NONSPECIFIC ABNORMAL FINDINGS (790-796)

Nonspecific findings on examination of blood
Nonspecific findings on examination of urine
Nonspecific abnormal findings in other body substances
Nonspecific abnormal findings on radiological and other examination of body structure
Nonspecific abnormal results of function studies
Nonspecific abnormal histological and immunological findings
Other nonspecific abnormal findings

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

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)
790.01 Precipitous drop in hematocrit
Drop in hematocrit
790.09 Other abnormality of red blood cells
Abnormal red cell morphology NOS
Abnormal red cell volume NOS
Anisocytosis
Poikilocytosis

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 of levels 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: bacteremia of newborn (771.83)
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] 790.94 Euthyroid sick syndrome
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 and casts 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)

792.5 Cloudy (hemodialysis) (peritoneal) dialysis effluent

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

793.80 Abnormal mammogram, unspecified
793.81 Mammographic microcalcification
793.89 Other abnormal findings on radiological examination of breast

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 (790.01-790.09)

795.0 Nonspecific abnormal Papanicolaou smear of cervix

Excludes: Carcinoma in-situ of cervix (233.1)
Cervical intraepithelial neoplasia I (CIN I) (622.1)
Cervical intraepithelial neoplasia II (CIN II) (622.1)
Cervical intraepithelial neoplasia III (CIN III) (233.1)
Dysplasia of cervix (uteri) (622.1)
High grade squamous intraepithelial dysplasia (HGSIL) (622.1)
Low grade squamous intraepithelial dysplasia (LGSIL) (622.1)
795.00 Nonspecific abnormal Papanicolaou smear of cervix, unspecified
795.01 Atypical squamous cell changes of undetermined significance favor benign (ASCUS favor benign)
Atypical glandular cell changes of undetermined significance favor benign (AGCUS favor benign)
795.02 Atypical squamous cell changes of undetermined significance favor dysplasia (ASCUS favor dysplasia)
Atypical glandular cell changes of undetermined significance favor dysplasia (AGCUS favor dysplasia)
795.09 Other nonspecific abnormal Papanicolaou smear of cervix
Benign cellular changes
Unsatisfactory 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 (791.9)
795.31 Nonspecific positive findings for anthrax
Positive findings by nasal swab
795.39 Other nonspecific positive culture findings

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.