NONSPECIFIC ABNORMAL FINDINGS ICD 9 CODES (790-796)

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