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 274 of 1375 |
| PDX Collection 3614 (continued) | |
| B0112 | Varicella myelitis |
| B04 | Monkeypox |
| B0601 | Rubella encephalitis |
| B0809 | Other orthopoxvirus infections |
| B0820 | Exanthema subitum [sixth disease], unspecified |
| B0821 | Exanthema subitum [sixth disease] due to human herpesvirus 6 |
| B0822 | Exanthema subitum [sixth disease] due to human herpesvirus 7 |
| B0860 | Parapoxvirus infection, unspecified |
| B0861 | Bovine stomatitis |
| B0862 | Sealpox |
| B0869 | Other parapoxvirus infections |
| B0870 | Yatapoxvirus infection, unspecified |
| B0871 | Tanapox virus disease |
| B0872 | Yaba pox virus disease |
| B0879 | Other yatapoxvirus infections |
| B09 | Unspecified viral infection characterized by skin and mucous membrane lesions |
| B1001 | Human herpesvirus 6 encephalitis |
| B1009 | Other human herpesvirus encephalitis |
| B262 | Mumps encephalitis |
| B2700 | Gammaherpesviral mononucleosis without complication |
| B2701 | Gammaherpesviral mononucleosis with polyneuropathy |
| B2702 | Gammaherpesviral mononucleosis with meningitis |
| B2709 | Gammaherpesviral mononucleosis with other complications |
| B2710 | Cytomegaloviral mononucleosis without complications |
| B2711 | Cytomegaloviral mononucleosis with polyneuropathy |
| B2712 | Cytomegaloviral mononucleosis with meningitis |
| B2719 | Cytomegaloviral mononucleosis with other complication |
| B2780 | Other infectious mononucleosis without complication |
| B2781 | Other infectious mononucleosis with polyneuropathy |
| B2782 | Other infectious mononucleosis with meningitis |
| B2789 | Other infectious mononucleosis with other complication |
| B2790 | Infectious mononucleosis, unspecified without complication |
| B2791 | Infectious mononucleosis, unspecified with polyneuropathy |
| B2792 | Infectious mononucleosis, unspecified with meningitis |
| B2799 | Infectious mononucleosis, unspecified with other complication |
| B331 | Ross River disease |
| B450 | Pulmonary cryptococcosis |
| B452 | Cutaneous cryptococcosis |
| B453 | Osseous cryptococcosis |
| B457 | Disseminated cryptococcosis |
| B458 | Other forms of cryptococcosis |
| B459 | Cryptococcosis, unspecified |
| B582 | Toxoplasma meningoencephalitis |
| B75 | Trichinellosis |
| B9710 | Unspecified enterovirus as the cause of diseases classified elsewhere |
| G0400 | Acute disseminated encephalitis and encephalomyelitis, unspecified |
| G0401 | Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM) |
| G0431 | Postinfectious acute necrotizing hemorrhagic encephalopathy |
| G0481 | Other encephalitis and encephalomyelitis |
| G0489 | Other myelitis |
| G0490 | Encephalitis and encephalomyelitis, unspecified |
| G0491 | Myelitis, unspecified |
| G053 | Encephalitis and encephalomyelitis in diseases classified elsewhere |
| G054 | Myelitis in diseases classified elsewhere |
| G370 | Diffuse sclerosis of central nervous system |
| G374 | Subacute necrotizing myelitis of central nervous system |
| G375 | Concentric sclerosis [Balo] of central nervous system |
| J09X3 | Influenza due to identified novel influenza A virus with gastrointestinal manifestations |
| J09X9 | Influenza due to identified novel influenza A virus with other manifestations |
| J102 | Influenza due to other identified influenza virus with gastrointestinal manifestations |
| J1081 | Influenza due to other identified influenza virus with encephalopathy |
| J1082 | Influenza due to other identified influenza virus with myocarditis |
| J1083 | Influenza due to other identified influenza virus with otitis media |
| J1089 | Influenza due to other identified influenza virus with other manifestations |
| J112 | Influenza due to unidentified influenza virus with gastrointestinal manifestations |
| J1181 | Influenza due to unidentified influenza virus with encephalopathy |
| J1182 | Influenza due to unidentified influenza virus with myocarditis |
| J1183 | Influenza due to unidentified influenza virus with otitis media |
| J1189 | Influenza due to unidentified influenza virus with other manifestations |
| L444 | Infantile papular acrodermatitis [Gianotti-Crosti] |
| P352 | Congenital herpesviral [herpes simplex] infection |
| P353 | Congenital viral hepatitis |
| P354 | Congenital Zika virus disease |
| P358 | Other congenital viral diseases |
| P359 | Congenital viral disease, unspecified |
| P370 | Congenital tuberculosis |
| P371 | Congenital toxoplasmosis |
| P372 | Neonatal (disseminated) listeriosis |
| P373 | Congenital falciparum malaria |
| P374 | Other congenital malaria |
| P378 | Other specified congenital infectious and parasitic diseases |
| P379 | Congenital infectious or parasitic disease, unspecified |
| PDX Collection 3619 | |
| C882 | Heavy chain disease |
| C883 | Immunoproliferative small intestinal disease |
| C888 | Other malignant immunoproliferative diseases |
| C889 | Malignant immunoproliferative disease, unspecified |
| C9010 | Plasma cell leukemia not having achieved remission |
| C9011 | Plasma cell leukemia in remission |
| C9020 | Extramedullary plasmacytoma not having achieved remission |
| C9021 | Extramedullary plasmacytoma in remission |
| C9030 | Solitary plasmacytoma not having achieved remission |
| C9031 | Solitary plasmacytoma in remission |
| C9100 | Acute lymphoblastic leukemia not having achieved remission |
| C9101 | Acute lymphoblastic leukemia, in remission |
| C9102 | Acute lymphoblastic leukemia, in relapse |
| C9110 | Chronic lymphocytic leukemia of B-cell type not having achieved remission |
| C9111 | Chronic lymphocytic leukemia of B-cell type in remission |
| C9112 | Chronic lymphocytic leukemia of B-cell type in relapse |
| C9130 | Prolymphocytic leukemia of B-cell type not having achieved remission |
| C9131 | Prolymphocytic leukemia of B-cell type, in remission |
| C9132 | Prolymphocytic leukemia of B-cell type, in relapse |
| C9140 | Hairy cell leukemia not having achieved remission |
| C9141 | Hairy cell leukemia, in remission |
| C9142 | Hairy cell leukemia, in relapse |
| C9150 | Adult T-cell lymphoma/leukemia (HTLV-1-associated) not having achieved remission |
| C9151 | Adult T-cell lymphoma/leukemia (HTLV-1-associated), in remission |
| C9152 | Adult T-cell lymphoma/leukemia (HTLV-1-associated), in relapse |
| C9160 | Prolymphocytic leukemia of T-cell type not having achieved remission |
| C9161 | Prolymphocytic leukemia of T-cell type, in remission |
| C9162 | Prolymphocytic leukemia of T-cell type, in relapse |
| C9190 | Lymphoid leukemia, unspecified not having achieved remission |
| C9191 | Lymphoid leukemia, unspecified, in remission |
| C9192 | Lymphoid leukemia, unspecified, in relapse |
| C91A0 | Mature B-cell leukemia Burkitt-type not having achieved remission |
| C91A1 | Mature B-cell leukemia Burkitt-type, in remission |
| C91A2 | Mature B-cell leukemia Burkitt-type, in relapse |
| C91Z0 | Other lymphoid leukemia not having achieved remission |
| C91Z1 | Other lymphoid leukemia, in remission |
| C91Z2 | Other lymphoid leukemia, in relapse |
| C9200 | Acute myeloblastic leukemia, not having achieved remission |
| C9201 | Acute myeloblastic leukemia, in remission |
| C9202 | Acute myeloblastic leukemia, in relapse |
| C9210 | Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission |
| C9211 | Chronic myeloid leukemia, BCR/ABL-positive, in remission |
| C9212 | Chronic myeloid leukemia, BCR/ABL-positive, in relapse |
| C9220 | Atypical chronic myeloid leukemia, BCR/ABL-negative, not having achieved remission |
| C9221 | Atypical chronic myeloid leukemia, BCR/ABL-negative, in remission |
| C9222 | Atypical chronic myeloid leukemia, BCR/ABL-negative, in relapse |
| C9230 | Myeloid sarcoma, not having achieved remission |
| C9231 | Myeloid sarcoma, in remission |
| C9232 | Myeloid sarcoma, in relapse |
| C9240 | Acute promyelocytic leukemia, not having achieved remission |
| C9241 | Acute promyelocytic leukemia, in remission |
| C9242 | Acute promyelocytic leukemia, in relapse |
| C9250 | Acute myelomonocytic leukemia, not having achieved remission |
| C9251 | Acute myelomonocytic leukemia, in remission |
| C9252 | Acute myelomonocytic leukemia, in relapse |
| C9260 | Acute myeloid leukemia with 11q23-abnormality not having achieved remission |
| C9261 | Acute myeloid leukemia with 11q23-abnormality in remission |
| C9262 | Acute myeloid leukemia with 11q23-abnormality in relapse |
| C9290 | Myeloid leukemia, unspecified, not having achieved remission |
| C9291 | Myeloid leukemia, unspecified in remission |
| C9292 | Myeloid leukemia, unspecified in relapse |
| C92A0 | Acute myeloid leukemia with multilineage dysplasia, not having achieved remission |
| C92A1 | Acute myeloid leukemia with multilineage dysplasia, in remission |
| C92A2 | Acute myeloid leukemia with multilineage dysplasia, in relapse |
| C92Z0 | Other myeloid leukemia not having achieved remission |
| C92Z1 | Other myeloid leukemia, in remission |
| C92Z2 | Other myeloid leukemia, in relapse |
| C9300 | Acute monoblastic/monocytic leukemia, not having achieved remission |
| C9301 | Acute monoblastic/monocytic leukemia, in remission |
| C9302 | Acute monoblastic/monocytic leukemia, in relapse |
| C9310 | Chronic myelomonocytic leukemia not having achieved remission |
| C9311 | Chronic myelomonocytic leukemia, in remission |
| C9312 | Chronic myelomonocytic leukemia, in relapse |
| C9330 | Juvenile myelomonocytic leukemia, not having achieved remission |
| C9331 | Juvenile myelomonocytic leukemia, in remission |
| C9332 | Juvenile myelomonocytic leukemia, in relapse |
| C9390 | Monocytic leukemia, unspecified, not having achieved remission |
| C9391 | Monocytic leukemia, unspecified in remission |
| C9392 | Monocytic leukemia, unspecified in relapse |
| C93Z0 | Other monocytic leukemia, not having achieved remission |
| C93Z1 | Other monocytic leukemia, in remission |
| C93Z2 | Other monocytic leukemia, in relapse |
| C9400 | Acute erythroid leukemia, not having achieved remission |
| C9401 | Acute erythroid leukemia, in remission |
| C9402 | Acute erythroid leukemia, in relapse |
| C9420 | Acute megakaryoblastic leukemia not having achieved remission |
| C9421 | Acute megakaryoblastic leukemia, in remission |
| C9422 | Acute megakaryoblastic leukemia, in relapse |
| C9430 | Mast cell leukemia not having achieved remission |
| C9431 | Mast cell leukemia, in remission |
| C9432 | Mast cell leukemia, in relapse |
| C9440 | Acute panmyelosis with myelofibrosis not having achieved remission |
| C9441 | Acute panmyelosis with myelofibrosis, in remission |
| C9442 | Acute panmyelosis with myelofibrosis, in relapse |
| C946 | Myelodysplastic disease, not elsewhere classified |
| C9480 | Other specified leukemias not having achieved remission |
| C9481 | Other specified leukemias, in remission |
| C9482 | Other specified leukemias, in relapse |
| C9500 | Acute leukemia of unspecified cell type not having achieved remission |
| C9501 | Acute leukemia of unspecified cell type, in remission |
| C9502 | Acute leukemia of unspecified cell type, in relapse |
| C9510 | Chronic leukemia of unspecified cell type not having achieved remission |
| C9511 | Chronic leukemia of unspecified cell type, in remission |
| C9512 | Chronic leukemia of unspecified cell type, in relapse |
| C9590 | Leukemia, unspecified not having achieved remission |
| C9591 | Leukemia, unspecified, in remission |
| C9592 | Leukemia, unspecified, in relapse |
| D45 | Polycythemia vera |
| D460 | Refractory anemia without ring sideroblasts, so stated |
| D461 | Refractory anemia with ring sideroblasts |
| D4620 | Refractory anemia with excess of blasts, unspecified |
| D4621 | Refractory anemia with excess of blasts 1 |
| D4622 | Refractory anemia with excess of blasts 2 |
| D464 | Refractory anemia, unspecified |
| D469 | Myelodysplastic syndrome, unspecified |
| D46A | Refractory cytopenia with multilineage dysplasia |
| D46B | Refractory cytopenia with multilineage dysplasia and ring sideroblasts |
| D46C | Myelodysplastic syndrome with isolated del(5q) chromosomal abnormality |
| D46Z | Other myelodysplastic syndromes |
| D4701 | Cutaneous mastocytosis |
| D4702 | Systemic mastocytosis |
| D4709 | Other mast cell neoplasms of uncertain behavior |
| D471 | Chronic myeloproliferative disease |
| D473 | Essential (hemorrhagic) thrombocythemia |
| D479 | Neoplasm of uncertain behavior of lymphoid, hematopoietic and related tissue, unspecified |
| D47Z2 | Castleman disease |
| D47Z9 | Other specified neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue |
| D487 | Neoplasm of uncertain behavior of other specified sites |
| D489 | Neoplasm of uncertain behavior, unspecified |
| D7581 | Myelofibrosis |
| PDX Collection 3626 | |
| E0852 | Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene |
| 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 |
| I70261 | Atherosclerosis of native arteries of extremities with gangrene, right leg |
| I70262 | Atherosclerosis of native arteries of extremities with gangrene, left leg |
| I70263 | Atherosclerosis of native arteries of extremities with gangrene, bilateral legs |
| I70268 | Atherosclerosis of native arteries of extremities with gangrene, other extremity |
| I70269 | Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity |
| I96 | Gangrene, not elsewhere classified |
| 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 3628 | |
| E0952 | Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| 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 |
| I70261 | Atherosclerosis of native arteries of extremities with gangrene, right leg |
| I70262 | Atherosclerosis of native arteries of extremities with gangrene, left leg |
| I70263 | Atherosclerosis of native arteries of extremities with gangrene, bilateral legs |
| I70268 | Atherosclerosis of native arteries of extremities with gangrene, other extremity |
| I70269 | Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity |
| I96 | Gangrene, not elsewhere classified |
| 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 3630 | |
| E1052 | Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| 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 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 01 Mar 2023 06:12:40 CMS, code-revision=344, description-revision=1357 |