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Old myocardial infarction Healed myocardial infarction Past myocardial infarction diagnosed on ECG [EKG] or other special investigation, but currently presenting no symptoms Angina pectoris. Acute pulmonary heart disease Acute cor pulmonale cor pulmonale NOS Chronic pulmonary heart disease Acute and subacute bacterial endocarditis Endocarditis acute chronic subacute: Fiedler's giant cell isolated diffuse granulomatous nonspecific granulomatous NOS nonbacterial thrombotic Valvular: NOS congestive constrictive familial hypertrophic idiopathic nonobstructive obstructive restrictive Cardiovascular collagenosis Alcoholic cardiomyopathy.

Mobitz type I [Wenckebach's] second degree: NOS Mobitz type I with 2: NOS anterior fascicular with posterior fascicular complete main stem Right bundle branch block Bundle branch block, other and unspecified NOS diffuse myofibrillar Sinoatrial block Sinoauricular block Anomalous atrioventricular excitation Atrioventricular conduction: NOS essential Atrial fibrillation and flutter.

Code, if applicable, heart failure due to hypertension first Ill-defined descriptions and complications of heart disease NOS with mention of arteriosclerosis chronic interstitial with mention of arteriosclerosis. Acute, but ill-defined, cerebrovascular disease Apoplexy, apoplectic: This category is to be used to indicate conditions in as the cause of late effects. Of aorta Of renal artery atherosclerosis of renal arterioles Of bypass graft of the extremities atherosclerosis of native artery of the extremity Of other specified arteries basilar Atheroembolism Atherothrombotic microembolism Cholesterol embolism Of extremities Other disorders of arteries and arterioles Disease of capillaries Of lower extremities, unspecified Of other sites intracranial venous sinus nonpyogenic Budd-Chiari syndrome Hepatic vein thrombosis Thrombophlebitis migrans Of vena cava Of renal vein Of other specified veins cerebral Varicose veins of other sites Sublingual varices Scrotal varices Varicocele Pelvic varices Varices of broad ligament Vulval varices Varices of perineum that complicating pregnancy, childbirth, or the puerperium Noninfectious disorders of lymphatic channels NOS chronic subacute acute lymphangitis Other disorders of circulatory system Acute nasopharyngitis [common cold] Coryza acute Nasal catarrh, acute Nasopharyngitis: NOS follicular gangrenous infective pneumococcal septic staphylococcal suppurative ulcerative viral Excludes: NOS edematous Hemophilus influenzae [H.

NOS catarrhal viral chronic tracheitis Acute epiglottitis Viral epiglottitis epiglottitis, chronic Deviated nasal septum Deflected septum nasal acquired Excludes: Chronic pharyngitis and nasopharyngitis NOS atrophic granulomatous hypertrophic obstructive purulent ulcerative allergic rhinitis Chronic nasopharyngitis acute or unspecified nasopharyngitis Chronic disease of tonsils and adenoids Chronic tonsillitis and adenoiditis acute or unspecified tonsillitis Peritonsillar abscess Abscess of tonsil Peritonsillar cellulitis Quinsy Excludes: Other diseases of upper respiratory tract Pneumococcal pneumonia [Streptococcus pneumoniae pneumonia] Lobar pneumonia, organism unspecified Other bacterial pneumonia Pneumonia due to other specified bacteria pneumonia complicating infectious disease classified elsewhere Pneumonia due to other specified organism Bronchitis, not specified as acute or chronic Bronchitis NOS: NOS centriacinar centrilobular obstructive panacinar panlobular unilateral vesicular MacLeod's syndrome Swyer-James syndrome Unilateral hyperlucent lung emphysema: Bronchiectasis Bronchiectasis fusiform postinfectious recurrent Bronchiolectasis Excludes: Chronic airway obstruction, not elsewhere classified Chronic: This code is not to be used with any code from categories Excludes: Coal workers' pneumoconiosis Anthracosilicosis Anthracosis Black lung disease Coal workers' lung Miners' asthma Asbestosis Pneumoconiosis due to other silica or silicates Pneumoconiosis due to talc Silicotic fibrosis massive of lung Silicosis simple complicated Pneumoconiosis due to other inorganic dust Aluminosis of lung Bauxite fibrosis of lung Berylliosis Graphite fibrosis of lung Siderosis Stannosis.

Use additional E code to identify cause NOS food regurgitated gastric secretions milk saliva vomitus Due to inhalation of oils and essences Lipoid pneumonia exogenous endogenous lipoid pneumonia NOS acute chronic pneumothorax: Abscess of lung and mediastinum Idiopathic pulmonary hemosiderosis Essential brown induration of lung Code first underlying disease Disorders of tooth development and eruption Hutchinson's teeth and mulberry molars in congenital syphilis Diseases of hard tissues of teeth Gingival and periodontal diseases Acute gingivitis acute necrotizing ulcerative gingivitis herpetic gingivostomatitis NOS desquamative hyperplastic simple marginal ulcerative Gingivostomatitis herpetic gingivostomatitis NOS complex simplex chronic apical periodontitis Dentofacial anomalies, including malocclusion Major anomalies of jaw size hemifacial atrophy or hypertrophy Temporomandibular joint disorders current temporomandibular joint: Other diseases and conditions of the teeth and supporting structures Diseases of the jaws NOS aneurysmal hemorrhagic traumatic Central giant cell reparative granuloma peripheral giant cell granuloma Diseases of the salivary glands NOS allergic toxic Sialoangitis Sialodochitis epidemic or infectious parotitis Diseases of the oral soft tissues, excluding lesions specific for gingiva and tongue NOS ulcerative Vesicular stomatitis.

NOS angular Cheilodynia Cheilosis actinic cheilitis Diseases and other conditions of the tongue Esophagitis Abscess of esophagus Esophagitis: NOS chemical peptic postoperative regurgitant Use additional E code to identify cause, if induced by chemical Excludes: Other disorders of stomach and duodenum Other diseases of appendix Crohn's disease Granulomatous enteritis Excludes: NOS intestine large without mention of diverticulitis Diverticular disease colon without mention of diverticulitis NOS colon intestine large Anal spasm Proctalgia fugax Megacolon, other than Hirschsprung's Dilatation of colon megacolon: Anal fissure and fistula Abscess of anal and rectal regions Abscess: NOS of unspecified cause.

Other disorders of peritoneum Other disorders of intestine NOS cryptogenic macronodular micronodular posthepatitic postnecrotic Healed yellow atrophy liver Portal cirrhosis Biliary cirrhosis Chronic nonsuppurative destructive cholangitis Cirrhosis: Liver abscess and sequelae of chronic liver disease Abscess of liver amebic liver abscess Coxsackie virus disease Other disorders of gallbladder NOS without mention of calculus chronic without mention of calculus that with: NOS acute ascending chronic primary recurrent sclerosing secondary stenosing suppurative Obstruction of bile duct Occlusion of bile duct, except cystic duct, without mention of calculus Stenosis of bile duct, except cystic duct, without mention of calculus Stricture of bile duct, except cystic duct, without mention of calculus congenital NOS acute recurrent apoplectic hemorrhagic subacute suppurative mumps pancreatitis NOS infectious interstitial Pancreatitis: NOS aseptic fat Pancreatolithiasis fibrocystic disease of pancreas NOS tropical Tropical steatorrhea Blind loop syndrome Postoperative blind loop syndrome Other and unspecified postsurgical nonabsorption Hypoglycemia following gastrointestinal surgery Malnutrition following gastrointestinal surgery Pancreatic steatorrhea Other specified intestinal malabsorption Enteropathy: NOS acute With lesion of renal cortical necrosis.

Chronic renal failure Chronic uremia Use additional code to identify manifestation as: Code, if applicable, any causal condition first Other disorders of kidney and ureter Calculus of lower urinary tract Urinary tract infection, site not specified Candidiasis of urinary tract Hematuria Hematuria benign essential hemoglobinuria Other disorders of prostate Balanoposthitis Balanitis Use additional code to identify organism Seminal vesiculitis Abscess of seminal vesicle Cellulitis of seminal vesicle Vesiculitis seminal Use additional code to identify organism Excludes: Benign mammary dysplasias NOS infective retromammary submammary carbuncle of breast Pelvic peritoneal adhesions, female postoperative postinfection Adhesions: NOS complete first degree second degree third degree that with mention of cystocele, urethrocele, or rectocele NOS corpus albicans retention NOS serous theca-lutein Simple cystoma of ovary cystadenoma benign serous developmental cysts Disorders of uterus, not elsewhere classified Stricture or atresia of vagina Adhesions postoperative postradiation of vagina Occlusion of vagina Stenosis, vagina Use additional E code to identify any external cause Excludes: Pain and other symptoms associated with female genital organs Dyspareunia psychogenic dyspareunia Other disorders of female genital organs Hematocele, female, not elsewhere classified hematocele or hematoma: NOS carneous fleshy stone Missed abortion Early fetal death before completion of 22 weeks' gestation with retention of dead fetus Retained products of conception, not following spontaneous or induced abortion or delivery Excludes: NOS amniotic fluid pulmonary Any condition classifiable to Complications following abortion and ectopic and molar pregnancies This category is provided for use when it is required to classify separately the complications classifiable to the fourth digit level in categories ; for example: ICDCM Tabular List of Diseases FY03 ectopic or molar pregnancy itself having been dealt with at a previous episode when these conditions are immediate complications of ectopic or molar pregnancies classifiable to where they cannot be identified at fourth digit level.

NOS following conditions classifiable to air following conditions classifiable to amniotic fluid following conditions classifiable to blood-clot following conditions classifiable to fat following conditions classifiable to pulmonary following conditions classifiable to pyemic following conditions classifiable to septic following conditions classifiable to soap following conditions classifiable to Other specified complications following abortion or ectopic and molar pregnancy Acute yellow atrophy or necrosis of liver following conditions classifiable to.

ICDCM Tabular List of Diseases FY03 Cardiac arrest or failure following conditions classifiable to Cerebral anoxia following conditions classifiable to Urinary tract infection following conditions classifiable to See beginning of section for definitions. ICDCM Tabular List of Diseases FY03 during pregnancy, childbirth, or the puerperium essential specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium pre-existing NOS specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium NOS mild Toxemia pre-eclamptic: NOS mild albuminuria in pregnancy, without mention of hypertension NOS without delivery after 37 completed weeks of gestation without delivery Threatened labor NOS without delivery Other current conditions in the mother classifiable elsewhere, but complicating pregnancy, childbirth, or the puerperium Use additional code s to identify the condition Requires fifth digit; valid digits are in [brackets] under each code.

This code is for use as a single diagnosis code and is not to be used with any other code in the range Use additional code to indicate outcome of delivery V Code first any associated obstructed labor NOS after completion of 22 weeks' gestation late Missed delivery Excludes: See beginning of section Use 0 as fourth digit for category Other problems associated with amniotic cavity and membranes Requires fifth digit; valid digits are in [brackets] under each code.

NOS without hemorrhage total without hemorrhage Categories and include the listed conditions even if they occur during pregnancy or childbirth. The following fifth-digit subclassification is for use with categories to denote the current episode of care: Use 0 as fourth digit for category Puerperal: Use 0 as fourth digit for category NOS interstitial parenchymatous Late effect of complication of pregnancy, childbirth, and the puerperium This category is to be used to indicate conditions in Code first any sequelae Acute lymphadenitis Abscess acute lymph gland or node, except mesenteric Adenitis, acute lymph gland or node, except mesenteric Lymphadenitis, acute lymph gland or node, except mesenteric Use additional code to identify organism such as Staphylococcus NOS contact occupational venenata eczema acute chronic: NOS allergic erythematous occupational Excludes: NOS erythematosus foliaceus malignant vegetans vulgaris pemphigus neonatorum Pemphigoid Benign pemphigus NOS Bullous pemphigoid Herpes circinatus bullosus Senile dermatitis herpetiformis Benign mucous membrane pemphigoid Cicatricial pemphigoid.

NOS any type, except arthropathic psoriatic arthropathy NOS alba streptogenes pityriasis: Dermatitis factitia [artefacta] Dermatitis ficta Neurotic excoriation Use additional code to identify any associated mental disorder NOS follicularis in cutem penetrans palmoplantaris climacterica Keratoderma: NOS cicatrical Trichorrhexis nodosa trichiasis of eyelid NOS circumscripta, acquired Other specified diseases of hair and hair follicles Folliculitis: NOS abscedens et suffodiens pustular Perifolliculitis: NOS capitis abscedens et suffodiens scalp Sycosis: NOS barbae [not parasitic] lupoid vulgaris Unspecified disease of hair and hair follicles.

Disorders of sweat glands Diseases of sebaceous glands NOS conglobata cystic pustular vulgaris Blackhead Comedo acne rosacea Code, if applicable, any causal condition first: Other disorders of skin and subcutaneous tissue Dyschromia albinism Eosinophilia myalgia syndrome Toxic oil syndrome Use additional E to identify drug, if drug induced See list at beginning of chapter for definitions: Arthritis or polyarthritis due to: Chondrocalcinosis due to dicalcium phosphate crystals with other crystals Code first underlying disease Localized, in the subcategories below, includes bilateral involvement of the same site.

Ankylosing spondylitis and other inflammatory spondylopathies Spondylosis and allied disorders Enthesopathies are disorders of peripheral ligamentous or muscular attachments. Ganglion and cyst of synovium, tendon, and bursa Rheumatism, unspecified and fibrositis Mylagia and myositis, unspecified Fibromyositis NOS Neuralgia, neuritis, and radiculitis, unspecified brachia radiculitis Osteitis deformans and osteopathies associated with other disorders classified elsewhere Pathologic fracture Spontaneous fracture stress fracture NOS localized, except patella systemic tibial plateau chondromalacia of patella Genu recurvatum acquired Other acquired deformities of knee Deformity of knee acquired NOS Other acquired deformities of ankle and foot deformities of toe acquired Anencephalus and similar anomalies Congenital anomalies of eye Congenital cataract and lens anomalies infantile cataract Axenfeld's Peters' Rieger's Other specified anomalies of eye congenital nystagmus Bulbus cordis anomalies and anomalies of cardiac septal closure Anomalies of pulmonary valve infundibular or subvalvular pulmonic stenosis Tricuspid atresia and stenosis, congenital Absence of tricuspid valve Ebstein's anomaly Congenital stenosis of aortic valve Congenital aortic stenosis congenital: Other congenital anomalies of circulatory system NOS glottic subglottic Other anomalies of larynx, trachea, and bronchus Absence or agenesis of: Cleft palate and cleft lip Congenital anomalies of urinary system Varus deformities of feet acquired Valgus deformities of feet valgus deformity of foot acquired Other deformities of feet acquired Other and unspecified congenital anomalies Fetus or newborn affected by maternal conditions which may be unrelated to present pregnancy Includes: Placental transfusion syndromes Placental and cord abnormality resulting in twin-to-twin or other transplacental transfusion Use additional code to indicate resultant condition in fetus or newborn: Extreme immaturity Usually implies a birthweight of less than 1, grams.

Use additional code for weeks of gestation Other preterm infants Usually implies birthweight of 1,, grams. Prematurity NOS Prematurity or small size, not classifiable to Subdural and cerebral hemorrhage Subdural and cerebral hemorrhage, whether described as due to birth trauma or to intrapartum anoxia or hypoxia Subdural hematoma localized Tentorial tear Use additional code to identify cause Excludes: NOS originating in the perinatal period partial originating in the perinatal period secondary originating in the perinatal period Pulmonary collapse originating in the perinatal period Transitory tachypnea of newborn Ideopathic tachypnea of newborn Wet lung syndrome respiratory distress syndrome Chronic respiratory disease arising in the perinatal period Bronchopulmonary dysplasia Interstitial pulmonary fibrosis of prematurity Wilson-Mikity syndrome Other respiratory problems after birth Hemolytic disease of fetus or newborn, due to isoimmunization Conditions involving the integument and temperature regulation of fetus and newborn Other and ill-defined conditions originating in the perinatal period 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 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.

The conditions and signs or symptoms included in categories consist of: General symptoms Alteration of consciousness coma: NOS auditory gustatory olfactory tactile those associated with mental disorders, as functional psychoses Symptoms concerning nutrition, metabolism, and development Feeding difficulties and mismanagement Feeding problem elderly infant feeding disturbance or problems: Symptoms involving respiratory system and other chest symptoms Nausea and vomiting Emesis hematemesis NOS Urinary incontinence that of nonorganic origin Code, if applicable, any causal condition first, such as: NOS infantile Cramps, abdominal renal colic Abnormality of red blood cells anemia: Bacteremia bacteremia of newborn Carcinoma in-situ of cervix This code is ONLY to be used when a test finding is reported as nonspecific.

Asymptomatic positive findings are coded to V If any HIV infection symptom or condition is present, see code Negative findings are not coded. Other nonspecific abnormal findings Nonspecific low blood pressure reading Other abnormal clinical findings Abnormal finding on antenatal screening Other. Senility without mention of psychosis Old age Senescence Senile asthenia Senile: Other ill-defined and unknown causes of morbidity and mortality Asphyxia asphyxia due to: The principle of multiple coding of injuries should be followed wherever possible.

Combination categories for multiple injuries are provided for use when there is insufficient detail as to the nature of the individual conditions, or for primary tabulation purposes when it is more convenient to record a single code; otherwise, the component injuries should be coded separately. Fracture of face bones NOS part other than roof or floor Palate orbital: Fracture of pelvis Fracture of humerus Fracture of neck of femur NOS greater lesser Fracture of other and unspecified parts of femur Fracture of ankle Fracture of one or more tarsal and metatarsal bones Multiple fractures involving both lower limbs, lower with upper limb, and lower limb s with rib s and sternum Includes: Fracture of unspecified bones A dislocation not indicated as closed or open should be classified as closed.

NOS current injury medial meniscus current injury Tear of lateral cartilage or meniscus of knee, current Other tear of cartilage or meniscus of knee, current Tear of: Other, multiple, and ill-defined dislocations Sprains and strains of elbow and forearm Sprains and strains of wrist and hand Sprains and strains of hip and thigh Sprains and strains of ankle and foot Sprains and strains of sacroiliac region Other and ill-defined sprains and strains The following fifth-digit subclassification is for use with categories Open wound of ocular adnexa Open wound of ear Open wound of neck Open wound of other and unspecified sites, except limbs Traumatic amputation of arm and hand complete partial Open wound of hip and thigh Traumatic amputation of foot complete partial Traumatic amputation of leg s complete partial Injury to blood vessels of abdomen and pelvis Injury to blood vessels of upper extremity Injury to blood vessels of lower extremity and unspecified sites These categories are to be used to indicate conditions classifiable to as the cause of late effects, which are themselves classified elsewhere.

Late effects of musculoskeletal and connective tissue injuries Late effects of injuries to skin and subcutaneous tissues Late effects of injuries to the nervous system Late effects of other and unspecified external causes Superficial injury of elbow, forearm, and wrist Superficial injury of hand s except finger s alone Superficial injury of hip, thigh, leg, and ankle Contusion of trunk Contusion of upper limb Contusion of lower limb and of other and unspecified sites Crushing injury of upper limb Crushing injury of lower limb Foreign body in ear Auditory canal Auricle Foreign body in nose Nasal sinus Nostril Foreign body in pharynx and larynx Foreign body in trachea, bronchus, and lung Bladder and urethra Uterus, any part intrauterine contraceptive device: ICDCM Tabular List of Diseases FY03 1 2 3 4 5 6 ear [any part] eye with other parts of face, head, and neck lip s chin nose septum scalp [any part] Temple region 7 forehead and cheek 8 neck 9 multiple sites [except with eye] of face, head, and neck This category is to be used when the site of the burn is unspecified, or with categories.

The following fifth-digit subclassification is for use with category to indicate the percent of body surface with third degree burn; valid digits are in [brackets] under each code: Injury to other cranial nerve s Spinal cord injury without evidence of spinal bone injury NOS with posterior cord syndrome Injury to nerve roots and spinal plexus Injury to other nerve s of trunk, excluding shoulder and pelvic girdles Injury to peripheral nerve s of shoulder girdle and upper limb Injury to peripheral nerve s of pelvic girdle and lower limb Injury to other and unspecified nerves Air embolism Pneumathemia that complicating: Fat embolism that complicating: Head, face and neck Such cases are to be classified according to the nature of the adverse effect, such as: Poisoning by agents primarily affecting blood constituents Poisoning by anticonvulsants and anti-Parkinsonism drugs Poisoning by central nervous system stimulants Poisoning by drugs primarily affecting the autonomic nervous system Poisoning by agents primarily affecting the cardiovascular system Poisoning by agents primarily affecting the gastrointestinal system Poisoning by water, mineral, and uric acid metabolism drugs Poisoning by agents primarily acting on the smooth and skeletal muscles and respiratory system Poisoning by agents primarily affecting skin and mucous membrane, ophthalmological, otorhinolaryngological, and dental drugs Poisoning by other and unspecified drugs and medicinal substances Poisoning by bacterial vaccines Ethyl alcohol Denatured alcohol Ethanol Grain alcohol Use additional code to identify any associated: Toxic effect of corrosive aromatics, acids, and caustic alkalis Toxic effect of carbon monoxide Toxic effect of other gases, fumes, or vapors Toxic effect of other substances, chiefly nonmedicinal as to source Effects of radiation, unspecified Complication of: Such conditions are to be classified according to the nature of the adverse effect, as: Effects of air pressure Angioneurotic edema Giant urticaria urticaria: Cytomegalovirus [CMV] infection Peripheral vascular complications Phlebitis or thrombophlebitis during or resulting from a procedure the listed conditions due to: Intestinal internal anastomosis and bypass, not elsewhere classified, except that involving urinary tract Hepatic failure specified as due to a procedure Hepatorenal syndrome specified as due to a procedure Intestinal obstruction NOS specified as due to a procedure specified gastrointestinal complications classified elsewhere, such as: Vascular complications of other vessels peripheral vascular complications Complications affecting other specified body systems, not elsewhere classified specified complications classified elsewhere, such as: Unspecified complication of procedure, not elsewhere classified Postoperative complication NOS complication NOS of obstetrical surgery or procedure Generalized vaccinia Air embolism Air embolism to any site following infusion, perfusion, or transfusion embolism specified as: ICDCM Tabular List of Diseases FY03 Phlebitis following infusion, perfusion, or transfusion Thromboembolism following infusion, perfusion, or transfusion Thrombophlebitis following infusion, perfusion, or transfusion the listed conditions when specified as: This will be a fairly rare occurrence among hospital inpatients, but will be relatively more common among hospital outpatients and patients of family practitioners, health clinics, etc.

Such factors may be elicited during population surveys, when the person may or may not be currently sick, or be recorded as an additional factor to be borne in mind when the person is receiving care for some current illness or injury classifiable to categories In the latter circumstances the V code should be used only as a supplementary code and should not be the one selected for use in primary, single cause tabulations.

Examples of these circumstances are a personal history of certain diseases, or a person with an artificial heart valve in situ. Contact with or exposure to communicable diseases V Need for prophylactic vaccination and inoculation against combinations of diseases Use additional single vaccination codes from categories VV05 to identify any vaccinations not included in a combination code.

V07 Need for isolation and other prophylactic measures Excludes: If any HIV infection symptoms or conditions are present, see code Infection with drug-resistant microorganisms This category is intended for use as an additional code for infectious conditions classified elsewhere to indicate the presence of drug-resistance of the infectious organism.

Health supervision of infant or child V Special screening examination s performed V Outcome of delivery This category is intended for the coding of the outcome of delivery on the mother's record.

Observation and evaluation of newborns for suspected condition not found This category is to be used for newborns, within the neonatal period the first 28 days of life , who are suspected of having an abnormal condition resulting from exposure from the mother or the birth process, but without signs or symptoms, and which, after examination and observation, is found not to exist.

These categories are intended for the coding of liveborn infants who are consuming health care [e. The following fourth-digit subdivisions are for use with categories VV Other dependence on machines V Categories VV58 are intended for use to indicate a reason for care in patients who may have already been treated for some disease or injury not now present, or who are receiving care to consolidate the treatment, to deal with residual states, or to prevent recurrence.

V52 Fitting and adjustment of prosthetic device and implant Includes: Codes from this subcategory should be used in conjunction with other aftercare codes to fully identify the reason for the aftercare encounter. Housing, household, and economic circumstances V NOS colitis diabetes mellitus food allergies or intolerance gastritis hypercholesterolemia hypoglycemia obesity V Nonspecific abnormal findings disclosed at the time of these examinations are classifiable to categories V70 General medical examination Use additional code s to identify any special screening examination s performed V The Zagreb Council intended to negotiate a federal type of union between the new state and the Kingdom of Serbia that would preserve the re- spective national autonomies of the Slovenes, Croats, and Serbs.

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Unqualified visual loss, both eyes blindness NOS: Blindness NOS according to U. Non-listed Snellen fractions may be classified by converting to the nearest decimal equivalent, e.

CF count fingers without designation of distance, may be classified to profound impairment. HM hand motion without designation of distance, may be classified to near-total impairment. Keratitis Corneal ulcer that due to vitamin A deficiency Superficial keratitis without conjunctivitis dendritic [herpes simplex] keratitis Corneal opacity and other disorders of cornea Corneal scars and opacities that due to vitamin A deficiency Inflammation of eyelids Blepharitis blepharoconjunctivitis Other disorders of eyelids Other disorders affecting eyelid function blepharoclonus Other disorders of eyelid Disorders of lacrimal system Acute and unspecified inflammation of lacrimal passages neonatal dacryocystitis Disorders of the orbit Disorders of optic nerve and visual pathways Other disorders of optic disc Optic neuritis meningococcal optic neuritis Disorders of visual cortex visual: Esotropia Convergent concomitant strabismus intermittent esotropia Exotropia Divergent concomitant strabismus intermittent exotropia Intermittent heterotropia vertical heterotropia intermittent Other disorders of binocular eye movements nystagmus Other disorders of eye Scleritis and episcleritis syphilitic episcleritis Other disorders of sclera blue sclera Disorders of external ear NOS circumscribed diffuse hemorrhagica.

Nonsuppurative otitis media and Eustachian tube disorders Mastoiditis and related conditions Other disorders of tympanic membrane NOS persistent posttraumatic postinflammatory otitis media with perforation of tympanic membrane Other and unspecified peripheral vertigo epidemic vertigo Other disorders of ear Rheumatic fever without mention of heart involvement Arthritis, rheumatic, acute or subacute Rheumatic fever active acute Rheumatism, articular, acute or subacute Excludes: Chronic rheumatic pericarditis Adherent pericardium, rheumatic Chronic rheumatic: Diseases of other endocardial structures Other rheumatic heart disease The fifth-digit 1 is assigned regardless of the number of times a patient may be transferred during the initial episode of care.

Other acute and subacute forms of ischemic heart disease Old myocardial infarction Healed myocardial infarction Past myocardial infarction diagnosed on ECG [EKG] or other special investigation, but currently presenting no symptoms Angina pectoris. Acute pulmonary heart disease Acute cor pulmonale cor pulmonale NOS Chronic pulmonary heart disease Acute and subacute bacterial endocarditis Endocarditis acute chronic subacute: Fiedler's giant cell isolated diffuse granulomatous nonspecific granulomatous NOS nonbacterial thrombotic Valvular: NOS congestive constrictive familial hypertrophic idiopathic nonobstructive obstructive restrictive Cardiovascular collagenosis Alcoholic cardiomyopathy.

Mobitz type I [Wenckebach's] second degree: NOS Mobitz type I with 2: NOS anterior fascicular with posterior fascicular complete main stem Right bundle branch block Bundle branch block, other and unspecified NOS diffuse myofibrillar Sinoatrial block Sinoauricular block Anomalous atrioventricular excitation Atrioventricular conduction: NOS essential Atrial fibrillation and flutter. Code, if applicable, heart failure due to hypertension first Ill-defined descriptions and complications of heart disease NOS with mention of arteriosclerosis chronic interstitial with mention of arteriosclerosis.

Acute, but ill-defined, cerebrovascular disease Apoplexy, apoplectic: This category is to be used to indicate conditions in as the cause of late effects. Of aorta Of renal artery atherosclerosis of renal arterioles Of bypass graft of the extremities atherosclerosis of native artery of the extremity Of other specified arteries basilar Atheroembolism Atherothrombotic microembolism Cholesterol embolism Of extremities Other disorders of arteries and arterioles Disease of capillaries Of lower extremities, unspecified Of other sites intracranial venous sinus nonpyogenic Budd-Chiari syndrome Hepatic vein thrombosis Thrombophlebitis migrans Of vena cava Of renal vein Of other specified veins cerebral Varicose veins of other sites Sublingual varices Scrotal varices Varicocele Pelvic varices Varices of broad ligament Vulval varices Varices of perineum that complicating pregnancy, childbirth, or the puerperium Noninfectious disorders of lymphatic channels NOS chronic subacute acute lymphangitis Other disorders of circulatory system Acute nasopharyngitis [common cold] Coryza acute Nasal catarrh, acute Nasopharyngitis: NOS follicular gangrenous infective pneumococcal septic staphylococcal suppurative ulcerative viral Excludes: NOS edematous Hemophilus influenzae [H.

NOS catarrhal viral chronic tracheitis Acute epiglottitis Viral epiglottitis epiglottitis, chronic Deviated nasal septum Deflected septum nasal acquired Excludes: Chronic pharyngitis and nasopharyngitis NOS atrophic granulomatous hypertrophic obstructive purulent ulcerative allergic rhinitis Chronic nasopharyngitis acute or unspecified nasopharyngitis Chronic disease of tonsils and adenoids Chronic tonsillitis and adenoiditis acute or unspecified tonsillitis Peritonsillar abscess Abscess of tonsil Peritonsillar cellulitis Quinsy Excludes: Other diseases of upper respiratory tract Pneumococcal pneumonia [Streptococcus pneumoniae pneumonia] Lobar pneumonia, organism unspecified Other bacterial pneumonia Pneumonia due to other specified bacteria pneumonia complicating infectious disease classified elsewhere Pneumonia due to other specified organism Bronchitis, not specified as acute or chronic Bronchitis NOS: NOS centriacinar centrilobular obstructive panacinar panlobular unilateral vesicular MacLeod's syndrome Swyer-James syndrome Unilateral hyperlucent lung emphysema: Bronchiectasis Bronchiectasis fusiform postinfectious recurrent Bronchiolectasis Excludes: Chronic airway obstruction, not elsewhere classified Chronic: This code is not to be used with any code from categories Excludes: Coal workers' pneumoconiosis Anthracosilicosis Anthracosis Black lung disease Coal workers' lung Miners' asthma Asbestosis Pneumoconiosis due to other silica or silicates Pneumoconiosis due to talc Silicotic fibrosis massive of lung Silicosis simple complicated Pneumoconiosis due to other inorganic dust Aluminosis of lung Bauxite fibrosis of lung Berylliosis Graphite fibrosis of lung Siderosis Stannosis.

Use additional E code to identify cause NOS food regurgitated gastric secretions milk saliva vomitus Due to inhalation of oils and essences Lipoid pneumonia exogenous endogenous lipoid pneumonia NOS acute chronic pneumothorax: Abscess of lung and mediastinum Idiopathic pulmonary hemosiderosis Essential brown induration of lung Code first underlying disease Disorders of tooth development and eruption Hutchinson's teeth and mulberry molars in congenital syphilis Diseases of hard tissues of teeth Gingival and periodontal diseases Acute gingivitis acute necrotizing ulcerative gingivitis herpetic gingivostomatitis NOS desquamative hyperplastic simple marginal ulcerative Gingivostomatitis herpetic gingivostomatitis NOS complex simplex chronic apical periodontitis Dentofacial anomalies, including malocclusion Major anomalies of jaw size hemifacial atrophy or hypertrophy Temporomandibular joint disorders current temporomandibular joint: Other diseases and conditions of the teeth and supporting structures Diseases of the jaws NOS aneurysmal hemorrhagic traumatic Central giant cell reparative granuloma peripheral giant cell granuloma Diseases of the salivary glands NOS allergic toxic Sialoangitis Sialodochitis epidemic or infectious parotitis Diseases of the oral soft tissues, excluding lesions specific for gingiva and tongue NOS ulcerative Vesicular stomatitis.

NOS angular Cheilodynia Cheilosis actinic cheilitis Diseases and other conditions of the tongue Esophagitis Abscess of esophagus Esophagitis: NOS chemical peptic postoperative regurgitant Use additional E code to identify cause, if induced by chemical Excludes: Other disorders of stomach and duodenum Other diseases of appendix Crohn's disease Granulomatous enteritis Excludes: NOS intestine large without mention of diverticulitis Diverticular disease colon without mention of diverticulitis NOS colon intestine large Anal spasm Proctalgia fugax Megacolon, other than Hirschsprung's Dilatation of colon megacolon: Anal fissure and fistula Abscess of anal and rectal regions Abscess: NOS of unspecified cause.

Other disorders of peritoneum Other disorders of intestine NOS cryptogenic macronodular micronodular posthepatitic postnecrotic Healed yellow atrophy liver Portal cirrhosis Biliary cirrhosis Chronic nonsuppurative destructive cholangitis Cirrhosis: Liver abscess and sequelae of chronic liver disease Abscess of liver amebic liver abscess Coxsackie virus disease Other disorders of gallbladder NOS without mention of calculus chronic without mention of calculus that with: NOS acute ascending chronic primary recurrent sclerosing secondary stenosing suppurative Obstruction of bile duct Occlusion of bile duct, except cystic duct, without mention of calculus Stenosis of bile duct, except cystic duct, without mention of calculus Stricture of bile duct, except cystic duct, without mention of calculus congenital NOS acute recurrent apoplectic hemorrhagic subacute suppurative mumps pancreatitis NOS infectious interstitial Pancreatitis: NOS aseptic fat Pancreatolithiasis fibrocystic disease of pancreas NOS tropical Tropical steatorrhea Blind loop syndrome Postoperative blind loop syndrome Other and unspecified postsurgical nonabsorption Hypoglycemia following gastrointestinal surgery Malnutrition following gastrointestinal surgery Pancreatic steatorrhea Other specified intestinal malabsorption Enteropathy: NOS acute With lesion of renal cortical necrosis.

Chronic renal failure Chronic uremia Use additional code to identify manifestation as: Code, if applicable, any causal condition first Other disorders of kidney and ureter Calculus of lower urinary tract Urinary tract infection, site not specified Candidiasis of urinary tract Hematuria Hematuria benign essential hemoglobinuria Other disorders of prostate Balanoposthitis Balanitis Use additional code to identify organism Seminal vesiculitis Abscess of seminal vesicle Cellulitis of seminal vesicle Vesiculitis seminal Use additional code to identify organism Excludes: Benign mammary dysplasias NOS infective retromammary submammary carbuncle of breast Pelvic peritoneal adhesions, female postoperative postinfection Adhesions: NOS complete first degree second degree third degree that with mention of cystocele, urethrocele, or rectocele NOS corpus albicans retention NOS serous theca-lutein Simple cystoma of ovary cystadenoma benign serous developmental cysts Disorders of uterus, not elsewhere classified Stricture or atresia of vagina Adhesions postoperative postradiation of vagina Occlusion of vagina Stenosis, vagina Use additional E code to identify any external cause Excludes: Pain and other symptoms associated with female genital organs Dyspareunia psychogenic dyspareunia Other disorders of female genital organs Hematocele, female, not elsewhere classified hematocele or hematoma: NOS carneous fleshy stone Missed abortion Early fetal death before completion of 22 weeks' gestation with retention of dead fetus Retained products of conception, not following spontaneous or induced abortion or delivery Excludes: NOS amniotic fluid pulmonary Any condition classifiable to Complications following abortion and ectopic and molar pregnancies This category is provided for use when it is required to classify separately the complications classifiable to the fourth digit level in categories ; for example: ICDCM Tabular List of Diseases FY03 ectopic or molar pregnancy itself having been dealt with at a previous episode when these conditions are immediate complications of ectopic or molar pregnancies classifiable to where they cannot be identified at fourth digit level.

NOS following conditions classifiable to air following conditions classifiable to amniotic fluid following conditions classifiable to blood-clot following conditions classifiable to fat following conditions classifiable to pulmonary following conditions classifiable to pyemic following conditions classifiable to septic following conditions classifiable to soap following conditions classifiable to Other specified complications following abortion or ectopic and molar pregnancy Acute yellow atrophy or necrosis of liver following conditions classifiable to.

ICDCM Tabular List of Diseases FY03 Cardiac arrest or failure following conditions classifiable to Cerebral anoxia following conditions classifiable to Urinary tract infection following conditions classifiable to See beginning of section for definitions. ICDCM Tabular List of Diseases FY03 during pregnancy, childbirth, or the puerperium essential specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium pre-existing NOS specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium NOS mild Toxemia pre-eclamptic: NOS mild albuminuria in pregnancy, without mention of hypertension NOS without delivery after 37 completed weeks of gestation without delivery Threatened labor NOS without delivery Other current conditions in the mother classifiable elsewhere, but complicating pregnancy, childbirth, or the puerperium Use additional code s to identify the condition Requires fifth digit; valid digits are in [brackets] under each code.

This code is for use as a single diagnosis code and is not to be used with any other code in the range Use additional code to indicate outcome of delivery V Code first any associated obstructed labor NOS after completion of 22 weeks' gestation late Missed delivery Excludes: See beginning of section Use 0 as fourth digit for category Other problems associated with amniotic cavity and membranes Requires fifth digit; valid digits are in [brackets] under each code.

NOS without hemorrhage total without hemorrhage Categories and include the listed conditions even if they occur during pregnancy or childbirth. The following fifth-digit subclassification is for use with categories to denote the current episode of care: Use 0 as fourth digit for category Puerperal: Use 0 as fourth digit for category NOS interstitial parenchymatous Late effect of complication of pregnancy, childbirth, and the puerperium This category is to be used to indicate conditions in Code first any sequelae Acute lymphadenitis Abscess acute lymph gland or node, except mesenteric Adenitis, acute lymph gland or node, except mesenteric Lymphadenitis, acute lymph gland or node, except mesenteric Use additional code to identify organism such as Staphylococcus NOS contact occupational venenata eczema acute chronic: NOS allergic erythematous occupational Excludes: NOS erythematosus foliaceus malignant vegetans vulgaris pemphigus neonatorum Pemphigoid Benign pemphigus NOS Bullous pemphigoid Herpes circinatus bullosus Senile dermatitis herpetiformis Benign mucous membrane pemphigoid Cicatricial pemphigoid.

NOS any type, except arthropathic psoriatic arthropathy NOS alba streptogenes pityriasis: Dermatitis factitia [artefacta] Dermatitis ficta Neurotic excoriation Use additional code to identify any associated mental disorder NOS follicularis in cutem penetrans palmoplantaris climacterica Keratoderma: NOS cicatrical Trichorrhexis nodosa trichiasis of eyelid NOS circumscripta, acquired Other specified diseases of hair and hair follicles Folliculitis: NOS abscedens et suffodiens pustular Perifolliculitis: NOS capitis abscedens et suffodiens scalp Sycosis: NOS barbae [not parasitic] lupoid vulgaris Unspecified disease of hair and hair follicles.

Disorders of sweat glands Diseases of sebaceous glands NOS conglobata cystic pustular vulgaris Blackhead Comedo acne rosacea Code, if applicable, any causal condition first: Other disorders of skin and subcutaneous tissue Dyschromia albinism Eosinophilia myalgia syndrome Toxic oil syndrome Use additional E to identify drug, if drug induced See list at beginning of chapter for definitions: Arthritis or polyarthritis due to: Chondrocalcinosis due to dicalcium phosphate crystals with other crystals Code first underlying disease Localized, in the subcategories below, includes bilateral involvement of the same site.

Ankylosing spondylitis and other inflammatory spondylopathies Spondylosis and allied disorders Enthesopathies are disorders of peripheral ligamentous or muscular attachments. Ganglion and cyst of synovium, tendon, and bursa Rheumatism, unspecified and fibrositis Mylagia and myositis, unspecified Fibromyositis NOS Neuralgia, neuritis, and radiculitis, unspecified brachia radiculitis Osteitis deformans and osteopathies associated with other disorders classified elsewhere Pathologic fracture Spontaneous fracture stress fracture NOS localized, except patella systemic tibial plateau chondromalacia of patella Genu recurvatum acquired Other acquired deformities of knee Deformity of knee acquired NOS Other acquired deformities of ankle and foot deformities of toe acquired Anencephalus and similar anomalies Congenital anomalies of eye Congenital cataract and lens anomalies infantile cataract Axenfeld's Peters' Rieger's Other specified anomalies of eye congenital nystagmus Bulbus cordis anomalies and anomalies of cardiac septal closure Anomalies of pulmonary valve infundibular or subvalvular pulmonic stenosis Tricuspid atresia and stenosis, congenital Absence of tricuspid valve Ebstein's anomaly Congenital stenosis of aortic valve Congenital aortic stenosis congenital: Other congenital anomalies of circulatory system NOS glottic subglottic Other anomalies of larynx, trachea, and bronchus Absence or agenesis of: Cleft palate and cleft lip Congenital anomalies of urinary system According to this theory, administration of anticholinergic drugs restores the ratio between dopamine and acetylcholine, with the new equilibrium being set at a lower-than-normal level because srtategy striatal biary of dopamine are low to begin with.

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