Acute rheumatic fever (I00-I02)

I00 I01

Rheumatic fever without mention of heart involvement Rheumatic fever with heart involvement

Incl.: Arthritis, rheumatic, acute or subacute Excl.: Chronic diseases of rheumatic origin (I05-I09) unless rheumatic fever is also present or there is evidence of recrudescence or activity of the rheumatic process. In cases where there is doubt as to rheumatic activity at the time of death refer to the mortality coding rules and guidelines in Volume 2. Any condition in I00 with pericarditis Rheumatic pericarditis (acute) Excl.: when not specified as rheumatic (I30.-) Any condition in I00 with endocarditis or valvulitis Acute rheumatic valvulitis Any condition in I00 with myocarditis Any condition in I00 with other or multiple types of heart involvement Acute rheumatic pancarditis Any condition in I00 with unspecified type of heart involvement Rheumatic: carditis, acute heart disease, active or acute Incl.: Sydenham's chorea Excl.: chorea: NOS (G25.5) Huntington (G10) Chorea NOS with heart involvement Rheumatic chorea with heart

I01.0

Acute rheumatic pericarditis

I01.1 I01.2 I01.8 I01.9

Acute rheumatic endocarditis

Acute rheumatic myocarditis Other acute rheumatic heart disease Acute rheumatic heart disease, unspecified

I02

Rheumatic chorea

I02.0

Rheumatic chorea with heart involvement

I02.9 I05

Rheumatic chorea without heart involvement Rheumatic mitral valve diseases

involvement of any type classifiable under I01.Rheumatic chorea NOS

Chronic rheumatic heart diseases (I05-I09)

Incl.: conditions classifiable to 105.0 and 105.2-105.9, whether specified as rheumatic or not Excl.: when specified as nonrheumatic (I34.-) Mitral (valve) obstruction (rheumatic) Rheumatic mitral: Incompetence Regurgitation Mitral stenosis with incompetence or regurgitation Mitral (valve) failure Mitral (valve) disorder (chronic) NOS Excl.: when not specified as rheumatic(I35.-) Rheumatic aortic (valve) obstruction Rheumatic aortic: incompetence regurgitation Rheumatic aortic stenosis with incompetence or regurgitation Rheumatic aortic (valve) disease NOS

I05.0 I05.1 I05.2 I05.8 I05.9 I06 I06.0 I06.1 I06.2 I06.8 I06.9 I07

Mitral stenosis Rheumatic mitral insufficiency

Mitral stenosis with insufficiency Other mitral valve diseases Mitral valve disease, unspecified

Rheumatic aortic valve diseases

Rheumatic aortic stenosis Rheumatic aortic insufficiency

Rheumatic aortic stenosis with insufficiency Other rheumatic aortic valve diseases Rheumatic aortic valve disease, unspecified

Rheumatic tricuspid valve diseases

Incl.:whether specified as rheumatic or of unspecified origin Excl.:when specified as nonrheumatic (I36.-) Tricuspid (valve) stenosis (rheumatic) Tricuspid (valve) insufficiency

I07.0 I07.1

Tricuspid stenosis

Tricuspid insufficiency

(rheumatic)

I07.2 I07.8 I07.9 I08

Tricuspid stenosis with insufficiency

Other tricuspid valve diseases

Tricuspid valve disease, unspecified

Tricuspid valve disorder NOS

Multiple valve diseases

I08.0 I08.1 I08.2 I08.3

Disorders of both mitral and aortic valves

Incl .: whether specified as rheumatic or of unspecified origin Excl.:endocarditis, valve unspecified (I38) multiple valve diseases of specified origin other than rheumatic heart disease; use appropriate codes in (I34-I38, Q22-Q23, Q24.8) rheumatic diseases of endocardium, valve unspecified (I09.1) Involvement of both mitral and aortic valves whether specified as rheumatic or of unspecified origin

Disorders of both mitral and tricuspid valves

Disorders of both aortic and tricuspid valves

Combined disorders of mitral, aortic and tricuspid valves

I08.8 Other multiple valve diseases

I08.9 Multiple valve disease, unspecified

I09 Other rheumatic heart diseases

I09.0 Rheumatic myocarditis

Excl.: myocarditis not specified as rheumatic (I51.4)

I09.1 Rheumatic diseases of endocardium, valve unspecified

Rheumatic: endocarditis (chronic) valvulitis (chronic) Excl.: endocarditis, valve unspecified (I38)
I09.2 Chronic rheumatic pericarditis

Adherent pericardium, rheumatic Chronic rheumatic: mediastinopericarditis myopericarditis Excl.: when not specified as rheumatic (I31.-)
I09.8 Other specified rheumatic heart diseases

Rheumatic disease of pulmonary valve

I09.9 Rheumatic heart disease, unspecified

Rheumatic: carditis heart failure Excl.: rheumatoid carditis (M05.3)

Hypertensive diseases (I10-I15)

Excl.: complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16) involving coronary vessels (I20-I25) neonatal hypertension (P29.2) pulmonary hypertension (I27.0) I10 Essential (primary) hypertension Incl.:

High blood pressure Hypertension (arterial)(benign)(essential)(malignant)(primary)(systemic) Excl.: involving vessels of: brain (I60-I69) eye (H35.0) I11 Hypertensive heart disease Incl.: any condition in I50.-, I51.4-I51.9 due to hypertension
I11.0 Hypertensive heart disease with (congestive) heart failure

Hypertensive heart failure

I11.9 Hypertensive heart disease without (congestive) heart failure

Hypertensive heart disease NOS I12 Hypertensive renal disease Incl.: any condition in N00-N07, N18.-, N19 or N26 due to hypertension arteriosclerosis of kidney arteriosclerotic nephritis (chronic)(interstitial) hypertensive nephropathy nephrosclerosis Excl.: secondary hypertension (I15.-)
I12.0 Hypertensive renal disease with renal failure

Hypertensive renal failure

I12.9 Hypertensive renal disease without renal failure

Hypertensive renal disease NOS I13 Hypertensive heart and renal disease Incl.: any condition in I11.- with any condition in I12.disease: cardiorenal cardiovascular renal
I13.0 Hypertensive heart and renal disease with (congestive) heart failure I13.1 Hypertensive heart and renal disease with renal failure I13.2 Hypertensive heart and renal disease with both (congestive) heart failure and renal failure

I13.9 Hypertensive heart and renal disease, unspecified

I15 Secondary hypertension Excl.: involving vessels of: brain (I60-I69) eye (H35.0)
I15.0 Renovascular hypertension I15.1 Hypertension secondary to other renal disorders I15.2 Hypertension secondary to endocrine disorders I15.8 Other secondary hypertension I15.9 Secondary hypertension, unspecified

Ischaemic heart diseases (I20-I25)

Note: For morbidity, duration as used in categories I21, I22,I24 and I25 refer to the interval elapsing between onset of the ischaemic episode and admission to care. For mortality, duration refers to the interval elapsing between onset and death. Incl.: with mention of hypertension (I10-I15) Use additional code, if desired, to identify presence of hypertension. I20 Angina pectoris
I20.0 Unstable angina

Angina: crescendo de novo effort worsening effort Intermediate coronary syndrome Preinfarction syndrome
I20.1 Angina pectoris with documented spasm

Angina: angiospastic Prinzmetal spasm-induced

variant

I20.8 Other forms of angina pectoris

Angina of effort Stenocardia

I20.9 Angina pectoris, unspecified

Angina: NOS cardiac Anginal syndrome Ischaemic chest pain I21 Acute myocardial infarction Incl.: myocardial infarction specified as acute or with a stated duration of 4 weeks (28 days) or less from onset Excl.: certain current complications following acute myocardial infarction (I23.-) myocardial infarction: old (I25.2) specified as chronic or with a stated duration of more than 4 weeks (more than 28 days) from onset (I25.8) subsequent (I22.-) postmyocardial infarction syndrome (I24.1)
I21.0 Acute transmural myocardial infarction of anterior wall

Transmural infarction (acute)(of): anterior (wall) NOS anteroapical anterolateral anteroseptal

I21.1 Acute transmural myocardial infarction of inferior wall

Transmural infarction (acute)(of): diaphragmatic wall inferior (wall) NOS inferolateral inferoposterior
I21.2 Acute transmural myocardial infarction of other sites

Transmural infarction (acute)(of):

apical-lateral basal-lateral high lateral lateral (wall) NOS posterior (true) posterobasal posterolateral posteroseptal septal NOS

I21.3 Acute transmural myocardial infarction of unspecified site

Transmural myocardial infarction NOS

I21.4 Acute subendocardial myocardial infarction

Nontransmural myocardial infarction NOS

I21.9 Acute myocardial infarction, unspecified

Myocardial infarction (acute) NOS I22 Subsequent myocardial infarction Incl.: myocardial infarction: extension recurrent reinfarction For morbidity coding, this category should be assigned for infarction of any myocardial site, occurring within 4 weeks (28 days) from onset of a previous infarction Excl.: specified as chronic or with a stated duration of more than 4 weeks (more than 28 days) from onset (I25.8)
I22.0 Subsequent myocardial infarction of anterior wall

Subsequent infarction (acute)(of): anterior (wall) NOS anteroapical anterolateral anteroseptal

I22.1 Subsequent myocardial infarction of inferior wall

Subsequent infarction (acute)(of): diaphragmatic wall inferior (wall) NOS inferolateral inferoposterior

I22.8 Subsequent myocardial infarction of other sites

Subsequent myocardial infarction (acute)(of): apical-lateral basal-lateral high lateral lateral (wall) NOS posterior (true) posterobasal posterolateral posteroseptal septal NOS
I22.9 Subsequent myocardial infarction of unspecified site

I23 Certain current complications following acute myocardial infarction Excl.: the listed conditions, when: concurrent with acute myocardial infarction (I21-I22) not specified as current complications following acute myocardial infarction (I31.-, I51.-)
I23.0 Haemopericardium as current complication following acute myocardial infarction I23.1 Atrial septal defect as current complication following acute myocardial infarction I23.2 Ventricular septal defect as current complication following acute myocardial infarction I23.3 Rupture of cardiac wall without haemopericardium as current complication following acute myocardial infarction

Excl.: with haemopericardium (I23.0)

I23.4 Rupture of chordae tendineae as current complication following acute myocardial infarction I23.5 Rupture of papillary muscle as current complication following acute myocardial infarction I23.6 Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction I23.8 Other current complications following acute myocardial infarction

I24 Other acute ischaemic heart diseases Excl.: angina pectoris (I20.-)

transient myocardial ischaemia of newborn (P29.4)

I24.0 Coronary thrombosis not resulting in myocardial infarction

Coronary (artery) embolism occlusion thromboembolism

(vein):
o o o

not resulting in myocardial

infarction

Excl.: specified as chronic or with a stated duration of more than 4 weeks (more than 28 days) from onset (I25.8)
I24.1 Dressler's syndrome

Postmyocardial infarction syndrome

I24.8 Other forms of acute ischaemic heart disease

Coronary: failure insufficiency

I24.9 Acute ischaemic heart disease, unspecified

Excl.: ischaemic heart disease (chronic) NOS (I25.9) I25 Chronic ischaemic heart disease Excl.: cardiovascular disease NOS (I51.6)
I25.0 Atherosclerotic cardiovascular disease, so described I25.1 Atherosclerotic heart disease

Coronary (artery): atheroma atherosclerosis disease sclerosis

I25.2 Old myocardial infarction

Healed myocardial infarction Past myocardial infarction diagnosed by ECG or other special investigation, but currently presenting no symptoms
I25.3 Aneurysm of heart

Aneurysm:

mural ventricular

I25.4 Coronary artery aneurysm

Coronary arteriovenous fistula, acquired Excl.: congenital coronary (artery) aneurysm (Q24.5)
I25.5 Ischaemic cardiomyopathy I25.6 Silent myocardial ischaemia I25.8 Other forms of chronic ischaemic heart disease

Any condition in I21-I22 and I24.- specified as chronic or with a stated duration of more than 4 weeks (more than 28 days) from onset
I25.9 Chronic ischaemic heart disease, unspecified

Ischaemic heart disease (chronic) NOS

Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)

I26 Pulmonary embolism Incl.: pulmonary (artery)(vein): infarction thromboembolism thrombosis Excl.: complicating: abortion or ectopic or molar pregnancy (O00-O07, O08.2) pregnancy, childbirth and the puerperium (O88.-)
I26.0 Pulmonary embolism with mention of acute cor pulmonale

Acute cor pulmonale NOS

I26.9 Pulmonary embolism without mention of acute cor pulmonale

Pulmonary embolism NOS I27 Other pulmonary heart diseases

I27.0 Primary pulmonary hypertension I27.1 Kyphoscoliotic heart disease I27.2 Other secondary pulmonary hypertension

Use additional code, if desired, to identify the underlying disease.

I27.8 Other specified pulmonary heart diseases

Excl.: Eisenmenger's defect (Q21.8)

I27.9 Pulmonary heart disease, unspecified

Chronic cardiopulmonary disease Cor pulmonale (chronic) NOS I28 Other diseases of pulmonary vessels
I28.0 Arteriovenous fistula of pulmonary vessels I28.1 Aneurysm of pulmonary artery I28.8 Other specified diseases of pulmonary vessels

Rupture Stenosis

of pulmonary vessel

Stricture I28.9 Disease of pulmonary vessels, unspecified

Other forms of heart disease (I30-I52)

I30 Acute pericarditis Incl.: acute pericardial effusion Excl.: rheumatic pericarditis (acute) (I01.0)
I30.0 Acute nonspecific idiopathic pericarditis I30.1 Infective pericarditis

Pericarditis: pneumococcal purulent staphylococcal streptococcal viral Pyopericarditis Use additional code (B95-B97), if desired, to identify infectious agent.
I30.8 Other forms of acute pericarditis I30.9 Acute pericarditis, unspecified

I31 Other diseases of pericardium Excl.: current complications following acute myocardial infarction (I23.-) postcardiotomy syndrome (I97.0) trauma (S26.-) when specified as rheumatic (I09.2)
I31.0 Chronic adhesive pericarditis

Accretio cordis Adherent pericardium Adhesive mediastinopericarditis

I31.1 Chronic constrictive pericarditis

Concretio cordis Pericardial calcification

I31.2 Haemopericardium, not elsewhere classified I31.3 Pericardial effusion (noninflammatory)

Chylopericardium
I31.8 Other specified diseases of pericardium

Epicardial plaques Focal pericardial adhesions

I31.9 Disease of pericardium, unspecified

Cardiac tamponade Pericarditis (chronic) NOS I32* Pericarditis in diseases classified elsewhere
I32.0* Pericarditis in bacterial diseases classified elsewhere

Pericarditis: gonococcal (A54.8+) meningococcal (A39.5+) syphilitic (A52.0+) tuberculous (A18.8+)

I32.1* Pericarditis in other infectious and parasitic diseases classified elsewhere I32.8* Pericarditis in other diseases classified elsewhere

Pericarditis (in): rheumatoid (M05.3+) systemic lupus erythematosus (M32.1+) uraemic (N18.-+)

I33 Acute and subacute endocarditis Excl.: acute rheumatic endocarditis (I01.1) endocarditis NOS (I38)
I33.0 Acute and subacute infective endocarditis

Endocarditis (acute)(subacute): bacterial infective NOS lenta malignant septic ulcerative Use additional code (B95-B97), if desired, to identify infectious agent.
I33.9 Acute endocarditis, unspecified

Endocarditis Myoendocarditis

acute or subacute

Periendocarditis I34 Nonrheumatic mitral valve disorders Excl.: mitral (valve): disease (I05.9) failure (I05.8) stenosis (I05.0) when of unspecified cause but with mention of: diseases of aortic valve (I08.0) mitral stenosis or obstruction (I05.0) when specified as congenital (Q23.2, Q23.3) when specified as rheumatic (I05.-)
I34.0 Mitral (valve) insufficiency o

Mitral (valve): incompetence

NOS or of specified cause, except

rheumatic
o regurgitation I34.1 Mitral (valve) prolapse

Floppy mitral valve syndrome Excl.: Marfan's syndrome (Q87.4)

I34.2 Nonrheumatic mitral (valve) stenosis I34.8 Other nonrheumatic mitral valve disorders I34.9 Nonrheumatic mitral valve disorder, unspecified

I35 Nonrheumatic aortic valve disorders Excl.: hypertrophic subaortic stenosis (I42.1) when of unspecified cause but with mention of diseases of mitral valve (I08.0) when specified as congenital (Q23.0, Q23.1) when specified as rheumatic (I06.-)
I35.0 Aortic (valve) stenosis I35.1 Aortic (valve) insufficiency o

Aortic (valve): incompetence

NOS or of specified cause, except

rheumatic
o regurgitation I35.2 Aortic (valve) stenosis with insufficiency I35.8 Other aortic valve disorders I35.9 Aortic valve disorder, unspecified

I36 Nonrheumatic tricuspid valve disorders Excl.: when of unspecified cause (I07.-) when specified as congenital (Q22.4, Q22.8, Q22.9) when specified as rheumatic (I07.-)
I36.0 Nonrheumatic tricuspid (valve) stenosis I36.1 Nonrheumatic tricuspid (valve) insufficiency o

Tricuspid (valve): incompetence

of specified cause, except

rheumatic
o regurgitation I36.2 Nonrheumatic tricuspid (valve) stenosis with insufficiency I36.8 Other nonrheumatic tricuspid valve disorders I36.9 Nonrheumatic tricuspid valve disorder, unspecified

I37 Pulmonary valve disorders

Excl.: when specified as congenital (Q22.1, Q22.2, Q22.3) when specified as rheumatic (I09.8)
I37.0 Pulmonary valve stenosis I37.1 Pulmonary valve insufficiency

Pulmonary incompetence

valve:
o

NOS or of specified cause, except

rheumatic

o regurgitation I37.2 Pulmonary valve stenosis with insufficiency I37.8 Other pulmonary valve disorders I37.9 Pulmonary valve disorder, unspecified

I38 Endocarditis, valve unspecified Incl.: Endocarditis (chronic) NOS Valvular: o incompetence o insufficiency o regurgitation of unspecified valve o stenosis

NOS or of specified cause, except rheumatic or congenital

Valvulitis (chronic) Excl.: congenital insufficiency of cardiac valve NOS (Q24.8) congenital stenosis of cardiac valve NOS (Q24.8) endocardial fibroelastosis (I42.4) when specified as rheumatic (I09.1) I39* Endocarditis and heart valve disorders in diseases classified elsewhere

Incl.: endocardial involvement in: candidal infection (B37.6+) gonococcal infection (A54.8+) Libman-Sacks disease (M32.1+) meningococcal infection (A39.5+) rheumatoid arthritis (M05.3+) syphilis (A52.0+) tuberculosis (A18.8+) typhoid fever (A01.0+)

I39.0* Mitral valve disorders in diseases classified elsewhere I39.1* Aortic valve disorders in diseases classified elsewhere I39.2* Tricuspid valve disorders in diseases classified elsewhere I39.3* Pulmonary valve disorders in diseases classified elsewhere I39.4* Multiple valve disorders in diseases classified elsewhere I39.8* Endocarditis, valve unspecified, in diseases classified elsewhere

I40 Acute myocarditis

I40.0 Infective myocarditis

Septic myocarditis Use additional code (B95-B97), if desired, to identify infectious agent.
I40.1 Isolated myocarditis I40.8 Other acute myocarditis I40.9 Acute myocarditis, unspecified

I41* Myocarditis in diseases classified elsewhere

I41.0* Myocarditis in bacterial diseases classified elsewhere

Myocarditis: diphtheritic (A36.8+) gonococcal (A54.8+) meningococcal (A39.5+) syphilitic (A52.0+) tuberculous (A18.8+)
I41.1* Myocarditis in viral diseases classified elsewhere

Influenzal myocarditis (acute): avian influenza virus identified (J09+) other virus identified (J10.8+) virus not identified (J11.8+) Mumps myocarditis (B26.8+)
I41.2* Myocarditis in other infectious and parasitic diseases classified elsewhere

Myocarditis in: Chagas' disease (chronic) (B57.2+) acute (B57.0+)

toxoplasmosis (B58.8+)

I41.8* Myocarditis in other diseases classified elsewhere

Rheumatoid myocarditis (M05.3+) Sarcoid myocarditis (D86.8+) I42 Cardiomyopathy Excl.: cardiomyopathy complicating: pregnancy (O99.4) puerperium (O90.3) ischaemic cardiomyopathy (I25.5)
I42.0 Dilated cardiomyopathy

Congestive cardiomyopathy
I42.1 Obstructive hypertrophic cardiomyopathy

Hypertrophic subaortic stenosis

I42.2 Other hypertrophic cardiomyopathy

Nonobstructive hypertrophic cardiomyopathy

I42.3 Endomyocardial (eosinophilic) disease

Endomyocardial (tropical) fibrosis Lffler's endocarditis

I42.4 Endocardial fibroelastosis

Congenital cardiomyopathy
I42.5 Other restrictive cardiomyopathy

Constrictive cardiomyopathy NOS

I42.6 Alcoholic cardiomyopathy I42.7 Cardiomyopathy due to drugs and other external agents

Use additional external cause code (Chapter XX), if desired, to identify cause.
I42.8 Other cardiomyopathies I42.9 Cardiomyopathy, unspecified

Cardiomyopathy (primary)(secondary) NOS I43* Cardiomyopathy in diseases classified elsewhere

I43.0* Cardiomyopathy in infectious and parasitic diseases classified elsewhere

Cardiomyopathy in diphtheria (A36.8+)

I43.1* Cardiomyopathy in metabolic diseases

Cardiac amyloidosis (E85.-+)

I43.2* Cardiomyopathy in nutritional diseases

Nutritional cardiomyopathy NOS (E63.9+)

I43.8* Cardiomyopathy in other diseases classified elsewhere

Gouty tophi of heart (M10.0+) Thyrotoxic heart disease (E05.9+) I44 Atrioventricular and left bundle-branch block
I44.0 Atrioventricular block, first degree I44.1 Atrioventricular block, second degree

Atrioventricular block, type I and II Mbitz block, type I and II Second-degree block, type I and II Wenckebach's block
I44.2 Atrioventricular block, complete

Complete heart block NOS Third-degree block

I44.3 Other and unspecified atrioventricular block

Atrioventricular block NOS

I44.4 Left anterior fascicular block I44.5 Left posterior fascicular block I44.6 Other and unspecified fascicular block

Left bundle-branch hemiblock NOS

I44.7 Left bundle-branch block, unspecified

I45 Other conduction disorders

I45.0 Right fascicular block I45.1 Other and unspecified right bundle-branch block

Right bundle-branch block NOS

I45.2 Bifascicular block I45.3 Trifascicular block I45.4 Nonspecific intraventricular block

Bundle-branch block NOS

I45.5 Other specified heart block

Sinoatrial block Sinoauricular block Excl.: heart block NOS (I45.9)

I45.6 Pre-excitation syndrome

Anomalous atrioventricular excitation Atrioventricular conduction: accelerated accessory pre-excitation Lown-Ganong-Levine syndrome Wolff-Parkinson-White syndrome
I45.8 Other specified conduction disorders

Atrioventricular [AV] dissociation Interference dissociation Long QT syndrome Excl.: prolongation of QT interval (R94.3)
I45.9 Conduction disorder, unspecified

Heart block NOS Stokes-Adams syndrome I46 Cardiac arrest Excl.: cardiogenic shock (R57.0) complicating: abortion or ectopic or molar pregnancy (O00-O07, O08.8) obstetric surgery and procedures (O75.4)
I46.0 Cardiac arrest with successful resuscitation I46.1 Sudden cardiac death, so described

Excl.: sudden death: NOS (R96.-) with: o conduction disorder (I44-I45) o myocardial infarction (I21-I22)

I46.9 Cardiac arrest, unspecified

I47 Paroxysmal tachycardia Excl.: complicating: abortion or ectopic or molar pregnancy (O00-O07, O08.8) obstetric surgery and procedures (O75.4) tachycardia: NOS (R00.0) sinoauricular NOS (R00.0) sinus [sinusal] NOS (R00.0)
I47.0 Re-entry ventricular arrhythmia I47.1 Supraventricular tachycardia

Paroxysmal tachycardia: atrial atrioventricular [AV] junctional nodal

I47.2 Ventricular tachycardia I47.9 Paroxysmal tachycardia, unspecified

Bouveret(-Hoffmann) syndrome I48 Atrial fibrillation and flutter I49 Other cardiac arrhythmias Excl.: bradycardia: NOS (R00.1) sinoatrial (R00.1) sinus (R00.1) vagal (R00.1) complicating: abortion or ectopic or molar pregnancy (O00-O07, O08.8) obstetric surgery and procedures (O75.4) neonatal cardiac dysrhythmia (P29.1)
I49.0 Ventricular fibrillation and flutter

I49.1 Atrial premature depolarization

Atrial premature beats

I49.2 Junctional premature depolarization I49.3 Ventricular premature depolarization I49.4 Other and unspecified premature depolarization

Ectopic beats Extrasystoles Extrasystolic arrhythmias Premature: beats NOS contractions

I49.5 Sick sinus syndrome

Tachycardia-bradycardia syndrome
I49.8 Other specified cardiac arrhythmias

Rhythm disorder: coronary sinus ectopic nodal

I49.9 Cardiac arrhythmia, unspecified

Arrhythmia (cardiac) NOS I50 Heart failure Excl.: complicating: abortion or ectopic or molar pregnancy (O00-O07, O08.8) obstetric surgery and procedures (O75.4) due to hypertension (I11.0) with renal disease (I13.-) following cardiac surgery or due to presence of cardiac prosthesis (I97.1) neonatal cardiac failure (P29.0)
I50.0 Congestive heart failure

Congestive heart disease Right ventricular failure (secondary to left heart failure)
I50.1 Left ventricular failure

Cardiac asthma

Left heart failure Oedema of lung

with mention of heart disease NOS

Pulmonary

or heart failure

oedema
I50.9 Heart failure, unspecified

Cardiac, heart or myocardial failure NOS I51 Complications and ill-defined descriptions of heart disease Excl.: any condition in I51.4-I51.9 due to hypertension (I11.-) any condition in I51.4-I51.9 due to hypertension with renal disease (I13.-) complications following acute myocardial infarction (I23.-) when specified as rheumatic (I00-I09)
I51.0 Cardiac septal defect, acquired

Acquired septal defect (old): atrial auricular ventricular

I51.1 Rupture of chordae tendineae, not elsewhere classified I51.2 Rupture of papillary muscle, not elsewhere classified I51.3 Intracardiac thrombosis, not elsewhere classified

Thrombosis (old): apical atrial auricular ventricular

I51.4 Myocarditis, unspecified

Myocardial fibrosis Myocarditis: NOS chronic (interstitial)

I51.5 Myocardial degeneration

Degeneration of heart or myocardium: fatty

senile

Myocardial disease
I51.6 Cardiovascular disease, unspecified

Cardiovascular accident NOS Excl.: atherosclerotic cardiovascular disease, so described (I25.0)

I51.7 Cardiomegaly

Cardiac: dilatation hypertrophy Ventricular dilatation

I51.8 Other ill-defined heart diseases

Carditis (acute)(chronic) Pancarditis (acute)(chronic)

I51.9 Heart disease, unspecified

I52* Other heart disorders in diseases classified elsewhere Excl.: cardiovascular disorders NOS in diseases classified elsewhere (I98.-*)
I52.0* Other heart disorders in bacterial diseases classified elsewhere

Meningococcal carditis NEC (A39.5+)

I52.1* Other heart disorders in other infectious and parasitic diseases classified elsewhere

Pulmonary heart disease in schistosomiasis (B65.-+)

I52.8* Other heart disorders in other diseases classified elsewhere

Rheumatoid carditis (M05.3+)

Diseases of arteries, arterioles and capillaries (I70-I79)

I70 Atherosclerosis Incl.: arteriolosclerosis arteriosclerosis arteriosclerotic vascular disease atheroma degeneration: arterial arteriovascular

vascular

endarteritis deformans or obliterans senile: arteritis endarteritis Excl.: cerebral (I67.2) coronary (I25.1) mesenteric (K55.1) pulmonary (I27.0) The following supplementary classification to indicate the presence or absence of gangrene is provided for optional use. .0 .1 without gangrene with gangrene

I70.0 Atherosclerosis of aorta I70.1 Atherosclerosis of renal artery

Goldblatt's kidney Excl.: atherosclerosis of renal arterioles (I12.-)

I70.2 Atherosclerosis of arteries of extremities

Atherosclerotic gangrene Mnckeberg's (medial) sclerosis

I70.8 Atherosclerosis of other arteries I70.9 Generalized and unspecified atherosclerosis

I71 Aortic aneurysm and dissection

I71.0 Dissection of aorta [any part]

Dissecting aneurysm of aorta (ruptured) [any part]

I71.1 Thoracic aortic aneurysm, ruptured I71.2 Thoracic aortic aneurysm, without mention of rupture I71.3 Abdominal aortic aneurysm, ruptured I71.4 Abdominal aortic aneurysm, without mention of rupture I71.5 Thoracoabdominal aortic aneurysm, ruptured I71.6 Thoracoabdominal aortic aneurysm, without mention of rupture

I71.8 Aortic aneurysm of unspecified site, ruptured

Rupture of aorta NOS

I71.9 Aortic aneurysm of unspecified site, without mention of rupture

Aneurysm Dilatation

of aorta

Hyaline necrosis I72 Other aneurysm and dissection Incl.: aneurysm (cirsoid)(false)(ruptured) Excl.: aneurysm (of): aorta (I71.-) arteriovenous NOS (Q27.3) arteriovenous NOS o acquired (I77.0) cerebral (nonruptured) (I67.1) cerebral (nonruptured) o ruptured (I60.-) coronary (I25.4) heart (I25.3) pulmonary artery (I28.1) retinal (H35.0) varicose (I77.0) dissection of precerebral artery, congenital (nonruptured) (Q28.1)
I72.0 Aneurysm and dissection of carotid artery I72.1 Aneurysm and dissection of artery of upper extremity I72.2 Aneurysm and dissection of renal artery I72.3 Aneurysm and dissection of iliac artery I72.4 Aneurysm and dissection of artery of lower extremity I72.5 Aneurysm and dissection of other precerebral arteries

Aneurysm and dissection of basilar artery (trunk) Excl.: aneurysm and dissection of : carotid artery (I72.0) vertebral artery (I72.6)
I72.8 Aneurysm and dissection of other specified arteries

I72.9 Aneurysm and dissection of unspecified site

I73 Other peripheral vascular diseases Excl.: chilblains (T69.1) frostbite (T33-T35) immersion hand or foot (T69.0) spasm of cerebral artery (G45.9)
I73.0 Raynaud's syndrome

Raynaud's: disease gangrene phenomenon (secondary)

I73.1 Thromboangiitis obliterans [Buerger] I73.8 Other specified peripheral vascular diseases

Acrocyanosis Acroparaesthesia: simple [Schultze's type] vasomotor [Nothnagel's type] Erythrocyanosis Erythromelalgia
I73.9 Peripheral vascular disease, unspecified

Intermittent claudication Spasm of artery I74 Arterial embolism and thrombosis Incl.: infarction: embolic thrombotic occlusion: embolic thrombotic Excl.: embolism and thrombosis: basilar (I63.0-I63.2, I65.1) carotid (I63.0-I63.2, I65.2) cerebral (I63.3-I63.5, I66.9)

 o o

complicating: abortion or ectopic or molar pregnancy (O00-O07, O08.2) pregnancy, childbirth and the puerperium (O88.-) coronary (I21-I25) mesenteric (K55.0) precerebral (I63.0-I63.2, I65.9) pulmonary (I26.-) renal (N28.0) retinal (H34.-) vertebral (I63.0-I63.2, I65.0)

I74.0 Embolism and thrombosis of abdominal aorta

Aortic bifurcation syndrome Leriche's syndrome

I74.1 Embolism and thrombosis of other and unspecified parts of aorta I74.2 Embolism and thrombosis of arteries of upper extremities I74.3 Embolism and thrombosis of arteries of lower extremities I74.4 Embolism and thrombosis of arteries of extremities, unspecified

Peripheral arterial embolism

I74.5 Embolism and thrombosis of iliac artery I74.8 Embolism and thrombosis of other arteries I74.9 Embolism and thrombosis of unspecified artery

I77 Other disorders of arteries and arterioles Excl.: collagen (vascular) diseases (M30-M36) hypersensitivity angiitis (M31.0) pulmonary artery (I28.-)
I77.0 Arteriovenous fistula, acquired

Aneurysmal varix Arteriovenous aneurysm, acquired Excl.: arteriovenous aneurysm NOS (Q27.3) cerebral (I67.1) coronary (I25.4) traumatic - see injury of blood vessel by body region.
I77.1 Stricture of artery I77.2 Rupture of artery

Fistula of artery Excl.: traumatic rupture of artery - see injury of blood vessel by body region.
I77.3 Arterial fibromuscular dysplasia I77.4 Coeliac artery compression syndrome I77.5 Necrosis of artery I77.6 Arteritis, unspecified

Aortitis NOS Endarteritis NOS Excl.: arteritis or endarteritis: aortic arch [Takayasu] (M31.4) cerebral NEC (I67.7) coronary (I25.8) deformans (I70.-) giant cell (M31.5-M31.6) obliterans (I70.-) senile (I70.-)
I77.8 Other specified disorders of arteries and arterioles

Erosion

of artery Ulcer I77.9 Disorder of arteries and arterioles, unspecified

I78 Diseases of capillaries

I78.0 Hereditary haemorrhagic telangiectasia

Rendu-Osler-Weber disease
I78.1 Naevus, non-neoplastic

Naevus: araneus spider stellar Excl.: naevus: NOS (D22.-) blue (D22.-) flammeus (Q82.5)

hairy (D22.-) melanocytic (D22.-) pigmented (D22.-) portwine (Q82.5) sanguineous (Q82.5) strawberry (Q82.5) vascular NOS (Q82.5) verrucous (Q82.5)

I78.8 Other diseases of capillaries I78.9 Disease of capillaries, unspecified

I79* Disorders of arteries, arterioles and capillaries in diseases classified elsewhere

I79.0* Aneurysm of aorta in diseases classified elsewhere

Syphilitic aneurysm of aorta (A52.0+)

I79.1* Aortitis in diseases classified elsewhere

Syphilitic aortitis (A52.0+)

I79.2* Peripheral angiopathy in diseases classified elsewhere

Diabetic peripheral angiopathy (E10-E14 with common fourth character .5+)

I79.8* Other disorders of arteries, arterioles and capillaries in diseases classified elsewhere

Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89)
I80 Phlebitis and thrombophlebitis Incl.: endophlebitis inflammation, vein periphlebitis suppurative phlebitis Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced. Excl.: phlebitis and thrombophlebitis (of): complicating: o abortion or ectopic or molar pregnancy (O00-O07, O08.7) o pregnancy, childbirth and the puerperium (O22.-, O87.-) intracranial and intraspinal, septic or NOS (G08) intracranial, nonpyogenic (I67.6)

intraspinal, nonpyogenic (G95.1) portal (vein) (K75.1)

postphlebitic syndrome (I87.0) thrombophlebitis migrans (I82.1)

I80.0 Phlebitis and thrombophlebitis of superficial vessels of lower extremities I80.1 Phlebitis and thrombophlebitis of femoral vein I80.2 Phlebitis and thrombophlebitis of other deep vessels of lower extremities

Deep vein thrombosis NOS

I80.3 Phlebitis and thrombophlebitis of lower extremities, unspecified

Embolism or thrombosis of lower extremity NOS

I80.8 Phlebitis and thrombophlebitis of other sites I80.9 Phlebitis and thrombophlebitis of unspecified site

I81 Portal vein thrombosis Incl.: Portal (vein) obstruction Excl.: phlebitis of portal vein (K75.1) I82 Other venous embolism and thrombosis Excl.: venous embolism and thrombosis (of): cerebral (I63.6, I67.6) complicating: o abortion or ectopic or molar pregnancy (O00-O07, O08.7) o pregnancy, childbirth and the puerperium (O22.-, O87.-) coronary (I21-I25) intracranial and intraspinal, septic or NOS (G08) intracranial, nonpyogenic (I67.6) intraspinal, nonpyogenic (G95.1) lower extremities (I80.-) mesenteric (K55.0) portal (I81) pulmonary (I26.-)
I82.0 Budd-Chiari syndrome I82.1 Thrombophlebitis migrans I82.2 Embolism and thrombosis of vena cava

I82.3 Embolism and thrombosis of renal vein I82.8 Embolism and thrombosis of other specified veins I82.9 Embolism and thrombosis of unspecified vein

Embolism of vein NOS Thrombosis (vein) NOS I83 Varicose veins of lower extremities Excl.: complicating: pregnancy (O22.0) puerperium (O87.8)
I83.0 Varicose veins of lower extremities with ulcer

Any condition in I83.9 with ulcer or specified as ulcerated Varicose ulcer (lower extremity, any part)
I83.1 Varicose veins of lower extremities with inflammation

Any condition in I83.9 with inflammation or specified as inflamed Stasis dermatitis NOS
I83.2 Varicose veins of lower extremities with both ulcer and inflammation

Any condition in I83.9 with both ulcer and inflammation

I83.9 Varicose veins of lower extremities without ulcer or inflammation

Phlebectasia Varicose

veins Varix I84 Haemorrhoids

of lower extremity [any part] or of unspecified site

Incl.: piles varicose veins of anus and rectum Excl.: complicating: childbirth and the puerperium (O87.2) pregnancy (O22.4)
I84.0 Internal thrombosed haemorrhoids I84.1 Internal haemorrhoids with other complications

Internal haemorrhoids:

bleeding prolapsed strangulated ulcerated

I84.2 Internal haemorrhoids without complication

Internal haemorrhoids NOS

I84.3 External thrombosed haemorrhoids

Perianal haematoma (nontraumatic) Perianal thrombosis

I84.4 External haemorrhoids with other complications

External haemorrhoids: bleeding prolapsed strangulated ulcerated

I84.5 External haemorrhoids without complication

External haemorrhoids NOS

I84.6 Residual haemorrhoidal skin tags

Skin tags of anus or rectum

I84.7 Unspecified thrombosed haemorrhoids

Thrombosed haemorrhoids, unspecified whether internal or external

I84.8 Unspecified haemorrhoids with other complications

Haemorrhoids, unspecified whether internal or external: bleeding prolapsed strangulated ulcerated

I84.9 Unspecified haemorrhoids without complication

Haemorrhoids NOS I85 Oesophageal varices

I85.0 Oesophageal varices with bleeding I85.9 Oesophageal varices without bleeding

Oesophageal varices NOS I86 Varicose veins of other sites

Excl.: retinal varices (H35.0) varicose veins of unspecified site (I83.9)

I86.0 Sublingual varices I86.1 Scrotal varices

Varicocele
I86.2 Pelvic varices I86.3 Vulval varices

Excl.: complicating: childbirth and the puerperium (O87.8) pregnancy (O22.1)

I86.4 Gastric varices I86.8 Varicose veins of other specified sites

Varicose ulcer of nasal septum I87 Other disorders of veins

I87.0 Postthrombotic syndrome

Postphlebitic syndrome
I87.1 Compression of vein

Stricture of vein Vena cava syndrome (inferior)(superior) Excl.: pulmonary (I28.8)

I87.2 Venous insufficiency (chronic)(peripheral) I87.8 Other specified disorders of veins I87.9 Disorder of vein, unspecified

I88 Nonspecific lymphadenitis Excl.: acute lymphadenitis, except mesenteric (L04.-) enlarged lymph nodes NOS (R59.-) human immunodeficiency virus [HIV] disease resulting in generalized lymphadenopathy (B23.1)
I88.0 Nonspecific mesenteric lymphadenitis

Mesenteric lymphadenitis (acute)(chronic)

I88.1 Chronic lymphadenitis, except mesenteric

Adenitis

chronic, any lymph node except

Lymphadenitis I88.8 Other nonspecific lymphadenitis

mesenteric

I88.9 Nonspecific lymphadenitis, unspecified

Lymphadenitis NOS I89 Other noninfective disorders of lymphatic vessels and lymph nodes Excl.: chylocele: filarial (B74.-) tunica vaginalis (nonfilarial) NOS (N50.8) enlarged lymph nodes NOS (R59.-) hereditary lymphoedema (Q82.0) postmastectomy lymphoedema (I97.2)
I89.0 Lymphoedema, not elsewhere classified

Lymphangiectasis
I89.1 Lymphangitis

Lymphangitis: NOS chronic subacute Excl.: acute lymphangitis (L03.-)

I89.8 Other specified noninfective disorders of lymphatic vessels and lymph nodes

Chylocele (nonfilarial) Lipomelanotic reticulosis

I89.9 Noninfective disorder of lymphatic vessels and lymph nodes, unspecified

Disease of lymphatic vessels NOS

Other and unspecified disorders of the circulatory system (I95-I99)

I95 Hypotension Excl.: cardiovascular collapse (R57.9)

maternal hypotension syndrome (O26.5) nonspecific low blood pressure reading NOS (R03.1)
I95.0 Idiopathic hypotension I95.1 Orthostatic hypotension

Hypotension, postural Excl.: neurogenic orthostatic hypotension [Shy-Drager] (G90.3)

I95.2 Hypotension due to drugs

Use additional external cause code (Chapter XX), if desired, to identify drug.
I95.8 Other hypotension

Chronic hypotension
I95.9 Hypotension, unspecified

I97 Postprocedural disorders of circulatory system, not elsewhere classified Excl.: postoperative shock (T81.1)
I97.0 Postcardiotomy syndrome I97.1 Other functional disturbances following cardiac surgery

Cardiac
following cardiac surgery or due to presence of cardiac prosthesis

insufficiency

Heart failure I97.2 Postmastectomy lymphoedema syndrome

Elephantiasis

due to mastectomy

Obliteration of lymphatic vessels I97.8 Other postprocedural disorders of circulatory system, not elsewhere classified I97.9 Postprocedural disorder of circulatory system, unspecified

I98* Other disorders of circulatory system in diseases classified elsewhere Excl.: disorders classified to other asterisk categories within this chapter
I98.0* Cardiovascular syphilis

Cardiovascular syphilis: NOS (A52.0+) congenital, late (A50.5+)

I98.1* Cardiovascular disorders in other infectious and parasitic diseases classified elsewhere

Cardiovascular: involvement NEC, in Chagas' disease (chronic) (B57.2+) lesions of pinta [carate] (A67.2+)
I98.2* Oesophageal varices without bleeding in diseases classified elsewhere

Oesophageal varices in: liver disorders (K70-K71+, K74.-+) schistosomiasis (B65.-+)

I98.3* Oesophageal varices with bleeding in diseases classified elsewhere

Oesophageal varices in: liver disorders (K70-K71+, K74.-+) schistosomiasis (B65.-+)

I98.8* Other specified disorders of circulatory system in diseases classified elsewhere

I99 Other and unspecified disorders of circulatory system Cardiovascular disorders originating in the perinatal period Excl.: congenital malformations of the circulatory system (Q20-Q28)
P29.0 Neonatal cardiac failure P29.1 Neonatal cardiac dysrhythmia P29.2 Neonatal hypertension P29.3 Persistent fetal circulation

Delayed closure of ductus arteriosus Pulmonary hypertension of newborn (persistent)

P29.4 Transient myocardial ischaemia of newborn P29.8 Other cardiovascular disorders originating in the perinatal period P29.9 Cardiovascular disorder originating in the perinatal period, unspecified