ICD-9 Code 277.9
Unspecified disorder of metabolism
Not Valid for Submission
277.9 is a legacy non-billable code used to specify a medical diagnosis of unspecified disorder of metabolism. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
ICD-9: | 277.9 |
Short Description: | Metabolism disorder NOS |
Long Description: | Unspecified disorder of metabolism |
Convert 277.9 to ICD-10
The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:
- E88.9 - Metabolic disorder, unspecified
Code Classification
-
Endocrine, nutritional and metabolic diseases, and immunity disorders (240–279)
-
Other metabolic disorders and immunity disorders (270-279)
- 277 Other and unspecified disorders of metabolism
-
Other metabolic disorders and immunity disorders (270-279)
Information for Medical Professionals
Index to Diseases and Injuries
References found for the code 277.9 in the Index of Diseases and Injuries:
- Arthritis arthritic acute chronic subacute 716.9
- due to or associated with
- Cardiomyopathy congestive constrictive familial infiltrative obstructive restrictive sporadic 425.4
- metabolic NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 277.9 425.7- amyloid 277.39 425.7
- thyrotoxic SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Thyrotoxicosis 242.9 425.7
- thyrotoxicosis SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Thyrotoxicosis 242.9 425.7
- metabolic NEC NEC "Not elsewhere classifiable"
- Disease diseased SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Syndrome - Disorder SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Disease- metabolism NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 277.9- with
- abortion see Abortion by type with metabolic disorder
- ectopic pregnancy SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 633.0 633.9 639.4
- molar pregnancy SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 630 632 639.4
- alkaptonuria 270.2
- amino acid SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Disorder amino acid 270.9
- ammonia 270.6
- arginine 270.6
- argininosuccinic acid 270.6
- basal 794.7
- bilirubin 277.4
- calcium 275.40
- carbohydrate 271.9
- cholesterol 272.9
- citrulline 270.6
- copper 275.1
- corticosteroid 255.2
- cystine storage 270.0
- cystinuria 270.0
- fat 272.9
- fatty acid oxidation 277.85
- following
- abortion 639.4
- ectopic or molar pregnancy 639.4
- fructosemia 271.2
- fructosuria 271.2
- fucosidosis 271.8
- galactose 1 phosphate uridyl transferase 271.1
- glutamine 270.7
- glycine 270.7
- glycogen storage NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 271.0- hepatorenal 271.0
- hemochromatosis SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Hemochromatosis 275.03
- in labor and delivery 669.0
- iron 275.09
- lactose 271.3
- lipid 272.9
- specified type NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 272.8
- storage 272.7
- specified type NEC NEC "Not elsewhere classifiable"
- lipoprotein SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Hyperlipemia- deficiency familial 272.5
- lysine 270.7
- magnesium 275.2
- mannosidosis 271.8
- mineral 275.9
- mitochondrial 277.87
- mucopolysaccharide 277.5
- nitrogen 270.9
- ornithine 270.6
- oxalosis 271.8
- pentosuria 271.8
- phenylketonuria 270.1
- phosphate 275.3
- phosphorus 275.3
- plasma protein 273.9
- porphyrin 277.1
- purine 277.2
- pyrimidine 277.2
- serine 270.7
- sodium 276.9
- specified type NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 277.89
- steroid 255.2
- threonine 270.7
- urea cycle 270.6
- xylose 271.8
- with
- metabolism NEC NEC "Not elsewhere classifiable"
- Disturbance SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Disease- metabolism acquired congenital SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Disorder metabolism 277.9- with
- abortion see Abortion by type with metabolic disorder
- ectopic pregnancy SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 633.0 633.9 639.4
- molar pregnancy SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 630 632 639.4
- amino acid SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Disorder amino acid 270.9- branched chain 270.3
- specified type NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 270.8
- straight chain NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 270.7
- sulfur bearing 270.4
- transport 270.0
- ammonia 270.6
- arginine 270.6
- argininosuccinic acid 270.6
- cholesterol 272.9
- citrulline 270.6
- cystathionine 270.4
- fat 272.9
- following
- abortion 639.4
- ectopic or molar pregnancy 639.4
- general 277.9
- carbohydrate 271.9
- iron 275.09
- phosphate 275.3
- sodium 276.9
- glutamine 270.7
- glycine 270.7
- histidine 270.5
- homocystine 270.4
- in labor or delivery 669.0
- iron 275.09
- isoleucine 270.3
- leucine 270.3
- lipoid 272.9
- lysine 270.7
- methionine 270.4
- neonatal transitory 775.9
- nitrogen 788.99
- ornithine 270.6
- phosphate 275.3
- phosphatides 272.7
- serine 270.7
- threonine 270.7
- tryptophan 270.2
- tyrosine 270.2
- urea cycle 270.6
- valine 270.3
- with
- metabolism acquired congenital SEE ALSO See Also
- Enzymopathy 277.9
- Metabolism disorder 277.9
- Myocardiopathy congestive constrictive familial idiopathic infiltrative obstructive primary restrictive sporadic 425.4
Information for Patients
Metabolic Disorders
Metabolism is the process your body uses to get or make energy from the food you eat. Food is made up of proteins, carbohydrates, and fats. Chemicals in your digestive system break the food parts down into sugars and acids, your body's fuel. Your body can use this fuel right away, or it can store the energy in your body tissues, such as your liver, muscles, and body fat.
A metabolic disorder occurs when abnormal chemical reactions in your body disrupt this process. When this happens, you might have too much of some substances or too little of other ones that you need to stay healthy. There are different groups of disorders. Some affect the breakdown of amino acids, carbohydrates, or lipids. Another group, mitochondrial diseases, affects the parts of the cells that produce the energy.
You can develop a metabolic disorder when some organs, such as your liver or pancreas, become diseased or do not function normally. Diabetes is an example.
[Read More]
ICD-9 Footnotes
General Equivalence Map Definitions
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
- No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
- Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.
Index of Diseases and Injuries Definitions
- And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
- Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
- Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
- NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
- See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
- See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
- 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.