Medical treatment ICD-9

Chronical rheumatic cardiac diseases

1. Rheumatic diseases of mitral valve
2. Rheumatic diseases of aortic valve
3. Rheumatic diseases of triscupid valve
4. Combined lesion of some valves
5. Cardiac abnormalities after medical treatment
6. Unrheumatic lesion of mitral valve
7. Congenital anomalies (malformation) of cardiovascular system

Cardiac ischemia

1. Old myocardial infarction
2. Atherosclerotic cardiac desease
3. Essential (primary) hypertension
4. Secondary hypertension
5. The dysfunction of vegetative nervous system

Peripheric vessels diseases

1. Atherosclerosis
2. Thromboangiitis obliterans (Buerger's disease), endarteritis
3. Raynaud's syndrome
4. Varix dilatation of the lower extremity
5. Phlebitis and thrombophlebitis of superficial and deep veins of the lower extremity (by the end of acute and subacute stages, not early than 4 months after thrombophlebitis of deep veins and 2 months of superficial veins)
6. Hypotension

List of diagnosis dangerous for treatment in the health resorts:

1. Rheumatic endomyocarditis in the active phase.
2. Abramov-Fiedler myocardities and similiar to them by severity
3. Cardiac ischemia:
   - Acute myocardial infarction
   - Instable angina pectoris
   - The strokes of angina pectoris on usual physical activity (III functional class) with insufficiency of blood circulation higher than 2 stage with heart rate disturbance
   - Exertional and rest angina pectoris (IV functional class) with phenomena of sinister ventricular insufficiency
4. Blood circulation insufficiency higher than 2 A stage
5. Constant form of ciliary arrhythmia with blood circulation insufficiency of 2 A stage and higher, paroxysmal tachycardia
6. Life threatening heart rate disturbance in the form of polytopical, frequent (10-15 in 1 minute and higher), group and early extrasystole (3-5 gradation by Laun), frequent atrial fibrillation and flutter, complete atrioventricular heart block of II-III stages with syncopal state, weakness of sinus node with infrequent bradyarrhythmia and tachyarrythmia
7. Arterial hypertension of III B stage with recently old myocardial infarction or stroke, having blood circulation insufficiency higher than 2 A stage, in the presence of life threatening heart rate and conduction disturbance, the kidneys dysfunction of nitrogen discharge, frequent hypertensic crisis
8. Atherosclerotic encephalopathy with psychic adaptation disturbance
9. Atherosclerosis of lower extremities vessels with decompensation of peripheral circulation, with ulcer and gangrene
10. Thromboangiitis obliterans with possibility of generalization, with concomitant migrating thrombophlebitis, with ulceration, gangrene
11. Recurrent thromboembolism
12. Thrombophlebitis during one-two years after ceptic process elimination
    

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Esophagus diseases

1. Esophagitis
2. Gastroesophageal reflux with esophagitis
3. Gastroesophageal reflux without esophagitis
4. Esophagus ulcer

Stomach diseases

1. Gastric ulcer
2. Duodenal ulcer
3. Gastrojejunal ulcer
4. Gastritis and duodenitis

Bowels diseases

1. Irritable bowels syndrome
2. Peritoneal commissures
3. Other specified peritoneum involvements
4. Peritoneum involvements unspecified

Liver diseases

1. Chronic viral hepatitis without delta-antigen (residuals)
2. Chronic hepatitis except alcoholic, medicinal, granulomatous, reactive, nonspecific viral

Gallbladder, biliary and pancreas diseases

1. Cholelithiasis
2. Gallstones without cholecystitis
3. Common bile duct stones with cholangitis
4. Common bile duct stones without cholangitis or cholecystitis
5. Cholecystitis, chronic cholecystitis
6. Cholangitis
7. Other chronic pancreatitis

Other digestive apparatus diseases

1. Digestive apparatus abnormality after the treatment, not classified in other articles. Operated stomach syndroms

List of diagnosis dangerous for treatment in the health resorts:

1. All digestive apparatus diseases in the exacerbation stage
2. Cicatrical stricture of esophagus and intestine with patency abnormality, common bile duct stricture andgallbladder duct
3. Gastric and duodenum ulcer in the exacerbation stage, peptic ulcer with pyloric stenosis, rebleeding during last 8-10 months orpenetration of gastric ulcer; with suspicion on ulcer malignization, Zolinger-Allison disease.
4. Gastritis of different types: rigid, antral; stomach polyp, Ménétrièr's disease (giant hypertrophic gastritis)
5. Postoperative stomach complications (persisting postoperative cicatrix, fistulas, afferent loop syndrome,hypoglycemic syndrome and jejunal syndrome in severe stage, gastric stump atony, jejunum peptic ulcer in the exacerbation stage with the possibility of bleeding and penetration in other organs, exacerbation of chronic postoperative gastritis,pancreatitis, cholecystitis, hepatitis, severe stage of postvagotomic diarrhea).
6. Enterocolitis with evident malnutrition (emaciation).
7. Chronic dysentery, nonspecific ulcerative colitis, chronic colitis with vast ulcerative or erosive process in rectum or sigmoid colon, detected while proctosigmoidoscopy or colonoscopy; bleeding hemorrhoids, polyp or intestinal polyposis.
8. Cholelithiasis with biliary colic attacks.
9. Viral hepatitis residuals (Botkin's disease) with symptoms of unfinished active process(with pain, dyspeptic, asthenic syndromes) and significant index deviation of liver functional test, including blood level oftissue enzyme ALT-AST; active chronic hepatitis of any ethiology.
10. Liver cirrhosis.
11. All types of jaundice.
12. Severe forms of pancreatitis. Patency abnormality of pancreatic duct.

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Peripheral nervous system diseases

1. Trigeminal nerve involvement
2. Facial nerve involvement
3. Nervous root and nerve plexus involvement
4. Nervous root and nerve plexus compression with the diseases described in other articles
5. Upper and lower extremities mononeuropathy and other mononeuropathy
6. Polyneuropathy
7. Nervous root and nerve plexus trauma, cerebrospinal nerve trauma, shoulder girdle and upper extremity,pelvic girdle and lower extremity
8. Vegetative nervous system diseases

Central nervous system diseases

1. Meningitis (cerebral arachnoiditis, leptomeningitis in remission (after 3-6 months from the beginningof the disease or surgery))
2. Encephalitis, myelitis, encephalomyelitis after critical period (not earlier than 4 months from the beginning of the disease)
3. Acute poliomyelitis (in recovery period in 3-6 months from the beginnning of the disease withself-movement and self-service)
4. Benign tumors
5. Spinal marrow traumas (without self-service restriction, the disturbance of the control of pelvic organs functionafter 4 months after the trauma or neurosurgical operation)
6. Intracranial trauma (in 4 months after closed injury, 6 months after open craniocerebral injurywithout evident intracranial and arterial hypertension, spastic fits and mental disorder)
7. Migraine and other headache syndroms
8. Transitory ischemic cerebral attacks and related syndroms
9. Vascular myelopathy (not earlier than 4 months after critical period or operation)
10. Subarachnoid hemorrhage (not earlier than 4 months after the hemorrhage with the possibility of self-movement and self-service,without the signs of dementia, neccessity in open treatment and neurosurgeon's supervision)
11. Intracerebral bleeding (not earlier than 4 months after the hemorrhage with the possibility of self-movement and self-service,without the signs of dementia, neccessity in open treatment and neurosurgeon's supervision)
12. Cerebral artery obstruction (stenosis) without brain infarction (after 2-3 months with the possibility of self-movement and self-service,without the signs of dementia)
13. Other cerebrovascular diseases (discirculatory encephalopathy)

List of diagnosis dangerous for treatment in the health resorts:

1. Nervous system diseases of infectious, vascular, traumatic, demyelinating nature in critical period and in any other period withevident motional abnormality (paralysis and deep paresis with the lack of movement), trophic disorder and pelvic organs disturbance.
2. Amyotrophic lateral sclerosis (evident clinical signs)
3. Syringobulbia, syringomyelia, parkinsonism and other degenerative diseases, disseminated sclerosis and other demyelinating diseases of nervous system in progression with movement and pelvic disturbance and dementia.
4. The consequences of traumas and brain diseases: full break of spinal marrow, traumatic cachexia,acute or chronic ischuria.
5. The consequences of traumas and brain diseases with significant disturbance of movement function,spastic syndrom, dementia, without self-service, with the lack of movement and speech disturbance.
6. Nervous system diseases with mental disorder (evident hypochondriac, depressive psychosis,obsessive-compulsive abnormalities).
7. Epilepsy and episyndrom with different types of fits.
8. Nervous system tumors.
   

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1. Reactive arthropathy
2. Seropositive rheumatoid arthritis
3. Seronegative rheumatoid arthritis
4. Psoriatic arthropathy
5. Juvenile rheumatoid arthritis
6. Idiopathic gout
7. Polyarthrosis
8. Coxarthrosis (hip joint arthrosis)
9. Gonarthrosis
10. Other arthrosis
11. Scoliosis
12. Backbone osteochondrosis
13. Ankylosing spondylitis
14. Spondylosis
15. Myositis
16. Synovitis and tendinous synovitis
17. Fibroplastic abnormalities
18. Chronical tendinitis and lower extremity entezopatia, except foot
19. Other entozpatia
20. Bone integrity disturbance (with self-movement)
21. Chronic osteomyelitis (without continued draining sinus)
22. The consequences of chemical and thermal burn

List of diagnosis dangerous for treatment in the health resorts:

1. Severe forms of bone and joint affection with abundant separate, severe general phenomena orinternal amyloidosis.
2. Polyarthritis with progressive period in joints, with ankylosis, contracture and similiarto those with irreversible alterations in joints and without the possibility of self-service.
3. Severe joint deformity with secondary synovitis with the lack of movement.
4. Chronic osteomyelitis with big sequestrum or big foreign metallic body in osteomyelitical focus.
5. Septic forms of rheumatoid arthritis, rheumatoid arthritis with systemic lesion.
   

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1. Chronic pneumonia in constant remission (with cardiopulmonary decompensation not higher thanI stage.
2. Bronchitis of different types: mixed, simple and mucopurulent chronic.
3. Emphysema
4. Other chronic obstructive pulmonary disease
5. Asthma (in remission with light infrequent asthmatic fits, respiratory compromise nothigher than II stage)
6. Multiple bronchiectasis
7. Pneumoconiosis unspecified
8. Respiratory states caused by unspecified external agents
9. Pleural lesion unspecified
10. Chronic pulmonary decompensation after operation
11. Chronic tonsillitis

List of diagnosis dangerous for treatment in the health resorts:

1. All the respiratory system diseases with cardiopulmonary decompensation higher than II stage
2. Multiple bronchiectasis and chronic abscess with abrupt emaciation of the patients,rise in body temperature, abundant purulent sputum discharge.
3. Bronchial asthma with frequent and (or) severe asthmatic fits, hormone-dependent uncontrolled asthma.
4. Spontaneous pneumothorax
5. The state after noneffective surgical intervention, with postoperative complications.
6. Hemoptysis
7. Pleural effusion
8. Respiratory system diseases of inflammatory genesis in acute period and in exacerbation stage ofchronic process
   

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1. Chronic salpingitis and oophoritis
2. Chronic inflammatory uterus disease
3. Chronic parametritis and pelvic cellulitis
4. Chronic pelvic peritonitis
5. Pelvic peritoneal adhesions
6. Uterus malposition
7. Primary amenorrhea
8. Secondary amenorrhea
9. Secondary oligomenorrhea
10. Polymenorrhea and hypermenorrhea during the regular cycle
11. Polymenorrhea and hypermenorrhea during the irregular cycle
12. Menopause and climacteric state
13. Artificial menopause state
14. Female sterility of tubal origin
15. Estrogens excess
16. Primary ovarian deficiency
17. Hypoplasia of body and neck of womb

List of diagnosis dangerous for treatment in the health resorts:

1. Malignant neoplasms
2. Postabortal period (till first menstruation)
3. Erosion and erosive neck of womb ectropion
4. Body and neck of womb polyp
5. Dysfunctional metrorrhagia of unknown causation
6. Ovarian cyst and cystoma
   

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1. Chronic nephritic syndrome
2. Nephrotic syndrome
3. Acute tubulointerstitial nephritis
4. Chronic tubulointerstitial nephritis
5. Urolithiasis
6. Cystitis
7. Inflammatory diseases of prostate gland
8. Inflammatory diseases of seminal vesicle

List of diagnosis dangerous for treatment in the health resorts:

1. Chronic kidney disease with evident signs of renal insufficiency, high arterial hypertension (higher 180 mm m.c.)
2. Nephrosclerosis with evident symptoms of chronic renal insufficiency.
3. Hydronephrosis; renal cyst complicated with chronic renal insufficiency.
4. Nephrotic syndrome with amyloidosis with evident edemas and chronic renal insufficiency symptoms.
5. Macrohematuria of any origin.
6. The diseases of urogenital system organs during acute period and chronic diseases in the period of active inflammatory process.
7. Urolithiasis with stones which need surgery.
8. Urethral stricture
9. Innocent hyperplasia of prostate gland of II-III stage.
10. Contracted bladder of any ethiology.
    

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1. Rheumatic fever without heart involvement
2. Rheumatic fever with heart involvement
3. Rheumatic diseases of mitral valve
4. Rheumatic diseases of aortic valve
5. Multisystem lesion of mitral and aortic valves
6. Congenital anomaly of cardiac cameras and junctions
7. Congenital anomaly of cardiac septum
8. Congenital anomaly of pulmanary and tricuspid valves
9. Congenital anomaly of mitral and aortic valves
10. Other congenital heart anomaly
11. Unrheumatic lesion of mitral valve
12. Unrheumatic lesion of aortic valve
13. Unrheumatic lesion of triscupid valve
14. Valve lesion of pulmonary artery
15. Acute myocarditis
16. Acute and subacute infective endocarditis
17. Extrasystolic arrhythmia
18. Paroxysmal tachycardia
19. Cardiomyopathy
20. Essential hypertension
21. Mitral valve prolapse
22. Hypotension
23. The dysfunction of vegetative nervous system

List of diagnosis dangerous for treatment in the health resorts:

1. Rheumatism with active process of II and III rate
2. Blood circulation insufficiency of II B and III stage
3. Ciliary arrhythmia, paroxysmal tachycardia with frequent attacks
4. Full atrioventricular heart block with heartbeat frequency not less than 50 in 1 minute,with Stokes-Adams attack
5. Secondary arterial hypertension of uncertain origin
   

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1. Thyroid gland diseases with iodide deficiency and similar states
2. Subclinic hypothyroidism as the result of iodide deficiency
3. Other forms of hypothyroidism
4. Thyroiditis
5. Insulin dependent pancreatic diabetes
6. Insulin independent pancreatic diabetes
7. Heightened glucose content in blood
8. Obesity

List of diagnosis dangerous for treatment in the health resorts:

1. Pancreatic diabetes in decompensation state
2. Susceptibility to hypoglycemic states with quick loss of consciousness
3. Noncompensated thyroid function abnormality
   

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1. The consequences of upper extremeties traumas
2. The consequences of lower extremeties traumas
3. Congenital hip deformity
4. Rickets consequences
5. Chemical and thermal burn and frostbite consequences
6. Scoliosis
7. Backbone osteochondrosis
8. Juvenile hip and pelvis osteochondrosis
9. Acute poliomyelitis
10. Poliomyelitis consequences
11. Osteomyelitis
12. Juvenile atrophic arthritis
13. Osteochondrodystrophy with cortical bone and backbone growth defect
14. Infantile cerebral paralysis

List of diagnosis dangerous for treatment in the health resorts:

1. Osteomyelitis in exacerbation, with multiple, generalized fistulas, with abundant suppurative partial, large sequestrum, internal amyloidosis
2. Systematic skeleton diseases with limited self-service and self-movement
3. Atrophic arthritis with activity of II and III rate. Joint-visceral form of the diseasewith activity of II and III rate.
4. Infantile cerebral paralysis with complete restriction of movement, severe tone disorder,severe hyperkinesia, cerebellar disorder, spastic disorder, deep pelvic organs dysfunctions,oligophrenia in stage of idiocy or imbecility
   

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1. Atopic dermatitis
2. Seborrheic dermatitis
3. Psoriasis
4. Psoriatic and enteropathic arthropathies
5. Urticaria
6. Other localized changes of connective tissue
7. Other epidermal thickening
8. Vitiligo
9. Epidermolysis bullosa
10. Lichen ruber planus
11. Chemical and thermal burn and frostbite consequences

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1. Short-sightedness of weak degree with accommodation infringement
2. Short-sightedness of medium and high degree quickly progressing, complicated
3. Far-sightedness and astigmatism of high degrees with accommodation infringement
4. Ambliopiya and squint for the course of pleoptoorthopic treatment
5. Postoperative specialised rehabilitation: cataract, glaucoma, squint, short-sightedness
6. Consequences of traumas, uveitis, neuritis, keratitis in remission (not less than 6 months after disease or trauma)
7. Degenerate changes of retina and optic nerve

List of diagnosis dangerous for treatment in the health resorts:

1. All illnesses in sharp period. The exacerbation of chronic diseases. Diseases in the stage sub- and decompensation.
2. All chronic diseases demanding special treatment.
3. Heart diseases with insufficiency of blood circulation.
4. Infectious diseases before the end of isolation.
5. Bronchial asthma, the heavy form.
6. Convulsive attacks and their equivalents, psychoneurosises, intellectual backwardness, the heavy physical defects demanding special leaving and treatment.
7. Enuresis.
8. Diabetes in the heavy form and another heavy endocrine pathology.

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List of diagnosis dangerous for treatment in the health resorts:

1. All the skin diseases in acute stage
2. Fungus diseases of pilary part of head, smooth skin or nails
3. Scabies and other parasitic diseases
4. Pustular skin diseases
5. Melanoma in progress
6. Acute and subacute disseminated and discoid forms of lupus erythematosus,photodermatosis, porphyria cutanea tarda hereditaria, xeroderma pigmentosum
7. Psoriasis in progress
8. Nonreversible bones and joints and tendinous changes of musculoskeletal systemcaused by severe burning injury
9. Persistent thermal injury with necessety of open treatment
   

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Metabolism diseases

The directions of the treatment:
1. Thyroid gland diseases with iodide deficiency connected with iodide deficiency of endemic goiter without thyroid function abnormality
2. Subclinic hypothyroidism as the result of iodide deficiency
3. Other forms of hypothyroidism
4. Insulin dependent pancreatic diabetes
5. Insulin independent pancreatic diabetes
6. Pancreatic diabetesd in compensation state
7. Cystic fibrosis

List of diagnosis dangerous for treatment in the health resorts:

1. Pancreatic diabetes in decompensation state
2. Susceptibility to hypoglycemic states with quick loss of consciousness
3. Noncompensated thyroid function abnormality

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The patients with following diseases are not accepted for treatment in health resorts:

1. All the diseases in acute stage, chronic diseases in exacerbation stage
2. Acute infectious diseases before the end of isolation period
3. All the venereal diseases in acute or contagious forms
4. Chronic or prolonged mental disorder with severe, persistent or frequently aggravated morbid manifestations
5. Epilepsy and episyndrome with different forms of attacks (not more than twice a year)
6. All the diseases with the syndrome of dependence on alcohol, drugs and psychoactive substance,and with abstinent states and combinations of abstinent states and psychotic disorder
7. All the blood diseases in acute stage and exacerbation stage
8. Cachexia of any origin
9. Malignant neoplasms*
   * Patients after radical cure of malignant neoplasms (surgical, radiological, chemotherapeutical,complex) can be directed to the local health resorts with satisfactory general state only
10. All the diseases and conditions with inpatient care including surgical intervention;all the diseases with limited self-movement and self-service of the patients, with permanent care*
    * Except those people who need specialized treatment in health resorts for spinal patients
11. Echinococcus of any localization
12. Frequent or voluminous bleeding
13. Pregnancy in all periods for balneotherapeutic and mud cure resort, for climatic resort --beginning from 26th week
14. All the forms of tuberculosis in active stage - for nontuberculous health resorts

Note:

1. Patients after radical cure of malignant neoplasms but in persistent remission can be directedto the local health resorts for supportive treatment.
2. Patients with enuresis are accepted to any health resort
3. After diphtheria and scarlatina children can be directed to health resorts not earlier than 4-5 months after the discharge from the hospital with no complications
   

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