Table 3.0: Diagnostic Categories and ICD-9-CM & ICD-10-CM Codes For
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Table 3.0: Diagnostic Categories and ICD-9-CM & ICD-10-CM Codes for Arthritis and Other Rheumatic Conditions (AORC) ICD-9-CM ICD-10-CM Osteoarthritis and allied disorders Osteoarthritis and allied disorders 715 Osteoarthritis and allied disorders M15.x Polyosteoarthritis M16.x Osteoarthrisis of hip M17.x Osteoarthritis of knee M18.x Osteoarthritis of first carpometacarpal joint M19.x Other and unspecified osteoarthritis Rheumatoid arthritis Inflammatory polyarthropathies 714 Rheumatoid arthritis and other inflammatory polyarthropathies M05.x Rheumatoid arthritis with rheumatoid factor M06.x Other rheumatoid arthropathies M07.x Enteropathic arthropathies M08.x Juvenile arthritis M12.0x Chronic postrheumatic arthropathy [Jaccoud] Gout and other crystal arthropathies Gout and other crystal arthropathies 274 Gout M1A.x Chronic gout 712 Crystal arthropathies M10.x Gout M11.x Other crystal arthropathies Joint pain/effusion/other unspecified joint disorders Joint pain, effusion and other unspecified joint disorders 716.1, .3-.6.9 Other unspecified arthropathies M12.5x Traumatic arthropathy 719.0, .4-.9 Other and unspecified joint disorders M13.8x Other specified arthritis M13.1x Monarthritis, not elsewhere classified M12.9 Arthropathy, unspecified M25.4x Effusion of joint M25.5x Pain in joint M25.9 Joint disorder, unspecified Spondyloarthropathies Spondylarthropathies 720 AS/inflammatory spondylopathies M45.x Ankylosing spondylitis M46.0x Spinal enthesopathy, site unspecified M46.1 Sacroiliitis, not elsewhere classified M49.80 Spondylopathy in diseases classified elsewhere, site unspecified M46.8 Other specified inflammatory spondylopathies, site unspecified M46.9 Unspecified inflammatory spondylopathy, site unspecified 721 Spondylosis and allied disorders M46x Other inflammatory spondylopathies M47.12 Other spondylosis with myelopathy, cervical region M47.8x Other spondylosis M47.1x Other spondylosis with myelopathy M47.2x Other spondylosis with radiculopathy M48.2x Kissing spine M48.1x Ankylosing hyperostosis [Forestier] M48.3x Traumatic spondylopathy M48.9 Spondylopathy, unspecified 99.3 Reiter’s Disease M02.3x Reiter's disease 696 Psoriatic arthopathy L40.5x Arthropathic psoriasis 1 Table 3.0: Diagnostic Categories and ICD-9-CM & ICD-10-CM Codes for Arthritis and Other Rheumatic Conditions (AORC) ICD-9-CM ICD-10-CM Fibromyalgia Fibromyalgia 729.1 Myalgia and myositis unspecified M60.9 Myositis M79.1 Myalgia M70.9 Fibromyalgia Diffuse connective tissue disease Systemic connective tissue disorders 710 Systemic lupus erythematosus (SLE) M32.10 Systemic lupus erythematosus, organ or system involvement unspecified M32.19 Other organ or system involvement in systemic lupus erythematosus M32.8 Other forms of systemic lupus erythematosus M32.9 Systemic lupus erythematosus, unspecified 710.1 Systemic sclerosis (SSC, scleroderma) M34.0 Progressive systemic scleros M34.1 CR(E)ST syndrome M34.9 Systemic sclerosis, unspecified 710.2 Sicca syndrome (also called Sjögren's syndrome) M35.00 Sicca syndrome, unspecified M35.01 Sicca syndrome with keratoconjunctivitis 710.3 Dermatomyositis M33.90 Dermatopolymyositis, unspecified, organ involvement unspecified 710.4 Polymyositis M33.20 Polymyositis, organ involvement unspecified 710.5 Eosinophilia myalgia syndrome M35.8 Other specified systemic involvement of connective tissue 710.8 Other specified diffuse diseases of connective tissue M35.5 Multifocal fibrosclerosis 710.9 Unspecified diffuse connective tissue disease M35.9 Systemic involvement of connective tissue, unspecified Carpal tunnel syndrome Carpal tunnel syndrome 354 Carpal tunnel syndrome G56.0 Carpal tunnel syndrome Soft tissue disorders (excluding back) Soft tissue disorders (excluding back) 726 Peripheral enthesopathies and allied disorders M75.00 Adhesive capsulitis of unspecified shoulder M75.100 Unspecified rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic M75.50 Bursitis of unspecified shoulder M75.30 Calcific tendinitis of unspecified shoulder M75.20 Bicipital tendinitis, unspecified shoulder M75.110 Incomplete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic M75.80 Other shoulder lesions, unspecified shoulder M75.40 Impingement syndrome of unspecified should M25.729 Osteophyte, unspecified elbow M77.00 Medial epicondylitis, unspecified elbow M77.10 Lateral epicondylitis, unspecified elbow M70.20 Olecranon bursitis, unspecified elbow M70.30 Other bursitis of elbow, unspecified elbow M77.20 Periarthritis, unspecified wrist M70.60 Trochanteric bursitis, unspecified hip M70.70 Other bursitis of hip, unspecified hip M76.10 Psoas tendinitis, unspecified hip M76.20 Iliac crest spur, unspecified hip M70.50 Other bursitis of knee, unspecified knee M76.899 Other specified enthesopathies of unspecified lower limb, excluding foot M76.40 Tibial collateral bursitis [Pellegrini-Stieda], unspecified leg M76.50 Patellar tendinitis, unspecified knee M70.50 Prepatellar bursitis, unspecified knee M77.40 Metatarsalgia, unspecified foot 2 Table 3.0: Diagnostic Categories and ICD-9-CM & ICD-10-CM Codes for Arthritis and Other Rheumatic Conditions (AORC) ICD-9-CM ICD-10-CM M76.60 Achilles tendinitis, unspecified leg M76.829 Posterior tibial tendinitis, unspecified leg M77.30 Calcaneal spur, unspecified foot M77.50 Other enthesopathy of unspecified foot M77.8 Other enthesopathies, not elsewhere classified M77.9 Enthesopathy, unspecified M25.70 Osteophyte, unspecified joint 727 Other disorders of synovium/tendon/bursa M65.9 Synovitis and tenosynovitis, unspecified 728.0-.3, .6–.9 Disorders of muscle/ligament/fascia 728.0 M60.009 Infective myositis, unspecified site 728.1 M61.9x Calcification and ossification of muscle 728.2 M62.5x Muscle wasting and atrophy, not elsewhere classified 728.3 M62.3 Immobility syndrome (paraplegic) M62.84 Sarcopenia M62.89 Other specified disorders of muscle 728.6 M72.0 Palmar fascial fibromatosis [Dupuytren] 728.7 M72.2 Plantar fascial fibromatosis 728.8 M60.1 Interstitial myositis of unspecified site 728.9 M62.9 Disorder of muscle, unspecified 729 Rheumatism, unspecified and fibrositis M79.0 Rheumatism, unspecified 729.4 Fascitis, unspecified M72.9 Fibroblastic disorder, unspecified Other specified rheumatic conditions Other specified rheumatic conditions 95.6 Syphilis of muscle A52.78 Syphilis of other musculoskeletal tissue 95.7 Syphilis of synovium/tendon/bursa " " " " 98.5 Gonococcal infection of joint A54.42 Gonoccal arthritis 136.1 Behcet’s syndrome M35.2 Behcet's disease 277.2 Other disorders purine/pyrimidine metabolism E79.1 Lesch-Nyhan syndrome E79.8 Other disorders purine and pyrimidine metabolism 287 Allergic purpura D69.0 Allergic purpura 344.6 Cauda equina syndrome G83.4 Cauda equina syndrome 353 Brachial plexus/thoracic outlet lesions G54.0 Brachial plexus disorders 355.5 Tarsal tunnel syndrome G57.50 Tarsal tunnel syndrome, unspecified lower limb 357.1 Polyneuropathy in collagen vascular disease G63 Polyneuropathy in diseases classified elsewher 390 Rheumatic fever w/o heart disease I00 Rheumatic fever without heart involvement 391 Rheumatic fever w/heart disease I01.0 Acute rheumatic pericarditis I01.2 Acute rheumatic myocarditi I01.8 Other acute rheumatic heart disease I01.9 Acute rheumatic heart disease, unspecified 437.4 Cerebral arteritis I67.6 Cerebral arteritis, not elsewhere classified 443 Raynaud’s syndrome I73.00 Raynaud's syndrome without gangrene 446 Polyarteritis nodosa and allied conditions [excl 446.5] M30.0 Polyarteritis nodos M30.3 Mucocutaneous lymph node syndrome [Kawasaki] M31.0 Hypersensitivity angiitis M31.2 Lethal midline granuloma M31.3 Wegener's granulomatosis without renal involvement M31.1 Thrombotic microangiopath M31.4 Aortic arch syndrome [Takayasu] 3 447.6 Arteritis, unspecified I77.6 Arteritis, unspecified Table 3.0: Diagnostic Categories and ICD-9-CM & ICD-10-CM Codes for Arthritis and Other Rheumatic Conditions (AORC) ICD-9-CM ICD-10-CM 711 Arthritis associated with infections M00.x Pyogenic arthritis M02.3x Reiter's disease M35.2 Behçet's disease M02.1x Postdysenteric arthropathy M01.Xx Direct joint infections and parasitic diseases 713 Arthropathy associated w/disorders classified elsewhere M14.80 Arthropathies in other specified diseases classified elsewhere, unspecified site M02.00 Arthropathy following intestinal bypass, unspecified site M36.2 Hemophilic arthropathy M36.3 Arthropathy in other blood disorders M12.8 Other specific arthropathies, not elsewhere classified, unspecified site M14.60 Charcôt's joint, unspecified sit M02.20 Postimmunization arthropathy, unspecified site M36.4 Arthropathy in hypersensitivity reactions classified elsewhere M02.9 Reactive arthropathy, unspecified 716.0, .2, .8 Specified arthropathies M12.1x Kaschin-Beck disease M13.8x Other specified arthritis M12.8x Other specific arthropathies, not elsewhere classified 719.2, .3 Specified joint disorders M12.2x Villonodular synovitis (pigmented) M12.3x Palindromic rheumatism M12.4x Intermittent hydrarthrosis 725 Polymyalgia rheumatica M35.3 Polymyalgia rheumatica Source: "National Arthritis Data Workgroup ICD-9-CM diagnostic codes for arthritis and other rheumatic conditions." Centers for Disease Control and Prevention, Arthritis Program, National Arthritis Data Workgroup. http://www.cdc.gov/arthritis/data_statistics/arthritis_codes_2004.pdf (October 29, 2013) 4.