ARTHROPATHIES AND RELATED DISORDERS (710-719)

Diffuse diseases of connective tissue
Arthropathy associated with infections
Crystal arthropathies
Arthropathy associated with other disorders classified elsewhere
Rheumatoid arthritis and other inflammatory polyarthropathies
Osteoarthrosis and allied disorders
Other and unspecified arthropathies
Internal derangement of knee
Other derangement of joint
Other and unspecified disorders of joint

Excludes: disorders of spine (720.0-724.9)

710 Diffuse diseases of connective tissue


Includes: all collagen diseases whose effects are not mainly confined to a single system
Excludes: those affecting mainly the cardiovascular system, i.e., polyarteritis nodosa and allied conditions (446.0-446.7)

710.0 Systemic lupus erythematosus

Disseminated lupus erythematosus
Libman-Sacks disease
Use additional code to identify manifestation, as:
endocarditis (424.91)
nephritis (583.81)
chronic (582.81)
nephrotic syndrome (581.81)
Excludes: lupus erythematosus (discoid) NOS (695.4)

710.1 Systemic sclerosis

Acrosclerosis
CRST syndrome
Progressive systemic sclerosis
Scleroderma
Use additional code to identify manifestation, as:
lung involvement (517.8)
myopathy (359.6)
Excludes: circumscribed scleroderma (701.0)

710.2 Sicca syndrome

Keratoconjunctivitis sicca
Sjögren's disease

710.3 Dermatomyositis

Poikilodermatomyositis
Polymyositis with skin involvement

710.4 Polymyositis

710.5 Eosinophilia myalgia syndrome

Toxic oil syndrome
Use additional E to identify drug, if drug induced

710.8 Other specified diffuse diseases of connective tissue

Multifocal fibrosclerosis (idiopathic) NEC
Systemic fibrosclerosing syndrome

710.9 Unspecified diffuse connective tissue disease

Collagen disease NOS

711 Arthropathy associated with infections


Includes: arthritis associated with conditions classifiable below
arthropathy associated with conditions classifiable below
polyarthritis associated with conditions classifiable below
polyarthropathy associated with conditions classifiable below
Excludes: rheumatic fever (390)
The following fifth-digit subclassification is for use with category 711; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions:
0 site unspecified
1 shoulder region
2 upper arm
3 forearm
4 hand
5 pelvic region and thigh
6 lower leg
7 ankle and foot
8 other specified sites
9 multiple sites

711.0 Pyogenic arthritis

[0-9] Arthritis or polyarthritis (due to):
coliform [Escherichia coli] Hemophilus influenzae [H. influenzae] pneumococcal
Pseudomonas
staphylococcal
streptococcal
Pyarthrosis
Use additional code to identify infectious organism (041.0-041.8)

711.1 Arthropathy associated with Reiter's disease and nonspecific urethritis

[0-9] Code first underlying disease, as:
nonspecific urethritis (099.4)
Reiter's disease (099.3)

711.2 Arthropathy in Behçet's syndrome

[0-9] Code first underlying disease (136.1)

711.3 Postdysenteric arthropathy

[0-9] Code first underlying disease, as:
dysentery (009.0)
enteritis, infectious (008.0-009.3)
paratyphoid fever (002.1-002.9)
typhoid fever (002.0)
Excludes: salmonella arthritis (003.23)

711.4 Arthropathy associated with other bacterial diseases

[0-9] Code first underlying disease, as:
diseases classifiable to 010-040, 090-099, except as in 711.1, 711.3, and 713.5
leprosy (030.0-030.9)
tuberculosis (015.0-015.9)
Excludes: gonococcal arthritis (098.50)
meningococcal arthritis (036.82)

711.5 Arthropathy associated with other viral diseases

[0-9] Code first underlying disease, as:
diseases classifiable to 045-049. 050-079, 480, 487
O'nyong nyong (066.3)
Excludes: that due to rubella (056.71)

711.6 Arthropathy associated with mycoses

[0-9] Code first underlying disease (110.0-118)

711.7 Arthropathy associated with helminthiasis

[0-9] Code first underlying disease, as:
filariasis (125.0-125.9)

711.8 Arthropathy associated with other infectious and parasitic diseases

[0-9] Code first underlying disease, as:
diseases classifiable to 080-088, 100-104, 130-136
Excludes: arthropathy associated with sarcoidosis (713.7)

711.9 Unspecified infective arthritis

[0-9] Infective arthritis or polyarthritis (acute) (chronic) (subacute) NOS

712 Crystal arthropathies


Includes: crystal-induced arthritis and synovitis
Excludes: gouty arthropathy (274.0)
The following fifth-digit subclassification is for use with category 712; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions:
0 site unspecified
1 shoulder region
2 upper arm
3 forearm
4 hand
5 pelvic region and thigh
6 lower leg
7 ankle and foot
8 other specified sites
9 multiple sites

712.1 Chondrocalcinosis due to dicalcium phosphate crystals

[0-9] Chondrocalcinosis due to dicalcium phosphate crystals (with other crystals)
Code first underlying disease (275.49)

712.2 Chondrocalcinosis due to pyrophosphate crystals

[0-9] Code first underlying disease (275.49)

712.3 Chondrocalcinosis, unspecified

[0-9] Code first underlying disease (275.49)

712.8 Other specified crystal arthropathies

[0-9]

712.9 Unspecified crystal arthropathy

[0-9]

713 Arthropathy associated with other disorders classified elsewhere


Includes: arthritis associated with conditions classifiable below
arthropathy associated with conditions classifiable below
polyarthritis associated with conditions classifiable below
polyarthropathy associated with conditions classifiable below

713.0 Arthropathy associated with other endocrine and metabolic disorders

Code first underlying disease, as:
acromegaly (253.0)
hemochromatosis (275.0)
hyperparathyroidism (252.0)
hypogammaglobulinemia (279.00-279.09)
hypothyroidism (243-244.9)
lipoid metabolism disorder (272.0-272.9)
ochronosis (270.2)
Excludes: arthropathy associated with:
amyloidosis (713.7)
crystal deposition disorders, except gout (712.1-712.9)
diabetic neuropathy (713.5)
gouty arthropathy (274.0)

713.1 Arthropathy associated with gastrointestinal conditions other than infections

Code first underlying disease, as:
regional enteritis (555.0-555.9)
ulcerative colitis (556)

713.2 Arthropathy associated with hematological disorders

Code first underlying disease, as:
hemoglobinopathy (282.4-282.7)
hemophilia (286.0-286.2)
leukemia (204.0-208.9)
malignant reticulosis (202.3)
multiple myelomatosis (203.0)
Excludes: arthropathy associated with Henoch-Schönlein purpura (713.6)

713.3 Arthropathy associated with dermatological disorders

Code first underlying disease, as:
erythema multiforme (695.1)
erythema nodosum (695.2)
Excludes: psoriatic arthropathy (696.0)

713.4 Arthropathy associated with respiratory disorders

Code first underlying disease, as:
diseases classifiable to 490-519
Excludes: arthropathy associated with respiratory infections (711.0, 711.4-711.8)

713.5 Arthropathy associated with neurological disorders

Charcot's arthropathy associated with diseases classifiable elsewhere
Neuropathic arthritis associated with diseases classifiable elsewhere
Code first underlying disease, as:
neuropathic joint disease [Charcot's joints]:
NOS (094.0)
diabetic (250.6)
syringomyelic (336.0)
tabetic [syphilitic] (094.0)

713.6 Arthropathy associated with hypersensitivity reaction

Code first underlying disease, as:
Henoch (-Schönlein) purpura (287.0)
serum sickness (999.5)
Excludes: allergic arthritis NOS (716.2)

713.7 Other general diseases with articular involvement

Code first underlying disease, as:
amyloidosis (277.3)
familial Mediterranean fever (277.3)
sarcoidosis (135)

713.8 Arthropathy associated with other conditions classifiable elsewhere

Code first underlying disease, as:
conditions classifiable elsewhere except as in 711.1-711.8, 712, and 713.0-713.7

714 Rheumatoid arthritis and other inflammatory polyarthropathies


Excludes: rheumatic fever (390)
rheumatoid arthritis of spine NOS (720.0)

714.0 Rheumatoid arthritis

Arthritis or polyarthritis:
atrophic
rheumatic (chronic)
Use additional code to identify manifestation, as:
myopathy (359.6)
polyneuropathy (357.1)
Excludes: juvenile rheumatoid arthritis NOS (714.30)

714.1 Felty's syndrome

Rheumatoid arthritis with splenoadenomegaly and leukopenia

714.2 Other rheumatoid arthritis with visceral or systemic involvement

Rheumatoid carditis

714.3 Juvenile chronic polyarthritis

714.30 Polyarticular juvenile rheumatoid arthritis, chronic or unspecified
Juvenile rheumatoid arthritis NOS
Still's disease
714.31 Polyarticular juvenile rheumatoid arthritis, acute
714.32 Pauciarticular juvenile rheumatoid arthritis
714.33 Monoarticular juvenile rheumatoid arthritis

714.4 Chronic postrheumatic arthropathy

Chronic rheumatoid nodular fibrositis
Jaccoud's syndrome

714.8 Other specified inflammatory polyarthropathies

714.81 Rheumatoid lung
Caplan's syndrome
Diffuse interstitial rheumatoid disease of lung
Fibrosing alveolitis, rheumatoid
714.89 Other

714.9 Unspecified inflammatory polyarthropathy

Inflammatory polyarthropathy or polyarthritis NOS
Excludes: polyarthropathy NOS (716.5)

715 Osteoarthrosis and allied disorders


Note: Localized, in the subcategories below, includes bilateral involvement of the same site.
Includes: arthritis or polyarthritis:
degenerative
hypertrophic
degenerative joint disease
osteoarthritis
Excludes: Marie-Strümpell spondylitis (720.0)
osteoarthrosis [osteoarthritis] of spine (721.0-721.9)
The following fifth-digit subclassification is for use with category 715; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions:
0 site unspecified
1 shoulder region
2 upper arm
3 forearm
4 hand
5 pelvic region and thigh
6 lower leg
7 ankle and foot
8 other specified sites
9 multiple sites

715.0 Osteoarthrosis, generalized

[0,4,9] Degenerative joint disease, involving multiple joints
Primary generalized hypertrophic osteoarthrosis

715.1 Osteoarthrosis, localized, primary

[0-8] Localized osteoarthropathy, idiopathic

715.2 Osteoarthrosis, localized, secondary

[0-8] Coxae malum senilis

715.3 Osteoarthrosis, localized, not specified whether primary or secondary

[0-8] Otto's pelvis

715.8 Osteoarthrosis involving, or with mention of more than one site, but not specified as generalized

[0,9]

715.9 Osteoarthrosis, unspecified whether generalized or localized

[0-8]

716 Other and unspecified arthropathies


Excludes: cricoarytenoid arthropathy (478.79)
The following fifth-digit subclassification is for use with category 716; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions:
0 site unspecified
1 shoulder region
2 upper arm
3 forearm
4 hand
5 pelvic region and thigh
6 lower leg
7 ankle and foot
8 other specified sites
9 multiple sites

716.0 Kaschin-Beck disease

[0-9] Endemic polyarthritis

716.1 Traumatic arthropathy

[0-9]

716.2 Allergic arthritis

[0-9] Excludes: arthritis associated with Henoch-Schönlein purpura or serum sickness (713.6)

716.3 Climacteric arthritis

[0-9] Menopausal arthritis

716.4 Transient arthropathy

[0-9] Excludes: palindromic rheumatism (719.3)

716.5 Unspecified polyarthropathy or polyarthritis

[0-9]

716.6 Unspecified monoarthritis

[0-8] Coxitis

716.8 Other specified arthropathy

[0-9]

716.9 Arthropathy, unspecified

[0-9] Arthritis, (acute) (chronic) (subacute)
Arthropathy, (acute) (chronic) (subacute)
Articular rheumatism, (chronic)
Inflammation of joint, NOS

717 Internal derangement of knee


Includes: degeneration of articular cartilage or meniscus of knee
rupture, old of articular cartilage or meniscus of knee
tear, old of articular cartilage or meniscus of knee
Excludes: acute derangement of knee (836.0-836.6)
ankylosis (718.5)
contracture (718.4)
current injury (836.0-836.6)
deformity (736.4-736.6)
recurrent dislocation (718.3)

717.0 Old bucket handle tear of medial meniscus

Old bucket handle tear of unspecified cartilage

717.1 Derangement of anterior horn of medial meniscus

717.2 Derangement of posterior horn of medial meniscus

717.3 Other and unspecified derangement of medial meniscus

Degeneration of internal semilunar cartilage

717.4 Derangement of lateral meniscus

717.40 Derangement of lateral meniscus, unspecified
717.41 Bucket handle tear of lateral meniscus
717.42 Derangement of anterior horn of lateral meniscus
717.43 Derangement of posterior horn of lateral meniscus
717.49 Other

717.5 Derangement of meniscus, not elsewhere classified

Congenital discoid meniscus
Cyst of semilunar cartilage
Derangement of semilunar cartilage NOS

717.6 Loose body in knee

Joint mice, knee
Rice bodies, knee (joint)

717.7 Chondromalacia of patella

Chondromalacia patellae
Degeneration [softening] of articular cartilage of patella

717.8 Other internal derangement of knee

717.81 Old disruption of lateral collateral ligament
717.82 Old disruption of medial collateral ligament
717.83 Old disruption of anterior cruciate ligament
717.84 Old disruption of posterior cruciate ligament
717.85 Old disruption of other ligaments of knee
Capsular ligament of knee
717.89 Other
Old disruption of ligaments of knee NOS

717.9 Unspecified internal derangement of knee

Derangement NOS of knee

718 Other derangement of joint


Excludes: current injury (830.0-848.9)
jaw (524.6)
The following fifth-digit subclassification is for use with category 718; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions:
0 site unspecified
1 shoulder region
2 upper arm
3 forearm
4 hand
5 pelvic region and thigh
6 lower leg
7 ankle and foot
8 other specified sites
9 multiple sites

718.0 Articular cartilage disorder

[0-5,7-9] Meniscus:
disorder
rupture, old
tear, old
Old rupture of ligament(s) of joint NOS
Excludes: articular cartilage disorder:
in ochronosis (270.2)
knee (717.0-717.9)
chondrocalcinosis (275.49)
metastatic calcification (275.40)

718.1 Loose body in joint

[0-5,7-9] Joint mice
Excludes: knee (717.6)

718.2 Pathological dislocation

[0-9] Dislocation or displacement of joint, not recurrent and not current

718.3 Recurrent dislocation of joint

[0-9]

718.4 Contracture of joint

[0-9]

718.5 Ankylosis of joint

[0-9] Ankylosis of joint (fibrous) (osseous)
Excludes: spine (724.9)
stiffness of joint without mention of ankylosis (719.5)

718.6 Unspecified intrapelvic protrusion of acetabulum

[0,5] Protrusio acetabuli, unspecified

718.7 Developmental dislocation of joint

[0-9] Excludes: congenital dislocation of joint (754.0-755.8)
traumatic dislocation of joint (830-839)

718.8 Other joint derangement, not elsewhere classified

[0-9] Flail joint (paralytic)
Instability of joint
Excludes: deformities classifiable to 736 (736.0-736.9)

718.9 Unspecified derangement of joint

[0-5,7-9] Excludes: knee (717.9)

719 Other and unspecified disorders of joint


Excludes: jaw (524.6)
The following fifth-digit subclassification is for use with category 719; valid digits are in [brackets] under each code. See list at beginning of chapter for definitions:
0 site unspecified
1 shoulder region
2 upper arm
3 forearm
4 hand
5 pelvic region and thigh
6 lower leg
7 ankle and foot
8 other specified sites
9 multiple sites

719.0 Effusion of joint

[0-9] Hydrarthrosis
Swelling of joint, with or without pain
Excludes: intermittent hydrarthrosis (719.3)

719.1 Hemarthrosis

[0-9] Excludes: current injury (840.0-848.9)

719.2 Villonodular synovitis

[0-9]

719.3 Palindromic rheumatism

[0-9] Hench-Rosenberg syndrome
Intermittent hydrarthrosis

719.4 Pain in joint

[0-9] Arthralgia

719.5 Stiffness of joint, not elsewhere classified

[0-9]

719.6 Other symptoms referable to joint

[0-9] Joint crepitus
Snapping hip

719.7 Difficulty in walking

[0,5-9] Excludes: abnormality of gait (781.2)

719.8 Other specified disorders of joint

[0-9] Calcification of joint
Fistula of joint
Excludes: temporomandibular joint-pain-dysfunction syndrome [Costen's syndrome] (524.6)

719.9 Unspecified disorder of joint

[0-9]