for Physicians Volumes 1 & 2

IPP Prelim n.fm Page i W ednesday,June 20,2012 10:28 A M ICD-9-CM for Physicians – Volumes 1 & 2 2015 Professional International Classification of Di...
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IPP Prelim n.fm Page i W ednesday,June 20,2012 10:28 A M

ICD-9-CM for Physicians – Volumes 1 & 2 2015 Professional International Classification of Diseases 9th Revision Clinical Modification Sixth Edition Edited by: Anita C. Hart, RHIA, CCS, CCS-P Melinda S. Stegman, MBA, CCS Beth Ford, RHIT, CCS Optum is committed to providing you with the ICD-9-CM code update information you need to code accurately and to be in compliance with HIPAA regulations. In case of adoption of additional ICD-9-CM code changes effective April 1, 201, Optum will provide these code changes to you at no additional cost! Just check back at www.optumcoding.com/productalerts to review the latest information concerning any new code changes.

Codes Valid October 1, 201, through September 30, 201

ICD 9-P-V 1.book Page 129 M onday,June 18,2012 2:06 PM

Tabular List

Diseases of the Circulatory System

421–424.0 Cardiac Tamponade

DEF: Bacterial inflammation of the endocardium (intracardiac area); major symptoms include fever, fatigue, heart murmurs, splenomegaly, embolic episodes and areas of infarction.

421.0 Acute and subacute bacterial endocarditis Endocarditis (acute)(chronic) (subacute): bacterial infective NOS lenta malignant purulent septic ulcerative vegetative Infective aneurysm Subacute bacterial endocarditis [SBE] Use additional code to identify infectious organism [e.g., Streptococcus 041.0, Staphylococcus 041.1] AHA: 4Q, ‘08, 73; 1Q, ‘99, 12; 1Q, ‘91, 15 I33.0 Acute and subacute infective endocarditis

Normal

Serous pericardium (visceral layer)

Pericardial space (potential)

422.99 Other

b 423 Other diseases of pericardium

2

422.0 Acute myocarditis in diseases classified elsewhere Code first underlying disease, as: myocarditis (acute): influenzal (487.8, 488.09, 488.19) tuberculous (017.9) 2 myocarditis (acute) (due to): aseptic, of newborn (074.23) Coxsackie (virus) (074.23) diphtheritic (032.82) meningococcal infection (036.43) syphilitic (093.82) toxoplasmosis (130.3)

c 422.9 Other and unspecified acute myocarditis 422.90 Acute myocarditis, unspecified Acute or subacute (interstitial) myocarditis 422.91 Idiopathic myocarditis Myocarditis (acute or subacute): Fiedler's giant cell isolated (diffuse) (granulomatous) nonspecific granulomatous 422.92 Septic myocarditis Myocarditis, acute or subacute: pneumococcal staphylococcal Use additional code to identify infectious organism [e.g., Staphylococcus 041.1] 2 myocarditis, acute or subacute: in bacterial diseases classified elsewhere (422.0) streptococcal (391.2)

that specified as rheumatic (393)

423.0 Hemopericardium DEF: Blood in the pericardial sac (pericardium).

423.1 Adhesive pericarditis Adherent pericardium Fibrosis of pericardium Milk spots

Pericarditis: adhesive obliterative Soldiers' patches

DEF: Two layers of serous pericardium adhere to each other by fibrous adhesions.

423.2 Constrictive pericarditis Concato's disease Pick's disease of heart (and liver) DEF: Inflammation identified by a rigid, thickened and sometimes calcified pericardium; ventricles of the heart not adequately filled; congestive heart failure may result.

423.3 Cardiac tamponade Code first the underlying cause DEF: Life-threatening condition in which fluid or blood accumulates between the muscle of the heart (myocardium) and the outer sac (pericardium), resulting in compression of the heart, which decreases cardiac output. AHA: 4Q, ’07, 86, 87

423.8 Other specified diseases of pericardium Calcification of pericardium Fistula AHA: 2Q, ‘89, 12

423.9 Unspecified disease of pericardium AHA: 1Q, ’07, 11

b 424 Other diseases of endocardium

2

bacterial endocarditis (421.0-421.9) rheumatic endocarditis (391.1, 394.0-397.9) syphilitic endocarditis (093.20-093.24)

424.0 Mitral valve disorders Mitral (valve): incompetence NOS of specified cause, insufficiency except rheumatic regurgitation 2 mitral (valve): disease (394.9) failure (394.9) stenosis (394.0) the listed conditions: specified as rheumatic (394.1) unspecified as to cause but with mention of: diseases of aortic valve (396.0-396.9) mitral stenosis or obstruction (394.2) AHA: 3Q, ’06, 7; 2Q, ‘00, 16; 3Q, ‘98, 11; N-D, ‘87, 8; N-D, ‘84, 8 I34.8 Other nonrheumatic mitral valve disorders

Manifestation Code

wx Revised Text

l

New Code

I-10

s Revised Code Title

Volume 1 – 129

421–424.0

acute rheumatic myocarditis (391.2)

Other Specified Code

-- constricted areas

DEF: Inflammation of the heart muscle due to an adverse reaction to certain drugs or chemicals reaching the heart through the bloodstream.

I-10

DEF: Acute inflammation of the muscular walls of the heart (myocardium).

Unspecified Code

Serous pericardium (parietal layer)

422.93 Toxic myocarditis

b 422 Acute myocarditis

b Additional Digit Required c 201 ICD-9-CM

Excessive fluid in pericardial space

Fibrous pericardium

421.1 Acute and subacute infective endocarditis in diseases classified elsewhere Code first underlying disease, as: blastomycosis (116.0) Q fever (083.0) typhoid (fever) (002.0) 2 endocarditis (in): Coxsackie (virus) (074.22) gonococcal (098.84) histoplasmosis (115.0-115.9 with fifth-digit 4) meningococcal infection (036.42) monilial (112.81) 421.9 Acute endocarditis, unspecified Endocarditis Myoendocarditis acute or subacute Periendocarditis 2 acute rheumatic endocarditis (391.1)

2

Cardiac Tamponade

Diseases of the Circulatory System

b 421 Acute and subacute endocarditis

ICD 9-P-V 1.book Page 134 M onday,June 18,2012 2:06 PM

Diseases of the Circulatory System

432–437.4

Diseases of the Circulatory System §

Cerebrovascular Arteries Posterior parietal Parietal-occipital Calcarine

1

Middle cerebral Ophthalmic

Anterior inferior cerebellar

2

Posterior communicating External carotid

Posterior inferior cerebellar Basilar

DEF: Temporary restriction of blood flow to arteries branching into brain.

435.1 Vertebral artery syndrome 435.2 Subclavian steal syndrome

Aorta

DEF: Cerebrovascular insufficiency, due to occluded subclavian artery; symptoms include pain in mastoid and posterior head regions, flaccid paralysis of arm and diminished or absent radial pulse on affected side.

b 432 Other and unspecified intracranial hemorrhage AHA: 4Q, ’04, 7

432.0 Nontraumatic extradural hemorrhage Nontraumatic epidural hemorrhage

435.3 Vertebrobasilar artery syndrome DEF: Transient ischemic attack; due to brainstem dysfunction; symptoms include confusion, vertigo, binocular blindness, diplopia, unilateral or bilateral weakness and paresthesis of extremities. AHA: 4Q, ‘95, 60

DEF: Bleeding, nontraumatic, between skull and brain lining.

432.1 Subdural hemorrhage Subdural hematoma, nontraumatic DEF: Bleeding, between outermost and other layers of brain lining.

b 433 Occlusion and stenosis of precerebral arteries

1

embolism narrowing of basilar, carotid, and vertebral obstruction arteries thrombosis 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) 2 insufficiency NOS of precerebral arteries (435.0-435.9)

432–437.4

The following fifth-digit subclassification is for use with category 433: 0 without mention of cerebral infarction 1 with cerebral infarction DEF: Blockage, stricture, arteries branching into brain. AHA: 2Q, ‘95, 14; 3Q, ‘90, 16

c 433.0 Basilar artery [0-1]

c 433.1 Carotid artery [0-1]

§

AHA: 1Q, ‘00, 16; For code 433.10: 1Q, ’06, 17; 1Q, ‘02, 7, 10 I65.29 Occlusion and stenosis of unspec carotid artery I63.239 Cerbral infarct d/t usp occ/stenosis of uns carotid art I63.449 Cerbral infarct d/t embo of uns cerebellar art

I-10 I-10 I-10

[0-1]

c 433.3 Multiple and bilateral

§

c 433.8 Other specified precerebral artery

[0-1]

AHA: 2Q, ‘02, 19

The following fifth-digit subclassification is for use with category 434: 0 without mention of cerebral infarction 1 with cerebral infarction

c 434.0 Cerebral thrombosis Thrombosis of cerebral arteries

§

437.2 Hypertensive encephalopathy DEF: Cerebral manifestations (such as visual disturbances and headache) due to high blood pressure. AHA: J-A, ‘84, 14

AHA: 2Q, ’09, 12

AHA: For code 434.01: 4Q, ’04, 77

437.4 Cerebral arteritis

c 434.1 Cerebral embolism [0-1]

I-10

437.3 Cerebral aneurysm, nonruptured Internal carotid artery, intracranial portion Internal carotid artery NOS 2 congenital cerebral aneurysm, nonruptured (747.81) internal carotid artery, extracranial portion (442.81)

AHA: 2Q, ‘95, 14

§

y

AHA: 1Q, ’09, 8

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)

[0-1]

AHA: 4Q, ’04, 77; 4Q, ‘99, 3 TIP: Do not assign when documentation indicates “CVA, stroke, or cerebral infarction.” See instead default code 434.91.

437.1 Other generalized ischemic cerebrovascular disease Acute cerebrovascular insufficiency NOS Cerebral ischemia (chronic)

Precerebral artery NOS

b 434 Occlusion of cerebral arteries

§

436 Acute, but ill-defined, cerebrovascular disease Apoplexy, apoplectic: Apoplexy, apoplectic: NOS seizure attack Cerebral seizure cerebral 2 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)

AHA: 3Q, ’10, 15 I67.2 Cerebral atherosclerosis

c 433.9 Unspecified precerebral artery [0-1]

I-10

437.0 Cerebral atherosclerosis Atheroma of cerebral arteries Cerebral arteriosclerosis

[0-1] §

AHA: N-D, ‘85, 12 G45.9 Transient cerebral ischemic attack unspecified

b 437 Other and ill-defined cerebrovascular disease

c 433.2 Vertebral artery

§

435.8 Other specified transient cerebral ischemias 435.9 Unspecified transient cerebral ischemia Impending cerebrovascular accident Intermittent cerebral ischemia Transient ischemic attack [TIA]

432.9 Unspecified intracranial hemorrhage Intracranial hemorrhage NOS

§

cerebrovascular insufficiency (acute) with transient focal neurological signs and symptoms insufficiency of basilar, carotid, and vertebral arteries spasm of cerebral arteries acute cerebrovascular insufficiency NOS (437.1) that due to any condition classifiable to 433 (433.0-433.9)

435.0 Basilar artery syndrome

Internal carotid

Vertebral

§

AHA: For code 434.91: 3Q, ’10, 5-6; 4Q, ‘08, 108; 3Q, ‘07, 9; 1Q, ‘07, 23; 4Q, ’04, 77-78; 4Q, ‘98, 87

b 435 Transient cerebral ischemia

Anterior communicating

Posterior cerebral

c 434.9 Cerebral artery occlusion, unspecified [0-1]

Callosal-marginal Pericallosal Anterior cerebral

Tabular List

AHA: For code 434.11: 4Q, ’04, 77; 3Q, ‘97, 11 I63.449 Cerbral infarct d/t embo of uns cerebellar art

I-10

DEF: Inflammation of a cerebral artery or arteries. AHA: 4Q, ‘99, 21

Requires fifth digit. Valid digits are in [brackets] under each code. See appropriate category for codes and definitions.

8 Newborn Age: 0 134 – Volume 1

9 Pediatric Age: 0-17

x Maternity Age: 12-55

y Adult Age: 15-124 20 ICD-9-CM

ICD 9-P-V 1.book Page 328 M onday,June 18,2012 2:06 PM

V Codes

V28.6–V42.83

V Codes

V28.6 Screening for Streptococcus B

Tabular List

x;

Persons with a Condition Influencing their Health Status (V40-V49)

AHA: 4Q, ‘97, 46

c V28.8 Other specified antenatal screening

NOTE

AHA: 4Q, ‘08, 159; 3Q, ‘99, 16

V28.81 Encounter for fetal anatomic survey

x; x;

V28.82 Encounter for screening for risk of pre-term labor V28.89 Other specified antenatal screening Chorionic villus sampling Genomic screening Nuchal translucency testing Proteomic screening

TIP: Includes patients with a carrier status or who have sequelae or residual of a past condition or disease, which may affect current or future treatment.

b V40 Mental and behavioral problems V40.0 Problems with learning

x;

V40.1 Problems with communication [including speech] V40.2 Other mental problems

c V40.3 Other behavioral problems

V28.9 Unspecified antenatal screening

;

AHA: 4Q, ’11, 158

V40.31 Wandering in diseases classified elsewhere Code first underlying disorder such as: Alzheimer’s disease (331.0) autism or pervasive developmental disorder (299.0-299.9) dementia, unspecified, with behavioral disturbance (294.21) intellectual disabilities (317-319) V40.39 Other specified behavioral problem V40.9 Unspecified mental or behavioral problem

b V29 Observation and evaluation of newborns and infants for suspected condition not found NOTE This category is to be used for newborns, within the neonatal period, (the first 28 days of life) who are suspected of having an abnormal condition resulting from exposure from the mother or the birth process, but without signs or symptoms, and, which after examination and observation, is found not to exist. 2 suspected fetal conditions not found (V89.01-V89.09) 1

AHA: 1Q, ‘00, 25; 4Q, ‘94, 47; 1Q, ‘94, 9; 4Q, ‘92, 21 TIP: Do not assign if the infant shows any signs or symptoms.

V29.0 Observation for suspected infectious condition

8

AHA: 1Q, ‘01, 10

1

V29.1 Observation for suspected neurological condition 1 V29.2 Observation for suspected respiratory condition 1 V29.3 Observation for suspected genetic or metabolic condition 1

1

b V41 Problems with special senses and other special functions V41.0 Problems with sight

8 8 8

V41.1 Other eye problems V41.2 Problems with hearing V41.3 Other ear problems

AHA: 2Q, ’05, 21; 4Q, ‘98, 59, 68

V29.8 Observation for other specified suspected condition

V41.4 Problems with voice production

8

V41.5 Problems with smell and taste V41.6 Problems with swallowing and mastication

AHA: 2Q, ‘03, 15

V29.9 Observation for unspecified suspected condition

8

V41.7 Problems with sexual function 2 marital problems (V61.10) psychosexual disorders (302.0-302.9)

V28.6–V42.83

AHA: 1Q, ‘02, 6

V41.8 Other problems with special functions

Liveborn Infants According to Type of Birth (V30-V39) NOTE

These categories are intended for the coding of liveborn infants who are consuming health care [e.g., crib or bassinet occupancy].

V41.9 Unspecified problem with special functions

b V42 Organ or tissue replaced by transplant

1

The following fourth-digit subdivisions are for use with categories V30-V39: 0 Born in hospital 8 1 Born before admission to hospital 8 2 Born outside hospital and not hospitalized The following two fifth-digits are for use with the fourth-digit .0, Born in hospital: 0 delivered without mention of cesarean delivery 1 delivered by cesarean delivery

V42.0 Kidney AHA: 1Q, ‘08, 10; 1Q, ‘03, 10; 3Q, ‘01, 12 Z94.0 Kidney transplant status

I-10

V42.1 Heart AHA: 3Q, ‘03, 16; 3Q, ‘01, 13

AHA: 1Q, ‘01, 10

V42.2 Heart valve

u

b V30 Single liveborn

V42.3 Skin

AHA: 2Q, ‘03, 9; 4Q, ‘98, 46, 59; 1Q, ‘94, 9; For code V30.00: 1Q, ‘04, 8, 16; 4Q, ’03, 68; For code V30.01: 4Q, ’09, 101; 4Q, ’05, 88; For code V30.10: 3Q, ’06, 10 I-10 Z38.00 Single liveborn infant delivered vaginally §

homologous or heterologous (animal) (human) transplant organ status

AHA: 3Q, ’11, 5; 3Q, ‘98, 3, 4 TIP: Do not assign if the patient has a complication of the transplanted organ; the code from subcategory 996.8 provides the information.

c

§

These categories are intended for use when these conditions are recorded as “diagnoses” or “problems.”

V42.4 Bone V42.5 Cornea

u

b V31 Twin, mate liveborn AHA: 3Q, ‘92, 10 Z38.31 Twin liveborn infant delivered by cesarean

§

b V32 Twin, mate stillborn

§

b V33 Twin, unspecified

§

b V34 Other multiple, mates all liveborn

§

b V35 Other multiple, mates all stillborn

§

b V36 Other multiple, mates live and stillborn

§

b V37 Other multiple, unspecified

§

b V39 Unspecified

V42.6 Lung V42.7 Liver

I-10

u u u u u u u

AHA: 3Q, ’11, 5 Z94.4 Liver transplant status

I-10

c V42.8 Other specified organ or tissue AHA: 4Q, ‘98, 64; 4Q, ‘97, 49

V42.81 Bone marrow

AHA: w1Q, ’12, 13x

V42.82 Peripheral stem cells V42.83 Pancreas AHA: 1Q, ‘03, 10; 2Q, ‘01, 16

1 A code from the V30–V39 series may be sequenced before the V29 on the newborn medical record. §

Require fourth and fifth digits. See beginning of section V30-V39 for codes and definitions.

8 Newborn Age: 0 328 – Volume 1 • October 2012

9 Pediatric Age: 0-17

x Maternity Age: 12-55

y Adult Age: 15-124

u Primary Diagnosis 201 ICD-9-CM

Official ICD-9-CM Guidelines for Coding and Reporting Effective October 1, 2011

6.

Note: Since no official ICD-9-CM addendum to the guidelines was released in 2012, the guidelines included in this book stand as the official guidelines effective October 1, 2012, through September 30, 2013.

7.

“And”

8.

“With”

9.

“See” and “See Also”

The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments within the U.S. Federal Government’s Department of Health and Human Services (DHHS) provide the following guidelines for coding and reporting using the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM). These guidelines should be used as a companion document to the official version of the ICD-9-CM as published on CD-ROM by the U.S. Government Printing Office (GPO).

B.

These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-9-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are included on the official government version of the ICD-9-CM, and also appear in “Coding Clinic for ICD-9-CM” published by the AHA. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-9-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in Volumes I, II and III of ICD-9-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-9-CM diagnosis and procedure codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Volumes 1-2) have been adopted under HIPAA for all healthcare settings. Volume 3 procedure codes have been adopted for inpatient procedures reported by hospitals. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses and procedures that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated. The term encounter is used for all settings, including hospital admissions. In the context of these guidelines, the term provider is used throughout the guidelines to mean physician or any qualified health care practitioner who is legally accountable for establishing the patient’s diagnosis. Only this set of guidelines, approved by the Cooperating Parties, is official.

General Coding Guidelines 1.

Use of Both Alphabetic Index and Tabular List

2.

Locate each term in the Alphabetic Index

3.

Level of Detail in Coding

4.

Code or codes from 001.0 through V91.99

5.

Selection of codes 001.0 through 999.9

6.

Signs and symptoms

7.

Conditions that are an integral part of a disease process

8.

Conditions that are not an integral part of a disease process

9.

Multiple coding for a single condition

10. Acute and Chronic Conditions 11. Combination Code 12. Late Effects 13. Impending or Threatened Condition 14. Reporting Same Diagnosis Code More than Once 15. Admissions/Encounters for Rehabilitation 16. Documentation for BMI and Pressure Ulcer Stages 17. Syndromes 18. Documentation of Complications of Care C.

Chapter-Specific Coding Guidelines 1.

2.

The guidelines are organized into sections. Section I includes the structure and conventions of the classification and general guidelines that apply to the entire classification, and chapter-specific guidelines that correspond to the chapters as they are arranged in the classification. Section II includes guidelines for selection of principal diagnosis for non-outpatient settings. Section III includes guidelines for reporting additional diagnoses in non-outpatient settings. Section IV is for outpatient coding and reporting.

Section I. Conventions, general coding guidelines and chapter specific guidelines A.

Conventions for the ICD-9-CM 1.

Format:

2.

Abbreviations a.

Index abbreviations

b.

Tabular abbreviations

Etiology/manifestation convention (“code first”, “use additional code” and “in diseases classified elsewhere” notes)

Chapter 1: Infectious and Parasitic Diseases (001-139) a.

Human Immunodeficiency Virus (HIV) Infections

b.

Septicemia, Systemic Inflammatory Response Syndrome (SIRS), Sepsis, Severe Sepsis and Septic Shock

c.

Methicillin Resistant Staphylococcus aureus (MRSA) Conditions

Chapter 2: Neoplasms (140-239) a.

Treatment directed at the malignancy

b.

Treatment of secondary site

c.

Coding and sequencing of complications

d.

Primary malignancy previously excised

e.

Admissions/Encounters involving chemotherapy, immunotherapy and radiation therapy

f.

Admission/encounter to determine extent of malignancy

g.

Symptoms, signs, and ill-defined conditions listed in Chapter 16 associated with neoplasms

h.

Admission/encounter for pain control/management

i.

Malignant neoplasm associated with transplanted organ

3.

Chapter 3: Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders (240-279)

4.

Chapter 4: Diseases of Blood and Blood Forming Organs (280-289)

a. a.

Diabetes mellitus Anemia of chronic disease

5.

Chapter 5: Mental Disorders (290-319)

6.

Chapter 6: Diseases of Nervous System and Sense Organs (320-389)

3.

Punctuation

4.

Includes and Excludes Notes and Inclusion terms

5.

Other and Unspecified codes

a.

Pain - Category 338

a.

“Other” codes

b.

Glaucoma

b.

“Unspecified” codes

Reserved for future guideline expansion

7.

Chapter 7: Diseases of Circulatory System (390-459) a.

201 ICD-9-CM

Hypertension Coding Guidelines – 1

Index to Diseases

201 ICD-9-CM

wx

Revised Text

l

New Line

s

2 Subterms under main terms may continue to next column or page Revised Code Volume 2 — 1

AAT — Abnormal, abnormality, abnormalities

S Additional Digit Required — Refer to the Tabular List for Digit Selection

Index

A AAT (alpha-1 antitrypsin) deficiency 273.4 AAV (disease) (illness) (infection) — see Human immunodeficiency virus (disease) (illness) (infection) Abactio — see Abortion, induced Abactus venter — see Abortion, induced Abarognosis 781.99 Abasia (-astasia) 307.9 atactica 781.3 choreic 781.3 hysterical 300.11 paroxysmal trepidant 781.3 spastic 781.3 trembling 781.3 trepidans 781.3 Abderhalden-Kaufmann-Lignac syndrome (cystinosis) 270.0 Abdomen, abdominal — see also condition accordion 306.4 acute 789.0 S angina 557.1 burst 868.00 convulsive equivalent (see also Epilepsy) 345.5 S heart 746.87 muscle deficiency syndrome 756.79 obstipum 756.79 Abdominalgia 789.0 S periodic 277.31 Abduction contracture, hip or other joint — see Contraction, joint Abercrombie’s syndrome (amyloid degeneration) 277.39 Aberrant (congenital) — see also Malposition, congenital adrenal gland 759.1 blood vessel NEC 747.60 arteriovenous NEC 747.60 cerebrovascular 747.81 gastrointestinal 747.61 lower limb 747.64 renal 747.62 spinal 747.82 upper limb 747.63 breast 757.6 endocrine gland NEC 759.2 gastrointestinal vessel (peripheral) 747.61 hepatic duct 751.69 lower limb vessel (peripheral) 747.64 pancreas 751.7 parathyroid gland 759.2 peripheral vascular vessel NEC 747.60 pituitary gland (pharyngeal) 759.2 renal blood vessel 747.62 sebaceous glands, mucous membrane, mouth 750.26 spinal vessel 747.82 spleen 759.0 testis (descent) 752.51 thymus gland 759.2 thyroid gland 759.2 upper limb vessel (peripheral) 747.63 Aberratio lactis 757.6 testis 752.51 Aberration — see also Anomaly chromosome — see Anomaly, chromosome(s) distantial 368.9 mental (see also Disorder, mental, nonpsychotic) 300.9 Abetalipoproteinemia 272.5 Abionarce 780.79 Abiotrophy 799.89 Ablatio placentae — see Placenta, ablatio retinae (see also Detachment, retina) 361.9 Ablation pituitary (gland) (with hypofunction) 253.7 placenta — see Placenta, ablatio uterus 621.8 Ablepharia, ablepharon, ablephary 743.62 Ablepsia — see Blindness Ablepsy — see Blindness

Abnormal, abnormality, abnormalities Ablutomania 300.3 Abnormal, abnormality, abnormalities — Abnormal, abnormality, abnormalities — Abnormal, abnormality, abnormalities — see also Anomaly — continued see also Anomaly — continued see also Anomaly erythrocytes — continued hemoglobin (see also Disease, hemoglobin) acid-base balance 276.4 congenital, with perinatal jaundice 282.7 fetus or newborn — see Distress, fetal 282.9 [774.0] trait — see Trait, hemoglobin, abnormal adaptation curve, dark 368.63 Eustachian valve 746.9 hemorrhage, uterus — see Hemorrhage, alveolar ridge 525.9 excitability under minor stress 301.9 uterus fat distribution 782.9 histology NEC 795.4 amnion 658.9 S feces 787.7 increase affecting fetus or newborn 762.9 fetal heart rate — see Distress, fetal in anatomical relationship NEC 759.9 fetus NEC appetite 783.6 apertures, congenital, diaphragm 756.6 affecting management of pregnancy — development 783.9 auditory perception NEC 388.40 see Pregnancy, management afinvoluntary movement 781.0 autosomes NEC 758.5 fected by, fetal jaw closure 524.51 13 758.1 karyotype 795.2 18 758.2 causing disproportion 653.7 S knee jerk 796.1 21 or 22 758.0 affecting fetus or newborn 763.1 D1 758.1 labor NEC 661.9 S causing obstructed labor 660.1 S affecting fetus or newborn 763.7 affecting fetus or newborn 763.1 E3 758.2 laboratory findings — see Findings, abnorfindings without manifest disease — see G 758.0 mal Findings, abnormal ballistocardiogram 794.39 length, organ or site, congenital — see Disfluid basal metabolic rate (BMR) 794.7 tortion amniotic 792.3 biosynthesis, testicular androgen 257.2 liver function test 790.6 cerebrospinal 792.0 blood level (of) loss of height 781.91 peritoneal 792.9 cobalt 790.6 loss of weight 783.21 pleural 792.9 copper 790.6 lung shadow 793.19 synovial 792.9 iron 790.6 mammogram 793.80 vaginal 792.9 lead 790.6 calcification 793.89 forces of labor NEC 661.9 S lithium 790.6 calculus 793.89 affecting fetus or newborn 763.7 magnesium 790.6 microcalcification 793.81 form, teeth 520.2 mineral 790.6 Mantoux test 795.51 function studies zinc 790.6 membranes (fetal) auditory 794.15 blood pressure affecting fetus or newborn 762.9 bladder 794.9 elevated (without diagnosis of hypertencomplicating pregnancy 658.8 S brain 794.00 sion) 796.2 menstruation — see Menstruation cardiovascular 794.30 low (see also Hypotension) 458.9 metabolism (see also condition) 783.9 endocrine NEC 794.6 reading (incidental) (isolated) (nonmovement 781.0 kidney 794.4 specific) 796.3 disorder NEC 333.90 liver 794.8 blood sugar 790.29 sleep related, unspecified 780.58 nervous system bowel sounds 787.5 specified NEC 333.99 central 794.00 breathing behavior — see Respiration head 781.0 peripheral 794.19 caloric test 794.19 involuntary 781.0 oculomotor 794.14 cervix (acquired) NEC 622.9 specified type NEC 333.99 pancreas 794.9 congenital 752.40 muscle contraction, localized 728.85 placenta 794.9 in pregnancy or childbirth 654.6 S myoglobin (Aberdeen) (Annapolis) 289.9 pulmonary 794.2 causing obstructed labor 660.2 S narrowness, eyelid 743.62 retina 794.11 affecting fetus or newborn 763.1 optokinetic response 379.57 special senses 794.19 chemistry, blood NEC 790.6 organs or tissues of pelvis NEC spleen 794.9 chest sounds 786.7 thyroid 794.5 in pregnancy or childbirth 654.9 S chorion 658.9 S vestibular 794.16 affecting fetus or newborn 763.89 affecting fetus or newborn 762.9 gait 781.2 causing obstructed labor 660.2 S chromosomal NEC 758.89 hysterical 300.11 affecting fetus or newborn 763.1 analysis, nonspecific result 795.2 gastrin secretion 251.5 origin — see Malposition, congenital autosomes (see also Abnormal, autoglobulin palmar creases 757.2 somes NEC) 758.5 cortisol-binding 255.8 Papanicolaou (smear) fetal, (suspected) affecting management thyroid-binding 246.8 anus 796.70 of pregnancy 655.1 S glucagon secretion 251.4 with sex 758.81 glucose 790.29 atypical squamous cells clinical findings NEC 796.4 in pregnancy, childbirth, or puerperium cannot exclude high grade communication — see Fistula squamous intraepithe648.8 S configuration of pupils 379.49 lial lesion (ASC-H) fetus or newborn 775.0 coronary non-fasting 790.29 796.72 artery 746.85 gravitational (G) forces or states 994.9 of undetermined significance vein 746.9 hair NEC 704.2 (ASC-US) 796.71 cortisol-binding globulin 255.8 hard tissue formation in pulp 522.3 cytologic evidence of malignancy course, Eustachian tube 744.24 head movement 781.0 796.76 creatinine clearance 794.4 heart high grade squamous intraepithedentofacial NEC 524.9 rate lial lesion (HGSIL) 796.74 functional 524.50 fetus, affecting liveborn infant low grade squamous intraepithespecified type NEC 524.89 before the onset of labor 763.81 lial lesion (LGSIL) 796.73 development, developmental NEC 759.9 during labor 763.82 glandular 796.70 bone 756.9 unspecified as to time of onset specified finding NEC 796.79 central nervous system 742.9 763.83 cervix 795.00 direction, teeth 524.30 intrauterine with Dynia (see also Defect, coagulation) 286.9 before the onset of labor 763.81 atypical squamous cells Ebstein 746.2 during labor 763.82 cannot exclude high grade echocardiogram 793.2 unspecified as to time of onset squamous intraepitheechoencephalogram 794.01 763.83 lial lesion (ASC-H) echogram NEC — see Findings, abnormal, newborn 795.02 structure before the onset of labor 763.81 of undetermined significance electrocardiogram (ECG) (EKG) 794.31 during labor 763.82 (ASC-US) 795.01 electroencephalogram (EEG) 794.02 unspecified as to time of onset cytologic evidence of malignancy electromyogram (EMG) 794.17 763.83 795.06 ocular 794.14 shadow 793.2 high grade squamous intraepitheelectro-oculogram (EOG) 794.12 sounds NEC 785.3 lial lesion (HGSIL) 795.04 electroretinogram (ERG) 794.11 erythrocytes 289.9