2006 ICD-9-CM OFFICIAL CODES
DISEASES TABULAR LIST 18
ICDMENU


 
     SUPPLEMENTARY CLASSIFICATION OF FACTORS INFLUENCING HEALTH STATUS AND CONTACT
     WITH HEALTH SERVICES (V01-V85)
 
     This classification is provided to deal with occasions when circumstances
     other than a disease or injury classifiable to categories 001-999 (the main
      part of ICD) are recorded as "diagnoses" or "problems." This can arise
      mainly in three ways:
 
     a) When a person who is not currently sick encounters the health services for
      some specific purpose, such as to act as a donor of an organ or tissue, to
      receive prophylactic vaccination, or to discuss a problem which is in itself
      not a disease or injury. 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.
 
     b) When a person with a known disease or injury, whether it is current or
      resolving, encounters the health care system for a specific treatment of
     that disease or injury (e.g., dialysis for renal disease; chemotherapy for
      malignancy; cast change).
 
     c) When some circumstance or problem is present which influences the person's
      health status but is not in itself a current illness or injury. 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 001-999.
      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.
 
     PERSONS WITH POTENTIAL HEALTH HAZARDS RELATED TO COMMUNICABLE DISEASES
     (V01-V06)
 
          Excludes: family history of infectious and parasitic diseases (V18.8)
                    personal history of infectious and parasitic diseases (V12.0)
 
  V01 Contact with or exposure to communicable diseases
 
      V01.0 Cholera
           Conditions classifiable to 001
 
      V01.1 Tuberculosis
           Conditions classifiable to 010-018
 
      V01.2 Poliomyelitis
           Conditions classifiable to 045
 
      V01.3 Smallpox
           Conditions classifiable to 050
 
      V01.4 Rubella
           Conditions classifiable to 056
 
      V01.5 Rabies
           Conditions classifiable to 071
 
      V01.6 Venereal diseases
           Conditions classifiable to 090-099
 
      V01.7 Other viral diseases
           Conditions classifiable to 042-078, and V08, except as above
 
           V01.71 Varicella
 
           V01.79 Other viral diseases
 
      V01.8 Other communicable diseases
           Conditions classifiable to 001-136, except as above
 
           V01.81 Anthrax
 
           V01.82 Exposure to SARS-associated coronavirus
 
          V01.83 Escherichia coli (E. coli)
 
           V01.84 Meningococcus
 
           V01.89 Other communicable diseases
 
      V01.9 Unspecified communicable disease
 
  V02 Carrier or suspected carrier of infectious diseases
 
      V02.0 Cholera
 
      V02.1 Typhoid
 
      V02.2 Amebiasis
 
      V02.3 Other gastrointestinal pathogens
 
      V02.4 Diphtheria
 
      V02.5 Other specified bacterial diseases
 
           V02.51 Group B streptococcus
 
           V02.52 Other streptococcus
 
           V02.59 Other specified bacterial diseases
                 Meningococcal
                 Staphylococcal
 
      V02.6 Viral hepatitis
 
           V02.60 Viral hepatitis carrier, unspecified
 
           V02.61 Hepatitis B carrier
 
           V02.62 Hepatitis C carrier
 
           V02.69 Other viral hepatitis carrier
 
      V02.7 Gonorrhea
 
      V02.8 Other venereal diseases
 
      V02.9 Other specified infectious organism
 
  V03 Need for prophylactic vaccination and inoculation against bacterial diseases
 
          Excludes: vaccination not carried out
(V64.00-V64.09)
                    vaccines against combinations of diseases (V06.0-V06.9)
 
      V03.0 Cholera alone
 
      V03.1 Typhoid-paratyphoid alone [TAB]
 
      V03.2 Tuberculosis [BCG]
 
      V03.3 Plague
 
      V03.4 Tularemia
 
      V03.5 Diphtheria alone
 
      V03.6 Pertussis alone
 
      V03.7 Tetanus toxoid alone
 
      V03.8 Other specified vaccinations against single bacterial diseases
 
           V03.81 Hemophilus influenza, type B [Hib]
 
           V03.82 Streptococcus pneumoniae [pneumococcus]
 
           V03.89 Other specified vaccination
 
      V03.9 Unspecified single bacterial disease
 
  V04 Need for prophylactic vaccination and inoculation against certain diseases
 
          Excludes: vaccines against combinations of diseases
(V06.0-V06.9)
 
      V04.0 Poliomyelitis
 
      V04.1 Smallpox
 
      V04.2 Measles alone
 
      V04.3 Rubella alone
 
      V04.4 Yellow fever
 
      V04.5 Rabies
 
      V04.6 Mumps alone
 
      V04.7 Common cold
 
      V04.8 Other viral diseases
 
           V04.81 Influenza
 
          V04.82 Respiratory syncytial virus (RSV)
 
           V04.89 Other viral diseases
 
  V05 Need for prophylactic vaccination and inoculation against single diseases
 
          Excludes: vaccines against combinations of diseases
(V06.0-V06.9)
 
      V05.0 Arthropod-borne viral encephalitis
 
      V05.1 Other arthropod-borne viral diseases
 
      V05.2 Leishmaniasis
 
      V05.3 Viral hepatitis
 
      V05.4 Varicella
           Chicken pox
 
      V05.8 Other specified disease
 
      V05.9 Unspecified single disease
 
  V06 Need for prophylactic vaccination and inoculation against combinations of
      diseases
 
     Note: Use additional single vaccination codes from categories V03-V05 to
      identify any vaccinations not included in a combination code.
 
      V06.0 Cholera with typhoid-paratyphoid [cholera TAB]
 
      V06.1 Diphtheria-tetanus-pertussis, combined [DTP] [DTaP]
 
      V06.2 Diphtheria-tetanus-pertussis with typhoid-paratyphoid [DTP TAB]
 
      V06.3 Diphtheria-tetanus-pertussis with poliomyelitis [DTP+polio]
 
      V06.4 Measles-mumps-rubella [MMR]
 
      V06.5 Tetanus-diphtheria [Td] [DT]
 
      V06.6 Streptococcus pneumoniae [pneumococcus] and influenza
 
      V06.8 Other combinations
 
          Excludes: multiple single vaccination codes
(V03.0-V05.9)
 
      V06.9 Unspecified combined vaccine
 
     PERSONS WITH NEED FOR ISOLATION, OTHER POTENTIAL HEALTH HAZARDS AND
     PROPHYLACTIC MEASURES
(V07-V09)
 
  V07 Need for isolation and other prophylactic measures
 
          Excludes: prophylactic organ removal
(V50.41-V50.49)
 
      V07.0 Isolation
           Admission to protect the individual from his surroundings or for
           isolation of individual after contact with infectious diseases
 
      V07.1 Desensitization to allergens
 
      V07.2 Prophylactic immunotherapy
           Administration of:
           antivenin
           immune sera [gamma globulin]
           RhoGAM
           tetanus antitoxin
 
      V07.3 Other prophylactic chemotherapy
 
           V07.31 Prophylactic fluoride administration
 
           V07.39 Other prophylactic chemotherapy
 
          Excludes: maintenance chemotherapy following disease
(V58.12)
 
     V07.4 Hormone replacement therapy (postmenopausal)
 
      V07.8 Other specified prophylactic measure
 
      V07.9 Unspecified prophylactic measure
 
  V08 Asymptomatic human immunodeficiency virus [HIV] infection status
      HIV positive NOS
 
     Note: This code is ONLY to be used when NO HIV infection symptoms or
      conditions are present. If any HIV infection symptoms or conditions are
      present, see code 042.
 
          Excludes: AIDS
(042)
                    human immunodeficiency virus [HIV] disease (042)
                    exposure to HIV (V01.79)
                    nonspecific serologic evidence of HIV (795.71)
                    symptomatic human immunodeficiency virus [HIV] infection (042)
 
  V09 Infection with drug-resistant microorganisms
 
     Note: 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.
 
      V09.0 Infection with microorganisms resistant to penicillins
          Methicillin-resistant staphylococcus aureus (MRSA)
 
      V09.1 Infection with microorganisms resistant to cephalosporins and other
           B-lactam antibiotics
 
      V09.2 Infection with microorganisms resistant to macrolides
 
      V09.3 Infection with microorganisms resistant to tetracyclines
 
      V09.4 Infection with microorganisms resistant to aminoglycosides
 
      V09.5 Infection with microorganisms resistant to quinolones and
           fluoroquinolones
 
           V09.50 Without mention of resistance to multiple quinolones and
                 fluoroquinoles
 
           V09.51 With resistance to multiple quinolones and fluoroquinoles
 
      V09.6 Infection with microorganisms resistant to sulfonamides
 
      V09.7 Infection with microorganisms resistant to other specified
           antimycobacterial agents
 
          Excludes: Amikacin
(V09.4)
                    Kanamycin (V09.4)
                    Streptomycin [SM] (V09.4)
 
           V09.70 Without mention of resistance to multiple antimycobacterial
                 agents
 
           V09.71 With resistance to multiple antimycobacterial agents
 
      V09.8 Infection with microorganisms resistant to other specified drugs
          Vancomycin (glycopeptide) intermediate staphylococcus aureus (VISA/GISA)
          Vancomycin (glycopeptide) resistant enterococcus (VRE)
          Vancomycin (glycopeptide) resistant staphylococcus aureus (VRSA/GRSA)
 
           V09.80 Without mention of resistance to multiple drugs
 
           V09.81 With resistance to multiple drugs
 
      V09.9 Infection with drug-resistant microorganisms, unspecified
           Drug resistance NOS
 
           V09.90 Without mention of multiple drug resistance
 
           V09.91 With multiple drug resistance
                 Multiple drug resistance NOS
 
     PERSONS WITH POTENTIAL HEALTH HAZARDSRELATED TO PERSONAL AND FAMILY HISTORY
    
(V10-V19)
 
           Excludes: obstetric patients where the possibility that the fetus might
                     be affected is the reason for observation or management
                    during pregnancy (655.0-655.9)
 
  V10 Personal history of malignant neoplasm
 
      V10.0 Gastrointestinal tract
           History of conditions classifiable to 140-159
 
           V10.00 Gastrointestinal tract, unspecified
 
           V10.01 Tongue
 
           V10.02 Other and unspecified oral cavity and pharynx
 
           V10.03 Esophagus
 
           V10.04 Stomach
 
           V10.05 Large intestine
 
           V10.06 Rectum, rectosigmoid junction, and anus
 
           V10.07 Liver
 
           V10.09 Other
 
      V10.1 Trachea, bronchus, and lung
           History of conditions classifiable to 162
 
           V10.11 Bronchus and lung
 
           V10.12 Trachea
 
      V10.2 Other respiratory and intrathoracic organs
           History of conditions classifiable to 160, 161, 163-165
 
           V10.20 Respiratory organ, unspecified
 
           V10.21 Larynx
 
           V10.22 Nasal cavities, middle ear, and accessory sinuses
 
           V10.29 Other
 
      V10.3 Breast
           History of conditions classifiable to 174 and 175
 
      V10.4 Genital organs
           History of conditions classifiable to 179-187
 
           V10.40 Female genital organ, unspecified
 
           V10.41 Cervix uteri
 
           V10.42 Other parts of uterus
 
           V10.43 Ovary
 
           V10.44 Other female genital organs
 
           V10.45 Male genital organ, unspecified
 
           V10.46 Prostate
 
           V10.47 Testis
 
           V10.48 Epididymis
 
           V10.49 Other male genital organs
 
      V10.5 Urinary organs
           History of conditions classifiable to 188 and 189
 
           V10.50 Urinary organ, unspecified
 
           V10.51 Bladder
 
           V10.52 Kidney
 
          Excludes: renal pelvis
(V10.53)
 
           V10.53 Renal pelvis
 
           V10.59 Other
 
      V10.6 Leukemia
           Conditions classifiable to 204-208
 
          Excludes: leukemia in remission
(204-208)
 
           V10.60 Leukemia, unspecified
 
           V10.61 Lymphoid leukemia
 
           V10.62 Myeloid leukemia
 
           V10.63 Monocytic leukemia
 
           V10.69 Other
 
      V10.7 Other lymphatic and hematopoietic neoplasms
           Conditions classifiable to 200-203
 
           Excludes: listed conditions in 200-203 in remission
 
           V10.71 Lymphosarcoma and reticulosarcoma
 
           V10.72 Hodgkin's disease
 
           V10.79 Other
 
      V10.8 Personal history of malignant neoplasm of other sites
           History of conditions classifiable to 170-173, 190-195
 
           V10.81 Bone
 
           V10.82 Malignant melanoma of skin
 
           V10.83 Other malignant neoplasm of skin
 
           V10.84 Eye
 
           V10.85 Brain
 
           V10.86 Other parts of nervous system
 
          Excludes: peripheral, sympathetic, and parasympathetic nerves
(V10.89)
 
           V10.87 Thyroid
 
           V10.88 Other endocrine glands and related structures
 
           V10.89 Other
 
      V10.9 Unspecified personal history of malignant neoplasm
 
  V11 Personal history of mental disorder
 
      V11.0 Schizophrenia
 
          Excludes: that in remission
(295.0-295.9 with fifth-digit 5)
 
      V11.1 Affective disorders
           Personal history of manic-depressive psychosis
 
          Excludes: that in remission
(296.0-296.6 with fifth-digit 5, 6)
 
      V11.2 Neurosis
 
      V11.3 Alcoholism
 
      V11.8 Other mental disorders
 
      V11.9 Unspecified mental disorder
 
  V12 Personal history of certain other diseases
 
      V12.0 Infectious and parasitic diseases
 
           Excludes: personal history of infectious diseases specific to a body
                     system
 
           V12.00 Unspecified infectious and parasitic disease
 
           V12.01 Tuberculosis
 
           V12.02 Poliomyelitis
 
           V12.03 Malaria
 
           V12.09 Other
 
      V12.1 Nutritional deficiency
 
      V12.2 Endocrine, metabolic, and immunity disorders
 
          Excludes: history of allergy
(V14.0-V14.9, V15.01-V15.09)
 
      V12.3 Diseases of blood and blood-forming organs
 
      V12.4 Disorders of nervous system and sense organs
 
           V12.40 Unspecified disorder of nervous system and sense organs
 
           V12.41 Benign neoplasm of the brain
 
           V12.42 Infections of the central nervous system
                 Encephalitis
                 Meningitis
 
           V12.49 Other disorders of nervous system and sense organs
 
      V12.5 Diseases of circulatory system
 
          Excludes: old myocardial infarction
(412)
                    postmyocardial infarction syndrome (411.0)
 
           V12.50 Unspecified circulatory disease
 
           V12.51 Venous thrombosis and embolism
                 Pulmonary embolism
 
           V12.52 Thrombophlebitis
 
           V12.59 Other
 
      V12.6 Diseases of respiratory system
 
          Excludes: tuberculosis
(V12.01)
 
           V12.60 Unspecified disease of respiratory system
 
          V12.61 Pneumonia (recurrent)
 
           V12.69 Other diseases of respiratory system
 
      V12.7 Diseases of digestive system
 
           V12.70 Unspecified digestive disease
 
           V12.71 Peptic ulcer disease
 
           V12.72 Colonic polyps
 
           V12.79 Other
 
  V13 Personal history of other diseases
 
      V13.0 Disorders of urinary system
 
           V13.00 Unspecified urinary disorder
 
           V13.01 Urinary calculi
 
          V13.02 Urinary (tract) infection
 
           V13.03 Nephrotic syndrome
 
           V13.09 Other
 
      V13.1 Trophoblastic disease
 
          Excludes: supervision during a current pregnancy
(V23.1)
 
      V13.2 Other genital system and obstetric disorders
 
           Excludes: supervision during a current pregnancy of a woman with poor
                    obstetric history
(V23.0-V23.9)
                    habitual aborter (646.3)
                    without current pregnancy (629.9)
 
           V13.21 Personal history of pre-term labor
 
          Excludes: current pregnancy with history of pre-term labor
(V23.41)
 
           V13.29 Other genital system and obstetric disorders
 
      V13.3 Diseases of skin and subcutaneous tissue
 
      V13.4 Arthritis
 
      V13.5 Other musculoskeletal disorders
 
      V13.6 Congenital malformations
 
           V13.61 Hypospadias
 
           V13.69 Other congenital malformations
 
      V13.7 Perinatal problems
 
          Excludes: low birth weight status
(V21.30-V21.35)
 
      V13.8 Other specified diseases
 
      V13.9 Unspecified disease
 
  V14 Personal history of allergy to medicinal agents
 
      V14.0 Penicillin
 
      V14.1 Other antibiotic agent
 
      V14.2 Sulfonamides
 
      V14.3 Other anti-infective agent
 
      V14.4 Anesthetic agent
 
      V14.5 Narcotic agent
 
      V14.6 Analgesic agent
 
      V14.7 Serum or vaccine
 
      V14.8 Other specified medicinal agents
 
      V14.9 Unspecified medicinal agent
 
  V15 Other personal history presenting hazards to health
 
      V15.0 Allergy, other than to medicinal agents
 
           Excludes: allergy to food substance used as base for medicinal agent
                   
(V14.0-V14.9)
 
           V15.01 Allergy to peanuts
 
           V15.02 Allergy to milk products
 
          Excludes: lactose intolerance
(271.3)
 
           V15.03 Allergy to eggs
 
           V15.04 Allergy to seafood
                Seafood (octopus) (squid) ink
                 Shellfish
 
           V15.05 Allergy to other foods
                 Food additives
                 Nuts other than peanuts
 
           V15.06 Allergy to insects
                 Bugs
                 Insect bites and stings
                 Spiders
 
           V15.07 Allergy to latex
                 Latex sensitivity
 
           V15.08 Allergy to radiographic dye
                 Contrast media used for diagnostic x-ray procedures
 
           V15.09 Other allergy, other than to medicinal agents
 
      V15.1 Surgery to heart and great vessels
 
          Excludes: replacement by transplant or other means
(V42.1-V42.2,
                     V43.2-V43.4)
 
      V15.2 Surgery to other major organs
 
          Excludes: replacement by transplant or other means
(V42.0-V43.8)
 
      V15.3 Irradiation
           Previous exposure to therapeutic or other ionizing radiation
 
      V15.4 Psychological trauma
 
          Excludes: history of condition classifiable to 290-316
(V11.0-V11.9)
 
           V15.41 History of physical abuse
                 Rape
 
           V15.42 History of emotional abuse
                 Neglect
 
           V15.49 Other
 
      V15.5 Injury
 
      V15.6 Poisoning
 
      V15.7 Contraception
 
          Excludes: current contraceptive management
(V25.0-V25.4)
                     presence of intrauterine contraceptive device as incidental
                    finding (V45.5)
 
      V15.8 Other specified personal history presenting hazards to health
 
           V15.81 Noncompliance with medical treatment
 
           V15.82 History of tobacco use
 
          Excludes: tobacco dependence
(305.1)
 
           V15.84 Exposure to asbestos
 
           V15.85 Exposure to potentially hazardous body fluids
 
           V15.86 Exposure to lead
 
           V15.87 History of extracorporeal membrane oxygenation [ECMO]
 
           V15.88 History of fall
                 At risk for falling
 
           V15.89 Other
 
      V15.9 Unspecified personal history presenting hazards to health
 
  V16 Family history of malignant neoplasm
 
      V16.0 Gastrointestinal tract
           Family history of condition classifiable to 140-159
 
      V16.1 Trachea, bronchus, and lung
           Family history of condition classifiable to 162
 
      V16.2 Other respiratory and intrathoracic organs
           Family history of condition classifiable to 160-161, 163-165
 
      V16.3 Breast
           Family history of condition classifiable to 174
 
      V16.4 Genital organs
           Family history of condition classifiable to 179-187
 
           V16.40 Genital organ, unspecified
 
           V16.41 Ovary
 
           V16.42 Prostate
 
           V16.43 Testis
 
           V16.49 Other
 
      V16.5 Urinary organs
           Family history of condition classifiable to 189
 
           V16.51 Kidney
 
           V16.59 Other
 
      V16.6 Leukemia
           Family history of condition classifiable to 204-208
 
      V16.7 Other lymphatic and hematopoietic neoplasms
           Family history of condition classifiable to 200-203
 
      V16.8 Other specified malignant neoplasm
           Family history of other condition classifiable to 140-199
 
      V16.9 Unspecified malignant neoplasm
 
  V17 Family history of certain chronic disabling diseases
 
      V17.0 Psychiatric condition
 
          Excludes: family history of mental retardation
(V18.4)
 
     V17.1 Stroke (cerebrovascular)
 
      V17.2 Other neurological diseases
           Epilepsy
           Huntington's chorea
 
      V17.3 Ischemic heart disease
 
      V17.4 Other cardiovascular diseases
 
      V17.5 Asthma
 
      V17.6 Other chronic respiratory conditions
 
      V17.7 Arthritis
 
      V17.8 Other musculoskeletal diseases
 
           V17.81 Osteoporosis
 
           V17.89 Other musculoskeletal diseases
 
  V18 Family history of certain other specific conditions
 
      V18.0 Diabetes mellitus
 
      V18.1 Other endocrine and metabolic diseases
 
      V18.2 Anemia
 
      V18.3 Other blood disorders
 
      V18.4 Mental retardation
 
      V18.5 Digestive disorders
 
      V18.6 Kidney diseases
 
           V18.61 Polycystic kidney
 
           V18.69 Other kidney diseases
 
      V18.7 Other genitourinary diseases
 
      V18.8 Infectious and parasitic diseases
 
      V18.9 Genetic disease carrier
 
  V19 Family history of other conditions
 
      V19.0 Blindness or visual loss
 
      V19.1 Other eye disorders
 
      V19.2 Deafness or hearing loss
 
      V19.3 Other ear disorders
 
      V19.4 Skin conditions
 
      V19.5 Congenital anomalies
 
      V19.6 Allergic disorders
 
      V19.7 Consanguinity
 
      V19.8 Other condition
 
     PERSONS ENCOUNTERING HEALTH SERVICES IN CIRCUMSTANCES RELATED TO REPRODUCTION
     AND DEVELOPMENT
(V20-V29)
 
  V20 Health supervision of infant or child
 
      V20.0 Foundling
 
      V20.1 Other healthy infant or child receiving care
           Medical or nursing care supervision of healthy infant in cases of:
           maternal illness, physical or psychiatric
           socioeconomic adverse condition at home
           too many children at home preventing or interfering with normal care
 
      V20.2 Routine infant or child health check
           Developmental testing of infant or child
           Immunizations appropriate for age
           Routine vision and hearing testing
 
          Excludes: special screening for developmental handicaps
(V79.3)
 
    Use additional code(s) to identify:
     Special screening examination(s) performed (V73.0-V82.9)
 
  V21 Constitutional states in development
 
      V21.0 Period of rapid growth in childhood
 
      V21.1 Puberty
 
      V21.2 Other adolescence
 
      V21.3 Low birth weight status
 
          Excludes: history of perinatal problems
(V13.7)
 
           V21.30 Low birth weight status, unspecified
 
           V21.31 Low birth weight status, less than 500 grams
 
           V21.32 Low birth weight status, 500-999 grams
 
           V21.33 Low birth weight status, 1000-1499 grams
 
           V21.34 Low birth weight status, 1500-1999 grams
 
           V21.35 Low birth weight status, 2000-2500 grams
 
      V21.8 Other specified constitutional states in development
 
      V21.9 Unspecified constitutional state in development
 
  V22 Normal pregnancy
 
          Excludes: pregnancy examination or test, pregnancy unconfirmed
(V72.40)
 
      V22.0 Supervision of normal first pregnancy
 
      V22.1 Supervision of other normal pregnancy
 
      V22.2 Pregnant state, incidental
           Pregnant state NOS
 
  V23 Supervision of high-risk pregnancy
 
      V23.0 Pregnancy with history of infertility
 
      V23.1 Pregnancy with history of trophoblastic disease
           Pregnancy with history of:
           hydatidiform mole
           vesicular mole
 
          Excludes: that without current pregnancy
(V13.1)
 
      V23.2 Pregnancy with history of abortion
           Pregnancy with history of conditions classifiable to 634-638
 
           Excludes: habitual aborter:
                    care during pregnancy
(646.3)
                    that without current pregnancy (629.9)
 
      V23.3 Grand multiparity
 
          Excludes: care in relation to labor and delivery
(659.4)
                    that without current pregnancy (V61.5)
 
      V23.4 Pregnancy with other poor obstetric history
           Pregnancy with history of other conditions classifiable to 630-676
 
           V23.41 Pregnancy with history of pre-term labor
 
           V23.49 Pregnancy with other poor obstetric history
 
      V23.5 Pregnancy with other poor reproductive history
           Pregnancy with history of stillbirth or neonatal death
 
      V23.7 Insufficient prenatal care
           History of little or no prenatal care
 
      V23.8 Other high-risk pregnancy
 
           V23.81 Elderly primigravida
                 First pregnancy in a woman who will be 35 years of age or older
                 at expected date of delivery
 
          Excludes: elderly primigravida complicating pregnancy
(659.5)
 
           V23.82 Elderly multigravida
                 Second or more pregnancy in a woman who will be 35 years of age
                 or older at expected date of delivery
 
          Excludes: elderly multigravida complicating pregnancy
(659.6)
 
           V23.83 Young primigravida
                 First pregnancy in a female less than 16 years old at expected
                 date of delivery
 
          Excludes: young primigravida complicating pregnancy
(659.8)
 
           V23.84 Young multigravida
                 Second or more pregnancy in a female less than 16 years old at
                 expected date of delivery
 
          Excludes: young multigravida complicating pregnancy
(659.8)
 
           V23.89 Other high-risk pregnancy
 
      V23.9 Unspecified high-risk pregnancy
 
  V24 Postpartum care and examination
 
      V24.0 Immediately after delivery
           Care and observation in uncomplicated cases
 
      V24.1 Lactating mother
           Supervision of lactation
 
      V24.2 Routine postpartum follow-up
 
  V25 Encounter for contraceptive management
 
      V25.0 General counseling and advice
 
           V25.01 Prescription of oral contraceptives
 
           V25.02 Initiation of other contraceptive measures
                 Fitting of diaphragm
                 Prescription of foams, creams, or other agents
 
           V25.03 Encounter for emergency contraceptive counseling and prescription
                 Encounter for postcoital contraceptive counseling and prescription
 
           V25.09 Other
                 Family planning advice
 
      V25.1 Insertion of intrauterine contraceptive device
 
      V25.2 Sterilization
           Admission for interruption of fallopian tubes or vas deferens
 
      V25.3 Menstrual extraction
           Menstrual regulation
 
      V25.4 Surveillance of previously prescribed contraceptive methods
           Checking, reinsertion, or removal of contraceptive device
           Repeat prescription for contraceptive method
           Routine examination in connection with contraceptive maintenance
 
           Excludes: presence of intrauterine contraceptive device as incidental
                    finding
(V45.5)
 
           V25.40 Contraceptive surveillance, unspecified
 
           V25.41 Contraceptive pill
 
           V25.42 Intrauterine contraceptive device
                 Checking, reinsertion, or removal of intrauterine device
 
           V25.43 Implantable subdermal contraceptive
 
           V25.49 Other contraceptive method
 
      V25.5 Insertion of implantable subdermal contraceptive
 
      V25.8 Other specified contraceptive management
           Postvasectomy sperm count
 
          Excludes: sperm count following sterilization reversal
(V26.22)
                    sperm count for fertility testing (V26.21)
 
      V25.9 Unspecified contraceptive management
 
  V26 Procreative management
 
      V26.0 Tuboplasty or vasoplasty after previous sterilization
 
      V26.1 Artificial insemination
 
      V26.2 Investigation and testing
 
          Excludes: postvasectomy sperm count
(V25.8)
 
           V26.21 Fertility testing
                 Fallopian insufflation
                 Sperm count for fertility testing
 
          Excludes: genetic counseling and testing
(V26.31-V26.33)
 
           V26.22 Aftercare following sterilization reversal
                 Fallopian insufflation following sterilization reversal
                 Sperm count following sterilization reversal
 
           V26.29 Other investigation and testing
 
      V26.3 Genetic counseling and testing
 
          Excludes: fertility testing
(V26.21)
 
           V26.31 Testing for genetic disease carrier status
 
           V26.32 Other genetic testing
 
           V26.33 Genetic counseling
 
      V26.4 General counseling and advice
 
      V26.5 Sterilization status
 
           V26.51 Tubal ligation status
 
          Excludes: infertility not due to previous tubal ligation
(628.0-628.9)
 
           V26.52 Vasectomy status
 
      V26.8 Other specified procreative management
 
      V26.9 Unspecified procreative management
 
  V27 Outcome of delivery
 
     Note: This category is intended for the coding of the outcome of delivery on
      the mother's record.
 
      V27.0 Single liveborn
 
      V27.1 Single stillborn
 
      V27.2 Twins, both liveborn
 
      V27.3 Twins, one liveborn and one stillborn
 
      V27.4 Twins, both stillborn
 
      V27.5 Other multiple birth, all liveborn
 
      V27.6 Other multiple birth, some liveborn
 
      V27.7 Other multiple birth, all stillborn
 
      V27.9 Unspecified outcome of delivery
          routine prenatal care
(V22.0-V23.9)
 
  V28 Antenatal screening
 
           Excludes: abnormal findings on screening- code to findings
 
      V28.0 Screening for chromosomal anomalies by amniocentesis
 
      V28.1 Screening for raised alpha-fetoprotein levels in amniotic fluid
 
      V28.2 Other screening based on amniocentesis
 
      V28.3 Screening for malformation using ultrasonics
 
      V28.4 Screening for fetal growth retardation using ultrasonics
 
      V28.5 Screening for isoimmunization
 
      V28.6 Screening for Streptococcus B
 
      V28.8 Other specified antenatal screening
 
      V28.9 Unspecified antenatal screening
 
  V29 Observation and evaluation of newborns for suspected condition not found
 
     Note: 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.
 
      V29.0 Observation for suspected infectious condition
 
      V29.1 Observation for suspected neurological condition
 
      V29.2 Observation for suspected respiratory condition
 
      V29.3 Observation for suspected genetic or metabolic condition
 
      V29.8 Observation for other specified suspected condition
 
      V29.9 Observation for unspecified suspected condition
 
    LIVEBORN INFANTS ACCORDING TO TYPE OF BIRTH
(V30-V39)
 
     Note: These categories are intended for the coding of liveborn infants who
      are consuming health care [e.g., crib or bassinet occupancy].
 
     The following fourth-digit subdivisions are for use with categories V30-V39:
      0 Born in hospital
      1 Born before admission to hospital
      2 Born outside hospital and not hospitalized
 
     The following two fifths-digits are for use with the fourth-digit .0, Born in
      hospital:
      0 delivered without mention of cesarean delivery
      1 delivered by cesarean delivery
 
  V30 Single liveborn
 
  V31 Twin, mate liveborn
 
  V32 Twin, mate stillborn
 
  V33 Twin, unspecified
 
  V34 Other multiple, mates all liveborn
 
  V35 Other multiple, mates all stillborn
 
  V36 Other multiple, mates live- and stillborn
 
  V37 Other multiple, unspecified
 
  V39 Unspecified
 
    PERSONS WITH A CONDITION INFLUENCING THEIR HEALTH STATUS
(V40-V49)
 
     Note: These categories are intended for use when these conditions are
      recorded as "diagnoses" or "problems."
 
  V40 Mental and behavioral problems
 
      V40.0 Problems with learning
 
      V40.1 Problems with communication [including speech]
 
      V40.2 Other mental problems
 
      V40.3 Other behavioral problems
 
      V40.9 Unspecified mental or behavioral problem
 
  V41 Problems with special senses and other special functions
 
      V41.0 Problems with sight
 
      V41.1 Other eye problems
 
      V41.2 Problems with hearing
 
      V41.3 Other ear problems
 
      V41.4 Problems with voice production
 
      V41.5 Problems with smell and taste
 
      V41.6 Problems with swallowing and mastication
 
      V41.7 Problems with sexual function
 
          Excludes: marital problems
(V61.10)
                    psychosexual disorders (302.0-302.9)
 
      V41.8 Other problems with special functions
 
      V41.9 Unspecified problem with special functions
 
  V42 Organ or tissue replaced by transplant
 
          Includes: homologous or heterologous (animal) (human) transplant organ
                     status
 
      V42.0 Kidney
 
      V42.1 Heart
 
      V42.2 Heart valve
 
      V42.3 Skin
 
      V42.4 Bone
 
      V42.5 Cornea
 
      V42.6 Lung
 
      V42.7 Liver
 
      V42.8 Other specified organ or tissue
 
           V42.81 Bone marrow
 
           V42.82 Peripheral stem cells
 
           V42.83 Pancreas
 
           V42.84 Intestines
 
           V42.89 Other
 
      V42.9 Unspecified organ or tissue
 
  V43 Organ or tissue replaced by other means
 
           Includes: organ or tissue assisted by other means
                     replacement of organ by:
                     artificial device
                     mechanical device
                     prosthesis
 
          Excludes: cardiac pacemaker in situ
(V45.01)
                    fitting and adjustment of prosthetic device (V52.0-V52.9)
                    renal dialysis status (V45.1)
 
      V43.0 Eye globe
 
      V43.1 Lens
           Pseudophakos
 
      V43.2 Heart
 
           V43.21 Heart assist device
 
           V43.22 Fully implantable artificial heart
 
      V43.3 Heart valve
 
      V43.4 Blood vessel
 
      V43.5 Bladder
 
      V43.6 Joint
 
           V43.60 Unspecified joint
 
           V43.61 Shoulder
 
           V43.62 Elbow
 
           V43.63 Wrist
 
           V43.64 Hip
 
           V43.65 Knee
 
           V43.66 Ankle
 
           V43.69 Other
 
      V43.7 Limb
 
      V43.8 Other organ or tissue
 
           V43.81 Larynx
 
           V43.82 Breast
 
           V43.83 Artificial skin
 
           V43.89 Other
 
  V44 Artificial opening status
 
           Excludes: artificial openings requiring attention or management
                   
(V55.0-V55.9)
 
      V44.0 Tracheostomy
 
      V44.1 Gastrostomy
 
      V44.2 Ileostomy
 
      V44.3 Colostomy
 
      V44.4 Other artificial opening of gastrointestinal tract
 
      V44.5 Cystostomy
 
           V44.50 Cystostomy, unspecified
 
           V44.51 Cutaneous-vesicostomy
 
           V44.52 Appendico-vesicostomy
 
           V44.59 Other cystostomy
 
      V44.6 Other artificial opening of urinary tract
           Nephrostomy
           Ureterostomy
           Urethrostomy
 
      V44.7 Artificial vagina
 
      V44.8 Other artificial opening status
 
      V44.9 Unspecified artificial opening status
 
  V45 Other postprocedural states
 
          Excludes: aftercare management
(V51-V58.9)
                     malfunction or other complication­code to condition
 
      V45.0 Cardiac device in situ
 
          Excludes: artificial heart
(V43.22)
                    heart assist device (V43.21)
 
           V45.00 Unspecified cardiac device
 
           V45.01 Cardiac pacemaker
 
           V45.02 Automatic implantable cardiac defibrillator
 
           V45.09 Other specified cardiac device
                 Carotid sinus pacemaker in situ
 
      V45.1 Renal dialysis status
           Hemodialysis status
           Patient requiring intermittent renal dialysis
           Peritoneal dialysis status
          Presence of arterial-venous shunt (for dialysis)
 
          Excludes: admission for dialysis treatment or session
(V56.0)
 
      V45.2 Presence of cerebrospinal fluid drainage device
          Cerebral ventricle (communicating) shunt, valve, or device in situ
 
          Excludes: malfunction (996.2)
 
      V45.3 Intestinal bypass or anastomosis status
 
      V45.4 Arthrodesis status
 
      V45.5 Presence of contraceptive device
 
          Excludes: checking, reinsertion, or removal of device
(V25.42)
                    complication from device (996.32)
                    insertion of device (V25.1)
 
           V45.51 Intrauterine contraceptive device
 
           V45.52 Subdermal contraceptive implant
 
           V45.59 Other
 
      V45.6 States following surgery of eye and adnexa
 
          Excludes: aphakia
(379.31)
                    artificial eye globe (V43.0)
 
           V45.61 Cataract extraction status
 
    Use additional code for associated artifical lens status
(V43.1)
 
           V45.69 Other states following surgery of eye and adnexa
 
      V45.7 Acquired absence of organ
 
           V45.71 Acquired absence of breast
 
          V45.72 Acquired absence of intestine (large) (small)
 
           V45.73 Acquired absence of kidney
 
           V45.74 Other parts of urinary tract
                 Bladder
 
           V45.75 Stomach
 
           V45.76 Lung
 
           V45.77 Genital organs
 
          Excludes: female genital mutilation status
(629.20-629.23)
 
           V45.78 Eye
 
           V45.79 Other acquired absence of organ
 
      V45.8 Other postprocedural status
 
           V45.81 Aortocoronary bypass status
 
           V45.82 Percutaneous transluminal coronary angioplasty status
 
           V45.83 Breast implant removal status
 
           V45.84 Dental restoration status
                 Dental crowns status
                 Dental fillings status
 
           V45.85 Insulin pump status
 
           V45.89 Other
                 Presence of neuropacemaker or other electronic device
 
          Excludes: artificial heart valve in situ
(V43.3)
                    vascular prosthesis in situ (V43.4)
 
  V46 Other dependence on machines
 
      V46.0 Aspirator
 
      V46.1 Respirator [Ventilator]
           Iron lung
 
           V46.11 Dependence on respirator, status
 
           V46.12 Encounter for respirator dependence during power failure
 
           V46.13 Encounter for weaning from respirator [ventilator]
 
           V46.14 Mechanical complication of respirator [ventilator]
                 Mechanical failure of respirator [ventilator]
 
      V46.2 Supplemental oxygen
           Long-term oxygen therapy
 
      V46.8 Other enabling machines
           Hyperbaric chamber
           Possum [Patient-Operated-Selector-Mechanism]
 
          Excludes: cardiac pacemaker
(V45.0)
                    kidney dialysis machine (V45.1)
 
      V46.9 Unspecified machine dependence
 
  V47 Other problems with internal organs
 
      V47.0 Deficiencies of internal organs
 
      V47.1 Mechanical and motor problems with internal organs
 
      V47.2 Other cardiorespiratory problems
          Cardiovascular exercise intolerance with pain (with):
           at rest
           less than ordinary activity
           ordinary activity
 
      V47.3 Other digestive problems
 
      V47.4 Other urinary problems
 
      V47.5 Other genital problems
 
      V47.9 Unspecified
 
  V48 Problems with head, neck, and trunk
 
      V48.0 Deficiencies of head
 
          Excludes: deficiencies of ears, eyelids, and nose
(V48.8)
 
      V48.1 Deficiencies of neck and trunk
 
      V48.2 Mechanical and motor problems with head
 
      V48.3 Mechanical and motor problems with neck and trunk
 
      V48.4 Sensory problem with head
 
      V48.5 Sensory problem with neck and trunk
 
      V48.6 Disfigurements of head
 
      V48.7 Disfigurements of neck and trunk
 
      V48.8 Other problems with head, neck, and trunk
 
      V48.9 Unspecified problem with head, neck, or trunk
 
  V49 Other conditions influencing health status
 
      V49.0 Deficiencies of limbs
 
      V49.1 Mechanical problems with limbs
 
      V49.2 Motor problems with limbs
 
      V49.3 Sensory problems with limbs
 
      V49.4 Disfigurements of limbs
 
      V49.5 Other problems of limbs
 
      V49.6 Upper limb amputation status
 
           V49.60 Unspecified level
 
           V49.61 Thumb
 
          V49.62 Other finger(s)
 
           V49.63 Hand
 
           V49.64 Wrist
                 Disarticulation of wrist
 
           V49.65 Below elbow
 
           V49.66 Above elbow
                 Disarticulation of elbow
 
           V49.67 Shoulder
                 Disarticulation of shoulder
 
      V49.7 Lower limb amputation status
 
           V49.70 Unspecified level
 
           V49.71 Great toe
 
          V49.72 Other toe(s)
 
           V49.73 Foot
 
           V49.74 Ankle
                 Disarticulation of ankle
 
           V49.75 Below knee
 
           V49.76 Above knee
                 Disarticulation of knee
 
           V49.77 Hip
                 Disarticulation of hip
 
      V49.8 Other specified conditions influencing health status
 
          V49.81 Asymptomatic postmenopausal status (age-related) (natural)
 
          Excludes: menopausal and premenopausal disorders
(627.0-627.9)
                    postsurgical menopause (256.2)
                    premature menopause (256.31)
                    symptomatic menopause(627.0-627.9)
 
           V49.82 Dental sealant status
 
           V49.83 Awaiting organ transplant status
 
           V49.84 Bed confinement status
 
           V49.89 Other specified conditions influencing health status
 
      V49.9 Unspecified
 
     PERSONS ENCOUNTERING HEALTH SERVICES FOR SPECIFIC PROCEDURES AND AFTERCARE
    
(V50-V59)
 
     Note: Categories V51-V58 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.
 
           Excludes: follow-up examination for medical surveillance following
                    treatment (V67.0-V67.9)
 
  V50 Elective surgery for purposes other than remedying health states
 
      V50.0 Hair transplant
 
      V50.1 Other plastic surgery for unacceptable cosmetic appearance
           Breast augmentation or reduction
           Face-lift
 
          Excludes: plastic surgery following healed injury or operation
(V51)
 
      V50.2 Routine or ritual circumcision
           Circumcision in the absence of significant medical indication
 
      V50.3 Ear piercing
 
      V50.4 Prophylactic organ removal
 
          Excludes: organ donations
(V59.0-V59.9)
                     therapeutic organ removal­code to condition
 
           V50.41 Breast
 
           V50.42 Ovary
 
           V50.49 Other
 
      V50.8 Other
 
      V50.9 Unspecified
 
  V51 Aftercare involving the use of plastic surgery
      Plastic surgery following healed injury or operation
 
          Excludes: cosmetic plastic surgery
(V50.1)
                     plastic surgery as treatment for current injury­code to
                     condition
                     repair of scar tissue-code to scar
 
  V52 Fitting and adjustment of prosthetic device and implant
 
           Includes: removal of device
 
          Excludes: malfunction or complication of prosthetic device (996.0-996.7)
                    status only, without need for care
(V43.0-V43.8)
 
     V52.0 Artificial arm (complete) (partial)
 
     V52.1 Artificial leg (complete) (partial)
 
      V52.2 Artificial eye
 
      V52.3 Dental prosthetic device
 
      V52.4 Breast prosthesis and implant
 
          Excludes: admission for breast implant insertion
(V50.1)
 
      V52.8 Other specified prosthetic device
 
      V52.9 Unspecified prosthetic device
 
  V53 Fitting and adjustment of other device
 
           Includes: removal of device
                     replacement of device
 
          Excludes: status only, without need for care
(V45.0-V45.8)
 
      V53.0 Devices related to nervous system and special senses
 
          V53.01 Fitting and adjustment of cerebral ventricle (communicating)
                 shunt
 
          V53.02 Neuropacemaker (brain) (peripheral nerve) (spinal cord)
 
           V53.09 Fitting and adjustment of other devices related to nervous
                 system and special senses
                 Auditory substitution device
                 Visual substitution device
 
      V53.1 Spectacles and contact lenses
 
      V53.2 Hearing aid
 
      V53.3 Cardiac device
           Reprogramming
 
           V53.31 Cardiac pacemaker
 
          Excludes: mechanical complication of cardiac pacemaker (996.01)
 
           V53.32 Automatic implantable cardiac defibrillator
 
           V53.39 Other cardiac device
 
      V53.4 Orthodontic devices
 
      V53.5 Other intestinal appliance
 
          Excludes: colostomy
(V55.3)
                    ileostomy (V55.2)
                    other artifical opening of digestive tract (V55.4)
 
      V53.6 Urinary devices
           urinary catheter
 
          Excludes: cystostomy
(V55.5)
                    nephrostomy (V55.6)
                    ureterostomy (V55.6)
                    urethrostomy (V55.6)
 
      V53.7 Orthopedic devices
           Orthopedic:
           brace
           cast
           corset
           shoes
 
          Excludes: other orthopedic aftercare
(V54)
 
      V53.8 Wheelchair
 
      V53.9 Other and unspecified device
 
           V53.90 Unspecified device
 
           V53.91 Fitting and adjustment of insulin pump
                 Insulin pump titration
 
           V53.99 Other device
 
  V54 Other orthopedic aftercare
 
          Excludes: fitting and adjustment of orthopedic devices
(V53.7)
                    malfunction of internal orthopedic device (996.40-996.49)
                    other complication of nonmechanical nature (996.60-996.79)
 
      V54.0 Aftercare involving internal fixation device
 
          Excludes: malfunction of internal orthopedic device (996.40-996.49)
                    other complication of nonmechanical nature (996.60-996.79)
                    removal of external fixation device
(V54.89)
 
           V54.01 Encounter for removal of internal fixation device
 
           V54.02 Encounter for lengthening/adjustment of growth rod
 
           V54.09 Other aftercare involving internal fixation device
 
      V54.1 Aftercare for healing traumatic fracture
 
           V54.10 Aftercare for healing traumatic fracture of arm, unspecified
 
           V54.11 Aftercare for healing traumatic fracture of upper arm
 
           V54.12 Aftercare for healing traumatic fracture of lower arm
 
           V54.13 Aftercare for healing traumatic fracture of hip
 
           V54.14 Aftercare for healing traumatic fracture of leg, unspecified
 
           V54.15 Aftercare for healing traumatic fracture of upper leg
 
          Excludes: aftercare for healing traumatic fracture of hip
(V54.13)
 
           V54.16 Aftercare for healing traumatic fracture of lower leg
 
           V54.17 Aftercare for healing traumatic fracture of vertebrae
 
           V54.19 Aftercare for healing traumatic fracture of other bone
 
      V54.2 Aftercare for healing pathologic fracture
 
           V54.20 Aftercare for healing pathologic fracture of arm, unspecified
 
           V54.21 Aftercare for healing pathologic fracture of upper arm
 
           V54.22 Aftercare for healing pathologic fracture of lower arm
 
           V54.23 Aftercare for healing pathologic fracture of hip
 
           V54.24 Aftercare for healing pathologic fracture of leg, unspecified
 
           V54.25 Aftercare for healing pathologic fracture of upper leg
 
          Excludes: aftercare for healing pathologic fracture of hip
(V54.23)
 
           V54.26 Aftercare for healing pathologic fracture of lower leg
 
           V54.27 Aftercare for healing pathologic fracture of vertebrae
 
           V54.29 Aftercare for healing pathologic fracture of other bone
 
      V54.8 Other orthopedic aftercare
 
           V54.81 Aftercare following joint replacement
 
    Use additional code to identify joint replacement site
(V43.60-V43.69)
 
           V54.89 Other orthopedic aftercare
               &n