XIII. DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE ARTHROPATHIES AND RELATED DISORDERS (710-719) Excludes: disorders of spine (720-724) 710 Diffuse diseases of connective tissue Includes: all collagen diseases whose effects are not mainly confined to a single system Excludes: those affecting mainly the cardiovascular system, i.e., polyarteritis nodosa and allied conditions (446) 710.0 Systemic lupus erythematosus Disseminated lupus erythematosus Excludes: lupus erythematosus (discoid) NOS (695.4) 710.1 Systemic sclerosis Scleroderma Excludes: circumscribed scleroderma (701.0) 710.2 Sicca syndrome Keratoconjunctivitis sicca Sj”gren's disease 710.3 Dermatomyositis Polymyositis with skin involvement 710.4 Polymyositis 710.8 Other 710.9 Unspecified Collagen disease NOS 711 Arthropathy associated with infections Excludes: rheumatic fever (390) 711.0 Pyogenic arthritis Arthritis or polyarthritis (due to): coliform [Escherichia coli] Hemophilus influenzae [H. influenzae] Pseudomonas staphylococcal streptococcal ICD-9/Ch13.TXT - pg. 1 Use additional code, if desired, to identify infectious organism 711.9 Unspecified infective arthritis Infective arthritis or polyarthritis (acute) (chronic) (subacute) NOS 712 Crystal arthropathies Includes: crystal-induced arthritis and synovitis 712.8 Other crystal arthropathies 712.9 Unspecified crystal arthropathy 714 Rheumatoid arthritis and other inflammatory polyarthropathies Excludes: rheumatic fever (390) rheumatoid arthritis of spine NOS (720.-) 714.0 Rheumatoid arthritis 714.1 Felty's syndrome Rheumatoid arthritis with splenoadenomegaly and leukopenia 714.2 Other rheumatoid arthritis with visceral or systemic involvement 714.3 Juvenile chronic polyarthritis Juvenile rheumatoid arthritis Still's disease 714.4 Chronic postrheumatic arthropathy Jaccoud's syndrome 714.8 Other 714.9 Unspecified Inflammatory polyarthropathy or polyarthritis NOS 715 Osteoarthrosis and allied disorders Note: Localized, in the subcategories below, includes bilateral involvement of the same site. Excludes: osteoarthrosis of spine 715.0 Generalized 715.1 Localized, primary 715.2 Localized, secondary ICD-9/Ch13.TXT - pg. 2 715.3 Localized, not specified whether primary or secondary 715.8 Involving or with mention of more than one site but not specified as generalized 715.9 Unspecified whether generalized or localized 716 Other and unspecified arthropathies Excludes: cricoarytenoid arthropathy (478.7) 716.0 Kaschin-Beck disease 716.1 Traumatic arthropathy 716.2 Allergic arthritis Excludes: arthritis associated with Henoch-Sch”nlein purpura or serum sickness 716.3 Climacteric arthritis 716.4 Transient arthropathy Excludes: palindromic rheumatism (719.3) 716.5 Unspecified polyarthropathy or polyarthritis 716.6 Unspecified monoarthritis 716.8 Other specified arthropathy 716.9 Unspecified 717 Internal derangement of knee Excludes: ankylosis (718.5) contracture (718.4) current injury (836.-) deformity (736.6) recurrent dislocation (718.3) 717.0 Old bucket handle tear of medial meniscus Old bucket handle tear of unspecified cartilage 717.1 Derangement of anterior horn of medial meniscus 717.2 Derangement of posterior horn of medial meniscus 717.3 Other and unspecified derangement of medial meniscus 717.4 Derangement of lateral meniscus ICD-9/Ch13.TXT - pg. 3 717.5 Derangement of meniscus, not elsewhere classified Congenital discoid meniscus 717.6 Loose body in knee 717.7 Chondromalacia of patellae 717.8 Other Old disruption of ligament(s) of knee 717.9 Unspecified Derangement NOS of knee 718 Other derangement of joint Excludes: current injury (830.- to 848.-) 718.0 Articular cartilage disorder Meniscus disorder Excludes: chondrocalcinosis (275.4) in ochronosis (270.2) knee (717.-) metastatic calcification (275.4) 718.1 Loose body in joint Excludes: knee (717.6) 718.2 Pathological dislocation Dislocation or displacement of joint, not recurrent and not current injury Spontaneous dislocation (joint) 718.4 Contracture of joint 718.5 Ankylosis of joint Excludes: spine (724.9) stiffness of joint without mention of ankylosis (719.5) 718.6 Unspecified protrusio acetabuli 718.8 Other joint derangement not elsewhere classified Excludes: deformities classifiable to 736.- (736.-) 718.9 Unspecified ICD-9/Ch13.TXT - pg. 4 719 Other and unspecified disorders of joint 719.0 Effusion of joint Swelling of joint, with or without pain 719.1 Hemarthrosis Excludes: current injury (840-848) in hemophilia (286.0-286.2) 719.2 Villonodular synovitis 719.3 Palindromic rheumatism 719.4 Pain in joint 719.5 Stiffness of joint, not elsewhere classified 719.6 Other symptoms referable to joint 719.7 Difficulty in walking 719.8 Other Excludes: temporomandibular joint-pain-dysfunction syndrome [Costen's syndrome] (524.6) 719.9 Unspecified DORSOPATHIES (720-724) Excludes: curvature of spine (737.-) osteochondrosis of spine (732.-) 720 Ankylosing spondylitis and other inflammatory spondylopathies 720.0 Ankylosing spondylitis Rheumatioid arthritis of spine NOS 720.1 Spinal enthesopathy Disorder of peripheral ligamentous or muscular attachments of spine Romanus lesion 720.2 Sacroiliitis, not elsewhere classified 720.8 Other inflammatory spondylopathies 720.9 Unspecified inflammatory spondylopathy ICD-9/Ch13.TXT - pg. 5 721 Spondylosis and allied disorders 721.0 Cervical spondylosis without myelopathy 721.1 Cervical spondylosis with myelopathy Anterior spinal artery compression syndrome Spondylogenic compression of cervical spinal cord Vertebral artery compression syndrome 721.2 Thoracic spondylosis without myelopathy 721.3 Lumbosacral spondylosis without myelopathy 721.4 Thoracic or lumbar spondylosis with myelopathy Spondylogenic compression of thoracic or lumbar spinal cord 721.5 Kissing spine Baastrup's syndrome 721.6 Ankylosing vertebral hyperostosis 721.7 Traumatic spondylopathy Kmmell's disease or spondylitis 721.8 Other 721.9 Spondylosis of unspecified site Spondylogenic compression of spinal cord NOS 722 Intervertebral disc disorders 722.0 Displacement of cervical intervertebral disc without myelopathy Neuritis (brachial) or radiculitis due to displacement or rupture of cervical intervertebral disc 722.1 Displacement of thoracic or lumbar intervertebral disc without myelopathy Lumbago or sciatica due to displacement of intervertebral disc Neuritis or radiculitis due to displacement or rupture of thoracolumbar intervertebral disc 722.2 Displacement of intervertebral disc, site unspecified, without myelopathy Neuritis or radiculitis due to displacement or rupture of intervertebral disc ICD-9/Ch13.TXT - pg. 6 722.3 Schmorl's nodes 722.4 Degeneration of cervical intervertebral disc Degeneration of cervicothoracic intervertebral disc 722.5 Degeneration of thoracic or lumbar intervertebral disc Degeneration of thoracolumbar or lumbosacral intervertebral disc 722.6 Degeneration of intervertebral disc, site unspecified 722.7 Intervertebral disc disorder with myelopathy 722.8 Postlaminectomy syndrome 722.9 Other and unspecified disc disorder 723 Other disorders of cervical region Excludes: conditions due to: intervertebral disc disorders (722.-) spondylosis (721.-) 723.0 Spinal stenosis in cervical region 723.1 Cervicalgia 723.2 Cervicocranial syndrome Posterior cervical sympathetic syndrome 723.3 Cervicobrachial syndrome (diffuse) 723.4 Brachia neuritis or radiculitis NOS 723.5 Torticollis, unspecified Excludes: congenital (756.8) due to birth injury (767.8) hysterical (300.1) psychogenic (306.0) spasmodic (333.8) traumatic, current (847.0) 723.6 Panniculitis specified as affecting neck 723.7 Ossification of posterior longitudinal ligament in cervical region 723.8 Other syndromes affecting cervical region 723.9 Unspecified disorders and symptoms referable to neck ICD-9/Ch13.TXT - pg. 7 724 Other and unspecified disorders or back Excludes: collapsed vertebra (code to cause, e.g., osteoporosis, 733.0) conditions due to: intervertebral disc disorders (722.-) spondylosis (721.-) 724.0 Spinal stenosis, other than cervical 724.1 Pain in thoracic spine 724.2 Lumbago 724.3 Sciatia Excludes: specified lesion of sciatic nerve (355.0) 724.4 Thoracic or lumbosacral neuritis or radiculitis NOS 724.5 Backache, unspecified 724.6 Disorders of sacrum 724.7 Disorders of coccyx 724.8 Other symptoms referable to back Ossification of posterior longitudinal ligament NOS Panniculitis specified as sacral or affecting back 724.9 Unspecified back disorders Affection of sacroiliac joint NOS Ankylosis of spine NOS Excludes: sacroiliitis (720.2) RHEUMATISM, EXCLUDING THE BACK (725-729) Includes: disorders of muscles and tendons and their attachments, and of other soft tissues 725 Polymyalgia rheumatica 726 Peripheral enthesopathies and allied syndromes Note: Enthesopathies are disorders of peripheral ligamentous or muscular attachments. Excludes: spinal enthesopathy (720.1) ICD-9/Ch13.TXT - pg. 8 726.0 Adhesive capsulitis of shoulder 726.1 Rotator cuff syndrome of shoulder and allied disorders Disorders of bursae and tendons in shoulder region 726.2 Other affections of shoulder region, not elsewhere classified Periarthritis of shoulder Scapulohumeral fibrositis 726.3 Enthesopathy of elbow region Epicondylitis Tennis elbow 726.4 Enthesopathy of wrist and carpus Periarthritis of wrist 726.5 Enthesopathy of hip region Gluteal tendinitis Psoas tendinitis Iliac crest spur Trochanteric tendinitis 726.6 Enthesopathy of knee Patellar tendinitis Pellegrini-Stieda syndrome 726.7 Enthesopathy of ankle and tarsus Achilles bursitis or tendinitis Metatarsalgia NOS Calcaneal spur Tibialis tendinitis Excludes: Morton's metatarsalgia (355.6) 726.8 Other peripheral enthesopathies 726.9 Unspecified enthesopathy Bone spur NOS Periarthritis NOS Capsulitis NOS Tendinitis NOS 727 Other disorders of synovium, tendon and bursa 727.0 Synovitis and tenosynovitis Synovitis: NOS Excludes: crystal-induced (275.4) gouty (274.0) 727.1 Bunion ICD-9/Ch13.TXT - pg. 9 727.2 Specific bursitides often of occupational origin Beat: Chronic crepitant synovitis of wrist elbow Miners': hand elbow knee knee 727.3 Other bursitis Bursitis: NOS Excludes: bursitis: subacromial (726.1) subcoracoid (726.1) subdeltoid (726.1) "frozen shoulder" (726.0) 727.4 Ganglion and cyst of synovium, tendon, and bursa Cyst, bursal or synovial Ganglion of joint or tendon 727.5 Rupture of synovium 727.6 Rupture of tendon, nontraumatic 727.8 Other Abscess of bursa or tendon Calcium deposits Calcification of tendon NOS Contracture of tendon (sheath) Calcific tendinitis NOS Short tendon Excludes: xanthomatosis localized to tendons (272.7) 727.9 Unspecified 728 Disorders of muscle, liagament, and fascia Excludes: disruption of ligaments of knee (717.8) muscular dystrophies (359.-) myoneural disorders (358.-) myopathies (359.-) 728.0 Infective myositis Myositis: Myositis: purulent suppurative Excludes: epidemic myositis (074.1) 728.1 Muscular calcification and ossification Massive calcification (paraplegic) ICD-9/Ch13.TXT - pg. 10 Myositis ossificans Polymyositis ossificans 728.2 Muscular wasting and disuse atrophy, not elsewhere classified Myofibrosis Excludes: neuralgic amyotrophy (353.5) progressive muscular atrophy (335.-) 728.3 Other specific muscle disorders Arthrogryposis Immobility syndrome (paraplegic) Excludes: arthrogryposis multiplex congenita (755.8) stiff-man syndrome (333.9) 728.4 Laxity of ligament 728.5 Hypermobility syndrome 728.6 Contracture of palmar fascia Dupuytren's contracture 728.7 Other fibromatoses Garrod's or knuckle pads Nodular fasciitis Plantar fasciitis (traumatic) Pseudosarcomatous Fibromatosis (proliferative) (subcutaneous) 728.8 Other disorders of muscle, ligament, and fascia Foreign-body granuloma Interstitial myositis Talc granuloma of muscle 728.9 Unspecified 729 Other disorders of soft tissues Excludes: acroparesthesia (443.8) carpal tunnel syndrome (354.0) disorders of the back (720-724) entrapment syndromes (354.-, 355.-) palindromic rheumatism (719.3) periarthritis (726.-) psychogenic rheumatism (306.0) 729.0 Rheumatism, unspecified and fibrositis ICD-9/Ch13.TXT - pg. 11 729.1 Mylagia and myositis, unspecified 729.2 Neuralgia, neuritis, and radiculitis, unspecified Excludes: brachia radiculitis (723.4) lumbosacral radiculitis (724.4) mononeuritis (354.-, 355.-) sciatica (724.3) 729.3 Panniculitis, unspecified Excludes: panniculitis specified as (affecting): back (724.8) neck (723.6) sacral (724.8) 729.4 Fasciitis, unspecified Excludes: nodular fasciitis (728.7) 729.5 Pain in limb 729.6 Residual foreign body in soft tissue 729.8 Other symptoms referable to limbs Cramp Swelling of limb 729.9 Other and unspecified disorders of soft tissue Polyalgia OSTEOPATHIES, CHONDROPATHIES, AND ACQUIRED MUSCULOSKELETAL DEFORMITIES (730-739) 730 Osteomyelitis, periostitis, and other infections involving bone Excludes: jaw (526.4, 526.5) petrous bone, i.e., mastoiditis (383.-) Use additional code, if desired, to identify infectious organism, e.g., Staphylococcus (041.1) 730.0 Acute osteomyelitis Abscess of any bone except accessory sinus or mastoid Acute or subacute osteomyelitis, with or without mention of periostitis 730.1 Chronic osteomyelitis Chronic or old osteomyelitis, with or without mention of periostitis ICD-9/Ch13.TXT - pg. 12 730.2 Unspecified osteomyelitis Osteitis or osteomyelitis NOS, with or without mention of periostitis 730.3 Periostitis without mention of ostemyelitis 730.9 Unspecified infection of bone 731 Osteitis deformans and osteopathies associated with other disorders classified elsewhere 731.0 Osteitis deformans without mention of bone tumor Paget's disease of bone 731.2 Hypertrophic pulmonary osteoarthropathy Bamberger-Marie disease 732 Osteochondropathies 732.0 Juvenile osteochondrosis of spine Juvenile osteochondrosis: marginal or vertebral ephiphysis (of Schuermann) spine NOS vertebral body (of Calv‚) Excludes: adolescent postural kyphosis (737.0) 732.1 Juvenile osteochondrosis of hip and pelvis Osteochondrosis (juvenile): acetabulum head of femur (of Legg-Calv‚-Perthes) iliac crest (of Buchanan) ischiopubic synchondrosis (of van Neck) symphysis pubis (of Pierson) 732.2 Nontraumatic slipped upper femoral epiphysis Slipped upper femoral epiphysis NOS 732.3 Juvenile osteochondrosis of upper extremity Osteochondrosis (juvenile): capitulum of humerus (of Panner) carpal lunate (of Kienbock) hand NOS head of humerus (of Hass) heads of metacarpals (of Mauclaire) lower ulna (of Burns) upper extremity NOS ICD-9/Ch13.TXT - pg. 13 732.4 Juvenile osteochondrosis of lower extremity, excluding foot Osteochondrosis (juvenile): lower extremity NOS primary patellar center (of K”hler) proximal tibia (of Blount) secondary patellar centre (of Sinding-Larsen) tibial tubercle (of Osgood-Schlatter) 732.5 Juvenile osteochondrosis of foot Calcaneal apophysitis Osteochondrosis (juvenile): astragalus (of Diaz) calcaneum (of Sever) foot NOS metatarsal: fifth (of Iselin) second (of Freiberg) os tibiale externum (of Haglund) tarsal navicular (of K”hler) 732.6 Other juvenile osteochondrosis Apophysitis } Epiphysitis } specified as juvenile, of Osteochondritis } other site, or site NOS Osteochondrosis } 732.7 Osteochondritis dissecans 732.8 Other specified forms of osteochondropathy Adult osteochondrosis of spine 732.9 Unspecified osteochondropathy Apophysitis } Epiphysitis } not specified as adult or Osteochondritis } juvenile, of unspecified site Osteochondrosis } 733 Other disorders of bone and cartilage Excludes: bone spur (726.9) cartilage or loose body in joint (717.-, 718.-) giant cell granuloma of jaw (526.3) osteitis fibrosa cystica generalisata (252.0) osteomalacia (268.2) polyostotic fibrous dysplasia of bone (756.5) prognathism, retrognathism (524.1) xanthomatosis localized to bone (272.7) ICD-9/Ch13.TXT - pg. 14 733.0 Osteoporosis 733.1 Pathologic fracture Spontaneous fracture 733.2 Cyst of bone Cyst of bone (localized) Excludes: cyst of jaw (526.-) osteitis fibrosa cystica (252.0) 733.3 Hyperostosis of skull 733.4 Aseptic necrosis of bone Excludes: necrosis of bone, NOS (730.1) osteochondropathies (732.-) 733.5 Osteitis condensans 733.6 Tietze's disease 733.7 Algoneurodystrophy 733.8 Malunion and nonunion of fracture Pseudoarthrosis 733.9 Other and unspecified Diaphysitis Relapsing polychondritis 734 Flat foot Pes planus (acquired) Excludes: congenital (754.6) rigid flat foot (754.6) spastic (everted) flat foot (754.6) 735 Acquired deformities of toe Excludes: congenital (754.6, 755.6) 735.0 Hallux valgus (acquired) 735.1 Hallux varus (acquired) 735.2 Hallux rigidus 735.3 Hallux malleus ICD-9/Ch13.TXT - pg. 15 735.4 Other hammer toe (acquired) 735.5 Claw toe (acquired) 735.8 Other 735.9 Unspecified 736 Other acquired deformities of limbs Excludes: congenital (754.-, 755.-) 736.0 Acquired deformities of forearm, excluding fingers Claw hand Club hand, acquired Cubitus valgus or varus (acquired) Deformity of elbow, forearm, hand, or wrist (acquired) NOS Excludes: lobster-claw hand (755.5) 736.1 Mallet finger 736.2 Other acquired deformities of finger Deformity of finger (acquired) NOS clubbing of fingers (781.5) Excludes: trigger finger (727.0) 736.3 Acquired deformities of hip Coxa valga or vara (acquired) Deformity of hip (acquired) NOS 736.4 Genu valgum or varum (acquired) 736.5 Genu recurvatum (acquired) 736.6 Other acquired deformities of knee Deformity of knee (acquired) NOS Genu extrorsum 736.7 Other acquired deformities of ankle and foot Acquired: clawfoot clubfoot deformity of ankle or foot equinovarus pes, except planus talipes, except planus ICD-9/Ch13.TXT - pg. 16 Excludes: clubfoot not specified as acquired (754.-) deformities of toe (acquired) (735.-) pes planu (acquired) (734) 736.8 Acquired deformities of other parts of limbs Deformity (acquired): arm or leg, not elsewhere classified shoulder 736.9 Acquired deformity of limb, site unspecified 737 Curvature of spine Excludes: congenital (754.2) 737.0 Adolescent postural kyphosis Excludes: osteochondrosis of spine (732.0, 732.8) 737.1 Kyphosis (acquired) 737.2 Lordosis (acquired) (postural) 737.3 Kyphoscoliosis and scoliosis Excludes: in kyphoscoliotic heart disease (416.1) 737.8 Other 737.9 Unspecified Curvature of spine (acquired) (idiopathic) NOS Hunchback, acquired Excludes: deformity of spine NOS (738.5) 738 Other acquired deformity Excludes: congenital (754-756 and 758-759) dentofacial anomalies (524.-) 738.0 Acquired deformity of nose Deformity of nose (acquired) Overdevelopment of nasal bones Excludes: deflected nasal septum (470) 738.1 Other acquired deformity of head 738.2 Acquired deformity of neck 738.3 Acquired deformity of chest and rib ICD-9/Ch13.TXT - pg. 17 Deformity: chest (acquired) rib (acquired) 738.4 Acquired spondylolisthesis Degenerative spondylolisthesis Excludes: congenital (756.1) 738.5 Other acquired deformity of back or spine Excludes: curvature of spine (737.-) 738.6 Acquired deformity of pelvis Excludes: in relation to labor and delivery (653.-) 738.7 Cauliflower ear 738.8 Acquired deformity of other specified site 738.9 Acquired deformity of unspecified site 739 Nonallopathic lesions, not elsewhere classified Includes: segmental dysfunction somatic dysfunction 739.0 Head region 739.1 Cervical region Cervicothoracic region 739.2 Thoracic region Thoracolumbar region 739.3 Lumbar region Lumbosacral region 739.4 Sacral region Sacrococcygeal region Sacroiliac region 739.5 Pelvic region Hip region Pubic region 739.6 Lower extremities ICD-9/Ch13.TXT - pg. 18 739.7 Upper extremities Acromioclavicular region Sternoclavicular region 739.8 Rib cage Costochondral region Sternochondral region Costovertebral region 739.9 Abdomen and other ICD-9/Ch13.TXT - pg. 19