FA38.1 Neuropathic arthropathy International Classification of Diseases for Mortality and Morbidity Statistics, 11th Revision, v2024-01 Neuropathic arthropathy is a progressive destructive arthritis associated with loss of pain sensation, proprioception, or both. Normal muscular reflexes that modulate joint movement are decreased. Without these protective mechanisms, joints are subjected to repeated trauma, resulting in progressive cartilage and bone damage. Additional symptoms include skin changes, such as erythema, swelling, hyperpigmentation, or purpura and soft tissue ulcers over the affected area, as well as joint loosening or instability and joint deformities.
sections/codes in this section (FA38.1-FA38.1) coding note Use additional code, if desired, to identify neuropathy.
postcoordination Add Stem and/or Extension codes to form a cluster code which adds detail to the condition.
Specific anatomy - multiple selections are allowed [select] XA7948 Joints and ligaments of the head and neck – XA6UT2 Joints of the head –– XA65F2 Atlantooccipital joint –– XA7EM1 Atlantoaxial joint –– XA2SM2 Temporomandibular joint – XA1LE7 Ligaments of the head and neck –– XA68Z9 Anterior atlantoaxial ligament –– XA4XK9 Anterior atlantooccipital ligament –– XA9F16 Anterior longitudinal ligament –– XA3K95 Apical odontoid ligament –– XA3XV5 Articular capsules –– XA3ZW3 Interarticular ligament –– XA9M15 Interspinal ligament –– XA9NZ1 Intertransverse ligament –– XA5180 Intervertebral fibrocartilage ligament –– XA97L7 Lateral atlantooccipital ligament –– XA72L3 Ligamenta flava –– XA6RG7 Ligamentum nuchae –– XA3J99 Occipitoaxial ligament –– XA1CC5 Posterior atlantoaxial ligament –– XA80K5 Posterior atlantooccipital ligament –– XA8E20 Posterior longitudinal ligament –– XA4FR7 Sphenomandibular ligament –– XA4WM3 Stylomandibular ligament –– XA7WU3 Supraspinal ligament –– XA4WJ7 Temporomandibular ligament –– XA8389 Transverse ligament of the atlas –– XA33F9 Thyrohyoid ligament –– XA9XG3 Cricoarytenoid ligament –– XA6B16 Cricopharyngeal ligament –– XA3BV9 Cricotracheal ligament –– XA3JR5 Hyoepiglottic ligament –– XA4051 Cricothyroid ligament –– XA56S4 Thyroepiglottic ligament –– XA4KB2 Vestibular ligament –– XA6928 Vocal ligament XA2EL4 Joints and ligaments of the thorax – XA2NG8 Joints of the thorax –– XA83N6 Sternocostal joint –– XA30Q4 Costochondral joint –– XA0892 Costovertebral joint –– XA7AR2 Costotransverse joint –– XA0ZE4 Facet joint – XA2UN9 Ligaments of the thorax –– XA70E9 Anterior costotransverse ligament –– XA0QM2 Anterior intersternal ligament –– XA8V32 Anterior ligament of the spine –– XA5G44 Costotransverse ligament –– XA2S05 Costoxiphoid ligament –– XA4356 Iliolumbar ligament –– XA70A1 Interarticular sternocostal ligament –– XA8D15 Interchondral ligament –– XA6ZD7 Ligament of the neck of the rib –– XA81P3 Ligament of the tubercle of the rib –– XA4A37 Posterior costotransverse ligament –– XA8B33 Lumbocostal ligament –– XA26A7 Posterior intersternal ligament –– XA8RC0 Radiate ligament –– XA43Z7 Radiate sternocostal ligament XA6KC7 Joints and ligaments of the pelvis and perineum – XA1TL5 Joints of the pelvis –– XA5A04 Lumbosacral joint –– XA70B6 Sacrococcygeal joint –– XA3T32 Sacroiliac joint – XA9TF3 Ligaments of the pelvis and perineum –– XA5S21 Anterior pubic ligament –– XA10C4 Anterior sacroiliac ligament –– XA9621 Arcuate pubic ligament –– XA0EJ9 Broad ligament of the uterus ––– XA6VF6 Mesovarium ––– XA9TX2 Parovarian region ––– XA6CV1 Mesosalpinx ––– XA3AN2 Mesometrium –– XA46Z2 Interarticular ligament of the pelvis –– XA02T6 Interosseous sacroiliac ligament –– XA1NT7 Ligamentum teres of the Liver –– XA92G5 Posterior pubic ligament –– XA6RS4 Posterior sacroiliac ligament ––– XA69U0 Long posterior sacroiliac ligament ––– XA9HV6 Short posterior sacroiliac ligament –– XA1UP6 Pubic symphysis –– XA23X3 Round ligament of uterus –– XA8GZ2 Sacrococcygeal ligament ––– XA2MA4 Anterior sacrococcygeal ligament ––– XA4B16 Lateral sacrococcygeal ligament ––– XA2U92 Posterior sacrococcygeal ligament –– XA8J68 Sacrospinous ligament –– XA6396 Sacrotuberous ligament –– XA68K7 Superior pubic ligament –– XA4T57 Uterine ligament –– XA2NB2 Uterosacral ligament ––– XA3VJ3 Pisometacarpal ligament ––– XA0PY0 Radioulnar ligament –––– XA4396 Dorsal radioulnar ligament –––– XA2940 Volar radioulnar ligament ––– XA3SZ9 Transverse metacarpal ligament ––– XA3K32 Ulnocarpal ligament ––– XA1PU7 Volar carpometacarpal ligament ––– XA47N4 Volar intercarpal ligaments ––– XA1LF5 Volar intermetacarpal ligament ––– XA3VN5 Volar metacarpophalangeal ligament ––– XA0492 Volar radiocarpal ligament XA4XC0 Joints and ligaments of the upper extremity – XA4U90 Joints of the upper extremity –– XA05J7 Shoulder joint ––– XA49P8 Glenohumeral joint ––– XA69U6 Acromioclavicular joint ––– XA0CH1 Sternoclavicular joint –– XA69H4 Elbow joint ––– XA3G42 Proximal radioulnar joint ––– XA46J3 Humeroulnar joint ––– XA53P1 Humeroradial joint –– XA64C3 Wrist joint ––– XA78S6 Distal radioulnar joint ––– XA0P38 Radiocarpal joint –– XA62V5 Joints of the hand ––– XA3MB4 Carpal joint –––– XA0E90 Intercarpal joint –––– XA4AS7 Midcarpal joint –––– XA0JX0 Carpometacarpal joint ––– XA9DN6 Intermetacarpal joint ––– XA86T5 Metacarpophalangeal joint –––– XA3M83 First metacarpophalangeal joint –––– XA9YH1 Second metacarpophalangeal joint –––– XA6HB0 Third metacarpophalangeal joint –––– XA7XA8 Fourth metacarpophalangeal joint –––– XA7KA0 Fifth metacarpophalangeal joint ––– XA9291 Interphalangeal joint of the hand –––– XA6L43 Interphalangeal joint of the thumb –––– XA1307 Proximal interphalangeal joint of finger ––––– XA1DN6 Proximal interphalangeal joint of index finger ––––– XA3NW6 Proximal interphalangeal joint of middle finger ––––– XA0BF5 Proximal interphalangeal joint of ring finger ––––– XA4175 Proximal interphalangeal joint of little finger –––– XA4U75 Distal interphalangeal joint of finger ––––– XA6KB0 Distal interphalangeal joint of index finger ––––– XA15C8 Distal interphalangeal joint of middle finger ––––– XA0LT5 Distal interphalangeal joint of ring finger ––––– XA1928 Distal interphalangeal joint of little finger – XA4BC2 Ligaments of the upper extremity –– XA93X9 Ligament of the shoulder ––– XA2H23 Acromioclavicular ligament –––– XA49Z7 Inferior acromioclavicular ligament –––– XA8RC9 Superior acromioclavicular ligament ––– XA01C8 Anterior ligament of the shoulder ––– XA2JQ3 Anterior sternoclavicular ligament ––– XA8MA3 Coracoacromial ligament ––– XA9WP5 Coracoclavicular ligament –––– XA4PU7 Conoid ligament –––– XA5SJ7 Trapezoid ligament ––– XA5EW9 Coracohumeral ligament ––– XA1PK9 Costoclavicular ligament ––– XA8H81 Glenohumeral ligament ––– XA5Z24 Glenoidal labrum ligament ––– XA84L3 Interclavicular ligament ––– XA3PT9 Posterior sternoclavicular ligament ––– XA6EG3 Rotator cuff capsule ––– XA6EE7 Spinoglenoid ligament ––– XA5MU7 Suprascapular ligament ––– XA9C92 Transverse humeral ligament –– XA5Y12 Ligament of the elbow ––– XA0JJ8 Annular ligament ––– XA4S76 Ligament of Struthers ––– XA16Y4 Posterior ligament of elbow ––– XA8B40 Quadrate ligament ––– XA9WJ8 Radial collateral ligament ––– XA9220 Ulnar collateral ligament –– XA6SA0 Interosseous membrane of forearm –– XA9Y28 Ligament of the wrist and hand ––– XA9MY7 Collateral carpal ligament ––– XA0K88 Collateral metacarpophalangeal ligament ––– XA20K5 Dorsal carpometacarpal ligament ––– XA0PE4 Dorsal intercarpal ligament ––– XA0WZ1 Dorsal intermetacarpal ligament ––– XA2PN5 Dorsal metacarpophalangeal ligament ––– XA7Q52 Dorsal radiocarpal ligament ––– XA52E8 Interosseous ligament ––– XA10U4 Palmar aponeurosis ––– XA1Z72 Pisohamate ligament XA5ST4 Joints and ligaments of the lower extremity – XA7L41 Joints of lower extremity –– XA4XS4 Hip joint –– XA8RL1 Knee joint ––– XA0LC4 Tibiofemoral joint ––– XA0VJ4 Patellofemoral joint ––– XA0LG3 Proximal tibiofibular joint ––– XA8VV2 Semilunar cartilage –– XA27P3 Ankle joint ––– XA8MM7 Talocrural joint ––– XA2K81 Distal tibiofibular joint ––– XA7SZ8 Subtalar joint –– XA22T0 Joint of the foot ––– XA2YS1 Intertarsal joint –––– XA4JJ1 Calcaneocuboid joint –––– XA0WY5 Talocalcaneonavicular joint –––– XA6NT7 Cuneonavicular joint –––– XA1N77 Cuboideonavicular joint –––– XA9SD1 Intercuneiform joint –––– XA2FA3 Cuneocuboid joint ––– XA2MY1 Tarsometatarsal joint ––– XA6FF3 Intermetatarsal joint ––– XA8XU1 Metatarsophalangeal joint –––– XA7NJ7 First metatarsophalangeal joint –––– XA58K5 Second metatarsophalangeal joint –––– XA2792 Third metatarsophalangeal joint –––– XA7QC6 Fourth metatarsophalangeal joint –––– XA5A23 Fifth metatarsophalangeal joint ––– XA04T7 Interphalangeal joint of the foot –––– XA87P9 Interphalangeal joint of great toe –––– XA5573 Proximal interphalangeal joint of the foot ––––– XA56K9 Proximal interphalangeal joint of second toe ––––– XA2QY2 Proximal interphalangeal joint of third toe ––––– XA2R87 Proximal interphalangeal joint of fourth toe ––––– XA1LM0 Proximal interphalangeal joint of fifth toe –––– XA0RK3 Distal interphalangeal joint of the foot ––––– XA8UM5 Distal interphalangeal joint of second toe ––––– XA43F0 Distal interphalangeal joint of third toe ––––– XA8NU9 Distal interphalangeal joint of fourth toe ––––– XA39U1 Distal interphalangeal joint of fifth toe ––– XA9Z55 Transverse tarsal joint – XA7U26 Ligaments of the lower extremity –– XA1A66 Ligament of the hip ––– XA1F23 Iliofemoral ligament ––– XA6KC6 Iliotibial ligament ––– XA6TZ6 Iliotrochanteric ligament ––– XA5HX9 Ischiocapsular ligament ––– XA13S4 Ligamentum teres femoris ––– XA3GE8 Pubofemoral ligament ––– XA9J44 Transverse acetabular ligament –– XA8P38 Ligament of the knee ––– XA0ZC8 Anterior cruciate ligament ––– XA04S7 Coronary ligament ––– XA4YJ0 Fibular collateral ligament ––– XA6HQ4 Lateral meniscus of knee joint ––– XA87R6 Oblique popliteal ligament ––– XA3772 Patellar ligament ––– XA4635 Posterior cruciate ligament ––– XA7LD2 Tibial collateral ligament ––– XA71L7 Transverse ligament of the knee ––– XA7LB6 Medial meniscus of knee joint –– XA2F70 Ligament of the ankle or foot ––– XA93X1 Anterior inferior ligament ––– XA84J2 Anterior talofibular ligament ––– XA1259 Anterior tibiofibular ligament ––– XA5EY2 Bifurcated ligament ––– XA3154 Calcaneofibular ligament ––– XA59Z4 Collateral ligament of the foot ––– XA2314 Cuneometatarsal ligament ––– XA9YS6 Deltoid ligament ––– XA42X4 Dorsal calcaneocuboid ligament ––– XA6Q67 Dorsal cuboideonavicular ligament ––– XA3TS2 Dorsal intermetatarsal ligament ––– XA8NU3 Dorsal naviculocuneiform ligament ––– XA86X4 Dorsal talonavicular ligament ––– XA9E13 Dorsal tarsometatarsal ligament ––– XA2FV7 Inferior transverse ligament of ankle ––– XA16V1 Intercuneiform ligament –––– XA7075 Dorsal intercuneiform ligament –––– XA5HQ7 Plantar intercuneiform ligament ––– XA4XJ2 Interosseous talocalcaneal ligament ––– XA6NS2 Long plantar ligament ––– XA59U6 Plantar accessory ligament ––– XA87B0 Plantar aponeurosis ––– XA4N86 Plantar calcaneocuboid ligament ––– XA5KN3 Plantar calcaneonavicular ligament ––– XA2NX5 Plantar cuboideonavicular ligament ––– XA18T4 Plantar intermetatarsal ligament ––– XA1747 Plantar naviculocuneiform ligament ––– XA71L9 Plantar tarsometatarsal ligament ––– XA2D55 Posterior inferior ligament ––– XA93E6 Posterior talofibular ligament ––– XA6RA3 Posterior tibiofibular ligament ––– XA6546 Talocalcaneal ligament –––– XA93N5 Anterior talocalcaneal ligament –––– XA4VX8 Lateral talocalcaneal ligament –––– XA09E2 Medial talocalcaneal ligament –––– XA60T4 Posterior talocalcaneal ligament ––– XA5BX0 Transverse metatarsal ligament XA2P74 Ligaments and joints of multiple sites – XA4EJ6 Multiple Joints –– XA1CK9 Oligoarticular –– XA3FU7 Polyarticular ––– XA02P3 Multiple large joints only ––– XA2SK7 Multiple small joints only ––– XA3BZ3 Both large and small joints ––– XA5X22 Large joints only with cervical spine or temporomandibular involvement – XA4BF0 Monoarticular – XA5XD5 Multiple ligaments – XA5NN2 Single ligament Has causing condition - a selection is required - multiple selections are allowed [select] 1A60 Congenital syphilis – 1A60.0 Early congenital syphilis, symptomatic – 1A60.1 Early congenital syphilis, latent – 1A60.2 Late congenital syphilitic oculopathy – 1A60.3 Late congenital neurosyphilis – 1A60.4 Other late congenital syphilis, symptomatic – 1A60.5 Late congenital syphilis, latent – 1A60.Z Congenital syphilis, unspecified 1A61 Early syphilis – 1A61.0 Primary genital syphilis – 1A61.1 Primary anal syphilis – 1A61.2 Primary syphilis of other sites – 1A61.3 Secondary syphilis of skin or mucous membranes – 1A61.4 Secondary syphilis of other sites – 1A61.5 Latent early syphilis – 1A61.Y Other specified early syphilis – 1A61.Z Early syphilis, unspecified 1A62 Late syphilis – 1A62.0 Neurosyphilis – 1A62.1 Cardiovascular late syphilis – 1A62.2 Symptomatic late syphilis of other sites – 1A62.Y Other specified late syphilis – 1A62.Z Late syphilis, unspecified –– 1A62.00 Asymptomatic neurosyphilis –– 1A62.01 Symptomatic late neurosyphilis –– 1A62.0Z Neurosyphilis, unspecified –– 1A62.20 Ocular late syphilis –– 1A62.21 Late syphilis involving the musculoskeletal system –– 1A62.22 Late syphilis of skin or mucous membranes –– 1A62.2Y Symptomatic late syphilis of other specified sites –– 1A62.2Z Symptomatic late syphilis of unspecified site 1A63 Latent syphilis, unspecified as early or late 1A6Z Syphilis, unspecified 1B20 Leprosy 1B20.0 Paucibacillary leprosy 1B20.1 Multibacillary leprosy 1B20.2 Leprosy reactions 1B20.3 Complications of leprosy 1B20.Z Leprosy, unspecified – 1B20.20 Type I leprosy reaction – 1B20.21 Type II leprosy reaction – 6C40.2 Alcohol dependence –– 6C40.20 Alcohol dependence, current use, continuous –– 6C40.21 Alcohol dependence, current use, episodic –– 6C40.22 Alcohol dependence, early full remission –– 6C40.23 Alcohol dependence, sustained partial remission –– 6C40.24 Alcohol dependence, sustained full remission –– 6C40.2Z Alcohol dependence, unspecified
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