ICD-9 Code 796.4

Other abnormal clinical findings

Not Valid for Submission

796.4 is a legacy non-billable code used to specify a medical diagnosis of other abnormal clinical findings. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

ICD-9:	796.4
Short Description:	Abn clinical finding NEC
Long Description:	Other abnormal clinical findings

Convert 796.4 to ICD-10

The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:

R68.89 - Other general symptoms and signs

Code Classification

Symptoms, signs, and ill-defined conditions (780–799)
- Nonspecific abnormal findings (790-796)
  - 796 Other nonspecific abnormal findings

Information for Medical Professionals

Synonyms

10g monofilament sensation L foot abnormal
10g monofilament sensation L foot normal
10g monofilament sensation R foot abnormal
8-9 month examination abnormal - for observation
Abdominal dullness finding
Abdominal migraine - symptom
Abdominal organ finding
Abnormal 11-deoxy, 17-hydroxycorticosterone
Abnormal ability to understand
Abnormal amount of urine output
Abnormal arterial pulse pressure
Abnormal biorhythm
Abnormal bone marrow iron
Abnormal capillary filling
Abnormal capillary fragility test
Abnormal carbohydrate sequence
Abnormal chronobiologic state
Abnormal circannual biorhythm
Abnormal circatrigintan biorhythm
Abnormal color
Abnormal consistency
Abnormal cortisone
Abnormal decrease in number
Abnormal decrease in quantity
Abnormal developmental screening
Abnormal distribution
Abnormal electron microscopy findings
Abnormal estradiol
Abnormal extracardiac tracer uptake
Abnormal facies
Abnormal female reproductive function
Abnormal finding on evaluation procedure
Abnormal findings in specimens from digestive organs and abdominal cavity
Abnormal food appetite
Abnormal frequency of defecation
Abnormal gamma globulin level
Abnormal general body function
Abnormal globulin level
Abnormal glucagon
Abnormal head circumference in relation to growth / age standard
Abnormal height in relation to growth / age standard
Abnormal hormonal requirement
Abnormal infradian biorhythm
Abnormal macromolecular binding
Abnormal microbiological finding in specimen from female genital organ
Abnormal microbiological finding in specimen from male genital organ
Abnormal monocyte production
Abnormal neurovascular status of distal limb
Abnormal nucleotide base sequence
Abnormal organ weight
Abnormal platelet production
Abnormal pregnanediol
Abnormal presence of alpha-fetoprotein
Abnormal presence of endometrial cells in specimen from a menopausal woman
Abnormal presence of galactose
Abnormal presence of hemoglobin
Abnormal presence of myoglobin
Abnormal presence of protein
Abnormal quantity of physiologic substance
Abnormal renin secretion
Abnormal respiratory laboratory results
Abnormal response to sound
Abnormal response to visual stimuli
Abnormal secretin
Abnormal serotonin
Abnormal size
Abnormal small intestine secretion
Abnormal structure of alpha>1< globulin
Abnormal structure of alpha-globulin
Abnormal structure of phospholipid
Abnormal structure of physiologic substance
Abnormal systolic arterial pressure
Abnormal thickness
Abnormal thyroxine
Abnormal translucency
Abnormal triiodothyronine
Abnormal urogenital discharge
Abnormal vanillylmandelic acid
Abnormal venous pressure
Abnormal vital signs
Abnormal weight in relation to growth / age standard
Abnormally decreased organ weight
Abnormally increased laxity
Abnormally increased organ
Abnormally shaped pinna
Abnormally soft consistency
Abnormally thin
Absence of therapeutic response
Absence of vital signs
Absent bone marrow iron
Absent osmoregulation
Absent response to visual stimuli
Acenesthesia
Aceto-white reaction positive
Acute failure
Acute insufficiency
Adson's sign
Aeromonas or Plesiomonas present
Airway contains vomitus
Albumin in sample
Alcohol in blood specimen above reference range
Allergic facies
Altered bladder function
Amine test positive
Amniotic fetal cell abnormal
Anal, deep radial surgical margin not involved by tumor
Anal, distal surgical margin not involved by tumor
Anal, proximal surgical margin not involved by tumor
Angiocardiography equivocal
Animal inoculation: bacteria
Animal inoculation: fungus
Animal inoculation: parasite
Animal inoculation: virus
Anterior drawer test positive
Antibody studies abnormal
Anti-dengue immunoglobulin G antibody negative
Anti-dengue immunoglobulin G antibody positive
Anti-dengue immunoglobulin M antibody negative
Anti-dengue immunoglobulin M antibody positive
Antimicrobial activity
Antineutrophil cytoplasmic antibody positive
Anti-nuclear factor positive
Anti-nuclear factor weakly positive
Aschheim-Zondek test positive
Ascitic fluid blood-stained
Ascitic fluid cloudy
Ascitic fluid purulent
Ascitic fluid: malignant cells
Ascitic fluid: pus cells
Ascorbate-cyanide screening test positive
Aspartate aminotransferase/serum glutamic oxaloacetic transaminase level abnormal
Atherogenic lipoprotein phenotype
Bacterial colony consistency, brittle
Bacterial colony elevation
Bacterial colony elevation, convex
Bacterial colony elevation, flat
Bacterial colony hemolysis, alpha
Bacterial colony hemolysis, beta
Bacterial colony morphology, erose margin
Bacterial colony shape, irregular
Bacterial growth in animal culture
Bacterial growth present
Band neutrophil count above reference range
Base deficit
Base excess
Basement membrane antibodies present
Bayonet sign
Bence Jones protein detected
Bipartite clavicle
Blood pressure ABNORMAL - deleted
Blood pressure reading labile
Blue lips
Bluish discoloration of cervix
Bone conduction better than air
Bone densimetry abnormal
Bone marrow examination abnormal
Bragard test positive
Braun von Fernwald's sign
BRCA1 gene mutation negative
BRCA1 gene mutation positive
BRCA2 gene mutation positive
Breast cancer genetic marker of susceptibility positive
Breast cold
Brucella ring test failed
Calculus calcium oxalate content
Calculus carbaptite content
Calculus hydroxyapatite content
Carcinoembryonic antigen above reference range
Carcinoembryonic antigen present
Cardiac stress recovery state
Catecholamine in urine specimen above reference range
Cellular atypia due to antineoplastic agent
Cervical discharge
Cherubic facies
Chlamydia polymerase chain reaction positive
Chronic insufficiency
Chronic obstructive pulmonary disease finding
Clostridium difficile toxin A detected
Clotting time above reference range
Combined systolic and diastolic dysfunction
Copies of human immunodeficiency virus ribonucleic acid above reference range
Corvisart's facies
Cough impulse of mass absent
C-reactive protein abnormal
Creatinine clearance-glomerular filtration abnormal
Crepitus uteri
Cribriform neoplasm pattern
Cytomegalovirus antibody in serum positive
Cytoplasmic bacteria present
Danforth's sign
Decreased blood leukocyte number
Decreased blood volume
Decreased capillary filling time
Decreased ceroid
Decreased fertility
Decreased fluid pressure
Decreased functional residual capacity
Decreased general body function
Decreased granulocyte production
Decreased macromolecular binding
Decreased methemoglobin
Decreased need for sleep
Decreased red reflex
Decreased translucency
Decreased turbidity
Decreased vascular resistance
Decreased venous wedge pressure
Deep
Deep surgical margin involvement by tumor present
Deep surgical margin, focal, involvement by tumor present
Deep surgical margin, multifocal, involvement by tumor present
Defective molecular assembly
Deficiency of deoxyribonucleic acid repair
Deficiency of N-acetylgalactosamine-6-sulfatase
Degenerative disorder
Degenerative sequelae of disorders
Delayed skin test reaction
Delivery risk
Destot sign
Destot sign present
Determination of bacterial growth
Dick test positive
Disorder of body system
Distress
Döhle body
Doll's head reflex absent
Doppler studies abnormal
Down's screening blood test abnormal
Downward drift of outstretched supinated arm
Drawer sign
Drug-related disorder
Dry stool
Duffy blood group
D-xylose absorption test abnormal
D-Xylose intolerance
Dynamic extension test negative
Dynamic extension test positive
Electrolytes abnormal
Endoscopy abnormal
Epstein-Barr virus antibody in serum positive
Equivocal plantar response left
Equivocal plantar response right
Excess subcutaneous fat of lower limb
Excess subcutaneous fat of upper limb
Excessive postexertional fatigue
Exercise tolerance test abnormal
Extensor plantar response left
Extensor plantar response right
Extraprostatic extension of tumor indeterminate
Extraprostatic extension of tumor present, multifocal
Extraprostatic extension of tumor present, unifocal
Eye cornering in direction of sound absent
Eye cornering in direction of sound equivocal
Eye cornering in direction of sound present
Eyelash reflex present
Fast metabolic rate
Female sex hormones abnormal
Femoral nerve stretch test negative
Fetal anomaly present in specimen
Fetoplacental hormones abnormal
Final consonant deletion
Finding of ascitic fluid appearance
Finding of bacteria: serology
Finding of blood, lymphatics and immune system
Finding of hyphal elements
Finding of irregular blood group antibody present
Finding of post-mortem isolation: organism
Finding of Providencia stuartii, urease positive
Finding of serology: organism
Finding of yeast with pseudohyphae
Finding related to attentiveness
Finding related to dying process
Finding related to expression of religious beliefs
Finding related to giving of individual health history
Finding related to pain control behavior
Finding related to perinatal risk factor
Finding related to reproductive risk factor
Finding related to substance use
Finger-finger test abnormal
Finkelstein's test positive
Follicle-stimulating hormone level abnormal
Forced expiratory volume in one second/Forced vital capacity greater than 70% of predicted
Forearm dual energy X-ray photon absorptiometry scan Z score
Forearm dual X-ray absorptiometry scan T score
Forensic examination abnormal
Frame-shift mutation
Free androgenic index abnormal
Functional disorder
Functional heart murmur
Fungus on microscopy
Gamma-glutamyl transferase level abnormal
Gas gangrene smell
Gastric aspirate containing blood
Gastric aspirate containing feces
Gastric aspirate containing liquor
Gene re-arrangement, alpha chain, T cell antigen receptor
Gene re-arrangement, gamma chain, T cell antigen receptor
Giving-way
Glucose in sample
Goodell's sign
Gorissenne's sign
Gower's eye sign
Gram-positive cocci in chains
Gram-positive cocci in clusters
Grey Turner's sign
Gross pathology - abnormality
Guthrie test abnormal
Hair absent
Halban's sign
Halo sign
Hard vein
Head compression test positive
Heaf: positive
Hearing test bilateral abnormality
Heat in vaginal fornix
Heel dual energy X-ray photon absorptiometry scan T score
Heel dual energy X-ray photon absorptiometry scan Z score
Helicobacter CLO test observations
Helicobacter pylori antibody above reference range
Hemoglobin A1c between 7%-10% indicating borderline diabetic control
Hemoglobin A1c greater than 10% indicating poor diabetic control
Hepatitis B surface antigen enzyme-linked immunosorbent assay positive
Hepatitis C virus enzyme-linked immunosorbent assay test positive
Heterophile agglutin test abnormal
High grade
High risk of primary heart disease
High vaginal swab: fungal organism isolated
High vaginal swab: white cells seen
Homans' sign
Hormone abnormality
Hormone increase
Human immunodeficiency virus enzyme-linked immunosorbent assay test positive
Human placental lactogen abnormal
Hurloid facies
Hutchinson's sign
Hyperbetaglobulinemia
Hypnic jerk
Hypoalphaglobulinemia
Hypocellular bone marrow
Hypoglobulinemia
Hypopituitary facies
Imipramine in urine
Immediate skin test reaction
Impairment of balance
Inadequate achievement of developmental tasks
Inadequate analgesia
Inadequate flow to support prescribed dialysis blood flow
Increased 11-deoxy, 17-hydroxycorticosterone level
Increased adrenocorticotropic hormone level
Increased blood monocyte number
Increased body mass index
Increased cancer antigen 125
Increased ceroid
Increased hormone secretion
Increased lead level
Increased leg circumference
Increased lung tracer uptake
Increased molecular dissociation
Increased platelet destruction
Increased pressure
Increased renin secretion
Increased testosterone level
Increased thickness
Increased translucency
Increased turbidity
Indoleacetic acid in urine specimen above reference range
Inefficiency
Inferior lateral surgical margin involvement by tumor present
Inflammation of specific body structures or tissue
Inflammation of specific body systems
Inflammatory disorder of extremity
Inflammatory disorder of head
Inflammatory hereditary disorder
Intraabdominal pressure above reference range
Intraocular pressure left eye
Intraocular pressure right eye
Intratumoral/peritumoral lymphocytic response absent
Intratumoral/peritumoral lymphocytic response marked
Intratumoral/peritumoral lymphocytic response mild to moderate
Involuntary vocalization
Irregular bowel habits
Joint stress test positive
Kocher's sign
La antibody positive
Laboratory test result abnormal
Lachman test positive
Lasègue's arm sign
Left kidney absent
Left lateral surgical margin involvement by tumor present
Leukocyte maturation arrest
Low density lipoprotein cholesterol above reference range
Lower limb arteriogram abnormal
Lumbar spine dual energy X-ray photon absorptiometry scan T score
Lumbar spine dual energy X-ray photon absorptiometry scan Z score
Lupus erythematosus cells present
Luteinizing hormone level abnormal
Lyme enzyme-linked immunosorbent assay positive
Macromolecular defective synthesis
Malignant neoplasm detection during interval between recommended screening examinations
Marrow megakaryocyte decrease
Marrow megakaryocytes abnormal
Marrow: primitive blast cells+
McMurray test positive
Medical Research Council Breathlessness Scale grade 1
Medical Research Council Breathlessness Scale grade 2
Medical Research Council Breathlessness Scale grade 4
Medical Research Council Breathlessness Scale grade 5
Medical Research Council Breathlessness Scale: grade 3
Methylene blue test failed
Micropapillary neoplasm pattern
Mitral facies
Multiple aggregation
Negative inotropic effect on myocardium
Neurological diagnostic procedure - abnormal
Neuronal depopulation
New left ventricular wall motion abnormality compared to prior study
Nikolsky sign
Nitrazine yellow test for detection of rupture of amniotic membrane positive
Obturator sign
Offensive body odor
On examination - a deformity
On examination - a lump
On examination - a swelling
On examination - abnormal joint movement
On examination - bleeding gums
On examination - blood pressure labile
On examination - blood pressure reading raised
On examination - blood pressure reading very high
On examination - bone - unusual posture
On examination - bone abnormality
On examination - bone deformed
On examination - bone marrow- foreign cells
On examination - bone shortened
On examination - bone-abnormal movement
On examination - bone-abnormal prominence
On examination - bounding pulse
On examination - cardiac thrill
On examination - chest deformity
On examination - chest wall veins distended
On examination - collapsing pulse
On examination - color of left foot abnormal
On examination - continuous cardiac thrill
On examination - dark ground microorganism
On examination - deep sensation absent
On examination - deep sensation reduced
On examination - diastolic cardiac thrill
On examination - discolored teeth
On examination - Electron microscopy: bacteria
On examination - Electron microscopy: fungus
On examination - Electron microscopy: organism
On examination - Electron microscopy: parasite
On examination - Electron microscopy: virus
On examination - external female genitalia abnormal
On examination - exudate on tonsils
On examination - femur bone abnormal
On examination - foot bone abnormal
On examination - forearm bone abnormal
On examination - frontal sinus tenderness
On examination - hand bone abnormal
On examination - Hess test positive
On examination - jugular venous engorgement
On examination - laryngoscopy abnormal
On examination - lateral abdominal wall veins distended
On examination - left dorsalis pedis absent
On examination - left femoral pulse absent
On examination - Left foot deformity
On examination - left popliteal pulse absent
On examination - left posterior tibial pulse absent
On examination - lip swelling
On examination - Little's area hyperemic
On examination - localized chest deformity
On examination - lower leg bone abnormal
On examination - lymph nodes discrete
On examination - lymph nodes firm
On examination - lymph nodes fluctuant
On examination - lymph nodes hard
On examination - lymph nodes tender
On examination - lymph nodes tethered
On examination - macroscopic:organism seen
On examination - maxillary sinus tenderness
On examination - mouth - excessive salivation
On examination - mouth - purpuric spots
On examination - multiple bones abnormal
On examination - nasal mucosa hyperemic
On examination - nasal mucosa pale
On examination - nasal mucosa wet/boggy
On examination - pelvic bone abnormal
On examination - plateau pulse
On examination - poor venous access
On examination - pulse absent
On examination - pulse irregularly irregular
On examination - pulse rate very fast
On examination - pulse rate very slow
On examination - pulse rate-pulse deficit
On examination - pulse regularly irregular
On examination - red reflex absent
On examination - rib abnormal
On examination - right dorsalis pedis pulse absent
On examination - right femoral pulse absent
On examination - Right foot color abnormal
On examination - Right foot deformity
On examination - right popliteal pulse absent
On examination - right posterior tibial pulse absent
On examination - Romberg test positive
On examination - shoulder bone abnormal
On examination - skin cyanosed over lesion
On examination - skin over lesion cold
On examination - skin over lesion hot
On examination - skin over lesion warm
On examination - skin red over lesion
On examination - skull abnormal
On examination - spine abnormal
On examination - spleen just palpable
On examination - stained microscopy: bacteria
On examination - stained microscopy: fungus
On examination - stained microscopy: organism
On examination - stained microscopy: parasite
On examination - stereognosis - reduced
On examination - systolic cardiac thrill
On examination - temperature discrimination absent
On examination - temperature discrimination reduced
On examination - thin pulse-pulsus parvus
On examination - upper arm bone abnormal
On examination - uvula deviated left
On examination - uvula deviated right
On rectal examination of prostate abnormality detected
Ortolani's test positive
Oto-acoustic emission test abnormal
Oto-acoustic emission test equivocal
Palpable mass
Papule
Paradoxical cardiac wall motion
Parkinson's facies
Patellar compression test positive
Pathognomonic sign
Phalen's test positive
Phosphatase test failed
Physical health problems
Piskacek's sign
Pivot shift test - instability
Pivot shift test positive
Pleural invasion by tumor present
Pleuritic breathing
Polymerase chain reaction positive for hepatitis C viral ribonucleic acid genotype 1A
Polymerization
Poor auditory sequential memory
Poor eye contact
Poor visual sequential memory
Positive genetic finding
Positive horizontal board test
Positive reversibility test to a combination of salbutamol and ipratropium bromide
Postcoital cervic mucus - non-progressive motile and immotile sperm
Postcoital cervical mucus sperm - rapid progressive motility
Postcoital cervical mucus sperm - slow progressive motility
Postcoital test abnormal
Posterior drawer test negative
Posterior drawer test positive
Post-mortem - bacteria isolated
Problem, abnormal examination
Problem, abnormal test
Pseudolipomatosis
Pus cells
Radioactive iodine uptake above reference range
Radionuclide heart study abnormal
Raised cardiac enzyme or marker
Raised thyroid stimulating hormone level
Rapid urease test for Helicobacter pylori infection positive
Reaginic antibodies present
Redistribution
Reflux of contrast medium
Respiratory flow rate abnormal
Rheumatoid factor positive
Ribonucleoprotein antibody positive
Right lateral surgical margin involved by tumor
Ringed sideroblast
Rinne's test positive
Rubbery subcutaneous tissue
Rubella antibody present - immune
Rubella enzyme-linked immunosorbent assay test result, greater than 10iu/ml rubella specific immunoglobulin G detected
Rubella enzyme-linked immunosorbent assay test result, greater than 15iu/ml rubella specific immunoglobulin G detected
Rubella enzyme-linked immunosorbent assay test result, less than 10iu/ml rubella specific immunoglobulin G detected
Rubella enzyme-linked immunosorbent assay test result; less than 15iu/ml rubella specific immunoglobulin G detected
Sample contains cold agglutinins
Sample examination: abnormal
Sample grossly hemolyzed
Sample grossly icteric
Sample grossly lipemic
Sample slightly hemolyzed
Sample slightly icteric
Sample slightly lipemic
Sample xanthochromic
Sample: bacteria cultured
Sample: bacteria not sensitive
Sample: bacteria sensitive
Sample: direct microscopy: bacteria present
Sample: direct microscopy: fungus present
Sample: direct microscopy: parasite present
Sample: fungus isolated
Sample: no bacteria cultured
Sample: organism cultured
Sample: organism isolated
Sample: salmonella cultured
Sample: virus identified
Sample: yeast isolated
Schick test positive
Screened - abnormality
Screening - no abnormality detected
Seidel test, negative finding
Seidel test, positive finding
Sequela
Sequelae of disorders by system of sequelae
Sequelae of disorders classified by disorder-system
Sequelae of inflammatory diseases
Sequelae of poisoning or toxic effects
Sequelae of reproductive disorders
Serial peak expiratory flow rate abnormal
Serum 17-B-estriol level abnormal
Serum androstenedione abnormal
Serum bilirubin borderline low
Serum pregnancy test negative
Serum progesterone level abnormal
Serum testosterone level abnormal
Shifting abdominal dullness finding
Short stature for age
Sialuria
Sign
Simulated rotation test negative
Simulated rotation test positive
Single lump
Skin loss exposing muscle
Skin reaction extreme
Skin reaction weak
Slow relaxing peripheral reflexes
Slump test negative
Slump test positive
Small vessel invasion by tumor present
Smells of urine
Snout reflex absent
Snout reflex present
Spalding-Horner sign
Special cardiovascular system test abnormal
Special ear, nose and throat procedure abnormal
Special examination - abnormality
Special female test abnormal
Special gastrointestinal tract test abnormal
Special male test abnormal
Specimen involvement by multifocal invasion
Specimen with abnormal presence of endometrial cells
Sperm motile no progression
Spirometry reversibility negative
Spirometry reversibility positive
Stemmer sign positive
Stepping reflex absent
Stepping reflex present
Stomach problem
Straight leg raising absent
Straight leg raising reduced
Stroke test finding
Stroke test negative
Stroke test positive
Subacute failure
Sucking reflex absent
Sucking reflex present
Superficial mass
Superior lateral surgical margin involved by tumor
Supinator reflex brisk
Supinator reflex delayed
Supinator reflex inverted
Supinator reflex present only with reinforcement
Supinator reflex reduced
Surgical lateral margin involved by tumor
Surgical margin involvement by tumor absent
Surgical margin involvement by tumor present
Surgical margins of excised lesion not clear
Swallowing reflex absent
Swallowing reflex present
Sweat test abnormal
Tache noire
Talar tilt
Theophylline level therapeutic
Thomas test positive
Tissue cytology abnormal
Tonometry abnormal
Toxic state
Toxoplasma gondii antibody positive
Trace element excess
Transfer factor
Triceps reflex present only with reinforcement
Triceps reflex reduced
Troponin I above reference range
Two placental membranes present
Two point static discrimination absent
Two point static discrimination present
Tympanic membrane completely visible
Tympanic membrane partially visible
Tympanogram abnormal
Undifferentiated histological grade finding
Unequal blood pressure in arms
Unidentified pathogenic bacteria recovered
Unusual change in behavior
Upper limb arteriogram abnormal
Urobilinogenemia
Vaginal vault smear abnormal
Venogram abnormal
Villous atrophy
Vomit appearance - abnormal
Vomit examination abnormal
Vomit occult blood positive
Vomit odor feculent
Vomit odor offensive
Vomit toxicology: nil found
Vomit: excessive acidity
Vomit: excessive alkalinity
Warm extremities
Wilson's sign

Index to Diseases and Injuries

References found for the code 796.4 in the Index of Diseases and Injuries:

Abnormal abnormality abnormalities 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. Anomaly
- clinical findings 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. 796.4

Blood
- pressure
  - fluctuating 796.4

Findings abnormal without diagnosis examination laboratory test 796.4
- 17 ketosteroids elevated 791.9
- acetonuria 791.6
- acid phosphatase 790.5
- albumin globulin ratio 790.99
- albuminuria 791.0
- alcohol in blood 790.3
- alkaline phosphatase 790.5
- amniotic fluid 792.3
- amylase 790.5
- antenatal screening 796.5
- anisocytosis 790.09
- anthrax positive 795.31
- antibody titers elevated 795.79
- anticardiolipin antibody 795.79
- antigen antibody reaction 795.79
- antiphosphatidylglycerol antibody 795.79
- antiphosphatidylinositol antibody 795.79
- antiphosphatidylserine antibody 795.79
- antiphospholipid antibody 795.79
- bacteriuria 791.9
- ballistocardiogram 794.39
- bicarbonate 276.9
- bile in urine 791.4
- bilirubin 277.4
- bleeding time prolonged 790.92
- blood culture positive 790.7
- blood gas level arterial 790.91
- blood sugar level 790.29
  - high 790.29
    - fasting glucose 790.21
    - glucose tolerance test 790.22
  - low 251.2
- C reactive protein CRP 790.95
- calcium 275.40
- cancer antigen 125 CA 125 795.82
- carbonate 276.9
- carcinoembryonic antigen CEA 795.81
- casts urine 791.7
- catecholamines 791.9
- cells urine 791.7
- cerebrospinal fluid color content pressure 792.0
- cervical
  - high risk human papillomavirus HPV DNA test positive 795.05
  - low risk human papillomavirus HPV DNA test positive 795.09
  - non atypical endometrial cells 795.09
- chloride 276.9
- cholesterol 272.9
  - high 272.0
    - with high triglycerides 272.2
- chromosome analysis 795.2
- chyluria 791.1
- circulation time 794.39
- cloudy dialysis effluent 792.5
- cloudy urine 791.9
- coagulation study 790.92
- cobalt blood 790.6
- color of urine unusual 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. 791.9
- copper blood 790.6
- creatinine clearance 794.4
- crystals urine 791.9
- culture positive 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. 795.39
  - blood 790.7
  - HIV V08
  - human immunodeficiency virus V08
  - nose 795.39
    - Staphylococcus see Carrier suspected of Staphylococcus
  - skin lesion 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. 795.39
  - spinal fluid 792.0
  - sputum 795.39
  - stool 792.1
  - throat 795.39
  - urine 791.9
  - viral
    - human immunodeficiency V08
  - wound 795.39
- cytology specified site 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. 796.9
- echocardiogram 793.2
- echoencephalogram 794.01
- echogram 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. see Findings abnormal structure
- electrocardiogram ECG EKG 794.31
- electroencephalogram EEG 794.02
- electrolyte level urinary 791.9
- electromyogram EMG 794.17
  - ocular 794.14
- electro oculogram EOG 794.12
- electroretinogram ERG 794.11
- enzymes serum 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. 790.5
- fibrinogen titer coagulation study 790.92
- filling defect see Filling defect
- function study 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. 794.9
  - auditory 794.15
  - bladder 794.9
  - brain 794.00
  - cardiac 794.30
  - endocrine 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. 794.6
    - thyroid 794.5
  - kidney 794.4
  - liver 794.8
  - nervous system
    - central 794.00
    - peripheral 794.19
  - oculomotor 794.14
  - pancreas 794.9
  - placenta 794.9
  - pulmonary 794.2
  - retina 794.11
  - special senses 794.19
  - spleen 794.9
  - vestibular 794.16
- gallbladder nonvisualization 793.3
- glucose 790.29
  - elevated
    - fasting 790.21
    - tolerance test 790.22
- glycosuria 791.5
- heart
  - shadow 793.2
  - sounds 785.3
- hematinuria 791.2
- hematocrit
  - drop precipitous 790.01
  - elevated 282.7
  - low 285.9
- hematologic 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. 790.99
- hematuria 599.70
- hemoglobin
  - drop 790.01
  - elevated 282.7
  - low 285.9
- hemoglobinuria 791.2
- histological 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. 795.4
- hormones 259.9
- immunoglobulins elevated 795.79
- indolacetic acid elevated 791.9
- iron 790.6
- karyotype 795.2
- ketonuria 791.6
- lactic acid dehydrogenase LDH 790.4
- lead 790.6
- lipase 790.5
- lipids 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. 272.9
- lithium blood 790.6
- liver function test 790.6
- lung field shadow 793.19
  - coin lesion 793.11
- magnesium blood 790.6
- mammogram 793.80
  - calcification 793.89
  - calculus 793.89
  - dense breasts 793.82
  - inconclusive 793.82
    - due to dense breasts 793.82
  - microcalcification 793.81
- mediastinal shift 793.2
- melanin urine 791.9
- microbiologic 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. 795.39
- mineral blood 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. 790.6
- myoglobinuria 791.3
- nasal swab anthrax 795.31
- neonatal screening 796.6
- nitrogen derivatives blood 790.6
- nonvisualization of gallbladder 793.3
- nose culture positive 795.39
- odor of urine unusual 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. 791.9
- oxygen saturation 790.91
- Papanicolaou smear 796.9
  - anus 796.70
    - with
      - atypical squamous cells
        cannot exclude high grade squamous intraepithelial lesion ASC H 796.72
        
        of undetermined significance ASC US 796.71
      - cytologic evidence of malignancy 796.76
      - high grade squamous intraepithelial lesion HGSIL 796.74
      - low grade squamous intraepithelial lesion LGSIL 796.73
    - glandular 796.70
    - specified finding 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. 796.79
  - cervix 795.00
    - with
      - atypical squamous cells
        cannot exclude high grade squamous intraepithelial lesion ASC H 795.02
        
        of undetermined significance ASC US 795.01
      - cytologic evidence of malignancy 795.06
      - high grade squamous intraepithelial lesion HGSIL 795.04
      - low grade squamous intraepithelial lesion LGSIL 795.03
      - non atypical endometrial cells 795.09
    - dyskaryotic 795.09
    - non atypical endometrial cells 795.09
    - nonspecific finding 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. 795.09
  - other site 796.9
  - vagina 795.10
    - with
      - atypical squamous cells
        cannot exclude high grade squamous intraepithelial lesion ASC H 795.12
        
        of undetermined significance ASC US 795.11
      - cytologic evidence of malignancy 795.16
      - high grade squamous intraepithelial lesion HGSIL 795.14
      - low grade squamous intraepithelial lesion LGSIL 795.13
    - glandular 795.10
    - specified 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. 795.19
- peritoneal fluid 792.9
- phonocardiogram 794.39
- phosphorus 275.3
- pleural fluid 792.9
- pneumoencephalogram 793.0
- PO2 oxygen ratio 790.91
- poikilocytosis 790.09
- potassium
  - deficiency 276.8
  - excess 276.7
- PPD 795.51
- prostate specific antigen PSA 790.93
- protein serum 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. 790.99
- proteinuria 791.0
- prothrombin time prolonged partial PT PTT 790.92
- pyuria 791.9
- radiologic x ray 793.99
  - abdomen 793.6
  - biliary tract 793.3
  - breast 793.89
    - abnormal mammogram NOS 793.80
    - mammographic
      - calcification 793.89
      - calculus 793.89
      - microcalcification 793.81
  - gastrointestinal tract 793.4
  - genitourinary organs 793.5
  - head 793.0
  - image test inconclusive due to excess body fat 793.91
  - intrathoracic organs 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. 793.2
  - lung 793.19
  - musculoskeletal 793.7
  - placenta 793.99
  - retroperitoneum 793.6
  - skin 793.99
  - skull 793.0
  - subcutaneous tissue 793.99
- red blood cell 790.09
  - count 790.09
  - morphology 790.09
  - sickling 790.09
  - volume 790.09
- saliva 792.4
- scan 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. 794.9
  - bladder 794.9
  - bone 794.9
  - brain 794.09
  - kidney 794.4
  - liver 794.8
  - lung 794.2
  - pancreas 794.9
  - placental 794.9
  - spleen 794.9
  - thyroid 794.5
- sedimentation rate elevated 790.1
- semen 792.2
- serological for
  - human immunodeficiency virus HIV
    - inconclusive 795.71
    - positive V08
  - syphilis see Findings serology for syphilis
- serology for syphilis
  - false positive 795.6
  - positive 097.1
    - false 795.6
    - follow up of latent syphilis see Syphilis latent
    - only finding see Syphilis latent
- serum 790.99
  - blood 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. 790.99
  - enzymes 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. 790.5
  - proteins 790.99
- SGOT 790.4
- SGPT 790.4
- sickling of red blood cells 790.09
- skin test positive 795.79
  - tuberculin without active tuberculosis 795.51
- sodium 790.6
  - deficiency 276.1
  - excess 276.0
- specified 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. 796.9
- spermatozoa 792.2
- spinal fluid 792.0
  - culture positive 792.0
- sputum culture positive 795.39
  - for acid fast bacilli 795.39
- stool 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. 792.1
  - bloody 578.1
    - occult 792.1
  - color 792.1
  - culture positive 792.1
  - occult blood 792.1
- stress test 794.39
- structure body echogram thermogram ultrasound x ray 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. 793.99
  - abdomen 793.6
  - breast 793.89
    - abnormal mammogram 793.80
    - mammographic
      - calcification 793.89
      - calculus 793.89
      - microcalcification 793.81
  - gastrointestinal tract 793.4
  - genitourinary organs 793.5
  - head 793.0
    - echogram ultrasound 794.01
  - intrathoracic organs 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. 793.2
  - lung 793.19
  - musculoskeletal 793.7
  - placenta 793.99
  - retroperitoneum 793.6
  - skin 793.99
  - subcutaneous tissue 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. 793.99
- synovial fluid 792.9
- thermogram see Findings abnormal structure
- throat culture positive 795.39
- thyroid function 794.5
  - metabolism rate 794.5
  - scan 794.5
  - uptake 794.5
- total proteins 790.99
- toxicology drugs heavy metals 796.0
- transaminase level 790.4
- triglycerides 272.9
  - high 272.1
    - with high cholesterol 272.2
- tuberculin skin test without active tuberculosis 795.51
- tumor markers 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. 795.89
- ultrasound 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. Findings abnormal structure
  - cardiogram 793.2
- uric acid blood 790.6
- urine urinary constituents 791.9
  - acetone 791.6
  - albumin 791.0
  - bacteria 791.9
  - bile 791.4
  - blood 599.70
  - casts or cells 791.7
  - chyle 791.1
  - culture positive 791.9
  - glucose 791.5
  - hemoglobin 791.2
  - ketone 791.6
  - protein 791.0
  - pus 791.9
  - sugar 791.5
- vaginal
  - fluid 792.9
  - high risk human papillomavirus HPV DNA test positive 795.15
  - low risk human papillomavirus HPV DNA test positive 795.19
- vanillylmandelic acid elevated 791.9
- vectorcardiogram VCG 794.39
- ventriculogram cerebral 793.0
- VMA elevated 791.9
- Wassermann reaction
  - false positive 795.6
  - positive 097.1
    - follow up of latent syphilis see Syphilis latent
    - only finding see Syphilis latent
- white blood cell 288.9
  - count 288.9
    - elevated 288.60
    - low 288.50
  - differential 288.9
  - morphology 288.9
- wound culture 795.39
- xerography 793.89
- zinc blood 790.6

Fluctuating blood pressure 796.4

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.

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