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INTERNATIONAL CLASSIFICATION OF DISEASES | ||
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![]() ![]() ![]() 4. Diseases of the Blood and Blood-Forming Organs (280-289)280 Iron deficiency anemias Includes: anemia: asiderotic hypochromic-microcytic sideropenic Excludes: familial microcytic anemia (282.49) 280.0 Secondary to blood loss (chronic) Normocytic anemia due to blood loss Excludes: acute posthemorrhagic anemia (285.1) 280.1 Secondary to inadequate dietary iron intake 280.8 Other specified iron deficiency anemias Paterson-Kelly syndrome Plummer-Vinson syndrome Sideropenic dysphagia 280.9 Iron deficiency anemia, unspecified Anemia: achlorhydric chlorotic idiopathic hypochromic iron [Fe] deficiency NOS 281 Other deficiency anemias 281.0 Pernicious anemia Anemia: Addison's Biermer's congenital pernicious Congenital intrinsic factor [Castle's] deficiency Excludes: combined system disease without mention of anemia (266.2) subacute degeneration of spinal cord without mention of anemia (266.2) 281.1 Other vitamin B12 deficiency anemia Anemia: vegan's vitamin B12 deficiency (dietary) due to selective vitamin B12 malabsorption with proteinuria Syndrome: Imerslund's Imerslund-Gr�sbeck Excludes: combined system disease without mention of anemia (266.2) subacute degeneration of spinal cord without mention of anemia (266.2) 281.2 Folate-deficiency anemia Congenital folate malabsorption Folate or folic acid deficiency anemia: NOS dietary drug-induced Goat's milk anemia Nutritional megaloblastic anemia (of infancy) Use additional E code to identify drug 281.3 Other specified megaloblastic anemias, not elsewhere classified Combined B12 and folate-deficiency anemia 281.4 Protein-deficiency anemia Amino-acid-deficiency anemia 281.8 Anemia associated with other specified nutritional deficiency Scorbutic anemia 281.9 Unspecified deficiency anemia Anemia: dimorphic macrocytic megaloblastic NOS nutritional NOS simple chronic 282 Hereditary hemolytic anemias 282.0 Hereditary spherocytosis Acholuric (familial) jaundice Congenital hemolytic anemia (spherocytic) Congenital spherocytosis Minkowski-Chauffard syndrome Spherocytosis (familial) Excludes: hemolytic anemia of newborn (773.0-773.5) 282.1 Hereditary elliptocytosis Elliptocytosis (congenital) Ovalocytosis (congenital) (hereditary) 282.2 Anemias due to disorders of glutathione metabolism Anemia: 6-phosphogluconic dehydrogenase deficiency enzyme deficiency, drug-induced erythrocytic glutathione deficiency glucose-6-phosphate dehydrogenase [G-6-PD] deficiency glutathione-reductase deficiency hemolytic nonspherocytic (hereditary), type I Disorder of pentose phosphate pathway Favism 282.3 Other hemolytic anemias due to enzyme deficiency Anemia: hemolytic nonspherocytic (hereditary), type II hexokinase deficiency pyruvate kinase [PK] deficiency triosephosphate isomerase deficiency 282.4 Thalassemias Excludes: sickle-cell: disease (282.60-282.69) trait (282.5) 282.41 Sickle-cell thalassemia without crisis Sickle-cell thalassemia NOS Thalassemia Hb-S disease without crisis 282.42 Sickle-cell thalassemia with crisis Sickle-cell thalassemia with vaso-occlusive pain Thalassemia Hb-S disease with crisis Use additional code for type of crisis, such as: Acute chest syndrome (517.3) Splenic sequestration (289.52) 282.49 Other thalassemia Cooley's anemia Hb-Bart's disease Hereditary leptocytosis Mediterranean anemia (with other hemoglobinopathy) Microdrepanocytosis Thalassemia (alpha) (beta) (intermedia) (major) (minima) (minor) (mixed) (trait) (with other hemoglobinopathy) Thalassemia NOS 282.5 Sickle-cell trait Hb-AS genotype Hemoglobin S [Hb-S] trait Heterozygous: hemoglobin S Hb-S Excludes: that with other hemoglobinopathy (282.60-282.69) that with thalassemia (282.49) 282.6 Sickle-cell disease Sickle-cell anemia Excludes: sickle-cell thalassemia (282.41-282.42) sickle-cell trait (282.5) 282.60 Sickle-cell disease, unspecified Sickle-cell anemia NOS 282.61 Hb-SS disease without crisis 282.62 Hb-SS disease with crisis Hb-SS disease with vaso-occlusive pain Sickle-cell crisis NOS Use additional code for type of crisis, such as: Acute chest syndrome (517.3) Splenic sequestration (289.52) 282.63 Sickle-cell/Hb-C disease without crisis Hb-S/Hb-C disease without crisis 282.64 Sickle-cell/HB-C disease with crisis Hb-S/Hb-C disease with crisis Sickle-cell/Hb-C disease with vaso-occlusive pain Use additional code for types of crisis, such as: Acute chest syndrome (517.3) Splenic sequestration (289.52) 282.68 Other sickle-cell disease without crisis Hb-S/Hb-D disease without crisis Hb-S/Hb-E disease without crisis Sickle-cell/Hb-D disease without crisis Sickle-cell/Hb-E disease without crisis 282.69 Other sickle-cell disease with crisis Hb-S/Hb-D disease with crisis Hb-S/Hb-E disease with crisis Sickle-cell/Hb-D disease with crisis Sickle-cell/Hb-E disease with crisis Other sickle-cell disease with vaso-occlusive pain Use additional code for type of crisis, such as: Acute chest syndrome (517.3) Splenic sequestration (289.52) 282.7 Other hemoglobinopathies Abnormal hemoglobin NOS Congenital Heinz-body anemia Disease: hemoglobin C [Hb-C] hemoglobin D [Hb-D] hemoglobin E [Hb-E] hemoglobin Zurich [Hb-Zurich] Hemoglobinopathy NOS Hereditary persistence of fetal hemoglobin [HPFH] Unstable hemoglobin hemolytic disease Excludes: familial polycythemia (289.6) hemoglobin M [Hb-M] disease (289.7) high-oxygen-affinity hemoglobin (289.0) 282.8 Other specified hereditary hemolytic anemias Stomatocytosis 282.9 Hereditary hemolytic anemia, unspecified Hereditary hemolytic anemia NOS 283 Acquired hemolytic anemias 283.0 Autoimmune hemolytic anemias Autoimmune hemolytic disease (cold type) (warm type) Chronic cold hemagglutinin disease Cold agglutinin disease or hemoglobinuria Hemolytic anemia: cold type (secondary) (symptomatic) drug-induced warm type (secondary) (symptomatic) Use additional E code to identify cause, if drug-induced Excludes: Evans' syndrome (287.32) hemolytic disease of newborn (773.0-773.5) 283.1 Non-autoimmune hemolytic anemias 283.10 Non-autoimmune hemolytic anemia, unspecified 283.11 Hemolytic-uremic syndrome 283.19 Other non-autoimmune hemolytic anemias Hemolytic anemia: mechanical microangiopathic toxic Use additional E code to identify cause 283.2 Hemoglobinuria due to hemolysis from external causes Acute intravascular hemolysis Hemoglobinuria: from exertion march paroxysmal (cold) (nocturnal) due to other hemolysis Marchiafava-Micheli syndrome Use additional E code to identify cause 283.9 Acquired hemolytic anemia, unspecified Acquired hemolytic anemia NOS Chronic idiopathic hemolytic anemia 284 Aplastic anemia and other bone marrow failure syndromes 284.0 Constitutional aplastic anemia 284.01 Constitutional red blood cell aplasia Aplasia, (pure) red cell: congenital of infants primary Blackfan-Diamond syndrome Familial hypoplastic anemia 284.09 Other constitutional aplastic anemia Fanconi's anemia Pancytopenia with malformations 284.1 Pancytopenia Excludes: pancytopenia (due to) (with): aplastic anemia NOS (284.9) bone marrow infiltration (284.2) constitutional red blood cell aplasia (284.01) drug induced (284.89) hairy cell leukemia (202.4) human immunodeficiency virus disease (042) leukoerythroblastic anemia (284.2) malformations (284.09) myelodysplastic syndromes (238.72-238.75) myeloproliferative disease (238.79) other constitutional aplastic anemia (284.09) 284.2 Myelophthisis Leukoerythroblastic anemia Myelophthisic anemia Code first the underlying disorder, such as: malignant neoplasm of breast (174.0-174.9, 175.0-175.9) tuberculosis (015.0-015.9) Excludes: idiopathic myelofibrosis (238.76) myelofibrosis NOS (289.83) myelofibrosis with myeloid metaplasia (238.76) primary myelofibrosis (238.76) secondary myelofibrosis (289.83) 284.8 Other specified aplastic anemias 284.81 Red cell aplasia (acquired) (adult) (with thymoma) Red cell aplasia NOS 284.89 Other specified aplastic anemias Aplastic anemia (due to): chronic systemic disease drugs infection radiation toxic (paralytic) Use additional E code to identify cause 284.9 Aplastic anemia, unspecified Anemia: aplastic (idiopathic) NOS aregenerative hypoplastic NOS nonregenerative Medullary hypoplasia Excludes: refractory anemia (238.72) 285 Other and unspecified anemias 285.0 Sideroblastic anemia Anemia: hypochromic with iron loading sideroachrestic sideroblastic: acquired congenital hereditary primary secondary (drug-induced) (due to disease) sex-linked hypochromic vitamin B6-responsive Pyridoxine-responsive (hypochromic) anemia Excludes: refractory sideroblastic anemia (238.72) Use additional E code to identify cause, if drug-induced 285.1 Acute posthemorrhagic anemia Anemia due to acute blood loss Excludes: anemia due to chronic blood loss (280.0) blood loss anemia NOS (280.0) 285.2 Anemia of chronic disease Anemia in chronic illness 285.21 Anemia in chronic kidney disease Anemia in end-stage renal disease Erythropoietin-resistant anemia (EPO resistant anemia) 285.22 Anemia in neoplastic disease 285.29 Anemia of other chronic disease Anemia in other chronic illness 285.8 Other specified anemias Anemia: dyserythropoietic (congenital) dyshematopoietic (congenital) von Jaksch's Infantile pseudoleukemia 285.9 Anemia, unspecified Anemia: NOS essential normocytic, not due to blood loss profound progressive secondary Oligocythemia Excludes: anemia (due to): blood loss: acute (285.1) chronic or unspecified (280.0) iron deficiency (280.0-280.9) 286 Coagulation defects 286.0 Congenital factor VIII disorder Antihemophilic globulin [AHG] deficiency Factor VIII (functional) deficiency Hemophilia: NOS A classical familial hereditary Subhemophilia Excludes: factor VIII deficiency with vascular defect (286.4) 286.1 Congenital factor IX disorder Christmas disease Deficiency: factor IX (functional) plasma thromboplastin component [PTC] Hemophilia B 286.2 Congenital factor XI deficiency Hemophilia C Plasma thromboplastin antecedent [PTA] deficiency Rosenthal's disease 286.3 Congenital deficiency of other clotting factors Congenital afibrinogenemia Deficiency: AC globulin factor: I [fibrinogen] II [prothrombin] V [labile] VII [stable] X [Stuart-Prower] XII [Hageman] XIII [fibrin stabilizing] Laki-Lorand factor proaccelerin Disease: Owren's Stuart-Prower Dysfibrinogenemia (congenital) Dysprothrombinemia (constitutional) Hypoproconvertinemia Hypoprothrombinemia (hereditary) Parahemophilia 286.4 von Willebrand's disease Angiohemophilia (A) (B) Constitutional thrombopathy Factor VIII deficiency with vascular defect Pseudohemophilia type B Vascular hemophilia von Willebrand's (-J�rgens') disease Excludes: factor VIII deficiency: NOS (286.0) with functional defect (286.0) hereditary capillary fragility (287.8) 286.5 Hemorrhagic disorder due to intrinsic circulating anticoagulants Antithrombinemia Antithromboplastinemia Antithromboplastino-genemia Hyperheparinemia Increase in: anti-VIIIa anti-IXa anti-Xa anti-XIa antithrombin Secondary hemophilia Systemic lupus erythematosus [SLE] inhibitor 286.6 Defibrination syndrome Afibrinogenemia, acquired Consumption coagulopathy Diffuse or disseminated intravascular coagulation [DIC syndrome] Fibrinolytic hemorrhage, acquired Hemorrhagic fibrinogenolysis Pathologic fibrinolysis Purpura: fibrinolytic fulminans Excludes: that complicating: abortion (634-638 with .1, 639.1) pregnancy or the puerperium (641.3, 666.3) disseminated intravascular coagulation in newborn (776.2) 286.7 Acquired coagulation factor deficiency Deficiency of coagulation factor due to: liver disease vitamin K deficiency Hypoprothrombinemia, acquired Excludes: vitamin K deficiency of newborn (776.0) Use additional E-code to identify cause, if drug-induced 286.9 Other and unspecified coagulation defects Defective coagulation NOS Deficiency, coagulation factor NOS Delay, coagulation Disorder: coagulation hemostasis Excludes: abnormal coagulation profile (790.92) hemorrhagic disease of newborn (776.0) that complicating: abortion (634-638 with .1, 639.1) pregnancy or the puerperium (641.3, 666.3) 287 Purpura and other hemorrhagic conditions Excludes: hemorrhagic thrombocythemia (238.79) purpura fulminans (286.6) 287.0 Allergic purpura Peliosis rheumatica Purpura: anaphylactoid autoimmune Henoch's nonthrombocytopenic: hemorrhagic idiopathic rheumatica Sch�nlein-Henoch vascular Vasculitis, allergic Excludes: hemorrhagic purpura (287.39) purpura annularis telangiectodes (709.1) 287.1 Qualitative platelet defects Thrombasthenia (hemorrhagic) (hereditary) Thrombocytasthenia Thrombocytopathy (dystrophic) Thrombopathy (Bernard-Soulier) Excludes: von Willebrand's disease (286.4) 287.2 Other nonthrombocytopenic purpuras Purpura: NOS senile simplex 287.3 Primary thrombocytopenia Excludes: thrombotic thrombocytopenic purpura (446.6) transient thrombocytopenia of newborn (776.1) 287.30 Primary thrombocytopenia unspecified Megakaryocytic hypoplasia 287.31 Immune thrombocytopenic purpura Idiopathic thrombocytopenic purpura Tidal platelet dysgenesis 287.32 Evans' syndrome 287.33 Congenital and hereditary thrombocytopenic purpura Congenital and hereditary thrombocytopenia Thrombocytopenia with absent radii (TAR) syndrome Excludes: Wiskott-Aldrich syndrome (279.12) 287.39 Other primary thrombocytopenia 287.4 Secondary thrombocytopenia Posttransfusion purpura Thrombocytopenia (due to): dilutional drugs extracorporeal circulation of blood massive blood transfusion platelet alloimmunization Use additional E code to identify cause Excludes: transient thrombocytopenia of newborn (776.1) 287.5 Thrombocytopenia, unspecified 287.8 Other specified hemorrhagic conditions Capillary fragility (hereditary) Vascular pseudohemophilia 287.9 Unspecified hemorrhagic conditions Hemorrhagic diathesis (familial) 288 Diseases of white blood cells Excludes: leukemia (204.0-208.9) 288.0 Neutropenia Decreased Absolute Neutrophil Count (ANC) Use additional code for any associated: fever (780.6) mucositis (478.11, 528.00-528.09, 538, 616.81) Excludes: neutropenic splenomegaly (289.53) transitory neonatal neutropenia (776.7) 288.00 Neutropenia, unspecified 288.01 Congenital neutropenia Congenital agranulocytosis Infantile genetic agranulocytosis Kostmann's syndrome 288.02 Cyclic neutropenia Cyclic hematopoiesis Periodic neutropenia 288.03 Drug induced neutropenia Use additional E code to identify drug 288.04 Neutropenia due to infection 288.09 Other neutropenia Agranulocytosis Neutropenia: immune toxic 288.1 Functional disorders of polymorphonuclear neutrophils Chronic (childhood) granulomatous disease Congenital dysphagocytosis Job's syndrome Lipochrome histiocytosis (familial) Progressive septic granulomatosis 288.2 Genetic anomalies of leukocytes Anomaly (granulation) (granulocyte) or syndrome: Alder's (-Reilly) Ch�diak-Steinbrinck (-Higashi) Jordan's May-Hegglin Pelger-Huet Hereditary: hypersegmentation hyposegmentation leukomelanopathy 288.3 Eosinophilia Eosinophilia allergic hereditary idiopathic secondary Eosinophilic leukocytosis Excludes: L�ffler's syndrome (518.3) pulmonary eosinophilia (518.3) 288.4 Hemophagocytic syndromes Familial hemophagocytic lymphohistiocytosis Familial hemophagocytic reticulosis Hemophagocytic syndrome, infection-associated Histiocytic syndromes Macrophage activation syndrome 288.5 Decreased white blood cell count Excludes: neutropenia (288.01-288.09) 288.50 Leukocytopenia, unspecified Decreased leukocytes, unspecified Decreased white blood cell count, unspecified Leukopenia NOS 288.51 Lymphocytopenia Decreased lymphocytes 288.59 Other decreased white blood cell count Basophilic leukopenia Eosinophilic leukopenia Monocytopenia Plasmacytopenia 288.6 Elevated white blood cell count Excludes: eosinophilia (288.3) 288.60 Leukocytosis, unspecified Elevated leukocytes, unspecified Elevated white blood cell count, unspecified 288.61 Lymphocytosis (symptomatic) Elevated lymphocytes 288.62 Leukemoid reaction Basophilic leukemoid reaction Lymphocytic leukemoid reaction Monocytic leukemoid reaction Myelocytic leukemoid reaction Neutrophilic leukemoid reaction 288.63 Monocytosis (symptomatic) Excludes: infectious mononucleosis (075) 288.64 Plasmacytosis 288.65 Basophilia 288.66 Bandemia Bandemia without diagnosis of specific infection Excludes: confirmed infection - code to infection leukemia (204.00-208.9) 288.69 Other elevated white blood cell count 288.8 Other specified disease of white blood cells Excludes: decreased white blood cell counts (288.50-288.59) elevated white blood cell counts (288.60-288.69) immunity disorders (279.0-279.9) 288.9 Unspecified disease of white blood cells 289 Other diseases of blood and blood-forming organs 289.0 Polycythemia, secondary High-oxygen-affinity hemoglobin Polycythemia: acquired benign due to: fall in plasma volume high altitude emotional erythropoietin hypoxemic nephrogenous relative spurious stress Excludes: polycythemia: neonatal (776.4) primary (238.4) vera (238.4) 289.1 Chronic lymphadenitis Chronic: adenitis any lymph node, except mesenteric lymphadenitis any lymph node, except mesenteric Excludes: acute lymphadenitis (683) mesenteric (289.2) enlarged glands NOS (785.6) 289.2 Nonspecific mesenteric lymphadenitis Mesenteric lymphadenitis (acute) (chronic) 289.3 Lymphadenitis, unspecified, except mesenteric 289.4 Hypersplenism "Big spleen" syndrome Dyssplenism Hypersplenia Excludes: primary splenic neutropenia (289.53) 289.5 Other diseases of spleen 289.50 Disease of spleen, unspecified 289.51 Chronic congestive splenomegaly 289.52 Splenic sequestration Code first sickle-cell disease in crisis (282.42, 282.62, 282.64, 282.69) 289.53 Neutropenic splenomegaly 289.59 Other Lien migrans Perisplenitis Splenic: abscess atrophy cyst fibrosis infarction rupture, nontraumatic Splenitis Wandering spleen Excludes: bilharzial splenic fibrosis (120.0-120.9) hepatolienal fibrosis (571.5) splenomegaly NOS (789.2) 289.6 Familial polycythemia Familial: benign polycythemia erythrocytosis 289.7 Methemoglobinemia Congenital NADH [DPNH]-methemoglobin-reductase deficiency Hemoglobin M [Hb-M] disease Methemoglobinemia: NOS acquired (with sulfhemoglobinemia) hereditary toxic Stokvis' disease Sulfhemoglobinemia Use additional E code to identify cause 289.8 Other specified diseases of blood and blood-forming organs 289.81 Primary hypercoagulable state Activated protein C resistance Antithrombin III deficiency Factor V Leiden mutation Lupus anticoagulant Protein C deficiency Protein S deficiency Prothrombin gene mutation 289.82 Secondary hypercoagulable state 289.83 Myelofibrosis Myelofibrosis NOS Secondary myelofibrosis Code first the underlying disorder, such as: malignant neoplasm of breast (174.0-174.9, 175.0-175.9) Excludes: idiopathic myelofibrosis (238.76) leukoerythroblastic anemia (284.2) myelofibrosis with myeloid metaplasia (238.76) myelophthisic anemia (284.2) myelophthisis (284.2) primary myelofibrosis (238.76) 289.89 Other specified diseases of blood and blood-forming organs Hypergammaglobulinemia Pseudocholinesterase deficiency 289.9 Unspecified diseases of blood and blood-forming organs Blood dyscrasia NOS Erythroid hyperplasia |
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![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() TABLE OF CONTENTS Preface Acknowledgments Introduction The ICD-9-CM Coordination and Maintenance Committee Characteristics of the ICD-9-CM The Disease Classification Alphabetical Index of Diseases Table of Drugs and Chemicals Index To External Causes of Injury (E Code) Classification of Procedures Index to Procedures Appendix A: Morphology of Neoplasms Appendix C: Classification of Drugs by American Hospital Formulary Services List Number and their ICD-9-CM Equivalents Appendix D: Classification of Industrial Accidents According to Agency Appendix E: List of Three-Digit Categories |