List of ICD-9 codes 390-459: Diseases of the circulatory system

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

7. Diseases of the circulatory system (390-459)

acute rheumatic fever (390-392)

(390) Rheumatic fever without mention of heart involvement
(391) Rheumatic fever with heart involvement
- (391.9) Rheumatic heart disease, unspec.
(392) Rheumatic chorea

chronic rheumatic heart disease (393-398)

(393) Chronic rheumatic pericarditis
(394) Diseases of mitral valve
(395) Diseases of aortic valve
(396) Diseases of mitral and aortic valves
(397) Diseases of other endocardial structures
(398) Other rheumatic heart disease

hypertensive disease (401-405)

(401) Essential hypertension
- (401.0) Hypertension,malignant
- (401.1) Hypertension, benign
(402) Hypertensive heart disease
(403) Hypertensive renal disease
- - (403.91) Hypertensive renal disease, unspec., w/ renal failure
(404) Hypertensive heart and renal disease
- - (405.01) Hypertension, renovascular, malignant
  - (405.11) Hypertension, renovascular benign

ischemic heart disease (410-414)

(410) Acute myocardial infarction
- (410.0) MI, acute, anterolateral
- (410.1) MI, acute, anterior, NOS
- (410.2) MI, acute, inferolateral
- (410.3) MI, acute, inferoposterior
- (410.4) MI, acute, other inferior wall, NOS
- (410.5) MI, acute, other lateral wall
- (410.6) MI, acute, true posterior
- (410.7) MI, acute, subendocardial
- (410.9) MI, acute, unspec.
(411) Other acute and subacute forms of ischemic heart disease
- (411.1) Angina, unstable
(412) Old myocardial infarction
(413) Angina pectoris
- (413.1) Prinzmetal angina
- (413.9) Angina pectoris, NOS
(414) Other forms of chronic ischemic heart disease
- (414.8) Ischemic heart disease, chronic, other
- (414.9) Ischemic heart disease, chronic, unspec.

diseases of pulmonary circulation (415-417)

(415) Acute pulmonary heart disease
- - (415.19) Pulmonary embolism, not iatrogenic
(416) Chronic pulmonary heart disease
- (416.9) Pulmonary heart disease, chronic, unspec.
(417) Other diseases of pulmonary circulation

other forms of heart disease (420-429)

(420) Acute pericarditis
- (420.9) Other and unspecified acute pericarditis
  - (420.91) Pericarditis, acute, nonspecific

(421) Acute and subacute endocarditis
- (421.0) Endocarditis, acute, bacterial

(422) Acute myocarditis
- (422.9) Other and unspecified acute myocarditis
  - (422.91) Myocarditis, idiopathic

(423) Other diseases of pericardium

(424) Other diseases of endocardium
- (424.0) Valvular disorder, mitral, NOS
- (424.1) Valvular disorder, aortic, NOS
- (424.2) Valvular disorder, tricuspid, NOS
- (424.3) Valvular disorder, pulmonic, NOS

(425) Cardiomyopathy
- (425.1) Hypertrophic obstructive cardiomyopathy

(426) Conduction disorders
- (426.0) Atrioventricular block, third degree
- (426.3) Bundle branch block, left
- (426.4) Bundle branch block, right
- (426.6) Sinoatrial heart block
- (426.7) Atrioventricular excitation, anomalous
  - Wolff-Parkinson-White syndrome

(427) Cardiac dysrhythmias
- (427.0) Tachycardia, paroxysmal supraventricular
- (427.3) Atrial fibrillation and flutter
  - (427.31) Atrial fibrillation
  - (427.32) Atrial flutter
- (427.4) Ventricular fibrillation and flutter
  - (427.41) Ventricular fibrillation
- (427.5) Cardiac arrest
- (427.6) Premature beats, unspec.
- (427.8) Other specified cardiac dysrhythmias
  - (427.81) Sick sinus syndrome
  - (427.89) Sinus bradycardia, NOS
- (427.9) Cardiac dysrhythmia unspecified
  - Gallop rhythm

(428) Heart failure
- (428.0) Heart failure, congestive, unspec.
- (428.1) Pulmonary edema, acute
- (428.2) Heart failure, systolic, unspec.
  - (428.21) Heart failure, systolic, acute
  - (428.22) Heart failure, systolic, chronic
- (428.3) Heart failure, diastolic, unspec.
  - (428.32) Heart failure, diastolic, chronic
- (428.4) Heart failure, combined, unspec.

(429) Ill-defined descriptions and complications of heart disease
- (429.3) Cardiomegaly

cerebrovascular disease (430-438)

(430) Subarachnoid hemorrhage
(431) Intracerebral hemorrhage
(432) Other and unspecified intracranial hemorrhage
- (432.9) Hemorrhage, intracranial, NOS
(433) Occlusion and stenosis of precerebral arteries
(434) Occlusion of cerebral arteries

(435) Transient cerebral ischemia
- (435.0) Basilar artery syndrome
- (435.1) Vertebral artery syndrome
- (435.2) Subclavian steal syndrome
- (435.3) Vertebrobasilar artery syndrome
- (435.9) Transient ischemic attack, unspec.

(436) Acute but ill-defined cerebrovascular disease
(437) Other and ill-defined cerebrovascular disease
(438) Late effects of cerebrovascular disease
- (438.0) Cognitive deficits
- (438.1) Speech and language deficits
  - (438.10) Speech and language deficits, unspecified
  - (438.11) Aphasia
  - (438.12) Dysphasia
  - (438.19) Other speech and language deficits
- (438.2) Hemiplegia/hemiparesis
  - (438.20) Hemiplegia affecting unspecified side
  - (438.21) Hemiplegia affecting dominant side
  - (438.22) Hemiplegia affecting nondominant side
- (438.3) Monoplegia of upper limb
- (438.4) Monoplegia of lower limb
- (438.5) Other paralytic syndrome
- (438.8) Other late effects of cerebrovascular disease
- (438.9) CVA, late effect, unspec.

diseases of arteries, arterioles, and capillaries (440-448)

(440) Atherosclerosis
- (440.1) Atherosclerosis of renal artery
- (440.2) Atherosclerosis of native arteries of the extremities
  - (440.21) Intermittent claudication
  - (440.23) Atherosclerosis, extremities, w/ ulceration
- (440.9) Atherosclerosis, NOS (not heart/brain)
(441) Aortic aneurysm
- - (441.01) Aortic dissection, thoracic
- (441.3) Aortic aneurysm, abdominal, ruptured
- (441.4) Aortic aneurysm, abdominal, w/o rupture
- (441.9) Aortic aneurysm, unspec.
(442) Other aneurysm
(443) Other peripheral vascular disease
- (443.0) Raynaud's syndrome
- (443.9) Peripheral vascular disease, unspec.
(444) Arterial embolism and thrombosis
(446) Polyarteritis nodosa and allied conditions
- (446.0) Polyarteritis nodosa
- (446.1) Kawasaki disease
- (446.4) Wegener's granulomatosis
- (446.5) Giant cell arteritis

(447) Other disorders of arteries and arterioles
- (447.0) Arteriovenous fistula acquired
- (447.6) Arteritis unspecified
  - Vasculitis

(448) Diseases of capillaries
- (448.1) Nevus, vascular, non-neoplastic

diseases of veins and lymphatics, and other diseases of circulatory system (451-459)

(451) Phlebitis and thrombophlebitis
- (451.1) Of deep vessels of lower extremities
  - (451.11) Deep vein thrombosis, femoral
  - (451.19) Deep vein thrombosis, other leg veins
- (451.8) Of other sites
  - (451.82) Phlebitis, superficial veins, upper extrem.
- (451.9) Thrombophlebitis, unspec.

(452) Portal vein thrombosis

(453) Other venous embolism and thrombosis
- (453.4) Deep vein thrombosis, unspec.
  - (453.41) Deep vein thrombosis, proximal
  - (453.42) Deep vein thrombosis, distal
- (453.9) Venous embolism, unspec. site

(454) Varicose veins of lower extremities
- (454.0) Varicose veins w/ ulcer
- (454.1) Varicose veins w/ inflammation
- (454.2) Varicose veins w/ulcer, inflammation
- (454.9) Varicose veins, asymptomatic

(455) Hemorrhoids
- (455.0) Hemorrhoids, internal w/o complication
- (455.2) Hemorrhoids, internal w/ complication
- (455.3) Hemorrhoids, external w/o complication
- (455.4) Hemorrhoids, external thrombosed
- (455.6) Hemorrhoids, NOS

(456) Varicose veins of other sites
- (456.0) Esophageal varices w/ bleeding
- (456.1) Esophageal varices w/o bleeding
- (456.4) Varicocele
(457) Noninfective disorders of lymphatic channels
- (457.0) Postmastectomy lymphedema syndrome

(458) Hypotension
- (458.0) Orthostatic hypotension
- (458.2) Iatrogenic hypotension

(459) Other disorders of circulatory system
- (459.8) Other specified disorders of circulatory system
  - (459.81) Venous insufficiency, unspec.

See also

Cardiovascular disease (heart)

Coronary disease	Coronary artery disease (CAD) Coronary artery aneurysm Spontaneous coronary artery dissection (SCAD) Coronary thrombosis Coronary vasospasm Myocardial bridge
Active ischemia	Angina pectoris Prinzmetal's angina Stable angina Acute coronary syndrome Myocardial infarction Unstable angina
Sequelae	hours Hibernating myocardium Myocardial stunning days Myocardial rupture weeks Aneurysm of heart / Ventricular aneurysm Dressler syndrome

Layers

Endocardium /
valves

Endocarditis	infective endocarditis Subacute bacterial endocarditis non-infective endocarditis Libman–Sacks endocarditis Nonbacterial thrombotic endocarditis
Valves	mitral regurgitation prolapse stenosis aortic stenosis insufficiency tricuspid stenosis insufficiency pulmonary stenosis insufficiency

Conduction /
arrhythmia

Tachycardia
(paroxysmal and sinus)

Supraventricular	Atrial Multifocal Junctional AV nodal reentrant Junctional ectopic
Ventricular	Accelerated idioventricular rhythm Catecholaminergic polymorphic Torsades de pointes

Premature contraction

Pre-excitation syndrome

Flutter / fibrillation

Long QT syndrome

Other / ungrouped

Other

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