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13. Diseases of the Musculoskeletal System and Connective Tissue (710-739)The following fifth-digit subclassification is for use with categories 711-712, 715-716, 718-719, and 730: 0 site unspecified 1 shoulder region Acromioclavicular joint(s) Glenohumeral joint(s) Sternoclavicular joint(s) Clavicle Scapula 2 upper arm Elbow joint Humerus 3 forearm Radius Ulna Wrist joint 4 hand Carpus Metacarpus Phalanges [fingers] 5 pelvic region and thigh Buttock Femur Hip (joint) 6 lower leg Fibula Knee joint Patella Tibia 7 ankle and foot Ankle joint Digits [toes] Metatarsus Phalanges, foot Tarsus Other joints in foot 8 other specified sites Head Neck Ribs Skull Trunk Vertebral column 9 multiple sites ARTHROPATHIES AND RELATED DISORDERS (710-719) Excludes: disorders of spine (720.0-724.9) 710 Diffuse diseases of connective tissue Includes: all collagen diseases whose effects are not mainly confined to a single system Excludes: those affecting mainly the cardiovascular system, i.e., polyarteritis nodosa and allied conditions (446.0-446.7) 710.0 Systemic lupus erythematosus Disseminated lupus erythematosus Libman-Sacks disease Use additional code to identify manifestation, as: endocarditis (424.91) nephritis (583.81) chronic (582.81) nephrotic syndrome (581.81) Excludes: lupus erythematosus (discoid) NOS (695.4) 710.1 Systemic sclerosis Acrosclerosis CRST syndrome Progressive systemic sclerosis Scleroderma Use additional code to identify manifestation, as: lung involvement (517.2) myopathy (359.6) Excludes: circumscribed scleroderma (701.0) 710.2 Sicca syndrome Keratoconjunctivitis sicca Sj�gren's disease 710.3 Dermatomyositis Poikilodermatomyositis Polymyositis with skin involvement 710.4 Polymyositis 710.5 Eosinophilia myalgia syndrome Toxic oil syndrome Use additional E to identify drug, if drug induced 710.8 Other specified diffuse diseases of connective tissue Multifocal fibrosclerosis (idiopathic) NEC Systemic fibrosclerosing syndrome 710.9 Unspecified diffuse connective tissue disease Collagen disease NOS 711 Arthropathy associated with infections Includes: arthritis associated with conditions classifiable below arthropathy associated with conditions classifiable below polyarthritis associated with conditions classifiable below polyarthropathy associated with conditions classifiable below Excludes: rheumatic fever (390) The following fifth-digit subclassification is for use with category 711; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions: 0 site unspecified 1 shoulder region 2 upper arm 3 forearm 4 hand 5 pelvic region and thigh 6 lower leg 7 ankle and foot 8 other specified sites 9 multiple sites 711.0 Pyogenic arthritis [0-9] Arthritis or polyarthritis (due to): coliform [Escherichia coli] Hemophilus influenzae [H. influenzae] pneumococcal Pseudomonas staphylococcal streptococcal Pyarthrosis Use additional code to identify infectious organism (041.0-041.8) 711.1 Arthropathy associated with Reiter's disease and nonspecific urethritis [0-9] Code first underlying disease, as: nonspecific urethritis (099.4) Reiter's disease (099.3) 711.2 Arthropathy in Beh�et's syndrome [0-9] Code first underlying disease (136.1) 711.3 Postdysenteric arthropathy [0-9] Code first underlying disease, as: dysentery (009.0) enteritis, infectious (008.0-009.3) paratyphoid fever (002.1-002.9) typhoid fever (002.0) Excludes: salmonella arthritis (003.23) 711.4 Arthropathy associated with other bacterial diseases [0-9] Code first underlying disease, as: diseases classifiable to 010-040, 090-099, except as in 711.1, 711.3, and 713.5 leprosy (030.0-030.9) tuberculosis (015.0-015.9) Excludes: gonococcal arthritis (098.50) meningococcal arthritis (036.82) 711.5 Arthropathy associated with other viral diseases [0-9] Code first underlying disease, as: diseases classifiable to 045-049. 050-079, 480, 487 O'nyong nyong (066.3) Excludes: that due to rubella (056.71) 711.6 Arthropathy associated with mycoses [0-9] Code first underlying disease (110.0-118) 711.7 Arthropathy associated with helminthiasis [0-9] Code first underlying disease, as: filariasis (125.0-125.9) 711.8 Arthropathy associated with other infectious and parasitic diseases [0-9] Code first underlying disease, as: diseases classifiable to 080-088, 100-104, 130-136 Excludes: arthropathy associated with sarcoidosis (713.7) 711.9 Unspecified infective arthritis [0-9] Infective arthritis or polyarthritis (acute) (chronic) (subacute) NOS 712 Crystal arthropathies Includes: crystal-induced arthritis and synovitis Excludes: gouty arthropathy (274.0) The following fifth-digit subclassification is for use with category 712; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions: 0 site unspecified 1 shoulder region 2 upper arm 3 forearm 4 hand 5 pelvic region and thigh 6 lower leg 7 ankle and foot 8 other specified sites 9 multiple sites 712.1 Chondrocalcinosis due to dicalcium phosphate crystals [0-9] Chondrocalcinosis due to dicalcium phosphate crystals (with other crystals) Code first underlying disease (275.49) 712.2 Chondrocalcinosis due to pyrophosphate crystals [0-9] Code first underlying disease (275.49) 712.3 Chondrocalcinosis, unspecified [0-9] Code first underlying disease (275.49) 712.8 Other specified crystal arthropathies [0-9] 712.9 Unspecified crystal arthropathy [0-9] 713 Arthropathy associated with other disorders classified elsewhere Includes: arthritis associated with conditions classifiable below arthropathy associated with conditions classifiable below polyarthritis associated with conditions classifiable below polyarthropathy associated with conditions classifiable below 713.0 Arthropathy associated with other endocrine and metabolic disorders Code first underlying disease, as: acromegaly (253.0) hemochromatosis (275.0) hyperparathyroidism (252.00-252.08) hypogammaglobulinemia (279.00-279.09) hypothyroidism (243-244.9) lipoid metabolism disorder (272.0-272.9) ochronosis (270.2) Excludes: arthropathy associated with: amyloidosis (713.7) crystal deposition disorders, except gout (712.1-712.9) diabetic neuropathy (713.5) gouty arthropathy (274.0) 713.1 Arthropathy associated with gastrointestinal conditions other than infections Code first underlying disease, as: regional enteritis (555.0-555.9) ulcerative colitis (556) 713.2 Arthropathy associated with hematological disorders Code first underlying disease, as: hemoglobinopathy (282.4-282.7) hemophilia (286.0-286.2) leukemia (204.0-208.9) malignant reticulosis (202.3) multiple myelomatosis (203.0) Excludes: arthropathy associated with Henoch-Sch�nlein purpura (713.6) 713.3 Arthropathy associated with dermatological disorders Code first underlying disease, as: erythema multiforme (695.1) erythema nodosum (695.2) Excludes: psoriatic arthropathy (696.0) 713.4 Arthropathy associated with respiratory disorders Code first underlying disease, as: diseases classifiable to 490-519 Excludes: arthropathy associated with respiratory infections (711.0, 711.4-711.8) 713.5 Arthropathy associated with neurological disorders Charcot's arthropathy associated with diseases classifiable elsewhere Neuropathic arthritis associated with diseases classifiable elsewhere Code first underlying disease, as: neuropathic joint disease [Charcot's joints]: NOS (094.0) diabetic (250.6) syringomyelic (336.0) tabetic [syphilitic] (094.0) 713.6 Arthropathy associated with hypersensitivity reaction Code first underlying disease, as: Henoch (-Sch�nlein) purpura (287.0) serum sickness (999.5) Excludes: allergic arthritis NOS (716.2) 713.7 Other general diseases with articular involvement Code first underlying disease, as: amyloidosis (277.30-277.39) familial Mediterranean fever (277.31) sarcoidosis (135) 713.8 Arthropathy associated with other conditions classifiable elsewhere Code first underlying disease, as: conditions classifiable elsewhere except as in 711.1-711.8, 712, and 713.0-713.7 714 Rheumatoid arthritis and other inflammatory polyarthropathies Excludes: rheumatic fever (390) rheumatoid arthritis of spine NOS (720.0) 714.0 Rheumatoid arthritis Arthritis or polyarthritis: atrophic rheumatic (chronic) Use additional code to identify manifestation, as: myopathy (359.6) polyneuropathy (357.1) Excludes: juvenile rheumatoid arthritis NOS (714.30) 714.1 Felty's syndrome Rheumatoid arthritis with splenoadenomegaly and leukopenia 714.2 Other rheumatoid arthritis with visceral or systemic involvement Rheumatoid carditis 714.3 Juvenile chronic polyarthritis 714.30 Polyarticular juvenile rheumatoid arthritis, chronic or unspecified Juvenile rheumatoid arthritis NOS Still's disease 714.31 Polyarticular juvenile rheumatoid arthritis, acute 714.32 Pauciarticular juvenile rheumatoid arthritis 714.33 Monoarticular juvenile rheumatoid arthritis 714.4 Chronic postrheumatic arthropathy Chronic rheumatoid nodular fibrositis Jaccoud's syndrome 714.8 Other specified inflammatory polyarthropathies 714.81 Rheumatoid lung Caplan's syndrome Diffuse interstitial rheumatoid disease of lung Fibrosing alveolitis, rheumatoid 714.89 Other 714.9 Unspecified inflammatory polyarthropathy Inflammatory polyarthropathy or polyarthritis NOS Excludes: polyarthropathy NOS (716.5) 715 Osteoarthrosis and allied disorders Note: Localized, in the subcategories below, includes bilateral involvement of the same site. Includes: arthritis or polyarthritis: degenerative hypertrophic degenerative joint disease osteoarthritis Excludes: Marie-Str�mpell spondylitis (720.0) osteoarthrosis [osteoarthritis] of spine (721.0-721.9) The following fifth-digit subclassification is for use with category 715; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions: 0 site unspecified 1 shoulder region 2 upper arm 3 forearm 4 hand 5 pelvic region and thigh 6 lower leg 7 ankle and foot 8 other specified sites 9 multiple sites 715.0 Osteoarthrosis, generalized [0,4,9] Degenerative joint disease, involving multiple joints Primary generalized hypertrophic osteoarthrosis 715.1 Osteoarthrosis, localized, primary [0-8] Localized osteoarthropathy, idiopathic 715.2 Osteoarthrosis, localized, secondary [0-8] Coxae malum senilis 715.3 Osteoarthrosis, localized, not specified whether primary or secondary [0-8] Otto's pelvis 715.8 Osteoarthrosis involving, or with mention of more than one site, but not specified as generalized [0,9] 715.9 Osteoarthrosis, unspecified whether generalized or localized [0-8] 716 Other and unspecified arthropathies Excludes: cricoarytenoid arthropathy (478.79) The following fifth-digit subclassification is for use with category 716; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions: 0 site unspecified 1 shoulder region 2 upper arm 3 forearm 4 hand 5 pelvic region and thigh 6 lower leg 7 ankle and foot 8 other specified sites 9 multiple sites 716.0 Kaschin-Beck disease [0-9] Endemic polyarthritis 716.1 Traumatic arthropathy [0-9] 716.2 Allergic arthritis [0-9] Excludes: arthritis associated with Henoch-Sch�nlein purpura or serum sickness (713.6) 716.3 Climacteric arthritis [0-9] Menopausal arthritis 716.4 Transient arthropathy [0-9] Excludes: palindromic rheumatism (719.3) 716.5 Unspecified polyarthropathy or polyarthritis [0-9] 716.6 Unspecified monoarthritis [0-8] Coxitis 716.8 Other specified arthropathy [0-9] 716.9 Arthropathy, unspecified [0-9] Arthritis, (acute) (chronic) (subacute) Arthropathy, (acute) (chronic) (subacute) Articular rheumatism, (chronic) Inflammation of joint, NOS 717 Internal derangement of knee Includes: degeneration of articular cartilage or meniscus of knee rupture, old of articular cartilage or meniscus of knee tear, old of articular cartilage or meniscus of knee Excludes: acute derangement of knee (836.0-836.6) ankylosis (718.5) contracture (718.4) current injury (836.0-836.6) deformity (736.4-736.6) recurrent dislocation (718.3) 717.0 Old bucket handle tear of medial meniscus Old bucket handle tear of unspecified cartilage 717.1 Derangement of anterior horn of medial meniscus 717.2 Derangement of posterior horn of medial meniscus 717.3 Other and unspecified derangement of medial meniscus Degeneration of internal semilunar cartilage 717.4 Derangement of lateral meniscus 717.40 Derangement of lateral meniscus, unspecified 717.41 Bucket handle tear of lateral meniscus 717.42 Derangement of anterior horn of lateral meniscus 717.43 Derangement of posterior horn of lateral meniscus 717.49 Other 717.5 Derangement of meniscus, not elsewhere classified Congenital discoid meniscus Cyst of semilunar cartilage Derangement of semilunar cartilage NOS 717.6 Loose body in knee Joint mice, knee Rice bodies, knee (joint) 717.7 Chondromalacia of patella Chondromalacia patellae Degeneration [softening] of articular cartilage of patella 717.8 Other internal derangement of knee 717.81 Old disruption of lateral collateral ligament 717.82 Old disruption of medial collateral ligament 717.83 Old disruption of anterior cruciate ligament 717.84 Old disruption of posterior cruciate ligament 717.85 Old disruption of other ligaments of knee Capsular ligament of knee 717.89 Other Old disruption of ligaments of knee NOS 717.9 Unspecified internal derangement of knee Derangement NOS of knee 718 Other derangement of joint Excludes: current injury (830.0-848.9) jaw (524.60-524.69) The following fifth-digit subclassification is for use with category 718; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions: 0 site unspecified 1 shoulder region 2 upper arm 3 forearm 4 hand 5 pelvic region and thigh 6 lower leg 7 ankle and foot 8 other specified sites 9 multiple sites 718.0 Articular cartilage disorder [0-5,7-9] Meniscus: disorder rupture, old tear, old Old rupture of ligament(s) of joint NOS Excludes: articular cartilage disorder: in ochronosis (270.2) knee (717.0-717.9) chondrocalcinosis (275.49) metastatic calcification (275.40) 718.1 Loose body in joint [0-5,7-9] Joint mice Excludes: knee (717.6) 718.2 Pathological dislocation [0-9] Dislocation or displacement of joint, not recurrent and not current 718.3 Recurrent dislocation of joint [0-9] 718.4 Contracture of joint [0-9] 718.5 Ankylosis of joint [0-9] Ankylosis of joint (fibrous) (osseous) Excludes: spine (724.9) stiffness of joint without mention of ankylosis (719.5) 718.6 Unspecified intrapelvic protrusion of acetabulum [0,5] Protrusio acetabuli, unspecified 718.7 Developmental dislocation of joint [0-9] Excludes: congenital dislocation of joint (754.0-755.8) traumatic dislocation of joint (830-839) 718.8 Other joint derangement, not elsewhere classified [0-9] Flail joint (paralytic) Instability of joint Excludes: deformities classifiable to 736 (736.0-736.9) 718.9 Unspecified derangement of joint [0-5,7-9] Excludes: knee (717.9) 719 Other and unspecified disorders of joint Excludes: jaw (524.60-524.69) The following fifth-digit subclassification is for use with codes 719.0-719.6, 719.8-719.9; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions: 0 site unspecified 1 shoulder region 2 upper arm 3 forearm 4 hand 5 pelvic region and thigh 6 lower leg 7 ankle and foot 8 other specified sites 9 multiple sites 719.0 Effusion of joint [0-9] Hydrarthrosis Swelling of joint, with or without pain Excludes: intermittent hydrarthrosis (719.3) 719.1 Hemarthrosis [0-9] Excludes: current injury (840.0-848.9) 719.2 Villonodular synovitis [0-9] 719.3 Palindromic rheumatism [0-9] Hench-Rosenberg syndrome Intermittent hydrarthrosis 719.4 Pain in joint [0-9] Arthralgia 719.5 Stiffness of joint, not elsewhere classified [0-9] 719.6 Other symptoms referable to joint [0-9] Joint crepitus Snapping hip 719.7 Difficulty in walking Excludes: abnormality of gait (781.2) 719.8 Other specified disorders of joint [0-9] Calcification of joint Fistula of joint Excludes: temporomandibular joint-pain-dysfunction syndrome [Costen's syndrome] (524.60) 719.9 Unspecified disorder of joint [0-9] DORSOPATHIES (720-724) Excludes: curvature of spine (737.0-737.9) osteochondrosis of spine (juvenile) (732.0) adult (732.8) 720 Ankylosing spondylitis and other inflammatory spondylopathies 720.0 Ankylosing spondylitis Rheumatioid arthritis of spine NOS Spondylitis: Marie-Str�mpell rheumatoid 720.1 Spinal enthesopathy Disorder of peripheral ligamentous or muscular attachments of spine Romanus lesion 720.2 Sacroiliitis, not elsewhere classified Inflammation of sacroiliac joint NOS 720.8 Other inflammatory spondylopathies 720.81 Inflammatory spondylopathies in diseases classified elsewhere Code first underlying disease, as: tuberculosis (015.0) 720.89 Other 720.9 Unspecified inflammatory spondylopathy Spondylitis NOS 721 Spondylosis and allied disorders 721.0 Cervical spondylosis without myelopathy Cervical or cervicodorsal: arthritis osteoarthritis spondylarthritis 721.1 Cervical spondylosis with myelopathy Anterior spinal artery compression syndrome Spondylogenic compression of cervical spinal cord Vertebral artery compression syndrome 721.2 Thoracic spondylosis without myelopathy Thoracic: arthritis osteoarthritis spondylarthritis 721.3 Lumbosacral spondylosis without myelopathy Lumbar or lumbosacral: arthritis osteoarthritis spondylarthritis 721.4 Thoracic or lumbar spondylosis with myelopathy 721.41 Thoracic region Spondylogenic compression of thoracic spinal cord 721.42 Lumbar region Spondylogenic compression of lumbar spinal cord 721.5 Kissing spine Baastrup's syndrome 721.6 Ankylosing vertebral hyperostosis 721.7 Traumatic spondylopathy K�mmell's disease or spondylitis 721.8 Other allied disorders of spine 721.9 Spondylosis of unspecified site 721.90 Without mention of myelopathy Spinal: arthritis (deformans) (degenerative) (hypertrophic) osteoarthritis NOS Spondylarthrosis NOS 721.91 With myelopathy Spondylogenic compression of spinal cord NOS 722 Intervertebral disc disorders 722.0 Displacement of cervical intervertebral disc without myelopathy Neuritis (brachial) or radiculitis due to displacement or rupture of cervical intervertebral disc Any condition classifiable to 722.2 of the cervical or cervicothoracic intervertebral disc 722.1 Displacement of thoracic or lumbar intervertebral disc without myelopathy 722.10 Lumbar intervertebral disc without myelopathy Lumbago or sciatica due to displacement of intervertebral disc Neuritis or radiculitis due to displacement or rupture of lumbar intervertebral disc Any condition classifiable to 722.2 of the lumbar or lumbosacral intervertebral disc 722.11 Thoracic intervertebral disc without myelopathy Any condition classifiable to 722.2 of thoracic intervertebral disc 722.2 Displacement of intervertebral disc, site unspecified, without myelopathy Discogenic syndrome NOS Herniation of nucleus pulposus NOS Intervertebral disc NOS: extrusion prolapse protrusion rupture Neuritis or radiculitis due to displacement or rupture of intervertebral disc 722.3 Schmorl's nodes 722.30 Unspecified region 722.31 Thoracic region 722.32 Lumbar region 722.39 Other 722.4 Degeneration of cervical intervertebral disc Degeneration of cervicothoracic intervertebral disc 722.5 Degeneration of thoracic or lumbar intervertebral disc 722.51 Thoracic or thoracolumbar intervertebral disc 722.52 Lumbar or lumbosacral intervertebral disc 722.6 Degeneration of intervertebral disc, site unspecified Degenerative disc disease NOS Narrowing of intervertebral disc or space NOS 722.7 Intervertebral disc disorder with myelopathy 722.70 Unspecified region 722.71 Cervical region 722.72 Thoracic region 722.73 Lumbar region 722.8 Postlaminectomy syndrome 722.80 Unspecified region 722.81 Cervical region 722.82 Thoracic region 722.83 Lumbar region 722.9 Other and unspecified disc disorder Calcification of intervertebral cartilage or disc Discitis 722.90 Unspecified region 722.91 Cervical region 722.92 Thoracic region 722.93 Lumbar region 723 Other disorders of cervical region Excludes: conditions due to: intervertebral disc disorders (722.0-722.9) spondylosis (721.0-721.9) 723.0 Spinal stenosis of cervical region 723.1 Cervicalgia Pain in neck 723.2 Cervicocranial syndrome Barr�-Li�ou syndrome Posterior cervical sympathetic syndrome 723.3 Cervicobrachial syndrome (diffuse) 723.4 Brachia neuritis or radiculitis NOS Cervical radiculitis Radicular syndrome of upper limbs 723.5 Torticollis, unspecified Contracture of neck Excludes: congenital (754.1) due to birth injury (767.8) hysterical (300.11) ocular torticollis (781.93) psychogenic (306.0) spasmodic (333.83) traumatic, current (847.0) 723.6 Panniculitis specified as affecting neck 723.7 Ossification of posterior longitudinal ligament in cervical region 723.8 Other syndromes affecting cervical region Cervical syndrome NEC Klippel's disease Occipital neuralgia 723.9 Unspecified musculoskeletal disorders and symptoms referable to neck Cervical (region) disorder NOS 724 Other and unspecified disorders of back Excludes: collapsed vertebra (code to cause, e.g., osteoporosis, 733.00-733.09) conditions due to: intervertebral disc disorders (722.0-722.9) spondylosis (721.0-721.9) 724.0 Spinal stenosis, other than cervical 724.00 Spinal stenosis, unspecified region 724.01 Thoracic region 724.02 Lumbar region 724.09 Other 724.1 Pain in thoracic spine 724.2 Lumbago Low back pain Low back syndrome Lumbalgia 724.3 Sciatia Neuralgia or neuritis of sciatic nerve Excludes: specified lesion of sciatic nerve (355.0) 724.4 Thoracic or lumbosacral neuritis or radiculitis, unspecified Radicular syndrome of lower limbs 724.5 Backache, unspecified Vertebrogenic (pain) syndrome NOS 724.6 Disorders of sacrum Ankylosis, lumbosacral or sacroiliac (joint) Instability, lumbosacral or sacroiliac (joint) 724.7 Disorders of coccyx 724.70 Unspecified disorder of coccyx 724.71 Hypermobility of coccyx 724.79 Other Coccygodynia 724.8 Other symptoms referable to back Ossification of posterior longitudinal ligament NOS Panniculitis specified as sacral or affecting back 724.9 Other unspecified back disorders Ankylosis of spine NOS Compression of spinal nerve root NEC Spinal disorder NOS Excludes: sacroiliitis (720.2) RHEUMATISM, EXCLUDING THE BACK (725-729) Includes: disorders of muscles and tendons and their attachments, and of other soft tissues 725 Polymyalgia rheumatica 726 Peripheral enthesopathies and allied syndromes Note: Enthesopathies are disorders of peripheral ligamentous or muscular attachments. Excludes: spinal enthesopathy (720.1) 726.0 Adhesive capsulitis of shoulder 726.1 Rotator cuff syndrome of shoulder and allied disorders 726.10 Disorders of bursae and tendons in shoulder region, unspecified Rotator cuff syndrome NOS Supraspinatus syndrome NOS 726.11 Calcifying tendinitis of shoulder 726.12 Bicipital tenosynovitis 726.19 Other specified disorders Excludes: complete rupture of rotator cuff, nontraumatic (727.61) 726.2 Other affections of shoulder region, not elsewhere classified Periarthritis of shoulder Scapulohumeral fibrositis 726.3 Enthesopathy of elbow region 726.30 Enthesopathy of elbow, unspecified 726.31 Medial epicondylitis 726.32 Lateral epicondylitis Epicondylitis NOS Golfers' elbow Tennis elbow 726.33 Olecranon bursitis Bursitis of elbow 726.39 Other 726.4 Enthesopathy of wrist and carpus Bursitis of hand or wrist Periarthritis of wrist 726.5 Enthesopathy of hip region Bursitis of hip Gluteal tendinitis Iliac crest spur Psoas tendinitis Trochanteric tendinitis 726.6 Enthesopathy of knee 726.60 Enthesopathy of knee, unspecified Bursitis of knee NOS 726.61 Pes anserinus tendinitis or bursitis 726.62 Tibial collateral ligament bursitis Pellegrini-Stieda syndrome 726.63 Fibular collateral ligament bursitis 726.64 Patellar tendinitis 726.65 Prepatellar bursitis 726.69 Other Bursitis: infrapatellar subpatellar 726.7 Enthesopathy of ankle and tarsus 726.70 Enthesopathy of ankle and tarsus, unspecified Metatarsalgia NOS Excludes: Morton's metatarsalgia (355.6) 726.71 Achilles bursitis or tendinitis 726.72 Tibialis tendinitis Tibialis (anterior) (posterior) tendinitis 726.73 Calcaneal spur 726.79 Other Peroneal tendinitis 726.8 Other peripheral enthesopathies 726.9 Unspecified enthesopathy 726.90 Enthesopathy of unspecified site Capsulitis NOS Periarthritis NOS Tendinitis NOS 726.91 Exostosis of unspecified site Bone spur NOS 727 Other disorders of synovium, tendon, and bursa 727.0 Synovitis and tenosynovitis 727.00 Synovitis and tenosynovitis, unspecified Synovitis NOS Tenosynovitis NOS 727.01 Synovitis and tenosynovitis in diseases classified elsewhere Code first underlying disease, as:tuberculosis (015.0-015.9) Excludes: crystal-induced (275.49) gonococcal (098.51) gouty (274.0) syphilitic (095.7) 727.02 Giant cell tumor of tendon sheath 727.03 Trigger finger (acquired) 727.04 Radial styloid tenosynovitis de Quervain's disease 727.05 Other tenosynovitis or hand and wrist 727.06 Tenosynovitis of foot and ankle 727.09 Other 727.1 Bunion 727.2 Specific bursitides often of occupational origin Beat: elbow hand knee Chronic crepitant synovitis of wrist Miners': elbow knee 727.3 Other bursitis Bursitis NOS Excludes: bursitis: gonococcal (098.52) subacromial (726.19) subcoracoid (726.19) subdeltoid (726.19) syphilitic (095.7) "frozen shoulder" (726.0) 727.4 Ganglion and cyst of synovium, tendon, and bursa 727.40 Synovial cyst, unspecified Excludes: that of popliteal space (727.51) 727.41 Ganglion of joint 727.42 Ganglion of tendon sheath 727.43 Ganglion, unspecified 727.49 Other Cyst of bursa 727.5 Rupture of synovium 727.50 Rupture of synovium, unspecified 727.51 Synovial cyst of popliteal space Baker's cyst (knee) 727.59 Other 727.6 Rupture of tendon, nontraumatic 727.60 Nontraumatic rupture of unspecified tendon 727.61 Complete rupture of rotator cuff 727.62 Tendons of biceps (long head) 727.63 Extensor tendons of hand and wrist 727.64 Flexor tendons of hand and wrist 727.65 Quadriceps tendon 727.66 Patellar tendon 727.67 Achilles tendon 727.68 Other tendons of foot and ankle 727.69 Other 727.8 Other disorders of synovium, tendon, and bursa 727.81 Contracture of tendon (sheath) Short Achilles tendon (acquired) 727.82 Calcium deposits in tendon and bursa Calcification of tendon NOS Calcific tendinitis NOS Excludes: peripheral ligamentous or muscular attachments (726.0-726.9) 727.83 Plica syndrome Plica knee 727.89 Other Abscess of bursa or tendon Excludes: xanthomatosis localized to tendons (272.7) 727.9 Unspecified disorder of synovium, tendon, and bursa 728 Disorders of muscle, ligament, and fascia Excludes: enthesopathies (726.0-726.9) muscular dystrophies (359.0-359.1) myoneural disorders (358.00-358.9) myopathies (359.2-359.9) old disruption of ligaments of knee (717.81-717.89) 728.0 Infective myositis Myositis: purulent suppurative Excludes: myositis: epidemic (074.1) interstitial (728.81) myoneural disorder (358.00-358.9) syphilitic (095.6) tropical (040.81) 728.1 Muscular calcification and ossification 728.10 Calcification and ossification, unspecified Massive calcification (paraplegic) 728.11 Progressive myositis ossificans 728.12 Traumatic myositis ossifications Myisitis ossificans (circumscripta) 728.13 Postoperative heterotopic calcification 728.19 Other Polymyositis ossificans 728.2 Muscular wasting and disuse atrophy, not elsewhere classified Amyotrophia NOS Myofibrosis Excludes: neuralgic amyotrophy (353.5) pelvic muscle wasting and disuse atrophy (618.83) progressive muscular atrophy (335.0-335.9) 728.3 Other specific muscle disorders Arthrogryposis Immobility syndrome (paraplegic) Excludes: arthrogryposis multiplex congenita (754.89) stiff-man syndrome (333.91) 728.4 Laxity of ligament 728.5 Hypermobility syndrome 728.6 Contracture of palmar fascia Dupuytren's contracture 728.7 Other fibromatoses 728.71 Plantar fascial fibromatosis Contracture of plantar fascia Plantar fasciitis (traumatic) 728.79 Other Garrod's or knuckle pads Nodular fasciitis Pseudosarcomatous Fibromatosis (proliferative) (subcutaneous) 728.8 Other disorders of muscle, ligament, and fascia 728.81 Interstitial myositis 728.82 Foreign body granuloma of muscle Talc granuloma of muscle 728.83 Rupture of muscle, nontraumatic 728.84 Diastasis of muscle Diastatsis recti (abdomen) Excludes: diastatsis recti complicating pregnancy, labor, and delivery (665.8) 728.85 Spasm of muscle 728.86 Necrotizing fasciitis Use additional code to identify: infectious organism (041.00-041.89) gangrene (785.4), if applicable 728.87 Muscle weakness (generalized) Excludes: generalized weakness (780.79) 728.88 Rhabdomyolysis 728.89 Other Eosinophilic fasciitis Use additional E code to identify drug, if drug induced 728.9 Unspecified disorder of muscle, ligament, and fascia 729 Other disorders of soft tissues Excludes: acroparesthesia (443.89) carpal tunnel syndrome (354.0) disorders of the back (720.0-724.9) entrapment syndromes (354.0-355.9) palindromic rheumatism (719.3) periarthritis (726.0-726.9) psychogenic rheumatism (306.0) 729.0 Rheumatism, unspecified and fibrositis 729.1 Myalgia and myositis, unspecified Fibromyositis NOS 729.2 Neuralgia, neuritis, and radiculitis, unspecified Excludes: brachia radiculitis (723.4) cervical radiculitis (723.4) lumbosacral radiculitis (724.4) mononeuritis (354.0-355.9) radiculitis due to intervertebral disc involvement (722.0-722.2,722.7) sciatica (724.3) 729.3 Panniculitis, unspecified 729.30 Panniculitis, unspecified site Weber-Christian disease 729.31 Hypertrophy of fat pad, knee Hypertrophy of infrapatellar fat pad 729.39 Other site Excludes: panniculitis specified as (affecting): back (724.8) neck (723.6) sacral (724.8) 729.4 Fasciitis, unspecified Excludes: necrotizing fasciitis (728.86) nodular fasciitis (728.79) 729.5 Pain in limb 729.6 Residual foreign body in soft tissue Excludes: foreign body granuloma: muscle (728.82) skin and subcutaneous tissue (709.4) 729.7 Nontraumatic compartment syndrome Excludes: compartment syndrome NOS (958.90) traumatic compartment syndrome (958.90-958.99) 729.71 Nontraumatic compartment syndrome of upper extremity Nontraumatic compartment syndrome of shoulder, arm, forearm, wrist, hand and fingers 729.72 Nontraumatic compartment syndrome of lower extremity Nontraumatic compartment syndrome of hip, buttock, thigh, leg, foot and toes 729.73 Nontraumatic compartment syndrome of abdomen 729.79 Nontraumatic compartment syndrome of other sites 729.8 Other musculoskeletal symptoms referable to limbs 729.81 Swelling of limb 729.82 Cramp 729.89 Other Excludes: abnormality of gait (781.2) tetany (781.7) transient paralysis of limb (781.4) 729.9 Other and unspecified disorders of soft tissue Polyalgia OSTEOPATHIES, CHONDROPATHIES, AND ACQUIRED MUSCULOSKELETAL DEFORMITIES (730-739) 730 Osteomyelitis, periostitis, and other infections involving bone Excludes: jaw (526.4-526.5) petrous bone (383.2) Use additional code to identify organism, such as Staphylococcus (041.1) The following fifth-digit subclassification is for use with category 730; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions: 0 site unspecified 1 shoulder region 2 upper arm 3 forearm 4 hand 5 pelvic region and thigh 6 lower leg 7 ankle and foot 8 other specified sites 9 multiple sites 730.0 Acute osteomyelitis [0-9] Abscess of any bone except accessory sinus, jaw, or mastoid Acute or subacute osteomyelitis, with or without mention of periostitis Use additional code to identify major osseous defect, if applicable (731.3) 730.1 Chronic osteomyelitis [0-9] Brodie's abscess Chronic or old osteomyelitis, with or without mention of periostitis Sequestrum Sclerosing osteomyelitis of Garr� Use additional code to identify major osseous defect, if applicable (731.3) Excludes: aseptic necrosis of bone (733.40-733.49) 730.2 Unspecified osteomyelitis [0-9] Osteitis or osteomyelitis NOS, with or without mention of periostitis Use additional code to identify major osseous defect, if applicable (731.3) 730.3 Periostitis without mention of ostemyelitis [0-9] Abscess of periosteum, without mention of osteomyelitis Periostosis, without mention of osteomyelitis Excludes: that in secondary syphilis (091.61) 730.7 Osteopathy resulting from poliomyelitis [0-9] Code first underlying disease (045.0-045.9) 730.8 Other infections involving bone in disease classified elsewhere [0-9] Code first underlying disease, as: tuberculosis (015.0-015.9) typhoid fever (002.0) Excludes: syphilitis of bone NOS (095.5) 730.9 Unspecified infection of bone [0-9] 731 Osteitis deformans and osteopathies associated with other disorders classified elsewhere 731.0 Osteitis deformans without mention of bone tumor Paget's disease of bone 731.1 Osteitis deformans in diseases classified elsewhere Code first underlying disease, as: malignant neoplasm of bone (170.0-170.9) 731.2 Hypertrophic pulmonary osteoarthropathy Bamberger-Marie disease 731.3 Major osseous defects Code first underlying disease, if known, such as: aseptic necrosis (733.40-733.49) malignant neoplasm of bone (170.0-170.9) osteomyelitis (730.00- 730.29) osteoporosis (733.00- 733.09) peri-prosthetic osteolysis (996.45) 731.8 Other bone involvement in diseases classified elsewhere Code first underlying disease, as: diabetes mellitus (250.8) Use additional code to specify bone condition, such as: acute osteomyelitis (730.00-730.09) 732 Osteochondropathies 732.0 Juvenile osteochondrosis of spine Juvenile osteochondrosis (of): marginal or vertebral ephiphysis (of Scheurermann) spine NOS Vertebral epiphysitis Excludes: adolescent postural kyphosis (737.0) 732.1 Juvenile osteochondrosis of hip and pelvis Coxa plana Ischiopubic synchondrosis (of van Neck) Osteochondrosis (juvenile) of: acetabulum head of femur (of Legg-Calv�-Perthes) iliac crest (of Buchanan) symphysis pubis (of Pierson) Pseudocoxalgia 732.2 Nontraumatic slipped upper femoral epiphysis Slipped upper femoral epiphysis NOS 732.3 Juvenile osteochondrosis of upper extremity Osteochondrosis (juvenile) of: capitulum of humerus (of Panner) carpal lunate (of Kienbock) hand NOS head of humerus (of Haas) heads of metacarpas (of Mauclaire) lower ulna (of Burns) radial head (of Brailsford) upper extremity NOS 732.4 Juvenile osteochondrosis of lower extremity, excluding foot Osteochondrosis (juvenile) of: lower extremity NOS primary patellar center (of K�hler) proximal tibia (of Blount) secondary patellar center (of Sinding-Larsen) tibial tubercle (of Osgood-Schlatter) Tibia vara 732.5 Juvenile osteochondrosis of foot Calcaneal apophysitis Epiphysitis, os calcis Osteochondrosis (juvenile) of: astragalus (of Diaz) calcaneum (of Sever) foot NOS metatarsal: second (of Freilberg) fifth (of Iselin) os tibiale externum (of Haglund) tarsal navicular (of K�hler) 732.6 Other juvenile osteochondrosis Apophysitis specified as juvenile, of other site, or site NOS Epiphysitis specified as juvenile, of other site, or site NOS Osteochondritis specified as juvenile, of other site, or site NOS Osteochondrosis specified as juvenile, of other site, or site NOS 732.7 Osteochondritis dissecans 732.8 Other specified forms of osteochondropathy Adult osteochondrosis of spine 732.9 Unspecified osteochondropathy Apophysitis NOS not specified as adult or juvenile, of unspecified site Epiphysitis NOS not specified as adult or juvenile, of unspecified site Osteochondritis NOS not specified as adult or juvenile, of unspecified site Osteochondrosis NOS not specified as adult or juvenile, of unspecified site 733 Other disorders of bone and cartilage Excludes: bone spur (726.91) cartilage of, or loose body in, joint (717.0-717.9, 718.0-718.9) giant cell granuloma of jaw (526.3) osteitis fibrosa cystica generalisata (252.01) osteomalacia (268.2) polyostotic fibrous dysplasia of bone (756.54) prognathism, retrognathism (524.1) xanthomatosis localized to bone (272.7) 733.0 Osteoporosis Use additional code to identify major osseous defect, if applicable (731.3) 733.00 Osteoporosis, unspecified Wedging of vertebra NOS 733.01 Senile osteoporosis Postmenopausal osteoporosis 733.02 Idiopathic osteoporosis 733.03 Disuse osteoporosis 733.09 Other Drug-induced osteoporosis Use additional E code to identify drug 733.1 Pathologic fracture Spontaneous fracture Excludes: stress fracture (733.93-733.95) traumatic fractures (800-829) 733.10 Pathologic fracture, unspecified site 733.11 Pathologic fracture of humerus 733.12 Pathologic fracture of distal radius and ulna Wrist NOS 733.13 Pathologic fracture of vertebrae Collapse of vertebra NOS 733.14 Pathologic fracture of neck of femur Femur NOS Hip NOS 733.15 Pathologic fracture of other specified part of femur 733.16 Pathologic fracture of tibia and fibula Ankle NOS 733.19 Pathologic fracture of other specified site 733.2 Cyst of bone 733.20 Cyst of bone (localized), unspecified 733.21 Solitary bone cyst Unicameral bone cyst 733.22 Aneurysmal bone cyst 733.29 Other Fibrous dysplasia (monostotic) Excludes: cyst of jaw (526.0-526.2, 526.89) osteitis fibrosa cystica (252.01) polyostotic fibrous dysplasia of bone (756.54) 733.3 Hyperostosis of skull Hyperostosis interna frontalis Leontiasis ossium 733.4 Aseptic necrosis of bone Use additional code to identify major osseous defect, if applicable (731.3) Excludes: osteochondropathies (732.0-732.9) 733.40 Aseptic necrosis of bone, site unspecified 733.41 Head of humerus 733.42 Head and neck of femur Femur NOS Excludes: Legg-Calv�-Perthes disease (732.1) 733.43 Medial femoral condyle 733.44 Talus 733.45 Jaw Use additional E code to identify drug, if drug-induced Excludes: osteoradionecrosis of jaw (526.89) 733.49 Other 733.5 Osteitis condensans Piriform sclerosis of ilium 733.6 Tietze's disease Costochondral junction syndrome Costochondritis 733.7 Algoneurodystrophy Disuse atrophy of bone Sudeck's atrophy 733.8 Malunion and nonunion of fracture 733.81 Malunion of fracture 733.82 Nonunion of fracture Psedoarthrosis (bone) 733.9 Other and unspecified disorders of bone and cartilage 733.90 Disorder of bone and cartilage, unspecified 733.91 Arrest of bone development or growth Epiphyseal arrest 733.92 Chondromalacia Chondromalacia: NOS localized, except patella systemic tibial plateau Excludes: chondromalacia of patella (717.7) 733.93 Stress fracture of tibia or fibula Stress reaction of tibia or fibula 733.94 Stress fracture of the metatarsals Stress reaction of metatarsals 733.95 Stress fracture of other bone Stress reaction of other bone 733.99 Other Diaphysitis Hypertrophy of bone Relapsing polychondritis 734 Flat foot Pes planus (acquired) Talipes planus (acquired) Excludes: congenital (754.61) rigid flat foot (754.61) spastic (everted) flat foot (754.61) 735 Acquired deformities of toe Excludes: congenital (754.60-754.69, 755.65-755.66) 735.0 Hallux valgus (acquired) 735.1 Hallux varus (acquired) 735.2 Hallux rigidus 735.3 Hallux malleus 735.4 Other hammer toe (acquired) 735.5 Claw toe (acquired) 735.8 Other acquired deformities of toe 735.9 Unspecified acquired deformity of toe 736 Other acquired deformities of limbs Excludes: congenital (754.3-755.9) 736.0 Acquired deformities of forearm, excluding fingers 736.00 Unspecified deformity Deformity of elbow, forearm, hand, or wrist (acquired) NOS 736.01 Cubitus valgus (acquired) 736.02 Cubitus varus (acquired) 736.03 Valgus deformity of wrist (acquired) 736.04 Varus deformity of wrist (acquired) 736.05 Wrist drop (acquired) 736.06 Claw hand (acquired) 736.07 Club hand (acquired) 736.09 Other 736.1 Mallet finger 736.2 Other acquired deformities of finger 736.20 Unspecified deformity Deformity of finger (acquired) NOS 736.21 Boutonniere deformity 736.22 Swan-neck deformity 736.29 Other Excludes: trigger finger (727.03) 736.3 Acquired deformities of hip 736.30 Unspecified deformity Deformity of hip (acquired) NOS 736.31 Coxa valga (acquired) 736.32 Coxa vara (acquired) 736.39 Other 736.4 Genu valgum or varum (acquired) 736.41 Genu valgum (acquired) 736.42 Genu varum (acquired) 736.5 Genu recurvatum (acquired) 736.6 Other acquired deformities of knee Deformity of knee (acquired) NOS 736.7 Other acquired deformities of ankle and foot Excludes: deformities of toe (acquired) (735.0-735.9) pes planu (acquired) (734) 736.70 Unspecified deformity of ankle and foot, acquired 736.71 Acquired equinovarus deformity Clubfoot, acquired Excludes: clubfoot not specified as acquired (754.5-754.7) 736.72 Equinus deformity of foot, acquired 736.73 Cavus deformity of foot Excludes: that with claw foot (736.74) 736.74 Claw foot, acquired 736.75 Cavovarus deformity of foot, acquired 736.76 Other calcaneus deformity 736.79 Other Acquired: pes not elsewhere classified talipes not elsewhere classified 736.8 Acquired deformities of other parts of limbs 736.81 Unequal leg length (acquired) 736.89 Other Deformity (acquired): arm or leg, not elsewhere classified shoulder 736.9 Acquired deformity of limb, site unspecified 737 Curvature of spine Excludes: congenital (754.2) 737.0 Adolescent postural kyphosis Excludes: osteochondrosis of spine (juvenile) (732.0) adult (732.8) 737.1 Kyphosis (acquired) 737.10 Kyphosis (acquired) (postural) 737.11 Kyphosis due to radiation 737.12 Kyphosis, postlaminectomy 737.19 Other Excludes: that associated with conditions classifiable elsewhere (737.41) 737.2 Lordosis (acquired) 737.20 Lordosis (acquired) (postural) 737.21 Lordosis, postlaminectomy 737.22 Other postsurgical lordosis 737.29 Other Excludes: that associated with conditions classifiable elsewhere (737.42) 737.3 Kyphoscoliosis and scoliosis 737.30 Scoliosis [and kyphoscoliosis], idiopathic 737.31 Resolving infantile idiopathic scoliosis 737.32 Progressive infantile idiopathic scoliosis 737.33 Scoliosis due to radiation 737.34 Thoracogenic scoliosis 737.39 Other Excludes: that associated with conditions classifiable elsewhere (737.43) that in kyphoscoliotic heart disease (416.1) 737.4 Curvature of spine associated with other conditions Code first associated condition, as: Charcot-Marie-Tooth disease (356.1) mucopolysaccharidosis (277.5) neurofibromatosis (237.7) osteitis deformans (731.0) osteitis fibrosa cystica (252.01) osteoporosis (733.00-733.09) poliomyelitis (138) tuberculosis [Pott's curvature] (015.0) 737.40 Curvature of spine, unspecified 737.41 Kyphosis 737.42 Lordosis 737.43 Scoliosis 737.8 Other curvatures of spine 737.9 Unspecified curvature of spine Curvature of spine (acquired) (idiopathic) NOS Hunchback, acquired Excludes: deformity of spine NOS (738.5) 738 Other acquired deformity Excludes: congenital (754.0-756.9, 758.0-759.9) dentofacial anomalies (524.0-524.9) 738.0 Acquired deformity of nose Deformity of nose (acquired) Overdevelopment of nasal bones Excludes: deflected of deviated nasal septum (470) 738.1 Other acquired deformity of head 738.10 Unspecified deformity 738.11 Zygomatic hyperplasia 738.12 Zygomatic hypoplasia 738.19 Other specified deformity 738.2 Acquired deformity of neck 738.3 Acquired deformity of chest and rib Deformity: chest (acquired) rib (acquired) Pectus: carinatum, acquired excavatum, acquired 738.4 Acquired spondylolisthesis Degenerative spondylolisthesis Spondylolysis, acquired Excludes: congenital (756.12) 738.5 Other acquired deformity of back or spine Deformity of spine NOS Excludes: curvature of spine (737.0-737.9) 738.6 Acquired deformity of pelvis Pelvic obliquity Excludes: intrapelvic protrusion of acetabulum (718.6) that in relation to labor and delivery (653.0-653.4, 653.8-653.9) 738.7 Cauliflower ear 738.8 Acquired deformity of other specified site Deformity of clavicle 738.9 Acquired deformity of unspecified site 739 Nonallopathic lesions, not elsewhere classified Includes: segmental dysfunction somatic dysfunction 739.0 Head region Occipitocervical region 739.1 Cervical region Cervicothoracic region 739.2 Thoracic region Thoracolumbar region 739.3 Lumbar region Lumbosacral region 739.4 Sacral region Sacrococcygeal region Sacroiliac region 739.5 Pelvic region Hip region Pubic region 739.6 Lower extremities 739.7 Upper extremities Acromioclavicular region Sternoclavicular region 739.8 Rib cage Costochondral region Costovertebral region Sternochondral region 739.9 Abdomen and other |
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 |