DISEASES OF OTHER ENDOCRINE GLANDS (ICD 9 CODES: 249-259)
Includes: diabetes mellitus (due to) (in) (secondary) (with):
drug-induced or chemical induced
infection
Excludes: gestational diabetes (648.8)
hyperglycemia NOS (790.29)
neonatal diabetes mellitus (775.1)
nonclinical diabetes (790.29)
Type I diabetes - see category 250
Type II diabetes - see category 250
The following fifth-digit subclassification is for use with category 249:
0 not stated as uncontrolled
1 uncontrolled
Use additional code to identify any associated insulin use (V58.67)
[0-1]
Secondary diabetes mellitus without mention of complication or manifestation classifiable to 249.1-249.9
Secondary diabetes mellitus NOS
[0-1]
Secondary diabetes mellitus with diabetic acidosis without mention of coma
Secondary diabetes mellitus with diabetic ketosis without mention of coma
[0-1]
Secondary diabetes mellitus with hyperosmolar (nonketotic) coma
[0-1]
Secondary diabetes mellitus with diabetic coma (with ketoacidosis)
Secondary diabetes mellitus with diabetic hypoglycemic coma
Secondary diabetes mellitus with insulin coma NOS
Excludes: secondary diabetes mellitus with hyperosmolar coma (249.2)
[0-1]
Use additional code to identify manifestation, as:
chronic kidney disease (585.1-585.9)
diabetic nephropathy NOS (583.81)
diabetic nephrosis (581.81)
intercapillary glomerulosclerosis (581.81)
Kimmelstiel-Wilson syndrome (581.81)
[0-1]
Use additional code: to identify manifestation, as:
diabetic blindness (369.00-369.9)
diabetic cataract (366.41)
diabetic glaucoma (365.44)
diabetic macular edema (362.07)
diabetic retinal edema (362.07)
diabetic retinopathy (362.01-362.07)
[0-1]
Use additional code to identify manifestation, as:
diabetic amyotrophy (353.5)
diabetic gastroparalysis (536.3)
diabetic gastroparesis (536.3)
diabetic mononeuropathy (354.0-355.9)
diabetic neurogenic arthropathy (713.5)
diabetic peripheral autonomic neuropathy (337.1)
diabetic polyneuropathy (357.2)
[0-1]
Use additional code to identify manifestation, as:
diabetic gangrene (785.4)
diabetic peripheral angiopathy (443.81)
[0-1]
Secondary diabetic hypoglycemia in diabetes mellitus
Secondary hypoglycemic shock in diabetes mellitus
Use additional code to identify manifestation, as:
any associated ulceration (707.10-707.19, 707.8, 707.9)
diabetic bone changes (731.8)
[0-1]
Excludes: gestational diabetes (648.8)
hyperglycemia NOS (790.29)
neonatal diabetes mellitus (775.1)
nonclinical diabetes (790.29)
secondary diabetes (249.0-249.9)
The following fifth-digit subclassification is for use with category 250:
0 type II or unspecified type, not stated as uncontrolled
Fifth-digit 0 is for use for type II patients, even if the patient requires insulin
Use additional code, if applicable, for associated long-term (current) insulin use V58.67
1 type I [juvenile type], not stated as uncontrolled
2 type II or unspecified type, uncontrolled
Use additional code, if applicable, for associated long-term (current) insulin use V58.67
Fifth-digit 2 is for use for type II, adult-onset, diabetic patients, even if the patient requires insulin
3 type I [juvenile type], uncontrolled
[0-3]
Diabetes mellitus without mention of complication or manifestation classifiable to 250.1-250.9
Diabetes (mellitus) NOS
[0-3]
Diabetic:
acidosis without mention of coma
ketosis without mention of coma
[0-3]
Hyperosmolar (nonketotic) coma
[0-3]
Diabetic coma (with ketoacidosis)
Diabetic hypoglycemic coma
Insulin coma NOS
Excludes: diabetes with hyperosmolar coma (250.2)
[0-3]
Use additional code to identify manifestation, as:
chronic kidney disease (585.1-585.9)
diabetic:
nephropathy NOS (583.81)
nephrosis (581.81)
intercapillary glomerulosclerosis (581.81)
Kimmelstiel-Wilson syndrome (581.81)
[0-3]
Use additional code to identify manifestation, as:
diabetic:
blindness (369.00-369.9)
cataract (366.41)
glaucoma (365.44)
macular edema (362.07)
retinal edema (362.07)
retinopathy (362.01-362.07)
[0-3]
Use additional code to identify manifestation, as:
diabetic:
amyotrophy (353.5)
gastroparalysis (536.3)
gastroparesis (536.3)
mononeuropathy (354.0-355.9)
neurogenic arthropathy (713.5)
peripheral autonomic neuropathy (337.1)
polyneuropathy (357.2)
[0-3]
Use additional code to identify manifestation, as:
diabetic:
gangrene (785.4)
peripheral angiopathy (443.81)
[0-3]
Diabetic hypoglycemia NOS
Hypoglycemic shock NOS
Use additional code to identify manifestation, as:
any associated ulceration (707.10-707.19, 707.8, 707.9)
diabetic bone changes (731.8)
[0-3]
Iatrogenic hyperinsulinism
Non-diabetic insulin coma
Use additional E code to identify cause, if drug-induced
Excludes: hypoglycemic coma in diabetes mellitus (249.3, 250.3)
Hyperinsulinism:
NOS
ectopic
functional
Hyperplasia of pancreatic islet beta cells NOS
Excludes: hypoglycemia in diabetes mellitus (249.8, 250.8)
hypoglycemia in infant of diabetic mother (775.0)
hypoglycemic coma (251.0)
neonatal hypoglycemia (775.6)
Use additional E code to identify cause, if drug-induced
Hypoglycemia:
NOS
reactive
spontaneous
Excludes: hypoglycemia:
with coma (251.0)
in diabetes mellitus (249.8, 250.8)
leucine-induced (270.3)
Hypoinsulinemia following complete or partial pancreatectomy
Postpancreatectomy hyperglycemia
Use additional code to identify (any associated):
acquired absence of pancreas (V88.11-V88.12)
insulin use (V58.67)
secondary diabetes mellitus (249.00-249.91)
Excludes: transient hyperglycemia post procedure (790.29)
transient hypoglycemia post procedure (251.2)
Hyperplasia of pancreatic islet alpha cells with glucagon excess
Hyperplasia of pancreatic alpha cells with gastrin excess
Zollinger-Ellison syndrome
Islet cell hyperplasia NOS
Excludes: hungry bone syndrome (275.5)
Excludes: ectopic hyperparathyroidism (259.3)
Hyperplasia of parathyroid
Excludes: secondary hyperparathyroidism (of renal origin) (588.81)
Tertiary hyperparathyroidism
Parathyroiditis (autoimmune)
Tetany:
parathyroid
parathyroprival
Excludes: pseudohypoparathyroidism (275.49)
pseudopseudohypoparathyroidism (275.49)
tetany NOS (781.7)
transitory neonatal hypoparathyroidism (775.4)
Cyst of parathyroid gland
Hemorrhage of parathyroid gland
Includes: the listed conditions whether the disorder is in the pituitary or the hypothalamus
Excludes: Cushing's syndrome (255.0)
Overproduction of growth hormone
Forbes-Albright syndrome
Excludes: overproduction of:
ACTH (255.3)
thyroid-stimulating hormone [TSH] (242.8)
Cachexia, pituitary
Necrosis of pituitary (postpartum)
Pituitary insufficiency NOS
Sheehan's syndrome
Simmonds' disease
Excludes: iatrogenic hypopituitarism (253.7)
Isolated deficiency of (human) growth hormone [HGH]
Lorain-Levi dwarfism
Isolated or partial deficiency of an anterior pituitary hormone, other than growth hormone
Prolactin deficiency
Vasopressin deficiency
Excludes: nephrogenic diabetes insipidus (588.1)
Syndrome of inappropriate secretion of antidiuretic hormone [ADH]
Excludes: ectopic antidiuretic hormone secretion (259.3)
Hypopituitarism:
hormone-induced
hypophysectomy-induced
postablative
radiotherapy-induced
Use additional E code to identify cause
Abscess of pituitary
Adiposogenital dystrophy
Cyst of Rathke's pouch
Fröhlich's syndrome
Excludes: craniopharyngioma (237.0)
Dyspituitarism
Excludes: aplasia or dysplasia with immunodeficiency (279.2)
hypoplasia with immunodeficiency (279.2)
myasthenia gravis (358.00-358.01)
Hypertrophy of thymus
Atrophy of thymus
Cyst of thymus
Excludes: thymoma (212.6)
Includes: the listed conditions whether the basic disorder is in the adrenals or is pituitary-induced
Adrenal hyperplasia due to excess ACTH
Cushing's syndrome:
NOS
iatrogenic
idiopathic
pituitary-dependent
Ectopic ACTH syndrome
Iatrogenic syndrome of excess cortisol
Overproduction of cortisol
Use additional E code to identify cause, if drug-induced
Excludes: congenital adrenal hyperplasia (255.2)
Aldosteronism NOS
Primary aldosteronism, unspecified
Excludes: Conn's syndrome (255.12)
Familial aldosteronism type I
Excludes: Conn's syndrome (255.12)
Adrenogenital syndromes, virilizing or feminizing, whether acquired or associated with congenital adrenal hyperplasia consequent on inborn enzyme defects in hormone synthesis
Achard-Thiers syndrome
Congenital adrenal hyperplasia
Female adrenal pseudohermaphroditism
Male:
macrogenitosomia praecox
sexual precocity with adrenal hyperplasia
Virilization (female) (suprarenal)
Excludes: adrenal hyperplasia due to excess ACTH (255.0)
isosexual virilization (256.4)
Acquired benign adrenal androgenic overactivity
Overproduction of ACTH
Excludes: tuberculous Addison's disease (017.6)
Addisonian crisis
Addison's disease NOS
Adrenal atrophy (autoimmune)
Adrenal calcification
Adrenal crisis
Adrenal hemorrhage
Adrenal infarction
Adrenal insufficiency NOS
Combined glucocorticoid and mineralocorticoid deficiency
Corticoadrenal insufficiency NOS
Hypoaldosteronism
Excludes: combined glucocorticoid and mineralocorticoid deficiency (255.41)
Adrenal medullary insufficiency
Excludes: Waterhouse-Friderichsen syndrome (meningococcal) (036.3)
Catecholamine secretion by pheochromocytoma
Abnormality of cortisol-binding globulin
Hypersecretion of ovarian androgens
Ovarian failure:
iatrogenic
postirradiation
postsurgical
Use additional code for states associated with artificial menopause (627.4)
Excludes:: acquired absence of ovary (V45.77)
asymptomatic age-related (natural) postmenopausal status (V49.81)
Use additional code for states associated with natural menopause (627.2)
Excludes:: asymptomatic age-related (natural) postmenopausal status (V49.81)
Delayed menarche
Ovarian hypofunction
Primary ovarian failure NOS
Isosexual virilization Stein-Leventhal syndrome
Hypersecretion of testicular hormones
Testicular hypofunction:
iatrogenic
postirradiation
postsurgical
Defective biosynthesis of testicular androgen
Eunuchoidism:
NOS
hypogonadotropic
Failure:
Leydig's cell, adult
seminiferous tubule, adult
Testicular hypogonadism
Excludes: azoospermia (606.0)
Excludes: androgen insensitivity syndrome (259.50-259.52)
Multiple endocrine neoplasia [MEN] syndromes
Use additional codes to identify any malignancies and other conditions associated with the syndromes
Wermer's syndrome
Sipple's syndrome
Lloyd's syndrome
Schmidt's syndrome
Delayed puberty
Sexual precocity:
NOS
constitutional
cryptogenic
idiopathic
Hormone secretion by carcinoid tumors
Ectopic:
antidiuretic hormone secretion [ADH]
hyperparathyroidism
Excludes: ectopic ACTH syndrome (255.0)
Dwarfism:
NOS
constitutional
Excludes: dwarfism:
achondroplastic (756.4)
intrauterine (759.7)
nutritional (263.2)
pituitary (253.3)
renal (588.0)
progeria (259.8)
Complete androgen insensitivity
de Quervain's syndrome
Goldberg-Maxwell Syndrome
Partial androgen insensitivity
Reifenstein syndrome
Pineal gland dysfunction
Progeria
Werner's syndrome
Disturbance:
endocrine NOS
hormone NOS
Infantilism NOS
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