OTHER METABOLIC AND IMMUNITY DISORDERS (270-279)
- Use additional code to identify any associated mental retardation
- 270 Disorders of amino-acid transport and metabolism
- Excludes: abnormal findings without manifest disease (790.0-796.9)
- disorders of purine and pyrimidine metabolism (277.1-277.2)
- gout (274.0-274.9)
- 270.0 Disturbances of amino-acid transport
- Cystinosis
- Cystinuria
- Fanconi (-de Toni) (-Debré) syndrome
- Glycinuria (renal)
- Hartnup disease
- 270.1 Phenylketonuria [PKU]
- 270.2 Other disturbances of aromatic amino-acid metabolism
- Albinism
- Alkaptonuria
- Alkaptonuric ochronosis
- Disturbances of metabolism of tyrosine and tryptophan
- Homogentisic acid defects
- Hydroxykynureninuria
- Hypertyrosinemia
- Indicanuria
- Kynureninase defects
- Oasthouse urine disease
- Ochronosis
- Tyrosinosis
- Tyrosinuria
- Waardenburg syndrome
- Excludes: vitamin B6-deficiency syndrome (266.1)
- 270.3 Disturbances of branched-chain amino-acid metabolism
- Disturbances of metabolism of leucine, isoleucine, and valine
- Hypervalinemia
- Intermittent branched-chain ketonuria
- Leucine-induced hypoglycemia
- Leucinosis
- Maple syrup urine disease
- 270.4 Disturbances of sulphur-bearing amino-acid metabolism
- Cystathioninemia
- Cystathioninuria
- Disturbances of metabolism of methionine, homocystine, and cystathionine
- Homocystinuria
- Hypermethioninemia
- Methioninemia
- 270.5 Disturbances of histidine metabolism
- Carnosinemia
- Histidinemia
- Hyperhistidinemia
- Imidazole aminoaciduria
- 270.6 Disorders of urea cycle metabolism
- Argininosuccinic aciduria
- Citrullinemia
- Disorders of metabolism of ornithine, citrulline, argininosuccinic acid, arginine, and ammonia
- Hyperammonemia
- Hyperornithinemia
- 270.7 Other disturbances of straight-chain amino-acid metabolism
- Glucoglycinuria
- Glycinemia (with methylmalonic acidemia)
- Hyperglycinemia
- Hyperlysinemia
- Pipecolic acidemia
- Saccharopinuria
- Other disturbances of metabolism of glycine, threonine, serine, glutamine, and lysine
- 270.8 Other specified disorders of amino-acid metabolism
- Alaninemia
- Ethanolaminuria
- Glycoprolinuria
- Hydroxyprolinemia
- Hyperprolinemia
- Iminoacidopathy
- Prolinemia
- Prolinuria
- Sarcosinemia
- 270.9 Unspecified disorder of amino-acid metabolism
- 271 Disorders of carbohydrate transport and metabolism
- Excludes: abnormality of secretion of glucagon (251.4)
- diabetes mellitus (250.0-250.9)
- hypoglycemia NOS (251.2)
- mucopolysaccharidosis (277.5)
- 271.0 Glycogenosis
- Amylopectinosis
- Glucose-6-phosphatase deficiency
- Glycogen storage disease
- McArdle's disease
- Pompe's disease
- von Gierke's disease
- 271.1 Galactosemia
- Galactose-1-phosphate uridyl transferase deficiency
- Galactosuria
- 271.2 Hereditary fructose intolerance
- Essential benign fructosuria
- Fructosemia
- 271.3 Intestinal disaccharidase deficiencies and disaccharide malabsorption
- Intolerance or malabsorption (congenital) (of):
- glucose-galactose
- lactose
- sucrose-isomaltose
- 271.4 Renal glycosuria
- 271.8 Other specified disorders of carbohydrate transport and metabolism
- Essential benign pentosuria
- Fucosidosis
- Glycolic aciduria
- Hyperoxaluria (primary)
- Mannosidosis
- Oxalosis
- Xylosuria
- Xylulosuria
- 271.9 Unspecified disorder of carbohydrate transport and metabolism
- 272 Disorders of lipoid metabolism
- Excludes: localized cerebral lipidoses (330.1)
- 272.0 Pure hypercholesterolemia
- Familial hypercholesterolemia
- Fredrickson Type IIa hyperlipoproteinemia
- Hyperbetalipoproteinemia
- Hyperlipidemia, Group A
- Low-density-lipoid-type [LDL] hyperlipoproteinemia
- 272.1 Pure hyperglyceridemia
- Endogenous hyperglyceridemia
- Fredrickson Type IV hyperlipoproteinemia
- Hyperlipidemia, Group B
- Hyperprebetalipoproteinemia
- Hypertriglyceridemia, essential
- Very-low-density-lipoid-type [VLDL] hyperlipoproteinemia
- 272.2 Mixed hyperlipidemia
- Broad- or floating-betalipoproteinemia
- Fredrickson Type IIb or III hyperlipoproteinemia
- Hypercholesterolemia with endogenous hyperglyceridemia
- Hyperbetalipoproteinemia with prebetalipoproteinemia
- Tubo-eruptive xanthoma
- Xanthoma tuberosum
- 272.3 Hyperchylomicronemia
- Bürger-Grütz syndrome
- Fredrickson type I or V hyperlipoproteinemia
- Hyperlipidemia, Group D
- Mixed hyperglyceridemia
- 272.4 Other and unspecified hyperlipidemia
- Alpha-lipoproteinemia
- Combined hyperlipidemia
- Hyperlipidemia NOS
- Hyperlipoproteinemia NOS
- 272.5 Lipoprotein deficiencies
- Abetalipoproteinemia
- Bassen-Kornzweig syndrome
- High-density lipoid deficiency
- Hypoalphalipoproteinemia
- Hypobetalipoproteinemia (familial)
- 272.6 Lipodystrophy
- Barraquer-Simons disease
- Progressive lipodystrophy
- Use additional E code to identify cause, if iatrogenic
- Excludes: intestinal lipodystrophy (040.2)
- 272.7 Lipidoses
- Chemically induced lipidosis
- Disease:
- Anderson's
- Fabry's
- Gaucher's
- I cell [mucolipidosis I]
- lipoid storage NOS
- Niemann-Pick
- pseudo-Hurler's or mucolipidosis III
- triglyceride storage, Type I or II
- Wolman's or triglyceride storage, Type III
- Mucolipidosis II
- Primary familial xanthomatosis
- Excludes: cerebral lipidoses (330.1)
- Tay-Sachs disease (330.1)
- 272.8 Other disorders of lipoid metabolism
- Hoffa's disease or liposynovitis prepatellaris
- Launois-Bensaude's lipomatosis
- Lipoid dermatoarthritis
- 272.9 Unspecified disorder of lipoid metabolism
- 273 Disorders of plasma protein metabolism
- Excludes: agammaglobulinemia and hypogammaglobulinemia (279.0-279.2)
- coagulation defects (286.0-286.9)
- hereditary hemolytic anemias (282.0-282.9)
- 273.0 Polyclonal hypergammaglobulinemia
- Hypergammaglobulinemic purpura:
- benign primary
- Waldenström's
- 273.1 Monoclonal paraproteinemia
- Benign monoclonal hypergammaglobulinemia [BMH]
- Monoclonal gammopathy:
- NOS
- associated with lymphoplasmacytic dyscrasias
- benign
- Paraproteinemia:
- benign (familial)
- secondary to malignant or inflammatory disease
- 273.2 Other paraproteinemias
- Cryoglobulinemic:
- Mixed cryoglobulinemia
- 273.3 Macroglobulinemia
- Macroglobulinemia (idiopathic) (primary)
- Waldenström's macroglobulinemia
- 273.8 Other disorders of plasma protein metabolism
- Abnormality of transport protein
- Bisalbuminemia
- 273.9 Unspecified disorder of plasma protein metabolism
- 274 Gout
- Excludes: lead gout (984.0-984.9)
- 274.0 Gouty arthropathy
- 274.1 Gouty nephropathy
- 274.10 Gouty nephropathy, unspecified
- 274.11 Uric acid nephrolithiasis
- 274.19 Other
- 274.8 Gout with other specified manifestations
- 274.81 Gouty tophi of ear
- 274.82 Gouty tophi of other sites
- 274.89 Other
- Use additional code to identify manifestations, as:
- gouty:
- iritis (364.11)
- neuritis (357.4)
- 274.9 Gout, unspecified
- 275 Disorders of mineral metabolism
- Excludes: abnormal findings without manifest disease (790.0-796.9)
- 275.0 Disorders of iron metabolism
- Bronzed diabetes
- Hemochromatosis
- Pigmentary cirrhosis (of liver)
- Excludes: anemia:
- iron deficiency (280.0-280.9)
- sideroblastic (285.0)
- 275.1 Disorders of copper metabolism
- Hepatolenticular degeneration
- Wilson's disease
- 275.2 Disorders of magnesium metabolism
- Hypermagnesemia
- Hypomagnesemia
- 275.3 Disorders of phosphorus metabolism
- Familial hypophosphatemia
- Hypophosphatasia
- Vitamin D-resistant:
- 275.4 Disorders of calcium metabolism
- Calcinosis
- Hypercalcemia
- Hypercalcinuria
- Nephrocalcinosis
- Pseudohypoparathyroidism
- Pseudopseudohypoparathyroidism
- Excludes: parathyroid disorders (252.0-252.9)
- vitamin D deficiency (268.0-268.9)
- 275.8 Other specified disorders of mineral metabolism
- 275.9 Unspecified disorder of mineral metabolism
- 276 Disorders of fluid, electrolyte, and acid-base balance
- Excludes: diabetes insipidus (253.5)
- familial periodic paralysis (359.3)
- 276.0 Hyperosmolality and/or hypernatremia
- Sodium [Na] excess
- Sodium [Na] overload
- 276.1 Hyposmolality and/or hyponatremia
- 276.2 Acidosis
- Acidosis:
- NOS
- lactic
- metabolic
- respiratory
- Excludes: diabetic acidosis (250.1)
- 276.3 Alkalosis
- Alkalosis:
- NOS
- metabolic
- respiratory
- 276.4 Mixed acid-base balance disorder
- Hypercapnia with mixed acid-base disorder
- 276.5 Volume depletion
- Dehydration
- Depletion of volume of plasma or extracellular fluid
- Hypovolemia
- Excludes: hypovolemic shock:
- postoperative (998.0)
- traumatic (958.4)
- 276.6 Fluid overload
- Fluid retention
- Excludes: ascites (789.5)
- 276.7 Hyperpotassemia
- Hyperkalemia
- Potassium [K]:
- excess
- intoxication
- overload
- 276.8 Hypopotassemia
- Hypokalemia
- Potassium [K] deficiency
- 276.9 Electrolyte and fluid disorders not elsewhere classified
- Electrolyte imbalance
- Hyperchloremia
- Hypochloremia
- Excludes: electrolyte imbalance:
- associated with hyperemesis gravidarum (643.1)
- complicating labor and delivery (669.0)
- following abortion and ectopic or molar pregnancy (634-638 with .4, 639.4)
- 277 Other and unspecified disorders of metabolism
- 277.0 Cystic fibrosis
- Fibrocystic disease of the pancreas
- Mucoviscidosis
- 277.00 Without mention of meconium ileus
- 277.01 With meconium ileus
- Meconium:
- ileus (of newborn)
- obstruction of intestine in mucoviscidosis
- 277.1 Disorders of porphyrin metabolism
- Hematoporphyria
- Hematoporphyrinuria
- Hereditary coproporphyria
- Porphyria
- Porphyrinuria
- Protocoproporphyria
- Protoporphyria
- Pyrroloporphyria
- 277.2 Other disorders of purine and pyrimidine metabolism
- Hypoxanthine-guanine-phosphoribosyltransferase deficiency [HG-PRT deficiency]
- Lesch-Nyhan syndrome
- Xanthinuria
- Excludes: gout (274.0-274.9)
- orotic aciduric anemia (281.4)
- 277.3 Amyloidosis
- Amyloidosis:
- NOS
- inherited systemic
- nephropathic
- neuropathic (Portuguese) (Swiss)
- secondary
- Benign paroxysmal peritonitis
- Familial Mediterranean fever
- Hereditary cardiac amyloidosis
- 277.4 Disorders of bilirubin excretion
- Hyperbilirubinemia:
- congenital
- constitutional
- Syndrome:
- Crigler-Najjar
- Dubin-Johnson
- Gilbert's
- Rotor's
- Excludes: hyperbilirubinemias specific to the perinatal period (774.0-774.7)
- 277.5 Mucopolysaccharidosis
- Gargoylism
- Hunter's syndrome
- Hurler's syndrome
- Lipochondrodystrophy
- Maroteaux-Lamy syndrome
- Morquio-Brailsford disease
- Osteochondrodystrophy
- Sanfilippo's syndrome
- Scheie's syndrome
- 277.6 Other deficiencies of circulating enzymes
- Alpha 1-antitrypsin deficiency
- Hereditary angioedema
- 277.8 Other specified disorders of metabolism
- Hand-Schüller-Christian disease
- Histiocytosis (acute) (chronic)
- Histiocytosis X (chronic)
- Excludes: histiocytosis:
- acute differentiated progressive (202.5)
- X, acute (progressive) (202.5)
- 277.9 Unspecified disorder of metabolism
- 278 Obesity and other hyperalimentation
- Excludes: hyperalimentation NOS (783.6)
- poisoning by vitamins NOS (963.5)
- polyphagia (783.6)
- 278.0 Obesity
- Excludes: adiposogenital dystrophy (253.8)
- obesity of endocrine origin NOS (259.9)
- 278.00 Obesity, unspecified
- 278.01 Morbid obesity
- 278.1 Localized adiposity
- 278.2 Hypervitaminosis A
- 278.3 Hypercarotinemia
- 278.4 Hypervitaminosis D
- 278.8 Other hyperalimentation
- 279 Disorders involving the immune mechanism
- 279.0 Deficiency of humoral immunity
- 279.00 Hypogammaglobulinemia, unspecified
- 279.01 Selective IgA immunodeficiency
- 279.02 Selective IgM immunodeficiency
- 279.03 Other selective immunoglobulin deficiencies
- Selective deficiency of IgG
- 279.04 Congenital hypogammaglobulinemia
- 279.05 Immunodeficiency with increased IgM
- Immunodeficiency with hyper-IgM:
- autosomal recessive
- X-linked
- 279.06 Common variable immunodeficiency
- Dysgammaglobulinemia (acquired) (congenital) (primary)
- Hypogammaglobulinemia:
- acquired primary
- congenital non-sex-linked
- sporadic
- 279.09 Other
- Transient hypogammaglobulinemia of infancy
- 279.1 Deficiency of cell-mediated immunity
- 279.10 Immunodeficiency with predominant T-cell defect, unspecified
- 279.11 DiGeorge's syndrome
- Pharyngeal pouch syndrome
- Thymic hypoplasia
- 279.12 Wiskott-Aldrich syndrome
- 279.13 Nezelof's syndrome
- Cellular immunodeficiency with abnormal immunoglobulin deficiency
- 279.19 Other
- Excludes: ataxia-telangiectasia (334.8)
- 279.2 Combined immunity deficiency
- Agammaglobulinemia:
- autosomal recessive
- Swiss-type
- X-linked recessive
- Severe combined immunodeficiency [SCID]
- Thymic:
- alymphoplasia
- aplasia or dysplasia with immunodeficiency
- Excludes: thymic hypoplasia (279.11)
- 279.3 Unspecified immunity deficiency
- 279.4 Autoimmune disease, not elsewhere classified
- Autoimmune disease NOS
- Excludes: transplant failure or rejection (996.80-996.89)
- 279.8 Other specified disorders involving the immune mechanism
- Single complement [C1 -C9 ] deficiency or dysfunction
- 279.9 Unspecified disorder of immune mechanism