DISEASES OF VEINS AND LYMPHATICS, AND OTHER DISEASES OF CIRCULATORY SYSTEM (451-459)

• 451 Phlebitis and thrombophlebitis
  • Includes: endophlebitis
    • inflammation, vein
    • periphlebitis
    • suppurative phlebitis
  • Use additional E code to identify drug if drug-induced
  • Excludes: that complicating:
    • abortion (634-638 with .7, 639.8)
    • ectopic or molar pregnancy (639.8)
    • pregnancy, childbirth, or the puerperium (671.0-671.9)
    • that due to or following:
      • implant or catheter device (996.61-996.62)
      • infusion, perfusion, or transfusion (999.2)
  • 451.0 Of superficial vessels of lower extremities
    • Saphenous vein (greater) (lesser)
  • 451.1 Of deep vessels of lower extremities
    • 451.11 Femoral vein (deep) (superficial)
    • 451.19 Other
      • Femoropopliteal vein
      • Popliteal vein
      • Tibial vein
  • 451.2 Of lower extremities, unspecified
  • 451.8 Of other sites
    • Excludes: intracranial venous sinus (325)
      • nonpyogenic (437.6)
      • portal (vein) (572.1)
    • 451.81 Iliac vein
    • 451.82 Of superficial veins of upper extremities
      • Antecubital vein
      • Basilic vein
      • Cephalic vein
    • 451.83 Of deep veins of upper extremities
      • Brachial vein
      • Radial vein
      • Ulnar vein
    • 451.84 Of upper extremities, unspecified
    • 451.89 Other
      • Axillary vein
      • Jugular vein
      • Subclavian vein
      • Thrombophlebitis of breast (Mondor's disease)
  • 451.9 Of unspecified site
• 452 Portal vein thrombosis
  • Portal (vein) obstruction
  • Excludes: hepatic vein thrombosis (453.0)
    • phlebitis of portal vein (572.1)
• 453 Other venous embolism and thrombosis
  • that complicating:
    • abortion (634-638 with .7, 639.8)
    • ectopic or molar pregnancy (639.8)
    • pregnancy, childbirth, or the puerperium (671.0-671.9)
  • that with inflammation, phlebitis, and thrombophlebitis (451.0-451.9)
  • 453.0 Budd-Chiari syndrome
    • Hepatic vein thrombosis
  • 453.1 Thrombophlebitis migrans
  • 453.2 Of vena cava
  • 453.3 Of renal vein
  • 453.8 Of other specified veins
    • Excludes: cerebral (434.0-434.9)
      • coronary (410.00-410.92)
      • intracranial venous sinus (325)
        • nonpyogenic (437.6)
      • mesenteric (557.0)
      • portal (452)
      • precerebral (433.0-433.9)
      • pulmonary (415.1)
  • 453.9 Of unspecified site
    • Embolism of vein
    • Thrombosis (vein)
• 454 Varicose veins of lower extremities
  • Excludes: that complicating pregnancy, childbirth, or the puerperium (671.0)
  • 454.0 With ulcer
    • Varicose ulcer (lower extremity, any part)
    • Varicose veins with ulcer of lower extremity [any part] or of unspecified site
    • Any condition classifiable to 454.9 with ulcer or specified as ulcerated
  • 454.1 With inflammation
    • Stasis dermatitis
    • Varicose veins with inflammation of lower extremity [any part] or of unspecified site
    • Any condition classifiable to 454.9 with inflammation or specified as inflamed
  • 454.2 With ulcer and inflammation
    • Varicose veins with ulcer and inflammation of lower extremity [any part] or of unspecified site
    • Any condition classifiable to 454.9 with ulcer and inflammation
  • 454.9 Without mention of ulcer or inflammation
    • Phlebectasia of lower extremity [any part] or of unspecified site
    • Varicose veins of lower extremity [any part] or of unspecified site
    • Varix of lower extremity [any part] or of unspecified site
• 455 Hemorrhoids
  • Includes: hemorrhoids (anus) (rectum)
    • piles
    • varicose veins, anus or rectum
  • Excludes: that complicating pregnancy, childbirth, or the puerperium (671.8)
  • 455.0 Internal hemorrhoids without mention of complication
  • 455.1 Internal thrombosed hemorrhoids
  • 455.2 Internal hemorrhoids with other complication
    • Internal hemorrhoids:
      • bleeding
      • prolapsed
      • strangulated
      • ulcerated
  • 455.3 External hemorrhoids without mention of complication
  • 455.4 External thrombosed hemorrhoids
  • 455.5 External hemorrhoids with other complication
    • External hemorrhoids:
      • bleeding
      • prolapsed
      • strangulated
      • ulcerated
  • 455.6 Unspecified hemorrhoids without mention of complication
    • Hemorrhoids NOS
  • 455.7 Unspecified thrombosed hemorrhoids
    • Thrombosed hemorrhoids, unspecified whether internal or external
  • 455.8 Unspecified hemorrhoids with other complication
    • Hemorrhoids, unspecified whether internal or external:
      • bleeding
      • prolapsed
      • strangulated
      • ulcerated
  • 455.9 Residual hemorrhoidal skin tags
    • Skin tags, anus or rectum
• 456 Varicose veins of other sites
  • 456.0 Esophageal varices with bleeding
  • 456.1 Esophageal varices without mention of bleeding
  • 456.2 Esophageal varices in diseases classified elsewhere
    • Code first underlying disease, as:
      • cirrhosis of liver (571.0-571.9)
      • portal hypertension (572.3)
    • 456.20 With bleeding
    • 456.21 Without mention of bleeding
  • 456.3 Sublingual varices
  • 456.4 Scrotal varices
    • Varicocele
  • 456.5 Pelvic varices
    • Varices of broad ligament
  • 456.6 Vulval varices
    • Varices of perineum
    • Excludes: that complicating pregnancy, childbirth, or the puerperium (671.1)
  • 456.8 Varices of other sites
    • Varicose veins of nasal septum (with ulcer)
    • Excludes: placental varices (656.7)
      • retinal varices (362.17)
      • varicose ulcer of unspecified site (454.0)
      • varicose veins of unspecified site (454.9)
• 457 Noninfectious disorders of lymphatic channels
  • 457.0 Postmastectomy lymphedema syndrome
    • Elephantiasis due to mastectomy
    • Obliteration of lymphatic vessel due to mastectomy
  • 457.1 Other lymphedema
    • Elephantiasis (nonfilarial) NOS
    • Lymphangiectasis
    • Lymphedema:
      • acquired (chronic)
      • praecox
      • secondary
    • Obliteration, lymphatic vessel
    • Excludes: elephantiasis (nonfilarial):
      • congenital (757.0)
      • eyelid (374.83)
      • vulva (624.8)
  • 457.2 Lymphangitis
    • Lymphangitis:
      • NOS
      • chronic
      • subacute
    • Excludes: acute lymphangitis (682.0-682.9)
  • 457.8 Other noninfectious disorders of lymphatic channels
    • Chylocele (nonfilarial)
    • Chylous:
      • ascites
      • cyst
    • Lymph node or vessel:
      • fistula
      • infarction
      • rupture
    • Excludes: chylocele:
      • filarial (125.0-125.9)
      • tunica vaginalis (nonfilarial) (608.84)
  • 457.9 Unspecified noninfectious disorder of lymphatic channels
• 458 Hypotension
  • Includes: hypopiesis
  • Excludes: cardiovascular collapse (785.50)
    • maternal hypotension syndrome (669.2)
    • shock (785.50-785.59)
    • Shy-Drager syndrome (333.0)
  • 458.0 Orthostatic hypotension
    • Hypotension:
      • orthostatic (chronic)
      • postural
  • 458.1 Chronic hypotension
    • Permanent idiopathic hypotension
  • 458.2 Iatrogenic hypotension
    • Postoperative hypotension
  • 458.9 Hypotension, unspecified
    • Hypotension (arterial) NOS
• 459 Other disorders of circulatory system
  • 459.0 Hemorrhage, unspecified
    • Rupture of blood vessel NOS
    • Spontaneous hemorrhage NEC
    • Excludes: hemorrhage:
      • gastrointestinal NOS (578.9)
      • in newborn NOS (772.9)
      • secondary or recurrent following trauma (958.2)
        • traumatic rupture of blood vessel (900.0-904.9)
  • 459.1 Postphlebitic syndrome
  • 459.2 Compression of vein
    • Stricture of vein
    • Vena cava syndrome (inferior) (superior)
  • 459.8 Other specified disorders of circulatory system
    • 459.81 Venous (peripheral) insufficiency, unspecified
      • Chronic venous insufficiency NOS
    • 459.89 Other
      • Collateral circulation (venous), any site
      • Phlebosclerosis
      • Venofibrosis
  • 459.9 Unspecified circulatory system disorder