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

Phlebitis and thrombophlebitis
Portal vein thrombosis
Other venous embolism and thrombosis
Varicose veins of lower extremities
Hemorrhoids
Varicose veins of other sites
Noninfectious disorders of lymphatic channels
Hypotension
Other disorders of circulatory system

451 Phlebitis and thrombophlebitis

Includes: endophlebitis
inflammation, vein
periphlebitis
suppurative phlebitis
Use additional E code to identify drug if drug-induced
Excludes: that complicating:
abortion (634-638 with .7, 639.8)
ectopic or molar pregnancy (639.8)
pregnancy, childbirth, or the puerperium (671.0-671.9)
that due to or following:
implant or catheter device (996.61-996.62)
infusion, perfusion, or transfusion (999.2)

451.0 Of superficial vessels of lower extremities

Saphenous vein (greater) (lesser)

451.1 Of deep vessels of lower extremities

451.11 Femoral vein (deep) (superficial)
451.19 Other
Femoropopliteal vein
Popliteal vein
Tibial vein

451.2 Of lower extremities, unspecified

451.8 Of other sites

Excludes: intracranial venous sinus (325)
nonpyogenic (437.6)
portal (vein) (572.1)
451.81 Iliac vein
451.82 Of superficial veins of upper extremities
Antecubital vein
Basilic vein
Cephalic vein
451.83 Of deep veins of upper extremities
Brachial vein
Radial vein
Ulnar vein
451.84 Of upper extremities, unspecified
451.89 Other
Axillary vein
Jugular vein
Subclavian vein
Thrombophlebitis of breast (Mondor's disease)

451.9 Of unspecified site

452 Portal vein thrombosis

Portal (vein) obstruction
Excludes: hepatic vein thrombosis (453.0)
phlebitis of portal vein (572.1)

453 Other venous embolism and thrombosis

Excludes:
that complicating:
abortion (634-638 with .7, 639.8)
ectopic or molar pregnancy (639.8)
pregnancy, childbirth, or the puerperium (671.0-671.9)
that with inflammation, phlebitis, and thrombophlebitis (451.0-451.9)

453.0 Budd-Chiari syndrome

Hepatic vein thrombosis

453.1 Thrombophlebitis migrans

453.2 Of vena cava

453.3 Of renal vein

453.8 Of other specified veins

Excludes: cerebral (434.0-434.9)
coronary (410.00-410.92)
intracranial venous sinus (325)
nonpyogenic (437.6)
mesenteric (557.0)
portal (452)
precerebral (433.0-433.9)
pulmonary (415.19)

453.9 Of unspecified site

Embolism of vein
Thrombosis (vein)

454 Varicose veins of lower extremities

Excludes: that complicating pregnancy, childbirth, or the puerperium (671.0)

454.0 With ulcer

Varicose ulcer (lower extremity, any part)
Varicose veins with ulcer of lower extremity [any part] or of unspecified site
Any condition classifiable to 454.9 with ulcer or specified as ulcerated

454.1 With inflammation

Stasis dermatitis
Varicose veins with inflammation of lower extremity [any part] or of unspecified site
Any condition classifiable to 454.9 with inflammation or specified as inflamed

454.2 With ulcer and inflammation

Varicose veins with ulcer and inflammation of lower extremity [any part] or of unspecified site
Any condition classifiable to 454.9 with ulcer and inflammation

454.8 With other complications

Edema
Pain
Swelling

454.9 Asymptomatic varicose veins

Phlebectasia of lower extremity [any part] or of unspecified site
Varicose veins NOS
Varicose veins of lower extremity [any part] or of unspecified site
Varix of lower extremity [any part] or of unspecified site

455 Hemorrhoids

Includes: hemorrhoids (anus) (rectum)
piles
varicose veins, anus or rectum
Excludes: that complicating pregnancy, childbirth, or the puerperium (671.8)

455.0 Internal hemorrhoids without mention of complication

455.1 Internal thrombosed hemorrhoids

455.2 Internal hemorrhoids with other complication

Internal hemorrhoids:
bleeding
prolapsed
strangulated
ulcerated

455.3 External hemorrhoids without mention of complication

455.4 External thrombosed hemorrhoids

455.5 External hemorrhoids with other complication

External hemorrhoids:
bleeding
prolapsed
strangulated
ulcerated

455.6 Unspecified hemorrhoids without mention of complication

Hemorrhoids NOS

455.7 Unspecified thrombosed hemorrhoids

Thrombosed hemorrhoids, unspecified whether internal or external

455.8 Unspecified hemorrhoids with other complication

Hemorrhoids, unspecified whether internal or external:
bleeding
prolapsed
strangulated
ulcerated

455.9 Residual hemorrhoidal skin tags

Skin tags, anus or rectum

456 Varicose veins of other sites

456.0 Esophageal varices with bleeding

456.1 Esophageal varices without mention of bleeding

456.2 Esophageal varices in diseases classified elsewhere

Code first underlying disease, as:
cirrhosis of liver (571.0-571.9)
portal hypertension (572.3)
456.20 With bleeding
456.21 Without mention of bleeding

456.3 Sublingual varices

456.4 Scrotal varices

Varicocele

456.5 Pelvic varices

Varices of broad ligament

456.6 Vulval varices

Varices of perineum
Excludes: that complicating pregnancy, childbirth, or the puerperium (671.1)

456.8 Varices of other sites

Varicose veins of nasal septum (with ulcer)
Excludes: placental varices (656.7)
retinal varices (362.17)
varicose ulcer of unspecified site (454.0)
varicose veins of unspecified site (454.9)

457 Noninfectious disorders of lymphatic channels

457.0 Postmastectomy lymphedema syndrome

Elephantiasis due to mastectomy
Obliteration of lymphatic vessel due to mastectomy

457.1 Other lymphedema

Elephantiasis (nonfilarial) NOS
Lymphangiectasis
Lymphedema:
acquired (chronic)
praecox
secondary
Obliteration, lymphatic vessel
Excludes: elephantiasis (nonfilarial):
congenital (757.0)
eyelid (374.83)
vulva (624.8)

457.2 Lymphangitis

Lymphangitis:
NOS
chronic
subacute
Excludes: acute lymphangitis (682.0-682.9)

457.9 Unspecified noninfectious disorder of lymphatic channels

458 Hypotension

Includes: hypopiesis
Excludes: cardiovascular collapse (785.50)
maternal hypotension syndrome (669.2)
shock (785.50-785.59)
Shy-Drager syndrome (333.0)

458.0 Orthostatic hypotension

Hypotension:
orthostatic (chronic)
postural

458.1 Chronic hypotension

Permanent idiopathic hypotension

458.2 Iatrogenic hypotension

Postoperative hypotension

458.8 Other specified hypotension

458.9 Hypotension, unspecified

Hypotension (arterial) NOS

459 Other disorders of circulatory system

459.0 Hemorrhage, unspecified

Rupture of blood vessel NOS
Spontaneous hemorrhage NEC
Excludes: hemorrhage:
gastrointestinal NOS (578.9)
in newborn NOS (772.9)
secondary or recurrent following trauma (958.2)
traumatic rupture of blood vessel (900.0-904.9)

459.1 Postphlebitic syndrome

Chronic venous hypertension due to deep vein thrombosis
Excludes: chronic venous hypertension without deep vein thrombosis (459.30-459.39)
459.10 Postphlebetic syndrome without complications
Asymptomatic postphlebetic syndrome
Postphlebetic syndrome NOS
459.11 Postphlebetic syndrome with ulcer
459.12 Postphlebetic syndrome with inflammation
459.13 Postphlebetic syndrome with ulcer and inflammation
459.19 Postphlebetic syndrome with other complication

459.2 Compression of vein

Stricture of vein
Vena cava syndrome (inferior) (superior)

459.3 Chronic venous hypertension (idiopathic)

Stasis edema
Excludes: chronic venous hypertension due to deep vein thrombosis (459.10-459.19)
varicose veins (454.0-454.9)
459.30 Chronic venous hypertension without complications
Asymptomatic chronic venous hypertension
Chronic venous hypertension NOS
459.31 Chronic venous hypertension with ulcer
459.32 Chronic venous hypertension with inflammation
459.33 Chronic venous hypertension with ulcer and inflammation
459.39 Chronic venous hypertension with other complication

459.8 Other specified disorders of circulatory system

459.81 Venous (peripheral) insufficiency, unspecified
Chronic venous insufficiency NOS
Use additional code for any associated ulceration (707.10-707.9)
459.89 Other
Collateral circulation (venous), any site
Phlebosclerosis
Venofibrosis