Osteopathies, Chondropathies, and Acquired Musculoskeletal Deformities ICD 9 Codes (730-739)

OSTEOPATHIES, CHONDROPATHIES, AND ACQUIRED MUSCULOSKELETAL DEFORMITIES ICD 9 CODES(730-739)

730       Osteomyelitis, periostitis, and other infections involving bone  (ICD 9 CM Codes)

Excludes:    jaw (526.4-526.5)

petrous bone (383.2)

Use additional code to identify organism, such as Staphylococcus (041.1)

The following fifth-digit subclassification is for use with category 730; 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

730.0    Acute osteomyelitis

[0-9]

Abscess of any bone except accessory sinus, jaw, or mastoid

Acute or subacute osteomyelitis, with or without mention of periostitis

Use additional code to identify major osseous defect, if applicable (731.3)

730.1    Chronic osteomyelitis

[0-9]

Brodie's abscess

Chronic or old osteomyelitis, with or without mention of periostitis

Sequestrum

Sclerosing osteomyelitis of Garré

Use additional code to identify major osseous defect, if applicable (731.3)

Excludes: aseptic necrosis of bone (733.40-733.49)

730.2    Unspecified osteomyelitis

[0-9]

Osteitis or osteomyelitis NOS, with or without mention of periostitis

Use additional code to identify major osseous defect, if applicable (731.3)

730.3    Periostitis without mention of ostemyelitis

[0-9]

Abscess of periosteum, without mention of osteomyelitis

Periostosis, without mention of osteomyelitis

Excludes: that in secondary syphilis (091.61)

730.7    Osteopathy resulting from poliomyelitis

[0-9]

Code first underlying disease (045.0-045.9)

730.8    Other infections involving bone in disease classified elsewhere

[0-9]

Code first underlying disease, as:

tuberculosis (015.0-015.9)

typhoid fever (002.0)

Excludes: syphilitis of bone NOS (095.5)

730.9    Unspecified infection of bone

[0-9]

731       Osteitis deformans and osteopathies associated with other disorders classified elsewhere (ICD 9 CM Codes)

731.0    Osteitis deformans without mention of bone tumor

Paget's disease of bone

731.1    Osteitis deformans in diseases classified elsewhere

Code first underlying disease, as:

malignant neoplasm of bone (170.0-170.9)

731.2    Hypertrophic pulmonary osteoarthropathy

Bamberger-Marie disease

731.3    Major osseous defects

Code first underlying disease, if known, such as:

aseptic necrosis (733.40-733.49)

malignant neoplasm of bone (170.0-170.9)

osteomyelitis (730.00-730.29)

osteoporosis (733.00-733.09)

peri-prosthetic osteolysis (996.45)

731.8    Other bone involvement in diseases classified elsewhere

Code first underlying disease, as:

diabetes mellitus (249.8, 250.8)

Use additional code to specify bone condition, such as:

acute osteomyelitis (730.00-730.09)

732       Osteochondropathies           (ICD 9 CM Codes)

732.0    Juvenile osteochondrosis of spine

Juvenile osteochondrosis (of):

marginal  or vertebral ephiphysis (of Scheurermann) spine NOS

Vertebral epiphysitis

Excludes: adolescent postural kyphosis (737.0)

732.1    Juvenile osteochondrosis of hip and pelvis

Coxa plana

Ischiopubic synchondrosis (of van Neck)

Osteochondrosis (juvenile) of:

acetabulum

head of femur (of Legg-Calvé-Perthes)

iliac crest (of Buchanan)

symphysis pubis (of Pierson)

Pseudocoxalgia

732.2    Nontraumatic slipped upper femoral epiphysis

Slipped upper femoral epiphysis NOS

732.3    Juvenile osteochondrosis of upper extremity

Osteochondrosis (juvenile) of:

capitulum of humerus (of Panner)

carpal lunate (of Kienbock)

hand NOS

head of humerus (of Haas)

heads of metacarpas (of Mauclaire)

lower ulna (of Burns)

radial head (of Brailsford)

upper extremity NOS

732.4    Juvenile osteochondrosis of lower extremity, excluding foot

Osteochondrosis (juvenile) of:

lower extremity NOS

primary patellar center (of Köhler)

proximal tibia (of Blount)

secondary patellar center (of Sinding-Larsen)

tibial tubercle (of Osgood-Schlatter)

Tibia vara

732.5    Juvenile osteochondrosis of foot

Calcaneal apophysitis

Epiphysitis, os calcis

Osteochondrosis (juvenile) of:

astragalus (of Diaz)

calcaneum (of Sever)

foot NOS

metatarsal:

second (of Freilberg)

fifth (of Iselin)

os tibiale externum (of Haglund)

tarsal navicular (of Köhler)

732.6    Other juvenile osteochondrosis

Apophysitis specified as juvenile, of other site, or site NOS

Epiphysitis specified as juvenile, of other site, or site NOS

Osteochondritis specified as juvenile, of other site, or site NOS

Osteochondrosis specified as juvenile, of other site, or site NOS

732.7    Osteochondritis dissecans

732.8    Other specified forms of osteochondropathy

Adult osteochondrosis of spine

732.9    Unspecified osteochondropathy

Apophysitis

NOS

not specified as adult or juvenile, of unspecified site

Epiphysitis

NOS

not specified as adult or juvenile, of unspecified site

Osteochondritis

NOS

not specified as adult or juvenile, of unspecified site

Osteochondrosis

NOS

not specified as adult or juvenile, of unspecified site

733       Other disorders of bone and cartilage          (ICD 9 CM Codes)

Excludes:    bone spur (726.91)

cartilage of, or loose body in, joint (717.0-717.9, 718.0-718.9)

giant cell granuloma of jaw (526.3)

osteitis fibrosa cystica generalisata (252.01)

osteomalacia (268.2)

polyostotic fibrous dysplasia of bone (756.54)

prognathism, retrognathism (524.1)

xanthomatosis localized to bone (272.7)

733.0    Osteoporosis

Use additional code to identify:

major osseous defect, if applicable (731.3)

personal history of pathologic (healed) fracture (V13.51)

733.00  Osteoporosis, unspecified

Wedging of vertebra NOS

733.01  Senile osteoporosis

Postmenopausal osteoporosis

733.02  Idiopathic osteoporosis

733.03  Disuse osteoporosis

733.09  Other

Drug-induced osteoporosis

Use additional E code to identify drug

733.1    Pathologic fracture

Chronic fracture

Spontaneous fracture

Excludes: stress fracture (733.93-733.95)

traumatic fractures (800-829)

733.10  Pathologic fracture, unspecified site

733.11  Pathologic fracture of humerus

733.12  Pathologic fracture of distal radius and ulna

Wrist NOS

733.13  Pathologic fracture of vertebrae

Collapse of vertebra NOS

733.14  Pathologic fracture of neck of femur

Femur NOS

Hip NOS

733.15  Pathologic fracture of other specified part of femur

733.16  Pathologic fracture of tibia and fibula

Ankle NOS

733.19  Pathologic fracture of other specified site

733.2    Cyst of bone

733.20  Cyst of bone (localized), unspecified

733.21  Solitary bone cyst

Unicameral bone cyst

733.22  Aneurysmal bone cyst

733.29  Other

Fibrous dysplasia (monostotic)

Excludes: cyst of jaw (526.0-526.2, 526.89)

osteitis fibrosa cystica (252.01)

polyostotic fibrous dysplasia of bone (756.54)

733.3    Hyperostosis of skull

Hyperostosis interna frontalis

Leontiasis ossium

733.4    Aseptic necrosis of bone

Use additional code to identify major osseous defect, if applicable (731.3)

Excludes: osteochondropathies (732.0-732.9)

733.40  Aseptic necrosis of bone, site unspecified

733.41  Head of humerus

733.42  Head and neck of femur

Femur NOS

Excludes: Legg-Calvé-Perthes disease (732.1)

733.43  Medial femoral condyle

733.44  Talus

733.45  Jaw

Use additional E code to identify drug, if drug-induced

Excludes: osteoradionecrosis of jaw (526.89)

733.49  Other

733.5    Osteitis condensans

Piriform sclerosis of ilium

733.6    Tietze's disease

Costochondral junction syndrome

Costochondritis

733.7    Algoneurodystrophy

Disuse atrophy of bone

Sudeck's atrophy

733.8    Malunion and nonunion of fracture

733.81  Malunion of fracture

733.82  Nonunion of fracture

Pseudoarthrosis (bone)

733.9    Other and unspecified disorders of bone and cartilage

733.90  Disorder of bone and cartilage, unspecified

733.91  Arrest of bone development or growth

Epiphyseal arrest

733.92  Chondromalacia

Chondromalacia:

NOS

localized, except patella

systemic

tibial plateau

Excludes: chondromalacia of patella (717.7)

733.93  Stress fracture of tibia or fibula

Stress reaction of tibia or fibula

Use additional external cause code(s) to identify the cause of the stress fracture

733.94  Stress fracture of the metatarsals

Stress reaction of metatarsals

Use additional external cause code(s) to identify the cause of the stress fracture

733.95  Stress fracture of other bone

Stress reaction of other bone

Use additional external cause code(s) to identify the cause of the stress fracture

Excludes: stress fracture of:

femoral neck (733.96)

fibula (733.93)

metatarsals (733.94)

pelvis (733.98)

shaft of femur (733.97)

tibia (733.93)

733.96  Stress fracture of femoral neck

Stress reaction of femoral neck

Use additional external cause code(s) to identify the cause of the stress fracture

733.97  Stress fracture of shaft of femur

Stress reaction of shaft of femur

Use additional external cause code(s) to identify the cause of the stress fracture

733.98  Stress fracture of pelvis

Stress reaction of pelvis

Use additional external cause code(s) to identify the cause of the stress fracture

733.99  Other

Diaphysitis

Hypertrophy of bone

Relapsing polychondritis

734       Flat foot            (ICD 9 CM Codes)

Pes planus (acquired)

Talipes planus (acquired)

Excludes:    congenital (754.61)

rigid flat foot (754.61)

spastic (everted) flat foot (754.61)

735       Acquired deformities of toe              (ICD 9 CM Codes)

Excludes:    congenital (754.60-754.69, 755.65-755.66)

735.0    Hallux valgus (acquired)

735.1    Hallux varus (acquired)

735.2    Hallux rigidus

735.3    Hallux malleus

735.4    Other hammer toe (acquired)

735.5    Claw toe (acquired)

735.8    Other acquired deformities of toe

735.9    Unspecified acquired deformity of toe

736       Other acquired deformities of limbs       (ICD 9 CM Codes)

Excludes:    congenital (754.3-755.9)

736.0    Acquired deformities of forearm, excluding fingers

736.00  Unspecified deformity

Deformity of elbow, forearm, hand, or wrist (acquired) NOS

736.01  Cubitus valgus (acquired)

736.02  Cubitus varus (acquired)

736.03  Valgus deformity of wrist (acquired)

736.04  Varus deformity of wrist (acquired)

736.05  Wrist drop (acquired)

736.06  Claw hand (acquired)

736.07  Club hand (acquired)

736.09  Other

736.1    Mallet finger

736.2    Other acquired deformities of finger

736.20  Unspecified deformity

Deformity of finger (acquired) NOS

736.21  Boutonniere deformity

736.22  Swan-neck deformity

736.29  Other

Excludes: trigger finger (727.03)

736.3    Acquired deformities of hip

736.30  Unspecified deformity

Deformity of hip (acquired) NOS

736.31  Coxa valga (acquired)

736.32  Coxa vara (acquired)

736.39  Other

736.4    Genu valgum or varum (acquired)

736.41  Genu valgum (acquired)

736.42  Genu varum (acquired)

736.5    Genu recurvatum (acquired)

736.6    Other acquired deformities of knee

Deformity of knee (acquired) NOS

736.7    Other acquired deformities of ankle and foot

Excludes: deformities of toe (acquired) (735.0-735.9)

pes planu (acquired) (734)

736.70  Unspecified deformity of ankle and foot, acquired

736.71  Acquired equinovarus deformity

Clubfoot, acquired

Excludes: clubfoot not specified as acquired (754.5-754.7)

736.72  Equinus deformity of foot, acquired

736.73  Cavus deformity of foot

Excludes: that with claw foot (736.74)

736.74  Claw foot, acquired

736.75  Cavovarus deformity of foot, acquired

736.76  Other calcaneus deformity

736.79  Other

Acquired:

pes not elsewhere classified

talipes not elsewhere classified

736.8    Acquired deformities of other parts of limbs

736.81  Unequal leg length (acquired)

736.89  Other

Deformity (acquired):

arm or leg, not elsewhere classified

shoulder

736.9    Acquired deformity of limb, site unspecified

737       Curvature of spine          (ICD 9 CM Codes)

Excludes:    congenital (754.2)

737.0    Adolescent postural kyphosis

Excludes: osteochondrosis of spine (juvenile) (732.0)

adult (732.8)

737.1    Kyphosis (acquired)

737.10  Kyphosis (acquired) (postural)

737.11  Kyphosis due to radiation

737.12  Kyphosis, postlaminectomy

737.19  Other

Excludes: that associated with conditions classifiable elsewhere (737.41)

737.2    Lordosis (acquired)

737.20  Lordosis (acquired) (postural)

737.21  Lordosis, postlaminectomy

737.22  Other postsurgical lordosis

737.29  Other

Excludes: that associated with conditions classifiable elsewhere (737.42)

737.3    Kyphoscoliosis and scoliosis

737.30  Scoliosis [and kyphoscoliosis], idiopathic

737.31  Resolving infantile idiopathic scoliosis

737.32  Progressive infantile idiopathic scoliosis

737.33  Scoliosis due to radiation

737.34  Thoracogenic scoliosis

737.39  Other

Excludes: that associated with conditions classifiable elsewhere (737.43)

that in kyphoscoliotic heart disease (416.1)

737.4    Curvature of spine associated with other conditions

Code first associated condition, as:

Charcot-Marie-Tooth disease (356.1)

mucopolysaccharidosis (277.5)

neurofibromatosis (237.70-237.79)

osteitis deformans (731.0)

osteitis fibrosa cystica (252.01)

osteoporosis (733.00-733.09)

poliomyelitis (138)

tuberculosis [Pott's curvature] (015.0)

737.40  Curvature of spine, unspecified

737.41  Kyphosis

737.42  Lordosis

737.43  Scoliosis

737.8    Other curvatures of spine

737.9    Unspecified curvature of spine

Curvature of spine (acquired) (idiopathic) NOS

Hunchback, acquired

Excludes: deformity of spine NOS (738.5)

738       Other acquired deformity               (ICD 9 CM Codes)

Excludes:    congenital (754.0-756.9, 758.0-759.9)

dentofacial anomalies (524.0-524.9)

738.0    Acquired deformity of nose

Deformity of nose (acquired)

Overdevelopment of nasal bones

Excludes: deflected of deviated nasal septum (470)

738.1    Other acquired deformity of head

738.10  Unspecified deformity

738.11  Zygomatic hyperplasia

738.12  Zygomatic hypoplasia

738.19  Other specified deformity

738.2    Acquired deformity of neck

738.3    Acquired deformity of chest and rib

Deformity:

chest (acquired)

rib (acquired)

Pectus:

carinatum, acquired

excavatum, acquired

738.4    Acquired spondylolisthesis

Degenerative spondylolisthesis

Spondylolysis, acquired

Excludes: congenital (756.12)

738.5    Other acquired deformity of back or spine

Deformity of spine NOS

Excludes: curvature of spine (737.0-737.9)

738.6    Acquired deformity of pelvis

Pelvic obliquity

Excludes: intrapelvic protrusion of acetabulum (718.6)

that in relation to labor and delivery (653.0-653.4, 653.8-653.9)

738.7    Cauliflower ear

738.8    Acquired deformity of other specified site

Deformity of clavicle

738.9    Acquired deformity of unspecified site

739       Nonallopathic lesions, not elsewhere classified           (ICD 9 CM Codes)

Includes:     segmental dysfunction

somatic dysfunction

739.0    Head region

Occipitocervical region

739.1    Cervical region

Cervicothoracic region

739.2    Thoracic region

Thoracolumbar region

739.3    Lumbar region

Lumbosacral region

739.4    Sacral region

Sacrococcygeal region

Sacroiliac region

739.5    Pelvic region

Hip region

Pubic region

739.6    Lower extremities

739.7    Upper extremities

Acromioclavicular region

Sternoclavicular region

739.8    Rib cage

Costochondral region

Costovertebral region

Sternochondral region

739.9    Abdomen and other

(ICD 9 CM Codes)