NONSPECIFIC ABNORMAL FINDINGS (790-796)

• 790 Nonspecific findings on examination of blood
  • Excludes: abnormality of:
    • platelets (287.0-287.9)
    • thrombocytes (287.0-287.9)
    • white blood cells (288.0-288.9)
  • 790.0 Abnormality of red blood cells
    • Abnormal red cell:
      • morphology NOS
      • volume NOS
    • Anisocytosis
    • Poikilocytosis
    • Excludes: anemia:
      • congenital (776.5)
      • newborn, due to isoimmunization (773.0-773.2, 773.5)
      • of premature infant (776.6)
      • other specified types (280.0-285.9)
      • hemoglobin disorders (282.5-282.7)
      • polycythemia:
        • familial (289.6)
        • neonatorum (776.4)
        • secondary (289.0)
        • vera (238.4)
  • 790.1 Elevated sedimentation rate
  • 790.2 Abnormal glucose tolerance test
    • Excludes: that complicating pregnancy, childbirth, or the puerperium (648.8)
  • 790.3 Excessive blood level of alcohol
    • Elevated blood-alcohol
  • 790.4 Nonspecific elevation oflevels of transaminase or lactic acid dehydrogenase [LDH]
  • 790.5 Other nonspecific abnormalserum enzyme levels
    • Abnormal serum level of:
      • acid phosphatase
      • alkaline phosphatase
      • amylase
      • lipase
    • Excludes: deficiency of circulating enzymes (277.6)
  • 790.6 Other abnormal blood chemistry
    • Abnormal blood levels of:
      • cobalt
      • copper
      • iron
      • lithium
      • magnesium
      • mineral
      • zinc
    • Excludes: abnormality of electrolyte or acid-base balance (276.0-276.9)
      • hypoglycemia NOS (251.2)
      • specific finding indicating abnormality of:
        • amino-acid transport and metabolism (270.0-270.9)
        • carbohydrate transport and metabolism (271.0-271.9)
        • lipid metabolism (272.0-272.9)
      • uremia NOS (586)
  • 790.7 Bacteremia
    • Excludes: septicemia (038)
      • Use additional code to identify organism (041)
  • 790.8 Viremia, unspecified
  • 790.9 Other nonspecific findings on examination of blood
    • 790.91 Abnormal arterial blood gases
    • 790.92 Abnormal coagulation profile
      • Abnormal or prolonged:
        • bleeding time
        • coagulation time
        • partial thromboplastin time [PTT]
        • prothrombin time [PT]
      • Excludes: coagulation (hemorrhagic) disorders (286.0-286.9)
    • 790.93 Elevated prostate specific antigen [PSA]
    • 790.99 Other
• 791 Nonspecific findings on examination of urine
  • Excludes: hematuria NOS (599.7)
    • specific findings indicating abnormality of:
      • amino-acid transport and metabolism (270.0-270.9)
      • carbohydrate transport and metabolism (271.0-271.9)
  • 791.0 Proteinuria
    • Albuminuria
    • Bence-Jones proteinuria
    • Excludes: postural proteinuria (593.6)
      • that arising during pregnancy or the puerperium (642.0-642.9, 646.2)
  • 791.1 Chyluria
    • Excludes: filarial (125.0-125.9)
  • 791.2 Hemoglobinuria
  • 791.3 Myoglobinuria
  • 791.4 Biliuria
  • 791.5 Glycosuria
    • Excludes: renal glycosuria (271.4)
  • 791.6 Acetonuria
    • Ketonuria
  • 791.7 Other cells andcasts in urine
  • 791.9 Other nonspecific findings on examination of urine
    • Crystalluria
    • Elevated urine levels of:
      • 17-ketosteroids
      • catecholamines
      • indolacetic acid
      • vanillylmandelic acid [VMA]
    • Melanuria
• 792 Nonspecific abnormal findings in other body substances
  • Excludes: that in chromosomal analysis (795.2)
  • 792.0 Cerebrospinal fluid
  • 792.1 Stool contents
    • Abnormal stool color
    • Fat in stool
    • Mucus in stool
    • Occult blood
    • Pus in stool
    • Excludes: blood in stool [melena] (578.1)
      • newborn (772.4, 777.3)
  • 792.2 Semen
    • Abnormal spermatozoa
    • Excludes: azoospermia (606.0)
      • oligospermia (606.1)
  • 792.3 Amniotic fluid
  • 792.4 Saliva
    • Excludes: that in chromosomal analysis (795.2)
  • 792.9 Other nonspecific abnormal findings in body substances
    • Peritoneal fluid
    • Pleural fluid
    • Synovial fluid
    • Vaginal fluids
• 793 Nonspecific abnormal findings on radiological and other examination of body structure
  • Includes: nonspecific abnormal findings of:
    • thermography
    • ultrasound examination [echogram]
    • x-ray examination
  • Excludes: abnormal results of function studies and radioisotope scans (794.0-794.9)
  • 793.0 Skull and head
    • Excludes: nonspecific abnormal echoencephalogram (794.01)
  • 793.1 Lung field
    • Coin lesion lung
    • Shadow, lung
  • 793.2 Other intrathoracic organ
    • Abnormal:
      • echocardiogram
      • heart shadow
      • ultrasound cardiogram
    • Mediastinal shift
  • 793.3 Biliary tract
    • Nonvisualization of gallbladder
  • 793.4 Gastrointestinal tract
  • 793.5 Genitourinary organs
    • Filling defect:
      • bladder
      • kidney
      • ureter
  • 793.6 Abdominal area, including retroperitoneum
  • 793.7 Musculoskeletal system
  • 793.8 Breast
    • Abnormal mammogram
  • 793.9 Other
    • Abnormal:
      • placental finding by x-ray or ultrasound method
      • radiological findings in skin and subcutaneous tissue
    • Excludes: abnormal finding by radioisotope localization of placenta (794.9)
• 794 Nonspecific abnormal results of function studies
  • Includes: radioisotope:
    • scans
    • uptake studies
    • scintiphotography
  • 794.0 Brain and central nervous system
    • 794.00 Abnormal function study, unspecified
    • 794.01 Abnormal echoencephalogram
    • 794.02 Abnormal electroencephalogram [EEG]
    • 794.09 Other
      • Abnormal brain scan
  • 794.1 Peripheral nervous system and special senses
    • 794.10 Abnormal response to nerve stimulation, unspecified
    • 794.11 Abnormal retinal function studies
      • Abnormal electroretinogram [ERG]
    • 794.12 Abnormal electro-oculogram [EOG]
    • 794.13 Abnormal visually evoked potential
    • 794.14 Abnormal oculomotor studies
    • 794.15 Abnormal auditory function studies
    • 794.16 Abnormal vestibular function studies
    • 794.17 Abnormal electromyogram [EMG]
      • Excludes: that of eye (794.14)
    • 794.19 Other
  • 794.2 Pulmonary
    • Abnormal lung scan
    • Reduced:
      • ventilatory capacity
      • vital capacity
  • 794.3 Cardiovascular
    • 794.30 Abnormal function study, unspecified
    • 794.31 Abnormal electrocardiogram [ECG] [EKG]
    • 794.39 Other
      • Abnormal:
        • ballistocardiogram
        • phonocardiogram
        • vectorcardiogram
  • 794.4 Kidney
    • Abnormal renal function test
  • 794.5 Thyroid
    • Abnormal thyroid:
      • scan
      • uptake
  • 794.6 Other endocrine function study
  • 794.7 Basal metabolism
    • Abnormal basal metabolic rate [BMR]
  • 794.8 Liver
    • Abnormal liver scan
  • 794.9 Other
    • Bladder
    • Pancreas
    • Placenta
    • Spleen
• 795 Nonspecific abnormal histological and immunological findings
  • Excludes: nonspecific abnormalities of red blood cells (790.0)
  • 795.0 Nonspecific abnormal Papanicolaou smear of cervix
    • Dyskaryotic cervical smear
  • 795.1 Nonspecific abnormal Papanicolaou smear of other site
  • 795.2 Nonspecific abnormal findings on chromosomal analysis
    • Abnormal karyotype
  • 795.3 Nonspecific positive culture findings
    • Positive culture findings in:
      • nose
      • sputum
      • throat
      • wound
    • Excludes: that of:
      • blood (790.7-790.8)
      • urine (599.0)
  • 795.4 Other nonspecific abnormal histological findings
  • 795.5 Nonspecific reaction to tuberculin skin test without active tuberculosis
    • Abnormal result of Mantoux test
    • PPD positive
    • Tuberculin (skin test):
      • positive
      • reactor
  • 795.6 False positive serological test for syphilis
    • False positive Wassermann reaction
  • 795.7 Other nonspecific immunological findings
    • Excludes: isoimmunization, in pregnancy (656.1-656.2)
      • affecting fetus or newborn (773.0-773.2)
    • 795.71 Nonspecific serologic evidence of human immunodeficiency virus [HIV]
      • Inconclusive human immunodeficiency virus [HIV] test (adult) (infant)
      • Note: This code is ONLY to be used when a test finding is reported as nonspecific. Asymptomatic positive findings are coded to V08. If any HIV infection symptom or condition is present, see code 042. Negative findings are not coded.
      • Excludes: acquired immunodeficiency syndrome [AIDS] (042)
        • asymptomatic human immunodeficiency virus, [HIV] infection status (V08)
        • HIV infection, symptomatic (042)
        • human immunodeficiency virus [HIV] disease (042)
          • positive (status) NOS (V08)
    • 795.79 Other and unspecified nonspecific immunological findings
      • Raised antibody titer
      • Raised level of immunoglobulins
• 796 Other nonspecific abnormal findings
  • 796.0 Nonspecific abnormal toxicological findings
    • Abnormal levels of heavy metals or drugs in blood, urine, or other tissue
    • Excludes: excessive blood level of alcohol (790.3)
  • 796.1 Abnormal reflex
  • 796.2 Elevated blood pressure reading without diagnosis of hypertension
    • Note: This category is to be used to record an episode of elevated blood pressure in a patient in whom no formal diagnosis of hypertension has been made, or as an incidental finding.
  • 796.3 Nonspecific low blood pressure reading
  • 796.4 Other abnormal clinical findings
  • 796.9 Other