ARTHROPATHIES AND RELATED DISORDERS (710-719)

• Excludes: disorders of spine (720.0-724.9)
• 710 Diffuse diseases of connective tissue
  • Includes: all collagen diseases whose effects are not mainly confined to a single system
  • Use additional code to identify manifestation, as:
    • lung involvement (517.8)
    • myopathy (359.6)
  • Excludes: those affecting mainly the cardiovascular system, i.e., polyarteritis nodosa and allied conditions (446.0-446.7)
  • 710.0 Systemic lupus erythematosus
    • Disseminated lupus erythematosus
    • Libman-Sacks disease
    • Use additional code to identify manifestation, as:
      • endocarditis (424.91)
      • nephritis (583.81)
        • chronic (582.81)
      • nephrotic syndrome (581.81)
    • Excludes: lupus erythematosus (discoid) NOS (695.4)
  • 710.1 Systemic sclerosis
    • Acrosclerosis
    • CRST syndrome
    • Progressive systemic sclerosis
    • Scleroderma
    • Excludes: circumscribed scleroderma (701.0)
  • 710.2 Sicca syndrome
    • Keratoconjunctivitis sicca
    • Sjögren's disease
  • 710.3 Dermatomyositis
    • Poikilodermatomyositis
    • Polymyositis with skin involvement
  • 710.4 Polymyositis
  • 710.5 Eosinophilia myalgia syndrome
    • Toxic oil syndrome
    • Use additional E code to identify drug, if drug induced
  • 710.8 Other specified diffuse diseases of connective tissue
    • Multifocal fibrosclerosis (idiopathic) NEC
    • Systemic fibrosclerosing syndrome
  • 710.9 Unspecified diffuse connective tissue disease
    • Collagen disease NOS
• 711 Arthropathy associated with infections
  • Includes: arthritis associated with conditions classifiable below
    • arthropathy associated with conditions classifiable below
    • polyarthritis associated with conditions classifiable below
    • polyarthropathy associated with conditions classifiable below
  • Excludes: rheumatic fever (390)
  • The following fifth-digit subclassification is for use with category 711; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions:
    • 0 site unspecified
    • 1 shoulder region
    • 2 upper arm
    • 3 forearm
    • 4 hand
    • 5 pelvic region and thigh
    • 6 lower leg
    • 7 ankle and foot
    • 8 other specified sites
    • 9 multiple sites
  • 711.0 Pyogenic arthritis
  • [0-9] Arthritis or polyarthritis (due to):
    • coliform [Escherichia coli]
    • Hemophilus influenzae [H. influenzae]
    • pneumococcal
    • Pseudomonas
    • staphylococcal
    • streptococcal
    • Pyarthrosis
    • Use additional code to identify infectious organism (041.0-041.8)
  • 711.1 Arthropathy associated with Reiter's disease and nonspecific urethritis
  • [0-9]
    • Code first underlying disease, as:
      • nonspecific urethritis (099.4)
      • Reiter's disease (099.3)
  • 711.2 Arthropathy in Behçet's syndrome
  • [0-9]
    • Code first underlying disease (136.1)
  • 711.3 Postdysentericarthropathy
  • [0-9]
    • Code first underlying disease, as:
      • dysentery (009.0)
      • enteritis, infectious (008.0-009.3)
      • paratyphoid fever (002.1-002.9)
      • typhoid fever (002.0)
    • Excludes: salmonella arthritis (003.23)
  • 711.4 Arthropathy associated with other bacterial diseases
  • [0-9]
    • Code first underlying disease, as:
      • diseases classifiable to 010-040, 090-099, except as in 711.1, 711.3, and 713.5
      • leprosy (030.0-030.9)
      • tuberculosis (015.0-015.9)
    • Excludes: gonococcal arthritis (098.50)
      • meningococcal arthritis (036.82)
  • 711.5 Arthropathy associated with other viral diseases
  • [0-9]
    • Code first underlying disease, as:
      • diseases classifiable to 045-049. 050-079, 480, 487
      • O'nyong nyong (066.3)
    • Excludes: that due to rubella (056.71)
  • 711.6 Arthropathy associated with mycoses
  • [0-9]
    • Code first underlying disease (110.0-118)
  • 711.7 Arthropathy associated with helminthiasis
  • [0-9]
    • Code first underlying disease, as:
      • filariasis (125.0-125.9)
  • 711.8 Arthropathy associated with other infectious and parasitic diseases
  • [0-9]
    • Code first underlying disease, as:
      • diseases classifiable to 080-088, 100-104, 130-136
    • Excludes: arthropathy associated with sarcoidosis (713.7)
  • 711.9 Unspecified infective arthritis
  • [0-9] Infective arthritis or polyarthritis (acute) (chronic) (subacute) NOS
• 712 Crystal arthropathies
  • Includes: crystal-induced arthritis and synovitis
  • Excludes: gouty arthropathy (274.0)
  • The following fifth-digit subclassification is for use with category 712; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions:
    • 0 site unspecified
    • 1 shoulder region
    • 2 upper arm
    • 3 forearm
    • 4 hand
    • 5 pelvic region and thigh
    • 6 lower leg
    • 7 ankle and foot
    • 8 other specified sites
    • 9 multiple sites
  • 712.1 Chondrocalcinosis due to dicalcium phosphate crystals
  • [0-9] Chondrocalcinosis due to dicalcium phosphate crystals (with other crystals)
    • Code first underlying disease (275.4)
  • 712.2 Chondrocalcinosis due to pyrophosphate crystals
  • [0-9]
    • Code first underlying disease (275.4)
  • 712.3 Chondrocalcinosis, unspecified
  • [0-9]
    • Code first underlying disease (275.4)
  • 712.8 Other specified crystal arthropathies
  • [0-9]
  • 712.9 Unspecified crystal arthropathy
  • [0-9]
• 713 Arthropathy associated with other disorders classified elsewhere
  • Includes: arthritis associated with conditions classifiable below
    • arthropathy associated with conditions classifiable below
    • polyarthritis associated with conditions classifiable below
    • polyarthropathy associated with conditions classifiable below
  • 713.0 Arthropathy associated withother endocrine and metabolic disorders
    • Code first underlying disease, as:
      • acromegaly (253.0)
      • hemochromatosis (275.0)
      • hyperparathyroidism (252.0)
      • hypogammaglobulinemia (279.00-279.09)
      • hypothyroidism (243-244.9)
      • lipoid metabolism disorder (272.0-272.9)
      • ochronosis (270.2)
    • Excludes: arthropathy associated with:
      • amyloidosis (713.7)
      • crystal deposition disorders, except gout (712.1-712.9)
      • diabetic neuropathy (713.5)
      • gouty arthropathy (274.0)
  • 713.1 Arthropathy associated with gastrointestinal conditions other than infections
    • Code first underlying disease, as:
      • regional enteritis (555.0-555.9)
      • ulcerative colitis (556)
  • 713.2 Arthropathy associated withhematological disorders
    • Code first underlying disease, as:
      • hemoglobinopathy (282.4-282.7)
      • hemophilia (286.0-286.2)
      • leukemia (204.0-208.9)
      • malignant reticulosis (202.3)
      • multiple myelomatosis (203.0)
    • Excludes: arthropathy associated with Henoch-Schönlein purpura (713.6)
  • 713.3 Arthropathy associated withdermatological disorders
    • Code first underlying disease, as:
      • erythema multiforme (695.1)
      • erythema nodosum (695.2)
    • Excludes: psoriatic arthropathy (696.0)
  • 713.4 Arthropathy associated with respiratory disorders
    • Code first underlying disease, as:
      • diseases classifiable to 490-519
    • Excludes: arthropathy associated with respiratory infections (711.0, 711.4-711.8)
  • 713.5 Arthropathy associated with neurological disorders
    • Charcot's arthropathy associated with diseases classifiable elsewhere
    • Neuropathic arthritis associated with diseases classifiable elsewhere
    • Code first underlying disease, as:
      • neuropathic joint disease [Charcot's joints]:
      • NOS (094.0)
      • diabetic (250.6)
      • syringomyelic (336.0)
      • tabetic [syphilitic] (094.0)
  • 713.6 Arthropathy associated with hypersensitivity reaction
    • Code first underlying disease, as:
      • Henoch (-Schönlein) purpura (287.0)
      • serum sickness (999.5)
    • Excludes: allergic arthritis NOS (716.2)
  • 713.7 Other general diseases with articular involvement
    • Code first underlying disease, as:
      • amyloidosis (277.3)
      • familial Mediterranean fever (277.3)
      • sarcoidosis (135)
  • 713.8 Arthropathy associated with other conditions classifiable elsewhere
    • Code first underlying disease, as:
      • conditions classifiable elsewhere except as in 711.1-711.8, 712, and 713.0-713.7
• 714 Rheumatoid arthritis and other inflammatory polyarthropathies
  • Excludes: rheumatic fever (390)
    • rheumatoid arthritis of spine NOS (720.0)
  • 714.0 Rheumatoid arthritis
    • Arthritis or polyarthritis:
      • atrophic
      • rheumatic (chronic)
    • Use additional code to identify manifestation, as:
      • myopathy (359.6)
      • polyneuropathy (357.1)
    • Excludes: juvenile rheumatoid arthritis NOS (714.30)
  • 714.1 Felty's syndrome
    • Rheumatoid arthritis with splenoadenomegaly and leukopenia
  • 714.2 Other rheumatoid arthritis with visceral or systemic involvement
    • Rheumatoid carditis
  • 714.3 Juvenile chronic polyarthritis
    • 714.30 Polyarticular juvenile rheumatoid arthritis, chronic or unspecified
      • Juvenile rheumatoid arthritis NOS
      • Still's disease
    • 714.31 Polyarticular juvenile rheumatoid arthritis, acute
    • 714.32 Pauciarticular juvenile rheumatoid arthritis
    • 714.33 Monoarticular juvenile rheumatoid arthritis
  • 714.4 Chronic postrheumatic arthropathy
    • Chronic rheumatoid nodular fibrositis
    • Jaccoud's syndrome
  • 714.8 Other specified inflammatory polyarthropathies
    • 714.81 Rheumatoid lung
      • Caplan's syndrome
      • Diffuse interstitial rheumatoid disease of lung
      • Fibrosing alveolitis, rheumatoid
    • 714.89 Other
  • 714.9 Unspecified inflammatory polyarthropathy
    • Inflammatory polyarthropathy or polyarthritis NOS
    • Excludes: polyarthropathy NOS (716.5)
• 715 Osteoarthrosis and allied disorders
  • Note: Localized, in the subcategories below, includes bilateral involvement of the same site.
  • Includes: arthritis or polyarthritis:
    • degenerative
    • hypertrophic
    • degenerative joint disease
    • osteoarthritis
  • Excludes: Marie-Strümpell spondylitis (720.0)
    • osteoarthrosis [osteoarthritis] of spine (721.0-721.9)
  • The following fifth-digit subclassification is for use with category 715; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions:
    • 0 site unspecified
    • 1 shoulder region
    • 2 upper arm
    • 3 forearm
    • 4 hand
    • 5 pelvic region and thigh
    • 6 lower leg
    • 7 ankle and foot
    • 8 other specified sites
    • 9 multiple sites
  • 715.0 Osteoarthrosis, generalized
  • [0,4,9] Degenerative joint disease, involving multiple joints
    • Primary generalized hypertrophic osteoarthrosis
  • 715.1 Osteoarthrosis, localized, primary
  • [0-8] Localized osteoarthropathy, idiopathic
  • 715.2 Osteoarthrosis, localized, secondary
  • [0-8] Coxae malum senilis
  • 715.3 Osteoarthrosis, localized, not specified whether primary or secondary
  • [0-8] Otto's pelvis
  • 715.8 Osteoarthrosis involving, or with mention of more than one site, but not specified as generalized
  • [0,9]
  • 715.9 Osteoarthrosis, unspecified whether generalized or localized
  • [0-8]
• 716 Other and unspecified arthropathies
  • Excludes: cricoarytenoid arthropathy (478.79)
  • The following fifth-digit subclassification is for use with category 716; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions:
    • 0 site unspecified
    • 1 shoulder region
    • 2 upper arm
    • 3 forearm
    • 4 hand
    • 5 pelvic region and thigh
    • 6 lower leg
    • 7 ankle and foot
    • 8 other specified sites
    • 9 multiple sites
  • 716.0 Kaschin-Beck disease
  • [0-9] Endemic polyarthritis
  • 716.1 Traumatic arthropathy
  • [0-9]
  • 716.2 Allergic arthritis
  • [0-9]
    • Excludes: arthritis associated with Henoch-Schönlein purpura or serum sickness (713.6)
  • 716.3 Climacteric arthritis
  • [0-9] Menopausal arthritis
  • 716.4 Transient arthropathy
  • [0-9]
    • Excludes: palindromic rheumatism (719.3)
  • 716.5 Unspecified polyarthropathy or polyarthritis
  • [0-9]
  • 716.6 Unspecified monoarthritis
  • [0-8] Coxitis
  • 716.8 Other specified arthropathy
  • [0-9]
  • 716.9 Arthropathy, unspecified
  • [0-9] Arthritis, (acute) (chronic) (subacute)
    • Arthropathy, (acute) (chronic) (subacute)
    • Articular rheumatism, (chronic)
    • Inflammation of joint, NOS
• 717 Internal derangement of knee
  • Includes: degeneration of articular cartilage or meniscus of knee
    • rupture, old of articular cartilage or meniscus of knee
    • tear, old of articular cartilage or meniscus of knee
  • Excludes: acute derangement of knee (836.0-836.6)
    • ankylosis (718.5)
    • contracture (718.4)
    • current injury (836.0-836.6)
    • deformity (736.4-736.6)
    • 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
    • Degeneration of internal semilunar cartilage
  • 717.4 Derangement of lateral meniscus
    • 717.40 Derangement of lateral meniscus, unspecified
    • 717.41 Bucket handle tear of lateral meniscus
    • 717.42 Derangement of anterior horn of lateral meniscus
    • 717.43 Derangement of posterior horn of lateral meniscus
    • 717.49 Other
  • 717.5 Derangement of meniscus, not elsewhere classified
    • Congenital discoid meniscus
    • Cyst of semilunar cartilage
    • Derangement of semilunar cartilage NOS
  • 717.6 Loose body in knee
    • Joint mice, knee
    • Rice bodies, knee (joint)
  • 717.7 Chondromalacia of patella
    • Chondromalacia patellae
    • Degeneration [softening] of articular cartilage of patella
  • 717.8 Other internal derangement of knee
    • 717.81 Old disruption of lateral collateral ligament
    • 717.82 Old disruption of medial collateral ligament
    • 717.83 Old disruption of anterior cruciate ligament
    • 717.84 Old disruption of posterior cruciate ligament
    • 717.85 Old disruption of other ligaments of knee
      • Capsular ligament of knee
    • 717.89 Other
      • Old disruption of ligaments of knee NOS
  • 717.9 Unspecified internal derangement of knee
    • Derangement NOS of knee
• 718 Other derangement of joint
  • Excludes: current injury (830.0-848.9)
    • jaw (524.6)
  • The following fifth-digit subclassification is for use with category 718; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions:
    • 0 site unspecified
    • 1 shoulder region
    • 2 upper arm
    • 3 forearm
    • 4 hand
    • 5 pelvic region and thigh
    • 6 lower leg
    • 7 ankle and foot
    • 8 other specified sites
    • 9 multiple sites
  • 718.0 Articular cartilage disorder
  • [0-5,7-9] Meniscus:
    • disorder
    • rupture, old
    • tear, old
    • Old rupture of ligament(s) of joint NOS
    • Excludes: articular cartilage disorder:
      • in ochronosis (270.2)
      • knee (717.0-717.9)
      • chondrocalcinosis (275.4)
      • metastatic calcification (275.4)
  • 718.1 Loose body in joint
  • [0-5,7-9] Joint mice
    • Excludes: knee (717.6)
  • 718.2 Pathological dislocation
  • [0-9] Dislocation or displacement of joint, not recurrent and not current
  • 718.3 Recurrent dislocation of joint
  • [0-9]
  • 718.4 Contracture of joint
  • [0-9]
  • 718.5 Ankylosis of joint
  • [0-9] Ankylosis of joint (fibrous) (osseous)
    • Excludes: spine (724.9)
      • stiffness of joint without mention of ankylosis (719.5)
  • 718.6 Unspecified intrapelvic protrusion of acetabulum
  • [0,5] Protrusio acetabuli, unspecified
  • 718.8 Other joint derangement, not elsewhere classified
  • [0-9] Flail joint (paralytic)
    • Instability of joint
    • Excludes: deformities classifiable to 736 (736.0-736.9)
  • 718.9 Unspecified derangement of joint
  • [0-5,7-9]
    • Excludes: knee (717.9)
• 719 Other and unspecified disorders of joint
  • Excludes: jaw (524.6)
  • The following fifth-digit subclassification is for use with category 719; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions:
    • 0 site unspecified
    • 1 shoulder region
    • 2 upper arm
    • 3 forearm
    • 4 hand
    • 5 pelvic region and thigh
    • 6 lower leg
    • 7 ankle and foot
    • 8 other specified sites
    • 9 multiple sites
  • 719.0 Effusion of joint
  • [0-9] Hydrarthrosis
    • Swelling of joint, with or without pain
    • Excludes: intermittent hydrarthrosis (719.3)
  • 719.1 Hemarthrosis
  • [0-9]
    • Excludes: current injury (840.0-848.9)
  • 719.2 Villonodular synovitis
  • [0-9]
  • 719.3 Palindromic rheumatism
  • [0-9] Hench-Rosenberg syndrome
    • Intermittent hydrarthrosis
  • 719.4 Pain in joint
  • [0-9] Arthralgia
  • 719.5 Stiffness of joint, not elsewhere classified
  • [0-9]
  • 719.6 Other symptoms referable to joint
  • [0-9] Joint crepitus
    • Snapping hip
  • 719.7 Difficulty in walking
  • [0,5-9]
    • Excludes: abnormality of gait (781.2)
  • 719.8 Other specified disorders of joint
  • [0-9] Calcification of joint
    • Fistula of joint
    • Excludes: temporomandibular joint-pain-dysfunction syndrome [Costen's syndrome] (524.6)
  • 719.9 Unspecified disorder of joint
  • [0-9]