List of ICD-9 codes 240–279: endocrine, nutritional and metabolic diseases, and immunity disorders

3. Endocrine, nutritional and metabolic diseases, and immunity disorders (240–279)

Disorders of thyroid gland (240–246)

• (240) Simple and unspecified goiter
  • (240.9) Goiter, unspec.
• (241) Nontoxic nodular goiter
  • (241.0) Thyroid nodule
  • (241.9) Goiter, unspec. nontoxic nodular
• (242) Thyrotoxicosis with or without goiter
  • (242.0) Goiter toxic, diffuse
  • (242.9) Hyperthyroidism, NOS
• (243) Congenital hypothyroidism
• (244) Acquired hypothyroidism
  • (244.0) Hypothyroidism, post-surgical
  • (244.1) Hypothyroidism, post-ablative
  • (244.9) Hypothyroidism, unspec.
• (245) Thyroiditis
  • (245.0) Thyroiditis, acute
  • (245.1) Thyroiditis, subacute
  • (245.2) Thyroiditis, chronic, Hashimoto's
• (246) Other disorders of thyroid
  • (246.2) Thyroid cyst

Diseases of other endocrine glands (249–259)

• Note: for 249–259, the following fifth digit can be added:
  • (250.x0) Diabetes mellitus type 2
  • (250.x1) Diabetes mellitus type 1
  • (250.x2) Diabetes mellitus type 2, uncontrolled
  • (250.x3) Diabetes mellitus type 1, uncontrolled
• (249) Secondary diabetes mellitus
  • (249.0) Secondary diabetes mellitus without mention of complication
  • (249.1) Secondary diabetes mellitus with ketoacidosis
  • (249.2) Secondary diabetes mellitus with hyperosmolarity
  • (249.3) Secondary diabetes mellitus with other coma
  • (249.4) Secondary diabetes mellitus with renal manifestations
  • (249.5) Secondary diabetes mellitus with ophthalmic manifestations
  • (249.6) Secondary diabetes mellitus with neurological manifestations
  • (249.7) Secondary diabetes mellitus with peripheral circulatory disorders
  • (249.8) Secondary diabetes mellitus with other specified manifestations
  • (249.9) Secondary diabetes mellitus with unspecified complications
• (250) Diabetes mellitus
  • (250.0) Diabetes mellitus without mention of complication
  • (250.1) Diabetes with ketoacidosis
  • (250.2) Diabetes with hyperosmolarity
  • (250.3) Diabetes with other coma
  • (250.4) Diabetes with renal manifestations
  • (250.5) Diabetes with ophthalmic manifestations
  • (250.6) Diabetes with neurological manifestations
  • (250.7) Diabetes with peripheral circulatory disorders
  • (250.8) Diabetes with other specified manifestations
  • (250.9) Diabetes with unspecified complication
• (251) Other disorders of pancreatic internal secretion
  • (251.2) Hypoglycemia, nondiabetic, unspec.
• (252) Disorders of parathyroid gland
  • (252.0) Hyperparathyroidism, unspec.
    • (252.01) Hyperparathyroidism, primary
  • (252.1) Hypoparathyroidism
• (253) Disorders of the pituitary gland and its hypothalamic control
  • (253.3) Growth hormone deficiency
  • (253.6) SIADH
• (254) Diseases of thymus gland
• (255) Disorders of adrenal glands
  • (255.0) Cushing's syndrome
• (256) Ovarian dysfunction
  • (256.2) Ovarian failure, postablative
    • (256.39) Ovarian failure, other
  • (256.4) Ovaries, polycystic
• (257) Testicular dysfunction
  • (257.2) Testicular hypofunction
• (258) Polyglandular dysfunction and related disorders
• (259) Other endocrine disorders
  • (259.0) Puberty, delayed
  • (259.1) Sexual precocity

Nutritional deficiencies (260–269)

• (260) Kwashiorkor
• (261) Nutritional marasmus
• (262) Other severe protein-calorie malnutrition
• (263) Other and unspecified protein-calorie malnutrition
• (264) Vitamin A deficiency
  • (264.0) With conjunctival xerosis
  • (264.1) With conjunctival xerosis and Bitot's spot
  • (264.2) With corneal xerosis
  • (264.3) With corneal ulceration and xerosis
  • (264.4) With keratomalacia
  • (264.5) With night blindness
  • (264.6) With xerophthalmic scars of cornea
  • (264.7) Other ocular manifestations of vitamin A deficiency
  • (264.8) Other manifestations of vitamin A deficiency
  • (264.9) Unspecified vitamin A deficiency
• (265) Thiamine and niacin deficiency states
  • (265.0) Beriberi
  • (265.1) Other and unspecified manifestations of thiamine deficiency
    • Wernicke's encephalopathy
  • (265.2) Pellagra
• (266) Deficiency of B-complex components
  • (266.0) Ariboflavinosis
  • (266.2) B12 deficiency w/o anemia
• (267) Ascorbic acid deficiency
• (268) Vitamin D deficiency
• (269) Other nutritional deficiencies
  • (269.0) Deficiency of vitamin K
  • (269.1) Deficiency of other vitamins
  • (269.2) Unspecified vitamin deficiency
  • (269.3) Mineral deficiency, not elsewhere classified

Other metabolic and immunity disorders (270–279)

Disorders of amino-acid transport and metabolism

• (270) Disorders of amino-acid transport and metabolism
  • (270.0) Disturbances of amino-acid transport
    • Cystinosis
    • Cystinuria
    • Hartnup disease
  • (270.1) Phenylketonuria (PKU)
  • (270.1) Tetrahydrobiopterin deficiency
  • (270.2) Other disturbances of aromatic amino-acid metabolism
    • Albinism
    • Alkaptonuria
    • Hypertyrosinemia
    • Ochronosis
    • Waardenburg syndrome
  • (270.3) Disturbances of branched-chain amino-acid metabolism
    • Isobutyryl-coenzyme A dehydrogenase deficiency
    • Isovaleric acidemia
    • Maple syrup urine disease
    • Methylmalonic acidemia
    • Propionic acidemia
  • (270.4) Disturbances of sulphur-bearing amino-acid metabolism
    • Homocystinuria
  • (270.5) Disorders of histidine metabolism
    • Carnosinemia
    • Histidinemia
    • Hyperhistidinemia
    • Imidazole aminoaciduria
    • Urocanic aciduria
  • (270.6) Disorders of urea cycle metabolism
    • Citrullinemia
    • Hyperammonemia
  • (270.7) Disorders of straight-chain amino-acid metabolism
    • Hyperlysinemia
    • Pipecolic acidemia
    • Saccharopinuria
  • (270.8) Other specified disorders of amino-acid metabolism
    • Trimethylaminuria

Disorders of carbohydrate transport and metabolism

• (271) Disorders of carbohydrate transport and metabolism
  • (271.0) Glycogenosis
    • von Gierke's disease
    • McArdle's disease
    • Pompe's disease
  • (271.1) Galactosemia
  • (271.2) Hereditary fructose intolerance
  • (271.3) Intestinal disaccharidase deficiencies and disaccharide malabsorption
    • Lactose intolerance
    • Glucose intolerance
  • (271.4) Renal glycosuria
  • (271.8) Other specified disorders of carbohydrate transport and metabolism
  • (271.9) Unspecified disorder of carbohydrate transport and metabolism

Disorders of lipoid metabolism

• (272) Disorders of lipoid metabolism
  • (272.0) Pure hypercholesterolemia
    • Fredrickson Type IIa hyperlipoproteinemia
    • Familial hypercholesterolemia
  • (272.1) Pure hyperglyceridemia
    • Hypertriglyceridemia, essential
    • Fredrickson Type IV hyperlipoproteinemia
  • (272.2) Hyperlipidemia, mixed
    • Fredrickson Type IIb or III hyperlipoproteinemia
    • Tubo-eruptive xanthoma
    • Xanthoma tuberosum
  • (272.3) Hyperchylomicronemia
    • Bürger-Grütz syndrome
    • Fredrickson type I or V hyperlipoproteinemia
    • Hyperlipidemia, Group D
    • Mixed hyperglyceridemia
  • (272.4) Other and unspecified hyperlipidemia
    • Alpha-lipoproteinemia
    • Combined hyperlipidemia
  • (272.5) Lipoprotein deficiencies
    • Abetalipoproteinemia
    • Bassen-Kornzweig syndrome
    • High-density lipoid deficiency
    • Hypoalphalipoproteinemia
    • Hypobetalipoproteinemia (familial)
  • (272.6) Lipodystrophy
  • (272.7) Lipidoses
    • Gaucher's disease
    • Niemann-Pick disease
    • Sea-blue histiocyte syndrome
  • (272.8) Other disorders of lipoid metabolism

Disorders of plasma protein metabolism

• (273) Disorders of plasma protein metabolism
  • (273.0) Polyclonal hypergammaglobulinemia
  • (273.1) Monoclonal paraproteinemia
  • (273.2) Other paraproteinemias
  • (273.3) Macroglobulinemia
    • Waldenström macroglobulinemia
  • (273.8) Other disorders of plasma protein metabolism
    • Atransferrinemia

Gout

• (274) Gout
  • (274.0) Gouty arthropathy

Disorders of mineral metabolism

• (275) Disorders of mineral metabolism
  • (275.0) Disorders of iron metabolism
    • Aceruloplasminemia
    • Hemochromatosis
  • (275.1) Disorders of copper metabolism
    • Wilson's disease
  • (275.2) Disorders of magnesium metabolism
    • Hypermagnesemia
    • Hypomagnesemia
  • (275.3) Disorders of phosphorus metabolism
    • Familial hypophosphatemia
    • Hypophosphatasia
  • (275.4) Disorders of calcium metabolism
    • (275.41) Hypocalcemia
    • (275.42) Hypercalcemia
    • (275.49) Pseudohypoparathyroidism

Disorders of fluid, electrolyte, and acid-base balance

• (276) Disorders of fluid, electrolyte, and acid-base balance
  • (276.0) Hypernatremia
  • (276.1) Hyponatremia
  • (276.2) Acidosis
  • (276.3) Alkalosis
  • (276.4) Mixed acid-base balance disorder
  • (276.5) Dehydration
    • (276.52) Hypovolemia
  • (276.7) Hyperkalemia
  • (276.8) Hypokalemia

Other and unspecified disorders of metabolism

• (277) Other and unspecified disorders of metabolism
  • (277.0) Cystic fibrosis
  • (277.1) Disorders of porphyrin metabolism
    • Porphyria
      • Acute intermittent porphyria
  • (277.2) Other disorders of purine and pyrimidine metabolism
    • Lesch-Nyhan syndrome
    • Purine nucleoside phosphorylase deficiency
    • Xanthinuria
  • (277.3) Amyloidosis
    • Familial Mediterranean fever
  • (277.4) Hyperbilirubinemia
    • Crigler-Najjar syndrome
    • Gilbert's syndrome
  • (277.5) Mucopolysaccharidosis
    • Hunter's syndrome
    • Hurler's syndrome
    • Morquio-Brailsford disease
    • Sanfilippo's syndrome
  • (277.6) Other deficiencies of circulating enzymes
    • Alpha 1-antitrypsin deficiency
    • Biotinidase deficiency
    • Hereditary angioedema
  • (277.7) Dysmetabolic syndrome x
    • Metabolic syndrome
  • (277.8) Other specified disorders of metabolism
    • (277.81) Primary carnitine deficiency
    • (277.82) Carnitine deficiency due to inborn errors of metabolism
    • (277.83) Iatrogenic carnitine deficiency
    • (277.84) Other secondary carnitine deficiency
    • (277.85) Disorders of fatty acid oxidation metabolism
      • Carnitine palmitoyltransferase I deficiency
      • Carnitine palmitoyltransferase II deficiency
      • Very long-chain acyl-coenzyme A dehydrogenase deficiency
      • Long-chain 3-hydroxyacyl-coenzyme A dehydrogenase deficiency
      • Medium-chain acyl-coenzyme A dehydrogenase deficiency
    • (277.86) Disorders of peroxisomal metabolism
      • Zellweger syndrome
    • (277.87) Disorders of mitochondrial metabolism
      • Kearns-Sayre syndrome
      • Mitochondrial encephalopathy, lactic acidosis and stroke-like episodes (MELAS syndrome)
      • Mitochondrial neurogastrointestinal encephalopathy syndrome (MNGIE)
      • Myoclonus with epilepsy and with ragged red fibers (MERRF syndrome)
      • Neuropathy, ataxia, and retinitis pigmentosa (NARP syndrome)
    • (277.88) Tumor lysis syndrome
    • (277.89) Other specified disorders of metabolism

Obesity and other hyperalimentation

• (278) Obesity and other hyperalimentation
  • (278.0) Obesity, NOS
  • (278.1) Localized adiposity
  • (278.2) Hypervitaminosis A
  • (278.3) Hypercarotinemia
  • (278.4) Hypervitaminosis D

Disorders involving the immune mechanism

• (279) Disorders involving the immune mechanism
  • (279.0) Deficiency of humoral immunity
    • (279.00) Hypogammaglobulinemia unspecified
    • (279.01) Selective IgA immunodeficiency
    • (279.02) Selective IgM immunodeficiency
    • (279.03) Other selective immunoglobulin deficiencies
    • (279.04) Congenital hypogammaglobulinemia
    • (279.05) Immunodeficiency with increased IgM
    • (279.06) Common variable immunodeficiency
    • (279.09) Other deficiency of humoral immunity
  • (279.1) Deficiency of cell-mediated immunity
    • (279.10) Immunodeficiency with predominant t-cell defect unspecified
    • (279.11) DiGeorge syndrome
    • (279.12) Wiskott-Aldrich syndrome
    • (279.13) Nezelof's syndrome
    • (279.19) Other deficiency of cell-mediated immunity
  • (279.2) Combined immunity deficiency
    • Severe combined immunodeficiency
  • (279.3) Unspecified immunity deficiency
  • (279.4) Autoimmune disease not elsewhere classified
  • (279.5) Graft-versus-host disease
  • (279.8) Other specified disorders involving the immune mechanism
  • (279.9) Unspecified disorder of immune mechanism

See also

• List of ICD-9 codes
• ICD-10 Chapter E: Endocrine, nutritional and metabolic diseases

This template is no longer used; please see Template:Endocrine pathology for a suitable replacement