ICD 9 CM Codes: 2012

ILL-DEFINED AND UNKNOWN CAUSES OF MORBIDITY AND MORTALITY ICD 9 CODES (797-799)

797 Senility without mention of psychosis (ICD 9 CM Codes)

Frailty

Old age

Senescence

Senile asthenia

Senile:

debility

exhaustion

Excludes: senile psychoses (290.0-290.9)

798 Sudden death, cause unknown

798.0 Sudden infant death syndrome

Cot death

Crib death

Sudden death of nonspecific cause in infancy

798.1 Instantaneous death

798.2 Death occurring in less than 24 hours from onset of symptoms, not otherwise explained

Death known not to be violent or instantaneous, for which no cause could be discovered

Died without sign of disease

798.9 Unattended death

Death in circumstances where the body of the deceased was found and no cause could be discovered

Found dead

799 Other ill-defined and unknown causes of morbidity and mortality (ICD 9 CM Codes)

799.0 Asphyxia and hypoxemia

Excludes: asphyxia and hypoxemia (due to):

carbon monoxide (986)

hypercapnia (786.09)

inhalation of food or foreign body (932-934.9)

newborn (768.0-768.9)

traumatic (994.7)

799.01 Asphyxia

799.02 Hypoxemia

799.1 Respiratory arrest

Cardiorespiratory failure

Excludes: cardiac arrest (427.5)

failure of peripheral circulation (785.50)

respiratory distress:

NOS (786.09)

acute (518.82)

following trauma or surgery (518.52)

newborn (770.89)

syndrome (newborn) (769)

adult (following trauma or surgery) (518.52)

other (518.82)

respiratory failure (518.81, 518.83-518.84)

newborn (770.84)

respiratory insufficiency (786.09)

acute (518.82)

799.2 Signs and symptoms involving emotional state

Excludes: anxiety (293.84, 300.00-300.09)

depression (311)

799.21 Nervousness

Nerves

799.22 Irritability

Irritable

799.23 Impulsiveness

Impulsive

Excludes: impulsive neurosis (300.3)

799.24 Emotional lability

799.25 Demoralization and apathy

Apathetic

799.29 Other signs and symptoms involving emotional state

799.3 Debility, unspecified

Excludes: asthenia (780.79)

nervous debility (300.5)

neurasthenia (300.5)

senile asthenia (797)

799.4 Cachexia

Wasting disease

Code first underlying condition, if known

799.5 Signs and symptoms involving cognition

Excludes: amnesia (780.93)

amnestic syndrome (294.0)

attention deficit disorder (314.00-314.01)

late effects of cerebrovascular disease (438)

memory loss (780.93)

mild cognitive impairment, so stated (331.83)

specific problems in developmental delay (315.00-315.9)

transient global amnesia (437.7)

visuospatial neglect (781.8)

799.51 Attention or concentration deficit

799.52 Cognitive communication deficit

799.53 Visuospatial deficit

799.54 Psychomotor deficit

799.55 Frontal lobe and executive function deficit

799.59 Other signs and symptoms involving cognition

799.8 Other ill-defined conditions

799.81 Decreased libido

Decreased sexual desire

Excludes: psychosexual dysfunction with inhibited sexual desire (302.71)

799.82 Apparent life threatening event in infant

ALTE

Apparent life threatening event in newborn and infant

Code first confirmed diagnosis, if known

Use additional code(s) for associated signs and symptoms if no confirmed diagnosis established, or if signs and symptoms are not associated routinely with confirmed diagnosis, or provide additional information for cause of ALTE

799.89 Other ill-defined conditions

799.9 Other unknown and unspecified cause

Undiagnosed disease, not specified as to site or system involved

Unknown cause of morbidity or mortality

NONSPECIFIC ABNORMAL FINDINGS ICD 9 CODES (790-796)

790 Nonspecific findings on examination of blood (ICD 9 CM Codes)

Excludes: abnormality of:

platelets (287.0-287.9)

thrombocytes (287.0-287.9)

white blood cells (288.00-288.9)

790.0 Abnormality of red blood cells

Excludes: anemia:

congenital (776.5)

newborn, due to isoimmunization (773.0-773.2, 773.5)

of premature infant (776.6)

other specified types (280.0-285.9)

hemoglobin disorders (282.5-282.7)

polycythemia:

familial (289.6)

neonatorum (776.4)

secondary (289.0)

vera (238.4)

790.01 Precipitous drop in hematocrit

Drop in hematocrit

Drop in hemoglobin

790.09 Other abnormality of red blood cells

Abnormal red cell morphology NOS

Abnormal red cell volume NOS

Anisocytosis

Poikilocytosis

790.1 Elevated sedimentation rate

790.2 Abnormal glucose

Excludes: diabetes mellitus (249.00-249.91, 250.00-250.93)

dysmetabolic syndrome X (277.7)

gestational diabetes (648.8)

glycosuria (791.5)

hypoglycemia (251.2)

that complicating pregnancy, childbirth, or the puerperium (648.8)

790.21 Impaired fasting glucose

Elevated fasting glucose

790.22 Impaired glucose tolerance test (oral)

Elevated glucose tolerance test

790.29 Other abnormal glucose

Abnormal glucose NOS

Abnormal non-fasting glucose

Hyperglycemia NOS

Pre-diabetes NOS

790.3 Excessive blood level of alcohol

Elevated blood-alcohol

790.4 Nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [LDH]

790.5 Other nonspecific abnormal serum enzyme levels

Abnormal serum level of:

acid phosphatase

alkaline phosphatase

amylase

lipase

Excludes: deficiency of circulating enzymes (277.6)

790.6 Other abnormal blood chemistry

Abnormal blood levels of:

cobalt

copper

iron

lead

lithium

magnesium

mineral

zinc

Excludes: abnormality of electrolyte or acid-base balance (276.0-276.9)

hypoglycemia NOS (251.2)

lead poisoning (984.0-984.9)

specific finding indicating abnormality of:

amino-acid transport and metabolism (270.0-270.9)

carbohydrate transport and metabolism (271.0-271.9)

lipid metabolism (272.0-272.9)

uremia NOS (586)

790.7 Bacteremia

Excludes: bacteremia of newborn (771.83)

septicemia (038)

Use additional code to identify organism (041)

790.8 Viremia, unspecified

790.9 Other nonspecific findings on examination of blood

790.91 Abnormal arterial blood gases

790.92 Abnormal coagulation profile

Abnormal or prolonged:

bleeding time

coagulation time

partial thromboplastin time [PTT]

prothrombin time [PT]

Excludes: coagulation (hemorrhagic) disorders (286.0-286.9)

790.93 Elevated prostate specific antigen [PSA]

790.94 Euthyroid sick syndrome

790.95 Elevated C-reactive protein (CRP)

790.99 Other

791 Nonspecific findings on examination of urine (ICD 9 CM Codes)

Excludes: hematuria NOS (599.70-599.72)

specific findings indicating abnormality of:

amino-acid transport and metabolism (270.0-270.9)

carbohydrate transport and metabolism (271.0-271.9)

791.0 Proteinuria

Albuminuria

Bence-Jones proteinuria

Excludes: postural proteinuria (593.6)

that arising during pregnancy or the puerperium (642.0-642.9, 646.2)

791.1 Chyluria

Excludes: filarial (125.0-125.9)

791.2 Hemoglobinuria

791.3 Myoglobinuria

791.4 Biliuria

791.5 Glycosuria

Excludes: renal glycosuria (271.4)

791.6 Acetonuria

Ketonuria

791.7 Other cells and casts in urine

791.9 Other nonspecific findings on examination of urine

Crystalluria

Elevated urine levels of:

17-ketosteroids

catecholamines

indolacetic acid

vanillylmandelic acid [VMA]

Melanuria

792 Nonspecific abnormal findings in other body substances (ICD 9 CM Codes)

Excludes: that in chromosomal analysis (795.2)

792.0 Cerebrospinal fluid

792.1 Stool contents

Abnormal stool color

Fat in stool

Mucus in stool

Occult blood

Pus in stool

Excludes: blood in stool [melena] (578.1)

newborn (772.4, 777.3)

792.2 Semen

Abnormal spermatozoa

Excludes: azoospermia (606.0)

oligospermia (606.1)

792.3 Amniotic fluid

792.4 Saliva

Excludes: that in chromosomal analysis (795.2)

792.5 Cloudy (hemodialysis) (peritoneal) dialysis effluent

792.9 Other nonspecific abnormal findings in body substances

Peritoneal fluid

Pleural fluid

Synovial fluid

Vaginal fluids

793 Nonspecific (abnormal) findings on radiological and other examination of body structure

Includes: nonspecific abnormal findings of:

thermography

ultrasound examination [echogram]

x-ray examination

Excludes: abnormal results of function studies and radioisotope scans (794.0-794.9)

793.0 Skull and head

Excludes: nonspecific abnormal echoencephalogram (794.01)

793.1 Lung field

793.11 Solitary pulmonary nodule

Coin lesion lung

Solitary pulmonary nodule, subsegmental branch of the bronchial tree

793.19 Other nonspecific abnormal finding of lung field

Pulmonary infiltrate NOS

Shadow, lung

793.2 Other intrathoracic organ

Abnormal:

echocardiogram

heart shadow

ultrasound cardiogram

Mediastinal shift

793.3 Biliary tract

Nonvisualization of gallbladder

793.4 Gastrointestinal tract

793.5 Genitourinary organs

Filling defect:

bladder

kidney

ureter

793.6 Abdominal area, including retroperitoneum

793.7 Musculoskeletal system

793.8 Breast

793.80 Abnormal mammogram, unspecified

793.81 Mammographic microcalcification

Excludes: mammographic calcification (793.89)

mammographic calculus (793.89)

793.82 Inconclusive mammogram

Dense breasts NOS

Inconclusive mammogram NEC

Inconclusive mammography due to dense breasts

Inconclusive mammography NEC

793.89 Other (abnormal) findings on radiological examination of breast

Mammographic calcification

Mammographic calculus

793.9 Other

Excludes: abnormal finding by radioisotope localization of placenta (794.9)

793.91 Image test inconclusive due to excess body fat

Use additional code to identify Body Mass Index (BMI), if known (V85.0-V85.54)

793.99 Other nonspecific (abnormal) findings on radiological and other examinations of body structure

Abnormal:

placental finding by x-ray or ultrasound method

radiological findings in skin and subcutaneous tissue

794 Nonspecific abnormal results of function studies (ICD 9 CM Codes)

Includes: radioisotope:

scans

uptake studies

scintiphotography

794.0 Brain and central nervous system

794.00 Abnormal function study, unspecified

794.01 Abnormal echoencephalogram

794.02 Abnormal electroencephalogram [EEG]

794.09 Other

Abnormal brain scan

794.1 Peripheral nervous system and special senses

794.10 Abnormal response to nerve stimulation, unspecified

794.11 Abnormal retinal function studies

Abnormal electroretinogram [ERG]

794.12 Abnormal electro-oculogram [EOG]

794.13 Abnormal visually evoked potential

794.14 Abnormal oculomotor studies

794.15 Abnormal auditory function studies

794.16 Abnormal vestibular function studies

794.17 Abnormal electromyogram [EMG]

Excludes: that of eye (794.14)

794.19 Other

794.2 Pulmonary

Abnormal lung scan

Reduced:

ventilatory capacity

vital capacity

794.3 Cardiovascular

794.30 Abnormal function study, unspecified

794.31 Abnormal electrocardiogram [ECG] [EKG]

Excludes: long QT syndrome (426.82)

794.39 Other

Abnormal:

ballistocardiogram

phonocardiogram

vectorcardiogram

794.4 Kidney

Abnormal renal function test

794.5 Thyroid

Abnormal thyroid:

scan

uptake

794.6 Other endocrine function study

794.7 Basal metabolism

Abnormal basal metabolic rate [BMR]

794.8 Liver

Abnormal liver scan

794.9 Other

Bladder

Pancreas

Placenta

Spleen

795 Other and nonspecific abnormal cytological, histological, immunological and DNA test findings

Excludes: abnormal cytologic smear of anus and anal HPV (796.70-796.79)

nonspecific abnormalities of red blood cells (790.01-790.09)

795.0 Abnormal Papanicolaou smear of cervix and cervical HPV

Abnormal thin preparation smear of cervix

Abnormal cervical cytology

Excludes: abnormal cytologic smear of vagina and vaginal HPV (795.10-795.19)

carcinoma in situ of cervix (233.1)

cervical intraepithelial neoplasia I (CIN I) (622.11)

cervical intraepithelial neoplasia II (CIN II) (622.12)

cervical intraepithelial neoplasia III (CIN III) (233.1)

dysplasia (histologically confirmed) of cervix (uteri) NOS (622.10)

mild cervical dysplasia (histologically confirmed) (622.11)

moderate cervical dysplasia (histologically confirmed) (622.12)

severe cervical dysplasia (histologically confirmed) (233.1)

795.00 Abnormal glandular Papanicolaou smear of cervix

Atypical endocervical cells NOS

Atypical endometrial cells NOS

Atypical cervical glandular cells NOS

795.01 Papanicolaou smear of cervix with atypical squamous cells of undetermined significance (ASC-US)

795.02 Papanicolaou smear of cervix with atypical squamous cells cannot exclude high grade squamous intraepithelial lesion (ASC-H)

795.03 Papanicolaou smear of cervix with low grade squamous intraepithelial lesion (LGSIL)

795.04 Papanicolaou smear of cervix with high grade squamous intraepithelial lesion (HGSIL)

795.05 Cervical high risk human papillomavirus (HPV) DNA test positive

795.06 Papanicolaou smear of cervix with cytologic evidence of malignancy

795.07 Satisfactory cervical smear but lacking transformation zone

795.08 Unsatisfactorycervical cytology smear

Inadequatecervical cytology sample

795.09 Other abnormal Papanicolaou smear of cervix and cervical HPV

Cervical low risk human papillomavirus (HPV) DNA test positive

Use additional code for associated human papillomavirus (079.4)

Excludes: encounter for Papanicolaou cervical smear to confirm findings of recent normal smear following initial abnormal smear (V72.32)

795.1 Abnormal Papanicolaou smear of vagina and vaginal HPV

Abnormal thin preparation smear of vagina NOS

Abnormal vaginal cytology NOS

Use additional code to identify acquired absence of uterus and cervix, if applicable (V88.01-V88.03)

Excludes: abnormal cytologic smear of cervix and cervical HPV (795.00-795.09)

carcinoma in situ of vagina (233.31)

carcinoma in situ of vulva (233.32)

dysplasia (histologically confirmed) of vagina NOS (623.0, 233.31)

dysplasia (histologically confirmed) of vulva NOS (624.01, 624.02, 233.32)

mild vaginal dysplasia (histologically confirmed) (623.0)

mild vulvar dysplasia (histologically confirmed) (624.01)

moderate vaginal dysplasia (histologically confirmed) (623.0)

moderate vulvar dysplasia (histologically confirmed) (624.02)

severe vaginal dysplasia (histologically confirmed) (233.31)

severe vulvar dysplasia (histologically confirmed) (233.32)

vaginal intraepithelial neoplasia I (VAIN I) (623.0)

vaginal intraepithelial neoplasia II (VAIN II) (623.0)

vaginal intraepithelial neoplasia III (VAIN III) (233.31)

vulvar intraepithelial neoplasia I (VIN I) (624.01)

vulvar intraepithelial neoplasia II (VIN II) (624.02)

vulvar intraepithelial neoplasia III (VIN III) (233.32)

795.10 Abnormal glandular Papanicolaou smear of vagina

Atypical vaginal glandular cells NOS

795.11 Papanicolaou smear of vagina with atypical squamous cells of undetermined significance (ASC-US)

795.12 Papanicolaou smear of vagina with atypical squamous cells cannot exclude high grade squamous intraepithelial lesion (ASC-H)

795.13 Papanicolaou smear of vagina with low grade squamous intraepithelial lesion (LGSIL)

795.14 Papanicolaou smear of vagina with high grade squamous intraepithelial lesion (HGSIL)

795.15 Vaginal high risk human papillomavirus (HPV) DNA test positive

Excludes: condyloma acuminatum (078.11)

genital warts (078.11)

795.16 Papanicolaou smear of vagina with cytologic evidence of malignancy

795.18 Unsatisfactory vaginal cytology smear

Inadequate vaginal cytology sample

795.19 Other abnormal Papanicolaou smear of vagina and vaginal HPV

Vaginal low risk human papillomavirus (HPV) DNA test positive

Use additional code for associated human papillomavirus (079.4)

795.2 Nonspecific abnormal findings on chromosomal analysis

Abnormal karyotype

795.3 Nonspecific positive culture findings

Positive culture findings in:

nose

sputum

throat

wound

Excludes: that of:

blood (790.7-790.8)

urine (791.9)

795.31 Nonspecific positive findings for anthrax

Positive findings by nasal swab

795.39 Other nonspecific positive culture findings

Excludes: colonization status (V02.0-V02.9)

795.4 Other nonspecific abnormal histological findings

795.5 Nonspecific reaction to test for tuberculosis

795.51 Nonspecific reaction to tuberculin skin test without active tuberculosis

Abnormal result of Mantoux test

PPD positive

Tuberculin (skin test) positive

Tuberculin (skin test) reactor

Excludes: nonspecific reaction to cell mediated immunity measurement of gamma interferon antigen response without active tuberculosis (795.52)

795.52 Nonspecific reaction to cell mediated immunity measurement of gamma interferon antigen response without active tuberculosis

Nonspecific reaction to QuantiFERON-TB test (QFT) without active tuberculosis

Excludes: nonspecific reaction to tuberculin skin test without active tuberculosis (795.51)

positive tuberculin skin test (795.51)

795.6 False positive serological test for syphilis

False positive Wassermann reaction

795.7 Other nonspecific immunological findings

Excludes: abnormal tumor markers (795.81-795.89)

elevated prostate specific antigen [PSA] (790.93)

elevated tumor associated antigens (795.81-795.89)

isoimmunization, in pregnancy (656.1-656.2)

affecting fetus or newborn (773.0-773.2)

795.71 Nonspecific serologic evidence of human immunodeficiency virus [HIV]

Inconclusive human immunodeficiency virus [HIV] test (adult) (infant)

Note: This code is ONLY to be used when a test finding is reported as nonspecific. Asymptomatic positive findings are coded to V08. If any HIV infection symptom or condition is present, see code 042. Negative findings are not coded.

Excludes: acquired immunodeficiency syndrome [AIDS] (042)

asymptomatic human immunodeficiency virus, [HIV] infection status (V08)

HIV infection, symptomatic (042)

human immunodeficiency virus [HIV] disease (042)

positive (status) NOS (V08)

795.79 Other and unspecified nonspecific immunological findings

Raised antibody titer

Raised level of immunoglobulins

795.8 Abnormal tumor markers

Elevated tumor associated antigens [TAA]

Elevated tumor specific antigens [TSA]

Excludes: elevated prostate specific antigen [PSA] (790.93)

795.81 Elevated carcinoembryonic antigen [CEA]

795.82 Elevated cancer antigen 125 [CA 125]

795.89 Other abnormal tumor markers

796 Other nonspecific abnormal findings (ICD 9 CM Codes)

796.0 Nonspecific abnormal toxicological findings

Abnormal levels of heavy metals or drugs in blood, urine, or other tissue

Use additional code for retained foreign body, if applicable, (V90.01-V90.9)

Excludes: excessive blood level of alcohol (790.3)

796.1 Abnormal reflex

796.2 Elevated blood pressure reading without diagnosis of hypertension

Note: This category is to be used to record an episode of elevated blood pressure in a patient in whom no formal diagnosis of hypertension has been made, or as an incidental finding.

796.3 Nonspecific low blood pressure reading

796.4 Other abnormal clinical findings

796.5 Abnormal finding on antenatal screening

796.6 Abnormal findings on neonatal screening

Excludes: nonspecific serologic evidence of human immunodeficiency virus [HIV] (795.71)

796.7 Abnormal cytologic smear of anus and anal HPV

Excludes: abnormal cytologic smear of cervix and cervical HPV (795.00-795.09)

abnormal cytologic smear of vagina and vaginal HPV (795.10-795.19)

anal intraepithelial neoplasia I (AIN I) (569.44)

anal intraepithelial neoplasia II (AIN II) (569.44)

anal intraepithelial neoplasia III (AIN III) (230.5, 230.6)

carcinoma in situ of anus (230.5, 230.6)

dysplasia (histologically confirmed) of anus NOS (569.44)

mild anal dysplasia (histologically confirmed) (569.44)

moderate anal dysplasia (histologically confirmed) (569.44)

severe anal dysplasia (histologically confirmed) (230.5, 230.6)

796.70 Abnormal glandular Papanicolaou smear of anus

Atypical anal glandular cells NOS

796.71 Papanicolaou smear of anus with atypical squamous cells of undetermined significance (ASC-US)

796.72 Papanicolaou smear of anus with atypical squamous cells cannot exclude high grade squamous intraepithelial lesion (ASC-H)

796.73 Papanicolaou smear of anus with low grade squamous intraepithelial lesion (LGSIL)

796.74 Papanicolaou smear of anus with high grade squamous intraepithelial lesion (HGSIL)

796.75 Anal high risk human papillomavirus (HPV) DNA test positive

796.76 Papanicolaou smear of anus with cytologic evidence of malignancy

796.77 Satisfactory anal smear but lacking transformation zone

796.78 Unsatisfactory anal cytology smear

Inadequate anal cytology sample

796.79 Other abnormal Papanicolaou smear of anus and anal HPV

Anal low risk human papillomavirus (HPV) DNA test positive

Use additional code for associated human papillomavirus (079.4)

796.9 Other

ICD 9 CM Codes

SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS ICD 9 CODES (780-799)

16. SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS ICD 9 CODES (780-799)

This section includes symptoms, signs, abnormal results of laboratory or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.

Signs and symptoms that point rather definitely to a given diagnosis are assigned to some category in the preceding part of the classification. In general, categories 780-796 include the more ill-defined conditions and symptoms that point with perhaps equal suspicion to two or more diseases or to two or more systems of the body, and without the necessary study of the case to make a final diagnosis. Practically all categories in this group could be designated as "not otherwise specified," or as "unknown etiology," or as "transient." The Alphabetic Index should be consulted to determine which symptoms and signs are to be allocated here and which to more specific sections of the classification; the residual subcategories numbered .9 are provided for other relevant symptoms which cannot be allocated elsewhere in the classification.

The conditions and signs or symptoms included in categories 780-796 consist of: (a) cases for which no more specific diagnosis can be made even after all facts bearing on the case have been investigated; (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined; (c) provisional diagnoses in a patient who failed to return for further investigation or care; (d) cases referred elsewhere for investigation or treatment before the diagnosis was made; (e) cases in which a more precise diagnosis was not available for any other reason; (f) certain symptoms which represent important problems in medical care and which it might be desired to classify in addition to a known cause.

SYMPTOMS (780-789)

780 General symptoms (ICD 9 CM Codes)

780.0 Alteration of consciousness

Excludes: alteration of consciousness due to:

intracranial injuries (850.0-854.19)

skull fractures (800.00-801.99, 803.00-804.99)

coma:

diabetic (249.2-249.3, 250.2-250.3)

hepatic (572.2)

originating in the perinatal period (779.2)

780.01 Coma

780.02 Transient alteration of awareness

780.03 Persistent vegetative state

780.09 Other

Drowsiness

Semicoma

Unconsciousness

Somnolence

Stupor

780.1 Hallucinations

Hallucinations:

NOS

auditory

gustatory

olfactory

tactile

Excludes: those associated with mental disorders, as functional psychoses (295.0-298.9)

organic brain syndromes (290.0-294.9, 310.0-310.9)

visual hallucinations (368.16)

780.2 Syncope and collapse

Blackout

Fainting

(Near) (Pre)syncope

Vasovagal attack

Excludes: carotid sinus syncope (337.0)

heat syncope (992.1)

neurocirculatory asthenia (306.2)

orthostatic hypotension (458.0)

shock NOS (785.50)

780.3 Convulsions

Excludes: convulsions:

epileptic (345.10-345.91)

in newborn (779.0)

780.31 Febrile convulsions (simple), unspecified

Febrile seizures NOS

780.32 Complex febrile convulsions

Febrile seizure:

atypical

complex

complicated

Excludes: status epilepticus (345.3)

780.33 Post traumatic seizures

Excludes: post traumatic epilepsy (345.00-345.91)

780.39 Other convulsions

Convulsive disorder NOS

Fits NOS

Recurrent convulsions NOS

Seizure NOS

Seizures NOS

780.4 Dizziness and giddiness

Light-headedness

Vertigo NOS

Excludes: Ménière's disease and other specified vertiginous syndromes (386.0-386.9)

780.5 Sleep disturbances

Excludes: circadian rhythm sleep disorders (327.30-327.39)

organic hypersomnia (327.10-327.19)

organic insomnia (327.00-327.09)

organic sleep apnea (327.20-327.29)

organic sleep related movement disorders (327.51-327.59)

parasomnias (327.40-327.49)

that of nonorganic origin (307.40-307.49)

780.50 Sleep disturbance, unspecified

780.51 Insomnia with sleep apnea, unspecified

780.52 Insomnia, unspecified

780.53 Hypersomnia with sleep apnea, unspecified

780.54 Hypersomnia, unspecified

780.55 Disruptions of 24 hour sleep wake cycle, unspecified

780.56 Dysfunctions associated with sleep stages or arousal from sleep

780.57 Unspecified sleep apnea

780.58 Sleep related movement disorder, unspecified

Excludes: restless legs syndrome (333.94)

780.59 Other

780.6 Fever and other physiologic disturbances of temperature regulation

Excludes: effects of reduced environmental temperature (991.0-991.9)

effects of heat and light (992.0-992.9)

fever, chills or hypothermia associated with confirmed infection - code to infection

780.60 Fever, unspecified

Chills with fever

Fever NOS

Fever of unknown origin (FUO)

Hyperpyrexia NOS

Pyrexia NOS

Pyrexia of unknown origin

Excludes: chills without fever (780.64)

neonatal fever (778.4)

pyrexia of unknown origin (during):

in newborn (778.4)

labor (659.2)

the puerperium (672)

780.61 Fever presenting with conditions classified elsewhere

Code firstunderlying condition when associated fever is present, such as with:

leukemia (conditions classifiable to 204-208)

neutropenia (288.00-288.09)

sickle-cell disease (282.60-282.69)

780.62 Postprocedural fever

Excludes: posttransfusion fever (780.66)

postvaccination fever (780.63)

780.63 Postvaccination fever

Postimmunization fever

780.64 Chills (without fever)

Chills NOS

Excludes: chills with fever (780.60)

780.65 Hypothermia not associated with low environmental temperature

Excludes: hypothermia:

associated with low environmental temperature (991.6)

due to anesthesia (995.89)

of newborn (778.2, 778.3)

780.66 Febrile nonhemolytic transfusion reaction

FNHTR

Posttransfusion fever

780.7 Malaise and fatigue

Excludes: debility, unspecified (799.3)

fatigue (during):

combat (308.0-308.9)

heat (992.6)

pregnancy (646.8)

neurasthenia (300.5)

senile asthenia (797)

780.71 Chronic fatigue syndrome

780.72 Functional quadriplegia

Complete immobility due to severe physical disability or frailty

Excludes: hysterical paralysis (300.11)

immobility syndrome (728.3)

neurologic quadriplegia (344.00-344.09)

quadriplegia NOS (344.00)

780.79 Other malaise and fatigue

Asthenia NOS

Lethargy

Postviral (asthenic) syndrome

Tiredness

780.8 Generalized hyperhidrosis

Diaphoresis

Excessive sweating

Secondary hyperhidrosis

Excludes: focal (localized) (primary) (secondary) hyperhidrosis (705.21-705.22)

Frey's syndrome (705.22)

780.9 Other general symptoms

Excludes: hypothermia:

NOS (accidental) (991.6)

due to anesthesia (995.89)

of newborn (778.2-778.3)

memory disturbance as part of a pattern of mental disorder

780.91 Fussy infant (baby)

780.92 Excessive crying of infant (baby)

Excludes: excessive crying of child, adolescent or adult (780.95)

780.93 Memory loss

Amnesia (retrograde)

Memory loss NOS

Excludes: memory loss due to:

intracranial injuries (850.0-854.19)

skull fractures (800.00-801.99, 803.00-804.99)

mild memory disturbance due to organic brain damage (310.89)

transient global amnesia (437.7)

780.94 Early satiety

780.95 Excessive crying of child, adolescent, or adult

Excludes: excessive crying of infant (baby) (780.92)

780.96 Generalized pain

Pain NOS

780.97 Altered mental status

Change in mental status

Excludes: altered level of consciousness (780.01-780.09)

altered mental status due to known condition - code to condition

delirium NOS (780.09)

780.99 Other general symptoms

781 Symptoms involving nervous and musculoskeletal systems (ICD 9 CM Codes)

Excludes: depression NOS (311)

disorders specifically relating to:

back (724.0-724.9)

hearing (388.0-389.9)

joint (718.0-719.9)

limb (729.0-729.9)

neck (723.0-723.9)

vision (368.0-369.9)

pain in limb (729.5)

781.0 Abnormal involuntary movements

Abnormal head movements

Fasciculation

Spasms NOS

Tremor NOS

Excludes: abnormal reflex (796.1)

chorea NOS (333.5)

infantile spasms (345.60-345.61)

spastic paralysis (342.1, 343.0-344.9)

specified movement disorders classifiable to 333 (333.0-333.9)

that of nonorganic origin (307.2-307.3)

781.1 Disturbances of sensation of smell and taste

Anosmia

Parageusia

Parosmia

781.2 Abnormality of gait

Gait:

ataxic

paralytic

spastic

staggering

Excludes: ataxia:

NOS (781.3)

difficulty in walking (719.7)

locomotor (progressive) (094.0)

781.3 Lack of coordination

Ataxia NOS

Muscular incoordination

Excludes: ataxic gait (781.2)

cerebellar ataxia (334.0-334.9)

difficulty in walking (719.7)

vertigo NOS (780.4)

781.4 Transient paralysis of limb

Monoplegia, transient NOS

Excludes: paralysis (342.0-344.9)

781.5 Clubbing of fingers

781.6 Meningismus

Dupre's syndrome

Meningism

781.7 Tetany

Carpopedal spasm

Excludes: tetanus neonatorum (771.3)

tetany:

hysterical (300.11)

newborn (hypocalcemic) (775.4)

parathyroid (252.1)

psychogenic (306.0)

781.8 Neurologic neglect syndrome

Asomatognosia

Hemi-akinesia

Hemi-inattention

Hemispatial neglect

Left-sided neglect

Sensory extinction

Sensory neglect

Visuospatial neglect

Excludes: visuospatial deficit (799.53)

781.9 Other symptoms involving nervous and musculoskeletal systems

781.91 Loss of height

Excludes: osteoporosis (733.00-733.09)

781.92 Abnormal posture

781.93 Ocular torticollis

781.94 Facial weakness

Facial droop

Excludes: facial weakness due to late effect of cerebrovascular accident (438.83)

781.99 Other symptoms involving nervous and musculoskeletal systems

782 Symptoms involving skin and other integumentary tissue (ICD 9 CM Codes)

Excludes: symptoms relating to breast (611.71-611.79)

782.0 Disturbance of skin sensation

Anesthesia of skin

Burning or prickling sensation

Hyperesthesia

Hypoesthesia

Numbness

Paresthesia

Tingling

782.1 Rash and other nonspecific skin eruption

Exanthem

Excludes: vesicular eruption (709.8)

782.2 Localized superficial swelling, mass, or lump

Subcutaneous nodules

Excludes: localized adiposity (278.1)

782.3 Edema

Anasarca

Dropsy

Localized edema NOS

Excludes: ascites (789.51-789.59)

edema of:

newborn NOS (778.5)

pregnancy (642.0-642.9, 646.1)

fluid retention (276.69)

hydrops fetalis (773.3, 778.0)

hydrothorax (511.81-511.89)

nutritional edema (260, 262)

782.4 Jaundice, unspecified, not of newborn

Cholemia NOS

Icterus NOS

Excludes: jaundice in newborn (774.0-774.7)

due to isoimmunization (773.0-773.2, 773.4)

782.5 Cyanosis

Excludes: newborn (770.83)

782.6 Pallor and flushing

782.61 Pallor

782.62 Flushing

Excessive blushing

782.7 Spontaneous ecchymoses

Petechiae

Excludes: ecchymosis in fetus or newborn (772.6)

purpura (287.0-287.9)

782.8 Changes in skin texture

Induration of skin

Thickening of skin

782.9 Other symptoms involving skin and integumentary tissues

783 Symptoms concerning nutrition, metabolism, and development (ICD 9 CM Codes)

783.0 Anorexia

Loss of appetite

Excludes: anorexia nervosa (307.1)

loss of appetite of nonorganic origin (307.59)

783.1 Abnormal weight gain

Excludes: excessive weight gain in pregnancy (646.1)

obesity (278.00)

morbid (278.01)

783.2 Abnormal loss of weight and underweight

Use additional code to identify Body Mass Index (BMI), if known (V85.0-V85.54)

783.21 Loss of weight

783.22 Underweight

783.3 Feeding difficulties and mismanagement

Feeding problem (elderly) (infant)

Excludes: feeding disturbance or problems:

in newborn (779.31-779.34)

of nonorganic origin (307.50-307.59)

783.4 Lack of expected normal physiological development in childhood

Excludes: delay in sexual development and puberty (259.0)

gonadal dysgenesis (758.6)

pituitary dwarfism (253.3)

slow fetal growth and fetal malnutrition (764.00-764.99)

specific delays in mental development (315.0-315.9)

783.40 Lack of normal physiological development, unspecified

Inadequate development

Lack of development

783.41 Failure to thrive

Failure to gain weight

Excludes: failure to thrive in newborn (779.34)

783.42 Delayed milestones

Late talker

Late walker

783.43 Short stature

Growth failure

Growth retardation

Lack of growth

Physical retardation

783.5 Polydipsia

Excessive thirst

783.6 Polyphagia

Excessive eating

Hyperalimentation NOS

Excludes: disorders of eating of nonorganic origin (307.50-307.59)

783.7 Adult failure to thrive

783.9 Other symptoms concerning nutrition, metabolism, and development

Hypometabolism

Excludes: abnormal basal metabolic rate (794.7)

dehydration (276.51)

other disorders of fluid, electrolyte, and acid-base balance (276.0-276.9)

784 Symptoms involving head and neck (ICD 9 CM Codes)

Excludes: encephalopathy NOS (348.30)

specific symptoms involving neck classifiable to 723 (723.0-723.9)

784.0 Headache

Facial pain

Pain in head NOS

Excludes: atypical face pain (350.2)

migraine (346.0-346.9)

tension headache (307.81)

784.1 Throat pain

Excludes: dysphagia (787.20-787.29)

neck pain (723.1)

sore throat (462)

chronic (472.1)

784.2 Swelling, mass, or lump in head and neck

Space-occupying lesion, intracranial NOS

784.3 Aphasia

Excludes: aphasia due to late effects of cerebrovascular disease (438.11)

developmental aphasia (315.31)

784.4 Voice and resonance disorders

784.40 Voice disturbance, and resonance disorder, unspecified

784.41 Aphonia

Loss of voice

784.42 Dysphonia

Hoarseness

784.43 Hypernasality

784.44 Hyponasality

784.49 Other voice and resonance disorders

Change in voice

784.5 Other speech disturbance

Excludes: speech disorder due to late effect of cerebrovascular accident (438.10-438.19)

stuttering (315.35)

784.51 Dysarthria

Excludes: dysarthria due to late effect of cerebrovascular accident (438.13)

784.52 Fluency disorder in conditions classified elsewhere

Stuttering in conditions classified elsewhere

Code first underlying disease or condition, such as:

Parkinson's disease (332.0)

Excludes: adult onset fluency disorder (307.0)

childhood onset fluency disorder (315.35)

fluency disorder due to late effect of cerebrovascular accident (438.14)

784.59 Other speech disturbance

Dysphasia

Slurred speech

Speech disturbance NOS

784.6 Other symbolic dysfunction

Excludes: developmental learning delays (315.0-315.9)

784.60 Symbolic dysfunction, unspecified

784.61 Alexia and dyslexia

Alexia (with agraphia)

784.69 Other

Acalculia

Agnosia

Agraphia NOS

Apraxia

784.7 Epistaxis

Hemorrhage from nose

Nosebleed

784.8 Hemorrhage from throat

Excludes: hemoptysis (786.30-786.39)

784.9 Other symptoms involving head and neck

784.91 Postnasal drip

784.92 Jaw pain

Mandibular pain

Maxilla pain

Excludes: temporomandibular joint arthralgia (524.62)

784.99 Other symptoms involving head and neck

Choking sensation

Feeling of foreign body in throat

Halitosis

Mouth breathing

Sneezing

Excludes: foreign body in throat (933.0)

785 Symptoms involving cardiovascular system (ICD 9 CM Codes)

Excludes: heart failure NOS (428.9)

785.0 Tachycardia, unspecified

Rapid heart beat

Excludes: neonatal tachycardia (779.82)

paroxysmal tachycardia (427.0-427.2)

785.1 Palpitations

Awareness of heart beat

Excludes: specified dysrhythmias (427.0-427.9)

785.2 Undiagnosed cardiac murmurs

Heart murmur NOS

785.3 Other abnormal heart sounds

Cardiac dullness, increased or decreased

Friction fremitus, cardiac

Precordial friction

785.4 Gangrene

Gangrene:

NOS

spreading cutaneous

Gangrenous cellulitis

Phagedena

Code first any associated underlying condition

Excludes: gangrene of certain sites - see Alphabetic Index

gangrene with atherosclerosis of the extremities (440.24)

gas gangrene (040.0)

785.5 Shock without mention of trauma

785.50 Shock, unspecified

Failure of peripheral circulation

785.51 Cardiogenic shock

785.52 Septic shock

endotoxic

gram-negative

Code first underlying infection

Use additional code, if applicable, to identify systemic inflammatory response syndrome due to infectious process with organ dysfunction (995.92)

785.59 Other

Shock:

hypovolemic

Excludes: shock (due to):

anesthetic (995.4)

anaphylactic (995.0)

due to serum (999.41-999.49)

electric (994.8)

following abortion (639.5)

lightning (994.0)

obstetrical (669.1)

postoperative (998.00-998.09)

traumatic (958.4)

785.6 Enlargement of lymph nodes

Lymphadenopathy

"Swollen glands"

Excludes: lymphadenitis (chronic) (289.1-289.3)

acute (683)

785.9 Other symptoms involving cardiovascular system

Bruit (arterial)

Weak pulse

786 Symptoms involving respiratory system and other chest symptoms (ICD 9 CM Codes)

786.0 Dyspnea and respiratory abnormalities

786.00 Respiratory abnormality, unspecified

786.01 Hyperventilation

Excludes: hyperventilation, psychogenic (306.1)

786.02 Orthopnea

786.03 Apnea

Excludes: apnea of newborn (770.81, 770.82)

sleep apnea (780.51, 780.53, 780.57)

786.04 Cheyne-Stokes respiration

786.05 Shortness of breath

786.06 Tachypnea

Excludes: transitory tachypnea of newborn (770.6)

786.07 Wheezing

Excludes: asthma (493.00-493.92)

786.09 Other

Respiratory:

distress

insufficiency

Excludes: respiratory distress:

following trauma and surgery (518.52)

newborn (770.89)

syndrome (newborn) (769)

adult (518.52)

respiratory failure (518.81, 518.83-518.84)

newborn (770.84)

786.1 Stridor

Excludes: congenital laryngeal stridor (748.3)

786.2 Cough

Excludes: cough:

psychogenic (306.1)

smokers' (491.0)

with hemorrhage (786.39)

786.3 Hemoptysis

786.30 Hemoptysis, unspecified

Pulmonary hemorrhage NOS

786.31 Acute idiopathic pulmonary hemorrhage in infants [AIPHI]

Acute idiopathic pulmonary hemorrhage in infant over 28 days old

Excludes: pulmonary hemorrhage of newborn under 28 days old (770.3)

von Willebrand's disease (286.4)

786.39 Other hemoptysis

Cough with hemorrhage

786.4 Abnormal sputum

Abnormal:

amount of sputum

color of sputum

odor of sputum

Excessive sputum

786.5 Chest pain

786.50 Chest pain, unspecified

786.51 Precordial pain

786.52 Painful respiration

Pain:

anterior chest wall

pleuritic

Pleurodynia

Excludes: epidemic pleurodynia (074.1)

786.59 Other

Discomfort in chest

Pressure in chest

Tightness in chest

Excludes: pain in breast (611.71)

786.6 Swelling, mass, or lump in chest

Excludes: lump in breast (611.72)

786.7 Abnormal chest sounds

Abnormal percussion, chest

Friction sounds, chest

Rales

Tympany, chest

Excludes: wheezing (786.07)

786.8 Hiccough

Excludes: psychogenic hiccough (306.1)

786.9 Other symptoms involving respiratory system and chest

Breath-holding spell

787 Symptoms involving digestive system (ICD 9 CM Codes)

Excludes: constipation (564.0-564.9)

pylorospasm (537.81)

congenital (750.5)

787.0 Nausea and vomiting

Emesis

Excludes: hematemesis NOS (578.0)

vomiting:

bilious, following gastrointestinal surgery (564.3)

cyclical (536.2)

associated with migraine (346.2)

fecal matter (569.87)

psychogenic (306.4)

excessive, in pregnancy (643.0-643.9)

habit (536.2)

of newborn (779.32, 779.33)

persistent (536.2)

psychogenic NOS (307.54)

787.01 Nausea with vomiting

787.02 Nausea alone

787.03 Vomiting alone

787.04 Bilious emesis

Bilious vomiting

Excludes: bilious emesis (vomiting) in newborn (779.32)

787.1 Heartburn

Pyrosis

Waterbrash

Excludes: dyspepsia or indigestion (536.8)

787.2 Dysphagia

Code first, if applicable, dysphagia due to late effect of cerebrovascular accident (438.82)

787.20 Dysphagia, unspecified

Difficulty in swallowing NOS

787.21 Dysphagia, oral phase

787.22 Dysphagia, oropharyngeal phase

787.23 Dysphagia, pharyngeal phase

787.24 Dysphagia, pharyngoesophageal phase

787.29 Other dysphagia

Cervical dysphagia

Neurogenic dysphagia

787.3 Flatulence, eructation, and gas pain

Abdominal distention (gaseous)

Bloating

Tympanites (abdominal) (intestinal)

Excludes: aerophagy (306.4)

787.4 Visible peristalsis

Hyperperistalsis

787.5 Abnormal bowel sounds

Absent bowel sounds

Hyperactive bowel sounds

787.6 Incontinence of feces

Encopresis NOS

Incontinence of sphincter ani

Excludes: that of nonorganic origin (307.7)

787.60 Full incontinence of feces

Fecal incontinence NOS

787.61 Incomplete defecation

Excludes: constipation (564.00-564.09)

fecal impaction (560.32)

787.62 Fecal smearing

Fecal soiling

787.63 Fecal urgency

787.7 Abnormal feces

Bulky stools

Excludes: abnormal stool content (792.1)

melena:

NOS (578.1)

newborn (772.4, 777.3)

787.9 Other symptoms involving digestive system

Excludes: gastrointestinal hemorrhage (578.0-578.9)

intestinal obstruction (560.0-560.9)

specific functional digestive disorders:

esophagus (530.0-530.9)

stomach and duodenum (536.0-536.9)

those not elsewhere classified (564.0-564.9)

787.91 Diarrhea

Diarrhea NOS

787.99 Other

Change in bowel habits

Tenesmus (rectal)

788 Symptoms involving urinary system (ICD 9 CM Codes)

Excludes: hematuria (599.70-599.72)

nonspecific findings on examination of the urine (791.0-791.9)

small kidney of unknown cause (589.0-589.9)

uremia NOS (586)

urinary obstruction (599.60, 599.69)

788.0 Renal colic

Colic (recurrent) of:

kidney

ureter

788.1 Dysuria

Painful urination

Strangury

788.2 Retention of urine

Code first, if applicable, hyperplasia of prostate (600.0-600.9 with fifth-digit 1)

788.20 Retention of urine, unspecified

788.21 Incomplete bladder emptying

788.29 Other specified retention of urine

788.3 Urinary incontinence

Excludes: functional urinary incontinence (788.91)

that of nonorganic origin (307.6)

urinary incontinence associated with cognitive impairment (788.91)

Code, if applicable, any causal condition first, such as:

congenital ureterocele (753.23)

genital prolapse (618.00-618.9)

hyperplasia of prostate (600.0-600.9 with fifth-digit 1)

788.30 Urinary incontinence, unspecified

Enuresis NOS

788.31 Urge incontinence

788.32 Stress incontinence, male

Excludes: stress incontinence, female (625.6)

788.33 Mixed incontinence (female) (male)

Urge and stress

788.34 Incontinence without sensory awareness

788.35 Post-void dribbling

788.36 Nocturnal enuresis

788.37 Continuous leakage

788.38 Overflow incontinence

788.39 Other urinary incontinence

788.4 Frequency of urination and polyuria

Code first, if applicable, hyperplasia of prostate (600.0-600.9 with fifth-digit 1)

788.41 Urinary frequency

Frequency of micturition

788.42 Polyuria

788.43 Nocturia

788.5 Oliguria and anuria

Deficient secretion of urine

Suppression of urinary secretion

Excludes: that complicating:

abortion (634-638 with.3, 639.3)

ectopic or molar pregnancy (639.3)

pregnancy, childbirth, or the puerperium (642.0-642.9, 646.2)

788.6 Other abnormality of urination

Code first, if applicable, hyperplasia of prostate (600.0-600.9 with fifth-digit 1)

788.61 Splitting of urinary stream

Intermittent urinary stream

788.62 Slowing of urinary stream

Weak stream

788.63 Urgency of urination

Excludes: urge incontinence (788.31, 788.33)

788.64 Urinary hesitancy

788.65 Straining on urination

788.69 Other

788.7 Urethral discharge

Penile discharge

Urethrorrhea

788.8 Extravasation of urine

788.9 Other symptoms involving urinary system

788.91 Functional urinary incontinence

Urinary incontinence due to cognitive impairment, or severe physical disability or immobility

Excludes: urinary incontinence due to physiologic condition (788.30-788.39)

788.99 Other symptoms involving urinary system

Extrarenal uremia

Vesical:

pain

tenesmus

789 Other symptoms involving abdomen and pelvis (ICD 9 CM Codes)

The following fifth-digit subclassification is to be used for codes 789.0, 789.3, 789.4, 789.6

0 unspecified site

1 right upper quadrant

2 left upper quadrant

3 right lower quadrant

4 left lower quadrant

5 periumbilic

6 epigastric

7 generalized

9 other specified site

multiple sites

Excludes: symptoms referable to genital organs:

female (625.0-625.9)

male (607.0-608.9)

psychogenic (302.70-302.79)

789.0 Abdominal pain

[0-7,9]

Cramps, abdominal

789.1 Hepatomegaly

Enlargement of liver

789.2 Splenomegaly

Enlargement of spleen

789.3 Abdominal or pelvic swelling, mass, or lump

[0-7,9]

Diffuse or generalized swelling or mass:

abdominal NOS

umbilical

Excludes: abdominal distention (gaseous) (787.3)

ascites (789.51-789.59)

789.4 Abdominal rigidity

[0-7,9]

789.5 Ascites

Fluid in peritoneal cavity

789.51 Malignant ascites

Code first malignancy, such as:

malignant neoplasm of ovary (183.0)

secondary malignant neoplasm of retroperitoneum and peritoneum (197.6)

789.59 Other ascites

789.6 Abdominal tenderness

[0-7,9]

Rebound tenderness

789.7 Colic

Colic NOS

Infantile colic

Excludes: colic in adult and child over 12 months old (789.0)

renal colic (788.0)

789.9 Other symptoms involving abdomen and pelvis

Umbilical:

bleeding

discharge

(ICD 9 CM Codes)