Classification of diseases and injuries



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TOXIC EFFECTS OF SUBSTANCES CHIEFLY NONMEDICINAL AS TO SOURCE (980-989)

Excludes: burns from chemical agents (ingested) (947.0-947.9)

localized toxic effects indexed elsewhere (001.0-799.9)

respiratory conditions due to external agents (506.0-508.9)

respiratory conditions due to smoke inhalation NOS (508.2)

Use additional code to identify:

personal history of retained foreign body fully removed (V15.53)

retained foreign body status, if applicable (V90.01-V90.9)

Use additional code to specify the nature of the toxic effect

980 Toxic effect of alcohol

980.0 Ethyl alcohol

Denatured alcohol

Ethanol

Grain alcohol



Use additional code to identify any associated:

acute alcohol intoxication (305.0)

in alcoholism (303.0)

drunkenness (simple) (305.0)

pathological (291.4)

980.1 Methyl alcohol

Methanol

Wood alcohol

980.2 Isopropyl alcohol

Dimethyl carbinol

Isopropanol

Rubbing alcohol

980.3 Fusel oil

Alcohol:


amyl

butyl


propyl

980.8 Other specified alcohols

980.9 Unspecified alcohol

981 Toxic effect of petroleum products

Benzine

Gasoline


Kerosene

Paraffin wax

Petroleum:

ether


naphtha

spirit


982 Toxic effect of solvents other than petroleum based

982.0 Benzene and homologues

982.1 Carbon tetrachloride

982.2 Carbon disulfide

Carbon bisulfide

982.3 Other chlorinated hydrocarbon solvents

Tetrachloroethylene

Trichloroethylene

Excludes: chlorinated hydrocarbon preparations other than solvents (989.2)

982.4 Nitroglycol

982.8 Other nonpetroleum-based solvents

Acetone


983 Toxic effect of corrosive aromatics, acids, and caustic alkalis

983.0 Corrosive aromatics

Carbolic acid or phenol

Cresol


983.1 Acids

Acid:


hydrochloric

nitric


sulfuric

983.2 Caustic alkalis

Lye

Potassium hydroxide



Sodium hydroxide

983.9 Caustic, unspecified

984 Toxic effect of lead and its compounds (including fumes)

Includes: that from all sources except medicinal substances

984.0 Inorganic lead compounds

Lead dioxide

Lead salts

984.1 Organic lead compounds

Lead acetate

Tetraethyl lead

984.8 Other lead compounds

984.9 Unspecified lead compound

985 Toxic effect of other metals

Includes: that from all sources except medicinal substances

985.0 Mercury and its compounds

Minamata disease

985.1 Arsenic and its compounds

985.2 Manganese and its compounds

985.3 Beryllium and its compounds

985.4 Antimony and its compounds

985.5 Cadmium and its compounds

985.6 Chromium

985.8 Other specified metals

Brass fumes

Copper salts

Iron compounds

Nickel compounds

985.9 Unspecified metal

986 Toxic effect of carbon monoxide

987 Toxic effect of other gases, fumes, or vapors

987.0 Liquefied petroleum gases

Butane


Propane

987.1 Other hydrocarbon gas

987.2 Nitrogen oxides

Nitrogen dioxide

Nitrous fumes

987.3 Sulfur dioxide

987.4 Freon

Dichloromonofluoromethane

987.5 Lacrimogenic gas

Bromobenzyl cyanide

Chloroacetophenone

Ethyliodoacetate

987.6 Chlorine gas

987.7 Hydrocyanic acid gas

987.8 Other specified gases, fumes, or vapors

Phosgene


Polyester fumes

987.9 Unspecified gas, fume, or vapor

988 Toxic effect of noxious substances eaten as food

Excludes: allergic reaction to food, such as:

gastroenteritis (558.3)

rash (692.5, 693.1)

food poisoning (bacterial) (005.0-005.9)

toxic effects of food contaminants, such as:

aflatoxin and other mycotoxin (989.7)

mercury (985.0)

988.0 Fish and shellfish

988.1 Mushrooms

988.2 Berries and other plants

988.8 Other specified noxious substances eaten as food

988.9 Unspecified noxious substance eaten as food

989 Toxic effect of other substances, chiefly nonmedicinal as to source

989.0 Hydrocyanic acid and cyanides

Potassium cyanide

Sodium cyanide

Excludes: gas and fumes (987.7)

989.1 Strychnine and salts

989.2 Chlorinated hydrocarbons

Aldrin

Chlordane



DDT

Dieldrin


Excludes: chlorinated hydrocarbon solvents (982.0-982.3)

989.3 Organophosphate and carbamate

Carbaryl

Dichlorvos

Malathion

Parathion

Phorate

Phosdrin


989.4 Other pesticides, not elsewhere classified

Mixtures of insecticides

989.5 Venom

Bites of venomous snakes, lizards, and spiders

Tick paralysis

989.6 Soaps and detergents

989.7 Aflatoxin and other mycotoxin [food contaminants]

989.8 Other substances, chiefly nonmedicinal as to source

989.81 Asbestos

Excludes: asbestosis (501)

exposure to asbestos (V15.84)

989.82 Latex

989.83 Silicone

Excludes: silicone used in medical devices, implants and grafts (996.00-996.79)

989.84 Tobacco

989.89 Other

989.9 Unspecified substance, chiefly nonmedicinal as to source

OTHER AND UNSPECIFIED EFFECTS OF EXTERNAL CAUSES (990-995)

990 Effects of radiation, unspecified

Complication of:

phototherapy

radiation therapy

Radiation sickness

Excludes: specified adverse effects of radiation. Such conditions are to be classified according to the nature of the adverse effect, as:

burns (940.0-949.5)

dermatitis (692.7-692.8)

leukemia (204.0-208.9)

pneumonia (508.0)

sunburn (692.71, 692.76-692.77)

[The type of radiation giving rise to the adverse effect may be identified by use of the E codes.]

991 Effects of reduced temperature

991.0 Frostbite of face

991.1 Frostbite of hand

991.2 Frostbite of foot

991.3 Frostbite of other and unspecified sites

991.4 Immersion foot

Trench foot

991.5 Chilblains

Erythema pernio

Perniosis

991.6 Hypothermia

Hypothermia (accidental)

Excludes: hypothermia following anesthesia (995.89)

hypothermia not associated with low environmental temperature (780.65)

991.8 Other specified effects of reduced temperature

991.9 Unspecified effect of reduced temperature

Effects of freezing or excessive cold NOS

992 Effects of heat and light

Excludes: burns (940.0-949.5)

diseases of sweat glands due to heat (705.0-705.9)

malignant hyperpyrexia following anesthesia (995.86)

sunburn (692.71, 692.76-692.77)

992.0 Heat stroke and sunstroke

Heat apoplexy

Heat pyrexia

Ictus solaris

Siriasis


Thermoplegia

Use additional code(s) to identify any associated complication of heat stroke, such as:

alterations of consciousness (780.01-780.09)

systemic inflammatory response syndrome (995.93-995.94)

992.1 Heat syncope

Heat collapse

992.2 Heat cramps

992.3 Heat exhaustion, anhydrotic

Heat prostration due to water depletion

Excludes: that associated with salt depletion (992.4)

992.4 Heat exhaustion due to salt depletion

Heat prostration due to salt (and water) depletion

992.5 Heat exhaustion, unspecified

Heat prostration NOS

992.6 Heat fatigue, transient

992.7 Heat edema

992.8 Other specified heat effects

992.9 Unspecified

993 Effects of air pressure

993.0 Barotrauma, otitic

Aero-otitis media

Effects of high altitude on ears

993.1 Barotrauma, sinus

Aerosinusitis

Effects of high altitude on sinuses

993.2 Other and unspecified effects of high altitude

Alpine sickness

Andes disease

Anoxia due to high altitude

Hypobaropathy

Mountain sickness

993.3 Caisson disease

Bends

Compressed-air disease



Decompression sickness

Divers' palsy or paralysis

993.4 Effects of air pressure caused by explosion

993.8 Other specified effects of air pressure

993.9 Unspecified effect of air pressure

994 Effects of other external causes

Excludes: certain adverse effects not elsewhere classified (995.0-995.8)

994.0 Effects of lightning

Shock from lightning

Struck by lightning NOS

Excludes: burns (940.0-949.5)

994.1 Drowning and nonfatal submersion

Bathing cramp

Immersion

994.2 Effects of hunger

Deprivation of food

Starvation

994.3 Effects of thirst

Deprivation of water

994.4 Exhaustion due to exposure

994.5 Exhaustion due to excessive exertion

Exhaustion due to overexertion

994.6 Motion sickness

Air sickness

Seasickness

Travel sickness

994.7 Asphyxiation and strangulation

Suffocation (by):

bedclothes

cave-in


constriction

mechanical

plastic bag

pressure


strangulation

Excludes: asphyxia from:

carbon monoxide (986)

inhalation of food or foreign body (932-934.9)

other gases, fumes, and vapors (987.0-987.9)

994.8 Electrocution and nonfatal effects of electric current

Shock from electric current

Shock from electroshock gun (taser)

Excludes: electric burns (940.0-949.5)

994.9 Other effects of external causes

Effects of:

abnormal gravitational [G] forces or states

weightlessness

995 Certain adverse effects not elsewhere classified

Excludes: complications of surgical and medical care (996.0-999.9)

995.0 Other anaphylactic reaction

Allergic shock NOS or due to adverse effect of correct medicinal substance properly administered

Anaphylactic reaction NOS or due to adverse effect of correct medicinal substance properly administered

Anaphylactic shock NOS or due to adverse effect of correct medicinal substance properly administered

Anaphylactoid reaction NOS

Anaphylaxis NOS or due to adverse effect of correct medicinal substance properly administered

Excludes: anaphylactic reaction to serum (999.41-999.49)

anaphylactic shock or reaction due to adverse food reaction (995.60-995.69)

Use additional E code to identify external cause, such as:

adverse effects of correct medicinal substance properly administered [E930-E949]

995.1 Angioneurotic edema

Allergic angioedema

Giant urticaria

Excludes: urticaria:

due to serum (999.51-999.59)

other specified (698.2, 708.0-708.9, 757.33)

995.2 Other and unspecified adverse effect of drug, medicinal and biological substance

Excludes: pathological drug intoxication (292.2)

995.20 Unspecified adverse effect of unspecified drug, medicinal and biological substance

Unspecified adverse effect of unspecified medicinal substance properly administered

995.21 Arthus phenomenon

Arthus reaction

995.22 Unspecified adverse effect of anesthesia

995.23 Unspecified adverse effect of insulin

995.24 Failed moderate sedation during procedure

Failed conscious sedation during procedure

995.27 Other drug allergy

Allergic reaction NEC (due) to correct medical substance properly administered

Drug allergy NOS

Drug hypersensitivity NOS

Hypersensitivity (due) to correct medical substance properly administered

995.29 Unspecified adverse effect of other drug, medicinal and biological substance

Unspecified adverse effect of medicinal substance NEC properly administered

995.3 Allergy, unspecified

Allergic reaction NOS

Hypersensitivity NOS

Idiosyncrasy NOS

Excludes: allergic reaction NOS to correct medicinal substance properly administered (995.27)

allergy to existing dental restorative materials (525.66)

specific types of allergic reaction, such as:

allergic diarrhea (558.3)

dermatitis (691.0-693.9)

hayfever (477.0-477.9)

995.4 Shock due to anesthesia

Shock due to anesthesia in which the correct substance was properly administered

Excludes: complications of anesthesia in labor or delivery (668.0-668.9)

overdose or wrong substance given (968.0-969.9)

postoperative shock NOS (998.00)

specified adverse effects of anesthesia classified elsewhere, such as:

anoxic brain damage (348.1)

hepatitis (070.0-070.9), etc.

unspecified adverse effect of anesthesia (995.22)

995.5 Child maltreatment syndrome

Use additional code(s), if applicable, to identify any associated injuries

Use additional E code to identify:

nature of abuse (E960-E968)

perpetrator (E967.0-E967.9)

995.50 Child abuse, unspecified

995.51 Child emotional/psychological abuse

995.52 Child neglect (nutritional)

Use additional code to identify intent of neglect (E904.0, E968.4)

995.53 Child sexual abuse

995.54 Child physical abuse

Battered baby or child syndrome

Excludes: Shaken infant syndrome (995.55)

995.55 Shaken infant syndrome

Use additional code(s) to identify any associated injuries

995.59 Other child abuse and neglect

Multiple forms of abuse

Use additional code to identify intent of neglect (E904.0, E968.4)

995.6 Anaphylactic reaction due to food

Anaphylactic reaction due to adverse food reaction

Anaphylactic shock or reaction due to nonpoisonous foods

Anaphylactoid reaction due to food

995.60 Anaphylactic reaction due to unspecified food

995.61 Anaphylactic reaction due to peanuts

995.62 Anaphylactic reaction due to crustaceans

995.63 Anaphylactic reaction due to fruits and vegetables

995.64 Anaphylactic reaction due to tree nuts and seeds

995.65 Anaphylactic reaction due to fish

995.66 Anaphylactic reaction due to food additives

995.67 Anaphylactic reaction due to milk products

995.68 Anaphylactic reaction due to eggs

995.69 Anaphylactic reaction due to other specified food

995.7 Other adverse food reactions, not elsewhere classified

Use additional code to identify the type of reaction, such as:

hives (708.0)

wheezing (786.07)

Excludes: anaphylactic reaction or shock due to adverse food reaction (995.60-995.69)

asthma (493.0, 493.9)

dermatitis due to food (693.1)

in contact with the skin (692.5)

gastroenteritis and colitis due to food (558.3)

rhinitis due to food (477.1)

995.8 Other specified adverse effects, not elsewhere classified

995.80 Adult maltreatment, unspecified

Abused person NOS

Use additional code to identify:

any associated injury

nature of abuse (E960-E968)

perpetrator (E967.0-E967.9)

995.81 Adult physical abuse

Battered:

person syndrome NEC

man


spouse

woman


Use additional code to identify:

any associated injury

nature of abuse (E960-E968)

perpetrator (E967.0-E967.9)

995.82 Adult emotional/psychological abuse

Use additional E code to identify perpetrator (E967.0-E967.9)

995.83 Adult sexual abuse

Use additional code to identify:

any associated injury

perpetrator (E967.0-E967.9)

995.84 Adult neglect (nutritional)

Use additional code to identify:

intent of neglect (E904.0-E968.4)

perpetrator (E967.0-E967.9)

995.85 Other adult abuse and neglect

Multiple forms of abuse and neglect

Use additional code to identify:

any associated injury

intent of neglect (E904.0, E968.4)

nature of abuse (E960-E968)

perpetrator (E967.0-E967.9)

995.86 Malignant hyperthermia

Malignant hyperpyrexia due to anesthesia

995.89 Other

Hypothermia due to anesthesia

995.9 Systemic inflammatory response syndrome (SIRS)

995.90 Systemic inflammatory response syndrome, unspecified

SIRS NOS


995.91 Sepsis

Systemic inflammatory response syndrome due to infectious process without acute organ dysfunction

Code first underlying infection

Excludes: sepsis with acute organ dysfunction (995.92)

sepsis with multiple organ dysfunction (995.92)

severe sepsis (995.92)

995.92 Severe sepsis

Sepsis with acute organ dysfunction

Sepsis with multiple organ dysfunction (MOD)

Systemic inflammatory response syndrome due to infectious process with acute organ dysfunction

Code first underlying infection

Use additional code: to specify acute organ dysfunction, such as:

acute kidney failure (584.5-584.9)

acute respiratory failure (518.81)

critical illness myopathy (359.81)

critical illness polyneuropathy (357.82)

disseminated intravascular coagulopathy (DIC) syndrome (286.6)

encephalopathy (348.31)

hepatic failure (570)

septic shock (785.52)

995.93 Systemic inflammatory response syndrome due to non-infectious process without acute organ dysfunction

Code first underlying conditions, such as:

acute pancreatitis (577.0)

trauma


Excludes: systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction (995.94)

995.94 Systemic inflammatory response syndrome due to non-infectious process with acute organ dysfunction

Code first underlying conditions, such as:

acute pancreatitis (577.0)

heat stroke (992.0)

trauma


Use additional code to specify acute organ dysfunction, such as:

acute kidney failure (584.5-584.9)

acute respiratory failure (518.81)

critical illness myopathy (359.81)

critical illness polyneuropathy (357.82)

disseminated intravascular coagulopathy (DIC) syndrome (286.6)

encephalopathy (348.31)

hepatic failure (570)

Excludes: severe sepsis (995.92)

COMPLICATIONS OF SURGICAL AND MEDICAL CARE, NOT ELSEWHERE CLASSIFIED (996-999)

Excludes: adverse effects of medicinal agents (001.0-799.9, 995.0-995.8)

burns from local applications and irradiation (940.0-949.5)

complications of:

conditions for which the procedure was performed

surgical procedures during abortion, labor, and delivery (630-676.9)

poisoning and toxic effects of drugs and chemicals (960.0-989.9)

postoperative conditions in which no complications are present, such as:

artificial opening status (V44.0-V44.9)

closure of external stoma (V55.0-V55.9)

fitting of prosthetic device (V52.0-V52.9)

specified complications classified elsewhere

anesthetic shock (995.4)

electrolyte imbalance (276.0-276.9)

postlaminectomy syndrome (722.80-722.83)

postmastectomy lymphedema syndrome (457.0)

postoperative psychosis (293.0-293.9)

any other condition classified elsewhere in the Alphabetic Index when described as due to a procedure

996 Complications peculiar to certain specified procedures

Includes: complications, not elsewhere classified, in the use of artificial substitutes [e.g., Dacron, metal, Silastic, Teflon] or natural sources [e.g., bone] involving:

anastomosis (internal)

graft (bypass) (patch)

implant


internal device:

catheter


electronic

fixation


prosthetic

reimplant

transplant

Excludes: accidental puncture or laceration during procedure (998.2)

capsular contracture of breast implant (611.83)

complications of internal anastomosis of:

gastrointestinal tract (997.49)

urinary tract (997.5)

endosseous dental implant failures (525.71-525.79)

intraoperative floppy iris syndrome (IFIS) (364.81)

mechanical complication of respirator (V46.14)

other specified complications classified elsewhere, such as:

hemolytic anemia (283.1)

functional cardiac disturbances (429.4)

serum hepatitis (070.2-070.3)

996.0 Mechanical complication of cardiac device, implant, and graft

Breakdown (mechanical)

Displacement

Leakage

Obstruction, mechanical



Perforation

Protrusion

996.00 Unspecified device, implant, and graft

996.01 Due to cardiac pacemaker (electrode)

996.02 Due to heart valve prosthesis

996.03 Due to coronary bypass graft

Excludes: atherosclerosis of graft (414.02, 414.03)

embolism [occlusion NOS] [thrombus] of graft (996.72)

996.04 Due to automatic implantable cardiac defibrillator

996.09 Other

996.1 Mechanical complication of other vascular device, implant, and graft

Mechanical complications involving:

aortic (bifurcation) graft (replacement)

arteriovenous:

dialysis catheter

fistula surgically created

shunt surgically created

balloon (counterpulsation) device, intra-aortic

carotid artery bypass graft

femoral-popliteal bypass graft

umbrella device, vena cava

Excludes: atherosclerosis of biological graft (440.30-440.32)

embolism [occlusion NOS] [thrombus] of (biological) (synthetic) graft (996.74)

peritoneal dialysis catheter (996.56)

996.2 Mechanical complication of nervous system device, implant, and graft

Mechanical complications involving:

dorsal column stimulator

electrodes implanted in brain [brain "pacemaker"]

peripheral nerve graft

ventricular (communicating) shunt

996.3 Mechanical complication of genitourinary device, implant, and graft

996.30 Unspecified device, implant, and graft

996.31 Due to urethral [indwelling] catheter

996.32 Due to intrauterine contraceptive device

996.39 Other

Prosthetic reconstruction of vas deferens

Repair (graft) of ureter without mention of resection

Excludes: complications due to:

external stoma of urinary tract (596.81-596.83)

internal anastomosis of urinary tract (997.5)

996.4 Mechanical complication of internal orthopedic device, implant, and graft

Mechanical complications involving:

external (fixation) device utilizing internal screw(s), pin(s) or other methods of fixation

grafts of bone, cartilage, muscle, or tendon

internal (fixation) device such as nail, plate, rod, etc.

Use additional code to identify prosthetic joint with mechanical complication (V43.60-V43.69)

Excludes: complications of external orthopedic device, such as:

pressure ulcer due to cast (707.00-707.09)

996.40 Unspecified mechanical complication of internal orthopedic device, implant, and graft

996.41 Mechanical loosening of prosthetic joint

Aseptic loosening

996.42 Dislocation of prosthetic joint

Instability of prosthetic joint

Subluxation of prosthetic joint

996.43 Broken prosthetic joint implant

Breakage (fracture) of prosthetic joint

996.44 Peri-prosthetic fracture around prosthetic joint

996.45 Peri-prosthetic osteolysis

Use additional code to identify major osseous defect, if applicable (731.3)

996.46 Articular bearing surface wear of prosthetic joint

996.47 Other mechanical complication of prosthetic joint implant

Mechanical complication of prosthetic joint NOS

Prosthetic joint implant failure NOS

996.49 Other mechanical complication of other internal orthopedic device, implant, and graft

Breakage of internal fixation device in bone

Dislocation of internal fixation device in bone

Excludes: mechanical complication of prosthetic joint implant (996.41-996.46)

996.5 Mechanical complication of other specified prosthetic device, implant, and graft

Mechanical complications involving:

prosthetic implant in:

bile duct

breast


chin

orbit of eye

nonabsorbable surgical material NOS

other graft, implant, and internal device, not elsewhere classified

996.51 Due to corneal graft

996.52 Due to graft of other tissue, not elsewhere classified

Skin graft failure or rejection

Excludes: failure of artificial skin graft (996.55)

failure of decellularized allodermis (996.55)

sloughing of temporary skin allografts or xenografts (pigskin) - omit code

996.53 Due to ocular lens prosthesis

Excludes: contact lenses - code to condition

996.54 Due to breast prosthesis

Breast capsule (prosthesis)

Mammary implant

996.55 Due to artificial skin graft and decellularized allodermis

Dislodgement

Displacement

Failure

Non-adherence



Poor incorporation

Shearing


996.56 Due to peritoneal dialysis catheter

Excludes: mechancial complication of arteriovenous dialysis catheter (996.1)

996.57 Due to insulin pump

996.59 Due to other implant and internal device, not elsewhere classified

Nonabsorbable surgical material NOS

Prosthetic implant in:

bile duct

chin


orbit of eye

996.6 Infection and inflammatory reaction due to internal prosthetic device, implant, and graft

Infection (causing obstruction) due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Inflammation due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Use additional code to identify specified infections

996.60 Due to unspecified device, implant and graft

996.61 Due to cardiac device, implant and graft

Cardiac pacemaker or defibrillator:

electrode(s), lead(s)

pulse generator

subcutaneous pocket

Coronary artery bypass graft

Heart valve prosthesis

996.62 Due to vascular device, implant and graft

Arterial graft

Arteriovenous fistula or shunt

Infusion pump

Vascular catheter (arterial) (dialysis) (peripheral venous)

Excludes: infection due to:

central venous catheter (999.31-999.32)

Hickman catheter (999.31-999.32)

peripherally inserted central catheter (PICC) (999.31-999.32)

portacath (port-a-cath) (999.31-999.32)

triple lumen catheter (999.31-999.32)

umbilical venous catheter (999.31-999.32)

996.63 Due to nervous system device, implant and graft

Electrodes implanted in brain

Peripheral nerve graft

Spinal canal catheter

Ventricular (communicating) shunt (catheter)

996.64 Due to indwelling urinary catheter

Use additional code to identify specified infections, such as:

Cystitis (595.0-595.9)

Sepsis (038.0-038.9)

Excludes: complications due to:

external stoma of urinary tract (596.81-596.83)

996.65 Due to other genitourinary device, implant and graft

Intrauterine contraceptive device

996.66 Due to internal joint prosthesis

Use additional code to identify infected prosthetic joint (V43.60-V43.69)

996.67 Due to other internal orthopedic device, implant and graft

Bone growth stimulator (electrode)

Internal fixation device (pin) (rod) (screw)

996.68 Due to peritoneal dialysis catheter

Exit-site infection or inflammation

996.69 Due to other internal prosthetic device, implant, and graft

Breast prosthesis

Ocular lens prosthesis

Prosthetic orbital implant

996.7 Other complications of internal (biological) (synthetic) prosthetic device, implant, and graft

Complication NOS due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

occlusion NOS

Embolism due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Fibrosis due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Hemorrhage due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Pain due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Stenosis due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Thrombus due to (presence of) any device, implant, and graft classifiable to 996.0-996.5

Use additional code to identify complication, such as:

pain due to presence of device, implant or graft (338.18-338.19, 338.28-338.29)

venous embolism and thrombosis (453.2-453.9)

Excludes: disruption (dehiscence) of internal suture material (998.31)

transplant rejection (996.80-996.89)

996.70 Due to unspecified device, implant, and graft

996.71 Due to heart valve prosthesis

996.72 Due to other cardiac device, implant, and graft

Cardiac pacemaker or defibrillator:

electrode(s), lead(s)

subcutaneous pocket

Coronary artery bypass (graft)

Excludes: occlusion due to atherosclerosis (414.00-414.07)

996.73 Due to renal dialysis device, implant, and graft

996.74 Due to vascular device, implant, and graft

Excludes: occlusion of biological graft due to atherosclerosis (440.30-440.32)

996.75 Due to nervous system device, implant, and graft

996.76 Due to genitourinary device, implant, and graft

Excludes: complications of implanted vaginal mesh (629.31-629.32)

996.77 Due to internal joint prosthesis

Use additional code to identify prosthetic joint (V43.60-V43.69)

996.78 Due to other internal orthopedic device, implant, and graft

996.79 Due to other internal prosthetic device, implant, and graft

996.8 Complications of transplanted organ

Transplant failure or rejection

Use additional code to identify nature of complication, such as:

Cytomegalovirus [CMV] infection (078.5)

graft-versus-host disease (279.50-279.53)

malignancy associated with organ transplant (199.2)

post-transplant lymphoproliferative disorder (PTLD) (238.77)

996.80 Transplanted organ, unspecified

996.81 Kidney

996.82 Liver

996.83 Heart

996.84 Lung

996.85 Bone marrow

996.86 Pancreas

996.87 Intestine

996.88 Stem cell

Complications from stem cells from:

peripheral blood

umbilical cord

996.89 Other specified transplanted organ

996.9 Complications of reattached extremity or body part

996.90 Unspecified extremity

996.91 Forearm

996.92 Hand

996.93 Finger(s)

996.94 Upper extremity, other and unspecified

996.95 Foot and toe(s)

996.96 Lower extremity, other and unspecified

996.99 Other specified body part

997 Complications affecting specified body systems, not elsewhere classified

Use additional code to identify complication

Excludes: the listed conditions when specified as:

causing shock (998.00-998.09)

complications of:

anesthesia:

adverse effect (001.0-799.9, 995.0-995.8)

in labor or delivery (668.0-668.9)

poisoning (968.0-969.9)

implanted device or graft (996.0-996.9)

obstetrical procedures (669.0-669.4)

reattached extremity (996.90-996.96)

transplanted organ (996.80-996.89)

997.0 Nervous system complications

997.00 Nervous system complication, unspecified

997.01 Central nervous system complication

Anoxic brain damage

Cerebral hypoxia

Excludes: Cerebrovascular hemorrhage or infarction (997.02)

997.02 Iatrogenic cerebrovascular infarction or hemorrhage

Postoperative stroke

997.09 Other nervous system complications

997.1 Cardiac complications

Cardiac:


arrest during or resulting from a procedure

insufficiency during or resulting from a procedure

Cardiorespiratory failure during or resulting from a procedure

Heart failure during or resulting from a procedure

Excludes: the listed conditions as long-term effects of cardiac surgery or due to the presence of cardiac prosthetic device (429.4)

997.2 Peripheral vascular complications

Phlebitis or thrombophlebitis during or resulting from a procedure

Excludes: the listed conditions due to:

implant or catheter device (996.62)

infusion, perfusion, or transfusion (999.2)

complications affecting blood vessels (997.71-997.79)

997.3 Respiratory complications

Excludes: iatrogenic [postoperative] pneumothorax (512.1)

iatrogenic pulmonary embolism (415.11)

specified complications classified elsewhere, such as:

adult respiratory distress syndrome (518.52)

pulmonary edema, postoperative (518.4)

respiratory insufficiency, acute, postoperative (518.52)

shock lung related to trauma and surgery (518.52)

tracheostomy complications (519.00-519.09)

transfusion related acute lung injury (TRALI) (518.7)

997.31 Ventilator associated pneumonia

Ventilator associated pneumonitis

Use additional code to identify organism

997.32 Postprocedural aspiration pneumonia

Chemical pneumonitis resulting from a procedure

Mendelson's syndrome resulting from a procedure

Excludes: aspiration pneumonia during labor and delivery (668.0)

997.39 Other respiratory complications

997.4 Digestive system complications

Complications of:

Intestinal (internal) anastomosis and bypass, not elsewhere classified, except that involving urinary tract

Hepatic failure specified as due to a procedure

Hepatorenal syndrome specified as due to a procedure

Intestinal obstruction NOS specified as due to a procedure

Excludes: specified gastrointestinal complications classified elsewhere, such as:

blind loop syndrome (579.2)

colostomy or enterostomy complications (569.60-569.69)

complications of gastric band procedure (539.01-539.09)

complications of intestinal pouch (569.71-569.79)

complications of other bariatric procedure (539.81-539.89)

gastrojejunal ulcer (534.0-534.9)

gastrostomy complications (536.40-536.49)

infection of esophagostomy (530.86)

infection of external stoma (569.61)

mechanical complication of esophagostomy (530.87)

pelvic peritoneal adhesions, female (614.6)

peritoneal adhesions (568.0)

peritoneal adhesions with obstruction (560.81)

postcholecystectomy syndrome (576.0)

postgastric surgery syndromes (564.2)

pouchitis (569.71)

vomiting following gastrointestinal surgery (564.3)

997.41 Retained cholelithiasis following cholecystectomy

997.49 Other digestive system complications

997.5 Urinary complications

Complications of:

internal anastomosis and bypass of urinary tract, including that involving intestinal tract

Oliguria or anuria specified as due to procedure

Renal (kidney):

failure (acute) specified as due to procedure

insufficiency (acute) specified as due to procedure

Tubular necrosis (acute) specified as due to procedure

Excludes: complications of cystostomy (596.81-596.83)

complications of external stoma of urinary tract (596.81-596.83)

specified complications classified elsewhere, such as:

postoperative stricture of:

ureter (593.3)

urethra (598.2)

997.6 Amputation stump complication

Excludes: admission for treatment for a current traumatic amputation- code to complicated traumatic amptutation

phantom limb (syndrome) (353.6)

997.60 Unspecified complication

997.61 Neuroma of amputation stump

997.62 Infection (chronic)

Use additional code to identify the organism

997.69 Other

997.7 Vascular complications of other vessels

Excludes: peripheral vascular complications (997.2)

997.71 Vascular complications of mesenteric artery

997.72 Vascular complications of renal artery

997.79 Vascular complications of other vessels

997.9 Complications affecting other specified body systems, not elsewhere classified

Excludes: specified complications classified elsewhere, such as:

broad ligament laceration syndrome (620.6)

postartificial menopause syndrome (627.4)

postoperative stricture of vagina (623.2)

997.91 Hypertension

Excludes: Essential hypertension (401.0-401.9)

997.99 Other

Vitreous touch syndrome

998 Other complications of procedures, NEC

Excludes: fluid overload due to transfusion (blood) (276.61)

TACO (276.61)

transfusion associated circulatory overload (276.61)

998.0 Postoperative shock

Shock during or resulting from a surgical procedure

Excludes: shock:

anaphylactic due to serum (999.41-999.49)

anesthetic (995.4)

electric (994.8)

following abortion (639.5)

obstetric (669.1)

traumatic (958.4)

998.00 Postoperative shock, unspecified

Collapse, not otherwise specified, during or resulting from a surgical procedure

Failure of peripheral circulation, postoperative

998.01 Postoperative shock, cardiogenic

998.02 Postoperative shock, septic

Postoperative endotoxic shock

Postoperative gram-negative shock

Code first underlying infection

Use additional code, to identify severe sepsis (995.92) and any associated acute organ dysfunction, if applicable

998.09 Postoperative shock, other

Postoperative hypovolemic shock

998.1 Hemorrhage or hematoma or seroma complicating a procedure

Excludes: hemorrhage, hematoma or seroma:

complicating cesarean section or puerperal perineal wound (674.3)

due to implanted device or graft (996.70-996.79)

998.11 Hemorrhage complicating a procedure

998.12 Hematoma complicating a procedure

998.13 Seroma complicating a procedure

998.2 Accidental puncture or laceration during a procedure

Accidental perforation by catheter or other instrument during a procedure on:

blood vessel

nerve


organ

Excludes: iatrogenic [postoperative] pneumothorax (512.1)

puncture or laceration caused by implanted device intentionally left in operation wound (996.0-996.5)

specified complications classified elsewhere, such as:

broad ligament laceration syndrome (620.6)

dural tear (349.31)

incidental durotomy (349.31)

trauma from instruments during delivery (664.0-665.9)

998.3 Disruption of wound

Dehiscence of operation wound

Disruption of any suture materials or other closure method

Rupture of operation wound

Excludes: disruption of:

amputation stump (997.69)

cesarean wound (674.1)

perineal wound, puerperal (674.2)

998.30 Disruption of wound, unspecified

Disruption of wound NOS

998.31 Disruption of internal operation (surgical) wound

Disruption or dehiscence of closure of:

fascia, superficial or muscular

internal organ

muscle or muscle flap

ribs or rib cage

skull or craniotomy

sternum or sternotomy

tendon or ligament

Deep disruption or dehiscence of operation wound NOS

Excludes: complications of internal anastomosis of:

gastrointestinal tract (997.49)

urinary tract (997.5)

998.32 Disruption of external operation (surgical) wound

Disruption or dehiscence of closure of:

cornea


mucosa

skin


subcutaneous tissue

Full-thickness skin disruption or dehiscence

Superficial disruption or dehiscence of operation wound

998.33 Disruption of traumatic injury wound repair

Disruption or dehiscence of closure of traumatic laceration (external) (internal)

998.4 Foreign body accidentally left during a procedure

Adhesions due to foreign body accidentally left in operative wound or body cavity during a procedure

Obstruction due to foreign body accidentally left in operative wound or body cavity during a procedure

Perforation due to foreign body accidentally left in operative wound or body cavity during a procedure

Excludes: obstruction or perforation caused by implanted device intentionally left in body (996.0-996.5)

998.5 Postoperative infection

Excludes: bleb associated endophthalmitis (379.63)

infection due to:

implanted device (996.60-996.69)

infusion, perfusion, or transfusion (999.31-999.39)

postoperative obstetrical wound infection (674.3)

998.51 Infected postoperative seroma

Use additional code to identify organism

998.59 Other postoperative infection

Abscess: postoperative

intra-abdominal postoperative

stitch postoperative

subphrenic postoperative

wound postoperative

Septicemia postoperative

Use additional code to identify infection

998.6 Persistent postoperative fistula

998.7 Acute reaction to foreign substance accidentally left during a procedure

Peritonitis:

aseptic


chemical

998.8 Other specified complications of procedures, not elsewhere classified

998.81 Emphysema (subcutaneous) (surgical) resulting from a procedure

998.82 Cataract fragments in eye following cataract surgery

998.83 Non-healing surgical wound

998.89 Other specified complications

998.9 Unspecified complication of procedure, not elsewhere classified

Postoperative complication NOS

Excludes: complication NOS of obstetrical surgery or procedure (669.4)

999 Complications of medical care, not elsewhere classified

Includes: complications, not elsewhere classified, of:

dialysis (hemodialysis) (peritoneal) (renal)

extracorporeal circulation

hyperalimentation therapy

immunization

infusion


inhalation therapy

injection

inoculation

perfusion

transfusion

vaccination

ventilation therapy

Use additional code, where applicable, to identify specific complication

Excludes: specified complications classified elsewhere such as:

complications of implanted device (996.0-996.9)

contact dermatitis due to drugs (692.3)

dementia dialysis (294.8)

transient (293.9)

dialysis disequilibrium syndrome (276.0-276.9)

poisoning and toxic effects of drugs and chemicals (960.0-989.9)

postvaccinal encephalitis (323.51)

water and electrolyte imbalance (276.0-276.9)

999.0 Generalized vaccinia

Excludes: vaccinia not from vaccine (051.02)

999.1 Air embolism

Air embolism to any site following infusion, perfusion, or transfusion

Excludes: embolism specified as:

complicating:

abortion (634-638 with.6, 639.6)

ectopic or molar pregnancy (639.6)

pregnancy, childbirth, or the puerperium (673.0)

due to implanted device (996.7)

traumatic (958.0)

999.2 Other vascular complications

Phlebitis following infusion, perfusion, or transfusion

Thromboembolism following infusion, perfusion, or transfusion

Thrombophlebitis following infusion, perfusion, or transfusion

Excludes: extravasation of vesicant drugs (999.81, 999.82)

the listed conditions when specified as:

due to implanted device (996.61-996.62, 996.72-996.74)

postoperative NOS (997.2, 997.71-997.79)

999.3 Other infection

Infection following infusion, injection, transfusion, or vaccination

Sepsis following infusion, injection, transfusion, or vaccination

Septicemia following infusion, injection, transfusion, or vaccination

Use additional code to identify the specified infection, such as:

septicemia (038.0-038.9)

Excludes: the listed conditions when specified as:

due to implanted device (996.60-996.69)

postoperative NOS (998.51-998.59)

999.31 Other and unspecified infection due to central venous catheter

Central line-associated infection

Infection due to:

central venous catheter NOS

Hickman catheter

peripherally inserted central catheter (PICC)

portacath (port-a-cath)

triple lumen catheter

umbilical venous catheter

Excludes: infection due to:

arterial catheter (996.62)

catheter NOS (996.69)

peripheral venous catheter (996.62)

urinary catheter (996.64)

999.32 Bloodstream infection due to central venous catheter

Bloodstream infection due to:

Hickman catheter

peripherally inserted central catheter (PICC)

portacath (port-a-cath)

triple lumen catheter

umbilical venous catheter

Catheter-related bloodstream infection (CRBSI) NOS

Central line-associated bloodstream infection (CLABSI)

999.33 Local infection due to central venous catheter

Exit or insertion site infection

Local infection due to:

Hickman catheter

peripherally inserted central catheter (PICC)

portacath (port-a-cath)

triple lumen catheter

umbilical venous catheter

Port or reservoir infection

Tunnel infection

999.34 Acute infection following transfusion, infusion, or injection of blood and blood products

999.39 Infection following other infusion, injection, transfusion, or vaccination

999.4 Anaphylactic reaction due to serum

Allergic shock

Anaphylactic shock due to serum

Anaphylactoid reaction due to serum

Anaphylaxis

Excludes: ABO incompatibility reaction due to transfusion of blood or blood products (999.60-999.69)

reaction:

allergic NOS (995.0)

anaphylactic:

NOS (995.0)

due to drugs and chemicals (995.0)

other serum (999.51-999.59)

shock:

allergic NOS (995.0)



anaphylactic:

NOS (995.0)

due to drugs and chemicals (995.0)

999.41 Anaphylactic reaction due to administration of blood and blood products

999.42 Anaphylactic reaction due to vaccination

999.49 Anaphylactic reaction due to other serum

999.5 Other serum reaction

Intoxication by serum

Protein sickness

Serum rash

Serum sickness

Urticaria due to serum

Excludes: serum hepatitis (070.2-070.3)

999.51 Other serum reaction due to administration of blood and blood products

999.52 Other serum reaction due to vaccination

999.59 Other serum reaction

999.6 ABO incompatibility reaction due to transfusion of blood or blood products

Excludes: minor blood group antigens reactions (Duffy) (E) (K(ell)) (Kidd) (Lewis) (M) (N) (P) (S) (999.75-999.79)

999.60 ABO incompatibility reaction, unspecified

ABO incompatible blood transfusion NOS

Reaction to ABO incompatibility from transfusion NOS

999.61 ABO incompatibility with hemolytic transfusion reaction not specified as acute or delayed

ABO incompatibility with hemolytic transfusion reaction at unspecified time after transfusion

Hemolytic transfusion reaction (HTR) due to ABO incompatibility

999.62 ABO incompatibility with acute hemolytic transfusion reaction

ABO incompatibility with hemolytic transfusion reaction less than 24 hours after transfusion

Acute hemolytic transfusion reaction (AHTR) due to ABO incompatibility

999.63 ABO incompatibility with delayed hemolytic transfusion reaction

ABO incompatibility with hemolytic transfusion reaction 24 hours or more after transfusion

Delayed hemolytic transfusion reaction (DHTR) due to ABO incompatibility

999.69 Other ABO incompatibility reaction

Delayed serologic transfusion reaction (DSTR) from ABO incompatibility

Other ABO incompatible blood transfusion

Other reaction to ABO incompatibility from transfusion

999.7 Rh and other non-ABO incompatibility reaction due to transfusion of blood or blood products

999.70 Rh incompatibility reaction, unspecified

Reaction due to Rh factor in transfusion NOS

Rh incompatible blood transfusion NOS

Unspecified reaction due to incompatibility related to Rh antigens (C) (c) (D) (E) (e)

Unspecified reaction to Rh incompatibility

999.71 Rh incompatibility with hemolytic transfusion reaction not specified as acute or delayed

Hemolytic transfusion reaction (HTR) due to Rh incompatibility

HTR due to incompatibility related to Rh antigens (C) (c) (D) (E) (e), not specified as acute or delayed

Rh incompatibility with hemolytic transfusion reaction at unspecified time after transfusion

999.72 Rh incompatibility with acute hemolytic transfusion reaction

Acute hemolytic transfusion reaction (AHRT) due to Rh incompatibility

AHTR due to incompatibility related to Rh antigens (C) (c) (D) (E) (e)

Rh incompatibility with hemolytic transfusion reaction less than 24 hours after transfusion

999.73 Rh incompatibility with delayed hemolytic transfusion reaction

Delayed hemolytic transfusion reaction (DHTR) due to Rh incompatibility

DHTR due to incompatibility related to Rh antigens (C) (c) (D) (E) (e)

Rh incompatibility with hemolytic transfusion reaction 24 hours or more after transfusion

999.74 Other Rh incompatibility reaction

Delayed serologic transfusion reaction (DSTR) from Rh incompatibility

Other reaction due to incompatibility related to Rh antigens (C) (c) (D) (E) (e)

Other reaction to Rh incompatible blood transfusion

999.75 Non-ABO incompatibility reaction, unspecified

Non-ABO incompatible blood transfusion NOS

Reaction to non-ABO antigen incompatibility from transfusion NOS

Unspecified reaction due to incompatibility related to minor antigens (Duffy) (Kell) (Kidd) (Lewis) (M) (N) (P) (S)

999.76 Non-ABO incompatibility with hemolytic transfusion reaction not specified as acute or delayed

Hemolytic transfusion reaction (HTR) due to non-ABO incompatibility

HTR from incompatibility related to minor antigens (Duffy) (Kell) (Kidd) (Lewis) (M) (N) (P) (S)

Non-ABO incompatibility with hemolytic transfusion reaction at unspecified time after transfusion

999.77 Non-ABO incompatibility with acute hemolytic transfusion reaction

Acute hemolytic transfusion reaction (AHTR) due to non-ABO incompatibility

AHTR from incompatibility related to minor antigens (Duffy) (Kell) (Kidd) (Lewis) (M) (N) (P) (S)

Non-ABO incompatibility with hemolytic transfusion reaction less than 24 hours after transfusion

999.78 Non-ABO incompatibility with delayed hemolytic transfusion reaction

Delayed hemolytic transfusion reaction (DHTR) due to non-ABO incompatibility

DHTR from incompatibility related to minor antigens (Duffy) (Kell) (Kidd) (Lewis) (M) (N) (P) (S)

Non-ABO incompatibility with hemolytic transfusion reaction 24 hours or more after transfusion

999.79 Other non-ABO incompatibility reaction

Delayed serologic transfusion reaction (DSTR) from non-ABO incompatibility

Other non-ABO incompatible blood transfusion

Other reaction due to incompatibility related to minor antigens (Duffy) (Kell) (Kidd) (Lewis) (M) (N) (P) (S)

Other reaction to non-ABO incompatibility from transfusion

999.8 Other and unspecified infusion and transfusion reaction

Excludes: ABO incompatibility reactions (999.60-999.69)

febrile nonhemolytic transfusion reaction (FNHTR) (780.66)

hemochromatosis due to repeated red blood cell transfusions (275.02)

non-ABO incompatibility reactions (999.70-999.79)

postoperative shock (998.00-998.09)

posttransfusion purpura (287.41)

Rh incompatibility reactions (999.70-999.74)

transfusion associated circulatory overload (TACO) (276.61)

transfusion related acute lung injury (TRALI) (518.7)

999.80 Transfusion reaction, unspecified

Incompatible blood transfusion NOS

Reaction to blood group incompatibility in infusion or transfusion NOS

999.81 Extravasation of vesicant chemotherapy

Infiltration of vesicant chemotherapy

999.82 Extravasation of other vesicant agent

Infiltration of other vesicant agent

999.83 Hemolytic transfusion reaction, incompatibility unspecified

Hemolytic transfusion reaction (HTR) with antigen incompatibility unspecified, not specified as acute or delayed

HTR with incompatibility unspecified at unspecified time after transfusion

999.84 Acute hemolytic transfusion reaction, incompatibility unspecified

Acute hemolytic transfusion reaction (AHTR) with antigen incompatibility unspecified

AHTR, incompatibility unspecified

999.85 Delayed hemolytic transfusion reaction, incompatibility unspecified

Delayed hemolytic transfusion reaction (DHTR) with antigen incompatibility unspecified

DHTR, incompatibility unspecified

999.88 Other infusion reaction

999.89 Other transfusion reaction

Delayed serologic transfusion reaction (DSTR), incompatibility unspecified

Use additional code to identify graft-versus-host reaction (279.5)

999.9 Other and unspecified complications of medical care, not elsewhere classified

Complications, not elsewhere classified, of:

electroshock therapy

inhalation therapy

ultrasound therapy

ventilation therapy

Unspecified misadventure of medical care

Excludes: unspecified complication of:

phototherapy (990)

radiation therapy (990)

ventilator associated pneumonia (997.31)

SUPPLEMENTARY CLASSIFICATION OF FACTORS INFLUENCING HEALTH STATUS AND CONTACT WITH HEALTH SERVICES (V01-V91)

This classification is provided to deal with occasions when circumstances other than a disease or injury classifiable to categories 001-999 (the main part of ICD) are recorded as "diagnoses" or "problems." This can arise mainly in three ways:

a) When a person who is not currently sick encounters the health services for some specific purpose, such as to act as a donor of an organ or tissue, to receive prophylactic vaccination, or to discuss a problem which is in itself not a disease or injury. This will be a fairly rare occurrence among hospital inpatients, but will be relatively more common among hospital outpatients and patients of family practitioners, health clinics, etc.

b) When a person with a known disease or injury, whether it is current or resolving, encounters the health care system for a specific treatment of that disease or injury (e.g., dialysis for renal disease; chemotherapy for malignancy; cast change).

c) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury. Such factors may be elicited during population surveys, when the person may or may not be currently sick, or be recorded as an additional factor to be borne in mind when the person is receiving care for some current illness or injury classifiable to categories 001-999.

In the latter circumstances the V code should be used only as a supplementary code and should not be the one selected for use in primary, single cause tabulations. Examples of these circumstances are a personal history of certain diseases, or a person with an artificial heart valve in situ.


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