13. DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE ICD 9 CODES(710-739)
Use additional external cause code, if applicable, to identify the cause of the musculoskeletal condition
The following fifth-digit subclassification is for use with categories 711-712, 715-716, 718-719, and 730:
0 site unspecified
1 shoulder region
Acromioclavicular joint(s)
Glenohumeral joint(s)
Sternoclavicular joint(s)
Clavicle
Scapula
2 upper arm
Elbow joint
Humerus
3 forearm
Radius
Ulna
Wrist joint
4 hand
Carpus
Metacarpus
Phalanges [fingers]
5 pelvic region and thigh
Buttock
Femur
Hip (joint)
6 lower leg
Fibula
Knee joint
Patella
Tibia
7 ankle and foot
Ankle joint
Digits [toes]
Metatarsus
Phalanges, foot
Tarsus
Other joints in foot
8 other specified sites
Head
Neck
Ribs
Skull
Trunk
Vertebral column
9 multiple sites
ARTHROPATHIES AND RELATED DISORDERS (710-719)
Excludes: disorders of spine (720.0-724.9)
Includes: all collagen diseases whose effects are not mainly confined to a single system
Excludes: those affecting mainly the cardiovascular system, i.e., polyarteritis nodosa and allied conditions (446.0-446.7)
Disseminated lupus erythematosus
Libman-Sacks disease
Use additional code to identify manifestation, as:
endocarditis (424.91)
nephritis (583.81)
chronic (582.81)
nephrotic syndrome (581.81)
Excludes: lupus erythematosus (discoid) NOS (695.4)
Acrosclerosis
CRST syndrome
Progressive systemic sclerosis
Scleroderma
Use additional code to identify manifestation, as:
lung involvement (517.2)
myopathy (359.6)
Excludes: circumscribed scleroderma (701.0)
Keratoconjunctivitis sicca
Sjögren's disease
Poikilodermatomyositis
Polymyositis with skin involvement
Toxic oil syndrome
Use additional E to identify drug, if drug induced
Multifocal fibrosclerosis (idiopathic) NEC
Systemic fibrosclerosing syndrome
Collagen disease NOS
Includes: arthritis associated with conditions classifiable below
arthropathy associated with conditions classifiable below
polyarthritis associated with conditions classifiable below
polyarthropathy associated with conditions classifiable below
Excludes: rheumatic fever (390)
The following fifth-digit subclassification is for use with category 711; valid digits are in [brackets] under each code. see list at beginning of chapter for definitions:
0 site unspecified
1 shoulder region
2 upper arm
3 forearm
4 hand
5 pelvic region and thigh
6 lower leg
7 ankle and foot
8 other specified sites
9 multiple sites
[0-9]
Arthritis or polyarthritis (due to):
coliform [Escherichia coli]
Hemophilus influenzae [H. influenzae]
pneumococcal
Pseudomonas
staphylococcal
streptococcal
Pyarthrosis
Use additional code to identify infectious organism (041.0-041.8)
[0-9]
Code first underlying disease, as:
nonspecific urethritis (099.4)
Reiter's disease (099.3)
[0-9]
Code first underlying disease (136.1)
[0-9]
Code first underlying disease, as:
dysentery (009.0)
enteritis, infectious (008.0-009.3)
paratyphoid fever (002.1-002.9)
typhoid fever (002.0)
Excludes: salmonella arthritis (003.23)
[0-9]
Code first underlying disease, as:
diseases classifiable to 010-040, 090-099, except as in 711.1, 711.3, and 713.5
leprosy (030.0-030.9)
tuberculosis (015.0-015.9)
Excludes: gonococcal arthritis (098.50)
meningococcal arthritis (036.82)
[0-9]
Code first underlying disease, as:
diseases classifiable to 045-049. 050-079, 480, 487
O'nyong nyong (066.3)
Excludes: that due to rubella (056.71)
[0-9]
Code first underlying disease (110.0-118)
[0-9]
Code first underlying disease, as:
filariasis (125.0-125.9)
[0-9]
Code first underlying disease, as:
diseases classifiable to 080-088, 100-104, 130-136
Excludes: arthropathy associated with sarcoidosis (713.7)
[0-9]
Infective arthritis or polyarthritis (acute) (chronic) (subacute) NOS
Includes: crystal-induced arthritis and synovitis
Excludes: gouty arthropathy (274.00-274.03)
The following fifth-digit subclassification is for use with category 712; valid digits are in [brackets] under each code. see list at beginning of chapter for definitions:
0 site unspecified
1 shoulder region
2 upper arm
3 forearm
4 hand
5 pelvic region and thigh
6 lower leg
7 ankle and foot
8 other specified sites
9 multiple sites
[0-9]
Chondrocalcinosis due to dicalcium phosphate crystals (with other crystals)
Code first underlying disease (275.49)
[0-9]
Code first underlying disease (275.49)
[0-9]
Code first underlying disease (275.49)
[0-9]
[0-9]
Includes: arthritis associated with conditions classifiable below
arthropathy associated with conditions classifiable below
polyarthritis associated with conditions classifiable below
polyarthropathy associated with conditions classifiable below
Code first underlying disease, as:
acromegaly (253.0)
hemochromatosis (275.01-275.09)
hyperparathyroidism (252.00-252.08)
hypogammaglobulinemia (279.00-279.09)
hypothyroidism (243-244.9)
lipoid metabolism disorder (272.0-272.9)
ochronosis (270.2)
Excludes: arthropathy associated with:
amyloidosis (713.7)
crystal deposition disorders, except gout (712.1-712.9)
diabetic neuropathy (713.5)
gout (274.00-274.03)
Code first underlying disease, as:
regional enteritis (555.0-555.9)
ulcerative colitis (556)
Code first underlying disease, as:
hemoglobinopathy (282.4-282.7)
hemophilia (286.0-286.2)
leukemia (204.0-208.9)
malignant reticulosis (202.3)
multiple myelomatosis (203.0)
Excludes: arthropathy associated with Henoch-Schönlein purpura (713.6)
Code first underlying disease, as:
erythema multiforme (695.10-695.19)
erythema nodosum (695.2)
Excludes: psoriatic arthropathy (696.0)
Code first underlying disease, as:
diseases classifiable to 490-519
Excludes: arthropathy associated with respiratory infections (711.0, 711.4-711.8)
Charcot's arthropathy associated with diseases classifiable elsewhere
Neuropathic arthritis associated with diseases classifiable elsewhere
Code first underlying disease, as:
neuropathic joint disease [Charcot's joints]:
NOS (094.0)
diabetic (249.6, 250.6)
syringomyelic (336.0)
tabetic [syphilitic] (094.0)
Code first underlying disease, as:
Henoch-Schönlein purpura (287.0)
serum sickness (999.51-999.59)
Excludes: allergic arthritis NOS (716.2)
Code first underlying disease, as:
amyloidosis (277.30-277.39)
familial Mediterranean fever (277.31)
sarcoidosis (135)
Code first underlying disease, as:
conditions classifiable elsewhere except as in 711.1-711.8, 712, and 713.0-713.7
Excludes: rheumatic fever (390)
rheumatoid arthritis of spine NOS (720.0)
Arthritis or polyarthritis:
atrophic
rheumatic (chronic)
Use additional code to identify manifestation, as:
myopathy (359.6)
polyneuropathy (357.1)
Excludes: juvenile rheumatoid arthritis NOS (714.30)
Rheumatoid arthritis with splenoadenomegaly and leukopenia
Rheumatoid carditis
Juvenile rheumatoid arthritis NOS
Still's disease
Chronic rheumatoid nodular fibrositis
Jaccoud's syndrome
Caplan's syndrome
Diffuse interstitial rheumatoid disease of lung
Fibrosing alveolitis, rheumatoid
Inflammatory polyarthropathy or polyarthritis NOS
Excludes: polyarthropathy NOS (716.5)
Note: Localized, in the subcategories below, includes bilateral involvement of the same site.
Includes: arthritis or polyarthritis:
degenerative
hypertrophic
degenerative joint disease
osteoarthritis
Excludes: Marie-Strümpell spondylitis (720.0)
osteoarthrosis [osteoarthritis] of spine (721.0-721.9)
The following fifth-digit subclassification is for use with category 715; valid digits are in [brackets] under each code. see list at beginning of chapter for definitions:
0 site unspecified
1 shoulder region
2 upper arm
3 forearm
4 hand
5 pelvic region and thigh
6 lower leg
7 ankle and foot
8 other specified sites
9 multiple sites
[0,4,9]
Degenerative joint disease, involving multiple joints
Primary generalized hypertrophic osteoarthrosis
[0-8]
Localized osteoarthropathy, idiopathic
[0-8]
Coxae malum senilis
[0-8]
Otto's pelvis
715.8 Osteoarthrosis involving, or with mention of more than one site, but not specified as generalized
[0,9]
[0-8]
Excludes: cricoarytenoid arthropathy (478.79)
The following fifth-digit subclassification is for use with category 716; valid digits are in [brackets] under each code. see list at beginning of chapter for definitions:
0 site unspecified
1 shoulder region
2 upper arm
3 forearm
4 hand
5 pelvic region and thigh
6 lower leg
7 ankle and foot
8 other specified sites
9 multiple sites
[0-9]
Endemic polyarthritis
[0-9]
[0-9]
Excludes: arthritis associated with Henoch-Schönlein purpura or serum sickness (713.6)
[0-9]
Menopausal arthritis
[0-9]
Excludes: palindromic rheumatism (719.3)
[0-9]
[0-8]
Coxitis
[0-9]
[0-9]
Arthritis, (acute) (chronic) (subacute)
Arthropathy, (acute) (chronic) (subacute)
Articular rheumatism, (chronic)
Inflammation of joint, NOS
Includes: degeneration of articular cartilage or meniscus of knee
rupture, old of articular cartilage or meniscus of knee
tear, old of articular cartilage or meniscus of knee
Excludes: acute derangement of knee (836.0-836.6)
ankylosis (718.5)
contracture (718.4)
current injury (836.0-836.6)
deformity (736.4-736.6)
recurrent dislocation (718.3)
Old bucket handle tear of unspecified cartilage
Degeneration of internal semilunar cartilage
Congenital discoid meniscus
Cyst of semilunar cartilage
Derangement of semilunar cartilage NOS
Joint mice, knee
Rice bodies, knee (joint)
Chondromalacia patellae
Degeneration [softening] of articular cartilage of patella
Capsular ligament of knee
Old disruption of ligaments of knee NOS
Derangement NOS of knee
Excludes: current injury (830.0-848.9)
jaw (524.60-524.69)
The following fifth-digit subclassification is for use with category 718; valid digits are in [brackets] under each code. see list at beginning of chapter for definitions:
0 site unspecified
1 shoulder region
2 upper arm
3 forearm
4 hand
5 pelvic region and thigh
6 lower leg
7 ankle and foot
8 other specified sites
9 multiple sites
[0-5,7-9]
Meniscus:
disorder
rupture, old
tear, old
Old rupture of ligament(s) of joint NOS
Excludes: articular cartilage disorder:
in ochronosis (270.2)
knee (717.0-717.9)
chondrocalcinosis (275.49)
metastatic calcification (275.40)
[0-5,7-9]
Joint mice
Excludes: knee (717.6)
[0-9]
Dislocation or displacement of joint, not recurrent and not current
[0-9]
[0-9]
[0-9]
Ankylosis of joint (fibrous) (osseous)
Excludes: spine (724.9)
stiffness of joint without mention of ankylosis (719.5)
[5]
Protrusio acetabuli, unspecified
[0-9]
Excludes: congenital dislocation of joint (754.0-755.8)
traumatic dislocation of joint (830-839)
[0-9]
Flail joint (paralytic)
Instability of joint
Excludes: deformities classifiable to 736 (736.0-736.9)
[0-5,7-9]
Excludes: knee (717.9)
Excludes: jaw (524.60-524.69)
The following fifth-digit subclassification is for use with codes 719.0-719.6, 719.8-719.9; valid digits are in [brackets] under each code. see list at beginning of chapter for definitions:
0 site unspecified
1 shoulder region
2 upper arm
3 forearm
4 hand
5 pelvic region and thigh
6 lower leg
7 ankle and foot
8 other specified sites
9 multiple sites
[0-9]
Hydrarthrosis
Swelling of joint, with or without pain
Excludes: intermittent hydrarthrosis (719.3)
[0-9]
Excludes: current injury (840.0-848.9)
[0-9]
[0-9]
Hench-Rosenberg syndrome
Intermittent hydrarthrosis
[0-9]
Arthralgia
[0-9]
[0-9]
Joint crepitus
Snapping hip
Excludes: abnormality of gait (781.2)
[0-9]
Calcification of joint
Fistula of joint
Excludes: temporomandibular joint-pain-dysfunction syndrome [Costen's syndrome] (524.60)
[0-9]
(ICD 9 CM Codes)
(ICD 9 CM Codes)
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