VIII. DISEASES OF THE RESPIRATORY SYSTEM Use additional code, if desired, to identify infectious organism ACUTE RESPIRATORY INFECTIONS (460-466) Excludes: pneumonia and influenza (480-487) 460 Acute nasopharyngitis [common cold] Coryza (acute) Rhinitis: Nasal catarrh, acute acute Nasopharyngitis: infective NOS acute infective NOS Excludes: nasopharyngitis, chronic (472.2) pharyngitis: acute or unspecified (462) chronic (472.1) rhinitis: allergic (477.-) chronic or unspecified (472.0) sore throat: acute or unspecified (462) chronic (472.1) 461 Acute sinusitis Includes: abscess, acute, of sinus (accessory) (nasal) empyema, acute, of sinus (accessory) (nasal) infection, acute, of sinus (accessory) (nasal) inflammation, acute, of sinus (accessory) (nasal) suppuration, acute, of sinus (accessory) (nasal) Excludes: chronic or unspecified (473.-) 461.0 Maxillary Acute antritis 461.1 Frontal 461.2 Ethmoidal 461.3 Sphenoidal 461.8 Other Acute pansinusitis ICD-9/Ch09.TXT - pg. 1 461.9 Unspecified Acute sinusitis NOS 462 Acute pharyngitis Acute sore throat NOS Pharyngitis (acute): Pharyngitis (acute): NOS staphylococcal gangrenous suppurative infective ulcerative phlegmonous Sore throat (viral) NOS pneumococcal Viral pharyngitis Excludes: abscess: peritonsillar [quinsy] (475) pharyngeal (478.2) retropharyngeal (478.2) chronic pharyngitis (472.1) that conditions if specified as (due to): Coxsackie (virus) (074.0) herpes simplex (054.7) influenzal (487.1) septic (034.0) streptococcal (034.0) 463 Acute tonsillitis Tonsillitis (acute): Tonsillitis (acute): NOS septic follicular staphylococcal gangrenous suppurative infective ulcerative pneumococcal viral Excludes: peritonsillar abscess [quinsy] (475) sore throat: acute or NOS (462) septic (034.0) streptococcal tonsillitis (034.0) 464 Acute laryngitis and tracheitis Excludes: when specified as due to Streptococcus (034.0) 464.0 Acute laryngitis Laryngitis (acute): Laryngitis (acute): NOS pneumococcal Hemophilus influenzae septic [H. influenzae] suppurative oedematous ulcerative ICD-9/Ch09.TXT - pg. 2 Excludes: chronic laryngitis (476.-) influenzal laryngitis (487.1) 464.1 Acute tracheitis Tracheitis (acute): NOS catarrhal viral Excludes: chronic tracheitis (491.8) 464.2 Acute laryngotracheitis Laryngotracheitis (acute) Tracheitis (acute) with laryngitis (acute) 464.3 Acute epiglottitis 464.4 Croup 465 Acute upper respiratory infections of multiple or unspecified sites 465.0 Acute laryngopharyngitis 465.8 Other multiple sites 465.9 Unspecified site Upper respiratory: disease (acute) infection (acute) Excludes: upper respiratory infection due to: influenza (487.1) streptococcus (034.0) 466 Acute bronchitis and bronchiolitis Includes: the listed conditions with or without mention of obstruction or bronchospasm Excludes: for single-condition coding, acute exacerbation of chronic bronchitis (491.-) 466.0 Acute bronchitis Bronchitis, acute or subacute: Bronchitis, acute or subacute: fibrinous viral membranous with tracheitis pneumococcal Croupous bronchitis purulent Tracheobronchitis, acute septic ICD-9/Ch09.TXT - pg. 3 466.1 Acute bronchiolitis Bronchiolitis (acute) Capillary pneumonia OTHER DISEASES OF THE UPPER RESPIRATORY TRACT (470-478) 470 Deflected nasal septum Deflection or deviation of septum (nasal) (acquired) 471 Nasal polyps Excludes: adenomatous polyps (212.0) 471.0 Polyp of nasal cavity Polyp: choanal nasopharyngeal 471.1 Polypoid sinus degeneration Woakes' syndrome or ethmoiditis 471.8 Other polyp of sinus Polyp of sinus: accessory ethmoidal maxillary sphenoidal 471.9 Unspecified Nasal polyp NOS 472 Chronic pharyngitis and nasopharyngitis 472.0 Chronic rhinitis Ozena Rhinitis: NOS atrophic granulomatous hypertrophic obstructive purulent ulcerative Excludes: allergic rhinitis (477.-) ICD-9/Ch09.TXT - pg. 4 472.1 Chronic pharyngitis Chronic sore throat Pharyngitis: atrophic granular (chronic) hypertrophic 472.2 Chronic nasopharyngitis Excludes: acute or unspecified nasopharyngitis (460) 473 Chronic sinusitis Includes: abscess (chronic) of sinus (accessory) (nasal) empyema (chronic) of sinus (accessory) (nasal) infection (chronic) of sinus (accessory) (nasal) suppuration (chronic) of sinus (accessory) (nasal) Excludes: acute sinusitis (461.-) 473.0 Maxillary Antritis (chronic) 473.1 Frontal 473.2 Ethmoidal 473.3 Sphenoidal 473.8 Other Pansinusitis (chronic) 473.9 Unspecified Sinusitis (chronic) NOS 474 Chronic disease of tonsils and adenoids 474.0 Chronic tonsillitis Excludes: acute or unspecified tonsillitis (463) 474.1 Hypertrophy of tonsils and adenoids Enlargement of tonsils (and adenoids) Hyperplasia of tonsils (and adenoids) Hypertrophy of tonsils (and adenoids) 474.2 Adenoid vegetations ICD-9/Ch09.TXT - pg. 5 474.8 Other chronic disease of tonsils and adenoids Amygdalolith Tonsillar tag Calculus, tonsil Ulcer, tonsil Cicatrix of tonsil (and adenoid) 474.9 Unspecified Disease (chronic) of tonsils (and adenoids) 475 Peritonsillar abscess Abscess of tonsil Peritonsillar cellulitis Quinsy Excludes: tonsillitis: acute or NOS (463) chronic (474.0) 476 Chronic laryngitis and laryngotracheitis 476.0 Chronic laryngitis Laryngitis: catarrhal hypertrophic sicca 476.1 Chronic laryngotracheitis Laryngitis, chronic, with tracheitis (chronic) Tracheitis, chronic, with laryngitis Excludes: chronic tracheitis (491.8) laryngitis and tracheitis, acute or unspecified (464.-) 477 Allergic rhinitis Includes: allergic rhinitis (nonseasonal) (seasonal) hay fever pollinosis spasmodic rhinorrhea Excludes: allergic rhinitis with asthma (bronchial) (493.0) 477.0 Due to pollen 477.8 Due to other allergen 477.9 Cause unspecified 478 Other diseases of upper respiratory tract ICD-9/Ch09.TXT - pg. 6 478.0 Hypertrophy of nasal turbinates 478.1 Other diseases of nasal cavity and sinuses Abscess of nose (septum) Cyst or mucocele of sinus (nasal) Necrosis of nose (septum) Rhinolith Ulceration of nose (septum) Excludes: varicose ulcer of nasal septum (456.8) 478.2 Other diseases of pharynx, not elsewhere classified Abscess of pharynx or nasopharynx Cellulitis of pharynx or nasopharynx Cyst of pharynx or nasopharynx Edema of pharynx or nasopharynx Retropharyngeal abscess Excludes: ulcerative pharyngitis (462) 478.3 Paralysis of vocal cords or larynx Laryngoplegia Paralysis of glottis 478.4 Polyp of vocal cord or larynx Excludes: adenomatous polyps (212.1) 478.5 Other diseases of vocal cords Abscess of vocal cords Leukoplakia of vocal cords Cellulitis of vocal cords Chorditis (fibrinous) (nodosa) (tuberosa) Granuloma of vocal cords Singers' nodes 478.6 Edema of larynx Edema (of): glottis subglottic supraglottic 478.7 Other diseases of larynx, not elsewhere classified Abscess of larynx Perichondritis of larynx Cellulitis of larynx Spasm of larynx Necrosis of larynx Stenosis of larynx Obstruction of larynx Ulcer of larynx Pachyderma of larynx Laryngismus (stridulus) Excludes: ulcerative laryngitis (464.0) 478.8 Upper respiratory tract hypersensitivity reaction, site unspecified ICD-9/Ch09.TXT - pg. 7 478.9 Other and unspecified diseases of upper respiratory tract Abscess of trachea Cicatrix of trachea PNEUMONIA AND INFLUENZA (480-487) Excludes: pneumonia: allergic or eosinophilic (518.3) aspiration: NOS (507.0) newborn (770.1) solids and liquids (507.-) congenital (770.0) lipoid (507.1) passive (514) postoperative (997.3) rheumatic (390) 480 Viral pneumonia 480.0 Pneumonia due to adenovirus 480.1 Pneumonia due to respiratory syncytial virus 480.2 Pneumonia due to parainfluenza virus 480.8 Pneumonia due to other virus, not elsewhere classified Excludes: congenital rubella pneumonitis (771.0) influenza with pneumonia, any form (487.0) pneumonia complicating viral diseases classified elsewhere (045-079) 480.9 Viral pneumonia, unspecified 481 Pneumococcal pneumonia Lobar pneumonia, organism unspecified 482 Other bacterial pneumonia 482.0 Pneumonia due to Klebsiella pneumoniae 482.1 Pneumonia due to Pseudomonas 482.2 Pneumonia due to Hemophilus influenzae [H. influenzae] 482.3 Pneumonia due to Streptococcus 482.4 Pneumonia due to Staphylococcus 482.8 Pneumonia due to other specified bacteria ICD-9/Ch09.TXT - pg. 8 Pneumonia due to: Escherichia coli [E. coli] Proteus Excludes: pneumonia complicating infectious diseases classified elsewhere (001-136) 482.9 Bacterial pneumonia, unspecified 483 Pneumonia due to other specified organism Pneumonia due to: Eaton's agent Mycoplasma(pneumoniae) Pleuropneumonia-like organisms [PPLO] 485 Bronchopneumonia, organism unspecified Excludes: bronchiolitis (466.1) lipoid pneumonia (507.1) 486 Pneumonia, organism unspecified Excludes: hypostatic or passive pneumonia (514) influenza with pneumonia, any form (487.0) inhalation or aspiration pneumonia due to foreign material (507.-) pneumonitis due to fumes and vapors (506.0) 487 Influenza Excludes: Hemophilus influenzae [H. influenzae]: infection NOS (041.5) meningitis (320.0) pneumonia (482.2) 487.0 With pneumonia Influenza with pneumonia, any form Influenzal: bronchopneumonia pneumonia 487.1 With other respiratory manifestations Influenza NOS Influenzal: Influenzal: pharyngitis laryngitis respiratory infection (upper) (acute) 487.8 With other manifestations Encephalopathy due to influenza Influenza with involvement of gastrointestinal tract ICD-9/Ch09.TXT - pg. 9 CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND ALLIED CONDITIONS (490-496) 490 Bronchitis, not specified as acute or chronic Bronchitis NOS: catarrhal with tracheitis NOS Tracheobronchitis NOS Excludes: bronchitis: allergic NOS (493.9) asthmatic NOS (493.9) due to fumes and vapors (506.0) 491 Chronic bronchitis Includes: in single-condition coding, acute exacerbation of chronic bronchitis 491.0 Simple chronic bronchitis Catarrhal bronchitis, chronic Smokers' cough 491.1 Mucopurulent chronic bronchitis Bronchitis (chronic) (recurrent): mucopurulent purulent 491.2 Obstructive chronic bronchitis Bronchitis: Bronchitis: asthmatic, chronic obstructive (chronic) (diffuse) emphysematous with airways obstruction 491.8 Other chronic bronchitis Chronic: tracheitis tracheobronchitis 491.9 Unspecified 492 Emphysema Emphysema (lung or pulmonary): Emphysematous bleb bullous MacLeod's syndrome or unilateral emphysema centriacinar centrilobular obstructive panacinar panlobular vesicular ICD-9/Ch09.TXT - pg. 10 Excludes: emphysema: compensatory (518.2) due to fumes and vapours (506.4) interstitial (518.1) newborn (770.2) mediastinal (518.1) surgical (subcutaneous) (998.8) traumatic (958.7) 493 Asthma 493.0 Extrinsic asthma Asthma: allergic, stated cause atopic childhood hay platinum Hayfever with asthma Excludes: asthma: allergic NOS (493.9) detergent (507.8) miners' (500) wood (495.8) 493.1 Intrinsic asthma Asthma due to internal immunological process Late-onset asthma 493.9 Asthma, unspecified Asthma (bronchial) (allergic NOS) Bronchitis: allergic asthmatic Status asthmaticus 494 Bronchiectasis Bronchiectasis (fusiform) (postinfectional) (recurrent) Bronchiolectasis Excludes: tuberculous bronchiectasis (current disease) (011.5) 495 Extrinsic allergic alveolitis Includes: allergic alveolitis and pneumonitis due to inhaled organic dust particles of fungal, thermophilic actinomycete, or other origin ICD-9/Ch09.TXT - pg. 11 495.0 Farmers' lung 495.1 Bagassosis 495.2 Bird-fanciers' lung Budgerigar-fanciers' disease or lung Pigeon-fanciers' disease or lung 495.3 Suberosis Corkhandlers' disease or lung 495.4 Malt workers' lung Alveolitis due to Aspergillus clavatus 495.5 Mushroom workers' lung 495.6 Maple bark-strippers' lung Alveolitis due to Cryptostroma corticale 495.7 "Ventilation" pneumonitis Allergic alveolitis due to fungal, thermophilic actinomycete, and other organisms growing in ventilation [air conditioning] systems 495.8 Other allergic pneumonitis Cheese-washers' lung Grain-handlers' disease or lung Coffee workers' lung Pituitary snuff-takers' disease Fish-meal workers' lung Sequoiosis or red-cedar asthma Furriers' lung 495.9 Unspecified allergic alveolitis Alveolitis, allergic (extrinsic) Hypersensitivity pneumonitis 496 Chronic airway obstruction, not elsewhere classified Chronic: nonspecific lung disease obstructive lung disease Excludes: that with mention of: allergic alveolitis (495.-) asthma (493.-) bronchiectasis (494) bronchitis (491.2) emphysema (492) ICD-9/Ch09.TXT - pg. 12 PNEUMOCONIOSES AND OTHER LUNG DISEASES DUE TO EXTERNAL AGENTS (500-508) 500 Coal workers' pneumoconiosis Anthracosilicosis Coal workers' lung Anthracosis Miners' asthma 501 Asbestosis 502 Pneumoconiosis due to other silica or silicates Pneumoconiosis due to talc Silicotic fibrosis (massive) of lung Silicosis (simple) (complicated) 503 Pneumoconiosis due to other inorganic dust Aluminosis (of lung) Graphite fibrosis (of lung) Bauxite fibrosis (of lung) Siderosis Berylliosis Stannosis 504 Pneumonopathy due to inhalation of other dust Byssinosis Flax-dressers' disease Cannabinosis Excludes: allergic alveolitis (495.-) asbestosis (501) bagassosis (495.1) farmers' lung (495.0) 505 Pneumoconiosis, unspecified 506 Respiratory conditions due to chemical fumes and vapors Use additional E code, if desired, to identify cause 506.0 Bronchitis and pneumonitis due to fumes and vapors Chemical bronchitis (acute) 506.1 Acute pulmonary edema due to fumes and vapors Chemical pulmonary edema (acute) 506.2 Upper respiratory inflammation due to fumes and vapors 506.3 Other acute and subacute respiratory conditions due to fumes and vapors 506.4 Chronic respiratory conditions due to fumes and vapors Emphysema (diffuse) (chronic) due to inhalation of chemical fumes and vapors ICD-9/Ch09.TXT - pg. 13 Obliterative bronchiolitis (chronic) (subacute) due to inhalation of chemical fumes and vapors Pulmonary fibrosis (chronic) due to inhalation of chemical fumes and vapors 506.9 Unspecified Silo-fillers' disease 507Pneumonitis due to solids and liquids Excludes: fetal aspiration pneumonitis (770.1) 507.0 Due to inhalation of food or vomit Aspiration pneumonia (due to): NOS food (regurgitated) gastric secretions milk vomit Excludes: pneumonia due to aspiration of microorganisms(480.-) postoperative [Mendelson's syndrome] (997.3) 507.1 Due to inhalation of oils and essences Lipoid pneumonia (exogenous) Excludes: endogenous lipoid pneumonia (516.8) 507.8 Other Detergent asthma 508 Respiratory conditions due to other and unspecified external agents Use additional E code, if desired, to identify cause 508.0 Acute pulmonary manifestations due to radiation Radiation pneumonitis 508.1 Chronic and other pulmonary manifestations due to radiation Fibrosis of lung following radiation 508.8 Other 508.9 Unspecified ICD-9/Ch09.TXT - pg. 14 OTHER DISEASES OF RESPIRATORY SYSTEM (510-519) 510 Empyema Use additional code, if desired, to identify infectious organism 510.0 With fistula Any condition in 510.9 with Fistula: fistula mediastinal Fistula: pleural bronchocutaneous thoracic hepatopleural 510.9 Without mention of fistula Abscess: Pleurisy: pleura fibrinopurulent thorax purulent Empyema (chest) (lung) (pleura) septic Fibrinopurulent pleurisy seropurulent Pyopneumothorax suppurative Pyothorax 511 Pleurisy Excludes: pleurisy with mention of tuberculosis, current disease (012.0) 511.0 Without mention of effusion or current tuberculosis Adhesion, lung or pleura Pleurisy: Calcification of pleura NOS Pleurisy (acute) (sterile): pneumococcal diaphragmatic staphylococcal fibrinous streptococcal interlobar Thickening of pleura 511.1 With effusion, with mention of a bacterial cause other than tuberculosis Pleurisy (with effusion) (exudative) (serous) (serofibrinous): pneumococcal staphylococcal streptococcal other specified nontuberculous bacterial cause 511.8 Other specified forms of effusion, except tuberculous Encysted pleurisy Hydropneumothorax Hemopneumothorax Hydrothorax Hemothorax ICD-9/Ch09.TXT - pg. 15 511.9 Unspecified pleural effusion Pleural effusion NOS Pleurisy: exudative serofibrinous serous with effusion NOS 512 Pneumothorax Pneumothorax: NOS acute chronic spontaneous tension Excludes: pneumothorax: congenital (770.2) traumatic (860.-) tuberculous, current disease (011.7) 513 Abscess of lung and mediastinum 513.0 Abscess of lung Abscess (multiple) of lung Gangrenous or necrotic pneumonia Pulmonary gangrene or necrosis 513.1 Abscess of mediastinum 514 Pulmonary congestion and hypostasis Hypostatic: Pulmonary congestion (passive) bronchopneumonia Pulmonary edema: pneumonia NOS Passive pneumonia chronic Excludes: acute pulmonary edema: NOS (518.4) with mention of heart disease or failure (428.1) 515 Postinflammatory pulmonary fibrosis Cirrhosis of lung, chronic or unspecified Fibrosis of lung (atrophic) (confluent) (massive) (perialveolar) (peribronchial), chronic or unspecified Induration of lung, chronic or unspecified 516 Other alveolar and parietoalveolar pneumonopathy ICD-9/Ch09.TXT - pg. 16 516.0 Pulmonary alveolar proteinosis 516.2 Pulmonary alveolar microlithiasis 516.3 Idiopathic fibrosing alveolitis Alveolarcapillary block Diffuse (idiopathic) (interstitial) Hamman-Rich syndrome pulmonary fibrosis 516.8 Other 516.9 Unspecified 518 Other diseases of lung 518.0 Pulmonary collapse Atelectasis Collapse of lung Excludes: congenital atelectasis (770.4) partial (770.5) tuberculous atelectasis, current disease (011.8) 518.1 Interstitial emphysema Mediastinal emphysema Excludes: in fetus or newborn (770.2) surgical (subcutaneous) emphysema (998.8) traumatic emphysema (958.7) 518.2 Compensatory emphysema 518.3 Pulmonary eosinophilia Eosinophilic asthma Pneumonia: Loeffler's syndrome allergic Tropical eosinophilia eosinophilic 518.4 Acute edema of lung, unspecified Excludes: pulmonary edema: acute, with mention of heart disease or failure (428.1) chronic or unspecified (514) due to external agents (506-508) 518.5 Pulmonary insufficiency following trauma and surgery Adult respiratory distress Shock lung syndrome Pulmonary insufficiency Pulmonary insufficiency following: following: surgery shock trauma ICD-9/Ch09.TXT - pg. 17 518.8 Other diseases of lung, not elsewhere classified Broncholithiasis Calcification of lung Pulmolithiasis 519 Other diseases of respiratory system 519.0 Tracheostomy malfunction Hemorrhage from tracheostomy stoma Sepsis of tracheostomy stoma Obstruction of tracheostomy airway Tracheoesophageal fistula following tracheostomy Tracheostomy: hemorrhage obstruction sepsis 519.1 Other diseases of trachea and bronchus, not elsewhere classified Calcification of bronchus or trachea Stenosis of bronchus or trachea Ulcer of bronchus or trachea 519.2 Mediastinitis 519.3 Other diseases of mediastinum, not elsewhere classified Fibrosis of mediastinum Hernia of mediastinum Retraction of mediastinum 519.4 Disorders of diaphragm Diaphragmatitis Paralysis of diaphragm Relaxation of diaphragm Excludes: congenital defect of diaphragm (756.6) diaphragmatic hernia (553.3) congenital (756.6) 519.8 Other diseases of respiratory system, not elsewhere classified 519.9 Unspecified Respiratory disease (chronic) NOS ICD-9/Ch09.TXT - 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