| DISEASE INDEX | DRUGS INDEX | MANUFACTURERS | ANATOMY | USA STATS | CHINA STATS | JOBS | GENOME DICTIONARY | |
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INTERNATIONAL CLASSIFICATION OF DISEASES | ||
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![]() ![]() ![]() 7. Diseases of the Circulatory System (390-459)ACUTE RHEUMATIC FEVER (390-392) 390 Rheumatic fever without mention of heart involvement Arthritis, rheumatic, acute or subacute Rheumatic fever (active) (acute) Rheumatism, articular, acute or subacute Excludes: that with heart involvement (391.0-391.9) 391 Rheumatic fever with heart involvement Excludes: chronic heart diseases of rheumatic origin (393.0-398.9) unless rheumatic fever is also present or there is evidence of recrudescence or activity of the rheumatic process 391.0 Acute rheumatic pericarditis Rheumatic: fever (active) (acute) with pericarditis pericarditis (acute) Any condition classifiable to 390 with pericarditis Excludes: that not specified as rheumatic (420.0-420.9) 391.1 Acute rheumatic endocarditis Rheumatic: endocarditis, acute fever (active) (acute) with endocarditis or valvulitis valvulitis acute Any condition classifiable to 390 with endocarditis or valvulitis 391.2 Acute rheumatic myocarditis Rheumatic fever (active) (acute) with myocarditis Any condition classifiable to 390 with myocarditis 391.8 Other acute rheumatic heart disease Rheumatic: fever (active) (acute) with other or multiple types of heart involvement pancarditis, acute Any condition classifiable to 390 with other or multiple types of heart involvement 391.9 Acute rheumatic heart disease, unspecified Rheumatic: carditis, acute fever (active) (acute) with unspecified type of heart involvement heart disease, active or acute Any condition classifiable to 390 with unspecified type of heart involvement 392 Rheumatic chorea Includes: Sydenham's chorea Excludes: chorea: NOS (333.5) Huntington's (333.4) 392.0 With heart involvement Rheumatic chorea with heart involvement of any type classifiable to 391 392.9 Without mention of heart involvement CHRONIC RHEUMATIC HEART DISEASE (393-398) 393 Chronic rheumatic pericarditis Adherent pericardium, rheumatic Chronic rheumatic: mediastinopericarditis myopericarditis Excludes: pericarditis NOS or not specified as rheumatic (423.0-423.9) 394 Diseases of mitral valve Excludes: that with aortic valve involvement (396.0-396.9) 394.0 Mitral stenosis Mitral (valve): obstruction (rheumatic) stenosis NOS 394.1 Rheumatic mitral insufficiency Rheumatic mitral: incompetence regurgitation Excludes: that not specified as rheumatic (424.0) 394.2 Mitral stenosis with insufficiency Mitral stenosis with incompetence or regurgitation 394.9 Other and unspecified mitral valve diseases Mitral (valve): disease (chronic) failure 395 Diseases of aortic valve Excludes: that not specified as rheumatic (424.1) that with mitral valve involvement (396.0-396.9) 395.0 Rheumatic aortic stenosis Rheumatic aortic (valve) obstruction 395.1 Rheumatic aortic insufficiency Rheumatic aortic: incompetence regurgitation 395.2 Rheumatic aortic stenosis with insufficiency Rheumatic aortic stenosis with incompetence or regurgitation 395.9 Other and unspecified rheumatic aortic diseases Rheumatic aortic (valve) disease 396 Diseases of mitral and aortic valves Includes: involvement of both mitral and aortic valves, whether specified as rheumatic or not 396.0 Mitral valve stenosis and aortic valve stenosis Atypical aortic (valve) stenosis Mitral and aortic (valve) obstruction (rheumatic) 396.1 Mitral valve stenosis and aortic valve insufficiency 396.2 Mitral valve insufficiency and aortic valve stenosis 396.3 Mitral valve insufficiency and aortic valve insufficiency Mitral and aortic (valve): incompetence regurgitation 396.8 Multiple involvement of mitral and aortic valves Stenosis and insufficiency of mitral or aortic valve with stenosis or insufficiency, or both, of the other valve 396.9 Mitral and aortic valve diseases, unspecified 397 Diseases of other endocardial structures 397.0 Diseases of tricuspid valve Tricuspid (valve) (rheumatic): disease insufficiency obstruction regurgitation stenosis 397.1 Rheumatic diseases of pulmonary valve Excludes: that not specified as rheumatic (424.3) 397.9 Rheumatic diseases of endocardium, valve unspecified Rheumatic: endocarditis (chronic) valvulitis (chronic) Excludes: that not specified as rheumatic (424.90-424.99) 398 Other rheumatic heart disease 398.0 Rheumatic myocarditis Rheumatic degeneration of myocardium Excludes: myocarditis not specified as rheumatic (429.0) 398.9 Other and unspecified rheumatic heart diseases 398.90 Rheumatic heart disease, unspecified Rheumatic: carditis heart disease NOS Excludes: carditis not specified as rheumatic (429.89) heart disease NOS not specified as rheumatic (429.9) 398.91 Rheumatic heart failure (congestive) Rheumatic left ventricular failure 398.99 Other HYPERTENSIVE DISEASE (401-405) Excludes: that complicating pregnancy, childbirth, or the puerperium (642.0-642.9) that involving coronary vessels (410.00-414.9) 401 Essential hypertension Includes: high blood pressure hyperpiesia hyperpiesis hypertension (arterial) (essential) (primary) (systemic) hypertensive vascular: degeneration disease Excludes: elevated blood pressure without diagnosis of hypertension (796.2) pulmonary hypertension (416.0-416.9) that involving vessels of: brain (430-438) eye (362.11) 401.0 Malignant 401.1 Benign 401.9 Unspecified 402 Hypertensive heart disease Includes: hypertensive: cardiomegaly cardiopathy cardiovascular disease heart (disease) (failure) any condition classifiable to 429.0-429.3, 429.8, 429.9 due to hypertension Use additional code to specify type of heart failure (428.0-428.43), if known 402.0 Malignant 402.00 Without heart failure 402.01 With heart failure 402.1 Benign 402.10 Without heart failure 402.11 With heart failure 402.9 Unspecified 402.90 Without heart failure 402.91 With heart failure 403 Hypertensive chronic kidney disease Includes: arteriolar nephritis arteriosclerosis of: kidney renal arterioles arteriosclerotic nephritis (chronic) (interstitial) hypertensive: nephropathy renal failure uremia (chronic) nephrosclerosis renal sclerosis with hypertension any condition classifiable to 585, 586, or 587 with any condition classifiable to 401 Excludes: acute renal failure (584.5-584.9) renal disease stated as not due to hypertension renovascular hypertension (405.0-405.9 with fifth-digit 1) The following fifth-digit subclassification is for use with category 403: 0 with chronic kidney disease stage I through stage IV, or unspecified Use additional code to identify the stage of chronic kidney disease (585.1-585.4, 585.9) 1 with chronic kidney disease stage V or end stage renal disease Use additional code to identify the stage of chronic kidney disease (585.5, 585.6) 403.0 Malignant 403.1 Benign 403.9 Unspecified 404 Hypertensive heart and chronic kidney disease Includes: disease: cardiorenal cardiovascular renal any condition classifiable to 402 with any condition classifiable to 403 Use additional code to specify type of heart failure (428.0-428.43), if known The following fifth-digit subclassification is for use with category 404: 0 without heart failure and with chronic kidney disease stage I through stage IV, or unspecified Use additional code to identify the stage of chronic kidney disease (585.1-585.4, 585.9) 1 with heart failure and with chronic kidney disease stage I through stage IV, or unspecified Use additional code to identify the stage of chronic kidney disease (585.1-585.4, 585.9) 2 without heart failure and with chronic kidney disease stage V or end stage renal disease Use additional code to identify the stage of chronic kidney disease (585.5, 585.6) 3 with heart failure and chronic kidney disease stage V or end stage renal disease Use additional code to identify the stage of chronic kidney disease (585.5, 585.6) 404.0 Malignant 404.1 Benign 404.9 Unspecified 405 Secondary hypertension 405.0 Malignant 405.01 Renovascular 405.09 Other 405.1 Benign 405.11 Renovascular 405.19 Other 405.9 Unspecified 405.91 Renovascular 405.99 Other ISCHEMIC HEART DISEASE (410-414) Includes: that with mention of hypertension Use additional code to identify presence of hypertension (401.0-405.9) 410 Acute myocardial infarction Includes: cardiac infarction coronary (artery): embolism occlusion rupture thrombosis infarction of heart, myocardium, or ventricle rupture of heart, myocardium, or ventricle ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction any condition classifiable to 414.1-414.9 specified as acute or with a stated duration of 8 weeks or less The following fifth-digit subclassification is for use with category 410: 0 episode of care unspecified Use when the source document does not contain sufficient information for the assignment of fifth-digit 1 or 2. 1 initial episode of care Use fifth-digit 1 to designate the first episode of care (regardless of facility site) for a newly diagnosed myocardial infarction. The fifth-digit 1 is assigned regardless of the number of times a patient may be transferred during the initial episode of care. 2 subsequent episode of care Use fifth-digit 2 to designate an episode of care following the initial episode when the patient is admitted for further observation, evaluation or treatment for a myocardial infarction that has received initial treatment, but is still less than 8 weeks old. 410.0 Of anterolateral wall ST elevation myocardial infarction (STEMI) of anterolateral wall 410.1 Of other anterior wall Infarction: anterior (wall) NOS (with contiguous portion of intraventricular septum) anteroapical (with contiguous portion of intraventricular septum) anteroseptal (with contiguous portion of intraventricular septum) ST elevation myocardial infarction (STEMI) of other anterior wall 410.2 Of inferolateral wall ST elevation myocardial infarction (STEMI) of inferolateral wall 410.3 Of inferoposterior wall ST elevation myocardial infarction (STEMI) of inferoposterior wall 410.4 Of other inferior wall Infarction: diaphragmatic wall NOS (with contiguous portion of intraventricular septum) inferior (wall) NOS (with contiguous portion of intraventricular septum) ST elevation myocardial infarction (STEMI) of other inferior wall 410.5 Of other lateral wall Infarction: apical-lateral basal-lateral high lateral posterolateral ST elevation myocardial infarction (STEMI) of other lateral wall 410.6 True posterior wall infarction Infarction: posterobasal strictly posterior ST elevation myocardial infarction (STEMI) of true posterior wall 410.7 Subendocardial infarction Non-ST elevation myocardial infarction (NSTEMI) Nontransmural infarction 410.8 Of other specified sites Infarction of: atrium papillary muscle septum alone ST elevation myocardial infarction (STEMI) of other specified sites 410.9 Unspecified site Acute myocardial infarction NOS Coronary occlusion NOS Myocardial infarction NOS 411 Other acute and subacute forms of ischemic heart disease 411.0 Postmyocardial infarction syndrome Dressler's syndrome 411.1 Intermediate coronary syndrome Impending infarction Preinfarction angina Preinfarction syndrome Unstable angina Excludes: angina (pectoris) (413.9) decubitus (413.0) 411.8 Other 411.81 Acute coronary occlusion without myocardial infarction Acute coronary (artery): embolism without or not resulting in myocardial infarction obstruction without or not resulting in myocardial infarction occlusion without or not resulting in myocardial infarction thrombosis without or not resulting in myocardial infarction Excludes: obstruction without infarction due to atherosclerosis (414.00-414.07) occlusion without infarction due to atherosclerosis (414.00-414.07) 411.89 Other Coronary insufficiency (acute) Subendocardial ischemia 412 Old myocardial infarction Healed myocardial infarction Past myocardial infarction diagnosed on ECG [EKG] or other special investigation, but currently presenting no symptoms 413 Angina pectoris 413.0 Angina decubitus Nocturnal angina 413.1 Prinzmetal angina Variant angina pectoris 413.9 Other and unspecified angina pectoris Angina: NOS cardiac of effort Anginal syndrome Status anginosus Stenocardia Syncope anginosa Excludes: preinfarction angina (411.1) 414 Other forms of chronic ischemic heart disease Excludes: arteriosclerotic cardiovascular disease [ASCVD] (429.2) cardiovascular: arteriosclerosis or sclerosis (429.2) degeneration or disease (429.2) 414.0 Coronary atherosclerosis Arteriosclerotic heart disease [ASHD] Atherosclerotic heart disease Coronary (artery): arteriosclerosis arteritis or endarteritis atheroma sclerosis stricture Use additional code, if applicable, to identify chronic total occlusion of coronary artery (414.2) Excludes: embolism of graft (996.72) occlusion NOS of graft (996.72) thrombus of graft (996.72) 414.00 Of unspecified type of vessel, native or graft 414.01 Of native coronary artery 414.02 Of autologous biological bypass graft 414.03 Of nonautologous biological bypass graft 414.04 Of artery bypass graft Internal mammary artery 414.05 Of unspecified type of bypass graft Bypass graft NOS 414.06 Of native coronary artery of transplanted heart 414.07 Of bypass graft (artery) (vein) of transplanted heart 414.1 Aneurysm and dissection of heart 414.10 Aneurysm of heart (wall) Aneurysm (arteriovenous): mural ventricular 414.11 Aneurysm of coronary vessels Aneurysm (arteriovenous) of coronary vessels 414.12 Dissection of coronary artery 414.19 Other aneurysm of heart Arteriovenous fistula, acquired, of heart 414.2 Chronic total occlusion of coronary artery Complete occlusion of coronary artery Total occlusion of coronary artery Code first coronary atherosclerosis (414.00-414.07) Excludes: acute coronary occlusion with myocardial infarction (410.00-410.92) acute coronary occlusion without myocardial infarction (411.81) 414.8 Other specified forms of chronic ischemic heart disease Chronic coronary insufficiency Ischemia, myocardial (chronic) Any condition classifiable to 410 specified as chronic, or presenting with symptoms after 8 weeks from date of infarction Excludes: coronary insufficiency (acute) (411.89) 414.9 Chronic ischemic heart disease, unspecified Ischemic heart disease NOS DISEASES OF PULMONARY CIRCULATION (415-417) 415 Acute pulmonary heart disease 415.0 Acute cor pulmonale Excludes: cor pulmonale NOS (416.9) 415.1 Pulmonary embolism and infarction Pulmonary (artery) (vein): apoplexy embolism infarction (hemorrhagic) thrombosis Excludes: that complicating: abortion (634-638 with .6, 639.6) ectopic or molar pregnancy (639.6) pregnancy, childbirth, or the puerperium (673.0-673.8) 415.11 Iatrogenic pulmonary embolism and infarction 415.12 Septic pulmonary embolism Septic embolism NOS Code first underlying infection, such as: septicemia (038.0-038.9) Excludes: septic arterial embolism (449) 415.19 Other 416 Chronic pulmonary heart disease 416.0 Primary pulmonary hypertension Idiopathic pulmonary arteriosclerosis Pulmonary hypertension (essential) (idiopathic) (primary) 416.1 Kyphoscoliotic heart disease 416.8 Other chronic pulmonary heart diseases Pulmonary hypertension, secondary 416.9 Chronic pulmonary heart disease, unspecified Chronic cardiopulmonary disease Cor pulmonale (chronic) NOS 417 Other diseases of pulmonary circulation 417.0 Arteriovenous fistula of pulmonary vessels Excludes: congenital arteriovenous fistula (747.3) 417.1 Aneurysm of pulmonary artery Excludes: congenital aneurysm (747.3) 417.8 Other specified diseases of pulmonary circulation Pulmonary: arteritis endarteritis Rupture of pulmonary vessel Stricture of pulmonary vessel 417.9 Unspecified disease of pulmonary circulation OTHER FORMS OF HEART DISEASE (420-429) 420 Acute pericarditis Includes: acute: mediastinopericarditis myopericarditis pericardial effusion pleuropericarditis pneumopericarditis Excludes: acute rheumatic pericarditis (391.0) postmyocardial infarction syndrome [Dressler's] (411.0) 420.0 Acute pericarditis in diseases classified elsewhere Code first underlying disease, as: actinomycosis (039.8) amebiasis (006.8) chronic uremia (585.9) nocardiosis (039.8) tuberculosis (017.9) uremia NOS (586) Excludes: pericarditis (acute) (in): Coxsackie (virus) (074.21) gonococcal (098.83) histoplasmosis (115.0-115.9 with fifth-digit 3) meningococcal infection (036.41) syphilitic (093.81) 420.9 Other and unspecified acute pericarditis 420.90 Acute pericarditis, unspecified Pericarditis (acute): NOS infective NOS sicca 420.91 Acute idiopathic pericarditis Pericarditis, acute: benign nonspecific viral 420.99 Other Pericarditis (acute): pneumococcal purulent staphylococcal streptococcal suppurative Pneumopyopericardium Pyopericardium Excludes: pericarditis in diseases classified elsewhere (420.0) 421 Acute and subacute endocarditis 421.0 Acute and subacute bacterial endocarditis Endocarditis (acute) (chronic) (subacute): bacterial infective NOS lenta malignant purulent septic ulcerative vegetative Infective aneurysm Subacute bacterial endocarditis [SBE] Use additional code, if desired, to identify infectious organism [e.g., Streptococcus 041.0, Staphylococcus 041.1] 421.1 Acute and subacute infective endocarditis in diseases classified elsewhere Code first underlying disease, as: blastomycosis (116.0) Q fever (083.0) typhoid (fever) (002.0) Excludes: endocarditis (in): Coxsackie (virus) (074.22) gonococcal (098.84) histoplasmosis (115.0-115.9 with fifth-digit 4) meningococcal infection (036.42) monilial (112.81) 421.9 Acute endocarditis, unspecified Endocarditis, acute or subacute Myoendocarditis, acute or subacute Periendocarditis, acute or subacute Excludes: acute rheumatic endocarditis (391.1) 422 Acute myocarditis Excludes: acute rheumatic myocarditis (391.2) 422.0 Acute myocarditis in diseases classified elsewhere Code first underlying disease, as: myocarditis (acute): influenzal (487.8) tuberculous (017.9) Excludes: myocarditis (acute) (due to): aseptic, of newborn (074.23) Coxsackie (virus) (074.23) diphtheritic (032.82) meningococcal infection (036.43) syphilitic (093.82) toxoplasmosis (130.3) 422.9 Other and unspecified acute myocarditis 422.90 Acute myocarditis, unspecified Acute or subacute (interstitial) myocarditis 422.91 Idiopathic myocarditis Myocarditis (acute or subacute): Fiedler's giant cell isolated (diffuse) (granulomatous) nonspecific granulomatous 422.92 Septic myocarditis Myocarditis, acute or subacute: pneumococcal staphylococcal Use additional code to identify infectious organism [e.g., Staphylococcus 041.1] Excludes: myocarditis, acute or subacute: in bacterial diseases classified elsewhere (422.0) streptococcal (391.2) 422.93 Toxic myocarditis 422.99 Other 423 Other diseases of pericardium Excludes: that specified as rheumatic (393) 423.0 Hemopericardium 423.1 Adhesive pericarditis Adherent pericardium Fibrosis of pericardium Milk spots Pericarditis: adhesive obliterative Soldiers' patches 423.2 Constrictive pericarditis Concato's disease Pick's disease of heart (and liver) 423.3 Cardiac tamponade Code first the underlying cause 423.8 Other specified diseases of pericardium Calcification of pericardium Fistula of pericardium 423.9 Unspecified disease of pericardium 424 Other diseases of endocardium Excludes: bacterial endocarditis (421.0-421.9) rheumatic endocarditis (391.1, 394.0-397.9) syphilitic endocarditis (093.20-093.24) 424.0 Mitral valve disorders Mitral (valve): incompetence NOS of specified cause, except rheumatic insufficiency NOS of specified cause, except rheumatic regurgitation NOS of specified cause, except rheumatic Excludes: mitral (valve): disease (394.9) failure (394.9) stenosis (394.0) the listed conditions: specified as rheumatic (394.1) unspecified as to cause but with mention of: diseases of aortic valve (396.0-396.9) mitral stenosis or obstruction (394.2) 424.1 Aortic valve disorders Aortic (valve): incompetence NOS of specified cause, except rheumatic insufficiency NOS of specified cause, except rheumatic regurgitation NOS of specified cause, except rheumatic stenosis NOS of specified cause, except rheumatic Excludes: hypertrophic subaortic stenosis (425.1) that specified as rheumatic (395.0-395.9) that of unspecified cause but with mention of diseases of mitral valve (396.0-396.9) 424.2 Tricuspid valve disorders, specified as nonrheumatic Tricuspid valve: incompetence of specified cause, except rheumatic insufficiency of specified cause, except rheumatic regurgitation of specified cause, except rheumatic stenosis of specified cause, except rheumatic Excludes: rheumatic or of unspecified cause (397.0) 424.3 Pulmonary valve disorders Pulmonic: incompetence NOS insufficiency NOS regurgitation NOS stenosis NOS Excludes: that specified as rheumatic (397.1) 424.9 Endocarditis, valve unspecified 424.90 Endocarditis, valve unspecified, unspecified cause Endocarditis (chronic): NOS nonbacterial thrombotic Valvular: incompetence of unspecified valve,unspecified cause insufficiency of unspecified valve,unspecified cause regurgitation of unspecified valve,unspecified cause stenosis of unspecified valve,unspecified cause Valvulitis (chronic) 424.91 Endocarditis in diseases classified elsewhere Code first underlying disease, as: atypical verrucous endocarditis [Libman-Sacks] (710.0) disseminated lupus erythematosus (710.0) tuberculosis (017.9) Excludes: syphilitic (093.20-093.24) 424.99 Other Any condition classifiable to 424.90 with specified cause, except rheumatic Excludes: endocardial fibroelastosis (425.3) that specified as rheumatic (397.9) 425 Cardiomyopathy Includes: myocardiopathy 425.0 Endomyocardial fibrosis 425.1 Hypertrophic obstructive cardiomyopathy Hypertrophic subaortic stenosis (idiopathic) 425.2 Obscure cardiomyopathy of Africa Becker's disease Idiopathic mural endomyocardial disease 425.3 Endocardial fibroelastosis Elastomyofibrosis 425.4 Other primary cardiomyopathies Cardiomyopathy: NOS congestive constrictive familial hypertrophic idiopathic nonobstructive obstructive restrictive Cardiovascular collagenosis 425.5 Alcoholic cardiomyopathy 425.7 Nutritional and metabolic cardiomyopathy Code first underlying disease, as: amyloidosis (277.30-277.39) beriberi (265.0) cardiac glycogenosis (271.0) mucopolysaccharidosis (277.5) thyrotoxicosis (242.0-242.9) Excludes: gouty tophi of heart (274.82) 425.8 Cardiomyopathy in other diseases classified elsewhere Code first underlying disease, as: Friedreich's ataxia (334.0) myotonia atrophica (359.21) progressive muscular dystrophy (359.1) sarcoidosis (135) Excludes: cardiomyopathy in Chagas' disease (086.0) 425.9 Secondary cardiomyopathy, unspecified 426 Conduction disorders 426.0 Atrioventricular block, complete Third degree atrioventricular block 426.1 Atrioventricular block, other and unspecified 426.10 Atrioventricular block, unspecified Atrioventricular [AV] block (incomplete) (partial) 426.11 First degree atrioventricular block Incomplete atrioventricular block, first degree Prolonged P-R interval NOS 426.12 Mobitz (type) II atrioventricular block Incomplete atrioventricular block: Mobitz (type) II second degree, Mobitz (type) II 426.13 Other second degree atrioventricular block Incomplete atrioventricular block: Mobitz (type) I [Wenckebach's] second degree: NOS Mobitz (type) I with 2:1 atrioventricular response [block] Wenckebach's phenomenon 426.2 Left bundle branch hemiblock Block: left anterior fascicular left posterior fascicular 426.3 Other left bundle branch block Left bundle branch block: NOS anterior fascicular with posterior fascicular complete main stem 426.4 Right bundle branch block 426.5 Bundle branch block, other and unspecified 426.50 Bundle branch block, unspecified 426.51 Right bundle branch block and left posterior fascicular block 426.52 Right bundle branch block and left anterior fascicular block 426.53 Other bilateral bundle branch block Bifascicular block NOS Bilateral bundle branch block NOS Right bundle branch with left bundle branch block (incomplete) (main stem) 426.54 Trifascicular block 426.6 Other heart block Intraventricular block: NOS diffuse myofibrillar Sinoatrial block Sinoauricular block 426.7 Anomalous atrioventricular excitation Atrioventricular conduction: accelerated accessory pre-excitation Ventricular pre-excitation Wolff-Parkinson-White syndrome 426.8 Other specified conduction disorders 426.81 Lown-Ganong-Levine syndrome Syndrome of short P-R interval, normal QRS complexes, and supraventricular tachycardias 426.82 Long QT syndrome 426.89 Other Dissociation: atrioventricular [AV] interference isorhythmic Nonparoxysmal AV nodal tachycardia 426.9 Conduction disorder, unspecified Heart block NOS Stokes-Adams syndrome 427 Cardiac dysrhythmias Excludes: that complicating: abortion (634-638 with .7, 639.8) ectopic or molar pregnancy (639.8) labor or delivery (668.1, 669.4) 427.0 Paroxysmal supraventricular tachycardia Paroxysmal tachycardia: atrial [PAT] atrioventricular [AV] junctional nodal 427.1 Paroxysmal ventricular tachycardia Ventricular tachycardia (paroxysmal) 427.2 Paroxysmal tachycardia, unspecified Bouveret-Hoffmann syndrome Paroxysmal tachycardia: NOS essential 427.3 Atrial fibrillation and flutter 427.31 Atrial fibrillation 427.32 Atrial flutter 427.4 Ventricular fibrillation and flutter 427.41 Ventricular fibrillation 427.42 Ventricular flutter 427.5 Cardiac arrest Cardiorespiratory arrest 427.6 Premature beats 427.60 Premature beats, unspecified Ectopic beats Extrasystoles Extrasystolic arrhythmia Premature contractions or systoles NOS 427.61 Supraventricular premature beats Atrial premature beats, contractions, or systoles 427.69 Other Ventricular premature beats, contractions, or systoles 427.8 Other specified cardiac dysrhythmias 427.81 Sinoatrial node dysfunction Sinus bradycardia: persistent severe Syndrome: sick sinus tachycardia-bradycardia Excludes: sinus bradycardia NOS (427.89) 427.89 Other Rhythm disorder: coronary sinus ectopic nodal Wandering (atrial) pacemaker Excludes: carotid sinus syncope (337.0) neonatal bradycardia (779.81) neonatal tachycardia (779.82) reflex bradycardia (337.0) tachycardia NOS (785.0) 427.9 Cardiac dysrhythmia, unspecified Arrhythmia (cardiac) NOS 428 Heart failure Code, if applicable, heart failure due to hypertension first (402.0-402.9, with fifth-digit 1 or 404.0-404.9 with fifth-digit 1 or 3) Excludes: rheumatic (398.91) that complicating: abortion (634-638 with .7, 639.8) ectopic or molar pregnancy (639.8) labor or delivery (668.1, 669.4) 428.0 Congestive heart failure, unspecified Congestive heart disease Right heart failure (secondary to left heart failure) Excludes: fluid overload NOS (276.6) 428.1 Left heart failure Acute edema of lung with heart disease NOS or heart failure Acute pulmonary edema with heart disease NOS or heart failure Cardiac asthma Left ventricular failure 428.2 Systolic heart failure Excludes: combined systolic and diastolic heart failure (428.40-428.43) 428.20 Unspecified 428.21 Acute 428.22 Chronic 428.23 Acute on chronic 428.3 Diastolic heart failure Excludes: combined systolic and diastolic heart failure (428.40-428.43) 428.30 Unspecified 428.31 Acute 428.32 Chronic 428.33 Acute on chronic 428.4 Combined systolic and diastolic heart failure 428.40 Unspecified 428.41 Acute 428.42 Chronic 428.43 Acute on chronic 428.9 Heart failure, unspecified Cardiac failure NOS Heart failure NOS Myocardial failure NOS Weak heart 429 Ill-defined descriptions and complications of heart disease 429.0 Myocarditis, unspecified Myocarditis (with mention of arteriosclerosis): NOS (with mention of arteriosclerosis) chronic (interstitial) (with mention of arteriosclerosis) fibroid (with mention of arteriosclerosis) senile (with mention of arteriosclerosis) Use additional code to identify presence of arteriosclerosis Excludes: acute or subacute (422.0-422.9) rheumatic (398.0) acute (391.2) that due to hypertension (402.0-402.9) 429.1 Myocardial degeneration Degeneration of heart or myocardium (with mention of arteriosclerosis): fatty (with mention of arteriosclerosis) mural (with mention of arteriosclerosis) muscular (with mention of arteriosclerosis) Myocardial (with mention of arteriosclerosis): degeneration (with mention of arteriosclerosis) disease (with mention of arteriosclerosis) Use additional code to identify presence of arteriosclerosis Excludes: that due to hypertension (402.0-402.9) 429.2 Cardiovascular disease, unspecified Arteriosclerotic cardiovascular disease [ASCVD] Cardiovascular arteriosclerosis Cardiovascular: degeneration (with mention of arteriosclerosis) disease (with mention of arteriosclerosis) sclerosis (with mention of arteriosclerosis) Use additional code to identify presence of arteriosclerosis Excludes: that due to hypertension (402.0-402.9) 429.3 Cardiomegaly Cardiac: dilatation hypertrophy Ventricular dilatation Excludes: that due to hypertension (402.0-402.9) 429.4 Functional disturbances following cardiac surgery Cardiac insufficiency following cardiac surgery or due to prosthesis Heart failure following cardiac surgery or due to prosthesis Postcardiotomy syndrome Postvalvulotomy syndrome Excludes: cardiac failure in the immediate postoperative period (997.1) 429.5 Rupture of chordae tendineae 429.6 Rupture of papillary muscle 429.7 Certain sequelae of myocardial infarction, not elsewhere classified Use additional code to identify the associated myocardial infarction: with onset of 8 weeks or less (410.00-410.92) with onset of more than 8 weeks (414.8) Excludes: congenital defects of heart (745, 746) coronary aneurysm (414.11) disorders of papillary muscle (429.6, 429.81) postmyocardial infarction syndrome (411.0) rupture of chordae tendineae (429.5) 429.71 Acquired cardiac septal defect Excludes: acute septal infarction (410.00-410.92) 429.79 Other Mural thrombus (atrial) (ventricular) acquired, following myocardial infarction 429.8 Other ill-defined heart diseases 429.81 Other disorders of papillary muscle Papillary muscle: atrophy degeneration dysfunction incompetence incoordination scarring 429.82 Hyperkinetic heart disease 429.83 Takotsubo syndrome Broken heart syndrome Reversible left ventricular dysfunction following sudden emotional stress Stress induced cardiomyopathy Transient left ventricular apical ballooning syndrome 429.89 Other Carditis Excludes: that due to hypertension (402.0-402.9) 429.9 Heart disease, unspecified Heart disease (organic) NOS Morbus cordis NOS Excludes: that due to hypertension (402.0-402.9) CEREBROVASCULAR DISEASE (430-438) Includes: with mention of hypertension (conditions classifiable to 401-405) Use additional code to identify presence of hypertension Excludes: any condition classifiable to 430-434, 436, 437 occurring during pregnancy, childbirth, or the puerperium, or specified as puerperal (674.0) iatrogenic cerebrovascular infarction or hemorrhage (997.02) 430 Subarachnoid hemorrhage Meningeal hemorrhage Ruptured: berry aneurysm (congenital) cerebral aneurysm NOS Excludes: syphilitic ruptured cerebral aneurysm (094.87) 431 Intracerebral hemorrhage Hemorrhage (of): basilar bulbar cerebellar cerebral cerebromeningeal cortical internal capsule intrapontine pontine subcortical ventricular Rupture of blood vessel in brain 432 Other and unspecified intracranial hemorrhage 432.0 Nontraumatic extradural hemorrhage Nontraumatic epidural hemorrhage 432.1 Subdural hemorrhage Subdural hematoma, nontraumatic 432.9 Unspecified intracranial hemorrhage Intracranial hemorrhage NOS 433 Occlusion and stenosis of precerebral arteries The following fifth-digit subclassification is for use with category 433: 0 without mention of cerebral infarction 1 with cerebral infarction Includes: embolism of basilar, carotid, and vertebral arteries narrowing of basilar, carotid, and vertebral arteries obstruction of basilar, carotid, and vertebral arteries thrombosis of basilar, carotid, and vertebral arteries Excludes: insufficiency NOS of precerebral arteries (435.0-435.9) 433.0 Basilar artery 433.1 Carotid artery 433.2 Vertebral artery 433.3 Multiple and bilateral 433.8 Other specified precerebral artery 433.9 Unspecified precerebral artery Precerebral artery NOS 434 Occlusion of cerebral arteries The following fifth-digit subclassification is for use with category 434: 0 without mention of cerebral infarction 1 with cerebral infarction 434.0 Cerebral thrombosis Thrombosis of cerebral arteries 434.1 Cerebral embolism 434.9 Cerebral artery occlusion, unspecified 435 Transient cerebral ischemia Includes: cerebrovascular insufficiency (acute) with transient focal neurological signs and symptoms insufficiency of basilar, carotid, and vertebral arteries spasm of cerebral arteries Excludes: acute cerebrovascular insufficiency NOS (437.1) that due to any condition classifiable to 433 (433.0-433.9) 435.0 Basilar artery syndrome 435.1 Vertebral artery syndrome 435.2 Subclavian steal syndrome 435.3 Vertebrobasilar artery syndrome 435.8 Other specified transient cerebral ischemias 435.9 Unspecified transient cerebral ischemia Impending cerebrovascular accident Intermittent cerebral ischemia Transient ischemic attack [TIA] 436 Acute, but ill-defined, cerebrovascular disease Apoplexy, apoplectic: NOS attack cerebral seizure Cerebral seizure Excludes: any condition classifiable to categories 430-435 cerebrovascular accident (434.91) CVA (ischemic) (434.91) embolic (434.11) hemorrhagic (430, 431, 432.0-432.9) thrombotic (434.01) postoperative cerebrovascular accident (997.02) stroke (ischemic) (434.91) embolic (434.11) hemorrhagic (430, 431, 432.0-432.9) thrombotic (434.01) 437 Other and ill-defined cerebrovascular disease 437.0 Cerebral atherosclerosis Atheroma of cerebral arteries Cerebral arteriosclerosis 437.1 Other generalized ischemic cerebrovascular disease Acute cerebrovascular insufficiency NOS Cerebral ischemia (chronic) 437.2 Hypertensive encephalopathy 437.3 Cerebral aneurysm, nonruptured Internal carotid artery, intracranial portion Internal carotid artery NOS Excludes: congenital cerebral aneurysm, nonruptured (747.81) internal carotid artery, extracranial portion (442.81) 437.4 Cerebral arteritis 437.5 Moyamoya disease 437.6 Nonpyogenic thrombosis of intracranial venous sinus Excludes: pyogenic (325) 437.7 Transient global amnesia 437.8 Other 437.9 Unspecified Cerebrovascular disease or lesion NOS 438 Late effects of cerebrovascular disease Note: This category is to be used to indicate conditions in 430-437 as the cause of late effects. The "late effects" include conditions specified as such, or as sequelae, which may occur at any time after the onset of the causal condition. Excludes: personal history of: cerebral infarction without residual deficits (V12.54) PRIND (Prolonged reversible ischemic neurologic deficit) (V12.54) RIND (Reversible ischemic neurological deficit) (V12.54) transient ischemic attack (TIA) (V12.54) 438.0 Cognitive deficits 438.1 Speech and language deficits 438.10 Speech and language deficit, unspecified 438.11 Aphasia 438.12 Dysphasia 438.19 Other speech and language deficits 438.2 Hemiplegia/hemiparesis 438.20 Hemiplegia affecting unspecified side 438.21 Hemiplegia affecting dominant side 438.22 Hemiplegia affecting nondominant side 438.3 Monoplegia of upper limb 438.30 Monoplegia of upper limb affecting unspecified side 438.31 Monoplegia of upper limb affecting dominant side 438.32 Monoplegia of upper limb affecting nondominant side 438.4 Monoplegia of lower limb 438.40 Monoplegia of lower limb affecting unspecified side 438.41 Monoplegia of lower limb affecting dominant side 438.42 Monoplegia of lower limb affecting nondominant side 438.5 Other paralytic syndrome Use additional code to identify type of paralytic syndrome, such as: locked-in state (344.81) quadriplegia (344.00-344.09) Excludes: late effects of cerebrovascular accident with: hemiplegia/hemiparesis (438.20-438.22) monoplegia of lower limb (438.40-438.42) monoplegia of upper limb (438.40-438.42) 438.50 Other paralytic syndrome affecting unspecified side 438.51 Other paralytic syndrome affecting dominant side 438.52 Other paralytic syndrome affecting nondominant side 438.53 Other paralytic syndrome, bilateral 438.6 Alterations of sensations Use additional code to identify the altered sensation 438.7 Disturbances of vision Use additional code to identify the visual disturbance 438.8 Other late effects of cerebrovascular disease 438.81 Apraxia 438.82 Dysphagia Use additional code to identify the type of dysphagia, if known (787.20-787.29) 438.83 Facial weakness Facial droop 438.84 Ataxia 438.85 Vertigo 438.89 Other late effects of cerebrovascular disease Use additional code to identify the late effect 438.9 Unspecified late effects of cerebrovascular disease DISEASES OF ARTERIES, ARTERIOLES, AND CAPILLARIES (440-449) 440 Atherosclerosis Includes: arteriolosclerosis arteriosclerosis (obliterans) (senile) arteriosclerotic vascular disease atheroma degeneration: arterial arteriovascular vascular endarteritis deformans or obliterans senile: arteritis endarteritis Excludes: atheroembolism (445.01-445.89) atherosclerosis of bypass graft of the extremities (440.30-440.32) 440.0 Of aorta 440.1 Of renal artery Excludes: atherosclerosis of renal arterioles (403.00-403.91) 440.2 Of native arteries of the extremities Use additional code, if applicable, to identify chronic total occlusion of artery of the extremities (440.4) Excludes: atherosclerosis of bypass graft of the extremities (440.30-440.32) 440.20 Atherosclerosis of the extremities, unspecified 440.21 Atherosclerosis of the extremities with intermittent claudication 440.22 Atherosclerosis of the extremities with rest pain Any condition classifiable to 440.21 440.23 Atherosclerosis of the extremities with ulceration Any condition classifiable to 440.21-440.22 Use additional code for any associated ulceration (707.10-707.9) 440.24 Atherosclerosis of the extremities with gangrene Any condition classifiable to 440.21, 440.22, and 440.23 with ischemic gangrene 785.4 Use additional code for any associated ulceration (707.10-707.9) Excludes: gas gangrene 040.0 440.29 Other 440.3 Of bypass graft of the extremities Excludes: atherosclerosis of native artery of the extremity (440.21-440.24) embolism [occlusion NOS] [thrombus] of graft (996.74) 440.30 Of unspecified graft 440.31 Of autologous vein bypass graft 440.32 Of nonautologous vein bypass graft 440.4 Chronic total occlusion of artery of the extremities Complete occlusion of artery of the extremities Total occlusion of artery of the extremities Code first atherosclerosis of arteries of the extremities (440.20-440.29, 440.30-440.32) Excludes: acute occlusion of artery of extremity (444.21- 444.22) 440.8 Of other specified arteries Excludes: basilar (433.0) carotid (433.1) cerebral (437.0) coronary (414.00-414.07) mesenteric (557.1) precerebral (433.0-433.9) pulmonary (416.0) vertebral (433.2) 440.9 Generalized and unspecified atherosclerosis Arteriosclerotic vascular disease NOS Excludes: arteriosclerotic cardiovascular disease [ASCVD] (429.2) 441 Aortic aneurysm and dissection Excludes: syphilitic aortic aneurysm (093.0) traumatic aortic aneurysm (901.0, 902.0) 441.0 Dissection of aorta 441.00 Unspecified site 441.01 Thoracic 441.02 Abdominal 441.03 Thoracoabdominal 441.1 Thoracic aneurysm, ruptured 441.2 Thoracic aneurysm without mention of rupture 441.3 Abdominal aneurysm, ruptured 441.4 Abdominal aneurysm without mention of rupture 441.5 Aortic aneurysm of unspecified site, ruptured Rupture of aorta NOS 441.6 Thoracoabdominal aneurysm, ruptured 441.7 Thoracoabdominal aneurysm, without mention of rupture 441.9 Aortic aneurysm of unspecified site without mention of rupture Aneurysm Dilatation of aorta Hyaline necrosis of aorta 442 Other aneurysm Includes: aneurysm (ruptured) (cirsoid) (false) (varicose) aneurysmal varix Excludes: arteriovenous aneurysm or fistula: acquired (447.0) congenital (747.60-747.69) traumatic (900.0-904.9) 442.0 Of artery of upper extremity 442.1 Of renal artery 442.2 Of iliac artery 442.3 Of artery of lower extremity Aneurysm: femoral artery popliteal artery 442.8 Of other specified artery 442.81 Artery of neck Aneurysm of carotid artery (common) (external) (internal, extracranial portion) Excludes: internal carotid artery, intracranial portion (437.3) 442.82 Subclavian artery 442.83 Splenic artery 442.84 Other visceral artery Aneurysm: celiac artery gastroduodenal artery gastroepiploic artery hepatic artery pancreaticoduodenal artery superior mesenteric artery 442.89 Other Aneurysm: mediastinal artery spinal artery Excludes: cerebral (nonruptured) (437.3) congenital (747.81) ruptured (430) coronary (414.11) heart (414.10) pulmonary (417.1) 442.9 Of unspecified site 443 Other peripheral vascular disease 443.0 Raynaud's syndrome Raynaud's: disease phenomenon (secondary) Use additional code to identify gangrene (785.4) 443.1 Thromboangiitis obliterans [Buerger's disease] Presenile gangrene 443.2 Other arterial dissection Excludes: dissection of aorta (441.00-441.03) dissection of coronary arteries (414.12) 443.21 Dissection of carotid artery 443.22 Dissection of iliac artery 443.23 Dissection of renal artery 443.24 Dissection of vertebral artery 443.29 Dissection of other artery 443.8 Other specified peripheral vascular diseases 443.81 Peripheral angiopathy in diseases classified elsewhere Code first underlying disease, as: diabetes mellitus (250.7) 443.82 Erythromelalgia 443.89 Other Acrocyanosis Acroparesthesia: simple [Schultze's type] vasomotor [Nothnagel's type] Erythrocyanosis Excludes: chilblains (991.5) frostbite (991.0-991.3) immersion foot (991.4) 443.9 Peripheral vascular disease, unspecified Intermittent claudication NOS Peripheral: angiopathy NOS vascular disease NOS Spasm of artery Excludes: atherosclerosis of the arteries of the extremities (440.20-440.22) spasm of cerebral artery (435.0-435.9) 444 Arterial embolism and thrombosis Includes: infarction: embolic thrombotic occlusion Excludes: atheroembolism (445.01-445.89) septic arterial embolism (449) that complicating: abortion (634-638 with .6, 639.6) ectopic or molar pregnancy (639.6) pregnancy, childbirth, or the puerperium (673.0-673.8) 444.0 Of abdominal aorta Aortic bifurcation syndrome Aortoiliac obstruction Leriche's syndrome Saddle embolus 444.1 Of thoracic aorta Embolism or thrombosis of aorta (thoracic) 444.2 Of arteries of the extremities 444.21 Upper extremity 444.22 Lower extremity Arterial embolism or thrombosis: femoral peripheral NOS popliteal Excludes: iliofemoral (444.81) 444.8 Of other specified artery 444.81 Iliac artery 444.89 Other Excludes: basilar (433.0) carotid (433.1) cerebral (434.0-434.9) coronary (410.00-410.92) mesenteric (557.0) ophthalmic (362.30-362.34) precerebral (433.0-433.9) pulmonary (415.19) renal (593.81) retinal (362.30-362.34) vertebral (433.2) 444.9 Of unspecified artery 445 Atheroembolism Includes: Atherothrombotic microembolism Cholesterol embolism 445.0 Of extremities 445.01 Upper extremity 445.02 Lower extremity 445.8 Of other sites 445.81 Kidney Use additional code for any associated acute renal failure or chronic kidney disease (584, 585) 445.89 Other site 446 Polyarteritis nodosa and allied conditions 446.0 Polyarteritis nodosa Disseminated necrotizing periarteritis Necrotizing angiitis Panarteritis (nodosa) Periarteritis (nodosa) 446.1 Acute febrile mucocutaneous lymph node syndrome [MCLS] Kawasaki disease 446.2 Hypersensitivity angiitis Excludes: antiglomerular basement membrane disease without pulmonary hemorrhage (583.89) 446.20 Hypersensitivity angiitis, unspecified 446.21 Goodpasture's syndrome Antiglomerular basement membrane antibody-mediated nephritis with pulmonary hemorrhage Use additional code to identify renal disease (583.81) 446.29 Other specified hypersensitivity angiitis 446.3 Lethal midline granuloma Malignant granuloma of face 446.4 Wegener's granulomatosis Necrotizing respiratory granulomatosis Wegener's syndrome 446.5 Giant cell arteritis Cranial arteritis Horton's disease Temporal arteritis 446.6 Thrombotic microangiopathy Moschcowitz's syndrome Thrombotic thrombocytopenic purpura 446.7 Takayasu's disease Aortic arch arteritis Pulseless disease 447 Other disorders of arteries and arterioles 447.0 Arteriovenous fistula, acquired Arteriovenous aneurysm, acquired Excludes: cerebrovascular (437.3) coronary (414.19) pulmonary (417.0) surgically created arteriovenous shunt or fistula: complication (996.1, 996.61-996.62) status or presence (V45.1) traumatic (900.0-904.9) 447.1 Stricture of artery 447.2 Rupture of artery Erosion of artery Fistula, except arteriovenous of artery Ulcer of artery Excludes: traumatic rupture of artery (900.0-904.9) 447.3 Hyperplasia of renal artery Fibromuscular hyperplasia of renal artery 447.4 Celiac artery compression syndrome Celiac axis syndrome Marable's syndrome 447.5 Necrosis of artery 447.6 Arteritis, unspecified Aortitis NOS Endarteritis NOS Excludes: arteritis, endarteritis: aortic arch (446.7) cerebral (437.4) coronary (414.00-414.07) deformans (440.0-440.9) obliterans (440.0-440.9) pulmonary (417.8) senile (440.0-440.9) polyarteritis NOS (446.0) syphilitic aortitis (093.1) 447.8 Other specified disorders of arteries and arterioles Fibromuscular hyperplasia of arteries, except renal 447.9 Unspecified disorders of arteries and arterioles 448 Disease of capillaries 448.0 Hereditary hemorrhagic telangiectasia Rendu-Osler-Weber disease 448.1 Nevus, non-neoplastic Nevus: araneus senile spider stellar Excludes: neoplastic (216.0-216.9) port wine (757.32) strawberry (757.32) 448.9 Other and unspecified capillary diseases Capillary: hemorrhage hyperpermeability thrombosis Excludes: capillary fragility (hereditary) (287.8) 449 Septic arterial embolism Code first underlying infection, such as: infective endocarditis (421.0) lung abscess (513.0) Use additional code to identify the site of the embolism (433.0-433.9, 444.0-444.9) Excludes: septic pulmonary embolism (415.12) DISEASES OF VEINS AND LYMPHATICS, AND OTHER DISEASES OF CIRCULATORY SYSTEM (451-459) 451 Phlebitis and thrombophlebitis Includes: endophlebitis inflammation, vein periphlebitis suppurative phlebitis Use additional E code to identify drug if drug-induced Excludes: that complicating: abortion (634-638 with .7, 639.8) ectopic or molar pregnancy (639.8) pregnancy, childbirth, or the puerperium (671.0-671.9) that due to or following: implant or catheter device (996.61-996.62) infusion, perfusion, or transfusion (999.2) 451.0 Of superficial vessels of lower extremities Saphenous vein (greater) (lesser) 451.1 Of deep vessels of lower extremities 451.11 Femoral vein (deep) (superficial) 451.19 Other Femoropopliteal vein Popliteal vein Tibial vein 451.2 Of lower extremities, unspecified 451.8 Of other sites Excludes: intracranial venous sinus (325) nonpyogenic (437.6) portal (vein) (572.1) 451.81 Iliac vein 451.82 Of superficial veins of upper extremities Antecubital vein Basilic vein Cephalic vein 451.83 Of deep veins of upper extremities Brachial vein Radial vein Ulnar vein 451.84 Of upper extremities, unspecified 451.89 Other Axillary vein Jugular vein Subclavian vein Thrombophlebitis of breast (Mondor's disease) 451.9 Of unspecified site 452 Portal vein thrombosis Portal (vein) obstruction Excludes: hepatic vein thrombosis (453.0) phlebitis of portal vein (572.1) 453 Other venous embolism and thrombosis Excludes: that complicating: abortion (634-638 with .7, 639.8) ectopic or molar pregnancy (639.8) pregnancy, childbirth, or the puerperium (671.0-671.9) that with inflammation, phlebitis, and thrombophlebitis (451.0-451.9) 453.0 Budd-Chiari syndrome Hepatic vein thrombosis 453.1 Thrombophlebitis migrans 453.2 Of vena cava 453.3 Of renal vein 453.4 Venous embolism and thrombosis of deep vessels of lower extremity 453.40 Venous embolism and thrombosis of unspecified deep vessels of lower extremity Deep vein thrombosis NOS DVT NOS 453.41 Venous embolism and thrombosis of deep vessels of proximal lower extremity Femoral Iliac Popliteal Thigh Upper leg NOS 453.42 Venous embolism and thrombosis of deep vessels of distal lower extremity Calf Lower leg NOS Peroneal Tibial 453.8 Of other specified veins Excludes: cerebral (434.0-434.9) coronary (410.00-410.92) intracranial venous sinus (325) nonpyogenic (437.6) mesenteric (557.0) portal (452) precerebral (433.0-433.9) pulmonary (415.19) 453.9 Of unspecified site Embolism of vein Thrombosis (vein) 454 Varicose veins of lower extremities Excludes: that complicating pregnancy, childbirth, or the puerperium (671.0) 454.0 With ulcer Varicose ulcer (lower extremity, any part) Varicose veins with ulcer of lower extremity [any part] or of unspecified site Any condition classifiable to 454.9 with ulcer or specified as ulcerated 454.1 With inflammation Stasis dermatitis Varicose veins with inflammation of lower extremity [any part] or of unspecified site Any condition classifiable to 454.9 with inflammation or specified as inflamed 454.2 With ulcer and inflammation Varicose veins with ulcer and inflammation of lower extremity [any part] or of unspecified site Any condition classifiable to 454.9 with ulcer and inflammation 454.8 With other complications Edema Pain Swelling 454.9 Asymptomatic varicose veins Phlebectasia of lower extremity [any part] or of unspecified site Varicose veins NOS Varicose veins of lower extremity [any part] or of unspecified site Varix of lower extremity [any part] or of unspecified site 455 Hemorrhoids Includes: hemorrhoids (anus) (rectum) piles varicose veins, anus or rectum Excludes: that complicating pregnancy, childbirth, or the puerperium (671.8) 455.0 Internal hemorrhoids without mention of complication 455.1 Internal thrombosed hemorrhoids 455.2 Internal hemorrhoids with other complication Internal hemorrhoids: bleeding prolapsed strangulated ulcerated 455.3 External hemorrhoids without mention of complication 455.4 External thrombosed hemorrhoids 455.5 External hemorrhoids with other complication External hemorrhoids: bleeding prolapsed strangulated ulcerated 455.6 Unspecified hemorrhoids without mention of complication Hemorrhoids NOS 455.7 Unspecified thrombosed hemorrhoids Thrombosed hemorrhoids, unspecified whether internal or external 455.8 Unspecified hemorrhoids with other complication Hemorrhoids, unspecified whether internal or external: bleeding prolapsed strangulated ulcerated 455.9 Residual hemorrhoidal skin tags Skin tags, anus or rectum 456 Varicose veins of other sites 456.0 Esophageal varices with bleeding 456.1 Esophageal varices without mention of bleeding 456.2 Esophageal varices in diseases classified elsewhere Code first underlying disease, as: cirrhosis of liver (571.0-571.9) portal hypertension (572.3) 456.20 With bleeding 456.21 Without mention of bleeding 456.3 Sublingual varices 456.4 Scrotal varices Varicocele 456.5 Pelvic varices Varices of broad ligament 456.6 Vulval varices Varices of perineum Excludes: that complicating pregnancy, childbirth, or the puerperium (671.1) 456.8 Varices of other sites Varicose veins of nasal septum (with ulcer) Excludes: placental varices (656.7) retinal varices (362.17) varicose ulcer of unspecified site (454.0) varicose veins of unspecified site (454.9) 457 Noninfectious disorders of lymphatic channels 457.0 Postmastectomy lymphedema syndrome Elephantiasis due to mastectomy Obliteration of lymphatic vessel due to mastectomy 457.1 Other lymphedema Elephantiasis (nonfilarial) NOS Lymphangiectasis Lymphedema: acquired (chronic) praecox secondary Obliteration, lymphatic vessel Excludes: elephantiasis (nonfilarial): congenital (757.0) eyelid (374.83) vulva (624.8) 457.2 Lymphangitis Lymphangitis: NOS chronic subacute Excludes: acute lymphangitis (682.0-682.9) 457.8 Other noninfectious disorders of lymphatic channels Chylocele (nonfilarial) Chylous: ascites cyst Lymph node or vessel: fistula infarction rupture Excludes: chylocele: filarial (125.0-125.9) tunica vaginalis (nonfilarial) (608.84) 457.9 Unspecified noninfectious disorder of lymphatic channels 458 Hypotension Includes: hypopiesis Excludes: cardiovascular collapse (785.50) maternal hypotension syndrome (669.2) shock (785.50-785.59) Shy-Drager syndrome (333.0) 458.0 Orthostatic hypotension Hypotension: orthostatic (chronic) postural 458.1 Chronic hypotension Permanent idiopathic hypotension 458.2 Iatrogenic hypotension 458.21 Hypotension of hemodialysis Intra-dialytic hypotension 458.29 Other iatrogenic hypotension Postoperative hypotension 458.8 Other specified hypotension 458.9 Hypotension, unspecified Hypotension (arterial) NOS 459 Other disorders of circulatory system 459.0 Hemorrhage, unspecified Rupture of blood vessel NOS Spontaneous hemorrhage NEC Excludes: hemorrhage: gastrointestinal NOS (578.9) in newborn NOS (772.9) secondary or recurrent following trauma (958.2) traumatic rupture of blood vessel (900.0-904.9) 459.1 Postphlebitic syndrome Chronic venous hypertension due to deep vein thrombosis Excludes: chronic venous hypertension without deep vein thrombosis (459.30-459.39) 459.10 Postphlebitic syndrome without complications Asymptomatic postphlebitic syndrome Postphlebitic syndrome NOS 459.11 Postphlebitic syndrome with ulcer 459.12 Postphlebitic syndrome with inflammation 459.13 Postphlebitic syndrome with ulcer and inflammation 459.19 Postphlebitic syndrome with other complication 459.2 Compression of vein Stricture of vein Vena cava syndrome (inferior) (superior) 459.3 Chronic venous hypertension (idiopathic) Stasis edema Excludes: chronic venous hypertension due to deep vein thrombosis (459.10-459.19) varicose veins (454.0-454.9) 459.30 Chronic venous hypertension without complications Asymptomatic chronic venous hypertension Chronic venous hypertension NOS 459.31 Chronic venous hypertension with ulcer 459.32 Chronic venous hypertension with inflammation 459.33 Chronic venous hypertension with ulcer and inflammation 459.39 Chronic venous hypertension with other complication 459.8 Other specified disorders of circulatory system 459.81 Venous (peripheral) insufficiency, unspecified Chronic venous insufficiency NOS Use additional code for any associated ulceration (707.10-707.9) 459.89 Other Collateral circulation (venous), any site Phlebosclerosis Venofibrosis 459.9 Unspecified circulatory system disorder |
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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 |