ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual |
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| Appendix C: Principal diagnoses which convert CC/MCC to non-CC |
| Page 119 of 1375 |
| PDX Collection 1121 (continued) | |
| J9690 | Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia |
| J9691 | Respiratory failure, unspecified with hypoxia |
| J9692 | Respiratory failure, unspecified with hypercapnia |
| R0901 | Asphyxia |
| R0902 | Hypoxemia |
| R092 | Respiratory arrest |
| R29700 | NIHSS score 0 |
| R29701 | NIHSS score 1 |
| R29702 | NIHSS score 2 |
| R29703 | NIHSS score 3 |
| R29704 | NIHSS score 4 |
| R29705 | NIHSS score 5 |
| R29706 | NIHSS score 6 |
| R29707 | NIHSS score 7 |
| R29708 | NIHSS score 8 |
| R29709 | NIHSS score 9 |
| R29710 | NIHSS score 10 |
| R29711 | NIHSS score 11 |
| R29712 | NIHSS score 12 |
| R29713 | NIHSS score 13 |
| R29714 | NIHSS score 14 |
| R29715 | NIHSS score 15 |
| R29716 | NIHSS score 16 |
| R29717 | NIHSS score 17 |
| R29718 | NIHSS score 18 |
| R29719 | NIHSS score 19 |
| R29720 | NIHSS score 20 |
| R29721 | NIHSS score 21 |
| R29722 | NIHSS score 22 |
| R29723 | NIHSS score 23 |
| R29724 | NIHSS score 24 |
| R29725 | NIHSS score 25 |
| R29726 | NIHSS score 26 |
| R29727 | NIHSS score 27 |
| R29728 | NIHSS score 28 |
| R29729 | NIHSS score 29 |
| R29730 | NIHSS score 30 |
| R29731 | NIHSS score 31 |
| R29732 | NIHSS score 32 |
| R29733 | NIHSS score 33 |
| R29734 | NIHSS score 34 |
| R29735 | NIHSS score 35 |
| R29736 | NIHSS score 36 |
| R29737 | NIHSS score 37 |
| R29738 | NIHSS score 38 |
| R29739 | NIHSS score 39 |
| R29740 | NIHSS score 40 |
| R29741 | NIHSS score 41 |
| R29742 | NIHSS score 42 |
| R410 | Disorientation, unspecified |
| R411 | Anterograde amnesia |
| R412 | Retrograde amnesia |
| R413 | Other amnesia |
| R4182 | Altered mental status, unspecified |
| R419 | Unspecified symptoms and signs involving cognitive functions and awareness |
| R448 | Other symptoms and signs involving general sensations and perceptions |
| R449 | Unspecified symptoms and signs involving general sensations and perceptions |
| R4583 | Excessive crying of child, adolescent or adult |
| R4584 | Anhedonia |
| R460 | Very low level of personal hygiene |
| R461 | Bizarre personal appearance |
| R462 | Strange and inexplicable behavior |
| R463 | Overactivity |
| R464 | Slowness and poor responsiveness |
| R465 | Suspiciousness and marked evasiveness |
| R466 | Undue concern and preoccupation with stressful events |
| R467 | Verbosity and circumstantial detail obscuring reason for contact |
| R4681 | Obsessive-compulsive behavior |
| R4689 | Other symptoms and signs involving appearance and behavior |
| R52 | Pain, unspecified |
| R680 | Hypothermia, not associated with low environmental temperature |
| R6811 | Excessive crying of infant (baby) |
| R6812 | Fussy infant (baby) |
| R6813 | Apparent life threatening event in infant (ALTE) |
| R6819 | Other nonspecific symptoms peculiar to infancy |
| R6881 | Early satiety |
| R6882 | Decreased libido |
| R6883 | Chills (without fever) |
| R6889 | Other general symptoms and signs |
| R69 | Illness, unspecified |
| PDX Collection 1122 | |
| P578 | Other specified kernicterus |
| P579 | Kernicterus, unspecified |
| P580 | Neonatal jaundice due to bruising |
| P581 | Neonatal jaundice due to bleeding |
| P582 | Neonatal jaundice due to infection |
| P583 | Neonatal jaundice due to polycythemia |
| P5841 | Neonatal jaundice due to drugs or toxins transmitted from mother |
| P5842 | Neonatal jaundice due to drugs or toxins given to newborn |
| P585 | Neonatal jaundice due to swallowed maternal blood |
| P588 | Neonatal jaundice due to other specified excessive hemolysis |
| P589 | Neonatal jaundice due to excessive hemolysis, unspecified |
| P590 | Neonatal jaundice associated with preterm delivery |
| P591 | Inspissated bile syndrome |
| P5920 | Neonatal jaundice from unspecified hepatocellular damage |
| P5929 | Neonatal jaundice from other hepatocellular damage |
| P593 | Neonatal jaundice from breast milk inhibitor |
| P598 | Neonatal jaundice from other specified causes |
| P599 | Neonatal jaundice, unspecified |
| R17 | Unspecified jaundice |
| R238 | Other skin changes |
| R239 | Unspecified skin changes |
| PDX Collection 1123 | |
| G890 | Central pain syndrome |
| G8911 | Acute pain due to trauma |
| G8912 | Acute post-thoracotomy pain |
| G8918 | Other acute postprocedural pain |
| G8921 | Chronic pain due to trauma |
| G8922 | Chronic post-thoracotomy pain |
| G8928 | Other chronic postprocedural pain |
| G8929 | Other chronic pain |
| G893 | Neoplasm related pain (acute) (chronic) |
| G894 | Chronic pain syndrome |
| R180 | Malignant ascites |
| R188 | Other ascites |
| R1900 | Intra-abdominal and pelvic swelling, mass and lump, unspecified site |
| R1901 | Right upper quadrant abdominal swelling, mass and lump |
| R1902 | Left upper quadrant abdominal swelling, mass and lump |
| R1903 | Right lower quadrant abdominal swelling, mass and lump |
| R1904 | Left lower quadrant abdominal swelling, mass and lump |
| R1905 | Periumbilic swelling, mass or lump |
| R1906 | Epigastric swelling, mass or lump |
| R1907 | Generalized intra-abdominal and pelvic swelling, mass and lump |
| R1909 | Other intra-abdominal and pelvic swelling, mass and lump |
| R1930 | Abdominal rigidity, unspecified site |
| R1931 | Right upper quadrant abdominal rigidity |
| R1932 | Left upper quadrant abdominal rigidity |
| R1933 | Right lower quadrant abdominal rigidity |
| R1934 | Left lower quadrant abdominal rigidity |
| R1935 | Periumbilic abdominal rigidity |
| R1936 | Epigastric abdominal rigidity |
| R1937 | Generalized abdominal rigidity |
| R29700 | NIHSS score 0 |
| R29701 | NIHSS score 1 |
| R29702 | NIHSS score 2 |
| R29703 | NIHSS score 3 |
| R29704 | NIHSS score 4 |
| R29705 | NIHSS score 5 |
| R29706 | NIHSS score 6 |
| R29707 | NIHSS score 7 |
| R29708 | NIHSS score 8 |
| R29709 | NIHSS score 9 |
| R29710 | NIHSS score 10 |
| R29711 | NIHSS score 11 |
| R29712 | NIHSS score 12 |
| R29713 | NIHSS score 13 |
| R29714 | NIHSS score 14 |
| R29715 | NIHSS score 15 |
| R29716 | NIHSS score 16 |
| R29717 | NIHSS score 17 |
| R29718 | NIHSS score 18 |
| R29719 | NIHSS score 19 |
| R29720 | NIHSS score 20 |
| R29721 | NIHSS score 21 |
| R29722 | NIHSS score 22 |
| R29723 | NIHSS score 23 |
| R29724 | NIHSS score 24 |
| R29725 | NIHSS score 25 |
| R29726 | NIHSS score 26 |
| R29727 | NIHSS score 27 |
| R29728 | NIHSS score 28 |
| R29729 | NIHSS score 29 |
| R29730 | NIHSS score 30 |
| R29731 | NIHSS score 31 |
| R29732 | NIHSS score 32 |
| R29733 | NIHSS score 33 |
| R29734 | NIHSS score 34 |
| R29735 | NIHSS score 35 |
| R29736 | NIHSS score 36 |
| R29737 | NIHSS score 37 |
| R29738 | NIHSS score 38 |
| R29739 | NIHSS score 39 |
| R29740 | NIHSS score 40 |
| R29741 | NIHSS score 41 |
| R29742 | NIHSS score 42 |
| R410 | Disorientation, unspecified |
| R411 | Anterograde amnesia |
| R412 | Retrograde amnesia |
| R413 | Other amnesia |
| R4182 | Altered mental status, unspecified |
| R419 | Unspecified symptoms and signs involving cognitive functions and awareness |
| R448 | Other symptoms and signs involving general sensations and perceptions |
| R449 | Unspecified symptoms and signs involving general sensations and perceptions |
| R4583 | Excessive crying of child, adolescent or adult |
| R4584 | Anhedonia |
| R460 | Very low level of personal hygiene |
| R461 | Bizarre personal appearance |
| R462 | Strange and inexplicable behavior |
| R463 | Overactivity |
| R464 | Slowness and poor responsiveness |
| R465 | Suspiciousness and marked evasiveness |
| R466 | Undue concern and preoccupation with stressful events |
| R467 | Verbosity and circumstantial detail obscuring reason for contact |
| R4681 | Obsessive-compulsive behavior |
| R4689 | Other symptoms and signs involving appearance and behavior |
| R52 | Pain, unspecified |
| R680 | Hypothermia, not associated with low environmental temperature |
| R6811 | Excessive crying of infant (baby) |
| R6812 | Fussy infant (baby) |
| R6813 | Apparent life threatening event in infant (ALTE) |
| R6819 | Other nonspecific symptoms peculiar to infancy |
| R6881 | Early satiety |
| R6882 | Decreased libido |
| R6883 | Chills (without fever) |
| R6889 | Other general symptoms and signs |
| R69 | Illness, unspecified |
| PDX Collection 1125 | |
| R291 | Meningismus |
| R29810 | Facial weakness |
| PDX Collection 1126 | |
| R295 | Transient paralysis |
| R29810 | Facial weakness |
| PDX Collection 1127 | |
| R301 | Vesical tenesmus |
| R390 | Extravasation of urine |
| R392 | Extrarenal uremia |
| R3981 | Functional urinary incontinence |
| R3982 | Chronic bladder pain |
| R3983 | Unilateral non-palpable testicle |
| R3984 | Bilateral non-palpable testicles |
| R3989 | Other symptoms and signs involving the genitourinary system |
| R399 | Unspecified symptoms and signs involving the genitourinary system |
| PDX Collection 1128 | |
| R293 | Abnormal posture |
| R296 | Repeated falls |
| R29810 | Facial weakness |
| R29818 | Other symptoms and signs involving the nervous system |
| R29890 | Loss of height |
| R2990 | Unspecified symptoms and signs involving the nervous system |
| R2991 | Unspecified symptoms and signs involving the musculoskeletal system |
| R414 | Neurologic neglect syndrome |
| PDX Collection 1129 | |
| G890 | Central pain syndrome |
| G8911 | Acute pain due to trauma |
| G8912 | Acute post-thoracotomy pain |
| G8918 | Other acute postprocedural pain |
| G8921 | Chronic pain due to trauma |
| G8922 | Chronic post-thoracotomy pain |
| G8928 | Other chronic postprocedural pain |
| G8929 | Other chronic pain |
| G893 | Neoplasm related pain (acute) (chronic) |
| G894 | Chronic pain syndrome |
| R29700 | NIHSS score 0 |
| R29701 | NIHSS score 1 |
| R29702 | NIHSS score 2 |
| R29703 | NIHSS score 3 |
| R29704 | NIHSS score 4 |
| R29705 | NIHSS score 5 |
| R29706 | NIHSS score 6 |
| R29707 | NIHSS score 7 |
| R29708 | NIHSS score 8 |
| R29709 | NIHSS score 9 |
| R29710 | NIHSS score 10 |
| R29711 | NIHSS score 11 |
| R29712 | NIHSS score 12 |
| R29713 | NIHSS score 13 |
| R29714 | NIHSS score 14 |
| R29715 | NIHSS score 15 |
| R29716 | NIHSS score 16 |
| R29717 | NIHSS score 17 |
| R29718 | NIHSS score 18 |
| R29719 | NIHSS score 19 |
| R29720 | NIHSS score 20 |
| R29721 | NIHSS score 21 |
| R29722 | NIHSS score 22 |
| R29723 | NIHSS score 23 |
| R29724 | NIHSS score 24 |
| R29725 | NIHSS score 25 |
| R29726 | NIHSS score 26 |
| R29727 | NIHSS score 27 |
| R29728 | NIHSS score 28 |
| R29729 | NIHSS score 29 |
| R29730 | NIHSS score 30 |
| R29731 | NIHSS score 31 |
| R29732 | NIHSS score 32 |
| R29733 | NIHSS score 33 |
| R29734 | NIHSS score 34 |
| R29735 | NIHSS score 35 |
| R29736 | NIHSS score 36 |
| R29737 | NIHSS score 37 |
| R29738 | NIHSS score 38 |
| R29739 | NIHSS score 39 |
| R29740 | NIHSS score 40 |
| R29741 | NIHSS score 41 |
| R29742 | NIHSS score 42 |
| R410 | Disorientation, unspecified |
| R411 | Anterograde amnesia |
| R412 | Retrograde amnesia |
| R413 | Other amnesia |
| R4182 | Altered mental status, unspecified |
| R419 | Unspecified symptoms and signs involving cognitive functions and awareness |
| R42 | Dizziness and giddiness |
| R440 | Auditory hallucinations |
| R442 | Other hallucinations |
| R443 | Hallucinations, unspecified |
| R448 | Other symptoms and signs involving general sensations and perceptions |
| R449 | Unspecified symptoms and signs involving general sensations and perceptions |
| R4583 | Excessive crying of child, adolescent or adult |
| R4584 | Anhedonia |
| R460 | Very low level of personal hygiene |
| R461 | Bizarre personal appearance |
| R462 | Strange and inexplicable behavior |
| R463 | Overactivity |
| R464 | Slowness and poor responsiveness |
| R465 | Suspiciousness and marked evasiveness |
| R466 | Undue concern and preoccupation with stressful events |
| R467 | Verbosity and circumstantial detail obscuring reason for contact |
| R4681 | Obsessive-compulsive behavior |
| R4689 | Other symptoms and signs involving appearance and behavior |
| R52 | Pain, unspecified |
| R680 | Hypothermia, not associated with low environmental temperature |
| R6811 | Excessive crying of infant (baby) |
| R6812 | Fussy infant (baby) |
| R6813 | Apparent life threatening event in infant (ALTE) |
| R6819 | Other nonspecific symptoms peculiar to infancy |
| R6881 | Early satiety |
| R6882 | Decreased libido |
| R6883 | Chills (without fever) |
| R6889 | Other general symptoms and signs |
| R69 | Illness, unspecified |
| PDX Collection 1130 | |
| F05 | Delirium due to known physiological condition |
| R45851 | Suicidal ideations |
| PDX Collection 1131 | |
| F801 | Expressive language disorder |
| F8081 | Childhood onset fluency disorder |
| I6200 | Nontraumatic subdural hemorrhage, unspecified |
| I6201 | Nontraumatic acute subdural hemorrhage |
| I6202 | Nontraumatic subacute subdural hemorrhage |
| I6203 | Nontraumatic chronic subdural hemorrhage |
| I621 | Nontraumatic extradural hemorrhage |
| I629 | Nontraumatic intracranial hemorrhage, unspecified |
| I6300 | Cerebral infarction due to thrombosis of unspecified precerebral artery |
| I63011 | Cerebral infarction due to thrombosis of right vertebral artery |
| I63012 | Cerebral infarction due to thrombosis of left vertebral artery |
| I63013 | Cerebral infarction due to thrombosis of bilateral vertebral arteries |
| I63019 | Cerebral infarction due to thrombosis of unspecified vertebral artery |
| I6302 | Cerebral infarction due to thrombosis of basilar artery |
| I63031 | Cerebral infarction due to thrombosis of right carotid artery |
| I63032 | Cerebral infarction due to thrombosis of left carotid artery |
| I63033 | Cerebral infarction due to thrombosis of bilateral carotid arteries |
| I63039 | Cerebral infarction due to thrombosis of unspecified carotid artery |
| I6309 | Cerebral infarction due to thrombosis of other precerebral artery |
| I6310 | Cerebral infarction due to embolism of unspecified precerebral artery |
| I63111 | Cerebral infarction due to embolism of right vertebral artery |
| I63112 | Cerebral infarction due to embolism of left vertebral artery |
| I63113 | Cerebral infarction due to embolism of bilateral vertebral arteries |
| I63119 | Cerebral infarction due to embolism of unspecified vertebral artery |
| I6312 | Cerebral infarction due to embolism of basilar artery |
| I63131 | Cerebral infarction due to embolism of right carotid artery |
| I63132 | Cerebral infarction due to embolism of left carotid artery |
| I63133 | Cerebral infarction due to embolism of bilateral carotid arteries |
| I63139 | Cerebral infarction due to embolism of unspecified carotid artery |
| I6319 | Cerebral infarction due to embolism of other precerebral artery |
| I6320 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries |
| I63211 | Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery |
| I63212 | Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery |
| I63213 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries |
| I63219 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery |
| I6322 | Cerebral infarction due to unspecified occlusion or stenosis of basilar artery |
| I63231 | Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries |
| I63232 | Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries |
| I63233 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries |
| I63239 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery |
| I6329 | Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries |
| I6330 | Cerebral infarction due to thrombosis of unspecified cerebral artery |
| I63311 | Cerebral infarction due to thrombosis of right middle cerebral artery |
| I63312 | Cerebral infarction due to thrombosis of left middle cerebral artery |
| I63313 | Cerebral infarction due to thrombosis of bilateral middle cerebral arteries |
| I63319 | Cerebral infarction due to thrombosis of unspecified middle cerebral artery |
| I63321 | Cerebral infarction due to thrombosis of right anterior cerebral artery |
| I63322 | Cerebral infarction due to thrombosis of left anterior cerebral artery |
| I63323 | Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries |
| I63329 | Cerebral infarction due to thrombosis of unspecified anterior cerebral artery |
| I63331 | Cerebral infarction due to thrombosis of right posterior cerebral artery |
| I63332 | Cerebral infarction due to thrombosis of left posterior cerebral artery |
| I63333 | Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries |
| I63339 | Cerebral infarction due to thrombosis of unspecified posterior cerebral artery |
| I63341 | Cerebral infarction due to thrombosis of right cerebellar artery |
| I63342 | Cerebral infarction due to thrombosis of left cerebellar artery |
| I63343 | Cerebral infarction due to thrombosis of bilateral cerebellar arteries |
| I63349 | Cerebral infarction due to thrombosis of unspecified cerebellar artery |
| I6339 | Cerebral infarction due to thrombosis of other cerebral artery |
| I6340 | Cerebral infarction due to embolism of unspecified cerebral artery |
| I63411 | Cerebral infarction due to embolism of right middle cerebral artery |
| I63412 | Cerebral infarction due to embolism of left middle cerebral artery |
| I63413 | Cerebral infarction due to embolism of bilateral middle cerebral arteries |
| I63419 | Cerebral infarction due to embolism of unspecified middle cerebral artery |
| I63421 | Cerebral infarction due to embolism of right anterior cerebral artery |
| I63422 | Cerebral infarction due to embolism of left anterior cerebral artery |
| I63423 | Cerebral infarction due to embolism of bilateral anterior cerebral arteries |
| I63429 | Cerebral infarction due to embolism of unspecified anterior cerebral artery |
| I63431 | Cerebral infarction due to embolism of right posterior cerebral artery |
| I63432 | Cerebral infarction due to embolism of left posterior cerebral artery |
| I63433 | Cerebral infarction due to embolism of bilateral posterior cerebral arteries |
| I63439 | Cerebral infarction due to embolism of unspecified posterior cerebral artery |
| I63441 | Cerebral infarction due to embolism of right cerebellar artery |
| I63442 | Cerebral infarction due to embolism of left cerebellar artery |
| I63443 | Cerebral infarction due to embolism of bilateral cerebellar arteries |
| I63449 | Cerebral infarction due to embolism of unspecified cerebellar artery |
| I6349 | Cerebral infarction due to embolism of other cerebral artery |
| I6350 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery |
| I63511 | Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery |
| I63512 | Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery |
| I63513 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries |
| I63519 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery |
| I63521 | Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery |
| I63522 | Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery |
| I63523 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries |
| I63529 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 01 Mar 2023 06:12:40 CMS, code-revision=344, description-revision=1357 |