Classification of diseases and injuries



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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: berry aneurysm, nonruptured (437.3)

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

Use additional code, if applicable, to identify status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission

to current facility (V45.88)

Excludes: insufficiency NOS of precerebral arteries (435.0-435.9)

433.0 Basilar artery

[0-1]


433.1 Carotid artery

[0-1]


433.2 Vertebral artery

[0-1]


433.3 Multiple and bilateral

[0-1]


433.8 Other specified precerebral artery

[0-1]


433.9 Unspecified precerebral artery

[0-1]


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

Use additional code, if applicable, to identify status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission

to current facility (V45.88)

434.0 Cerebral thrombosis

[0-1]

Thrombosis of cerebral arteries



434.1 Cerebral embolism

[0-1]


434.9 Cerebral artery occlusion, unspecified

[0-1]


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

438.13 Dysarthria

438.14 Fluency disorder

Stuttering due to late effect of cerebrovascular accident

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 (707.10-707.19, 707.8, 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 (707.10-707.19, 707.8, 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: aortic ectasia (447.70-447.73)

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 (249.7, 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

444.01 Saddle embolus of abdominal aorta

444.09 Other arterial embolism and thrombosis of abdominal aorta

Aortic bifurcation syndrome

Aortoiliac obstruction

Leriche's syndrome

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 (415.11-415.19)

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 kidney 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 (V45.11)

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)

447.7 Aortic ectasia

Ectasis aorta

Excludes: aortic aneurysm and dissection (441.00-441.9)

447.70 Aortic ectasia, unspecified site

447.71 Thoracic aortic ectasia

447.72 Abdominal aortic ectasia

447.73 Thoracoabdominal aortic ectasia

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, 444.01-444.9)

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)

453.0 Budd-Chiari syndrome

Hepatic vein thrombosis

453.1 Thrombophlebitis migrans

453.2 Of inferior vena cava

453.3 Of renal vein

453.4 Acute venous embolism and thrombosis of deep vessels of lower extremity

453.40 Acute venous embolism and thrombosis of unspecified deep vessels of lower extremity

Deep vein thrombosis NOS

DVT NOS


453.41 Acute venous embolism and thrombosis of deep vessels of proximal lower extremity

Femoral


Iliac

Popliteal

Thigh

Upper leg NOS



453.42 Acute venous embolism and thrombosis of deep vessels of distal lower extremity

Calf


Lower leg NOS

Peroneal


Tibial

453.5 Chronic venous embolism and thrombosis of deep vessels of lower extremity

Use additional code, if applicable, for associated long-term (current) use of anticoagulants (V58.61)

Excludes: personal history of venous thrombosis and embolism (V12.51)

453.50 Chronic venous embolism and thrombosis of unspecified deep vessels of lower extremity

453.51 Chronic venous embolism and thrombosis of deep vessels of proximal lower extremity

Femoral

Iliac


Popliteal

Thigh


Upper leg NOS

453.52 Chronic venous embolism and thrombosis of deep vessels of distal lower extremity

Calf

Lower leg NOS



Peroneal

Tibial


453.6 Venous embolism and thrombosis of superficial vessels of lower extremity

Saphenous vein (greater) (lesser)

Use additional code, if applicable, for associated long-term (current) use of anticoagulants (V58.61)

453.7 Chronic venous embolism and thrombosis of other specified vessels

Use additional code, if applicable, for associated long-term (current) use of anticoagulants (V58.61)

Excludes: personal history of venous thrombosis and embolism (V12.51)

453.71 Chronic venous embolism and thrombosis of superficial veins of upper extremity

Antecubital vein

Basilic vein

Cephalic vein

453.72 Chronic venous embolism and thrombosis of deep veins of upper extremity

Brachial vein

Radial vein

Ulnar vein

453.73 Chronic venous embolism and thrombosis of upper extremity, unspecified

453.74 Chronic venous embolism and thrombosis of axillary veins

453.75 Chronic venous embolism and thrombosis of subclavian veins

453.76 Chronic venous embolism and thrombosis of internal jugular veins

453.77 Chronic venous embolism and thrombosis of other thoracic veins

Brachiocephalic (innominate)

Superior vena cava

453.79 Chronic venous embolism and thrombosis of other specified veins

453.8 Acute venous embolism and thrombosis 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)

453.81 Acute venous embolism and thrombosis of superficial veins of upper extremity

Antecubital vein

Basilic vein

Cephalic vein

453.82 Acute venous embolism and thrombosis of deep veins of upper extremity

Brachial vein

Radial vein

Ulnar vein

453.83 Acute venous embolism and thrombosis of upper extremity, unspecified

453.84 Acute venous embolism and thrombosis of axillary veins

453.85 Acute venous embolism and thrombosis of subclavian veins

453.86 Acute venous embolism and thrombosis of internal jugular veins

453.87 Acute venous embolism and thrombosis of other thoracic veins

Brachiocephalic (innominate)

Superior vena cava

453.89 Acute venous embolism and thrombosis of other specified veins

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)

nontraumatic hematoma of soft tissue (729.92)

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 (707.10-707.19, 707.8, 707.9)

459.89 Other

Collateral circulation (venous), any site

Phlebosclerosis

Venofibrosis

459.9 Unspecified circulatory system disorder


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