug-induced 533 Peptic ulcer, site unspecified [See fourth-digit subdivisions listed prior to 531] Includes: gastroduodenal ulcer NOS peptic ulcer NOS Use additional E code, if desired, to identify drug, if drug-induced 534 Gastrojejunal ulcer [See fourth-digit subdivisions listed prior to 531] Includes: ulcer (peptic) or erosion: anastomotic gastrocolic gastrointestinal gastrojejunal jejunal marginal stomal Excludes: primary ulcer of small intestine (569.8) 535 Gastritis and duodenitis 535.0 Acute gastritis Use additional code, if desired, to identify any associated hemorrhage (578.-) 535.1 Atrophic gastritis Chronic (atrophic) gastritis 535.2 Gastric mucosal hypertrophy 535.3 Alcoholic gastritis 535.4 Other gastritis Superficial gastritis 535.5 Unspecified gastritis and gastroduodenitis 535.6 Duodenitis 536 Disorders of function of stomach Excludes: functional disorders of stomach specified as psychogenic (306.4) 536.0 Achlorhydria 536.1 Acute dilatation of stomach Acute distention of stomach 536.2 Habit vomiting Persistent vomiting [not of pregnancy] Excludes: excessive vomiting in pregnancy (643.-) 536.8 Dyspepsia and other disorders of function of stomach Achylia gastrica Hyperchlorhydria Hourglass contraction of Hypochlorhydria stomach Indigestion Hyperacidity 536.9 Unspecified Functional gastrointestinal: disorder disturbance irritation 537 Other disorders of stomach and duodenum 537.0 Acquired hypertrophic pyloric stenosis Excludes: congenital or infantile pyloric stenosis (750.5) 537.1 Gastric diverticulum Excludes: congenital diverticulum of stomach (750.7) 537.2 Chronic duodenal ileus 537.3 Other obstruction of duodenum 537.4 Fistula of stomach or duodenum Gastrocolic fistula Gastrojejunocolic fistula 537.5 Gastroptosis 537.6 Hourglass stricture or stenosis of stomach Excludes: congenital hourglass stomach (750.7) hourglass contraction of stomach (536.8) 537.8 Other Intestinal metaplasia of gastric mucosa Excludes: diverticula of duodenum(562.0) gastrointestinal hemorrhage(578.-) 537.9 Unspecified APPENDICITIS (540-543) 540 Acute appendicitis 540.0 With generalized peritonitis Appendicitis (acute) with: perforation, peritonitis (generalized), rupture Caecitis (acute) with: perforation, peritonitis (generalized), rupture Rupture of appendix 540.1 With peritoneal abscess Abscess, appendix 540.9 Without mention of peritonitis Acute: appendicitis without mention of perforation, peritonitis, or rupture caecitis without mention of perforation, peritonitis, or rupture 541 Appendicitis, unqualified 542 Other appendicitis Chronic appendicitis Recurrent appendicitis 543 Other diseases of appendix Appendicular or appendiceal: Hyperplasia of appendix colic Intussusception of appendix concretion Mucocele of appendix fistula Stercolith of appendix Diverticulum of appendix HERNIA OF ABDOMINAL CAVITY (550-553) Includes: hernia: acquired bilateral congenital (except diaphragmatic or hiatal) recurrent unilateral 550 Inguinal hernia Includes: bubonocele inguinal hernia: NOS direct double indirect oblique sliding scrotal hernia 550.0 Inguinal hernia, with gangrene 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 551 Other hernia of abdominal cavity, with gangrene 551.0 Femoral, with gangrene 551.1 Umbilical, with gangrene Umbilical hernia as defined in 553.1 if specified as gangrenous 551.2 Ventral [incisional], with gangrene Ventral hernia as defined in 553.2 if specified as gangrenous 551.3 Diaphragmatic, with gangrene Diaphragmatic hernia as defined in 553.3 if specified as gangrenous 551.8 Of other specified sites, with gangrene Any condition in 553.8 if specified as gangrenous 551.9 Of unspecified site, with gangrene Any condition in 553.9 if specified as gangrenous 552 Other hernia of abdominal cavity with obstruction, without mention of gangrene Excludes: with mention of gangrene (551.-) 552.0 Femoral, with obstruction Femoral hernia specified as incarcerated, irreducible, strangulated, or causing obstruction 552.1 Umbilical, with obstruction Umbilical hernia as defined in 553.1 if specified as incarcerated, irreducible, strangulated, or causing obstruction 552.2 Ventral [incisional], with obstruction Ventral hernia as defined in 553.2 if specified as incarcerated, irreducible, strangulated, or causing obstruction 552.3 Diaphragmatic, with obstruction Diaphragmatic hernia as defined in 553.3 if specified as incarcerated, irreducible, strangulated, or causing obstruction 552.8 Of other specified sites, with obstruction Any condition in 553.8 if specified as incarcerated, irreducible, strangulated, or causing obstruction 552.9 Of unspecified site, with obstruction Any condition in 553.9 if specified as incarcerated, irreducible, strangulated, or causing obstruction 553 Other hernia of abdominal cavity without mention of obstruction or gangrene Excludes: the listed conditions with mention of: gangrene (551.-) obstruction (552.-) 553.0 Femoral 553.1 Umbilical Parumbilical hernia Omphalocele 553.2 Ventral [incisional] Epigastric hernia 553.3 Diaphragmatic Hiatal hernia (esophageal) (sliding) Paraesophageal hernia Excludes: congenital hernia: diaphragmatic (756.6) hiatus (750.6) 553.8 Of other specified sites Hernia: lumbar obturator pudendal retroperitoneal sciatic Other abdominal hernia of specified site Excludes: vaginal enterocele (618.6) 553.9 Of unspecified site Enterocele Epiplocele Hernia: NOS interstitial intestinal intra-abdominal Rupture (nontraumatic) Sarcoepiplocele NONINFECTIVE ENTERITIS AND COLITIS (555-558) 555 Regional enteritis Includes: Crohn's disease 555.0 Small intestine Ileitis: regional terminal Regional enteritis or Crohn's disease of: duodenum ileum jejunum 555.1 Large intestine Colitis: Regional enteritis or Crohn's disease of: granulomatous colon regional large bowel large intestine rectum 555.2 Small intestine with large intestine 555.9 Unspecified site Crohn's disease NOS Regional enteritis NOS 556 Idiopathic proctocolitis Pseudopolyposis of colon Ulcerative (chronic): Toxic megacolon colitis enteritis NOS enterocolitis ileocolitis proctitis rectosigmoiditis 557 Vascular insufficiency of intestine Excludes: necrotizing enterocolitis of the newborn (777.5) 557.0 Acute Acute: Intestinal infarction hemorrhagic enterocolitis acute ischemic colitis, agnogenic enteritis, or hemorrhagic enterocolitis nonocclusive massive necrosis of Mesenteric infarction intestine embolic Embolism of mesenteric artery thrombotic Fulminant enterocolitis Terminal hemorrhagic Hemorrhagic necrosis of enteropathy intestine Thrombosis of mesenteric artery Intestinal gangrene 557.1 Chronic Chronic ischemic colitis, Mesenteric: enteritis, or enterocolitis angina Ischemic stricture of intestine artery syndrome (superior) vascular insufficiency 557.9 Unspecified Alimentary pain due to vascular insufficiency Ischemic colitis, enteritis, or enterocolitis NOS 558 Other noninfectious gastroenteritis and colitis Colitis } Diarrhea } Enteritis } specified as allergic, dietetic, noninfectious Enterocolitis } or toxic Gastroenteritis } unspecified, in countries where the conditions can be Ileitis } presumed to be of noninfectious origin Jejunitis } Sigmoiditis } Excludes: colitis, diarrhea, enteritis, gastroenteritis: infectious (009.0, 009.2) unspecified, in countries where presumed to be of noninfectious origin (009.1, 009.3) functional diarrhea (564.5) psychogenic diarrhea (306.4) OTHER DISEASES OF INTESTINES AND PERITONEUM (560-569) 560 Intestinal obstruction without mention of hernia Excludes: inguinal hernia with obstruction (550.1) intestinal obstruction complicating hernia (552.-) mesenteric: embolism (557.0) infarction (557.0) thrombosis (557.0) neonatal intestinal obstruction (777.-) 560.0 Intussusception Intussusception (colon) (intestine) (rectum) Invagination of intestine or colon Excludes: intussusception of appendix (543) 560.1 Paralytic ileus Ileus (of intestine) (of bowel) (of colon) Paralysis of intestine or colon 560.2 Volvulus Strangulation of intestine, bowel, or colon Torsion of intestine, bowel, or colon Twist of intestine, bowel, or colon 560.3 Impaction of intestine Enterolith Impaction of colon Faecal impaction Obstruction of intestine by gallstone 560.8 Other intestinal obstruction Intestinal adhesions with obstruction 560.9 Unspecified intestinal obstruction Enterostenosis Occlusion of intestine or colon Obstruction of intestine Stenosis of intestine or colon or colon Stricture of intestine or colon Excludes: congenital stricture or stenosis of intestine (751.1-751.2) 562 Diverticula of intestine Excludes: congenital diverticulum of colon (751.5) Meckel's diverticulum (751.0) 562.0 Small intestine Diverticulitis, diverticulosis: duodenum jejunum 562.1 Colon Diverticular disease, diverticulitis, diverticulosis: NOS colon large intestine Use additional code, if desired, to identify any associated hemorrhage (578.-) or peritonitis (567.-) 564 Functional digestive disorders, not elsewhere classified Excludes: functional disorders of stomach (536.-) when specified as psychogenic (306.4) 564.0 Constipation 564.1 Irritable colon Enterospasm Irritable bowel syndrome Mucous colitis Spastic colon 564.2 Postgastric surgery syndromes [Not to be used for underlying cause of death] Dumping syndrome Postgastrectomy syndrome Postvagotomy syndrome Excludes: postgastrojejunostomy ulcer (534.-) 564.3 Vomiting following gastrointestinal surgery [Not to be used for underlying cause of death] Vomiting (bilious) following gastrointestinal surgery 564.4 Other postoperative functional disorders Diarrhea following gastrointestinal surgery 564.5 Functional diarrhea Excludes: Psychogenic diarrhea (306.4) 564.6 Anal spasm Proctalgia fugax 564.7 Megacolon, other than Hirschsprung's Dilatation of colon Excludes: megacolon: congenital (751.3) toxic (556) 564.8 Other functional disorders of intestine Atony of colon Excludes: malabsorption (579.-) 564.9 Unspecified 565 Anal fissure and fistula 565.0 Anal fissure Tear of anus, nontraumatic 565.1 Anal fistula Fistula of rectum to skin 566 Abscess of anal and rectal regions Cellulitis of anus or rectum Ischiorectal abscess or fistula Perianal abscess Perirectal abscess or cellulitis 567 Peritonitis Excludes: peritonitis: benign paroxysmal (277.3) chronic proliferative (567.8) pelvic, female (614.5, 614.7) periodic familial (277.3) puerperal (670) with or following: abortion (634-638 with fourth digit .0, 639.0) appendicitis (540.0, 540.1) ectopic or molar pregnancy (639.0) 567.1 Pneumococcal peritonitis 567.2 Other suppurative peritonitis Abscess (of): Peritonitis (acute): abdominopelvic general mesenteric pelvic, male omentum subphrenic peritoneum suppurative retrocecal retroperitoneal subdiaphragmatic subhepatic subphrenic 567.8 Other peritonitis Chronic proliferative Peritonitis due to: peritonitis bile Fat necrosis of peritoneum urine Mesenteric saponification Excludes: peritonitis (postoperative): chemical (998.7) due to talc (998.7) 567.9 Unspecified Peritonitis: NOS of unspecified cause 568 Other disorders of peritoneum 568.0 Peritoneal adhesions Adhesions (of): Adhesive bands abdominal (wall) diaphragm intestine male pelvis mesenteric omentum stomach Excludes: adhesions: pelvic, female (614.6) with intestinal obstruction (560.8) 568.8 Other 568.9 Unspecified 569 Other disorders of intestine 569.0 Anal and rectal polyp 569.1 Rectal prolapse Prolapse: anal canal rectal mucosa 569.2 Stenosis of rectum and anus Stricture of anus (sphincter) 569.3 Hemorrhage of rectum and anus 569.4 Other disorders of rectum and anus Solitary ulcer of anus (sphincter) or rectum (sphincter) Stercoral ulcer of anus (sphincter) or rectum (sphincter) Excludes: fistula of rectum to: skin (565.1) internal organs - see Alphabetical Index hemorrhoids (455.-) incontinence of sphincter ani (787.6) 569.5 Abscess of intestine Excludes: appendiceal abscess (540.9) 569.6 Colostomy and enterostomy malfunction [Not to be used for underlying cause of death] 569.8 Other Pericolitis Perisigmoiditis Ulcer of colon Visceroptosis Excludes: gangrene of intestine, mesentery or omentum (557.0) hemorrhage of intestine NOS (578.9) 569.9 Unspecified OTHER DISEASES OF DIGESTIVE SYSTEM (570-579) 570 Acute and subacute necrosis of liver Acute hepatic failure Acute or subacute hepatitis, not specified as infective Necrosis of liver (acute) (subacute) (diffuse) (massive) Yellow atrophy (liver) (acute) (subacute) Excludes: the listed conditions complicating: abortion (634-638 with fourth digit .7, 639.8) ectopic or molar pregnancy (639.8) pregnancy, childbirth, or the puerperium (646.7) icterus gravis of newborn (773.-) postoperative (997.4) serum hepatitis (070.-, E875.-) viral hepatitis (070.-) 571 Chronic liver disease and cirrhosis 571.0 Alcoholic fatty liver 571.1 Acute alcoholic hepatitis 571.2 Alcoholic cirrhosis of liver La‰nnec's cirrhosis 571.3 Alcoholic liver damage, unspecified 571.4 Chronic hepatitis Chronic hepatitis: NOS active aggressive persistent Recurrent hepatitis 571.5 Cirrhosis of liver without mention of alcohol Cirrhosis of liver: NOS cryptogenic macronodular micronodular postnecrotic Portal cirrhosis 571.6 Biliary cirrhosis Chronic nonsuppurative destructive cholangitis 571.8 Other chronic nonalcoholic liver disease Chronic yellow atrophy (liver) Fatty liver, without mention of alcohol 571.9 Unspecified chronic liver disease without mention of alcohol 572 Liver abscess and sequelae of chronic liver disease 572.0 Abscess of liver Excludes: amoebic liver abscess (006.3) 572.1 Portal pyemia Phlebitis of portal vein Pylephlebitis 572.2 Hepatic coma Portosystemic encephalopathy 572.3 Portal hypertension 572.4 Hepatorenal syndrome Excludes: postoperative (997.4) 572.8 Other sequelae of chronic liver disease 573 Other disorders of liver Excludes: amyloid or lardaceous degeneration of liver (277.3) congenital cystic disease of liver (751.6) glycogen infiltration of liver (271.0) hepatomegaly NOS (789.1) portal vein obstruction (452) 573.0 Chronic passive congestion of liver 573.3 Hepatitis unspecified Toxic (noninfectious) hepatitis 573.4 Hepatic infarction 573.8 Other Hepatoptosis 573.9 Unspecified 574 Cholelithiasis 574.0 Calculus of gallbladder with acute cholecystitis Any condition in 574.2 with acute cholecystitis 574.1 Calculus of gallbladder with other cholecystitis Cholecystitis with cholelithiasis NOS Any condition in 574.2 with cholecystitis (chronic) 574.2 Calculus of gallbladder without mention of cholecystitis Biliary: Cholelithiasis NOS calculus NOS Colic (recurrent) of gallbladder colic NOS Gallstone (impacted) Calculus of cystic duct 574.3 Calculus of bile duct with acute cholecystitis Any condition in 574.5 with acute cholecystitis 574.4 Calculus of bile duct with other cholecystitis Any condition in 574.5 with cholecystitis (chronic) 574.5 Calculus of bile duct without mention of cholecystitis Calculus of: Choledocholithiasis bile duct [any] Hepatic: common duct colic (recurrent) hepatic duct lithiasis 575 Other disorders of gallbladder 575.0 Acute cholecystitis Abscess of gallbladder without mention of calculus Angiocholecystitis without mention of calculus Cholecystitis without mention of calculus: emphysematous (acute) gangrenous suppurative Empyema of gallbladder without mention of calculus Gangrene of gallbladder without mention of calculus Excludes: with cholelithiasis (574.-) 575.1 Other cholecystitis Cholecystitis without mention of calculus: NOS without mention of calculus chronic without mention of calculus Excludes: with cholelithiasis (574.-) 575.2 Obstruction of gallbladder Occlusion of cystic duct or gallbladder without mention of calculus Stenosis of cystic duct or gallbladder without mention of calculus Stricture of cystic duct or gallbladder without mention of calculus Excludes: with cholelithiasis (574.-) 575.3 Hydrops of gallbladder Mucocele of gallbladder 575.4 Perforation of gallbladder Rupture of cystic duct or gallbladder 575.5 Fistula of gallbladder Cholecystoduodenal fistula 575.6 Cholesterolosis of gallbladder Strawberry gallbladder 575.8 Other Adhesions (of) cystic duct, gallbladder Atrophy (of) cystic duct, gallbladder Cyst (of) cystic duct, gallbladder Hypertrophy (of) cystic duct, gallbladder Nonfunctioning (of) cystic duct, gallbladder Ulcer (of) cystic duct, gallbladder Biliary dyskinesia Excludes: nonvisualization of gallbladder (793.3) 575.9 Unspecified 576 Other disorders of biliary tract Excludes: the listed conditions involving the: cystic duct (575.-) gallbladder (575.-) 576.0 Postcholecystectomy syndrome [Not to be used for underlying cause of death] 576.1 Cholangitis Cholangitis: NOS ascending primary recurrent sclerosing secondary stenosing suppurative 576.2 Obstruction of bile duct Occlusion of bile duct [any] without mention of calculus Stenosis of bile duct [any] without mention of calculus Stricture of bile duct [any] without mention of calculus Excludes: with cholelithiasis (574.-) 576.3 Perforation of bile duct Rupture of [any] bile duct 576.4 Fistula of bile duct Choledochoduodenal fistula 576.5 Spasm of sphincter of Oddi 576.8 Other Adhesions of [any] duct Hypertrophy of [any] duct Atrophy of [any] duct Ulcer of [any] duct Cyst of [any] duct 576.9 Unspecified 577 Diseases of pancreas 577.0 Acute pancreatitis Abscess of pancreas Pancreatitis: Necrosis of pancreas: NOS acute acute (recurrent) infective apoplectic hemorrhagic subacute suppurative 577.1 Chronic pancreatitis Chronic pancreatitis: Pancreatitis: NOS painless infectious recurrent interstitial relapsing 577.2 Cyst and pseudocyst of pancreas 577.8 Other diseases of pancreas Atrophy of pancreas Pancreatic: Calculus of pancreas infantilism Cirrhosis of pancreas necrosis: Fibrosis of pancreas NOS aseptic fat Excludes: fibrocystic disease of pancreas (277.0) islet cell tumor of pancreas (211.7) pancreatic steatorrhea (579.4) 577.9 Unspecified 578 Gastrointestinal hemorrhage Excludes: with mention of duodenal, gastric, gastrojejunal or peptic ulcer (531-534) 578.0 Hematemesis Vomiting of blood 578.1 Melaena Excludes: melaena of the newborn (772.4, 777.3) 578.9 Hemorrhage of gastrointestinal tract, unspecified Gastric hemorrhage Intestinal hemorrhage 579 Intestinal malabsorption 579.0 Coeliac disease Gluten enteropathy Idiopathic steatorrhea Nontropical sprue 579.1 Tropical sprue Sprue: NOS tropical Tropical steatorrhea 579.2 Blind loop syndrome [Not to be used for underlying cause of death] Postoperative blind loop syndrome 579.3 Other and unspecified postsurgical nonabsorption [Not to be used for underlying cause of death] Hypoglycemia following gastrointestinal surgery Malnutrition following gastrointestinal surgery 579.4 Pancreatic steatorrhea 579.8 Other 579.9 Unspecified X. DISEASES OF THE GENITOURINARY SYSTEM NEPHRITIS, NEPHROTIC SYNDROME, AND NEPHROSIS (580-589) Excludes: hypertensive renal disease (403.-) Note: The fourth-digit subdivisions which indicate the pathological lesion in categories 580-584 have been standardized, but they do not all apply to each three-digit category. 580 Acute glomerulonephritis Includes: acute nephritis 580.0 With lesion of proliferative glomerulonephritis Acute (diffuse) proliferative 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 580.9 Unspecified 581 Nephrotic syndrome 581.0 With lesion of proliferative glomerulonephritis 581.1 With lesion of membranous glomerulonephritis Idiopathic membranous glomerular disease 581.2 With lesion of membranoproliferative glomerulonephritis Nephrotic syndrome with lesion (of): hypocomplementemic persistent glomerulonephritis lobular glomerulonephritis mesangiocapillary glomerulonephritis mixed membranous and proliferative glomerulonephritis 581.3 With lesion of minimal change glomerulonephritis Lipoid nephrosis Minimal change: glomerular disease glomerulitis nephrotic syndrome 581.8 With other specified pathological lesion in kidney 581.9 Unspecified Nephrosis 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 membranous glomerulonephritis 582.2 With lesion of membranoproliferative glomerulonephritis Chronic glomerulonephritis: hypocomplementaemic persistent lobular membranoproliferative mesangiocapillary mixed membranous and proliferative 582.4 With lesion of rapidly progressive glomerulonephritis Chronic nephritis with lesion of necrotizing glomerulitis 582.8 With other specified pathological lesion in kidney 582.9 Unspecified 583 Nephritis and nephropathy, not specified as acute or chronic Includes: "renal disease" so described, not specified as acute or chronic but with stated pathology or cause 583.0 With lesion of proliferative glomerulonephritis Proliferative: glomerulonephritis NOS nephritis NOS Proliferative nephropathy NOS 583.1 With lesion of membranous glomerulonephritis Membranous: glomerulonephritis NOS nephritis NOS Membranous nephropathy NOS 583.2 With lesion of membranoproliferative glomerulonephritis Membranoproliferative: glomerulonephritis NOS nephritis NOS nephropathy NOS Nephritis NOS, with lesion of: hypocomplementemic persistent glomerulonephritis lobular glomerulonephritis mesangiocapillary glomerulonephritis mixed membranous and proliferative glomerulonephritis 583.4 With lesion of rapidly progressive glomerulonephritis Necrotizing or rapidly progressive: glomerulitis NOS glomerulonephritis NOS nephritis NOS nephropathy NOS Nephritis, unspecified, with lesion of necrotizing glomerulitis 583.6 With lesion of renal cortical necrosis Nephritis NOS with (renal) cortical necrosis Nephropathy NOS with (renal) cortical necrosis Renal cortical necrosis NOS 583.7 With lesion of renal medullary necrosis Nephritis NOS with (renal) medullary [papillary] necrosis Nephropathy NOS with (renal) medullary [papillary] necrosis 583.8 With other specified pathological lesion in kidney Glomerulitis } Glomerulonephritis} with: Nephritis } lesion of interstitial nephritis Nephropathy } Renal disease } 583.9 With unspecified pathological lesion in kidney Glomerulitis NOS Glomerulonephritis NOS Nephritis NOS Nephropathy NOS Excludes: nephropathy complicating pregnancy, labor, or the puerperium (642.-, 646.2) renal disease NOS with no stated cause (593.9) 584 Acute renal failure Excludes: when complicating: abortion (634-638 with fourth digit .3, 639.3) ectopic or molar pregnancy (639.3) following labor and delivery (669.3) postoperative (997.5) 584.5 With lesion of tubular necrosis 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 584.8 With other specified pathological lesion in kidney 584.9 Unspecified 585 Chronic renal failure Chronic uremia Uremic: neuropathy pericarditis Excludes: with any condition in 401.- (403.-) 586 Renal failure, unspecified Uremia NOS Excludes: when complicating: abortion (634-638 with fourth digit .3, 639.3) ectopic or molar pregnancy (639.3) following labor and delivery (669.3) postoperative renal failure (997.5) uremia: extrarenal (788.9) prerenal (788.9) with any condition in 401.- (403.-) 587 Renal sclerosis, unspecified Atrophy of kidney Contracted kidney Excludes: nephrosclerosis (arteriolar) (arteriosclerotic) (403.-) with hypertension (403.-) 588 Disorders resulting from impaired renal function 588.0 Renal osteodystrophy Azotemic osteodystrophy Phosphate-losing tubular disorders Renal: dwarfism rickets 588.1 Nephrogenic diabetes insipidus 588.8 Other Secondary hyperparathyroidism (of renal origin) Excludes: secondary hypertension (405.-) 588.9 Unspecified 589 Small kidney of unknown cause 589.0 Unilateral 589.1 Bilateral 589.9 Unspecified OTHER DISEASES OF URINARY SYSTEM (590-599) Excludes: urinary infections (conditions in 590, 595, 597, 599.0) complicating: abortion (634-638 with fourth digit.7, 639.8) ectopic or molar pregnancy (639.8) pregnancy, childbirth, and the puerperium (646.6) 590 Infections of kidney Use additional code, if desired, to identify organism, such as Escherichia coli (041.4) 590.0 Chronic pyelonephritis and chronic pyonephrosis 590.1 Acute pyelonephritis and acute pyonephrosis Acute pyelitis 590.2 Renal and perinephric abscess 590.3 Pyeloureteritis cystica Infection of renal pelvis and ureter 590.8 Other pyelonephritis or pyonephrosis, not specified as acute or chronic Pyelitis: NOS Pyelonephritis: NOS Excludes: calculous pyelonephritis (592.9) 590.9 Infection of kidney, unspecified Excludes: urinary tract infection NOS (599.0) 591 Hydronephrosis 592 Calculus of kidney and ureter Excludes: nephrocalcinosis (275.4) 592.0 Calculus of kidney Nephrolithiasis: NOS Renal calculus or stone Staghorn calculus Stone in kidney 592.1 Calculus of ureter Ureteric stone 592.9 Urinary calculus, unspecified Calculous pyelonephritis 593 Other disorders of kidney and ureter 593.0 Nephroptosis Mobile kidney 593.1 Hypertrophy of kidney 593.2 Cyst of kidney, acquired Cyst (multiple) (solitary) of kidney, not congenital Excludes: congenital cyst of kidney (753.1) 593.3 Stricture or kinking of ureter Stricture of pelviureteric junction 593.4 Other ureteric obstruction 593.5 Hydroureter Excludes: congenital (753.2) 593.6 Postural proteinuria 593.7 Vesicoureteric reflux 593.8 Other Intestinoureteric fistula Renal infarction Excludes: fistula between ureter and female genital tract (619.0) 593.9 Unspecified Renal disease NOS Excludes: cystic kidney disease (753.1) nephropathy, so described (583.-) renal disease: acute (580.-) arising in pregnancy or the puerperium (642.-, 646.2) chronic (582.-) not specified as acute or chronic but with stated pathology or cause (583.-) 594 Calculus of lower urinary tract 594.0 Calculus in diverticulum of bladder 594.1 Other calculus in bladder Urinary bladder stone Excludes: staghorn calculus (592.0) 594.2 Calculus in urethra 594.8 Other lower urinary tract calculus 594.9 Unspecified 595 Cystitis Excludes: prostatocystitis (601.3) Use additional code, if desired, to identify organism, such as Escherichia coli (041.4) 595.0 Acute cystitis Excludes: trigonitis (595.3) 595.1 Chronic interstitial cystitis 595.2 Other chronic cystitis 595.3 Trigonitis Urethrotrigonitis 595.8 Other Abscess of bladder Irradiation cystitis Use additional E code, if desired, to identify any external cause 595.9 Unspecified 596 Other disorders of bladder 596.0 Bladder-neck obstruction Bladder-neck obstruction or stenosis (acquired) 596.1 Intestinovesical fistula 596.2 Vesical fistula, not elsewhere classified Excludes: fistula between bladder and female genital tract (619.0) 596.3 Diverticulum of bladder Diverticulitis of bladder 596.4 Atony of bladder 596.5 Other functional disorders of bladder Relaxation of bladder sphincter 596.6 Rupture of bladder, nontraumatic 596.7 Hemorrhage into bladder wall Hyperemia of bladder 596.8 Other Bladder: calcified contracted Excludes: cystocele, female (618.-) hernia or prolapse of bladder, female (618.0) 596.9 Unspecified 597 Urethritis, not sexually transmitted, and urethral syndrome Excludes: nonspecific urethritis so stated (099.4) 597.0 Urethral abscess Abscess of: Cowper's gland Littr‚'s gland periurethral urethral (gland) Excludes: urethral caruncle (599.3) 597.8 Other urethritis Adenitis, Skene's glands Urethritis: Cowperitis NOS Meatitis, urethral nonvenereal Ulcer, urethra (meatus) trichomonal Urethral syndrome NOS 598 Urethral stricture Includes: pinhole meatus stricture of urinary meatus Excludes: congenital stricture of urethra and urinary meatus (753.6) 598.0 Infective 598.1 Traumatic Stricture of urethra: late effect of injury postobstetric 598.2 Postoperative Postcatheterization 598.8 Other 598.9 Unspecified 599 Other disorders of urethra and urinary tract 599.0 Urinary tract infection, site not specified Use additional code, if desired, to identify organism 599.1 Urethral fistula Fistula: urethroperineal urethrorectal Urinary fistula NOS Excludes: fistula: urethroscrotal (608.89) urethrovaginal (619.0) 599.2 Urethral diverticulum 599.3 Urethral caruncle 599.4 Urethral false passage 599.5 Prolapsed urethral mucosa Prolapse of urethra Urethrocele, male Excludes: urethrocele, female (618.-) 599.6 Urinary obstruction, unspecified Urinary (tract) obstruction NOS 599.7 Hematuria 599.8 Other 599.9 Unspecified DISEASES OF MALE GENITAL ORGANS (600-608) 600 Hyperplasia of prostate Adenofibromatous hypertrophy of prostate Adenoma (benign) of prostate Enlargement of prostate (benign) Fibroma of prostate Fibroadenoma of prostate Hypertrophy of prostate (benign) Median bar (prostate) Myoma of prostate Prostatic obstruction NOS Excludes: benign neoplasms of prostate (222.2) 601 Inflammatory diseases of prostate Use additional code, if desired, to identify infectious organism 601.0 Acute prostatitis 601.1 Chronic prostatitis 601.2 Abscess of prostate 601.3 Prostatocystitis 601.8 Other 601.9 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 602.9 Unspecified 603 Hydrocele Includes: hydrocele of spermatic cord, testis, or tunica vaginalis Excludes: congenital (778.6) 603.0 Encysted hydrocele 603.1 Infected hydrocele Use additional code, if desired, to identify organism 603.8 Other 603.9 Unspecified 604 Orchitis and epididymitis Use additional code, if desired, to identify organism such as Escherichia 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 Orchitis: NOS 605 Redundant prepuce and phimosis Adherent prepuce Phimosis (congenital) Paraphimosis Tight foreskin 606 Infertility, male Azoospermia Oligospermia 607 Disorders of penis 607.0 Leukoplakia of penis Kraurosis of penis Excludes: carcinoma in situ of penis (233.5) 607.1 Balanoposthitis Balanitis Use additional code, if desired, to identify organism 607.2 Other inflammatory disorders of penis Abscess of corpus cavernosum or penis Cellulitis of corpus cavernosum Boil of corpus cavernosum or penis or penis Carbuncle of corpus cavernosum or penis Cavernitis (penis) Use additional code, if desired, to identify organism 607.3 Priapism Painful erection 607.8 Other Atrophy } Balanitis xerotica obliterans Fibrosis } Induration penis plastica Hematoma } of corpus Hypertrophy } cavernosum Thrombosis } or penis Ulcer } 607.9 Unspecified 608 Other disorders of male genital organs 608.0 Seminal vesiculitis Vesiculitis (seminal) Use additional code, if desired, to identify organism 608.1 Spermatocele 608.2 Torsion of testis Torsion of: epididymis spermatic cord testicle 608.3 Atrophy of testis 608.4 Other inflammatory disorders of male genital organs Abscess } Boil } of scrotum, spermatic cord, testis Carbuncle } [except abscess], tunica vaginalis, or vas deferens Cellulitis } Vasitis Use additional code, if desired, to identify organism Excludes: abscess of testis (604.0) 608.8 Other specified disorders of male genital organs Atrophy } Fibrosis } Hematoma } of seminal vesicle, spermatic cord, testis Hemorrhage } (except atrophy), scrotum, tunica vaginalis or Hypertrophy } vas deferens Oedema } Thrombosis } Ulcer } Chylocele, tunica vaginalis: NOS Hematocele NOS, male Stricture of: spermatic cord tunica vaginalis vas deferens 608.9 Unspecified DISORDERS OF BREAST (610-611) 610 Benign mammary dysplasias 610.0 Solitary cyst of breast Cyst (solitary) of breast 610.1 Diffuse cystic mastopathy Cystic breast 610.2 Fibroadenosis of breast Fibroadenosis of breast: NOS chronic cystic diffuse periodic segmental 610.3 Fibrosclerosis of breast 610.4 Mammary duct ectasia Duct ectasia 610.8 Other 610.9 Unspecified 611 Other disorders of breast Excludes: when associated with lactation or the puerperium (675.-, 676.-) 611.0 Inflammatory disease of breast Abscess (acute) (chronic) Mammillary fistula (nonpuerperal) of: Mastitis (acute) (subacute) (nonpuerperal): areola NOS breast infective Antibioma of breast Excludes: carbuncle of breast (680.2) neonatal infective mastitis (771.5) thrombophlebitis of breast, or Mondor's disease (451.8) 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 Induration of breast Lump in breast Mastodynia Nipple discharge Retraction of nipple 611.8 Other Subinvolution of breast (postlactational) (postpartum) 611.9 Unspecified INFLAMMATORY DISEASE OF FEMALE PELVIC ORGANS (614-616) Excludes: when associated with pregnancy, abortion, childbirth, or the puerperium (630-676) 614 Inflammatory disease of ovary, fallopian tube, pelvic cellular tissue, and peritoneum Excludes: endometritis (615.-) major infection following delivery (670) when complicating: abortion (634-638 with fourth digit .0, 639.0) ectopic or molar pregnancy (639.0) pregnancy or labor (646.6) 614.0 Acute salpingitis and oophoritis Any condition in 614.2 specified as acute or subacute 614.1 Chronic salpingitis and oophoritis Any condition in 614.2 specified as chronic Hydrosalpinx 614.2 Salpingitis and oophoritis, not specified as acute, subacute, or chronic Abscess (of): fallopian tube ovary tubo-ovarian Oophoritis Pyosalpinx Salpingitis Salpingo-oophoritis Tubo-ovarian inflammatory disease Use additional code, if desired, to identify organism, such as Staphylococcus (041.0) or Streptococcus (041.0) 614.3 Acute parametritis and pelvic cellulitis Any condition in 614.4 specified as acute 614.4 Chronic or unspecified parametritis and pelvic cellulitis Abscess (of): broad ligament, chronic or NOS parametrium, chronic or NOS pouch of Douglas, chronic or NOS Pelvis cellulitis, female Use additional code, if desired, to identify organism, such as Staphylococcus (041.1) or Streptococcus (041.0) 614.5 Acute or unspecified pelvic peritonitis, female 614.6 Pelvic peritoneal adhesions, female Infertility associated with peritubal adhesions 614.7 Other chronic pelvic peritonitis, female 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 615 Inflammatory diseases of uterus, except cervix Excludes: when complicating: abortion (634-638 with fourth digit .0, 639.0) ectopic or molar pregnancy (639.0) pregnancy or labor (646.6) following delivery (670) 615.0 Acute Any condition in 615.9 specified as acute or subacute 615.1 Chronic Any condition in 615.9 specified as chronic 615.9 Unspecified Endometritis gonococcal Endomyometritis Metritis Myometritis Perimetritis Pyometra Uterine abscess 616 Inflammatory disease of cervix, vagina, and vulva Excludes: when complicating: abortion (634-638 with fourth digit .0, 639.0) ectopic or molar pregnancy (639.0) pregnancy, childbirth, or the puerperium (646.6) 616.0 Cervicitis and endocervicitis Cervicitis with or without mention of erosion or ectropion Endocervicitis with or without mention of erosion or ectropion Excludes: erosion or ectropion of cervix without mention of cervicitis (622.0) 616.1 Vaginitis and vulvovaginitis Vaginitis, vulvitis or vulvovaginitis: NOS Use additional code, if desired, to identify organism, such as Escherichia coli (041.4), Staphylococcus (041.1), or Streptococcus (041.0) Excludes: noninfective leukorrhea (623.5) postmenopausal or senile vaginitis (627.3) 616.2 Cyst of Bartholin's gland 616.3 Abscess of Bartholin's gland 616.4 Other abscess of vulva Abscess of vulva Furuncle of vulva 616.5 Ulceration of vulva Ulceration of vulva: NOS Excludes: gonococcal (098.0) syphilitic (091.0) tuberculous (016.4) 616.8 Other Excludes: noninflammatory disorders of: cervix (622.-) vagina (623.-) vulva (624.-) 616.9 Unspecified OTHER DISORDERS OF FEMALE GENITAL TRACT (617-629) 617 Endometriosis 617.0 Uterus Adenomyosis 617.1 Ovary Chocolate cyst of ovary Endometrial cystoma of ovary 617.2 Fallopian tube 617.3 Pelvic peritoneum 617.4 Rectovaginal septum and vagina 617.5 Intestine 617.6 Endometriosis in scar of skin 617.8 Other specified sites 617.9 Site unspecified 618 Genital prolapse Excludes: when complicating pregnancy, labor, or delivery (654.4) 618.0 Prolapse of vaginal walls, without mention of uterine prolapse Cystocele, without mention of uterine prolapse Rectocele, without mention of uterine prolapse Urethrocele, without mention of uterine prolapse Vaginal prolapse, without mention of uterine prolapse 618.1 Uterine prolapse without mention of vaginal wall prolapse 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 618.7 Old laceration of muscles of pelvic floor 618.8 Other Incompetence or weakening of pelvic fundus 618.9 Unspecified 619 Fistula involving female genital tract Excludes: vesicorectal and intestinovesical fistula (596.-) 619.0 Urinary-genital tract fistula, female Fistula: cervicovesical ureterovaginal urethrovaginal uteroureteric uterovesical vesicovaginal 619.1 Digestive-genital tract fistula, female Fistula: intestinouterine intestinovaginal Fistula, rectovaginal 619.2 Genital tract-skin fistula, female Fistula: uterus to abdominal wall vaginoperineal 619.8 Other 619.9 Unspecified fistula involving female genital tract 620 Noninflammatory disorders of ovary, fallopian tube, and broad ligament Excludes: hydrosalpinx (614.1) 620.0 Follicular cyst of ovary Cyst of graafian follicle 620.1 Corpus luteum cyst or hematoma 620.2 Other and unspecified ovarian cyst Retention cyst of ovary NOS Serous cyst of ovary Excludes: developmental cysts (752.0) neoplastic cysts (220.-) polycystic ovaries (256.4) Stein-Leventhal syndrome (256.4) 620.3 Acquired atrophy of ovary and fallopian tube 620.4 Prolapse or hernia of ovary and fallopian tube 620.5 Torsion of ovary, ovarian pedicle, or fallopian tube Torsion: Torsion: accessory tube hydatid of Morgagni 620.6 Broad ligament laceration syndrome Masters-Allen syndrome 620.7 Hematoma of broad ligament Haematosalpinx Excludes: in ectopic pregnancy (639.2) 620.8 Other 620.9 Unspecified 621 Disorders of uterus, not elsewhere classified 621.0 Polyp of corpus uteri Polyp: Polyp: endometrium uterus NOS 621.1 Chronic subinvolution of uterus Excludes: puerperal (674.8) 621.2 Hypertrophy of uterus Bulky or enlarged uterus Excludes: puerperal (674.8) 621.3 Endometrial cystic hyperplasia Hyperplasia (cystic) (glandular) of endometrium 621.4 Hematometra Hemometra Excludes: in congenital anomaly (752.-) 621.5 Intrauterine synechiae Adhesions of uterus Band(s) of uterus 621.6 Malposition of uterus Anteversion of uterus Retroversion of uterus Retroflexion of uterus Excludes: malposition complicating pregnancy, labor, or delivery (654.3, 654.4) prolapse of uterus (618.-) 621.7 Chronic inversion of uterus Excludes: current obstetrical trauma (665.2) prolapse of uterus (618.-) 621.8 Other Atrophy of uterus, acquired Fibrosis of uterus: NOS Excludes: endometriosis (617.0) inflammatory diseases (615.-) 621.9 Unspecified disorders of uterus 622 Noninflammatory disorders of cervix Excludes: abnormality of cervix complicating pregnancy, labor, or delivery (654.5, 654.6) fistula (619.-) 622.0 Erosion and ectropion of cervix Eversion of cervix Excludes: in chronic cervicitis (616.0) 622.1 Dysplasia of cervix (uteri) Excludes: carcinoma in situ of cervix (233.1) 622.2 Leukoplakia of cervix (uteri) Excludes: carcinoma in situ of cervix (233.1) 622.3 Old laceration of cervix Adhesions of cervix Excludes: current obstetrical trauma (665.3) 622.4 Stricture and stenosis of cervix Excludes: complicating labor (654.6) 622.5 Incompetence of cervix Excludes: complicating pregnancy (654.5) that affecting fetus or newborn (761.0) 622.6 Hypertrophic elongation of cervix 622.7 Mucous polyp of cervix Polyp NOS of cervix Excludes: adenomatous polyp of cervix (219.0) 622.8 Other Excludes: inflammatory diseases (616.0) 622.9 Unspecified 623 Noninflammatory disorders of vagina Excludes: abnormality of vagina complicating pregnancy, labor, or delivery (654.7) congenital absence of vagina (752.49) congenital diaphragm or bands (752.49) fistulas involving vagina (619.0-619.8) 623.0 Dysplasia of vagina Excludes: carcinoma in situ of vagina (233.3) 623.1 Leukoplakia of vagina 623.2 Stricture or atresia of vagina Adhesions (postoperative) (postradiation) of vagina Stenosis, vagina Use additional E code, if desired, to identify any external cause 623.3 Tight hymenal ring Rigid hymen acquired or Tight hymenal ring acquired or congenital congenital Tight introitus acquired or congenital Excludes: imperforate hymen (752.4) 623.4 Old vaginal laceration Excludes: old laceration involving muscles of pelvic floor (618.7) 623.5 Leukorrhea, not specified as infective Excludes: trichomonal (131.0) 623.6 Vaginal hematoma Excludes: current obstetrical trauma (665.7) 623.7 Polyp of vagina 623.8 Other 623.9 Unspecified 624 Noninflammatory disorders of vulva and perineum Excludes: abnormality of vulva and perineum complicating pregnancy, labor, or delivery (654.8) condyloma acuminatum (078.1) fistulas involving: perineum - see Alphabetic Index vulva (619.-) vulval involvement in skin conditions (690-709) 624.0 Dystrophy of vulva Kraurosis of vulva Leukoplakia of vulva Excludes: carcinoma in situ of vulva (233.3) 624.1 Atrophy of vulva 624.2 Hypertrophy of clitoris Excludes: in endocrine disorders (255.2, 256.1) 624.3 Hypertrophy of labia Hypertrophy of vulva NOS 624.4 Old laceration or scarring of vulva 624.5 Hematoma of vulva Excludes: that complication of delivery (664.5) 624.6 Polyp of labia and vulva 624.8 Other 624.9 Unspecified 625 Pain and other symptoms associated with female genital organs 625.0 Dyspareunia Excludes: when associated with frigidity (302.7) 625.1 Vaginismus Excludes: psychogenic vaginismus (306.5) 625.2 Mittelschmerz 625.3 Dysmenorrhea Excludes: psychogenic dysmenorrhea (306.5) 625.4 Premenstrual tension syndromes Menstrual migraine 625.5 Pelvic congestion syndrome 625.6 Stress incontinence, female 625.8 Other 625.9 Unspecified 626 Disorders of menstruation and other abnormal bleeding from female genital tract Excludes: menopausal and premenopausal bleeding (627.0) pain and other symptoms associated with menstrual cycle (625.-) 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 Excludes: premenopausal (627.0) in puberty (626.3) 626.3 Puberty bleeding Excessive bleeding associated with onset of menstrual periods Pubertal menorrhagia 626.4 Irregular menstrual cycle Irregular: bleeding NOS menstruation periods 626.5 Ovulation bleeding Regular intermenstrual bleeding 626.6 Metrorrhagia Bleeding unrelated to menstrual cycle Irregular intermenstrual bleeding 626.7 Postcoital bleeding 626.8 Other Dysfunctional or functional uterine hemorrhage NOS 626.9 Unspecified 627 Menopausal and postmenopausal disorders 627.0 Premenopausal menorrhagia Menorrhagia: climacteric 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 627.4 States associated with artificial menopause Any condition in 627.1, .2, or .3 which follows induced menopause Post-artificial-menopause syndromes 627.8 Other Excludes: premature menopause NOS (256.3) 627.9 Unspecified 628 Infertility, female Includes: primary and secondary sterility 628.0 Associated with anovulation 628.2 Of tubal origin Associated with: congenital anomaly of tube Tubal: block occlusion stenosis 628.3 Of uterine origin Associated with: congenital anomaly of uterus Nonimplantation 628.4 Of cervical or vaginal origin Associated with: anomaly or cervical mucus congenital structural anomaly 628.8 Of other specified origin 628.9 Of unspecified origin 629 Other disorders of female genital organs 629.0 Hematocele, female Excludes: when associated with ectopic pregnancy (633.-) 629.1 Hydrocele, canal of Nuck Cyst of canal of Nuck 629.8 Other 629.9 Unspecified XI. COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM PREGNANCY WITH ABORTIVE OUTCOME (630-639) 630 Hydatidiform mole Trophoblastic disease NOS Vesicular mole Excludes: chorionepithelioma (181) 631 Other abnormal product of conception Blighted ovum Mole: NOS carneous fleshy Excludes: with mention of conditions in 630 (630) 632 Missed abortion Early fetal death with retention of dead fetus Retained products of conception, not following spontaneous or induced abortion or delivery Excludes: failed induced abortion (638) missed delivery (656.4) with abnormal product of conception (630, 631) 633 Ectopic pregnancy Includes: ruptured ectopic pregnancy 633.0 Abdominal pregnancy 633.1 Tubal pregnancy Fallopian pregnancy Rupture of (fallopian) tube due to pregnancy Tubal abortion 633.2 Ovarian pregnancy 633.8 Other ectopic pregnancy Pregnancy: Pregnancy: cervical intraligamentous combined mesometric cornual mural 633.9 Unspecified The following fourth-digit subdivisions are for use with categories 634-638: .0 Complicated by genital tract and pelvic infection [any condition listed in 639.0] .1 Complicated by delayed or excessive hemorrhage [any condition listed in 639.1] .2 Complicated by damage to pelvic organs and tissues [any condition listed in 639.2] .3 Complicated by renal failure [any condition listed in 639.3] .4 Complicated by metabolic disorder [any condition listed in 639.4] .5 Complicated by shock [any condition listed in 639.5] .6 Complicated by embolism [any condition listed in 639.6] .7 With other specified complications [any condition listed in 639.8] .8 With unspecified complications .9 Without mention of complication 634 Spontaneous abortion [See fourth-digit subdivisions listed prior to 634] Includes: spontaneous abortion (complete) (incomplete) 635 Legally induced abortion [See fourth-digit subdivisions listed prior to 634] Includes: abortion: legal therapeutic termination of pregnancy: legal therapeutic Excludes: menstrual extraction or regulation 636 Illegally induced abortion [See fourth-digit subdivisions listed prior to 634] Includes: abortion (complete) (incomplete): criminal illegal 637 Unspecified abortion [See fourth-digit subdivisions listed prior to 634] Includes: abortion (complete) (incomplete) NOS retained products of conception following abortion, not classifiable elsewhere 638 Failed attempted abortion [See fourth-digit subdivisions listed prior to 634] Includes: failure of attempted induction of (legal) abortion Excludes: incomplete abortion (634-637) 639 Complications following abortion and ectopic and molar pregnancies [Not to be used for underlying cause of death] Note: This category is provided for use when it is required to classify separately the complications listed at fourth-digit level in categories 634-638; for example: a) when the complication itself was responsible for an episode of medical care, the abortion, ectopic or molar pregnancy itself having been dealt with at a previous episode b) when these conditions are immediate complications of ectopic or molar pregnancies classifiable to 630-633 where they cannot be identified at fourth-digit level. 639.0 Genital tract and pelvic infection Endometritis following conditions classifiable to 630-638 Parametritis following conditions classifiable to 630-638 Pelvic peritonitis following conditions classifiable to 630-638 Salpingitis following conditions classifiable to 630-638 Salpingo-oophoritis following conditions classifiable to 630-638 Sepsis NOS following conditions classifiable to 630-638 Septicemia NOS following conditions classifiable to 630-638 Excludes: urinary tract infection (639.8) 639.1 Delayed or excessive hemorrhage Afibrinogenemia following conditions classifiable to 630-638 Defibrination syndrome following conditions classifiable to 630-638 Intravascular hemolysis following conditions classifiable to 630-638 639.2 Damage to pelvic organs and tissues Laceration, perforation, or tear of: bladder following conditions classifiable to 630-638 bowel following conditions classifiable to 630-638 broad ligament following conditions classifiable to 630-638 cervix following conditions classifiable to 630-638 periurethral tissue following conditions classifiable to 630-638 uterus following conditions classifiable to 630-638 639.3 Renal failure Oliguria following conditions classifiable to 630-638 Renal: failure (acute) following conditions classifiable to 630-638 shutdown following conditions classifiable to 630-638 tubular necrosis following conditions classifiable to 630-638 Uremia following conditions classifiable to 630-638 639.4 Metabolic disorders Electrolyte imbalance following conditions classifiable to 630-638 639.5 Shock Circulatory collapse following conditions classifiable to 630-638 Shock (postoperative) (septic) following conditions classifiable to 630-638 639.6 Embolism Embolism: NOS following conditions classifiable to 630-638 air following conditions classifiable to 630-638 amniotic fluid following conditions classifiable to 630-638 blood-clot following conditions classifiable to 630-638 pulmonary following conditions classifiable to 630-638 pyemic following conditions classifiable to 630-638 septic following conditions classifiable to 630-638 soap following conditions classifiable to 630-638 639.8 Other specified complications Cardiac arrest or failure following conditions classifiable to 630-638 Cerebral anoxia following conditions classifiable to 630-638 639.9 Unspecified complications following conditions classifiable to 630-638 COMPLICATIONS MAINLY RELATED TO PREGNANCY (640-648) Includes: the listed conditions even if they arose or were present during labor, delivery, or the puerperium 640 Hemorrhage in early pregnancy [Do not use fourth digit for underlying cause of death] Includes: hemorrhage before completion of 22 weeks' gestation 640.0 Threatened abortion 640.8 Other 640.9 Unspecified 641 Antepartum hemorrhage, abruptio placentae, and placenta previa [Do not use fourth digit for underlying cause of death] 641.0 Placenta previa without hemorrhage Low implantation of placenta without hemorrhage Placenta previa noted: during pregnancy before labor (and delivered by cesarean section) without mention of hemorrhage 641.1 Hemorrhage from placenta previa Low-lying placenta NOS or with hemorrhage (intrapartum) Placenta previa NOS or with hemorrhage (intrapartum) marginal NOS or with hemorrhage (intrapartum) partial NOS or with hemorrhage (intrapartum) total NOS or with hemorrhage (intrapartum) Excludes: hemorrhage from vasa previa (663.5) 641.2 Premature separation of placenta Ablatio placentae Abruptio placentae Accidental antepartum hemorrhage Premature separation of normally implanted placenta 641.3 Antepartum hemorrhage associated with coagulation defects Antepartum or intrapartum hemorrhage associated with: afibrinogenemia hyperfibrinolysis hypofibrinogenemia 641.8 Other antepartum hemorrhage Antepartum or intrapartum hemorrhage associated with: trauma uterine leiomyoma 641.9 Unspecified antepartum hemorrhage Hemorrhage: antepartum NOS intrapartum NOS of pregnancy NOS 642 Hypertension complicating pregnancy, childbirth, and the puerperium 642.0 Benign essential hypertension complicating pregnancy, childbirth, and the puerperium Hypertension: benign essential specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium chronic NOS specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium essential specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium pre-existing NOS specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium 642.1 Hypertension secondary to renal disease, complicating pregnancy, childbirth, and the puerperium Hypertension secondary to renal disease, specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium 642.2 Other pre-existing hypertension complicating pregnancy, childbirth, and the puerperium Malignant hypertension specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium Hypertensive: heart disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium heart and renal disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium renal disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium 642.3 Transient hypertension of pregnancy Transient hypertension, so described, in pregnancy, childbirth, or the puerperium 642.4 Mild or unspecified pre-eclampsia 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 Excludes: albuminuria in pregnancy, without mention of hypertension (646.2) edema in pregnancy, without mention of hypertension (646.1) 642.5 Severe pre-eclampsia 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 Toxemia: eclamptic with convulsions 642.7 Pre-eclampsia or eclampsia superimposed on pre-existing hypertension Conditions in 642.4-642.6, with conditions in 642.0-642.2 642.9 Unspecified hypertension complicating pregnancy, childbirth, and the puerperium Hypertension NOS, without mention of albuminuria or edema, complicating pregnancy, childbirth, or the puerperium 643 Excessive vomiting in pregnancy [Do not use fourth digit for underlying cause of death] 643.0 Mild hyperemesis gravidarum Hyperemesis gravidarum, mild or unspecified, starting before the end of the 22nd week 643.1 Hyperemesis gravidarum with metabolic disturbance Hyperemesis gravidarum, starting before the end of the 22nd, with metabolic disturbance, such as: carbohydrate depletion dehydration electrolyte imbalance 643.2 Late vomiting of pregnancy Excessive vomiting starting after 22 completed weeks of gestation 643.8 Other vomiting complicating pregnancy 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 identify cause 643.9 Unspecified vomiting of pregnancy Vomiting as a reason for care during pregnancy, length of gestation unspecified 644 Early or threatened labor [Do not use fourth digit for underlying cause of death] 644.0 Threatened labor False labor 644.1 Early onset of delivery Onset (spontaneous) of delivery before 37 completed weeks of gestation 645 Prolonged pregnancy Post-dates Post-term 646 Other complications of pregnancy, not elsewhere classified 646.0 Papyraceous fetus 646.1 Edema or excessive weight gain in pregnancy, without mention of hypertension Gestational edema Excludes: with mention of hypertension (642.-) 646.2 Unspecified renal disease in pregnancy, without mention of hypertension Albuminuria in pregnancy without mention of hypertension Nephropathy NOS in pregnancy without mention of hypertension Renal disease NOS in pregnancy without mention of hypertension Gestational proteinuria Excludes: with mention of hypertension (642.-) 646.3 Habitual aborter Excludes: with current abortion (634.-) without current pregnancy (629.9) 646.4 Peripheral neuritis in pregnancy 646.5 Asymptomatic bacteriuria in pregnancy 646.6 Infections of genitourinary tract in pregnancy Conditions in 590, 595, 597, 599.0, 614-616 complicating pregnancy or labor Excludes: major puerperal infection (670) 646.7 Liver disorders in pregnancy Excludes: hepatorenal syndrome following delivery (674.8) 646.8 Other specified complications of pregnancy Fatigue during pregnancy Herpes gestationis 646.9 Unspecified complication of pregnancy 647 Infective 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 Excludes: when the reason for the mother's medical care is that the condition is known or suspected to have affected the fetus (655.-) 647.0 Syphilis Conditions in 090-097 647.1 Gonorrhea Conditions in 098 647.2 Other venereal diseases Conditions in 099 647.3 Tuberculosis Conditions in 010-018 647.4 Malaria Conditions in 084 647.5 Rubella Conditions in 056 647.6 Other viral diseases Conditions in 042 and 050-079, except 056 647.8 Other specified infectious and parasitic diseases 647.9 Unspecified infection or infestation 648 Other current conditions in the mother classifiable elsewhere, but complicating pregnancy, childbirth, and the puerperium Includes: the listed conditions when complicating the pregnant state, aggravated by the pregnancy, or when a main reason for obstetric care Excludes: when the main reason for the mother's medical care is that the condition is known or suspected to have affected the fetus (655.-) 648.0 Diabetes mellitus Conditions in 250 648.1 Thyroid dysfunction Conditions in 240-246 648.2 Anemia Conditions in 280-285 648.3 Drug dependence Conditions in 304.- 648.4 Mental disorders Conditions in 290-303, 305-316, 317-319 648.5 Congenital cardiovascular disorders Conditions in 745-747 648.6 Other cardiovascular diseases Conditions in 390-398, 410-459 Excludes: cerebral hemorrhage in the puerperium (674.0) venous complications (671.-) 648.7 Bone and joint disorders of back, pelvis, and lower limbs Conditions in 720-724, and those in 711-719 or 725-738, specified as affecting the lower limbs 648.8 Abnormal glucose tolerance Conditions in 790.2 648.9 Other Nutritional deficiencies (conditions in 260-269) NORMAL DELIVERY, AND OTHER INDICATIONS FOR CARE IN PREGNANCY, LABOR, AND DELIVERY (650-659) 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 manipulation or instrumentation Excludes: delivery by vacuum extractor, forceps, cesarean section, or breech extraction, without specified complication (669.5-669.7) 651 Multiple gestation [Do not use fourth digit for underlying cause of death] 651.0 Twin pregnancy 651.1 Triplet pregnancy 651.2 Quadruplet pregnancy 651.8 Other 651.9 Unspecified 652 Malposition and malpresentation of fetus [Do not use fourth digit for underlying cause of death] Excludes: with obstructed labor (660.0) 652.0 Unstable lie 652.1 Breech or other malpresentation successfully converted to cephalic presentation Cephalic version NOS 652.2 Breech presentation without mention of version Breech delivery (assisted) (spontaneous) NOS 652.3 Transverse or oblique presentation Oblique lie Transverse lie Excludes: transverse arrest of fetal head (660.3) 652.4 Face or brow presentation Mentum presentation 652.5 High head at term Failure of head to enter pelvic brim 652.6 Multiple gestation with malpresentation of one fetus or more 652.7 Prolapsed arm 652.8 Other specified malposition or malpresentation Compound presentation 652.9 Unspecified malposition or malpresentation 653 Disproportion [Do not use fourth digit for underlying cause of death] Code also any associated obstructed labor (660.1) 653.0 Major abnormality of bony pelvis, not further specified Pelvic deformity NOS 653.1 Generally contracted pelvis Contracted pelvis NOS 653.2 Inlet contraction of pelvis Inlet contraction (pelvis) 653.3 Outlet contraction of pelvis Outlet contraction (pelvis) 653.4 Fetopelvic disproportion Cephalopelvic disproportion NOS Disproportion of mixed maternal and fetal origin, with normally formed fetus 653.5 Unusually large fetus causing disproportion Disproportion of fetal origin with normally formed fetus Fetal disproportion NOS Excludes: when the reason for medical care was concern for the fetus (656.6) 653.6 Hydrocephalic fetus causing disproportion Excludes: that when the reason for medical care was concern for the fetus (655.0) 653.7 Other fetal abnormality causing disproportion Conjoined twins Fetal: ascites hydrops myelomeningocele sacral teratoma tumor 653.8 Disproportion of other origin 653.9 Unspecified 654 Abnormality of organs and soft tissues of pelvis [Do not use fourth digit for underlying cause of death] Includes: the listed conditions during pregnancy, childbirth, or the puerperium Excludes: with obstructed labor (660.2) 654.0 Congenital abnormalities of uterus Double uterus Uterus bicornis 654.1 Tumors of body of uterus Uterine fibroids 654.2 Uterine scar from previous surgery Previous cesarean section NOS 654.3 Retroverted and incarcerated gravid uterus 654.4 Other abnormalities in shape or position of gravid uterus and of neighboring structures Cystocele Pelvic floor repair Pendulous abdomen Prolapse of gravid uterus Rectocele Rigid pelvic floor 654.5 Cervical incompetence Shirodkar suture with or without mention of cervical incompetence 654.6 Other congenital or acquired abnormality of cervix Polyp of cervix Previous surgery to cervix Tumor of cervix 654.7 Congenital or acquired abnormality of vagina Previous surgery to vagina Septate vagina Stenosis of vagina (acquired) (congenital) Stricture of vagina Tumor of vagina 654.8 Congenital or acquired abnormality of vulva Fibrosis of perineum Persistent hymen Previous surgery to perineum or vulva Rigid perineum Tumor of vulva Excludes: varicose veins of vulva (671.1) 654.9 Unspecified 655 Known or suspected fetal abnormality affecting management of mother [Do not use fourth digit for underlying cause of death] Includes: the listed conditions in the fetus as a reason for observation or obstetrical care to the mother, or for termination of pregnancy 655.0 Central nervous system malformation in fetus Fetal or suspected fetal: anencephaly hydrocephalus spina bifida 655.1 Chromosomal abnormality in fetus 655.2 Hereditary disease in family possibly affecting fetus 655.3 Suspected damage to fetus from viral disease in the mother Suspected damage to fetus from maternal rubella 655.4 Suspected damage to fetus from other disease in the mother Suspected damage to fetus from maternal: alcohol addiction listeriosis toxoplasmosis 655.5 Suspected damage to fetus from drugs Excludes: fetal distress in labor and delivery due to drug administration (656.3) 655.6 Suspected damage to fetus from radiation 655.8 Other known or suspected fetal abnormality, not elsewhere classified Suspected damage to fetus from intrauterine contraceptive device 655.9 Unspecified 656 Other fetal and placental problems affecting management of mother [Do not use fourth digit for underlying cause of death] 656.0 Fetal-maternal hemorrhage Leakage (microscopic) of fetal blood into maternal circulation 656.1 Rhesus isoimmunization Anti-D [Rh] antibodies Rh incompatibility 656.2 Isoimmunization from other and unspecified blood-group incompatibility ABO isoimmunization 656.3 Fetal distress Abnormal fetal: acid-base balance heart rate or rhythm Fetal: acidemia bradycardia Meconium in liquor 656.4 Intrauterine death 656.5 Poor fetal growth "Light-for-dates" "Placental insufficiency" "Small-for-dates" 656.6 Excessive fetal growth "Large-for-dates" 656.7 Other placental conditions Abnormal placenta Placental infarct 656.8 Other 656.9 Unspecified 657 Polyhydramnios Hydramnios 658 Other problems associated with amniotic cavity and membranes [Do not use fourth digit for underlying cause of death] Excludes: amniotic fluid embolism (673.1) 658.0 Oligohydramnios Oligohydramnios without mention of rupture of membranes 658.1 Premature rupture of membranes 658.2 Delayed delivery after spontaneous or unspecified rupture of membranes 658.3 Delayed delivery after artificial rupture of membranes 658.4 Infection of amniotic cavity Amnionitis Chorioamnionitis Membranitis Placentitis 658.8 Other 658.9 Unspecified 659 Other indications for care or intervention related to labor and delivery, not elsewhere classified [Do not use fourth digit for underlying cause of death] Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 650-659 for definitions. 659.0 Failed mechanical induction Failure of induction of labor by surgical or other instrumental methods 659.1 Failed medical or unspecified induction Failed induction NOS Failure of induction of labor by medical methods, such as oxytocic drugs 659.2 Maternal pyrexia during labor, unspecified 659.3 Generalized infection during labor Septicemia during labor 659.4 Grand multiparity 659.5 Elderly primigravida 659.8 Other 659.9 Unspecified COMPLICATIONS OCCURRING MAINLY IN THE COURSE OF LABOR AND DELIVERY (660-669) 660 Obstructed labor [Do not use fourth digit for underlying cause of death] 660.0 Obstruction caused by malposition of fetus at onset of labor Any condition in 652.-, causing obstruction during labor Use additional code from 652.-, if desired, to identify condition 660.1 Obstruction by bony pelvis Any condition in 653.-, if desired, causing obstruction during labor Use additional code from 653.-, if desired, to identify condition 660.2 Obstruction by abnormal pelvic soft tissues Any condition in 654.-, causing obstruction during labor Prolapse of anterior lip of cervix Use additional code from 654.-, if desired, to identify condition 660.3 Deep transverse arrest and persistent occipitoposterior or occipitoanterior position 660.4 Shoulder dystocia Impacted shoulders 660.5 Locked twins 660.6 Failed trial of labor, unspecified Failed trial of labor, without mention of condition or suspected condition, and with subsequent delivery by caesarean section 660.7 Failed forceps or ventouse, unspecified Application of ventouse or forceps, without mention of condition, with subsequent delivery by forceps or caesarean section respectively 660.8 Other 660.9 Unspecified Dystocia: NOS fetal NOS maternal NOS 661 Abnormality of forces of labor [Do not use fourth digit for underlying cause of death] 661.0 Primary uterine inertia Failure of cervical dilatation Hypotonic uterine dysfunction, primary 661.1 Secondary uterine inertia Arrested active phase of labor Hypotonic uterine dysfunction, secondary 661.2 Other and unspecified uterine inertia Atony of uterus Desultory labor Irregular labor Poor contractions 661.3 Precipitate labor 661.4 Hypertonic, incoordinate, or prolonged uterine contractions Cervical spasm Contraction ring (dystocia) Dyscoordinate labor Hour-glass contraction of uterus Hypertonic uterine dysfunction Incoordinate uterine action Retraction ring (Bandl's) (pathological) Tetanic contractions Uterine dystocia NOS Uterine spasm 661.9 Unspecified 662 Long labor [Do not use fourth digit for underlying cause of death] 662.0 Prolonged first stage 662.1 Prolonged labor, unspecified 662.2 Prolonged second stage 662.3 Delayed delivery of second twin, triplet, etc. 663 Umbilical cord complications [Do not use fourth digit for underlying cause of death] 663.0 Prolapse of cord Presentation of cord 663.1 Cord around neck, with compression Cord tightly around neck 663.2 Other and unspecified cord entanglement, with compression Entanglement of cords of twins in mono-amniotic sac Knot in cord 663.3 Other and unspecified cord entanglement, without mention of compression 663.4 Short cord 663.5 Vasa previa 663.6 Vascular lesions of cord Bruising of cord Hematoma of cord Thrombosis of vessels of cord 663.8 Other 663.9 Unspecified 664 Trauma to perineum and vulva during delivery [Do not use fourth digit for underlying cause of death] 664.0 First-degree perineal laceration Perineal laceration, rupture, or tear (involving): fourchette hymen labia skin slight vagina vulva 664.1 Second-degree perineal laceration Perineal laceration, rupture, or tear (following episiotomy) involving: pelvic floor perineal muscles vaginal muscles Excludes: involving anal sphincter (664.2) 664.2 Third-degree perineal laceration Perineal laceration, rupture, or tear (following episiotomy) involving: anal sphincter rectovaginal septum sphincter NOS Excludes: with anal or rectal mucosal (664.3) 664.3 Fourth-degree perineal laceration Perineal laceration, rupture, or tear as in 664.2 and involving also: anal mucosa rectal mucosa 664.4 Unspecified perineal laceration Central laceration 664.5 Vulval and perineal hematoma 664.8 Other 664.9 Unspecified 665 Other obstetrical trauma [Do not use fourth digit for underlying cause of death] Includes: damage from instruments 665.0 Rupture of uterus before onset of labor 665.1 Rupture of uterus during and after labor Rupture of uterus NOS 665.2 Inversion of uterus 665.3 Laceration of cervix 665.4 High vaginal laceration Laceration of vaginal wall without mention of perineal laceration 665.5 Other injury to pelvic organs Injury to: bladder urethra 665.6 Damage to pelvic joints and ligaments Avulsion of inner symphyseal cartilage Damage to coccyx Separation of symphysis (pubis) 665.7 Pelvic hematoma Hematoma of vagina 665.8 Other 665.9 Unspecified 666 Postpartum hemorrhage [Do not use fourth digit for underlying cause of death] 666.0 Third-stage hemorrhage Hemorrhage associated with retained, trapped, or adherent placenta Retained placenta NOS 666.1 Other immediate postpartum hemorrhage Hemorrhage following delivery of placenta Postpartum hemorrhage (atonic) NOS 666.2 Delayed and secondary postpartum hemorrhage Hemorrhage 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 Postpartum: afibrinogenemia fibrinolysis 667 Retained placenta or membranes, without hemorrhage [Do not use fourth digit for underlying cause of death] 667.0 Retained placenta without hemorrhage Placenta accreta without hemorrhage Retained placenta without hemorrhage: NOS without hemorrhage total without hemorrhage 667.1 Retained portions of placenta or membranes, without hemorrhage Retained products of conception following delivery, without hemorrhage 668 Complications of the administration of anesthetic or other sedation in labor and delivery [Do not use fourth digit for underlying cause of death] Includes: complications arising from the administration of a general or local anesthetic, analgesic, or other sedation in labor and delivery 668.0 Pulmonary complications Inhalation of stomach contents or secretions Mendelson's syndrome Pressure collapse of lung 668.1 Cardiac complications Cardiac: arrest failure 668.2 Central nervous system complications Cerebral anoxia 668.8 Other 668.9 Unspecified 669 Other complications of labor and delivery, not elsewhere classified [Do not use fourth digit for underlying cause of death] 669.0 Maternal distress 669.1 Shock during or following labor and delivery Obstetric shock 669.2 Maternal hypotension syndrome 669.3 Acute renal failure following labor and delivery 669.4 Other complications of obstetrical surgery and procedures Cardiac: } following cesarean or other arrest } obstetrical surgery or failure } procedure, including delivery Cerebral anoxia } NOS Excludes: complications of obstetrical surgical wounds (674.3) 669.5 Forceps or ventouse delivery without mention of indication Delivery by vacuum extractor, without mention of indication 669.6 Breech extraction, without mention of indication Excludes: breech delivery NOS (652.2) 669.7 Cesarean delivery, without mention of indication 669.8 Other 669.9 Unspecified COMPLICATIONS OF THE PUERPERIUM (670-676) Note: Categories 671 and 673-676 include the listed conditions even if they occur during pregnancy or childbirth. 670 Major puerperal infection Puerperal: endometritis fever pelvic cellulitis pelvic sepsis peritonitis Excludes: 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 [Do not use fourth digit for underlying cause of death] 671.0 Varicose veins of legs Varicose veins NOS 671.1 Varicose veins of vulva and perineum 671.2 Superficial thrombophlebitis Thrombophlebitis (superficial) 671.3 Deep phlebothrombosis, antepartum Deep-vein thrombosis, antepartum 671.4 Deep phlebothrombosis, postpartum Deep-vein thrombosis, postpartum Pelvic thrombophlebitis, postpartum 671.5 Other phlebitis and thrombosis Cerebral venous thrombosis 671.8 Other Hemorrhoids 671.9 Unspecified Phlebitis NOS Thrombosis NOS 672 Pyrexia of unknown origin during the puerperium Puerperal pyrexia NOS 673 Obstetrical pulmonary embolism [Do not use fourth digit for underlying cause of death] Includes: pulmonary emboli in pregnancy, childbirth, or the puerperium, or specified as puerperal Excludes: embolism following abortion (639.6) 673.0 Obstetrical air embolism 673.1 Amniotic fluid embolism 673.2 Obstetrical blood-clot embolism Puerperal pulmonary embolism NOS 673.3 Obstetrical pyemic and septic embolism 673.8 Other Fat embolism 674 Other and unspecified complications of the puerperium, not elsewhere classified [Do not use fourth digit for underlying cause of death] 674.0 Cerebrovascular disorders in the puerperium Any condition in 430-434, 436-437 occurring during pregnancy, childbirth, or the puerperium, or specified as puerperal 674.1 Disruption of cesarean wound 674.2 Disruption of perineal wound Breakdown of perineum Disruption of wound of: episiotomy perineal laceration Secondary perineal tear 674.3 Other complications of obstetrical surgical wounds Hematoma of cesarean section or perineal wound Hemorrhage of cesarean section or perineal wound Infection of cesarean section or perineal wound Excludes: damage from instruments in delivery (664.-, 665.-) 674.4 Placental polyp 674.8 Other Hepatorenal syndrome, following delivery Postpartum: cardiomyopathy subinvolution of uterus 674.9 Unspecified Sudden death of unknown cause during the puerperium 675 Infections of the breast and nipple associated with childbirth [Do not use fourth digit for underlying cause of death] 675.0 Infections of nipple Abscess of nipple 675.1 Abscess of breast Mammary abscess Subareolar abscess Purulent mastitis 675.2 Nonpurulent mastitis Lymphangitis of breast Mastitis: NOS interstitial parenchymatous 675.8 Other 675.9 Unspecified 676 Other disorders of the breast associated with childbirth and disorders of lactation [Do not use fourth digit for underlying cause of death] Includes: the listed conditions during pregnancy, the puerperium, or lactation 676.0 Retracted nipple 676.1 Cracked nipple Fissure of nipple 676.2 Engorgement of breasts 676.3 Other and unspecified disorder of breast 676.4 Failure of lactation Agalactia 676.5 Suppressed lactation 676.6 Galactorrhea Excludes: galactorrhea not associated with childbirth (611.6) 676.8 Other disorders of lactation Galactocele 676.9 Unspecified disorder of lactation XII. DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE INFECTIONS OF SKIN AND SUBCUTANEOUS TISSUE (680-686) Excludes: certain local infections of skin classified under "Infectious and Parasitic Diseases," such as: erysipelas (035) erysipeloid of Rosenbach (027.1) herpes: simplex (054.-) zoster (053.-) molluscum contagiosum (078.0) viral warts (078.1) 680 Carbuncle and furuncle Includes: boil furunculosis 680.0 Face Ear [any part] Nose (septum) Face [any part, except eye] Temple (region) Excludes: eyelid (373.1) lacrimal glands or sac (375.3) orbit (376.0) 680.1 Neck 680.2 Trunk Abdominal wall Chest wall Back [any part, except Groin buttocks] Perineum Breast Umbilicus 680.3 Upper arm and forearm Arm [any part, except hand] Shoulder Axilla 680.4 Hand Finger Wrist Thumb 680.5 Buttock Anus Gluteal region 680.6 Leg, except foot Ankle Knee Hip Thigh 680.7 Foot Heel Toe 680.8 Other specified sites Head [any part, except face] Scalp Excludes: genital organs (external) (607.2, 608.4, 616.4) 680.9 Unspecified site Boil NOS Furuncle NOS 681 Cellulitis and abscess of finger and toe Includes: cellulitis of finger or toe } felon } infection, nail } (with onychia } lymphangitis) panaritium } paronychia } perionychia } Use additional code, if desired, to identify infectious organism 681.0 Finger 681.1 Toe 681.9 Unspecified digit 682 Other cellulitis and abscess Includes: abscess (acute) (with lymphangitis) except of finger or toe cellulitis (diffuse) (with lymphangitis) except of finger or toe lymphangitis, acute (with lymphangitis) except of finger or toe Excludes: cellulitis or abscess of: anal and rectal regions (566) external auditory canal (380.1) external genital organs: female (616.4) male (607.2, 608.4) eyelid (373.1) lacrimal apparatus (375.3) nose, except external (478.1) orbit (376.01) lymphangitis (chronic) (subacute) (457.2) Use additional code, if desired, to identify infectious organism 682.0 Face Cheek Nose Chin Submandibular Forehead Temple (region) Excludes: ear (380.1) 682.1 Neck 682.2 Trunk Abdominal wall Groin Back [any part, except Pectoral region buttock] Perineum Chest wall Umbilicus Excludes: of umbilicus in newborn (771.4) 682.3 Upper arm and forearm Arm [any part, except hand] Shoulder Axilla Excludes: hand (682.4) 682.4 Hand, except fingers Hand [except finger or thumb] Wrist Excludes: finger and thumb (681.0) 682.5 Buttock Gluteal region 682.6 Leg, except foot Ankle Knee Hip Thigh 682.7 Foot, except toes Heel Excludes: toe (681.1) 682.8 Other specified sites Head [except face] Scalp 682.9 Unspecified site Abscess NOS Cellulitis NOS 683 Acute lymphadenitis Abscess (acute) } Adenitis, acute } any lymph node except mesenteric Lymphadenitis, acute } Excludes: enlarged glands NOS (785.6) lymphadenitis: chronic or subacute, except mesenteric (289.1) mesenteric (acute) (chronic) (subacute) (289.2) unspecified (289.3) Use additional code, if desired, to identify infectious organism 684 Impetigo Impetiginization of other dermatoses Impetigo (contagiosa) [any site] [any organism]: bullous circinate neonatorum simplex Pemphigus neonatorum Excludes: impetigo herpetiformis (694.3) 685 Pilonidal cyst Includes: fistula, coccygeal or pilonidal sinus, coccygeal or pilonidal 685.0 With abscess 685.1 Without mention of abscess 686 Other local infections of skin and subcutaneous tissue Use additional code, if desired, to identify any infectious organism 686.0 Pyoderma Dermatitis: Dermatitis, suppurative purulent septic 686.1 Pyogenic granuloma Granuloma: Granuloma telangiectaticum septic suppurative 686.8 Other local infections of skin and subcutaneous tissue Dermatitis vegetans Perleche Ecthyma Excludes: dermatitis infectiosa eczematoides (690) panniculitis (729.3) 686.9 Unspecified local infection of skin and subcutaneous tissue OTHER INFLAMMATORY CONDITIONS OF SKIN AND SUBCUTANEOUS TISSUE (690-698) Excludes: panniculitis (729.3) 690 Erythematosquamous dermatosis Dermatitis infectiosa Seborrheic: eczematoides dermatitis Parakeratosis eczema Pityriasis: capitis simplex Excludes: eczematous dermatitis of eyelid (373.3) psoriasis (696.0-696.1) 691 Atopic dermatitis and related conditions 691.0 Diaper or napkin rash Diaper or napkin: Psoriasiform napkin eruption dermatitis erythema rash 691.8 Other Atopic dermatitis Neurodermatitis: Eczema: atopic atopic diffuse (Brocq) 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 Excludes: allergy NOS (995.3) contact dermatitis of eyelids (373.3) dermatitis due to ingested substances (693.-) eczema of external ear (380.2) perioral dermatitis (695.3) 692.0 Due to detergents 692.1 Due to oils and greases 692.2 Due to solvents Solvents of: chlorocompound group cyclohexane group ester group glycol group hydrocarbon group ketone group 692.3 Due to drugs and medicines in contact with skin Arnica Neomycin Fungicides Phenol Iodine Scabicides Keratolytics Any drug causing contact Mercury dermatitis Excludes: allergy NOS due to drugs (995.2, E930-E949) dermatitis due to ingested drugs (693.0) Use additional E code, if desired, to identify drug 692.4 Due to other chemical products Acids Insecticide Adhesive plaster Nylon Alkalis Plastic Caustics Rubber Dichromate 692.5 Due to food in contact with skin Cereals Fruit Fish Meat Flour Milk Excludes: dermatitis due to: dyes (692.8) ingested foods (693.1) preservatives (692.8) 692.6 Due to plants [except food] Lacquer tree [Rhus verniciflua] Poison: ivy [Rhus toxicodendron] oak [Rhus diversiloba] sumac [Rhus venenata] vine [Rhus radicans] Primrose [Primula] Ragweed [Senecio jacobaea] Excludes: allergy NOS due to pollen (477.0) 692.7 Due to solar radiation Hydroa (aestivale) Sunburn 692.8 Due to other specified agents Due to: Due to: cold weather light cosmetics preservatives dyes Radiation NOS furs Ultraviolet rays hot weather X-rays Infra-red rays Excludes: allergy NOS due to animal hair, dander (animal), or dust (477.8) 692.9 Unspecified cause Dermatitis: NOS contact NOS venenata NOS Eczema NOS 693 Dermatitis due to substances taken internally Excludes: adverse effect NOS of drugs and medicines (995.2) allergy NOS (995.3) contact dermatitis (692.-) urticarial reactions (708.0, 995.1) 693.0 Due to drugs and medicines Use additional E code, if desired, to identify drug 693.1 Due to food 693.8 Due to other specified substances 693.9 Due to unspecified substance Excludes: dermatitis NOS (692.9) 694 Bullous dermatoses 694.0 Dermatitis herpetiformis Dermatosis herpetiformis Duhring's disease Hydroa herpetiformis Excludes: senile dermatitis herpetiformis (694.5) 694.1 Subcorneal pustular dermatosis Sneddon-Wilkinson disease or syndrome 694.2 Juvenile dermatitis herpetiformis 694.3 Impetigo herpetiformis 694.4 Pemphigus Pemphigus: erythematosus foliaceus malignant vegetans vulgaris Pemphigus NOS Excludes: pemphigus neonatorum (684) 694.5 Pemphigoid Benign pemphigus NOS Herpes circinatus bullosus Bullous pemphigoid Senile dermatitis herpetiformis 694.6 Benign mucous membrane pemphigoid Mucosynechial atrophic bullous dermatitis Ocular pemphigoid 694.8 Other bullous dermatoses Excludes: herpes gestationis (646.8) 694.9 Unspecified 695 Erythematous conditions 695.0 Toxic erythema 695.1 Erythema multiforme Erythema iris Stevens-Johnson syndrome Herpes iris Toxic epidermal necrolysis 695.2 Erythema nodosum Excludes: tuberculous erythema nodosum (017.1) 695.3 Rosacea Acne rosacea Rhinophyma Perioral dermatitis 695.4 Lupus erythematosus Lupus: erythematodes (discoid) erythematosus (discoid), not disseminated Excludes: lupus NOS or vulgaris (017.0) disseminated lupus erythematosus (710.0) 695.8 Other erythematous conditions Erythema intertrigo Pityriasis rubra (Hebra) Intertrigo Ritter's disease Excludes: mycotic intertrigo (111.-) 695.9 Unspecified Erythema NOS Erythroderma (secondary) 696 Psoriasis and similar disorders 696.0 Psoriatic arthropathy 696.1 Other psoriasis Acrodermatitis continua Psoriasis any type, except arthropathic 696.2 Parapsoriasis Pityriasis lichenoides et varioliformis 696.3 Pityriasis rosea Pityriasis circinata (et maculata) 696.4 Pityriasis rubra pilaris Devergie's disease Excludes: pityriasis rubra (Hebra) (695.8) 696.5 Other and unspecified pityriasis Excludes: pityriasis: simplex (690) versicolor (111.0) 696.8 Other 697 Lichen Excludes: lichen: pilaris (757.3) sclerosus et atrophicus (701.0) scrofulosus (017.0) simplex chronicus (698.3) spinulosus (congenital) (757.3) 697.0 Lichen planus Lichen ruber planus 697.1 Lichen nitidus 697.8 Other lichen, not elsewhere classified Lichen: ruber moniliforme striata 697.9 Unspecified 698 Pruritus and related conditions Excludes: pruritus specified as psychogenic (306.3) 698.0 Pruritus ani 698.1 Pruritus of genital organs 698.2 Prurigo Prurigo: Prurigo mitis NOS Hebra's 698.3 Lichenification and lichen simplex chronicus Hyde's disease Prurigo nodularis Neurodermatitis (circumscripta) (local) Excludes: neurodermatitis diffuse (Brocq) (691.8) 698.4 Dermatitis factitia [artefacta] Neurotic excoriation Use additional code, if desired, to identify any associated mental disorder 698.8 Other pruritic conditions Pruritus senilis 698.9 Unspecified Itch NOS OTHER DISEASES OF SKIN AND SUBCUTANEOUS TISSUE (700-709) Excludes: congenital conditions of skin, hair, and nails (757.-) 700 Corns and callosities Callus Clavus 701 Other hypertrophic and atrophic conditions of skin Excludes: dermatomyositis (710.3) hereditary edema of legs (757.0) scleroderma (generalized) (710.1) 701.0 Circumscribed scleroderma Dermatosclerosis, localized Morphea Lichen sclerosus et atrophicus Scleroderma 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) NOS Excludes: Darier's disease (757.3) dyskeratosis follicularis (757.3) keratosis: arsenical (692.4) follicularis (757.3) 701.2 Acquired acanthosis nigricans Keratosis nigricans 701.3 Striae atrophicae Atrophic spots of skin Degenerative colloid atrophy Atrophoderma maculatum Senile degenerative atrophy Atrophy blanche (of Milian) Striae distensae 701.4 Keloid scar Cheloid Keloid Hypertrophic scar 701.5 Other abnormal granulation tissue Excessive granulation 701.8 Other hypertrophic and atrophic conditions of skin Acrodermatitis atrophicans Cutis laxa senilis chronica Elastosis senilis Atrophia cutis senilis Folliculitis ulerythematosa reticulata Atrophoderma neuriticum Gougerot-Carteaud syndrome or disease Confluent and reticulate papillomatosis 701.9 Unspecified 702 Other dermatoses Cutaneous horn Leukokeratosis Hyperkeratosis, senile Leukoplakia Keratoma, senile Excludes: carcinoma in situ (232.-) 703 Diseases of nail 703.0 Ingrowing nail 703.8 Other diseases of nail Dystrophia unguium Onychogryposis Hypertrophy of nail Onycholysis Leukonychia (punctata) (striata) 703.9 Unspecified Excludes: onychia and paronychia (681.-) 704 Diseases of hair and hair follicles 704.0 Alopecia Baldness Ophiasis Folliculitis decalvans Pseudopelade Hypotrichosis: NOS postinfectional NOS Excludes: madarosis (374.5) syphilitic alopecia (091.8) 704.1 Hirsutism Hypertrichosis: NOS lanuginosa, acquired Polytrichia 704.2 Abnormalities of the hair Atrophic hair Trichiasis: Clastothrix NOS Fragilitas crinium cicatricial Trichorrhexis (nodosa) Excludes: trichiasis of eyelid (374.0) 704.3 Variations in hair color Canities (premature) Grayness, hair (premature) Heterochromia of hair Poliosis: NOS circumscripta, acquired 704.8 Other diseases of hair and hair follicles Folliculitis: NOS abscedens et suffodiens pustular Perifolliculitis: NOS capitis abscedens et suffodiens scalp Sycosis: NOS barbae [not parasitic] lipoides vulgaris 704.9 Unspecified 705 Disorders of sweat glands 705.0 Anhidrosis Hypohidrosis Oligohidrosis 705.1 Prickly heat Heat rash Miliaria rubra (tropicalis) Sudamina 705.8 Other disorders of sweat glands Bromhidrosis Pompholyx Cheiropompholyx Urhidrosis Chromhidrosis Excludes: hidrocystoma (216.-) hyperhidrosis (780.8) 705.9 Unspecified 706 Diseases of sebaceous glands 706.0 Acne varioliformis Acne necrotica 706.1 Other acne Acne: NOS conglobata cystic pustular vulgaris Comedo Excludes: acne rosacea (695.3) 706.2 Sebaceous cyst Atheroma, skin Wen 706.3 Seborrhea Excludes: seborrhea: capilitii (704.8) sicca (690) seborrheic keratosis (702) 706.8 Other diseases of sebaceous glands Xerosis cutis 706.9 Unspecified 707 Chronic ulcer of skin Excludes: gangrene (785.4) skin infections (680-686) specific infections classified under "Infectious and Parasitic Diseases" (001-136) varicose ulcer (454.-) 707.0 Decubitus ulcer Decubitus ulcer, any site Pressure ulcer Plaster ulcer 707.1 Ulcer of lower limbs, except decubitus 707.8 Chronic ulcer of other specified sites 707.9 Chronic ulcer of unspecified site Chronic ulcer NOS Ulcer of skin NOS Tropical ulcer NOS 708 Urticaria Excludes: angioneurotic edema (995.1) hereditary angio-edema (277.6) Quincke's edema (995.1) urticaria: giant (995.1) papulosa (Hebra) (698.2) pigmentosa (757.3) 708.0 Allergic urticaria 708.1 Idiopathic urticaria 708.2 Urticaria due to cold and heat Thermal urticaria 708.3 Dermatographic urticaria Factitial urticaria 708.4 Vibratory urticaria 708.5 Cholinergic urticaria 708.8 Other specified urticaria Urticaria: chronic recurrent periodic 708.9 Unspecified 709 Other disorders of skin and subcutaneous tissue 709.0 Dyschromia Caf‚ au lait spots Anomalous pigmentation NOS Chloasma: Hyperpigmentation NOS Tattoo idiopathic Vitiligo symptomatic 709.1 Vascular disorders of skin Angioma serpiginosum Purpura (primary) annularis telangiectodes 709.2 Scar conditions and fibrosis of skin Adherent scar (skin) Fibrosis, skin NOS Cicatrix Scar NOS Disfigurement (due to scar) 709.3 Degenerative skin disorders Calcinosis: Degeneration, skin circumscripta Deposits, skin cutis Senile dermatosis NOS Colloid milium Subcutaneous calcification 709.4 Foreign body granuloma of skin and subcutaneous tissue 709.8 Other diseases of skin Epithelial hyperplasia Vesicular eruption Menstrual dermatosis 709.9 Unspecified XIII. DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE ARTHROPATHIES AND RELATED DISORDERS (710-719) Excludes: disorders of spine (720-724) 710 Diffuse diseases of connective tissue Includes: all collagen diseases whose effects are not mainly confined to a single system Excludes: those affecting mainly the cardiovascular system, i.e., polyarteritis nodosa and allied conditions (446) 710.0 Systemic lupus erythematosus Disseminated lupus erythematosus Excludes: lupus erythematosus (discoid) NOS (695.4) 710.1 Systemic sclerosis Scleroderma Excludes: circumscribed scleroderma (701.0) 710.2 Sicca syndrome Keratoconjunctivitis sicca Sj”gren's disease 710.3 Dermatomyositis Polymyositis with skin involvement 710.4 Polymyositis 710.8 Other 710.9 Unspecified Collagen disease NOS 711 Arthropathy associated with infections Excludes: rheumatic fever (390) 711.0 Pyogenic arthritis Arthritis or polyarthritis (due to): coliform [Escherichia coli] Hemophilus influenzae [H. influenzae] Pseudomonas staphylococcal streptococcal Use additional code, if desired, to identify infectious organism 711.9 Unspecified infective arthritis Infective arthritis or polyarthritis (acute) (chronic) (subacute) NOS 712 Crystal arthropathies Includes: crystal-induced arthritis and synovitis 712.8 Other crystal arthropathies 712.9 Unspecified crystal arthropathy 714 Rheumatoid arthritis and other inflammatory polyarthropathies Excludes: rheumatic fever (390) rheumatoid arthritis of spine NOS (720.-) 714.0 Rheumatoid arthritis 714.1 Felty's syndrome Rheumatoid arthritis with splenoadenomegaly and leukopenia 714.2 Other rheumatoid arthritis with visceral or systemic involvement 714.3 Juvenile chronic polyarthritis Juvenile rheumatoid arthritis Still's disease 714.4 Chronic postrheumatic arthropathy Jaccoud's syndrome 714.8 Other 714.9 Unspecified Inflammatory polyarthropathy or polyarthritis NOS 715 Osteoarthrosis and allied disorders Note: Localized, in the subcategories below, includes bilateral involvement of the same site. Excludes: osteoarthrosis of spine 715.0 Generalized 715.1 Localized, primary 715.2 Localized, secondary 715.3 Localized, not specified whether primary or secondary 715.8 Involving or with mention of more than one site but not specified as generalized 715.9 Unspecified whether generalized or localized 716 Other and unspecified arthropathies Excludes: cricoarytenoid arthropathy (478.7) 716.0 Kaschin-Beck disease 716.1 Traumatic arthropathy 716.2 Allergic arthritis Excludes: arthritis associated with Henoch-Sch”nlein purpura or serum sickness 716.3 Climacteric arthritis 716.4 Transient arthropathy Excludes: palindromic rheumatism (719.3) 716.5 Unspecified polyarthropathy or polyarthritis 716.6 Unspecified monoarthritis 716.8 Other specified arthropathy 716.9 Unspecified 717 Internal derangement of knee Excludes: ankylosis (718.5) contracture (718.4) current injury (836.-) deformity (736.6) recurrent dislocation (718.3) 717.0 Old bucket handle tear of medial meniscus Old bucket handle tear of unspecified cartilage 717.1 Derangement of anterior horn of medial meniscus 717.2 Derangement of posterior horn of medial meniscus 717.3 Other and unspecified derangement of medial meniscus 717.4 Derangement of lateral meniscus 717.5 Derangement of meniscus, not elsewhere classified Congenital discoid meniscus 717.6 Loose body in knee 717.7 Chondromalacia of patellae 717.8 Other Old disruption of ligament(s) of knee 717.9 Unspecified Derangement NOS of knee 718 Other derangement of joint Excludes: current injury (830.- to 848.-) 718.0 Articular cartilage disorder Meniscus disorder Excludes: chondrocalcinosis (275.4) in ochronosis (270.2) knee (717.-) metastatic calcification (275.4) 718.1 Loose body in joint Excludes: knee (717.6) 718.2 Pathological dislocation Dislocation or displacement of joint, not recurrent and not current injury Spontaneous dislocation (joint) 718.4 Contracture of joint 718.5 Ankylosis of joint Excludes: spine (724.9) stiffness of joint without mention of ankylosis (719.5) 718.6 Unspecified protrusio acetabuli 718.8 Other joint derangement not elsewhere classified Excludes: deformities classifiable to 736.- (736.-) 718.9 Unspecified 719 Other and unspecified disorders of joint 719.0 Effusion of joint Swelling of joint, with or without pain 719.1 Hemarthrosis Excludes: current injury (840-848) in hemophilia (286.0-286.2) 719.2 Villonodular synovitis 719.3 Palindromic rheumatism 719.4 Pain in joint 719.5 Stiffness of joint, not elsewhere classified 719.6 Other symptoms referable to joint 719.7 Difficulty in walking 719.8 Other Excludes: temporomandibular joint-pain-dysfunction syndrome [Costen's syndrome] (524.6) 719.9 Unspecified DORSOPATHIES (720-724) Excludes: curvature of spine (737.-) osteochondrosis of spine (732.-) 720 Ankylosing spondylitis and other inflammatory spondylopathies 720.0 Ankylosing spondylitis Rheumatoid arthritis of spine NOS 720.1 Spinal enthesopathy Disorder of peripheral ligamentous or muscular attachments of spine Romanus lesion 720.2 Sacroiliitis, not elsewhere classified 720.8 Other inflammatory spondylopathies 720.9 Unspecified inflammatory spondylopathy 721 Spondylosis and allied disorders 721.0 Cervical spondylosis without myelopathy 721.1 Cervical spondylosis with myelopathy Anterior spinal artery compression syndrome Spondylogenic compression of cervical spinal cord Vertebral artery compression syndrome 721.2 Thoracic spondylosis without myelopathy 721.3 Lumbosacral spondylosis without myelopathy 721.4 Thoracic or lumbar spondylosis with myelopathy Spondylogenic compression of thoracic or lumbar spinal cord 721.5 Kissing spine Baastrup's syndrome 721.6 Ankylosing vertebral hyperostosis 721.7 Traumatic spondylopathy Kmmell's disease or spondylitis 721.8 Other 721.9 Spondylosis of unspecified site Spondylogenic compression of spinal cord NOS 722 Intervertebral disc disorders 722.0 Displacement of cervical intervertebral disc without myelopathy Neuritis (brachial) or radiculitis due to displacement or rupture of cervical intervertebral disc 722.1 Displacement of thoracic or lumbar intervertebral disc without myelopathy Lumbago or sciatica due to displacement of intervertebral disc Neuritis or radiculitis due to displacement or rupture of thoracolumbar intervertebral disc 722.2 Displacement of intervertebral disc, site unspecified, without myelopathy Neuritis or radiculitis due to displacement or rupture of intervertebral disc 722.3 Schmorl's nodes 722.4 Degeneration of cervical intervertebral disc Degeneration of cervicothoracic intervertebral disc 722.5 Degeneration of thoracic or lumbar intervertebral disc Degeneration of thoracolumbar or lumbosacral intervertebral disc 722.6 Degeneration of intervertebral disc, site unspecified 722.7 Intervertebral disc disorder with myelopathy 722.8 Postlaminectomy syndrome 722.9 Other and unspecified disc disorder 723 Other disorders of cervical region Excludes: conditions due to: intervertebral disc disorders (722.-) spondylosis (721.-) 723.0 Spinal stenosis in cervical region 723.1 Cervicalgia 723.2 Cervicocranial syndrome Posterior cervical sympathetic syndrome 723.3 Cervicobrachial syndrome (diffuse) 723.4 Brachia neuritis or radiculitis NOS 723.5 Torticollis, unspecified Excludes: congenital (756.8) due to birth injury (767.8) hysterical (300.1) psychogenic (306.0) spasmodic (333.8) traumatic, current (847.0) 723.6 Panniculitis specified as affecting neck 723.7 Ossification of posterior longitudinal ligament in cervical region 723.8 Other syndromes affecting cervical region 723.9 Unspecified disorders and symptoms referable to neck 724 Other and unspecified disorders or back Excludes: collapsed vertebra (code to cause, e.g., osteoporosis, 733.0) conditions due to: intervertebral disc disorders (722.-) spondylosis (721.-) 724.0 Spinal stenosis, other than cervical 724.1 Pain in thoracic spine 724.2 Lumbago 724.3 Sciatica Excludes: specified lesion of sciatic nerve (355.0) 724.4 Thoracic or lumbosacral neuritis or radiculitis NOS 724.5 Backache, unspecified 724.6 Disorders of sacrum 724.7 Disorders of coccyx 724.8 Other symptoms referable to back Ossification of posterior longitudinal ligament NOS Panniculitis specified as sacral or affecting back 724.9 Unspecified back disorders Affection of sacroiliac joint NOS Ankylosis of spine NOS Excludes: sacroiliitis (720.2) RHEUMATISM, EXCLUDING THE BACK (725-729) Includes: disorders of muscles and tendons and their attachments, and of other soft tissues 725 Polymyalgia rheumatica 726 Peripheral enthesopathies and allied syndromes Note: Enthesopathies are disorders of peripheral ligamentous or muscular attachments. Excludes: spinal enthesopathy (720.1) 726.0 Adhesive capsulitis of shoulder 726.1 Rotator cuff syndrome of shoulder and allied disorders Disorders of bursae and tendons in shoulder region 726.2 Other affections of shoulder region, not elsewhere classified Periarthritis of shoulder Scapulohumeral fibrositis 726.3 Enthesopathy of elbow region Epicondylitis Tennis elbow 726.4 Enthesopathy of wrist and carpus Periarthritis of wrist 726.5 Enthesopathy of hip region Gluteal tendinitis Psoas tendinitis Iliac crest spur Trochanteric tendinitis 726.6 Enthesopathy of knee Patellar tendinitis Pellegrini-Stieda syndrome 726.7 Enthesopathy of ankle and tarsus Achilles bursitis or tendinitis Metatarsalgia NOS Calcaneal spur Tibialis tendinitis Excludes: Morton's metatarsalgia (355.6) 726.8 Other peripheral enthesopathies 726.9 Unspecified enthesopathy Bone spur NOS Periarthritis NOS Capsulitis NOS Tendinitis NOS 727 Other disorders of synovium, tendon and bursa 727.0 Synovitis and tenosynovitis Synovitis: NOS Excludes: crystal-induced (275.4) gouty (274.0) 727.1 Bunion 727.2 Specific bursitides often of occupational origin Beat: Chronic crepitant synovitis of wrist elbow Miners': hand elbow knee knee 727.3 Other bursitis Bursitis: NOS Excludes: bursitis: subacromial (726.1) subcoracoid (726.1) subdeltoid (726.1) "frozen shoulder" (726.0) 727.4 Ganglion and cyst of synovium, tendon, and bursa Cyst, bursal or synovial Ganglion of joint or tendon 727.5 Rupture of synovium 727.6 Rupture of tendon, nontraumatic 727.8 Other Abscess of bursa or tendon Calcium deposits Calcification of tendon NOS Contracture of tendon (sheath) Calcific tendinitis NOS Short tendon Excludes: xanthomatosis localized to tendons (272.7) 727.9 Unspecified 728 Disorders of muscle, ligament, and fascia Excludes: disruption of ligaments of knee (717.8) muscular dystrophies (359.-) myoneural disorders (358.-) myopathies (359.-) 728.0 Infective myositis Myositis: Myositis: purulent suppurative Excludes: epidemic myositis (074.1) 728.1 Muscular calcification and ossification Massive calcification (paraplegic) Myositis ossificans Polymyositis ossificans 728.2 Muscular wasting and disuse atrophy, not elsewhere classified Myofibrosis Excludes: neuralgic amyotrophy (353.5) progressive muscular atrophy (335.-) 728.3 Other specific muscle disorders Arthrogryposis Immobility syndrome (paraplegic) Excludes: arthrogryposis multiplex congenita (755.8) stiff-man syndrome (333.9) 728.4 Laxity of ligament 728.5 Hypermobility syndrome 728.6 Contracture of palmar fascia Dupuytren's contracture 728.7 Other fibromatoses Garrod's or knuckle pads Nodular fasciitis Plantar fasciitis (traumatic) Pseudosarcomatous Fibromatosis (proliferative) (subcutaneous) 728.8 Other disorders of muscle, ligament, and fascia Foreign-body granuloma Interstitial myositis Talc granuloma of muscle 728.9 Unspecified 729 Other disorders of soft tissues Excludes: acroparesthesia (443.8) carpal tunnel syndrome (354.0) disorders of the back (720-724) entrapment syndromes (354.-, 355.-) palindromic rheumatism (719.3) periarthritis (726.-) psychogenic rheumatism (306.0) 729.0 Rheumatism, unspecified and fibrositis 729.1 Myalgia and myositis, unspecified 729.2 Neuralgia, neuritis, and radiculitis, unspecified Excludes: brachia radiculitis (723.4) lumbosacral radiculitis (724.4) mononeuritis (354.-, 355.-) sciatica (724.3) 729.3 Panniculitis, unspecified Excludes: panniculitis specified as (affecting): back (724.8) neck (723.6) sacral (724.8) 729.4 Fasciitis, unspecified Excludes: nodular fasciitis (728.7) 729.5 Pain in limb 729.6 Residual foreign body in soft tissue 729.8 Other symptoms referable to limbs Cramp Swelling of limb 729.9 Other and unspecified disorders of soft tissue Polyalgia OSTEOPATHIES, CHONDROPATHIES, AND ACQUIRED MUSCULOSKELETAL DEFORMITIES (730-739) 730 Osteomyelitis, periostitis, and other infections involving bone Excludes: jaw (526.4, 526.5) petrous bone, i.e., mastoiditis (383.-) Use additional code, if desired, to identify infectious organism, e.g., Staphylococcus (041.1) 730.0 Acute osteomyelitis Abscess of any bone except accessory sinus or mastoid Acute or subacute osteomyelitis, with or without mention of periostitis 730.1 Chronic osteomyelitis Chronic or old osteomyelitis, with or without mention of periostitis 730.2 Unspecified osteomyelitis Osteitis or osteomyelitis NOS, with or without mention of periostitis 730.3 Periostitis without mention of ostemyelitis 730.9 Unspecified infection of bone 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 731.2 Hypertrophic pulmonary osteoarthropathy Bamberger-Marie disease 732 Osteochondropathies 732.0 Juvenile osteochondrosis of spine Juvenile osteochondrosis: marginal or vertebral epiphysis (of Schuermann) spine NOS vertebral body (of Calv‚) Excludes: adolescent postural kyphosis (737.0) 732.1 Juvenile osteochondrosis of hip and pelvis Osteochondrosis (juvenile): acetabulum head of femur (of Legg-Calv‚-Perthes) iliac crest (of Buchanan) ischiopubic synchondrosis (of van Neck) symphysis pubis (of Pierson) 732.2 Nontraumatic slipped upper femoral epiphysis Slipped upper femoral epiphysis NOS 732.3 Juvenile osteochondrosis of upper extremity Osteochondrosis (juvenile): capitulum of humerus (of Panner) carpal lunate (of Kienbock) hand NOS head of humerus (of Hass) heads of metacarpals (of Mauclaire) lower ulna (of Burns) upper extremity NOS 732.4 Juvenile osteochondrosis of lower extremity, excluding foot Osteochondrosis (juvenile): lower extremity NOS primary patellar center (of K”hler) proximal tibia (of Blount) secondary patellar centre (of Sinding-Larsen) tibial tubercle (of Osgood-Schlatter) 732.5 Juvenile osteochondrosis of foot Calcaneal apophysitis Osteochondrosis (juvenile): astragalus (of Diaz) calcaneum (of Sever) foot NOS metatarsal: fifth (of Iselin) second (of Freiberg) os tibiale externum (of Haglund) tarsal navicular (of K”hler) 732.6 Other juvenile osteochondrosis Apophysitis } Epiphysitis } specified as juvenile, of Osteochondritis } other site, or site NOS Osteochondrosis } 732.7 Osteochondritis dissecans 732.8 Other specified forms of osteochondropathy Adult osteochondrosis of spine 732.9 Unspecified osteochondropathy Apophysitis } Epiphysitis } not specified as adult or Osteochondritis } juvenile, of unspecified site Osteochondrosis } 733 Other disorders of bone and cartilage Excludes: bone spur (726.9) cartilage or loose body in joint (717.-, 718.-) giant cell granuloma of jaw (526.3) osteitis fibrosa cystica generalisata (252.0) osteomalacia (268.2) polyostotic fibrous dysplasia of bone (756.5) prognathism, retrognathism (524.1) xanthomatosis localized to bone (272.7) 733.0 Osteoporosis 733.1 Pathologic fracture Spontaneous fracture 733.2 Cyst of bone Cyst of bone (localized) Excludes: cyst of jaw (526.-) osteitis fibrosa cystica (252.0) 733.3 Hyperostosis of skull 733.4 Aseptic necrosis of bone Excludes: necrosis of bone, NOS (730.1) osteochondropathies (732.-) 733.5 Osteitis condensans 733.6 Tietze's disease 733.7 Algoneurodystrophy 733.8 Malunion and nonunion of fracture Pseudoarthrosis 733.9 Other and unspecified Diaphysitis Relapsing polychondritis 734 Flat foot Pes planus (acquired) Excludes: congenital (754.6) rigid flat foot (754.6) spastic (everted) flat foot (754.6) 735 Acquired deformities of toe Excludes: congenital (754.6, 755.6) 735.0 Hallux valgus (acquired) 735.1 Hallux varus (acquired) 735.2 Hallux rigidus 735.3 Hallux malleus 735.4 Other hammer toe (acquired) 735.5 Claw toe (acquired) 735.8 Other 735.9 Unspecified 736 Other acquired deformities of limbs Excludes: congenital (754.-, 755.-) 736.0 Acquired deformities of forearm, excluding fingers Claw hand Club hand, acquired Cubitus valgus or varus (acquired) Deformity of elbow, forearm, hand, or wrist (acquired) NOS Excludes: lobster-claw hand (755.5) 736.1 Mallet finger 736.2 Other acquired deformities of finger Deformity of finger (acquired) NOS clubbing of fingers (781.5) Excludes: trigger finger (727.0) 736.3 Acquired deformities of hip Coxa valga or vara (acquired) Deformity of hip (acquired) NOS 736.4 Genu valgum or varum (acquired) 736.5 Genu recurvatum (acquired) 736.6 Other acquired deformities of knee Deformity of knee (acquired) NOS Genu extrorsum 736.7 Other acquired deformities of ankle and foot Acquired: clawfoot clubfoot deformity of ankle or foot equinovarus pes, except planus talipes, except planus Excludes: clubfoot not specified as acquired (754.-) deformities of toe (acquired) (735.-) pes planus (acquired) (734) 736.8 Acquired deformities of other parts of limbs Deformity (acquired): arm or leg, not elsewhere classified shoulder 736.9 Acquired deformity of limb, site unspecified 737 Curvature of spine Excludes: congenital (754.2) 737.0 Adolescent postural kyphosis Excludes: osteochondrosis of spine (732.0, 732.8) 737.1 Kyphosis (acquired) 737.2 Lordosis (acquired) (postural) 737.3 Kyphoscoliosis and scoliosis Excludes: in kyphoscoliotic heart disease (416.1) 737.8 Other 737.9 Unspecified Curvature of spine (acquired) (idiopathic) NOS Hunchback, acquired Excludes: deformity of spine NOS (738.5) 738 Other acquired deformity Excludes: congenital (754-756 and 758-759) dentofacial anomalies (524.-) 738.0 Acquired deformity of nose Deformity of nose (acquired) Overdevelopment of nasal bones Excludes: deflected 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: chest (acquired) rib (acquired) 738.4 Acquired spondylolisthesis Degenerative spondylolisthesis Excludes: congenital (756.1) 738.5 Other acquired deformity of back or spine Excludes: curvature of spine (737.-) 738.6 Acquired deformity of pelvis Excludes: in relation to labor and delivery (653.-) 738.7 Cauliflower ear 738.8 Acquired deformity of other specified site 738.9 Acquired deformity of unspecified site 739 Nonallopathic lesions, not elsewhere classified Includes: segmental dysfunction somatic dysfunction 739.0 Head region 739.1 Cervical region Cervicothoracic region 739.2 Thoracic region Thoracolumbar region 739.3 Lumbar region Lumbosacral region 739.4 Sacral region Sacrococcygeal region Sacroiliac region 739.5 Pelvic region Hip region Pubic region 739.6 Lower extremities 739.7 Upper extremities Acromioclavicular region Sternoclavicular region 739.8 Rib cage Costochondral region Sternochondral region Costovertebral region 739.9 Abdomen and other XIV. 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 Excludes: spina bifida occulta (756.1) 741.0 With hydrocephalus Arnold-Chiari syndrome, type II Any condition in 741.9 with any condition in 742.3 741.9 Without mention of hydrocephalus Hydromeningocele (spinal) Myelocystocele Meningocele (spinal) Rachischisis Meningomyelocele Spina bifida (aperta) Myelocele Syringomyelocele 742 Other congenital anomalies of nervous system 742.0 Encephalocele Encephalomyelocele Meningocele, cerebral Hydroencephalocele Meningoencephalocele Hydromeningocele, cranial 742.1 Microcephalus Hydromicrocephaly Micrencephalon 742.2 Reduction deformities of brain Absence of part of brain Arhinencephaly Agenesis of part of brain Hypoplasia of part of brain Agyria Microgyria Aplasia of part of brain 742.3 Congenital hydrocephalus Aqueduct of Sylvius: anomaly obstruction, congenital stenosis Atresia of foramina of Magendie and Luschka Hydrocephalus in newborn Excludes: hydrocephalus: acquired (331.4) due to congenital toxoplasmosis (771.2) with any condition in 741.9 (741.0) 742.4 Other specified anomalies of brain Congenital cerebral cyst Multiple anomalies of brain NOS Lissencephaly Porencephaly Macrogyria Ulegyria Megalencephaly 742.5 Other specified anomalies of spinal cord Amyelia Atelomyelia Congenital anomaly of spinal meninges Defective development of cauda equina Hydromyelia Hydrorhachis Hypoplasia of spinal cord Myelatelia 742.8 Other specified anomalies of nervous system Agenesis of nerve Familial dysautonomia Displacement of brachial plexus Excludes: neurofibromatosis (237.7) 742.9 Unspecified anomalies of brain, spinal cord, and nervous system Anomaly } { Congenital disease or } of { brain lesion } { nervous system Deformity } { spinal cord 743 Congenital anomalies of eye 743.0 Anophthalmos Agenesis of eye Cryptophthalmos 743.1 Microphthalmos Aplasia of eye Hypoplasia of eye Dysplasia of eye Rudimentary eye 743.2 Buphthalmos Glaucoma: Hydrophthalmos congenital Keratoglobus, congenital newborn Megalocornea 743.3 Congenital cataract and lens anomalies Congenital aphakia Spherophakia 743.4 Coloboma and other anomalies of anterior segments Aniridia Corneal opacity, congenital Anisocoria, congenital Microcornea Atresia of pupil Peters' anomaly Coloboma of iris Rieger's anomaly Corectopia 743.5 Congenital anomalies of posterior segment Coloboma: Congenital: fundus retinal aneurysm optic disc vitreous opacity 743.6 Congenital anomalies of eyelids, lacrimal system and orbit Ablepharon Accessory: Absence, agenesis of eyelid cilia eye muscles eyelid Congenital: lacrimal apparatus entropion punctum lacrimale ptosis 743.8 Other specified anomalies of eye Ocular albinism Excludes: congenital nystagmus (379.5) retinitis pigmentosa (362.7) 743.9 Unspecified anomalies of eye Congenital: anomaly NOS of eye [any part] deformity NOS of eye [any part] 744 Congenital anomalies of ear, face, and neck Excludes: anomaly of: cervical spine (754.2, 756.1) larynx (748.2, 748.3) parathyroid gland (759.2) thyroid gland (759.2) cleft lip (749.1) 744.0 Anomalies of ear causing impairment of hearing Absence of: Congenital anomaly of: auditory canal (external) membranous labyrinth auricle (ear) middle ear ear, congenital organ of Corti Atresia or stricture of: Fusion, ear ossicles auditory canal (external) osseous meatus (ear) Excludes: congenital deafness without mention of cause (389.-) 744.1 Accessory auricle Accessory tragus Supernumerary: Polyotia ear Preauricular appendage lobule 744.2 Other specified anomalies of ear Absence: Darwin's tubercle Eustachian tube Macrotia lobe, congenital Microtia Bat ear Pointed ear Excludes: preauricular sinus (744.4) 744.3 Unspecified anomalies of ear Congenital: anomaly NOS of ear [any part] deformity NOS of ear [any part] 744.4 Branchial cleft, cyst or fistula; preauricular sinus Branchial: Fistula of: sinus (internal) auricle, congenital (external) cervicoaural vestige Preauricular cyst Cervical auricle 744.5 Webbing of neck Pterygium colli 744.8 Other specified anomalies of face and neck Hypertrophy of lip, Macrostomia congenital Microcheilia Macrocheilia Microstomia Excludes: those conditions classified to 754.- 744.9 Unspecified anomalies of face and neck Congenital: anomaly NOS of face [any part] or neck [any part] deformity NOS of face [any part] or neck [any part] 745 Bulbus cordis anomalies and anomalies of cardiac septal closure 745.0 Common truncus Absent septum between aorta and pulmonary artery Communication (abnormal) between aorta and pulmonary artery Aortic septal defect Persistent truncus arteriosus 745.1 Transposition of great vessels Dextra transposition of aorta Origin of both great vessels from right ventricle Taussig-Bing syndrome Transposition of great vessels (complete) (corrected) (incomplete) 745.2 Tetralogy of Fallot Ventricular septal defect with pulmonary stenosis or atresia, dextraposition of aorta and hypertrophy of right ventricle 745.3 Common ventricle Cor triloculare biatriatum Single ventricle 745.4 Ventricular septal defect Eisenmenger defect Left ventricular-right atrial Gerbode defect communication Interventricular septal defect Roger's disease Excludes: common atrioventricular canal type (745.6) 745.5 Ostium secundum type atrial septal defect Patent or persistent: foramen ovale ostium secundum 745.6 Endocardial cushion defects Atrioventricular canal type Common atrium ventricular septal defect Persistent ostium primum Common atrioventricular canal 745.7 Cor biloculare 745.8 Other 745.9 Unspecified defect of septal closure Septal defect NOS 746 Other congenital anomalies of heart Excludes: endocardial fibroelastosis (425.3) 746.0 Anomalies of pulmonary valve Congenital: } atresia } of pulmonary valve insufficiency } stenosis } 746.1 Tricuspid atresia and stenosis, congenital 746.2 Ebstein's anomaly 746.3 Congenital stenosis of aortic valve Congenital aortic stenosis 746.4 Congenital insufficiency of aortic valve Bicuspid aortic valve Congenital aortic insufficiency 746.5 Congenital mitral stenosis 746.6 Congenital mitral insufficiency 746.7 Hypoplastic left heart syndrome Atresia, or marked hypoplasia, of aortic orifice or valve, with hypoplasia of ascending aorta and defective development of left ventricle (with mitral valve atresia) 746.8 Other specified anomalies of heart Congenital: Dextrocardia heart block Ectopia cordis diverticulum, left ventricle Levocardia (isolated) pericardial defect Malposition of heart Cor triatriatum Pulmonary infundibular stenosis Coronary artery anomaly Uhl's disease 746.9 Unspecified anomalies of heart Congenital: anomaly, 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 Coarctation of aorta (preductal) (postductal) Interruption of aortic arch 747.2 Other anomalies of aorta Absence of aorta Hypoplasia of aorta Aplasia of aorta Overriding aorta Atresia of aorta Persistent: Congenital of aorta: convolutions, aortic arch aneurysm of aorta right aortic arch dilation of aorta Stenosis of aorta (ascending) Aneurysm of sinus of Valsalva Stricture of aorta (ascending) Dextraposition of aorta Supra-aortic stenosis Excludes: congenital aortic stenosis or stricture, so described (746.3) hypoplasia of aorta in hypoplastic left heart syndrome (746.7) 747.3 Anomalies of pulmonary artery Agenesis of pulmonary artery Hypoplasia of pulmonary artery Anomaly of pulmonary artery Stenosis of pulmonary artery Atresia of pulmonary artery Pulmonary arteriovenous aneurysm 747.4 Anomalies of great veins Absence } of vena cava Anomaly } (inferior) Congenital stenosis } (superior) Persistent: left posterior cardinal vein left superior vena cava Total anomalous pulmonary venous connection 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 Anomaly of artery or vein } elsewhere Atresia of artery or vein } classified Arteriovenous aneurysm (peripheral) Congenital: aneurysm (peripheral) phlebectasia stricture, artery varix Multiple renal arteries Excludes: anomalies of: cerebral vessels (747.8) pulmonary artery (747.3) congenital retinal aneurysm (743.8) hemangioma and lymphangioma (228.-) 747.8 Other specified anomalies of circulatory system Aneurysm: arteriovenous, congenital of brain congenital, specified site not elsewhere classified Congenital anomalies of cerebral vessels Excludes: congenital aneurysm: coronary (746.8) peripheral (747.6) pulmonary (747.3) retinal (743.8) ruptured: cerebral arteriovenous aneurysm (430) congenital cerebral aneurysm (430) 747.9 Unspecified anomalies of circulatory system 748 Congenital anomalies of respiratory system Excludes: congenital defect of diaphragm (756.6) 748.0 Choanal atresia Atresia of nares (anterior) (posterior) Congenital stenosis of nares (anterior) (posterior) 748.1 Other anomalies of nose Absent nose Accessory nose Cleft nose Deformity of wall of nasal sinus Congenital: deformity of nose notching of tip of nose perforation of wall of nasal sinus Excludes: congenital deviation of nasal septum (754.0) 748.2 Web of larynx Web of larynx: NOS glottic subglottic 748.3 Other anomalies of larynx, trachea, and bronchus Absence or agenesis of: bronchus larynx trachea Anomaly (of): cricoid cartilage epiglottis thyroid cartilage tracheal cartilage Atresia (of): epiglottis glottis larynx trachea Cleft thyroid, cartilage, congenital Congenital: dilation, trachea stenosis: larynx trachea tracheocele Diverticulum: bronchus trachea Fissure of epiglottis Laryngocele Posterior cleft of cricoid cartilage (congenital) Rudimentary tracheal bronchus Stridor, laryngeal, congenital 748.4 Congenital cystic lung Disease, lung: cystic, congenital polycystic, congenital Honeycomb lung, congenital Excludes: acquired or unspecified cystic lung (518.8) 748.5 Agenesis, hypoplasia, and dysplasia of lung Absence of lung (lobe) Hypoplasia of lung (lobe) Aplasia of lung Sequestration of lung 748.6 Other anomalies of lung Congenital bronchiectasis 748.8 Other specified anomalies of respiratory system Anomaly, pleural folds Atresia of nasopharynx Congenital cyst of mediastinum 748.9 Unspecified anomaly of respiratory system Absence of respiratory system NOS Anomaly of respiratory system NOS 749 Cleft palate 749.0 Cleft palate Cleft uvula Palatoschisis Fissure, palate 749.1 Cleft lip Cheiloschisis Harelip Congenital fissure of lip Labium leporinum 749.2 Cleft palate with cleft lip 750 Other congenital anomalies of upper alimentary tract 750.0 Tongue tie Ankyloglossia 750.1 Other anomalies of tongue Aglossia Fissure of tongue Congenital: Hypoplasia of tongue adhesions of tongue Macroglossia hypertrophy of tongue Microglossia 750.2 Other specified anomalies of mouth and pharynx Absence: Congenital fistula of: salivary gland lip uvula salivary gland Accessory salivary gland Diverticulum of pharynx Atresia, salivary gland Pharyngeal pouch 750.3 Tracheoesophageal fistula, esophageal atresia and stenosis Absent esophagus Congenital: Atresia of esophagus stenosis of esophagus Congenital fistula: stricture of esophagus esophagobronchial Imperforate esophagus esophagotracheal Webbed esophagus 750.4 Other specified anomalies of esophagus Dilatation, congenital, of esophagus Displacement, congenital, of esophagus Diverticulum of esophagus Duplication of esophagus Giant of esophagus Esophageal pouch of esophagus 750.5 Congenital hypertrophic pyloric stenosis Congenital or infantile: constriction of pylorus hypertrophy of pylorus spasm of pylorus stenosis of pylorus stricture of pylorus 750.6 Congenital hiatus hernia Displacement of cardia through esophageal hiatus Excludes: congenital diaphragmatic hernia (756.6) 750.7 Other specified anomalies of stomach Congenital: 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 anomalies of upper alimentary tract Congenital: anomaly NOS of upper alimentary tract [any part, except tongue] deformity NOS of upper alimentary tract [any part, except tongue] 751 Other congenital anomalies of digestive system 751.0 Meckel's diverticulum Meckel's diverticulum Persistent: (displaced) omphalomesenteric duct (hypertrophic) vitelline duct 751.1 Atresia and stenosis of small intestine Atresia of: duodenum ileum intestine NOS Imperforate jejunum Congenital: absence of small intestine or intestine NOS obstruction of small intestine or intestine NOS stenosis of small intestine or intestine NOS stricture of small intestine or intestine NOS 751.2 Atresia and stenosis of large intestine, rectum, and anal canal Absence: Congenital or infantile: anus (congenital) obstruction of large intestine appendix, congenital occlusion of anus large intestine, stricture of anus congenital Imperforate: rectum anus Atresia of: rectum anus Stricture of rectum, congenital colon rectum 751.3 Hirschsprung's disease and other congenital functional disorders of colon Aganglionosis Congenital megacolon Congenital dilation of colon Macrocolon 751.4 Anomalies of intestinal fixation Congenital adhesions: Rotation of cecum or colon: omental, anomalous failure of peritoneal incomplete Jackson's membrane insufficient Malrotation of colon Universal mesentery 751.5 Other anomalies of intestine Congenital diverticulitis, Megaloappendix colon Megaloduodenum Dolichocolon Microcolon Duplication of: Persistent cloaca anus Transposition of: appendix appendix cecum colon intestine intestine Ectopic anus Excludes: congenital pilonidal cyst or sinus (685) 751.6 Anomalies of gallbladder, bile ducts and liver Absence of: Congenital: bile duct, congenital polycystic disease of liver gallbladder, congenital stricture of: liver bile duct Accessory: common duct hepatic ducts Duplication of: liver biliary duct Atresia of bile duct cystic duct Congenital: gallbladder cystic disease of liver liver hepatomegaly Fibrocystic disease of liver obstruction, bile duct Intrahepatic gallbladder or passage 751.7 Anomalies of pancreas Absence of pancreas Annular pancreas Accessory pancreas Hypoplasia of pancreas Agenesis of pancreas Excludes: diabetes mellitus: congenital (250.-) neonatal (775.1) fibrocystic disease of pancreas (277.0) 751.8 Other specified anomalies of digestive system Absence (complete) (partial) of alimentary tract NOS Duplication of digestive organs NOS Malposition, congenital of digestive organs NOS Excludes: congenital diaphragmatic hernia (756.6) congenital hiatus hernia (750.6) 751.9 Unspecified anomalies of digestive system Congenital of digestive system NOS: anomaly NOS of digestive system NOS deformity NOS of digestive system NOS 752 Congenital anomalies of genital organs Excludes: syndromes associated with anomalies in the number and form of chromosomes (758.-) testicular feminization syndrome (251.8) 752.0 Anomalies of ovaries Absence (of) ovary Streak (of) ovary Agenesis (of) ovary 752.1 Anomalies of fallopian tubes and broad ligaments Absence (of) fallopian tube or broad ligament Accessory (of) fallopian tube or broad ligament Atresia (of) fallopian tube or broad ligament Cyst: epoophoron fimbrial Gartner's duct parovarian 752.2 Doubling of uterus Doubling of uterus [any degree] (associated with doubling of cervix and vagina) 752.3 Other anomalies of uterus Absence of uterus Bicornuate uterus Agenesis of uterus Uterus unicornis Aplasia of uterus Uterus with only one functioning horn 752.4 Anomalies of cervix, vagina, and external female genitalia Absence of cervix, clitoris, vagina, or vulva Agenesis of cervix, clitoris, vagina, or vulva Anomalous development of cervix, clitoris, vagina, or vulva Cyst of: canal of Nuck, congenital vagina, embryonal vulva, congenital Imperforate hymen Excludes: double vagina associated with total duplication (752.2) 752.5 Undescended testicle Cryptorchism Ectopic testis 752.6 Hypospadias and epispadias Anaspadias Congenital chordee 752.7 Indeterminate sex and pseudohermaphroditism Gynandrism Pseudohermaphroditism (male) (female) Hermaphroditism Pure gonadal dysgenesis Ovotestis Excludes: pseudohermaphroditism: female, with adrenocortical disorder (255.2) male, with gonadal disorder (257.9) with specified chromosomal anomaly (758.-) 752.8 Other specified anomalies of genital organs Absence of: Curvature of penis (lateral) penis Fusion of testes prostate Hypoplasia of: spermatic cord penis Aplasia (congenital) of: testis prostate Monorchism round ligament Paraspadias testicle Polyorchism Atresia of: ejaculatory duct vas deferens Excludes: congenital hydrocele (778.6) 752.9 Unspecified anomalies of genital organs Congenital: anomaly NOS of genital organ, not elsewhere classified deformity NOS of genital organ, not elsewhere classified 753 Congenital anomalies of urinary system 753.0 Renal agenesis and dysgenesis Atrophy of kidney: Congenital absence of kidney(s) congenital Hypoplasia of kidney(s) infantile 753.1 Cystic kidney disease Cystic of kidney (congenital) Renal degeneration or disease: (multiple) fibrocystic Fibrocystic kidney polycystic Polycystic (disease of) kidney Excludes: 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 junction megaloureter ureterovesical orifice occlusion of ureter 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 Double kidney with double Lobulation of kidney, foetal pelvis Malrotation of kidney Ectopic kidney 753.4 Other specified anomalies of ureter Absent ureter Double ureter Accessory ureter Ectopic ureter Deviation of ureter Implantation, anomalous of ureter Displaced ureteric orifice 753.5 Exstrophy of urinary bladder Ectopia vesicae Extroversion of bladder 753.6 Atresia and stenosis of urethra and bladder neck Congenital bladder neck obstruction Congenital stricture of: urethra (valvular) urinary meatus vesicourethral orifice Impervious urethra 753.7 Anomalies of urachus Cyst of urachus Patent of urachus 753.8 Other specified anomalies of bladder and urethra Absence, congenital of: Congenital urethrorectal fistula bladder Congenital prolapse of: urethra bladder (mucosa) Accessory: urethra bladder Double: urethra urethra Congenital: urinary meatus diverticulum of bladder hernia of bladder 753.9 Unspecified anomalies of urinary system Congenital: } of urinary system anomaly NOS } [any part, deformity NOS } except urachus] 754 Certain congenital musculoskeletal deformities 754.0 Of skull, face and jaw Asymmetry of face Dolichocephaly Compression facies Plagiocephaly Depressions in skull Potter's facies Deviation of nasal septum, Squashed or bent nose, congenital congenital Excludes: dentofacial anomalies (524.-) syphilitic saddle nose (090.5) 754.1 Of sternocleidomastoid muscle Congenital sternomastoid torticollis Contracture of sternocleidomastoid (muscle) Sternomastoid tumor 754.2 Of spine Congenital postural: Congenital postural: lordosis scoliosis 754.3 Congenital dislocation of hip Congenital: Predislocation status of hip at birth dislocatable hip preluxation hip 754.4 Congenital genu recurvatum and bowing of long bones of leg Congenital bowing: Congenital dislocation of knee femur tibia and fibula 754.5 Varus deformities of feet Metatarsus varus Talipes equinovarus Talipes calcaneovarus Excludes: acquired (736.7) 754.6 Valgus deformities of feet Congenital pes planus Congenital valgus deformity of foot Talipes calcaneovarus Excludes: pes planus (acquired) (734) valgus deformity of foot (acquired) (736.7) 754.7 Other deformities of feet Asymmetric talipes Congenital deformity of foot NOS Clubfoot NOS Talipes NOS Excludes: acquired (736.7) 754.8 Other specified Congenital: Club hand (congenital) deformity of chest wall Generalized flexion contractures of dislocation of elbow lower limb joints, congenital funnel chest Pectus excavatum pigeon chest Spade-like hand (congenital) 755 Other congenital anomalies of limbs Excludes: those deformities classified to 754.- 755.0 Polydactyly Accessory fingers or toes Supernumerary digits 755.1 Syndactyly Fusion of fingers or toes Webbed fingers or toes Symphalangy 755.2 Reduction deformities of upper limb Absence, congenital (complete Amelia of upper limb or partial) of: Ectromelia of upper limb arm Hemimelia of upper limb finger Phocomelia of upper limb hand Rudimentary arm radius Shortening of arm, congenital 755.3 Reduction deformities of lower limb Absence, congenital (complete Amelia of lower limb or partial) of: Ectromelia of lower limb femur Hemimelia of lower limb foot Phocomelia of lower limb leg Shortening of arm, congenital toe 755.4 Reduction deformities, unspecified limb Absence, congenital (complete Ectromelia of unspecified limb or partial) of limb NOS Hemimelia of unspecified limb Amelia of unspecified limb Phocomelia of unspecified limb 755.5 Other anomalies of upper limb, including shoulder girdle Accessory carpal bones Lobster-claw hand Acrocephalosyndactyly Macrodactylia (fingers) Cleidocranial dysostosis Madelung's deformity Congenital deformity of: Radio-ulnar synostosis clavicle Sprengel's deformity scapula 755.6 Other anomalies of lower limb, including pelvic girdle Astragalo-scaphoid synostosis Congenital: Congenital: deformity (of): absence of patella sacroiliac (joint) angulation of tibia fusion of sacroiliac joint anteversion of femur genu valgum coxa valga genu varum coxa vara hallux varus deformity (of): hammer toe ankle (joint) Rudimentary patella knee (joint) 755.8 Other specified anomalies of unspecified limb Arthrogryposis multiplex congenita 755.9 Unspecified anomalies of unspecified limb Congenital: anomaly NOS of unspecified limb deformity NOS of unspecified limb Excludes: reduction deformity of unspecified limb (755.4) 756 Other congenital musculoskeletal anomalies Excludes: those deformities classified to 754.- 756.0 Anomalies of skull and face bones Absence of skull bones Hypertelorism Acrocephaly Imperfect fusion of skull Congenital deformity of Oxycephaly forehead Platybasia Craniosynostosis Trigonocephaly Crouzon's disease Excludes: dentofacial anomalies (524.-) skull defects associated with anomalies of brain, such as: anencephalus (740.0) encephalocele (742.0) hydrocephalus (742.3) microcephalus (742.1) 756.1 Anomalies of spine Congenital: Hemivertebra absence of vertebra Klippel-Feil syndrome deformity, lumbosacral Spina bifida occulta (joint) (region) Supernumerary vertebra fusion of spine spondylolisthesis 756.2 Cervical Supernumerary rib in cervical region 756.3 Other anomalies of ribs and sternum Congenital Congenital absence of: fusion of ribs rib Sternum bifidum sternum 756.4 Chondrodystrophy Achondroplasia Dyschondroplasia Chondrodystrophia (fetalis) Ollier's disease Excludes: lipochondrodystrophy (277.5) 756.5 Osteodystrophies Albright (-McCune)-Sternberg Osteogenesis imperfecta syndrome Osteopetrosis Chondroectodermal dysplasia Osteopoikilosis Fragilitas ossium Osteopsathyrosis Multiple epiphyseal dysplasia Polyostotic fibrous dysplasia 756.6 Anomalies of diaphragm Absence of diaphragm Eventration of diaphragm Congenital diaphragmatic hernia Excludes: congenital hiatus hernia (750.6) 756.7 Anomalies of abdominal wall Exomphalos Prune belly (syndrome) Gastroschisis Excludes: umbilical hernia (553.1) 756.8 Other specified anomalies of muscle, tendon, fascia, and connective tissue Absence of: Amyotrophia congenita muscle (pectoral) Congenital shortening of tendon tendon Ehlers-Danlos syndrome Accessory muscle 756.9 Unspecified anomalies of musculoskeletal system Congenital: anomaly NOS of musculoskeletal system, not elsewhere classified deformity NOS of musculoskeletal system, not elsewhere classified 757 Congenital anomalies of the integument Includes: anomalies of skin, subcutaneous tissue, hair, nails, and breast 757.0 Hereditary edema of legs Hereditary trophedema 757.1 Ichthyosis congenita 757.2 Dermatoglyphic anomalies Abnormal palmar creases 757.3 Other specified anomalies of skin Accessory skin tags Epidermolysis bullosa Birthmarks Harlequin foetus Congenital: Keratoderma (congenital) ectodermal dysplasia Urticaria pigmentosa poikiloderma Xeroderma pigmentosum scar 757.4 Specified anomalies of hair Congenital: Persistent lanugo alopecia atrichosis beaded hair hypertrichosis monilethrix 757.5 Specified anomalies of nails Anonychia Congenital: Congenital: leukonychia clubnail onychauxis koilonychia pachyonychia 757.6 Specified anomalies of breast Absent breast or nipple Supernumerary breast or nipple Accessory breast or nipple Hypoplasia of breast Excludes: absence of pectoral muscle (756.8) 757.8 Other specified anomalies of the integument 757.9 Unspecified anomalies of the integument Congenital: anomaly NOS of integument deformity NOS of integument 758 Chromosomal anomalies Includes: syndromes associated with anomalies in the number and form of chromosomes 758.0 Down's syndrome Trisomy: Translocation Down's syndrome 21 or 22 G 758.1 Patau's syndrome Trisomy: 13 D1 758.2 Edward's syndrome Trisomy: 18 E3 758.3 Autosomal deletion syndromes Antimongolism syndrome Cri-du-chat syndrome 758.4 Balanced autosomal translocation in normal individual 758.5 Other conditions due to autosomal anomalies 758.6 Gonadal dysgenesis Turner's syndrome XO syndrome Excludes: pure gonadal dysgenesis (752.7) 758.7 Klinefelter's syndrome XYY syndrome 758.8 Other conditions due to sex chromosome anomalies 758.9 Conditions due to anomaly of unspecified chromosome 759 Other and unspecified congenital anomalies 759.0 Anomalies of spleen 759.1 Anomalies of adrenal gland 759.2 Anomalies of other endocrine glands 759.3 Situs inversus Situs inversus or transversus: Transposition of viscera: abdominalis abdominal thoracis thoracic Excludes: dextrocardia (746.8) unless associated with complete transposition 759.4 Conjoined twins Craniopagus Pygopagus Dicephalus Thoracopagus Double monster Xiphopagus 759.5 Tuberous sclerosis Bourneville's disease Epiloia 759.6 Other hamartoses, not elsewhere classified Syndrome: Peutz-Jeghers Sturge-Weber(-Dimitri) von Hippel-Lindau Excludes: neurofibromatosis (237.7) 759.7 Multiple congenital anomalies, so described Congenital: anomaly, multiple NOS deformity, multiple NOS Monster NOS 759.8 Other specified anomalies Monster (single), specified type Congenital malformation syndromes affecting multiple systems, not elsewhere classified 759.9 Congenital anomaly, unspecified XV. CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD Includes: conditions which have their origin in the perinatal period even though death or morbidity occurs later 760 Fetus or newborn affected by material conditions which may be unrelated to present pregnancy Includes: the listed maternal conditions only when specified as a cause of mortality or morbidity of the fetus or newborn Excludes: maternal endocrine and metabolic disorders influencing fetus (775.-) 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 not manifesting that disease Excludes: congenital infectious diseases (771.-) maternal genital tract, and other localized, infections (760.8) 760.3 Other chronic maternal circulatory and respiratory diseases Fetus or newborn affected by chronic maternal conditions classifiable to 390-459, 490-519, 745-748 760.4 Maternal nutritional disorders Fetus or newborn affected by maternal disorders classifiable to 260-269 Maternal malnutrition NOS 760.5 Maternal injury Fetus or newborn affected by maternal conditions classifiable to 800-996 760.6 Surgical operation on mother Excludes: cesarean section for present delivery (763.4) previous surgery to uterus or pelvic organs (763.8) 760.7 Noxious influences transmitted via placenta or breast milk Excludes: anesthetic and analgesic drugs administered during labor and delivery (763.5) drug withdrawal syndrome in newborn (779.5) 760.8 Other 760.9 Unspecified 761 Fetus or newborn affected by maternal complications of pregnancy Includes: the listed maternal conditions only when specified as a cause of mortality or morbidity of the fetus or newborn 761.0 Incompetent cervix 761.1 Premature rupture of membranes 761.2 Oligohydramnios Excludes: when due to premature rupture of membranes (761.1) 761.3 Polyhydramnios Hydramnios 761.4 Ectopic pregnancy Abdominal pregnancy 761.5 Multiple pregnancy Triplet (pregnancy) Twin (pregnancy) 761.6 Maternal death 761.7 Malpresentation before labor Breech presentation before labor External version before labor Transverse lie before labor Unstable lie before labor 761.8 Other Spontaneous abortion, fetus 761.9 Unspecified 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 Accidental hemorrhage Antepartum hemorrhage Damage to placenta from amniocentesis, cesarean section, or surgical induction Maternal blood loss Premature separation of placenta 762.2 Other and unspecified morphological and functional abnormalities of placenta Placental: dysfunction infarction insufficiency 762.3 Placental transfusion syndromes Placental and cord abnormality resulting in twin-to-twin or other transplacental transfusion Use code 772.0 or 776.4, in addition, if desired, to indicate resultant condition in fetus or newborn 762.4 Prolapsed cord 762.5 Other compression of umbilical cord Cord around neck Knot in cord Entanglement of cord 762.6 Other and unspecified conditions of umbilical cord Short cord Vasa previa Excludes: single umbilical artery (747.5) 762.7 Chorioamnionitis Membranitis Placentitis 762.8 Other abnormalities of chorion and amnion 762.9 Unspecified abnormality of chorion and amnion 763 Fetus or newborn affected by other complications of labor and delivery Includes: the listed conditions only when specified as a cause of mortality or morbidity in the fetus or newborn 763.0 Breech delivery and extraction 763.1 Other malpresentation, malposition, and disproportion during labor and delivery Fetus or newborn affected by conditions classifiable to 652, 653, and 660 Contracted pelvis Persistent occipitoposterior Transverse lie 763.2 Forceps delivery 763.3 Delivery by vacuum extractor 763.4 Cesarean delivery 763.5 Maternal anesthesia and analgesia Reactions and intoxications from maternal opiates and tranquillizers during labor and delivery Excludes: drug-withdrawal syndrome in newborn (779.5) 763.6 Precipitate delivery Rapid second stage 763.7 Abnormal uterine contractions Fetus or newborn affected by conditions classifiable to 661.-, except 661.3 Hypertonic labor Uterine inertia 763.8 Other complications of labor and delivery Fetus or newborn affected by other conditions classifiable to 650-669 and by other procedures used in labor and delivery Abnormality of maternal soft tissues Destructive operation to facilitate delivery Induction of labor 763.9 Unspecified 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" as in .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 764.9 Fetal growth retardation, unspecified 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 Excludes: low birthweight due to slow fetal growth and fetal malnutrition (764.-) 765.0 Extreme immaturity Note: Usually implies a birthweight of less than 1000 g. and/or a gestation of less than 28 completed weeks. 765.1 Other preterm infants Prematurity or small size, not classifiable to 765.0 or as "light-for-dates" in 764.- Prematurity NOS 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 g. or more. 766.1 Other "heavy-for-dates" infants Other fetus or infant heavy- or large-for-dates regardless of period of gestation 766.2 Post-term infant, not "heavy-for-dates" Fetus or infant with gestation period of 294 days or more [42 or more completed weeks], not heavy- or large-for-dates Postmaturity NOS 767 Birth trauma 767.0 Subdural and cerebral hemorrhage Subdural and cerebral hemorrhage, whether described as due to birth trauma or to intrapartum anoxia or hypoxia Subdural hematoma (localized) Tentorial tear Use additional code, if desired, to identify cause Excludes: intraventricular hemorrhage (772.1) subarachnoid hemorrhage (772.2) 767.1 Injuries to scalp Cephalhematoma Chignon (from vacuum extraction) Massive epicranial subaponeurotic hemorrhage 767.2 Fracture of clavicle 767.3 Other injuries to skeleton Fracture of: Fracture of: long bones skull Excludes: fracture of spine (767.4) 767.4 Injury to spine and spinal cord 767.5 Facial nerve injury Facial palsy 767.6 Injury to brachial plexus Erb's palsy Klumpke's palsy 767.7 Other cranial and peripheral nerve injuries 767.8 Other Eye damage Rupture of: Hematoma of: liver liver (subcapsular) spleen testes Scalpel wound vulva Traumatic glaucoma 767.9 Unspecified 768 Intrauterine hypoxia and birth asphyxia 768.2 Fetal distress before onset of labor, in liveborn infant Liveborn infant showing evidence of intrauterine hypoxia before onset of labor Abnormal fetal heart rate } Fetal or intrauterine: } acidosis } anoxia } first noted before onset of asphyxia } labor, liveborn infant distress } hypoxia } Meconium in liquor } Passage of meconium } 768.3 Fetal distress first noted during labor, in liveborn infant Liveborn infant showing evidence of intrauterine hypoxia during labor or delivery Abnormal fetal heart rate } Fetal or intrauterine: } acidosis } anoxia } first noted during labor or asphyxia } delivery, liveborn infant distress } hypoxia } Meconium in liquor } Passage of meconium } 768.4 Fetal distress, unspecified, in liveborn infant Liveborn infant showing evidence of intrauterine hypoxia before delivery, but not stated whether before or after onset of labor Abnormal fetal heart rate } Fetal or intrauterine: } acidosis } anoxia } not stated whether first noted asphyxia } before or after onset of distress } labor, liveborn infant hypoxia } Meconium in liquor } Passage of meconium } 768.5 Severe birth asphyxia Pulse less than 100 per minute at birth and falling or steady, respiration absent or gasping, color poor, tone absent 1-minute Apgar score 0-3 1/ "White asphyxia" 768.6 Mild or moderate birth asphyxia Normal respiration not established within one minute, but heart rate 100 or above, some muscle tone present, some response to stimulation 1-minute Apgar score 4-7 1/ "Blue asphyxia" 1/ The Apgar scoring system is described in: Apgar, V. Anesthesia and Analgesia...Current Researches, 32: 260 (1953) 768.9 Unspecified birth asphyxia in liveborn infant Anoxia NOS, in liveborn infant Asphyxia NOS, in liveborn infant Hypoxia NOS, in liveborn infant 769 Respiratory distress syndrome Hyaline membrane (disease) (pulmonary) Idiopathic respiratory distress syndrome of newborn [IRDS or RDS] Excludes: transient tachypnea of newborn (770.6) 770 Other respiratory conditions of fetus and newborn 770.0 Congenital pneumonia Infective pneumonia acquired prenatally 770.1 Massive aspiration syndrome Meconium aspiration syndrome Pneumonitis: Pneumonitis: fetal aspiration meconium 770.2 Interstitial emphysema and related conditions Pneumomediastinum } originating Pneumopericardium } in the Pneumothorax } perinatal period 770.3 Pulmonary hemorrhage Hemorrhage: alveolar (lung) } originating intra-alveolar (lung) } in the massive pulmonary } perinatal period 770.4 Primary atelectasis Pulmonary immaturity NOS 770.5 Other and unspecified atelectasis Atelectasis: } originating NOS } in the partial } perinatal Pulmonary collapse } period 770.6 Transitory 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 Wilson-Mikity syndrome 770.8 Other respiratory problems after birth Apneic spells NOS } originating Cyanotic attacks NOS } in the Respiratory distress NOS } perinatal Respiratory failure NOS } period 770.9 Unspecified 771 Infections specific to the perinatal period Includes: infections acquired before or during birth or via the umbilicus Excludes: congenital pneumonia (770.0) congenital syphilis (090.-) ophthalmia neonatorum due to gonococcus (098.4) other infections acquired after birth (001-136, 480-486, etc.) maternal infectious disease as a cause of mortality or morbidity in fetus or newborn not itself manifesting the disease (760.2) 771.0 Congenital rubella Congenital rubella pneumonitis 771.1 Congenital cytomegalovirus infection 771.2 Other congenital infections Congenital: herpes simplex listeriosis malaria toxoplasmosis tuberculosis 771.3 Tetanus neonatorum 771.4 Omphalitis of the newborn Excludes: tetanus omphalitis (771.3) 771.5 Neonatal infective mastitis 771.6 Neonatal conjunctivitis and dacryocystitis Ophthalmia neonatorum NOS Excludes: ophthalmia neonatorum due to gonococcus (098.4) 771.7 Neonatal Candida infection Neonatal Monilia infection 771.8 Other infection specific to the perinatal period Intra-amniotic infection of fetus: NOS Clostridial Escherichia coli Intrauterine sepsis of fetus Neonatal urinary tract infection Septicemia [sepsis] of newborn 772 Fetal and neonatal hemorrhage Excludes: hematological disorders of fetus and newborn (776.-) 772.0 Fetal blood loss Fetal blood loss from: Fetal exsanguination cut end of co-twin's cord Fetal hemorrhage into: placenta co-twin ruptured cord mother's circulation vasa previa 772.1 Intraventricular hemorrhage Intraventricular hemorrhage from any perinatal cause 772.2 Subarachnoid hemorrhage Subarachnoid hemorrhage from any perinatal cause 772.3 Umbilical hemorrhage after birth Slipped umbilical ligature 772.4 Gastrointestinal hemorrhage Excludes: swallowed maternal blood (777.3) 772.5 Adrenal hemorrhage 772.6 Cutaneous hemorrhage Bruising in fetus or newborn Ecchymoses in fetus or newborn Petechiae in fetus or newborn Superficial hematoma in fetus or newborn 772.8 Other Excludes: hemorrhagic disease of newborn (776.0) pulmonary hemorrhage (770.3) 772.9 Unspecified 773 Hemolytic disease of fetus or newborn, due to isoimmunization 773.0 Hemolytic disease due to Rh isoimmunization Anemia due to RH: antibodies isoimmunization maternal/fetal incompatibility Erythroblastosis (fetalis) due to RH: antibodies isoimmunization maternal/fetal incompatibility Hemolytic disease (fetus) (newborn) due to RH: antibodies isoimmunization maternal/fetal incompatibility Jaundice due to RH: antibodies isoimmunization maternal/fetal incompatibility Rh hemolytic disease Rh isoimmunization 773.1 Hemolytic disease due to ABO isoimmunization ABO hemolytic disease ABO isoimmunization Anemia due to ABO: antibodies isoimmunization maternal/fetal incompatibility Erythroblastosis (fetalis) due to ABO: antibodies isoimmunization maternal/fetal incompatibility Hemolytic disease (fetus)(newborn) due to ABO: antibodies isoimmunization maternal/fetal incompatibility Jaundice due to ABO: antibodies isoimmunization maternal/fetal incompatibility 773.2 Hemolytic disease due to other and unspecified isoimmunization Erythroblastosis (fetalis) NOS Hemolytic disease (fetus) (newborn) NOS Jaundice or anemia due to other or unspecified blood-group incompatibility 773.3 Hydrops fetalis due to isoimmunization 773.4 Kernicterus due to isoimmunization 773.5 Late anemia due to isoimmunization 774 Other perinatal jaundice 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 Excludes: jaundice due to isoimmunization (773.0, 773.1, 773.2) 774.2 Neonatal jaundice associated with preterm delivery Hyperbilirubinemia of prematurity Jaundice due to delayed conjugation associated with preterm delivery 774.3 Neonatal jaundice due to delayed conjugation from other causes Jaundice due to delayed conjugation from causes such as breast milk inhibitors, congenital hypothyroidism, and congenital absence or deficiency of enzyme systems for bilirubin conjugation 774.4 Perinatal jaundice due to hepatocellular damage Fetal or neonatal hepatitis Inspissated bile syndrome 774.5 Perinatal jaundice from other causes 774.6 Unspecified fetal and neonatal jaundice Physiologic jaundice NOS in newborn 774.7 Kernicterus not due to isoimmunization Kernicterus NOS Excludes: kernicterus due to isoimmunization (773.4) 775 Endocrine and metabolic disturbances specific to the fetus and newborn Includes: transitory endocrine and metabolic disturbances caused by the infant's response to maternal endocrine and metabolic factors, its removal from them, or its adjustment to extrauterine existence 775.0 Syndrome of "infant of a diabetic mother" Maternal diabetes mellitus affecting fetus or newborn (with hypoglycemia) 775.1 Neonatal diabetes mellitus 775.2 Neonatal myasthenia gravis 775.3 Neonatal thyrotoxicosis 775.4 Hypocalcemia and hypomagnesemia of newborn Cow's milk hypocalcemia Neonatal hypoparathyroidism Phosphate-loading hypocalcemia 775.5 Other transitory neonatal electrolyte disturbances 775.6 Neonatal hypoglycemia Excludes: infant of mother with diabetes mellitus (775.0) 775.7 Late metabolic acidosis of newborn 775.8 Other transitory neonatal endocrine and metabolic disturbances Amino-acid metabolic disorders described as transitory 775.9 Unspecified 776 Hematological disorders of fetus and newborn Includes: disorders specific to the fetus or newborn 776.0 Hemorrhagic disease of newborn Vitamin K deficiency of newborn 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 776.4 Polycythemia neonatorum 776.5 Congenital anemia Anemia following fetal blood loss Excludes: anemia due to isoimmunization (773.-) hereditary hemolytic anemias (282.-) 776.6 Anemia of prematurity 776.7 Transient neonatal neutropenia Isoimmune neutropenia Maternal transfer neutropenia 776.8 Other specified transient hematological disorders 776.9 Unspecified 777 Perinatal disorders of digestive system Includes: disorders specific to the fetus and newborn Excludes: intestinal obstruction classifiable to 560.- 777.1 Other meconium obstruction Congenital fecaliths Meconium plug syndrome 777.2 Intestinal obstruction due to inspissated milk 777.3 Hematemesis and melena due to swallowed maternal blood 777.4 Transitory ileus of newborn Excludes: Hirschsprung's disease (751.3) 777.5 Necrotizing enterocolitis in fetus or newborn 777.6 Perinatal intestinal perforation Meconium peritonitis 777.8 Other 777.9 Unspecified 778 Conditions involving the integument and temperature regulation of fetus and newborn 778.0 Hydrops fetalis not due to isoimmunization Idiopathic hydrops Excludes: hydrops fetalis due to isoimmunization (773.3) 778.1 Sclerema neonatorum 778.2 Cold injury syndrome of newborn 778.3 Other hypothermia of newborn 778.4 Other disturbances of temperature regulation of newborn Environmentally induced pyrexia and dehydration fever in newborn 778.5 Other and unspecified edema of newborn 778.6 Congenital hydrocele 778.7 Breast engorgement in newborn Noninfective mastitis of newborn 778.8 Other Urticaria neonatorum Excludes: impetigo neonatorum (684) pemphigus neonatorum (684) 778.9 Unspecified 779 Other and ill-defined conditions originating in the perinatal period 779.0 Convulsions in newborn Fits in newborn Seizures in newborn 779.1 Other and unspecified cerebral irritability in newborn 779.2 Cerebral depression, coma, and other abnormal cerebral signs 779.3 Feeding problems in newborn Regurgitation of feeds in newborn Slow feeding in newborn Vomiting in newborn 779.4 Drug reactions and intoxications specific to newborn Gray syndrome from chloramphenicol administration in newborn Excludes: 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 779.6 Termination of pregnancy (fetus) 779.8 Other 779.9 Unspecified Congenital debility NOS XVI. SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS This section includes symptoms, signs, abnormal results of laboratory or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded. Signs and symptoms that point rather definitely to a given diagnosis are assigned to some category in the preceding part of the classification. In general, categories 780-796 include the more ill-defined conditions and symptoms that point with perhaps equal suspicion to two or more diseases or to two or more systems of the body, and without the necessary study of the case to make a final diagnosis. Practically all categories in this group could be designated as "not otherwise specified," or as "unknown etiology," or as "transient." The conditions and signs or symptoms included in categories 780-796 consist of: (a) cases for which no more specific diagnosis can be made even after all facts bearing on the case have been investigated; (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined; (c) provisional diagnoses in a patient who failed to return for further investigation or care; (d) cases referred elsewhere for investigation or treatment before the diagnosis was made; (e) cases in which a more precise diagnosis was not available for any other reason; (f) certain symptoms which represent important problems in medical care and which it might be desired to classify in addition to a known cause. SYMPTOMS (780-789) 780 General symptoms 780.0 Coma and stupor Drowsiness Somnolence Semicoma Unconsciousness Excludes: coma originating in the perinatal period (779.2) 780.1 Hallucinations Excludes: visual hallucinations (368.1) when part of a pattern of mental disorder 780.2 Syncope and collapse Blackout Vasovagal attack Fainting Excludes: carotid sinus syncope (337.0) neurocirculatory asthenia (306.2) orthostatic hypotension (458.0) shock NOS (785.5) 780.3 Convulsions Convulsions: NOS febrile infantile Fit NOS Excludes: convulsions in newborn (779.0) epileptic convulsions (345.-) 780.4 Dizziness and giddiness Vertigo NOS Excludes: M‚niŠre's disease and other specified vertiginous syndromes (386.-) 780.5 Sleep disturbances Insomnia Inversion of sleep rhythm Excludes: when of nonorganic origin (307.4) 780.6 Pyrexia of unknown origin Chills with fever Hyperpyrexia NOS Fever NOS Excludes: pyrexia of unknown origin during: labor (659.2) the puerperium (672) 780.7 Malaise and fatigue Asthenia NOS Postviral (asthenic) syndrome Lethargy Tiredness Excludes: combat fatigue (308.-) fatigue during pregnancy (646.8) neurasthenia (300.5) senile asthenia (797) 780.8 Hyperhidrosis Excessive sweating 780.9 Other general symptoms Amnesia (retrograde) Hypothermia, not associated with low Generalized pain environmental temperature Excludes: hypothermia: NOS (accidental) (991.6) due to anesthesia (995.8) memory disturbance when part of a pattern of mental disorder 781 Symptoms involving nervous and musculoskeletal systems Excludes: depression NOS (311) disorders specifically relating to: back (724.-) hearing (388.-, 389.-) joint (718.-, 719.-) limb (729.-) neck (723.-) vision (368.-, 369.-) pain in limb (729.5) 781.0 Abnormal involuntary movements Abnormal head movements Spasms NOS Fasciculation Tremor NOS Excludes: chorea NOS (333.5) infantile spasms (345.6) spastic paralysis (342-344) specified movement disorders classifiable to 333.- (333.-) when of nonorganic origin (307.2, 307.3) 781.1 Disturbances of sensation of smell and taste Anosmia Parosmia 781.2 Abnormality of gait Gait: Gait: ataxic spastic paralytic staggering Excludes: difficulty in walking (719.7) locomotor ataxia (094.2) 781.3 Lack of coordination Ataxia NOS Muscular incoordination Excludes: ataxic gait (781.2) cerebellar ataxia (334.-) vertigo NOS (780.4) 781.4 Transient paralysis of limb Monoplegia, transient NOS Excludes: paralysis (342-344) 781.5 Clubbing of fingers 781.6 Meningismus 781.7 Tetany Carpopedal spasm Excludes: hysterical (300.1) psychogenic (306.0) 781.9 Other Abnormal posture 782 Symptoms involving skin and other integumentary tissue 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 782.2 Localized superficial swelling, mass or lump Subcutaneous nodules Excludes: localized adiposity (278.1) 782.3 Edema Localized edema Excludes: ascites (789.5) edema of: newborn NOS (778.5) pregnancy (642.-, 646.1) fluid retention (276.6) hydrops fetalis (773.3, 778.0) hydrothorax (511.8) nutritional edema (262) 782.4 Jaundice unspecified, not of newborn Cholemia NOS Icterus NOS 782.5 Cyanosis Excludes: newborn (770.8) 782.6 Pallor and flushing 782.7 Spontaneous ecchymoses Petechiae Excludes: ecchymosis in fetus or newborn (772.6) purpura (287.-) 782.8 Changes in skin texture Induration of skin Thickening of skin 782.9 Other 783 Symptoms concerning nutrition, metabolism and development 783.0 Anorexia Loss of appetite Excludes: anorexia nervosa (307.1) loss of appetite of nonorganic origin (307.5) 783.1 Abnormal weight gain Excludes: excessive weight gain in pregnancy (646.1) obesity (278.0) 783.2 Abnormal loss of weight 783.3 Feeding difficulties and mismanagement Feeding problem (infant) (elderly) Excludes: feeding problems in newborn (779.3) infantile feeding disturbance of nonorganic origin (307.5) 783.4 Lack of expected normal physiological development Delayed milestone Physical retardation Failure to thrive Short stature Lack of growth Excludes: delay in sexual development and puberty (259.0) specific delays in mental development (315.-) 783.5 Polydipsia Excessive thirst 783.6 Polyphagia Excessive eating Hyperalimentation NOS Excludes: disorders of eating of nonorganic origin (307.5) 783.9 Other Excludes: abnormal basal metabolic rate (794.7) dehydration (276.5) other disorders of fluid, electrolyte, and acid-base balance (276.-) 784 Symptoms involving head and neck Excludes: encephalopathy NOS (348.3) 784.0 Headache Facial pain Excludes: atypical face pain (350.2) migraine (346.-) tension headache (307.8) 784.1 Throat pain Excludes: dysphagia (787.2) neck pain (723.1) sore throat (462, 472.1) 784.2 Swelling, mass, or lump in head and neck Space-occupying lesion, intracranial NOS 784.3 Aphasia Excludes: developmental aphasia (315.3) 784.4 Voice disturbance Aphonia Hypernasality Hoarseness Hyponasality 784.5 Other speech disturbance Dysarthria Slurred speech Dysphasia Excludes: stammering and stuttering (307.0) when of nonorganic origin (307.0, 307.9) 784.6 Other symbolic dysfunction Acalculia Apraxia Agnosia Dyslexia Agraphia Excludes: developmental learning retardations (315.-) 784.7 Epistaxis Hemorrhage from nose Nosebleed 784.8 Hemorrhage from throat Excludes: hemoptysis (786.3) 784.9 Other Choking sensation Mouth breathing Halitosis Sneezing 785 Symptoms involving cardiovascular system Excludes: heart failure NOS (428.9) 785.0 Tachycardia, unspecified Excludes: paroxysmal tachycardia (427.0-427.2) 785.1 Palpitations Awareness of heart beat Excludes: specified dysrhythmias (427.-) 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 785.4 Gangrene Gangrene: NOS spreading cutaneous Phagedena Excludes: gangrene of certain sites gas gangrene (040.0) 785.5 Shock without mention of trauma Failure of peripheral circulation Shock: NOS cardiogenic endotoxic hypovolemic septic Excludes: shock: anesthetic (995.4) anaphylactic (995.0) due to serum (999.4) electric (994.8) following abortion (639.5) lightning (994.0) obstetrical (669.1) postoperative (998.0) traumatic (958.4) 785.6 Enlargement of lymph nodes Lymphadenopathy "Swollen glands" Excludes: lymphadenitis (289.-, 683) 785.9 Other Bruit NOS 786 Symptoms involving respiratory system and other chest symptoms 786.0 Dyspnea and respiratory abnormalities Orthopnea Shortness of breath Respiratory: Tachypnea distress Wheezing insufficiency Excludes: hyperventilation, psychogenic (306.1) respiratory distress of newborn (770.8) respiratory distress syndrome (newborn) (769) respiratory failure (799.1) newborn (770.8) 786.1 Stridor Excludes: congenital stridor (748.3) 786.2 Cough Excludes: psychogenic cough (306.1) 786.3 Hemoptysis Cough with hemorrhage Pulmonary hemorrhage NOS Excludes: pulmonary hemorrhage of newborn (770.3) 786.4 Abnormal sputum Excessive sputum 786.5 Chest pain Pain: Painful respiration anterior chest wall Pleurodynia pleuritic precordial Excludes: epidemic pleurodynia (074.1) pain in breast (611.7) 786.6 Swelling, mass or lump in chest Excludes: lump in breast (611.7) 786.7 Abnormal chest sounds Abnormal percussion, chest Rales Friction sounds, chest Tympany, chest Excludes: wheezing (786.0) 786.8 Hiccough Excludes: psychogenic hiccough (306.1) 786.9 Other Breath-holding spell 787 Symptoms involving digestive system Excludes: pylorospasm (537.8) congenital (750.5) 787.0 Nausea and vomiting Excludes: hematemesis NOS (531.- to 534.-, 578.0) vomiting: bilious, following gastrointestinal surgery (564.3) cyclical (536.2) psychogenic (306.4) excessive, in pregnancy (643.-) habit (536.2) of newborn (779.3) psychogenic NOS (307.5) 787.1 Heartburn Excludes: dyspepsia (536.8) 787.2 Dysphagia Difficulty in swallowing 787.3 Flatulence, eructation, and gas pain Bloating Excludes: aerophagy (306.4) 787.4 Visible peristalsis 787.5 Abnormal bowel sounds 787.6 Incontinence of feces Encopresis NOS Excludes: when of nonorganic origin (307.7) 787.7 Abnormal feces Excludes: melaena: NOS (578.1) newborn (772.4) 787.9 Other Excludes: gastrointestinal hemorrhage (578.-) intestinal obstruction (560.-) specific functional digestive disorders (530.-, 536.-, 564.-) 788 Symptoms involving urinary system Excludes: hematuria (599.7) small kidney of unknown cause (589.-) uremia NOS (586.-) 788.0 Renal colic 788.1 Dysuria 788.2 Retention of urine 788.3 Incontinence of urine Enuresis NOS Excludes: when of nonorganic origin (307.6) stress incontinence (female) (625.6) 788.4 Frequency of urination and polyuria Frequency of micturition Nocturia 788.5 Oliguria and anuria Excludes: when complicating: abortion (634-638 with fourth digit .3, 639.3) ectopic or molar pregnancy (639.3) pregnancy, childbirth, or the puerperium (646.2) 788.6 Other abnormality of urination Slowing of urinary stream Splitting of urinary stream 788.7 Urethral discharge 788.8 Extravasation of urine 788.9 Other Extrarenal uremia 789 Other symptoms involving abdomen and pelvis Excludes: symptoms referable to genital organs: female (625.-) male (302.7, 607.-, 608.-) 789.0 Abdominal pain Abdominal tenderness Colic: Epigastric pain NOS Umbilical pain infantile Excludes: renal colic (788.0) 789.1 Hepatomegaly 789.2 Splenomegaly 789.3 Abdominal or pelvic swelling, mass, or lump 789.4 Abdominal rigidity 789.5 Ascites Fluid in peritoneal cavity 789.9 Other NONSPECIFIC ABNORMAL FINDINGS (790-796) 790 Nonspecific findings on examination of blood Excludes: abnormality of: coagulation (286.-) platelets (287.-) thrombocytes (287.-) white blood cells (288.-) 790.0 Abnormality of red blood cells Abnormal red cell: Anisocytosis morphology NOS Poikilocytosis volume NOS Excludes: anemias (280-285, 776.5, 776.6) polycythemia (238.4, 289.0, 289.6, 776.4) 790.1 Elevated sedimentation rate 790.2 Abnormal glucose tolerance test Diabetes: Prediabetes chemical latent Excludes: when complicating pregnancy, childbirth, or the puerperium (648.8) 790.3 Excessive blood level of alcohol 790.4 Other nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [LDH] 790.5 Other nonspecific abnormal serum enzyme levels Abnormal serum level of: acid phosphatase alkaline phosphatase amylase lipase Excludes: deficiency of circulating enzymes (277.6) 790.6 Other abnormal blood chemistry Abnormal blood levels of: cobalt copper iron lithium magnesium mineral zinc Excludes: abnormality of electrolyte or acid-base balance (276.-) hyperglycemia NOS (250.9) hypoglycemia NOS (251.2) specific findings indicating abnormality of: amino-acid transport and metabolism (270.-) carbohydrate transport and metabolism (271.-) lipid metabolism (272.-) uremia NOS (586) 790.7 Bacteremia, unspecified 790.8 Viremia, unspecified 790.9 Other 791 Nonspecific findings on examination of urine Excludes: bacteriuria (599.0) hematuria NOS (599.7) specific findings indicating abnormality of: amino-acid transport and metabolism (270.-) carbohydrate transport and metabolism (271.-) 791.0 Proteinuria Albuminuria Bence-Jones proteinuria Excludes: when arising during pregnancy or the puerperium (642.-, 646.2) postural proteinuria (593.6) 791.1 Chyluria Excludes: filarial (125.-) 791.2 Hemoglobinuria 791.3 Myoglobinuria 791.4 Biliuria 791.5 Glycosuria 791.6 Acetonuria 791.7 Other cells and casts in urine 791.9 Other Crystalluria 792 Nonspecific abnormal findings in other body substances Excludes: chromosomal studies (795.2) 792.0 Cerebrospinal fluid 792.1 Stool contents Abnormal stool color Mucus in stool Fat in stool Pus in stool 792.2 Semen Abnormal spermatozoa Excludes: azoospermia (606) oligospermia (606) 792.3 Amniotic fluid 792.4 Saliva Excludes: chromosomal studies (795.2) 792.9 Other 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 Excludes: abnormal results of function studies (794.-) 793.0 Skull and head 793.1 Lung field Coin lesion, lung Shadow, lung 793.2 Other intrathoracic organ Abnormal heart shadow Mediastinal shift 793.3 Biliary tract Nonvisualization of gallbladder 793.4 Gastrointestinal tract 793.5 Genitourinary organs Filling defect: bladder kidney ureter 793.6 Abdominal area, including retroperitoneum 793.7 Musculoskeletal system 793.8 Breast 793.9 Other 794 Nonspecific abnormal results of function studies 794.0 Brain and central nervous system Abnormal echoencephalogram Abnormal electroencephalogram [EEG] 794.1 Peripheral nervous system and special senses Abnormal electro-oculogram [EOG] Abnormal electroretinogram [ERG] Abnormal response to nerve stimulation Abnormal visually evoked potential (VEP) 794.2 Pulmonary Reduced: ventilatory capacity vital capacity 794.3 Cardiovascular Abnormal electrocardiogram [ECG] [EKG] Abnormal phonocardiogram 794.4 Kidney Abnormal renal function test 794.5 Thyroid 794.6 Other endocrine function study 794.7 Basal metabolism Abnormal basal metabolic rate [BMR] 794.8 Liver 794.9 Other Bladder Spleen 795 Nonspecific abnormal histological and immunological findings Excludes: 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 origin 795.2 Nonspecific abnormal findings on chromosomal analysis Abnormal karyotype 795.3 Nonspecific positive culture findings Positive culture findings in: nose sputum throat wound 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 titre Raised level of immunoglobulins Excludes: isoimmunization, in pregnancy (656.1, 656.2) affecting fetus or newborn (773.0-773.2) 795.8 Positive serological or viral culture findings for human immunodeficiency virus (HIV) [Not to be used for underlying cause of death] 796 Other nonspecific abnormal findings 796.0 Nonspecific abnormal toxicological findings 796.1 Abnormal reflex 796.2 Elevated blood pressure reading without diagnosis of hypertension Note: This category is to be used to record an episode of elevated blood pressure in a patient in whom no formal diagnosis of hypertension has been made, or as an incidental finding. 796.3 Nonspecific low blood pressure reading 796.4 Other abnormal clinical findings 796.9 Other ILL-DEFINED AND UNKNOWN CAUSES OF MORBIDITY AND MORTALITY (797-799) 797 Senility without mention of psychosis Old age Excludes: senile psychoses (290.-) 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 not known to be violent or instantaneous, for which no cause could be discovered Died without sign of disease 798.9 Unattended death Death in circumstances where the body of the deceased was found and no cause could be discovered Found dead 799 Other ill-defined and unknown causes of morbidity and mortality 799.0 Asphyxia Excludes: asphyxia (due to): carbon monoxide (986) inhalation of food or foreign body (932-934) newborn (768.-) traumatic (994.7) 799.1 Respiratory failure Cardiorespiratory failure Respiratory arrest Excludes: cardiac arrest (427.5) failure of peripheral circulation (785.5) respiratory failure, newborn (770.8) respiratory insufficiency (786.0) 799.2 Nervousness "Nerves" 799.3 Debility, unspecified Excludes: asthenia (780.7) nervous debility (300.5) neurasthenia (300.5) senile asthenia (797) 799.4 Cachexia 799.8 Other ill-defined conditions 799.9 Other unknown and unspecified cause Undiagnosed disease, not specified as to site or system involved Unknown cause of morbidity or mortality SUPPLEMENTARY CLASSIFICATION OF EXTERNAL CAUSES OF INJURY AND POISONING This section is provided to permit the classification of environmental events, circumstances and conditions as the cause of injury, poisoning and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used in addition to a code from one of the main chapters of the International Classification of Diseases, Injuries and Causes of Death, indicating the nature of the condition. Most often, the nature of the condition will be classifiable to Chapter XVII, Injuries, Poisoning and Violence, and for the classification of the underlying cause of death these will always require an "E" code in addition. Causes of death should preferably be tabulated according to both the Chapter XVII and the "E" codes, but if only one code is tabulated then the "E" code should be used in preference to the Chapter XVII code. Certain other conditions which may be stated to be due to external causes are classified in Chapters I to XVI of ICD, and for these the "E" code classification should be used as an additional code for multiple-condition analysis only. Machinery accidents [other than connected with transport] are classifiable to category E919, in which the fourth digit allows a broad classification of the type of machinery involved. If a more detailed classification of type of machinery is required, it is suggested that the "Classification of Industrial Accidents according to Agency," prepared by the International Labor Office, be used in addition. 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-E848) watercraft (E830-E838) motor vehicle (E810-E825) railway (E800-E807) other road vehicles (E826-E829) In classifying accidents which involve more than one kind of transport, the above order of precedence of transport accidents should be used. Accidents involving agricultural and construction machines, such as tractors, cranes and bulldozers, are regarded as transport accidents only when these vehicles are under their own power on a highway [otherwise the vehicles are regarded as machinery]. Vehicles which can travel on land or water, such as hovercraft and other amphibious vehicles, are regarded as watercraft when on the water, as motor vehicles when on the highway, and as off-road motor vehicles when on land, but off the highway. Excludes: accidents: in sports which involve the use of transport but where the transport vehicle itself is not involved in the accident involving vehicles which are part of industrial equipment used entirely on industrial premises occurring during transportation but unrelated to the hazards associated with the means of transportation [e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm such as an earthquake] to persons engaged in the maintenance or repair of transport equipment or vehicle not in motion, unless injured by another vehicle in motion (b) A railway accident is a transport accident involving a railway train or other railway vehicle operated on rails, whether in motion or not. Excludes: accidents: in repair shops in roundhouse or on turntable on railway premises but not involving a train or other railway vehicle (c) A railway train or railway vehicle is any device with or without cars coupled to it, designed for traffic on a railway. Includes: railway train, any power [steam] [electric] [diesel] subterranean or elevated monorail or two-rail funicular interurban: electric car } (operated chiefly on its own right-of-way, streetcar ) not open to other traffic) other vehicle designed to run on a railway track Excludes: interurban electric cars [streetcars] specified to be operating on a right-of-way that forms part of the public street or highway [definition (n)] (d) A railway or railroad is a right-of-way designed for traffic on rails, which is used by carriages or wagons transporting passengers or freight, and by other rolling stock, and which is not open to other public vehicular traffic. (e) A motor vehicle accident is a transport accident involving a motor vehicle. It is defined as a motor vehicle traffic accident or as a motor vehicle nontraffic accident according to whether the accident occurs on a public highway or elsewhere. Excludes: injury or damage due to cataclysm injury or damage while a motor vehicle, not under its own power, is being loaded on, or unloaded from, another conveyance (f) A motor vehicle traffic accident is any motor vehicle accident occurring on a public highway [i.e., originating, terminating or involving vehicle partially on the highway]. A motor vehicle accident is assumed to have occurred on the highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated. (g) A motor vehicle nontraffic accident is any motor vehicle accident which occurs entirely in any place other than a public highway. (h) A public highway [trafficway] or street is the entire width between property lines [or other boundary lines] of every way or place, of which any part is open to the use of the public for purposes of vehicular traffic as a matter of right or custom. A roadway is that part of the public highway designed, improved and ordinarily used, for vehicular travel. Includes: approaches (public) to: docks public building station Excludes: driveway (private) roads in: parking lot industrial premises ramp mine roads in: private grounds airfield quarry farm (i) A motor vehicle is any mechanically or electrically powered device, not operated on rails, upon which any person or property may be transported or drawn upon a highway. Any object such as a trailer, coaster, sled, or wagon being towed by a motor vehicle is considered a part of the motor vehicle. Includes: automobile [any type] bus construction machinery, farm and industrial machinery, steam roller, tractor, army tank, highway grader or similar vehicle on wheels or treads, while in transport under own power fire engine (motorized) motorcycle motorized bicycle [moped] or scooter trolley bus not operating on rails truck van Excludes: devices used solely to move persons or materials within the confines of a building and its premises, such as: building elevator coal car in mine electric baggage or mail truck used solely within a railroad station electric truck used solely within an industrial plant moving overhead crane (j) A motorcycle is a two-wheeled motor vehicle having one or two riding saddles and sometimes having a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle. Includes: motorized: bicycle scooter tricycle (k) An off-road motor vehicle is a motor vehicle of special design, to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tires, drive by tracks, or support on a cushion of air. Includes: army tank hovercraft, on land or swamp snowmobile (l) A driver of a motor vehicle is the occupant of the motor vehicle operating it or intending to operate it. A motorcyclist is the driver of a motor cycle. 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] street car tricycle (pedal) Excludes: pedestrian conveyance [definition (q)] (n) A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operating 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 electric or streetcar, when specified to be operating on a street or public highway tram (car) trolley (car) (o) A pedal cycle is any road transport vehicle operated solely by pedals. Includes: bicycle pedal cycle tricycle Excludes: motorized bicycle [definition (i)] (p) A pedal cyclist is any person riding on a pedal cycle or in a sidecar attached to such vehicle. (q) A pedestrian conveyance is any human powered device by which a pedestrian may move other than by walking or by which a walking person may move another pedestrian. Includes: baby carriage 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. (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 row boat 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] glider balloon military aircraft bomber parachute dirigible (v) A commercial transport aircraft is any device for collective passenger or freight transportation by air, whether run on commercial lines for profit or by government authorities, with the exception of military craft. RAILWAY ACCIDENTS (E800-E807) For definitions of railway accident and related terms see definitions (a) to (d). Excludes: accidents involving railway train and: aircraft (E840-E845) motor vehicle (E810-E825) watercraft (E830-E838) The following fourth digits 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. Includes: catering staff on train driver railway fireman guard porter postal staff on train shunter sleeping car attendant .1 Passenger on railway Any person traveling on a train, except a railway employee. Excludes: intending passenger waiting at station (.8) unauthorized rider on railway vehicle (.8) .2 Pedestrian See definition (n) .3 Pedal cyclist See definition (p) .8 Other specified person Includes: intending passenger 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 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 Excludes: collision with: aircraft (E840-E842) motor vehicle (E810.-, E820-E822) E802 Railway accident involving derailment without antecedent collision E803 Railway accident involving explosion, fire, or burning Excludes: explosion or fire, with mention of antecedent collision (E800.-, E801.-) explosion or fire, with antecedent derailment (E802.-) E804 Fall in, on, or from railway train Includes: fall while alighting from or boarding railway train Excludes: fall related to collision, derailment, or explosion of railway train (E800-E803) E805 Hit by rolling stock Includes: crushed by railway train or part of it injured by railway train or part of it killed by railway train or part of it knocked down by railway train or part of it run over by railway train or part of it Excludes: pedestrian hit by object set in motion by railway train (E806.-) 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 Excludes: railway accident due to cataclysm (E908-E909) E807 Railway accident of unspecified nature Includes: found dead on railway right-of-way NOS injured on railway right-of-way NOS railway accident NOS MOTOR VEHICLE TRAFFIC ACCIDENTS (E810-E819) For definitions of motor vehicle traffic accident, and related terms, see definitions (e) to (k). Excludes: accidents involving motor vehicle and aircraft (E840-E845) The following fourth-digits are for use with categories E810-E819 to identify the injured person: .0 Driver of motor vehicle other than motorcycle See definition (l) .1 Passenger in motor vehicle other than motorcycle See definition (l) .2 Motorcyclist See definition (l) .3 Passenger on motorcycle See definition (l) .4 Occupant of streetcar .5 Rider of animal; occupant of animal-drawn vehicle .6 Pedal cyclist See definition (p) .7 Pedestrian See definition (r) .8 Other specified person Includes: occupant of vehicle other than above person in railway train involved in accident unauthorized rider of motor vehicle .9 Unspecified person E810 Motor vehicle traffic accident involving collision with train Excludes: motor vehicle collision with object set in motion by railway train (E815.-) railway train hit by object set in motion by motor vehicle (E818.-) 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 Excludes: collision on the same roadway when none of the motor vehicles involved have left and re-entered the roadway (E812.-) 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 Excludes: collision with object set in motion by another motor vehicle (E815.-) re-entrant collision with another motor vehicle (E811.-) 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 Excludes: collision with: object set in motion by nonmotor road vehicle (E815.-) pedestrian (E814.-) nonmotor road vehicle hit by object set in motion by motor vehicle (E818.-) 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 Excludes: pedestrian hit by object set in motion by motor vehicle (E818.-) 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 inter-highway divider landslide (not moving) object set in motion by railway train or road vehicle (motor) (nonmotor) object thrown in front of motor vehicle safety island temporary traffic sign or marker wall of cut made for road other object, fixed, movable, or moving Excludes: collision with: any object off the highway (resulting from loss of control) (E816.-) any object which normally would have been off the highway and is not stated to have been on it (E816.-) motor vehicle parked, stopped, stalled, disabled, or abandoned on highway (E812.-) moving landslide (E909) motor vehicle hit by object: set in motion by railway train or road vehicle (motor) (nonmotor) (E818.-) thrown into or on vehicle (E818.-) 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 (due to) } overturning burst tire, blowout } colliding with driver falling asleep } object off driver inattention } the highway excessive speed } stopping abruptly failure of mechanical part } off the highway Excludes: collision on highway following loss of control (E810-E815) loss of control of motor vehicle following collision on the highway (E810-E815) E817 Noncollision motor vehicle traffic accident while boarding or alighting Includes: fall down stairs of motor bus } fall from car in street } while boarding injured by moving part of the vehicle } or alighting trapped by door of motor bus } E818 Other noncollision motor vehicle traffic accident Includes: accidental poisoning from exhaust gas } generated by } breakage of any part of } explosion of any part of } fall, jump, or being accidentally } pushed from } motor vehicle fire starting in } while in motion hit by object thrown into 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 } collision of railway train or road vehicle except motor vehicle, with object set in motion by motor vehicle motor vehicle hit by object set in motion by railway train or road vehicle (motor) (nonmotor) pedestrian, railway train, or road vehicle (motor) (nonmotor) hit by object set in motion by motor vehicle Excludes: collision between motor vehicle and: object set in motion by railway train or road vehicle (motor) (nonmotor) (E815.-) object thrown towards the motor vehicle (E815.-) 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 MOTOR VEHICLE NONTRAFFIC ACCIDENTS (E820-E825) For definitions of motor vehicle nontraffic accident and related terms see definition (a) to (k). Includes: accidents involving motor vehicles being used in recreational or sporting activities off the highway collision and noncollision motor vehicle accidents occurring entirely off the highway Excludes: accidents involving motor vehicle and: aircraft (E840-E845) watercraft (E830-E838) accidents, not on the public highway, involving agricultural and construction machinery but not involving another motor vehicle (E919.0, E919.2, E919.7) The following fourth-digit subdivisions are for use with categories E820-E825 to identify the injured person: .0 Driver of motor vehicle other than motorcycle See definition (l) .1 Passenger in motor vehicle other than motorcycle See definition (l) .2 Motorcyclist See definition (l) .3 Passenger on motorcycle See definition (l) .4 Occupant of streetcar .5 Rider of animal; occupant of animal-drawn vehicle .6 Pedal cyclist See definition (p) .7 Pedestrian See definition (r) .8 Other specified person Includes: occupant of vehicle other than above person on railway train involved in accident unauthorized rider of motor vehicle .9 Unspecified person E820 Nontraffic accident involving motor-driven snow vehicle Includes: breakage of part of } fall from } motor-driven snow hit by } vehicle (not on overturning of } public highway) run over or 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) Excludes: accident on the public highway, involving motor-driven snow vehicle (E810-E819) E821 Nontraffic accident involving other off-road motor vehicle Includes: breakage of part of } fall from } hit by } off-road motor vehicle overturning of } snow vehicle (not run over or dragged by } on public highway) thrown against some part of or object } in } collision with: animal (being ridden) animal-drawn vehicle another off-road motor vehicle, except snow vehicle other motor vehicle, not on public highway other object, fixed or movable Excludes: accident on public highway involving off-road motor vehicle (E810-E819) collision between motor-driven snow vehicle and other off-road motor vehicle (E820.-) hovercraft accident on water (E830-E838) 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 Excludes: collision with: motor-driven snow vehicle (E820.-) other off-road motor vehicle (E821.-) 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 Includes: fall } while boarding or alighting injury from moving part of motor } from motor vehicle vehicle } except off-road motor trapped by door of motor vehicle } vehicle, not on public vehicle } highway 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 } motor vehicle, fall, jump, or being accidentally } except off-road pushed from } motor vehicle, fire starting in } while in motion, hit by object thrown into, towards, } not on public towards, or on } highway 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 Excludes: fall 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) OTHER ROAD VEHICLE ACCIDENTS (E826-E829) Other road vehicle accidents are transport accidents involving road vehicles other than motor vehicles. For definitions of other road vehicle and related terms see definitions (m) to (o). Includes: accidents involving other road vehicles being used in recreational or sporting activities Excludes: collision of other road vehicle [any] with: aircraft (E840-E845) motor vehicle (E813.-, E820-E822) railway train (E801.-) The following fourth digits are for use with categories E826-E829 to identify the injured person: .0 Pedestrian See definition (r) .1 Pedal cyclist See definition (p) .2 Rider of animal .3 Occupant of animal-drawn vehicle .4 Occupant of streetcar .8 Other specified person .9 Unspecified person E826 Pedal cycle accident 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 Includes: breakage of any part of vehicle collision between animal-drawn vehicle and: animal (being ridden) (herded) (unattended) nonmotor road vehicle, except pedal cycle pedestrian, pedestrian conveyance, or pedestrian vehicle other object, fixed, movable, or moving, not set in motion by motor vehicle, railway train, or aircraft fall from animal-drawn vehicle knocked down by animal-drawn vehicle overturning of animal-drawn vehicle run over by animal-drawn vehicle thrown from animal-drawn vehicle Excludes: collision of animal-drawn vehicle with pedal cycle (E826.-) E828 Accident involving animal being ridden Includes: collision between animal being ridden and: another animal nonmotor road vehicle, except pedal cycle, and animal- drawn vehicle pedestrian, pedestrian conveyance, or pedestrian vehicle other object, fixed, movable, or moving, not set in motion by motor vehicle, railway train, or aircraft fall from animal being ridden knocked down by animal being ridden thrown from animal being ridden trampled by animal being ridden ridden animal stumbled and fell Excludes: collision of animal being ridden with: animal-drawn vehicle (E827.-) pedal cycle (E826.-) E829 Other road vehicle accidents Includes: accident while boarding or } alighting from } streetcar blow from object in } nonmotor road breakage of any part of } vehicle not caught in door of } classifiable derailment of } to E826 to fall in, on, or from } E828 fire in } collision between streetcar or nonmotor road vehicle, except as in E826 to E828, and: animal (not being ridden) another nonmotor road vehicle not classifiable to E826-E828 pedestrian other object, fixed, movable, or moving, not set in motion by motor vehicle, railway train, or aircraft nonmotor road vehicle accident NOS streetcar accident NOS Excludes: collision with: animal being ridden (E828.-) animal-drawn vehicle (E827.-) pedal cycle (E826.-) WATER TRANSPORT ACCIDENTS (E830-E838) For definitions of water transport accident and related terms see definitions (a), (s), and (t). Includes: watercraft accidents in the course of recreational activities Excludes: accidents involving both aircraft, including objects set in motion by aircraft, and watercraft (E840-E845) The following fourth digits are for use with categories E830-E838 to identify the injured person: .0 Occupant of small boat, unpowered .1 Occupant of small boat, powered See definition (t) Excludes: water skier (.3) .2 Occupant of other watercraft Ä crew Includes: 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 Ä other than crew Includes: passenger occupant of lifeboat, other than crew, after abandoning ship .4 Water skier .5 Swimmer .6 Dockers, stevedores Includes: longshoreman employed on the dock in loading and unloading ships .8 Other specified person Includes: immigration and custom officials on board ship person: accompanying passenger or member of crew visiting boat pilot (guiding ship into port) .9 Unspecified person E830 Accident to watercraft causing submersion 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 Excludes: burns from localized fire or explosion on board ship (E837.-) 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.-) E833 Fall on stairs or ladders in water transport Excludes: fall due to accident to watercraft (E831.-) E834 Other fall from one level to another in water transport Excludes: fall due to accident to watercraft (E831.-) E835 Other and unspecified fall in water transport Excludes: fall due to accident to watercraft (E831.-) E836 Machinery accident in water transport Includes: injuries in water transport caused by: deck machinery engine room machinery galley machinery laundry machinery loading machinery E837 Explosion, fire or burning in watercraft Includes: explosion of boiler on steamship localized fire on ship Excludes: burning ship (due to collision or explosion) resulting in: submersion or drowning (E830.-) other injury (E831.-) E838 Other and unspecified water transport accident Includes: accidental poisoning by gases or fumes on ship atomic power plant malfunction in watercraft crushed between ships without accident to watercraft crushed by falling object on ship or while loading or unloading excessive heat in: boiler room engine room evaporator room fire room hit by boat while water skiing struck by boat or part thereof (after fall from boat) watercraft accident NOS AIR AND SPACE TRANSPORT ACCIDENTS (E840-E845) For definition of aircraft and related terms see definitions (u) and (v). The following fourth digits are for use with categories E840-E845 to identify the injured person: .0 Occupant of spacecraft .1 Occupant of military aircraft, any Includes: crew } in military aircraft passenger (civilian) } [air force] [army] (military) } [national guard]] troops } [navy] Excludes: occupants of aircraft operated under jurisdiction of police departments (.5) parachutist (.7) .2 Crew of commercial aircraft (powered) in surface-to-surface transport .3 Other occupant of commercial aircraft (powered) in surface-to-surface transport Includes: 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 Includes: 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 Includes: occupant [crew] [passenger] of aircraft [powered] engaged in activities, such as: aerobatic flying aircraft racing rescue operation storm surveillance traffic surveillance occupant of private plane NOS .6 Occupant of unpowered aircraft, except parachutist Includes: occupant of aircraft listed in E842 .7 Parachutist (military) (other) Includes: person making voluntary descent Excludes: person making descent after accident to aircraft (.1-.6) .8 Ground crew, airline employee Includes: 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 while taking off or landing crash while taking off or landing explosion on aircraft while taking off or landing fire on aircraft while taking off or landing forced landing E841 Accident to powered aircraft, other and unspecified Includes: aircraft accident NOS aircraft crash or wreck NOS any accident to powered aircraft while in transit or when not specified whether in transit, taking off, or landing collision of aircraft with another aircraft, bird, or any object, while in transit explosion on aircraft while in transit fire on aircraft while in transit E842 Accident to unpowered aircraft 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 Includes: accident in boarding or alighting from aircraft, any kind fall in, on, or from aircraft [any kind], while in transit, taking off, or landing, except when as a result of an accident to aircraft E844 Other specified air transport accidents Includes: hit by: aircraft } object falling from aircraft } injury by or from: } machinery on aircraft } rotating propeller } without accident to voluntary parachute descent } aircraft poisoning by carbon monoxide from } aircraft while in transit } sucked into jet } any accident involving other transport vehicle (motor) (nonmotor) due to being hit by object set in motion by aircraft (powered) Excludes: air sickness (E903) effects of: high altitude (E902.-) pressure change (E902.-) injury in parachute descent due to accident to aircraft (E840-E842) E845 Accident involving spacecraft Includes: launching pad accident Excludes: effects of weightlessness in spacecraft (E928.0) VEHICLE ACCIDENTS NOT ELSEWHERE CLASSIFIABLE (E846-E848) E846 Accidents involving powered vehicles used solely within the buildings and premises of industrial or commercial establishment Includes: 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, overturning of } industrial or commercial struck by } Excludes: accidental poisoning by exhaust gas from vehicle not elsewhere classifiable (E868.2) injury by crane, lift (fork), or elevator (E919.2) E847 Accidents involving cable cars not running on rails Includes: accident to, on, or involving: cable car, not on rails ski chair-lift ski-lift with gondola t‚l‚f‚rique breakage of cable caught or dragged by } fall or jump from } cable car, not on rails object thrown from or in } E848 Accidents involving other vehicles, not elsewhere classifiable Includes: accident to, on, or involving: ice yacht land yacht nonmotor, nonroad vehicle NOS ACCIDENTAL POISONING BY DRUGS, MEDICAMENTS, 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 procedure Excludes: correct drug properly administered in therapeutic or prophylactic dosage, as the cause of any adverse effect (E930-E949) administration with suicidal or homicidal intent, or intent to harm, or in circumstances classifiable to E980-E989 (E950.0 to E950.4, E962.0, E980.0 to E980.4) E850 Accidental poisoning by analgesics, antipyretics, and antirheumatics E850.0 Opiates and related narcotics Codeine [methylmorphine] Morphine Heroin [diacetylmorphine] Opium (alkaloids) Methadone Pethidine [meperidine] E850.1 Salicylates Acetylsalicylic acid [aspirin] Amino derivatives of salicylic acid Salicylic acid salts E850.2 Aromatic analgesics, not elsewhere classified Acetanilid Phenacetin [acetophenetidin] Paracetamol [acetaminophen] E850.3 Pyrazole derivatives Aminophenazone [amidopyrine] Phenylbutazone E850.4 Antirheumatics [antiphlogistics] Gold salts Indomethacin Excludes: salicylates (E850.1) steroids (E858.0) E850.5 Other non-narcotic analgesics Pyrabital E850.8 Other Pentazocine E850.9 Unspecified E851 Accidental poisoning by barbiturates Amobarbital [amylobarbitone] Phenobarbital [phenobarbitone] Barbital [barbitone] Secobarbital [quinalbarbitone] Pentobarbital [pentobarbitone] Excludes: thiobarbiturates (E855.1) E852 Accidental poisoning by other sedatives and hypnotics E852.0 Chloral hydrate group E852.1 Paraldehyde E852.2 Bromine compounds Bromides Carbromal (derivatives) Carbamic esters E852.3 Methaqualone compounds E852.4 Glutethimide group E852.5 Mixed sedatives, not elsewhere classified E852.8 Other E852.9 Unspecified Sleeping: draught NOS drug NOS tablet NOS E853 Accidental poisoning by tranquillizers E853.0 Phenothiazine-based tranquillizers Chlorpromazine Prochlorperazine Fluphenazine Promazine E853.1 Butyrophenone-based tranquillizers Haloperidol Trifluperidol Spiperone E853.2 Benzodiazepine based Chlordiazepoxide Lorazepam Diazepam Medazepam Flurazepam Nitrazepam E853.8 Other E853.9 Unspecified E854 Accidental poisoning by other psychotropic agents E854.0 Antidepressants Amitriptyline Monoamine oxidase inhibitors Imipramine E854.1 Psychodysleptics [hallucinogens] Cannabis (derivatives) Mescaline Lysergide [LSD] Psilocin Marihuana (derivatives) Psilocybine E854.2 Psychostimulants Amphetamine Caffeine Excludes: 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 Oxazolidine derivatives Hydantoin derivatives [paramethadione] Levodopa [trimethadione] Succinimides E855.1 Other central nervous system depressants Ether Intravenous anesthetics Gaseous anesthetics Thiobarbiturates, such as thiopental Halogenated hydrocarbon sodium derivatives E855.2 Local anesthetics Cocaine Procaine Lidocaine [lignocaine] Tetracaine E855.3 Parasympathomimetics [cholinergics] Acetylcholine Pilocarpine Anticholinesterase: organophosphorus reversible 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 E855.9 Unspecified E856 Accidental poisoning by antibiotics E857 Accidental poisoning by other anti-infectives E858 Accidental poisoning by other drugs E858.0 Hormones and synthetic substitutes E858.1 Primarily systemic agents E858.2 Agents primarily affecting blood constituents E858.3 Agents primarily affecting cardiovascular system E858.4 Agents primarily affecting gastrointestinal system E858.5 Water, mineral, and uric acid metabolism drugs E858.6 Agents primarily acting on the smooth and skeletal muscles and respiratory system E858.7 Agents primarily affecting skin and mucous membrane, ophthalmological, otorhinolaryngological, and dental drugs E858.8 Other E858.9 Unspecified ACCIDENTAL POISONING BY OTHER SOLID AND LIQUID SUBSTANCES, GASES, AND VAPORS (E860-E869) 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 E860.2 Methyl alcohol Methanol Wood alcohol Methylated spirit E860.3 Isopropyl alcohol Dimethylcarbinol Rubbing alcohol substitute Isopropanol Secondary propyl alcohol E860.4 Fusel oil Fusel oil: amyl butyl propyl E860.8 Other E860.9 Unspecified E861 Accidental poisoning by cleansing and polishing agents, disinfectants, paints, and varnishes E861.0 Synthetic detergents and shampoos E861.1 Soap products E861.2 Polishes E861.3 Other cleansing and polishing agents Scouring powders E861.4 Disinfectants Household and other disinfectants not ordinarily used on the person Excludes: carbolic acid or phenol (E864.1) 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 E862.1 Petroleum fuels and cleaners Antiknock additives to Gas oils petroleum fuels Gasoline or petrol Benzine Kerosene or paraffin Excludes: kerosene insecticides (E863.4) E862.2 Lubricating oils E862.3 Petroleum solids Paraffin wax E862.4 Other solvents Benzene Solvent naphtha E862.9 Unspecified E863 Accidental poisoning by agricultural and horticultural chemical and pharmaceutical preparations other than plant foods and fertilizers Excludes: plant foods and fertilizers (E866.5) E863.0 Insecticides of organochlorine compounds Benzene hexachloride 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 E863.4 Other and unspecified insecticides E863.5 Herbicides Chlorates Paraquat Diquat 2,4 - D Mixtures of plant foods and 2,4,5 - T fertilizers with herbicides E863.6 Fungicides Organic mercurials (used in seed dressing) Pentachlorphenols 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: when component of disinfectant (E861.4) E864.0 Corrosive aromatics E864.1 Acids Carbolic acid or phenol E864.2 Caustic alkalis E864.3 Other E864.4 Unspecified E865 Accidental poisoning from foodstuffs and poisonous plants Includes: any meat, fish, or shellfish food additives and contaminants plants, berries, and fungi eaten as, or in mistake for, food or by a child Excludes: food poisoning (bacterial) (005.-) 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 plants E865.5 Mushrooms and other fungi E865.8 Other foods E865.9 Unspecified E866 Accidental poisoning by other and unspecified solid and liquid substances Excludes: these substances as a component of: food contaminants (E865.-) medicines (E850-E858) paints (E861.5, E861.6) pesticides (E863.-) petroleum fuels (E862.1) E866.0 Lead and its compounds and fumes E866.1 Mercury and its compounds and fumes E866.2 Antimony and its compounds and fumes E866.3 Arsenic and its compounds and fumes E866.4 Other metals and their compounds and fumes Beryllium and its compounds Iron compounds Brass fumes Manganese and its compounds Cadmium and its compounds Nickel compounds Copper salts Thallium compounds E866.5 Plant foods and fertilizers Excludes: mixtures with herbicides (E863.5) E866.6 Glues and adhesives E866.7 Cosmetics E866.8 Other E866.9 Unspecified E867 Accidental poisoning by gas distributed by pipeline Includes: 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 Liquefied hydrocarbon gas NOS Carbon monoxide from incomplete combustion of these gases Propane E868.1 Other and unspecified utility gas Acetylene Gas NOS used for lighting, heating, or cooking Carbon monoxide from incomplete combustion of above 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 Excludes: poisoning by carbon monoxide from: aircraft while in transit (E844) motor vehicle while in transit (E818) watercraft whether or not in transit (E838) E868.3 Carbon monoxide from incomplete combustion of other domestic fuels Carbon monoxide from incomplete combustion of: coal } coke } in domestic stove kerosene or paraffin } or fireplace wood } Excludes: carbon monoxide from smoke and fumes due to conflagration (E890-E893) E868.8 Carbon monoxide from other sources Carbon monoxide from: blast furnace gas incomplete combustion of fuels in industrial use kiln vapor E868.9 Unspecified carbon monoxide E869 Accidental poisoning by other gases and vapors Excludes: effects of gases used as anesthetics (E855.1, E938.2) fumes from heavy metals (E866.0-E866.4) smoke and fumes due to conflagration or explosion (E890-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) Excludes: accidental overdose of drug and wrong drug given in error (E850-E858) surgical and medical procedures as the cause of abnormal reaction by the patient, without mention of misadventure at the time of procedure (E878-E879) E870 Accidental cut, puncture, perforation, or hemorrhage during medical care E870.0 Surgical operation E870.1 Infusion or transfusion E870.2 Kidney dialysis or other perfusion E870.3 Injection or vaccination E870.4 Endoscopic examination E870.5 Aspiration of fluid or tissue, puncture, and catheterization [any, except heart catheterization] Abdominal paracentesis Lumbar puncture Aspirating needle biopsy Thoracentesis Blood sampling E870.6 Heart catheterization E870.7 Administration of enema E870.8 Other E870.9 Unspecified 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 [any, except heart catheterization] Abdominal paracentesis Lumbar puncture Aspiration needle biopsy Thoracentesis Blood sampling E871.6 Heart catheterization E871.7 Removal of catheter or packing E871.8 Other E871.9 Unspecified 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 [any, except heart catheterization] Abdominal paracentesis Lumbar puncture Aspirating needle biopsy Thoracentesis Blood sampling E872.6 Heart catheterization E872.8 Other E872.9 Unspecified E873 Failure in dosage Excludes: accidental overdose of drug, medicament or biological substance (E850-E858) E873.0 Excessive amount of blood or other fluid during transfusion or infusion E873.1 Incorrect dilution of fluid during infusion E873.2 Overdose of radiation in therapy E873.3 Inadvertent exposure of patient to radiation during medical care E873.4 Failure in dosage in electroshock or insulin-shock therapy E873.5 Inappropriate [too hot or too cold] temperature in local application and packing E873.6 Nonadministration of necessary drug or medicament E873.8 Other E873.9 Unspecified 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 [any, except heart catheterization] Abdominal paracentesis Lumbar puncture Aspirating needle biopsy Thoracentesis Blood sampling E874.5 Heart catheterization E874.8 Other E874.9 Unspecified E875 Contaminated or infected blood, other fluid, drug, or biological substance Presence of: bacterial pyrogens endotoxin-producing bacteria serum hepatitis-producing agent E875.0 Contaminated substance transfused or infused E875.1 Contaminated substance injected or used for vaccination E875.2 Contaminated drug or biological substance administered by other means E875.8 Other E875.9 Unspecified E876 Other and unspecified misadventures during medical care E876.0 Mismatched blood in transfusion E876.1 Wrong fluid in infusion E876.2 Failure in suture and ligature during surgical operation E876.3 Endotracheal tube wrongly placed during anesthetic procedure E876.4 Failure to introduce or to remove other tube or instrument Excludes: foreign object left in body during procedure (E871.-) E876.5 Performance of inappropriate operation E876.8 Other specified misadventures E876.9 Unspecified misadventure SURGICAL AND MEDICAL PROCEDURES AS THE CAUSE OF ABNORMAL REACTION OF PATIENT OR LATER COMPLICATION, WITHOUT MENTION OF MISADVENTURE AT THE TIME OF PROCEDURE (E878-E879) Includes: procedures as the cause of abnormal reaction, such as: displacement or malfunction of prosthetic device hepatorenal failure, postoperative malfunction of external stoma postoperative intestinal obstruction rejection of transplanted organ Excludes: anesthetic management properly carried out as the cause of adverse effect (E937-E938) infusion and transfusion, without mention of misadventure in the technique of procedure (E930-E949) E878 Surgical operation and other surgical procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at the time of operation E878.0 Surgical operation with transplant of whole organ Transplantation of: heart kidney liver E878.1 Surgical operation with implant of artificial internal device Cardiac pacemaker Heart valve prosthesis Electrodes implanted in brain Internal orthopedic device E878.2 Surgical operation with anastomosis, bypass or graft, with natural or artificial tissues used as implant Anastomosis: Graft of blood vessel, tendon, or arteriovenous skin gastrojejunal Excludes: 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 E878.9 Unspecified type of surgery E879 Other procedures, without mention of misadventure at the time of procedure, as the cause of abnormal reaction of patient, or of later complication E879.0 Cardiac catheterization E879.1 Kidney dialysis E879.2 Radiological procedure and radiotherapy Excludes: radio-opaque dyes for diagnostic x-ray procedures (E947.8) E879.3 Shock therapy Electroshock therapy Insulin-shock therapy E879.4 Aspiration of fluid Lumbar puncture Thoracentesis E879.5 Insertion of gastric or duodenal sound E879.6 Urinary catheterization E879.7 Blood sampling E879.8 Other Blood transfusion E879.9 Unspecified ACCIDENTAL FALLS (E880-E888) Excludes: falls (in or from): burning building (E890.8, E891.8) into fire (E890-E899) into water (with submersion or drowning) (E910.-) machinery (in operation) (E919.-) on edged, pointed, sharp object (E920.-) transport vehicle (E800-E845) 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 E881.1 Fall from scaffolding E882 Fall from or out of building or other structure Fall from: balcony bridge building flagpole tower turret viaduct wall window Fall through roof Excludes: collapse of a building or structure (E916) fall or jump from burning building (E890.8, E891.8) E883 Fall into hole or other opening in surface Fall into: cavity dock hole pit quarry shaft swimming pool tank well Excludes: fall into water NOS (E910.9) resulting in drowning or submersion without mention of injury (E910.-) E883.0 Accident from diving or jumping into water [swimming pool] Strike or hit: against bottom when jumping or diving into water wall or board of swimming pool water surface Excludes: diving with insufficient air supply (E913.2) effects of air pressure from diving (E902.2) E883.1 Accidental fall into well E883.2 Accidental fall into storm drain or manhole E883.9 Fall into other hole or other opening in surface E884 Other fall from one level to another E884.0 Fall from playground equipment Excludes: recreational machinery (E919.-) E884.1 Fall from cliff E884.2 Fall from chair or bed E884.9 Other fall from one level to another Fall from: embankment haystack stationary vehicle tree E885 Fall on same level from slipping, tripping, or stumbling E886 Fall on same level from collision, pushing, or shoving, by or with other person Excludes: crushed or pushed by a crowd or human stampede (E917.1) E886.0 In sports Tackles in sports Excludes: 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 ACCIDENTS CAUSED BY FIRE AND FLAMES (E890-E899) Includes: asphyxia or poisoning due to conflagration or ignition burning by fire secondary fires resulting from explosion Excludes: arson (E968.0) fire in or on: machinery (in operation) (E919.-) transport vehicle other than stationary vehicle (E800-E845) vehicle not elsewhere classifiable (E846-E848) E890 Conflagration in private dwelling Includes: conflagration in: apartment boarding house camping place caravan farmhouse house lodging house private garage rooming house tenement conflagration originating from sources classifiable to E893-E898 in the above buildings E890.0 Explosion caused by conflagration E890.1 Fumes from combustion of polyvinylchloride [PVC] and similar material in conflagration E890.2 Other smoke and fumes from conflagration Carbon monoxide } from conflagration Fumes NOS } in private Smoke NOS } building E890.3 Burning caused by conflagration E890.8 Other accident resulting from conflagration Collapse of } Fall from } burning private Hit by object falling from } building Jump from } E890.9 Unspecified E891 Conflagration in other and unspecified building or structure Conflagration in: barn church convalescent and other residential home dormitory of educational institution factory farm outbuildings hospital hotel school store theater Conflagration originating from sources classifiable to E893-E898 in the above buildings E891.0 Explosion caused by conflagration E891.1 Fumes from combustion of polyvinylchloride [PVC] and similar material in conflagration E891.2 Other smoke and fumes from conflagration Carbon monoxide } Fumes NOS } from conflagration in building Smoke NOS } or structure 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 E892 Conflagration not in building or structure Fire (uncontrolled) (in) (of): forest grass hay lumber mine prairie transport vehicle [any] except while in transit tunnel E893 Accident caused by ignition of clothing Excludes: ignition of clothing: from highly inflammable material (E894) with conflagration (E890-E892) E893.0 From controlled fire in private dwelling Ignition of clothing from: } normal fire (charcoal) (coal) } (electric) (gas) (wood) in: } brazier } in private dwelling fireplace } (as listed 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 or structure brazier } (as listed in E891) fireplace } furnace } stove } E893.2 From controlled fire not in building or structure Ignition of clothing from: bonfire (controlled) brazier fire (controlled), not in building or structure trash fire (controlled) Excludes: conflagration not in building (E892) trash fire out of control (E892) E893.8 From other sources Ignition of clothing from: blowlamp blowtorch burning bedspread candle cigar cigarette lighter matches pipe welding torch E893.9 Unspecified Includes: ignition of clothing (from controlled fire NOS) (in building NOS) NOS E894 Ignition of highly inflammable material Ignition of: benzine (with ignition of clothing) gasoline (with ignition of clothing) fat (with ignition of clothing) kerosene (with ignition of clothing) paraffin (with ignition of clothing) petrol (with ignition of clothing) Excludes: ignition of highly inflammable material with: conflagration (E890-E892) explosion (E923.-) E895 Accident caused by controlled fire in private dwelling Burning by (flame of) normal fire (charcoal) (coal) (electric) (gas) (wood) in: brazier } fireplace } in private dwelling furnace } (as listed in E890) stove } Excludes: burning by hot objects not producing fire or flames (E924.-) ignition of clothing from these sources (E893.0) poisoning by carbon monoxide from incomplete combustion of fuel (E867-E868) with conflagration (E890) 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 } in other building or furnace } structure (as listed in E891) stove } Excludes: burning by hot objects not producing fire or flames (E924.-) ignition of clothing from these sources (E893.1) poisoning by carbon monoxide from incomplete combustion of fuel (E867-E868) with conflagration (E891) E897 Accident caused by controlled fire not in building or structure Burns from flame of: bonfire (controlled) brazier fire (controlled), not in building or structure trash fire (controlled) Excludes: ignition of clothing from these sources (E893.2) trash fire out of control (E892) with conflagration (E892) E898 Accident caused by other specified fire and flames Excludes: conflagration (E890-E892) ignition of: clothing (E893.8) } originating highly inflammable } from these material (E894) } sources E898.0 Burning bedclothes Bed set on fire NOS E898.1 Other Burning by: blowlamp blowtorch candle cigar cigarette fire in room NOS lamp lighter matches pipe welding torch E899 Accident caused by unspecified fire Burning NOS ACCIDENTS DUE TO NATURAL AND ENVIRONMENTAL FACTORS (E900-E909) E900 Excessive heat E900.0 Due to weather conditions Excessive heat as the external cause of: ictus solaris siriasis sunstroke E900.1 Of man-made origin Heat (in): Heat (in): boiler room furnace room drying room generated in transport vehicle factory kitchen E900.9 Of unspecified origin E901 Excessive cold E901.0 Due to weather conditions Excessive cold as the cause of: chilblains NOS immersion foot E901.1 Of man-made origin Contact with or inhalation of: Prolonged exposure in: dry ice deep freeze unit liquid air refrigerator liquid hydrogen liquid nitrogen E901.8 Other E901.9 Of unspecified origin E902 High and low air pressure and changes in air pressure E902.0 Residence or prolonged visit at high altitude Residence or prolonged visit at high altitude as the cause of: Acosta syndrome Alpine sickness altitude sickness Andes disease anoxia, hypoxia barotitis, barodontalgia, baro-sinusitis, barotrauma otitic hypobarism, hypobaropathy mountain sickness range disease E902.1 In aircraft Sudden change in air pressure in aircraft during ascent or descent as the cause of: aeroneurosis aviators' disease E902.2 Due to diving High air pressure from rapid descent in water as the cause of: caisson disease divers' disease divers' palsy or paralysis Reduction in atmospheric pressure while surfacing from deep water diving as the cause of: caisson disease divers' disease divers' palsy or paralysis E902.8 Due to other specified causes Reduction in atmospheric pressure while surfacing from underground E902.9 Unspecified E903 Travel and motion E904 Hunger, thirst, exposure, and neglect Excludes: any condition resulting from homicidal intent (E968.-) hunger, thirst, and exposure resulting from accidents connected with transport (E800-E848) E904.0 Abandonment or neglect of infants and helpless persons Exposure to weather conditions resulting from abandonment or neglect Hunger or thirst resulting from abandonment or neglect Desertion of newborn Inattention at or after birth Lack of care (helpless person) (infant) Excludes: criminal neglect (E968.5) E904.1 Lack of food Lack of food as the cause of: inanition insufficient nourishment starvation Excludes: hunger resulting from abandonment or neglect (E904.0) E904.2 Lack of water Lack of water as the cause of: dehydration inanition Excludes: dehydration due to acute fluid loss (276.5) E904.3 Exposure (to weather conditions), not elsewhere classifiable Exposure NOS Struck by hailstones Humidity Excludes: struck by lightning (E907) E904.9 Privation, unqualified Destitution E905 Venomous animals and plants as the cause of poisoning and toxic reactions Includes: chemical released by animal insects release of venom through fangs, hairs, spines, tentacles, and other venom apparatus Excludes: eating of poisonous animals or plants (E865.-) E905.0 Venomous snakes and lizards Cobra Rattlesnake Fer de lance Sea snake Gila monster Snake (venomous) Krait Viper Excludes: bites of snakes and lizards known to be nonvenomous (E906.2) E905.1 Venomous spiders Black widow spider Tarantula (venomous) E905.2 Scorpion E905.3 Hornets, wasps, and bees Yellow jacket E905.4 Centipede and venomous millipede (tropical) E905.5 Other venomous arthropods Sting of: ant caterpillar E905.6 Venomous marine animals and plants Puncture by sea urchin spine Sting of: coral jelly fish nematocysts sea anemone sea cucumber other marine animal or plant Excludes: bites and other injuries caused by nonvenomous marine animal (E906.-) bite of sea snake (venomous) (E905.0) E905.7 Poisoning and toxic reactions caused by other plants Injection of poisons or toxins into or through skin by plant thorns, spines, or other mechanisms Excludes: puncture wound NOS by plant thorns or spines (E920.8) E905.8 Other specified E905.9 Unspecified Sting NOS Venomous bite NOS E906 Other injury caused by animals Excludes: poisoning and toxic reactions caused by venomous animals and insects (E905.-) tripping, falling over an animal (E885) E906.0 Dog bite E906.1 Rat bite E906.2 Bite of nonvenomous snakes and lizards E906.3 Bite of other animal except arthropod Cats 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 Excludes: injury by animal being ridden (E828.-) E906.9 Unspecified injury caused by animal E907 Lightning Excludes: injury from: fall of tree or other object caused by lightning (E916) fire caused by lightning (E890-E892) 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 Tornado Torrential rain Transport vehicle washed off road by storm Excludes: collapse of dam or man-made structure causing flood (E909) transport accident occurring after storm (E800-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 Volcanic eruption Excludes: "tidal wave" caused by storm action (E908) transport accident involving collision with avalanche or landslide not in motion (E800-E848) ACCIDENTS CAUSED BY SUBMERSION, SUFFOCATION, AND FOREIGN BODIES (E910-E915) E910 Accidental drowning and submersion Includes: immersion swimmers' cramp Excludes: diving accident (NOS) (resulting in injury except drowning) (E883.0) diving with insufficient air supply (E913.2) drowning and submersion due to: cataclysm (E908, E909) machinery accident (E919.-) transport accident (E800-E845) effect of high and low air pressure (E902.2) injury from striking against objects while in running water (E917.2) E910.0 While water-skiing Fall from water skis with submersion or drowning Excludes: accident to water-skier involving a watercraft and resulting in submersion or other injury (E830.4, E831.4) E910.1 While engaged in other sport or recreational activity with diving equipment Scuba diving NOS Underwater spear fishing NOS Skin diving NOS E910.2 While engaged in other sport or recreational activity without diving equipment Fishing, except from boat or with diving equipment Hunting, except from boat or with diving equipment Ice skating Playing in water Swimming NOS Surfboarding Voluntarily jumping from boat, not involved in accident, for swim NOS Wading in water Excludes: jumping into water to rescue another person (E910.3) E910.3 While swimming or diving for purposes other than recreation or sport Marine salvage (with diving equipment) Pearl diving (with diving equipment) Placement of fishing nets (with diving equipment) Rescue (attempt) of another person (with diving equipment) Underwater construction or repairs (with diving equipment) E910.4 In bathtub E910.8 Other Drowning in: NOS quenching tank swimming pool E910.9 Unspecified Accidental fall into water NOS E911 Inhalation and ingestion of food causing obstruction of respiratory tract or suffocation Asphyxia by food [including bone, seed in food, regurgitated food] Choked on food [including bone, seed in food, regurgitated food] Suffocation by food [including bone, seed in food, regurgitated food] Aspiration and inhalation of food [any] (into respiratory tract) NOS Compression of trachea by food lodged in esophagus Interruption of respiration by food lodged in esophagus Obstruction of respiration by food lodged in esophagus Obstruction of pharynx by food (bolus) Excludes: injury, except asphyxia and obstruction of respiratory passage, caused by food (E915) obstruction of esophagus by food without mention of asphyxia or obstruction of respiratory passage (E915) E912 Inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation Asphyxia by any object, except food, entering by nose or mouth, mucus, phlegm Choked on any object, except food, entering by nose or mouth, mucus, phlegm Suffocation by any object, except food, entering by nose or mouth, mucus, phlegm Aspiration and inhalation of foreign body except food (into respiratory tract) NOS Foreign object [bean] [marble] in nose Obstruction of pharynx by foreign body Compression by foreign body in esophagus Interruption of respiration by foreign body in esophagus Obstruction of respiration by foreign body in esophagus Excludes: injury, except asphyxia and obstruction of respiratory passage, caused by foreign body (E915) obstruction of esophagus by foreign body without mention of asphyxia or obstruction in respiratory passage (E915) E913 Accidental mechanical suffocation Excludes: mechanical suffocation from or by: accidental inhalation or ingestion of: food (E911) foreign object (E912) cataclysm (E908-E909) explosion (E921.-, E923.-) machinery accident (E919.-) E913.0 In bed or cradle Excludes: suffocation by plastic bag (E913.1) E913.1 By plastic bag E913.2 Due to lack of air (in closed place) Accidentally closed up in refrigerator or other airtight enclosed space Excludes: suffocation by plastic bag (E913.1) E913.3 By falling earth or other substance Cave-in NOS Excludes: cave-in caused by cataclysmic earth surface movements and eruptions (E909) struck by cave-in without asphyxiation or suffocation (E916) E913.8 Other specified means Accidental hanging, except in bed or cradle E913.9 Unspecified Asphyxia, mechanical NOS Suffocation NOS Strangulation NOS E914 Foreign body accidentally entering eye and adnexa Excludes: corrosive liquid E915 Foreign body accidentally entering other orifice Excludes: aspiration and inhalation of foreign body, any, (into respiratory tract) NOS (E911-E912) OTHER ACCIDENTS (E916-E928) E916 Struck accidentally by falling object Collapse of building, except on fire Falling: Falling: rock stone snowslide NOS tree Object falling from: machine, not in operation stationary vehicle Excludes: collapse of building on fire (E890-E891) falling object in: cataclysm (E908-E909) machinery accidents (E919.-) transport accidents (E800-E845) vehicle accidents not elsewhere classifiable (E846-E848) object set in motion by: explosion (E921.-, E923.-) firearm (E922.-) projected object (E917.-) E917 Striking against or struck accidentally by objects or persons Includes: bumping into or against object (moving) (projected) (stationary) pedestrian conveyance person colliding with object (moving) (projected) (stationary) pedestrian conveyance person kicking against object (moving) (projected) (stationary) pedestrian conveyance person stepping on object (moving) (projected) (stationary) pedestrian conveyance person struck by object (moving) (projected) (stationary) pedestrian conveyance person Excludes: fall from: bumping into or against object (E888) collision with another person, except when caused by a crowd (E886.-) stumbling over object (E885) injury caused by: assault (E960.-, E967.-) cutting or piercing instrument (E920.-) explosion (E921.-, E923.-) firearm (E922.-) machinery (E919.-) transport vehicle (E800-E845) 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 by crowd or human stampede Pushed by crowd or human stampede Stepped on by crowd or human stampede E917.2 In running water Excludes: drowning or submersion (E910.-) in sports (E917.0) E917.9 Other E918 Caught accidentally in or between objects Caught, crushed, jammed, or pinched: } { escalator } { folding object between } { hand tools, appliances, or moving objects } { implements, not causing stationary and moving } such as { cut or puncture object } { sliding door and door frame in object } { under packing crate due to } { losing grip } { washing machine wringer Excludes: injury caused by: cutting or piercing instrument (E920.-) machinery (E919.-) transport vehicle (E800-E845) vehicle not elsewhere classifiable (E846-E848) struck accidentally by: falling object (E916) object (moving) (projected) (E917.-) E919 Accidents caused by machinery Includes: burned by machinery (accident) caught in (moving parts of) machinery (accident) collapse of machinery (accident) crushed by machinery (accident) cut or pierced by machinery (accident) drowning or submersion caused by machinery (accident) explosion of, on, in machinery (accident) fall from or into moving part of machinery (accident) fire starting in or on machinery (accident) mechanical suffocation caused by machinery (accident) object falling from, on, set in motion by machinery (accident) overturning of machinery (accident) pinned under machinery (accident) run over by machinery (accident) struck by machinery (accident) thrown from machinery (accident) caught between machinery and other object collision of machinery with: object (fixed) (movable) (moving) not set in motion by transport vehicle pedestrian machinery accident NOS Excludes: accidents involving machinery, not in operation (E884.9, E916-E918) injury caused by: electric current in connection with machinery (E925.-) escalator (E880.0, E918) explosion of pressure vessel in connection with machinery (E921.-) moving sidewalk (E885) powered hand tools, appliances, and implements (E916-E918, E920, E921, E923-E926) transport vehicle accidents involving machinery (E800-E848) poisoning by carbon monoxide generated by machine (E868.8) E919.0 Agricultural machines Animal-powered agricultural Farm tractor machine Harvester Combine Hay mower or rake Derrick, hay Reaper Farm machinery NOS Thresher Excludes: when in transport under own power on the highway (E810-E819) when being towed by another vehicle on the highway (E810-E819, E827, E829) when involved in accident classifiable to E820-E829 (E820-E829) E919.1 Mining and earth-drilling machinery Bore or drill (land) (seabed) Shaft lift Shaft hoist Under-cutter Excludes: coal car, tram, truck, and tub in mine (E846.-) E919.2 Lifting machines and appliances Chain hoist } Crane } Derrick } except in agricultural Elevator (building) (grain) } or mining operations Forklift truck } Lift } Pulley block } Winch } Excludes: when in transport under own power on the highway (E810-E819) when being towed by another vehicle on the highway (E810-E819, E827, E829) when involved in accident classifiable to E820-E829 (E820-E829) E919.3 Metalworking machines Abrasive wheel Forging machine Lathe Mechanical shears Metal: drilling machine milling machine power press rolling-mill sawing machine E919.4 Woodworking and forming machines Band saw Overhead plane Bench saw Powered saw, except hand Circular saw Radial saw Molding machine Sander E919.5 Prime movers, except electrical motors Gas turbine Steam engine Internal combustion engine Water driven turbine Excludes: when being towed by other vehicle on the highway (E810-E819, E827, E829) when in transport under own power on the highway (E810-E819) E919.6 Transmission machinery Transmission: belt cable chain gear pinion pulley shaft E919.7 Earth moving, scraping, and other excavating machines Bulldozer Steam shovel Road scraper Excludes: when being towed by other vehicle on the highway (E810-E819, E827, E829) when in transport under own power on the highway (E810-E819) E919.8 Other Machines for manufacture of: Printing machine clothing Spinning, weaving, and textile machines foodstuffs and beverages paper E919.9 Unspecified E920 Accidents caused by cutting and piercing instruments or objects } object: Includes: fall on } edged accidental injury by } 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 staple gun hedge clipper Excludes: 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 appliance fan E920.3 Knives, swords, and daggers E920.4 Other hand tools and implements Axe Paper cutter Can opener NOS Pitchfork Chisel Rake Fork Scissors Hand saw Screwdriver Hoe Sewing machine, not powered Ice pick Shovel Needle E920.8 Other Arrow Nail Broken glass Plant thorn Dart Splinter Edge of stiff paper Tin can lid Lathe turnings Excludes: animal spines or quills (E906.8) flying glass due to explosion (E921-E923) E920.9 Unspecified 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-E845) E921.0 Boilers E921.1 Gas cylinders Air tank Pressure gas tank E921.8 Other Aerosol can Pressure cooker Automobile tire E921.9 Unspecified E922 Accident caused by firearm missile E922.0 Handgun Pistol Revolver Excludes: Verey pistol (E922.8) E922.1 Shotgun (automatic) E922.2 Hunting rifle Excludes: air rifle [BB gun] (E917.9) E922.3 Military firearms Army rifle Machine gun E922.8 Other Verey pistol [flare] E922.9 Unspecified Gunshot wound NOS Shot NOS E923 Accident caused by explosive material Includes: flash burns and other injuries resulting from explosion of explosive material ignition of highly explosive material with explosion Excludes: explosion: in or on machinery (E919.-) on any transport vehicle, except stationary motor vehicle (E800-E848) secondary fires resulting from explosion (E890-E899) with conflagration (E892, E890-E892) E923.0 Fireworks E923.1 Blasting materials Blasting cap Explosive [any] used in blasting Detonator operations Dynamite E923.2 Explosive gases Acetylene Fire damp Butane Gasoline fumes Coal gas Methane Explosion in mine NOS Propane E923.8 Other Bomb Explosion in: Explosive missile grain store Grenade munitions: Mine dump Shell factory Torpedo E923.9 Unspecified Includes: explosion NOS E924 Accident caused by hot substance or object, caustic or corrosive material and steam Excludes: burning NOS (E899.-) chemical burn resulting from swallowing a corrosive substance (E860-E864) fire caused by these substances and objects (E890-E894) radiation burns (E926.-) therapeutic misadventures (E870-E876) 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 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 steam pipe E924.9 Unspecified E925 Accident caused by electric current Includes: electric current from: } { burning exposed wire } as { cardiac fibrillation faulty appliance or } the { convulsions electric machine } cause{ electric shock high voltage cable } of: { electrocution live rail } { puncture wound open electric socket } { respiratory paralysis Excludes: burn by heat from electrical appliance (E924.8) lightning (E907) E925.0 Domestic wiring and appliances E925.1 Electric power generating plants, distribution stations, transmission lines Broken power line E925.2 Industrial wiring, appliances, and electrical machinery Conductors Electrical equipment and machines Control apparatus Transformers E925.8 Other electric current Wiring and appliances in or on: farm [not farmhouse] outdoors public building residential institutions schools E925.9 Unspecified Burns or other injury from Electric shock NOS electric current NOS Electrocution NOS E926 Exposure to radiation Excludes: abnormal reaction to or complication of treatment without mention of misadventure (E879.2) atomic power plant malfunction in water transport (E838.-) misadventure to patient in surgical and medical procedures (E873.2-E873.3) use of radiation in war operations (E996, E997) E926.0 Radiofrequency radiation Overexposure to: } from: microwave radiation } high-powered radio and radar radiation } television transmitters radiofrequency } industrial radiofrequency radiation [any] } induction heaters } radar installations E926.1 Infrared heaters and lamps } blistering Exposure to infrared radiation from } burning heaters and lamps as the cause of: } charring } inflammatory change Excludes: physical contact with heater or lamp (E924.8) E926.2 Visible and ultraviolet light sources Arc lamps Oxygas welding torch Black light sources Sun rays Electrical welding arc Excludes: excessive heat from these sources (E900.-) 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 Artificially accelerated beams of ionized particles, generated by: betatrons synchrotrons E926.9 Unspecified Radiation NOS E927 Overexertion and strenuous movements Excessive physical exercise Strenuous movements in: Overexertion (from): recreational activities lifting other activities pulling pushing 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 accidents Accident NOS } Blow NOS } Casualty (not due to war) } Decapitation } stated as accidentally inflicted Injury [any part of body, or unspecified] } but not otherwise specified Killed } Knocked down } Mangled } Wound } Excludes: fracture, cause unspecified (E887) injuries undetermined whether accidentally or purposely inflicted (E980-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. E929 Late effects of accidental injury Excludes: late effects of: surgical and medical procedures (E870-E879) therapeutic use of drugs and medicaments (E930-E949) E929.0 Late effects of motor vehicle accident Late effects of accidents classifiable to E810-E825 E929.1 Late effects of other transport accident Late effects of accidents classifiable to E800-E807, E826-E838, E840-E848 E929.2 Late effects of accidental poisoning Late effects of accidents classifiable to E850-E858, E860-E869 E929.3 Late effects of accidental fall Late effects of accidents classifiable to E880-E888 E929.4 Late effects of accident caused by fire Late effects of accidents classifiable to E890-E899 E929.5 Late effects of accident due to natural and environmental factors Late effects of accidents classifiable to E900-E909 E929.8 Late effects of other accidents Late effects of accidents classifiable to E910-E928.8 E929.9 Late effects of unspecified accident Late effects of accidents classifiable to E928.9 DRUGS, MEDICINAL AND BIOLOGICAL SUBSTANCES CAUSING ADVERSE EFFECTS IN THERAPEUTIC USE (E930-E949) Includes: correct drug properly administered in therapeutic or prophylactic dosage, as the cause of any adverse effect Excludes: accidental overdose of drug and wrong drug given or taken in error (E850-E858) accidents in the technique of administration of drug or biological substance, such as accidental puncture during injection, or contamination of drug (E870-E876) administration with suicidal or homicidal intent or intent to harm, or in circumstances classifiable to E980-E989 (E950.0 to E950.4, E962.0, E980.0 to E980.4) E930 Antibiotics Excludes: if used as eye, ear, nose, and throat [ENT], and local anti- infectives (E946.-) E930.0 Penicillins Natural Semisynthetic, such as: Synthetic ampicillin cloxacillin nafcillin oxacillin E930.1 Antifungal antibiotics Amphotericin B Hachimycin [trichomycin] Griseofulvin Nystatin 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 Rifampicin Kanamycin Streptomycin E930.7 Antineoplastic antibiotics Actinomycins, such as: cactinomycin dactinomycin bleomycin daunorubicin mitomycin Excludes: other antineoplastic drugs (E933.1) E930.8 Other specified antibiotics E930.9 Unspecified E931 Other anti-infectives Excludes: ENT, and local anti-infectives (E946.-) E931.0 Sulfonamides Sulfadiazine Sulfamethoxazole Sulfadimethoxine Sulfamethoxypyridazine Sulfafurazole E931.1 Arsenical anti-infectives E931.2 Heavy metal anti-infectives Compounds of: antimony bismuth lead mercury Excludes: mercurial diuretics (E944.0) E931.3 Quinoline and hydroxyquinoline derivatives Chiniofon Diiodohydroxyquinoline Excludes: 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 Tiabendazole E931.7 Antiviral drugs Metisazone Excludes: amantadine (E936.4) cytarabine (E933.1) idoxuridine (E946.5) E931.8 Other antimycobacterial drugs Ethambutol Para-aminosalicylic acid derivatives Ethionamide Sulfones Isoniazid E931.9 Other and unspecified anti-infectives Flucytosine Nitrofuran derivatives E932 Hormones and synthetic substitutes E932.0 Adrenal cortical steroids Cortisone derivatives Fluorinated corticosteroids Desoxycortone derivatives E932.1 Androgens and anabolic congeners Metandienone Oxymetholone Nandrolone phenylpropionate Testosterone and preparations Norethandrolone E932.2 Ovarian hormones and synthetic substitutes Contraceptives, oral Progestogens combined Estrogens Estrogens and progestogens, combined E932.3 Insulins and antidiabetic agents Acetohexamide Insulin Biguanide derivatives, oral Phenformin Chlorpropamide Sulfonylurea derivatives, oral Glucagon Tolbutamide Excludes: adverse effect of insulin administered for shock therapy (E879.3) E932.4 Anterior pituitary hormones Corticotropin Somatotropin Gonadotropin E932.5 Posterior pituitary hormones Vasopressin Excludes: oxytocic agents (E945.0) E932.6 Parathyroid and parathyroid derivatives E932.7 Thyroid and thyroid derivatives Dextrothyroxine Liothyronine Levothyroxine sodium Thyroglobulin 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 Chlorphenamine Thonzylamine Diphenhydramine Tripelennamine Excludes: phenothiazine-based tranquillizers (E939.1) E933.1 Antineoplastic and immunosuppressive drugs Azathioprine Cytarabine Busulfan Fluorouracil Chlorambucil Mercaptopurine Chlormethine hydrochloride Thiotepa Cyclophosphamide Excludes: antineoplastic antibiotics (E930.7) E933.2 Acidifying agents E933.3 Alkalizing agents E933.4 Enzymes, not elsewhere classified Penicillinase E933.5 Vitamins, not elsewhere classified Excludes: nicotinic acid (E942.5) vitamin K (E934.3) E933.8 Other systemic agents, not elsewhere classified Heavy metal antagonists E933.9 Unspecified 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 inhibitor Heparin Warfarin sodium Phenindione E934.3 Vitamin K [phytomenadione] 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 Macromolecular blood substitutes E934.9 Unspecified E935 Analgesics, antipyretics and antirheumatics E935.0 Opiates and related narcotics Codeine [methylmorphine] Heroin (diacetylmorphine) Methadone Morphine Opium (alkaloids) Pethidine (meperidine) E935.1 Salicylates Acetylsalicylic acid [aspirin] Amino derivatives of salicylic acid Salicylic acid salts E935.2 Aromatic analgesics, not elsewhere classified Acetanilide Phenacetin [acetophenetidin] Paracetamol [acetaminophen] E935.3 Pyrazole derivatives Aminophenazone [aminopyrine] Phenylbutazone E935.4 Antirheumatics [antiphlogistics] Gold salts Indomethacin Excludes: salicylates (E935.3) steroids (E932.0) E935.5 Other non-narcotic analgesics Pyrabital E935.8 Other Pentazocine E935.9 Unspecified E936 Anticonvulsants and anti-Parkinsonism drugs E936.0 Oxazolidine derivatives Paramethadione Trimethadione E936.1 Hydantoin derivatives Phenytoin E936.2 Succinimides Ethosuximide Phensuximide E936.3 Other and unspecified anticonvulsants Beclamide Primidone E936.4 Anti-Parkinsonism drugs Amantadine Levodopa Profenamine (ethopropazine) E937 Sedatives and hypnotics E937.0 Barbiturates Amobarbital [amylobarbitone] Pentobarbital [pentobarbitone] Barbital [barbitone] Phenobarbital [phenobarbitone] Butobarbital [butobarbitone] Secobarbital [quinalbarbitone] Excludes: thiobarbiturates (E938.3) E937.1 Chloral hydrate group E937.2 Paraldehyde E937.3 Bromine compounds Bromide Carbromal (derivatives) Carbamic esters E937.4 Methaqualone compounds E937.5 Glutethimide group E937.6 Mixed sedatives, not elsewhere classified E937.8 Other E937.9 Unspecified Sleeping: draught NOS drug NOS tablet NOS E938 Other central nervous system depressants 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 as thiopental Methohexital [methohexitone] sodium 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 E939 Psychotropic agents E939.0 Antidepressants Amitriptyline Monoamine oxidase inhibitors Imipramine E939.1 Phenothiazine-based tranquillizers Chlorpromazine Prochlorperazine Fluphenazine Promazine Phenothiazine E939.2 Butyrophenone-based tranquillizers Haloperidol Trifluperidol Spiperone E939.3 Other antipsychotics, neuroleptics, and major tranquillizers E939.4 Benzodiazepine-based tranquillizers Chlordiazepoxide Lorazepam Diazepam Medazepam Flurazepam Nitrazepam E939.5 Other tranquillizers Hydroxyzine Meprobamate E939.6 Psychodysleptics [hallucinogens] Cannabis (derivatives) Mescaline Lysergide [LSD] Psilocin Marihuana (derivatives) Psilocybin E939.7 Psychostimulants Amphetamine Caffeine Excludes: central appetite depressants (E947.8) E939.8 Other psychotropic agents E939.9 Unspecified E940 Central nervous system stimulants E940.0 Analeptics Lobeline Nikethamide E940.1 Opiate antagonists Levallorphan Naloxone Nalorphine E940.8 Other E940.9 Unspecified 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 Excludes: papaverine (E942.5) E941.2 Sympathomimetics [adrenergics] Epinephrine [adrenalin] Levarterenol [noradrenalin] E941.3 Sympatholytics [antiadrenergics] Phenoxybenzamine Tolazoline hydrochloride E941.9 Unspecified 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 Clofibrate Nicotinic acid derivatives Cholestyramine Sitosterols Excludes: dextrothyroxine (E932.7) E942.3 Ganglion-blocking agents Pentamethonium bromide E942.4 Coronary vasodilators Dipyridamole Nitrites Nitrates [nitroglycerin] Prenylamine E942.5 Other vasodilators Cyclandelate Nicotinic acid Diazoxide Papaverine Hydralazine 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 E942.9 Other and unspecified E943 Agents primarily affecting gastrointestinal system E943.0 Antacids and anti-gastric-secretion drugs Aluminum hydroxide Magnesium trisilicate E943.1 Irritant cathartics Bisacodyl Phenolphthalein Castor oil E943.2 Emollient cathartics Sodium dioctyl 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 Excludes: anti-infectives (E930-E931) E943.6 Emetics E943.8 Other E943.9 Unspecified E944 Water, mineral and uric acid metabolism drugs E944.0 Mercurial diuretics Chlormerodrin Mercurophylline Mercaptomerin Mersalyl E944.1 Purine derivative diuretics Theobromine Theophylline Excludes: aminophylline [theophylline ethylenediamine] (E945.7) E944.2 Carbonic acid anhydrase inhibitors Acetazolamide E944.3 Saluretics Chlorothiazide group E944.4 Other diuretics Etacrynic 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 E945.1 Smooth muscle relaxants Adiphenine Orciprenaline [metaproterenol] Excludes: papaverine (E942.5) E945.2 Skeletal muscle relaxants Alcuronium chloride Suxamethonium chloride E945.3 Other and unspecified drugs acting on muscles E945.4 Antitussives Dextromethorphan Pipazetate hydrochloride E945.5 Expectorants Acetylcysteine Ipecacuanha Cocillana Terpin hydrate 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, ophthalmological, otorhinolaryngological, and dental drugs E946.0 Local anti-infectives and anti-inflammatory drugs E946.1 Antipruritics E946.2 Local astringents and local detergents E946.3 Emollients, demulcents, and protectants E946.4 Keratolytics, keratoplastics, other hair treatment drugs and preparations E946.5 Eye anti-infectives and other eye drugs Idoxuridine E946.6 Anti-infectives and other drugs and preparations for ear, nose, and throat E946.7 Dental drugs topically applied E946.8 Other Spermicides E946.9 Unspecified E947 Other and unspecified drugs and medicaments 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 medicaments Contrast media used for diagnostic x-ray procedures Diagnostic agents and kits E947.9 Unspecified drug or medicament E948 Bacterial vaccines E948.0 BCG vaccine E948.1 Typhoid and paratyphoid E948.2 Cholera E948.3 Plague E948.4 Tetanus E948.5 Diphtheria E948.6 Pertussis vaccine, including combinations with a pertussis component E948.8 Other and unspecified bacterial vaccines E948.9 Mixed bacterial vaccines, except combinations with a pertussis component E949 Other vaccines and biological substances Excludes: gamma globulin (E934.6) E949.0 Smallpox vaccine E949.1 Rabies vaccine E949.2 Typhus vaccine E949.3 Yellow fever vaccine E949.4 Measles vaccine E949.5 Poliomyelitis vaccine E949.6 Other and unspecified viral and rickettsial vaccines E949.7 Mixed viral-rickettsial and bacterial vaccines, except combinations with a pertussis component E949.9 Other and unspecified vaccines and biological substances SUICIDE AND SELF-INFLICTED INJURY (E950-E959) Includes: injuries in suicide and attempted suicide self-inflicted injuries specified as intentional E950 Suicide and self-inflicted poisoning by solid or liquid substances E950.0 Analgesics, antipyretics, and antirheumatics E950.1 Barbiturates E950.2 Other sedatives and hypnotics E950.3 Tranquillizers and other psychotropic agents E950.4 Other specified drugs and medicaments E950.5 Unspecified drug or medicament E950.6 Agricultural and horticultural chemical and pharmaceutical preparations other than plant foods and fertilizers E950.7 Corrosive and caustic substances Suicide and self-inflicted poisoning by substances classifiable to E864.- E950.8 Arsenic and its compounds E950.9 Other and unspecified solid and liquid substances E951 Suicide and self-inflicted poisoning by gases in domestic use E951.0 Gas distributed by pipeline E951.1 Liquefied petroleum gas distributed in mobile containers E951.8 Other utility gas E952 Suicide and self-inflicted poisoning by other gases and vapors E952.0 Motor vehicle exhaust gas E952.1 Other carbon monoxide E952.8 Other specified gases and vapors E952.9 Unspecified gases and vapors E953 Suicide and self-inflicted injury by hanging, strangulation, and suffocation E953.0 Hanging E953.1 Suffocation by plastic bag E953.8 Other specified means E953.9 Unspecified means E954 Suicide and self-inflicted injury by submersion [drowning] E955 Suicide and self-inflicted injury by firearms 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 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 E958.8 Other specified means E958.9 Unspecified means E959 Late effects of self-inflicted injury Note: This category is to be used to indicate circumstances classifiable to E950-E958 as the cause of death or disability from late effects, which are themselves classifiable elsewhere. The "late effects" include conditions reported as such, or 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 Excludes: injuries due to: legal intervention (E970-E978) operations of war (E990-E999) E960 Fight, brawl, rape E960.0 Unarmed fight or brawl Brawl or fight with hands, fists, feet Injured or killed in fight NOS Excludes: homicidal: injury by weapons (E965, E966, E969) strangulation (E963) submersion (E964) E960.1 Rape E961 Assault by corrosive or caustic substance, except poisoning Injury or death purposely caused by corrosive or caustic substance, such as: acid [any] corrosive substance vitriol Excludes: burns from hot liquid (E968) chemical burns from swallowing a corrosive substance (E962) E962 Assault by poisoning E962.0 Drugs and medicaments Homicidal poisoning by any drug or medicament 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): Homicidal (attempt): garrotting or ligature strangulation hanging suffocation E964 Assault by submersion [drowning] E965 Assault by firearms and explosives E965.0 Handgun Pistol Revolver E965.1 Shotgun E965.2 Hunting rifle E965.3 Military firearms E965.4 Other and unspecified firearm E965.5 Antipersonnel bomb E965.6 Petrol bomb E965.7 Letter bomb 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 any part of body puncture any part of body stab any part of body Stabbed 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 Excludes: burns from hot liquid (E968.3) E968.1 Pushing from a high place E968.2 Striking by blunt or thrown object E968.3 Hot liquid Homicidal burns by scalding E968.4 Criminal neglect Abandonment of child or infant with intent to injure or kill E968.8 Other specified means Bite of human being E968.9 Unspecified means Assassination (attempt) NOS Manslaughter (nonaccidental) Homicidal (attempt): Murder (attempt) NOS injury NOS Violence, nonaccidental 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 elsewhere. 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 Excludes: injuries caused by civil insurrections (E990-E999) E970 Injury due to legal intervention by firearms Gunshot wound Injury by: machine gun revolver rifle pellet or rubber bullet shot NOS E971 Injury due to legal intervention by explosives Injury by: dynamite explosive shell grenade motor bomb E972 Injury due to legal intervention by gas Asphyxiation by gas Poisoning by gas Injury by tear gas E973 Injury due to legal intervention by blunt object Hit, struck by: baton 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 elsewhere. The "late effects" include conditions reported as such, or occurring as sequelae one year or more after injury due to legal intervention. E978 Legal execution All executions performed at the behest of the judiciary or ruling authority [whether permanent or temporary] as: asphyxiation by gas beheading, decapitation (by guillotine) capital punishment electrocution hanging poisoning shooting other specified means INJURY UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED (E980-E989) Note: Categories E980-E989 are for use when it is stated that an investigation by a medical or legal authority has not determined whether the injuries are accidental, suicidal, or homicidal. They include self-inflicted injuries, but not poisoning, when not specified whether accidental or with intent to harm. 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 Tranquillizers and other psychotropic agents E980.4 Other specified drugs and medicaments E980.5 Unspecified drug or medicament E980.6 Corrosive and caustic substances Poisoning, undetermined whether accidental or purposeful, by substances classifiable to E864.- E980.7 Agricultural and horticultural chemical and pharmaceutical preparations other than plant foods and fertilizers E980.8 Arsenic and its compounds E980.9 Other and unspecified solid and liquid substances E981 Poisoning by gases in domestic use, undetermined whether accidentally or purposely inflicted E981.0 Gas distributed by pipeline E981.1 Liquefied petroleum gas distributed in mobile containers E981.8 Other utility gas E982 Poisoning by other gases, undetermined whether accidentally or purposely inflicted E982.0 Motor vehicle exhaust gas E982.1 Other carbon monoxide E982.8 Other specified gases and vapors E982.9 Unspecified gases and vapors E983 Hanging, strangulation, or suffocation, undetermined whether accidentally or purposely inflicted E983.0 Hanging E983.1 Suffocation by plastic bag E983.8 Other specified means E983.9 Unspecified means E984 Submersion [drowning], undetermined whether accidentally or purposely inflicted E985 Injury by firearms and explosives, undetermined whether accidentally or purposely inflicted E985.0 Handgun E985.1 Shotgun E985.2 Hunting rifle E985.3 Military firearms E985.4 Other and unspecified firearm E985.5 Explosives E986 Injury by cutting and piercing instruments, undetermined whether accidentally or purposely inflicted E987 Falling from high place, undetermined whether accidentally or purposely inflicted E987.0 Residential premises E987.1 Other man-made structures E987.2 Natural sites E987.9 Unspecified site E988 Injury by other and unspecified means, undetermined whether accidentally or purposely inflicted E988.0 Jumping or lying before moving object E988.1 Burns, fire E988.2 Scald E988.3 Extremes of cold E988.4 Electrocution E988.5 Crashing of motor vehicle E988.6 Crashing of aircraft E988.7 Caustic substances, except poisoning E988.8 Other specified means E988.9 Unspecified means E989 Late effects of injury, undetermined whether accidentally or purposely inflicted Note: This category is to be used to indicate circumstances classifiable to E980-E988 as the cause of death or disability from late effects, which are themselves classifiable elsewhere. The "late effects" include conditions reported as such, or 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 injury due to operations of war, occurring after cessation of hostilities Excludes: accidents during training of military personnel, manufacture of war material and transport, unless attributable to enemy action E990 Injury due to war operations by fires and conflagrations Includes: asphyxia } originating from fire caused by a fire- burns } producing device or indirectly by any other injury } conventional weapon E990.0 From gasoline bomb E990.9 From other and unspecified source E991 Injury due to war operations by bullets and fragments E991.0 Rubber bullets (rifle) E991.1 Pellets (rifle) E991.2 Other bullets Bullet [any except rubber bullets, and pellets] carbine machine gun pistol rifle shotgun E991.3 Antipersonnel bomb (fragments) E991.9 Other and unspecified fragments Fragments from: artillery shell bombs, except antipersonnel grenade guided missile land mine rockets shell shrapnel E992 Injury due to war operations by explosion of marine weapons Depth charge Sea-based artillery shell Marine mines Torpedo Mine NOS, at sea or in harbor Underwater blast E993 Injury due to war operations by other explosion Accidental explosion of Explosion NOS munitions being used Explosion of: in war artillery shell Accidental explosion of own breech block weapons cannon block Air blast NOS mortar bomb Blast NOS Injury by weapon burst E994 Injury due to war operations by destruction of aircraft Airplane: Crushed by falling airplane burned exploded shot down E995 Injury due to war operations by other and unspecified forms of conventional warfare Battle wounds Drowned in war operations Bayonet injury 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 E997.9 Unspecified 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 classifiable 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.