VIII.  DISEASES OF THE RESPIRATORY SYSTEM
Use additional code, if desired, to identify infectious organism
                   ACUTE RESPIRATORY INFECTIONS (460-466)
Excludes:    pneumonia and influenza (480-487)
460     Acute nasopharyngitis [common cold]
Coryza (acute)                    Rhinitis:
Nasal catarrh, acute                  acute
Nasopharyngitis:                      infective
    NOS
    acute
    infective NOS
Excludes:    nasopharyngitis, chronic (472.2)
             pharyngitis:
                  acute or unspecified (462)
                  chronic (472.1)
             rhinitis:
                  allergic (477.-)
                  chronic or unspecified (472.0)
             sore throat:
                  acute or unspecified (462)
                  chronic (472.1)
461     Acute sinusitis
Includes:    abscess, acute, of sinus (accessory) (nasal)
             empyema, acute, of sinus (accessory) (nasal)
             infection, acute, of sinus (accessory) (nasal)
             inflammation, acute, of sinus (accessory) (nasal)
             suppuration, acute, of sinus (accessory) (nasal)
Excludes:    chronic or unspecified (473.-)
461.0   Maxillary
Acute antritis
461.1   Frontal
461.2   Ethmoidal
461.3   Sphenoidal
461.8   Other
Acute pansinusitis
                          ICD-9/Ch09.TXT - pg. 1

461.9   Unspecified
Acute sinusitis NOS
462     Acute pharyngitis
Acute sore throat NOS             Pharyngitis (acute):
Pharyngitis (acute):
    NOS                               staphylococcal
    gangrenous                        suppurative
    infective                         ulcerative
    phlegmonous                   Sore throat (viral) NOS
    pneumococcal                  Viral pharyngitis
Excludes:    abscess:
                  peritonsillar [quinsy] (475)
                  pharyngeal (478.2)
                  retropharyngeal (478.2)
             chronic pharyngitis (472.1)
             that conditions if specified as (due to):
                  Coxsackie (virus) (074.0)
                  herpes simplex (054.7)
                  influenzal (487.1)
                  septic (034.0)
                  streptococcal (034.0)
463     Acute tonsillitis
Tonsillitis (acute):              Tonsillitis (acute):
    NOS                               septic
    follicular                        staphylococcal
    gangrenous                        suppurative
    infective                         ulcerative
    pneumococcal                      viral
Excludes:    peritonsillar abscess [quinsy] (475)
             sore throat:
                  acute or NOS (462)
                  septic (034.0)
             streptococcal tonsillitis (034.0)
464     Acute laryngitis and tracheitis
Excludes:    when specified as due to Streptococcus (034.0)
464.0   Acute laryngitis
Laryngitis (acute):               Laryngitis (acute):
    NOS                               pneumococcal
    Hemophilus influenzae             septic
         [H. influenzae]              suppurative
    oedematous                        ulcerative
                          ICD-9/Ch09.TXT - pg. 2

Excludes:    chronic laryngitis (476.-)
             influenzal laryngitis (487.1)
464.1   Acute tracheitis
Tracheitis (acute):
    NOS
    catarrhal
    viral
Excludes:    chronic tracheitis (491.8)
464.2   Acute laryngotracheitis
Laryngotracheitis (acute)         Tracheitis (acute) with laryngitis (acute)
464.3   Acute epiglottitis
464.4   Croup
465     Acute upper respiratory infections of multiple or unspecified sites
465.0   Acute laryngopharyngitis
465.8   Other multiple sites
465.9   Unspecified site
Upper respiratory:
    disease (acute)
    infection (acute)
Excludes:    upper respiratory infection due to:
                  influenza (487.1)
                  streptococcus (034.0)
466     Acute bronchitis and bronchiolitis
Includes:    the listed conditions with or without mention of obstruction
                   or bronchospasm
Excludes:    for single-condition coding, acute exacerbation of chronic
                  bronchitis (491.-)
466.0   Acute bronchitis
Bronchitis, acute or subacute:    Bronchitis, acute or subacute:
    fibrinous                         viral
    membranous                        with tracheitis
    pneumococcal                  Croupous bronchitis
    purulent                      Tracheobronchitis, acute
    septic
                          ICD-9/Ch09.TXT - pg. 3

466.1   Acute bronchiolitis
Bronchiolitis (acute)             Capillary pneumonia
            OTHER DISEASES OF THE UPPER RESPIRATORY TRACT (470-478)
470     Deflected nasal septum
Deflection or deviation of septum (nasal) (acquired)
471     Nasal polyps
Excludes:    adenomatous polyps (212.0)
471.0   Polyp of nasal cavity
Polyp:
    choanal
    nasopharyngeal
471.1   Polypoid sinus degeneration
Woakes' syndrome or ethmoiditis
471.8   Other polyp of sinus
Polyp of sinus:
    accessory
    ethmoidal
    maxillary
    sphenoidal
471.9   Unspecified
Nasal polyp NOS
472     Chronic pharyngitis and nasopharyngitis
472.0   Chronic rhinitis
Ozena
Rhinitis:
    NOS
    atrophic
    granulomatous
    hypertrophic
    obstructive
    purulent
    ulcerative
Excludes:    allergic rhinitis (477.-)
                          ICD-9/Ch09.TXT - pg. 4

472.1   Chronic pharyngitis
Chronic sore throat
Pharyngitis:
    atrophic
    granular (chronic)
    hypertrophic
472.2   Chronic nasopharyngitis
Excludes:    acute or unspecified nasopharyngitis (460)
473     Chronic sinusitis
Includes:
    abscess (chronic) of sinus (accessory) (nasal)
    empyema (chronic) of sinus (accessory) (nasal)
    infection (chronic) of sinus (accessory) (nasal)
    suppuration (chronic) of sinus (accessory) (nasal)
Excludes:    acute sinusitis (461.-)
473.0   Maxillary
Antritis (chronic)
473.1   Frontal
473.2   Ethmoidal
473.3   Sphenoidal
473.8   Other
Pansinusitis (chronic)
473.9   Unspecified
Sinusitis (chronic) NOS
474     Chronic disease of tonsils and adenoids
474.0   Chronic tonsillitis
Excludes:    acute or unspecified tonsillitis (463)
474.1   Hypertrophy of tonsils and adenoids
Enlargement of tonsils (and adenoids)
Hyperplasia of tonsils (and adenoids)
Hypertrophy of tonsils (and adenoids)
474.2   Adenoid vegetations
                          ICD-9/Ch09.TXT - pg. 5

474.8   Other chronic disease of tonsils and adenoids
Amygdalolith                      Tonsillar tag
Calculus, tonsil                  Ulcer, tonsil
Cicatrix of tonsil (and adenoid)
474.9   Unspecified
Disease (chronic) of tonsils (and adenoids)
475     Peritonsillar abscess
Abscess of tonsil
Peritonsillar cellulitis
Quinsy
Excludes:    tonsillitis:
                  acute or NOS (463)
                  chronic (474.0)
476     Chronic laryngitis and laryngotracheitis
476.0   Chronic laryngitis
Laryngitis:
    catarrhal
    hypertrophic
    sicca
476.1   Chronic laryngotracheitis
Laryngitis, chronic, with tracheitis (chronic)
Tracheitis, chronic, with laryngitis
Excludes:    chronic tracheitis (491.8)
             laryngitis and tracheitis, acute or unspecified (464.-)
477     Allergic rhinitis
Includes:    allergic rhinitis (nonseasonal) (seasonal)
             hay fever
             pollinosis
             spasmodic rhinorrhea
Excludes:    allergic rhinitis with asthma (bronchial) (493.0)
477.0   Due to pollen
477.8   Due to other allergen
477.9   Cause unspecified
478     Other diseases of upper respiratory tract
                          ICD-9/Ch09.TXT - pg. 6

478.0   Hypertrophy of nasal turbinates
478.1   Other diseases of nasal cavity and sinuses
Abscess of nose (septum)          Cyst or mucocele of sinus (nasal)
Necrosis of nose (septum)         Rhinolith
Ulceration of nose (septum)
Excludes:    varicose ulcer of nasal septum (456.8)
478.2   Other diseases of pharynx, not elsewhere classified
Abscess of pharynx or nasopharynx
Cellulitis of pharynx or nasopharynx
Cyst of pharynx or nasopharynx
Edema of pharynx or nasopharynx
Retropharyngeal abscess
Excludes:    ulcerative pharyngitis (462)
478.3   Paralysis of vocal cords or larynx
Laryngoplegia                     Paralysis of glottis
478.4   Polyp of vocal cord or larynx
Excludes:    adenomatous polyps (212.1)
478.5   Other diseases of vocal cords
Abscess of vocal cords            Leukoplakia of vocal cords
Cellulitis of vocal cords         Chorditis (fibrinous) (nodosa) (tuberosa)
Granuloma of vocal cords          Singers' nodes
478.6   Edema of larynx
Edema (of):
    glottis
    subglottic
    supraglottic
478.7   Other diseases of larynx, not elsewhere classified
Abscess of larynx                 Perichondritis of larynx
Cellulitis of larynx              Spasm of larynx
Necrosis of larynx                Stenosis of larynx
Obstruction of larynx             Ulcer of larynx
Pachyderma of larynx              Laryngismus (stridulus)
Excludes:    ulcerative laryngitis (464.0)
478.8   Upper respiratory tract hypersensitivity reaction, site unspecified
                          ICD-9/Ch09.TXT - pg. 7

478.9   Other and unspecified diseases of upper respiratory tract
Abscess of trachea                Cicatrix of trachea
                      PNEUMONIA AND INFLUENZA (480-487)
Excludes:    pneumonia:
                  allergic or eosinophilic (518.3)
             aspiration:
                  NOS (507.0)
                  newborn (770.1)
                  solids and liquids (507.-)
             congenital (770.0)
             lipoid (507.1)
             passive (514)
             postoperative (997.3)
             rheumatic (390)
480     Viral pneumonia
480.0   Pneumonia due to adenovirus
480.1   Pneumonia due to respiratory syncytial virus
480.2   Pneumonia due to parainfluenza virus
480.8   Pneumonia due to other virus, not elsewhere classified
Excludes:    congenital rubella pneumonitis (771.0)
             influenza with pneumonia, any form (487.0)
             pneumonia complicating viral diseases classified elsewhere
                  (045-079)
480.9   Viral pneumonia, unspecified
481     Pneumococcal pneumonia
Lobar pneumonia, organism unspecified
482     Other bacterial pneumonia
482.0   Pneumonia due to Klebsiella pneumoniae
482.1   Pneumonia due to Pseudomonas
482.2   Pneumonia due to Hemophilus influenzae [H. influenzae]
482.3   Pneumonia due to Streptococcus
482.4   Pneumonia due to Staphylococcus
482.8   Pneumonia due to other specified bacteria
                          ICD-9/Ch09.TXT - pg. 8

Pneumonia due to:
    Escherichia coli [E. coli]
    Proteus
Excludes:    pneumonia complicating infectious diseases classified elsewhere
                  (001-136)
482.9   Bacterial pneumonia, unspecified
483     Pneumonia due to other specified organism
Pneumonia due to:
    Eaton's agent
    Mycoplasma(pneumoniae)
    Pleuropneumonia-like organisms [PPLO]
485     Bronchopneumonia, organism unspecified
Excludes:    bronchiolitis (466.1)
             lipoid pneumonia (507.1)
486     Pneumonia, organism unspecified
Excludes:    hypostatic or passive pneumonia (514)
             influenza with pneumonia, any form (487.0)
             inhalation or aspiration pneumonia due to foreign material
                  (507.-)
             pneumonitis due to fumes and vapors (506.0)
487     Influenza
Excludes:    Hemophilus influenzae [H. influenzae]:
                  infection NOS (041.5)
                  meningitis (320.0)
                  pneumonia (482.2)
487.0   With pneumonia
Influenza with pneumonia, any form
Influenzal:
    bronchopneumonia
    pneumonia
487.1   With other respiratory manifestations
Influenza NOS                     Influenzal:
Influenzal:                           pharyngitis
    laryngitis                        respiratory infection (upper) (acute)
487.8   With other manifestations
Encephalopathy due to influenza
Influenza with involvement of gastrointestinal tract
                          ICD-9/Ch09.TXT - pg. 9

     CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND ALLIED CONDITIONS (490-496)
490     Bronchitis, not specified as acute or chronic
Bronchitis NOS:
    catarrhal
    with tracheitis NOS
Tracheobronchitis NOS
Excludes:    bronchitis:
                  allergic NOS (493.9)
                  asthmatic NOS (493.9)
                  due to fumes and vapors (506.0)
491     Chronic bronchitis
Includes:    in single-condition coding, acute exacerbation of chronic
                  bronchitis
491.0   Simple chronic bronchitis
Catarrhal bronchitis, chronic     Smokers' cough
491.1   Mucopurulent chronic bronchitis
Bronchitis (chronic) (recurrent):
    mucopurulent
    purulent
491.2   Obstructive chronic bronchitis
Bronchitis:                       Bronchitis:
    asthmatic, chronic                obstructive (chronic) (diffuse)
    emphysematous                     with airways obstruction
491.8   Other chronic bronchitis
Chronic:
    tracheitis
    tracheobronchitis
491.9   Unspecified
492     Emphysema
Emphysema (lung or pulmonary):    Emphysematous bleb
    bullous                       MacLeod's syndrome or unilateral emphysema
    centriacinar
    centrilobular
    obstructive
    panacinar
    panlobular
    vesicular
                          ICD-9/Ch09.TXT - pg. 10

Excludes:    emphysema:
                  compensatory (518.2)
                  due to fumes and vapours (506.4)
                  interstitial (518.1)
                       newborn (770.2)
                  mediastinal (518.1)
                  surgical (subcutaneous) (998.8)
                  traumatic (958.7)
493     Asthma
493.0   Extrinsic asthma
Asthma:
    allergic, stated cause
    atopic
    childhood
    hay
    platinum
Hayfever with asthma
Excludes:    asthma:
                  allergic NOS (493.9)
                  detergent (507.8)
                  miners' (500)
                  wood (495.8)
493.1   Intrinsic asthma
Asthma due to internal immunological process
Late-onset asthma
493.9   Asthma, unspecified
Asthma (bronchial) (allergic NOS)
Bronchitis:
    allergic
    asthmatic
Status asthmaticus
494     Bronchiectasis
Bronchiectasis (fusiform) (postinfectional) (recurrent)
Bronchiolectasis
Excludes:    tuberculous bronchiectasis (current disease) (011.5)
495     Extrinsic allergic alveolitis
Includes:    allergic alveolitis and pneumonitis due to inhaled organic dust
                  particles of fungal, thermophilic actinomycete, or other
                  origin
                          ICD-9/Ch09.TXT - pg. 11

495.0   Farmers' lung
495.1   Bagassosis
495.2   Bird-fanciers' lung
Budgerigar-fanciers' disease or lung
Pigeon-fanciers' disease or lung
495.3   Suberosis
Corkhandlers' disease or lung
495.4   Malt workers' lung
Alveolitis due to Aspergillus clavatus
495.5   Mushroom workers' lung
495.6   Maple bark-strippers' lung
Alveolitis due to Cryptostroma corticale
495.7   "Ventilation" pneumonitis
Allergic alveolitis due to fungal, thermophilic actinomycete, and other
    organisms growing in ventilation [air conditioning] systems
495.8   Other allergic pneumonitis
Cheese-washers' lung              Grain-handlers' disease or lung
Coffee workers' lung              Pituitary snuff-takers' disease
Fish-meal workers' lung           Sequoiosis or red-cedar asthma
Furriers' lung
495.9   Unspecified allergic alveolitis
Alveolitis, allergic (extrinsic)
Hypersensitivity pneumonitis
496     Chronic airway obstruction, not elsewhere classified
Chronic:
    nonspecific lung disease
    obstructive lung disease
Excludes:    that with mention of:
                  allergic alveolitis (495.-)
                  asthma (493.-)
                  bronchiectasis (494)
                  bronchitis (491.2)
                  emphysema (492)
                          ICD-9/Ch09.TXT - pg. 12

   PNEUMOCONIOSES AND OTHER LUNG DISEASES DUE TO EXTERNAL AGENTS (500-508)
500     Coal workers' pneumoconiosis
Anthracosilicosis                 Coal workers' lung
Anthracosis                       Miners' asthma
501     Asbestosis
502     Pneumoconiosis due to other silica or silicates
Pneumoconiosis due to talc
Silicotic fibrosis (massive) of lung
Silicosis (simple) (complicated)
503     Pneumoconiosis due to other inorganic dust
Aluminosis (of lung)              Graphite fibrosis (of lung)
Bauxite fibrosis (of lung)        Siderosis
Berylliosis                       Stannosis
504     Pneumonopathy due to inhalation of other dust
Byssinosis                        Flax-dressers' disease
Cannabinosis
Excludes:    allergic alveolitis (495.-)
             asbestosis (501)
             bagassosis (495.1)
             farmers' lung (495.0)
505     Pneumoconiosis, unspecified
506     Respiratory conditions due to chemical fumes and vapors
Use additional E code, if desired, to identify cause
506.0   Bronchitis and pneumonitis due to fumes and vapors
Chemical bronchitis (acute)
506.1   Acute pulmonary edema due to fumes and vapors
Chemical pulmonary edema (acute)
506.2   Upper respiratory inflammation due to fumes and vapors
506.3   Other acute and subacute respiratory conditions due to fumes and
        vapors
506.4   Chronic respiratory conditions due to fumes and vapors
Emphysema (diffuse) (chronic) due to inhalation of chemical fumes and vapors
                          ICD-9/Ch09.TXT - pg. 13

Obliterative bronchiolitis (chronic) (subacute) due to inhalation of chemical
    fumes and vapors
Pulmonary fibrosis (chronic) due to inhalation of chemical fumes and vapors
506.9   Unspecified
Silo-fillers' disease
507Pneumonitis due to solids and liquids
Excludes:    fetal aspiration pneumonitis (770.1)
507.0   Due to inhalation of food or vomit
Aspiration pneumonia (due to):
    NOS
    food (regurgitated)
    gastric secretions
    milk
    vomit
Excludes:    pneumonia due to aspiration of microorganisms(480.-)
             postoperative [Mendelson's syndrome] (997.3)
507.1   Due to inhalation of oils and essences
Lipoid pneumonia (exogenous)
Excludes:    endogenous lipoid pneumonia (516.8)
507.8   Other
Detergent asthma
508     Respiratory conditions due to other and unspecified external agents
Use additional E code, if desired, to identify cause
508.0   Acute pulmonary manifestations due to radiation
Radiation pneumonitis
508.1   Chronic and other pulmonary manifestations due to radiation
Fibrosis of lung following radiation
508.8   Other
508.9   Unspecified
                          ICD-9/Ch09.TXT - pg. 14

                OTHER DISEASES OF RESPIRATORY SYSTEM (510-519)
510     Empyema
Use additional code, if desired, to identify infectious organism
510.0   With fistula
Any condition in 510.9 with       Fistula:
    fistula                          mediastinal
Fistula:                             pleural
   bronchocutaneous                  thoracic
   hepatopleural
510.9   Without mention of fistula
Abscess:                          Pleurisy:
    pleura                            fibrinopurulent
    thorax                            purulent
Empyema (chest) (lung) (pleura)       septic
Fibrinopurulent pleurisy              seropurulent
Pyopneumothorax                       suppurative
Pyothorax
511     Pleurisy
Excludes:    pleurisy with mention of tuberculosis, current disease (012.0)
511.0   Without mention of effusion or current tuberculosis
Adhesion, lung or pleura          Pleurisy:
Calcification of pleura               NOS
Pleurisy (acute) (sterile):           pneumococcal
    diaphragmatic                     staphylococcal
    fibrinous                         streptococcal
    interlobar                    Thickening of pleura
511.1   With effusion, with mention of a bacterial cause other than
        tuberculosis
Pleurisy (with effusion) (exudative) (serous) (serofibrinous):
    pneumococcal
    staphylococcal
    streptococcal
    other specified nontuberculous bacterial cause
511.8   Other specified forms of effusion, except tuberculous
Encysted pleurisy                 Hydropneumothorax
Hemopneumothorax                  Hydrothorax
Hemothorax
                          ICD-9/Ch09.TXT - pg. 15

511.9   Unspecified pleural effusion
Pleural effusion NOS
Pleurisy:
    exudative
    serofibrinous
    serous
    with effusion NOS
512     Pneumothorax
Pneumothorax:
    NOS
    acute
    chronic
    spontaneous
    tension
Excludes:    pneumothorax:
                  congenital (770.2)
                  traumatic (860.-)
                  tuberculous, current disease (011.7)
513     Abscess of lung and mediastinum
513.0   Abscess of lung
Abscess (multiple) of lung
Gangrenous or necrotic pneumonia
Pulmonary gangrene or necrosis
513.1   Abscess of mediastinum
514     Pulmonary congestion and hypostasis
Hypostatic:                       Pulmonary congestion (passive)
    bronchopneumonia              Pulmonary edema:
    pneumonia                         NOS
Passive pneumonia                     chronic
Excludes:    acute pulmonary edema:
                  NOS (518.4)
                  with mention of heart disease or failure (428.1)
515     Postinflammatory pulmonary fibrosis
Cirrhosis of lung, chronic or unspecified
Fibrosis of lung (atrophic) (confluent) (massive) (perialveolar)
    (peribronchial), chronic or unspecified
Induration of lung, chronic or unspecified
516     Other alveolar and parietoalveolar pneumonopathy
                          ICD-9/Ch09.TXT - pg. 16

516.0   Pulmonary alveolar proteinosis
516.2   Pulmonary alveolar microlithiasis
516.3   Idiopathic fibrosing alveolitis
Alveolarcapillary block           Diffuse (idiopathic) (interstitial)
Hamman-Rich syndrome                   pulmonary fibrosis
516.8   Other
516.9   Unspecified
518     Other diseases of lung
518.0   Pulmonary collapse
Atelectasis                       Collapse of lung
Excludes:    congenital atelectasis (770.4)
                  partial (770.5)
             tuberculous atelectasis, current disease (011.8)
518.1   Interstitial emphysema
Mediastinal emphysema
Excludes:    in fetus or newborn (770.2)
             surgical (subcutaneous) emphysema (998.8)
             traumatic emphysema (958.7)
518.2   Compensatory emphysema
518.3   Pulmonary eosinophilia
Eosinophilic asthma               Pneumonia:
Loeffler's syndrome                   allergic
Tropical eosinophilia                 eosinophilic
518.4   Acute edema of lung, unspecified
Excludes:    pulmonary edema:
                  acute, with mention of heart disease or failure (428.1)
                  chronic or unspecified (514)
                  due to external agents (506-508)
518.5   Pulmonary insufficiency following trauma and surgery
Adult respiratory distress        Shock lung
    syndrome                      Pulmonary insufficiency
Pulmonary insufficiency               following:
    following:                            surgery
         shock                            trauma
                          ICD-9/Ch09.TXT - pg. 17

518.8   Other diseases of lung, not elsewhere classified
Broncholithiasis
Calcification of lung
Pulmolithiasis
519     Other diseases of respiratory system
519.0   Tracheostomy malfunction
Hemorrhage from tracheostomy stoma
Sepsis of tracheostomy stoma
Obstruction of tracheostomy airway
Tracheoesophageal fistula following tracheostomy
Tracheostomy:
    hemorrhage
    obstruction
    sepsis
519.1   Other diseases of trachea and bronchus, not elsewhere classified
Calcification of bronchus or trachea
Stenosis of bronchus or trachea
Ulcer of bronchus or trachea
519.2   Mediastinitis
519.3   Other diseases of mediastinum, not elsewhere classified
Fibrosis of mediastinum
Hernia of mediastinum
Retraction of mediastinum
519.4   Disorders of diaphragm
Diaphragmatitis
Paralysis of diaphragm
Relaxation of diaphragm
Excludes:    congenital defect of diaphragm (756.6)
             diaphragmatic hernia (553.3)
                  congenital (756.6)
519.8   Other diseases of respiratory system, not elsewhere classified
519.9   Unspecified
Respiratory disease (chronic) NOS
                          ICD-9/Ch09.TXT - pg. 18