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 747 of 1375 |
| PDX Collection 5255 | |
| E0851 | Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene |
| E0852 | Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene |
| E0859 | Diabetes mellitus due to underlying condition with other circulatory complications |
| E08618 | Diabetes mellitus due to underlying condition with other diabetic arthropathy |
| E08620 | Diabetes mellitus due to underlying condition with diabetic dermatitis |
| E08621 | Diabetes mellitus due to underlying condition with foot ulcer |
| E08622 | Diabetes mellitus due to underlying condition with other skin ulcer |
| E08628 | Diabetes mellitus due to underlying condition with other skin complications |
| E08630 | Diabetes mellitus due to underlying condition with periodontal disease |
| E08638 | Diabetes mellitus due to underlying condition with other oral complications |
| E08649 | Diabetes mellitus due to underlying condition with hypoglycemia without coma |
| E0865 | Diabetes mellitus due to underlying condition with hyperglycemia |
| E0869 | Diabetes mellitus due to underlying condition with other specified complication |
| E088 | Diabetes mellitus due to underlying condition with unspecified complications |
| E0951 | Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy without gangrene |
| E0952 | Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| E0959 | Drug or chemical induced diabetes mellitus with other circulatory complications |
| E09618 | Drug or chemical induced diabetes mellitus with other diabetic arthropathy |
| E09620 | Drug or chemical induced diabetes mellitus with diabetic dermatitis |
| E09621 | Drug or chemical induced diabetes mellitus with foot ulcer |
| E09622 | Drug or chemical induced diabetes mellitus with other skin ulcer |
| E09628 | Drug or chemical induced diabetes mellitus with other skin complications |
| E09630 | Drug or chemical induced diabetes mellitus with periodontal disease |
| E09638 | Drug or chemical induced diabetes mellitus with other oral complications |
| E09649 | Drug or chemical induced diabetes mellitus with hypoglycemia without coma |
| E0965 | Drug or chemical induced diabetes mellitus with hyperglycemia |
| E0969 | Drug or chemical induced diabetes mellitus with other specified complication |
| E098 | Drug or chemical induced diabetes mellitus with unspecified complications |
| E1051 | Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene |
| E1052 | Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| E1059 | Type 1 diabetes mellitus with other circulatory complications |
| E10618 | Type 1 diabetes mellitus with other diabetic arthropathy |
| E10620 | Type 1 diabetes mellitus with diabetic dermatitis |
| E10621 | Type 1 diabetes mellitus with foot ulcer |
| E10622 | Type 1 diabetes mellitus with other skin ulcer |
| E10628 | Type 1 diabetes mellitus with other skin complications |
| E10630 | Type 1 diabetes mellitus with periodontal disease |
| E10638 | Type 1 diabetes mellitus with other oral complications |
| E10649 | Type 1 diabetes mellitus with hypoglycemia without coma |
| E1069 | Type 1 diabetes mellitus with other specified complication |
| E108 | Type 1 diabetes mellitus with unspecified complications |
| E1151 | Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene |
| E1152 | Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| E1159 | Type 2 diabetes mellitus with other circulatory complications |
| E11618 | Type 2 diabetes mellitus with other diabetic arthropathy |
| E11620 | Type 2 diabetes mellitus with diabetic dermatitis |
| E11621 | Type 2 diabetes mellitus with foot ulcer |
| E11622 | Type 2 diabetes mellitus with other skin ulcer |
| E11628 | Type 2 diabetes mellitus with other skin complications |
| E11630 | Type 2 diabetes mellitus with periodontal disease |
| E11638 | Type 2 diabetes mellitus with other oral complications |
| E11649 | Type 2 diabetes mellitus with hypoglycemia without coma |
| E1169 | Type 2 diabetes mellitus with other specified complication |
| E118 | Type 2 diabetes mellitus with unspecified complications |
| E1351 | Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene |
| E1352 | Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| E1359 | Other specified diabetes mellitus with other circulatory complications |
| E13618 | Other specified diabetes mellitus with other diabetic arthropathy |
| E13620 | Other specified diabetes mellitus with diabetic dermatitis |
| E13621 | Other specified diabetes mellitus with foot ulcer |
| E13622 | Other specified diabetes mellitus with other skin ulcer |
| E13628 | Other specified diabetes mellitus with other skin complications |
| E13630 | Other specified diabetes mellitus with periodontal disease |
| E13638 | Other specified diabetes mellitus with other oral complications |
| E13649 | Other specified diabetes mellitus with hypoglycemia without coma |
| E1365 | Other specified diabetes mellitus with hyperglycemia |
| E1369 | Other specified diabetes mellitus with other specified complication |
| E138 | Other specified diabetes mellitus with unspecified complications |
| I7100 | Dissection of unspecified site of aorta |
| I71010 | Dissection of ascending aorta |
| I71011 | Dissection of aortic arch |
| I71012 | Dissection of descending thoracic aorta |
| I71019 | Dissection of thoracic aorta, unspecified |
| I7102 | Dissection of abdominal aorta |
| I7103 | Dissection of thoracoabdominal aorta |
| I7110 | Thoracic aortic aneurysm, ruptured, unspecified |
| I7111 | Aneurysm of the ascending aorta, ruptured |
| I7112 | Aneurysm of the aortic arch, ruptured |
| I7113 | Aneurysm of the descending thoracic aorta, ruptured |
| I7120 | Thoracic aortic aneurysm, without rupture, unspecified |
| I7121 | Aneurysm of the ascending aorta, without rupture |
| I7122 | Aneurysm of the aortic arch, without rupture |
| I7123 | Aneurysm of the descending thoracic aorta, without rupture |
| I7130 | Abdominal aortic aneurysm, ruptured, unspecified |
| I7131 | Pararenal abdominal aortic aneurysm, ruptured |
| I7132 | Juxtarenal abdominal aortic aneurysm, ruptured |
| I7133 | Infrarenal abdominal aortic aneurysm, ruptured |
| I7140 | Abdominal aortic aneurysm, without rupture, unspecified |
| I7141 | Pararenal abdominal aortic aneurysm, without rupture |
| I7142 | Juxtarenal abdominal aortic aneurysm, without rupture |
| I7143 | Infrarenal abdominal aortic aneurysm, without rupture |
| I7150 | Thoracoabdominal aortic aneurysm, ruptured, unspecified |
| I7151 | Supraceliac aneurysm of the thoracoabdominal aorta, ruptured |
| I7152 | Paravisceral aneurysm of the thoracoabdominal aorta, ruptured |
| I7160 | Thoracoabdominal aortic aneurysm, without rupture, unspecified |
| I7161 | Supraceliac aneurysm of the thoracoabdominal aorta, without rupture |
| I7162 | Paravisceral aneurysm of the thoracoabdominal aorta, without rupture |
| I718 | Aortic aneurysm of unspecified site, ruptured |
| I719 | Aortic aneurysm of unspecified site, without rupture |
| I77810 | Thoracic aortic ectasia |
| I77811 | Abdominal aortic ectasia |
| I77812 | Thoracoabdominal aortic ectasia |
| I77819 | Aortic ectasia, unspecified site |
| I790 | Aneurysm of aorta in diseases classified elsewhere |
| I878 | Other specified disorders of veins |
| I879 | Disorder of vein, unspecified |
| I998 | Other disorder of circulatory system |
| I999 | Unspecified disorder of circulatory system |
| PDX Collection 5257 | |
| F070 | Personality change due to known physiological condition |
| F0781 | Postconcussional syndrome |
| F079 | Unspecified personality and behavioral disorder due to known physiological condition |
| F09 | Unspecified mental disorder due to known physiological condition |
| F200 | Paranoid schizophrenia |
| F201 | Disorganized schizophrenia |
| F202 | Catatonic schizophrenia |
| F203 | Undifferentiated schizophrenia |
| F205 | Residual schizophrenia |
| F2081 | Schizophreniform disorder |
| F2089 | Other schizophrenia |
| F209 | Schizophrenia, unspecified |
| F21 | Schizotypal disorder |
| F22 | Delusional disorders |
| F23 | Brief psychotic disorder |
| F24 | Shared psychotic disorder |
| F250 | Schizoaffective disorder, bipolar type |
| F251 | Schizoaffective disorder, depressive type |
| F258 | Other schizoaffective disorders |
| F259 | Schizoaffective disorder, unspecified |
| F28 | Other psychotic disorder not due to a substance or known physiological condition |
| F29 | Unspecified psychosis not due to a substance or known physiological condition |
| F3010 | Manic episode without psychotic symptoms, unspecified |
| F3011 | Manic episode without psychotic symptoms, mild |
| F3012 | Manic episode without psychotic symptoms, moderate |
| F3013 | Manic episode, severe, without psychotic symptoms |
| F302 | Manic episode, severe with psychotic symptoms |
| F303 | Manic episode in partial remission |
| F304 | Manic episode in full remission |
| F308 | Other manic episodes |
| F309 | Manic episode, unspecified |
| F310 | Bipolar disorder, current episode hypomanic |
| F3110 | Bipolar disorder, current episode manic without psychotic features, unspecified |
| F3111 | Bipolar disorder, current episode manic without psychotic features, mild |
| F3112 | Bipolar disorder, current episode manic without psychotic features, moderate |
| F3113 | Bipolar disorder, current episode manic without psychotic features, severe |
| F312 | Bipolar disorder, current episode manic severe with psychotic features |
| F3130 | Bipolar disorder, current episode depressed, mild or moderate severity, unspecified |
| F3131 | Bipolar disorder, current episode depressed, mild |
| F3132 | Bipolar disorder, current episode depressed, moderate |
| F314 | Bipolar disorder, current episode depressed, severe, without psychotic features |
| F315 | Bipolar disorder, current episode depressed, severe, with psychotic features |
| F3160 | Bipolar disorder, current episode mixed, unspecified |
| F3161 | Bipolar disorder, current episode mixed, mild |
| F3162 | Bipolar disorder, current episode mixed, moderate |
| F3163 | Bipolar disorder, current episode mixed, severe, without psychotic features |
| F3164 | Bipolar disorder, current episode mixed, severe, with psychotic features |
| F3170 | Bipolar disorder, currently in remission, most recent episode unspecified |
| F3171 | Bipolar disorder, in partial remission, most recent episode hypomanic |
| F3172 | Bipolar disorder, in full remission, most recent episode hypomanic |
| F3173 | Bipolar disorder, in partial remission, most recent episode manic |
| F3174 | Bipolar disorder, in full remission, most recent episode manic |
| F3175 | Bipolar disorder, in partial remission, most recent episode depressed |
| F3176 | Bipolar disorder, in full remission, most recent episode depressed |
| F3177 | Bipolar disorder, in partial remission, most recent episode mixed |
| F3178 | Bipolar disorder, in full remission, most recent episode mixed |
| F3181 | Bipolar II disorder |
| F3189 | Other bipolar disorder |
| F319 | Bipolar disorder, unspecified |
| F320 | Major depressive disorder, single episode, mild |
| F321 | Major depressive disorder, single episode, moderate |
| F322 | Major depressive disorder, single episode, severe without psychotic features |
| F323 | Major depressive disorder, single episode, severe with psychotic features |
| F324 | Major depressive disorder, single episode, in partial remission |
| F325 | Major depressive disorder, single episode, in full remission |
| F3281 | Premenstrual dysphoric disorder |
| F3289 | Other specified depressive episodes |
| F329 | Major depressive disorder, single episode, unspecified |
| F330 | Major depressive disorder, recurrent, mild |
| F331 | Major depressive disorder, recurrent, moderate |
| F332 | Major depressive disorder, recurrent severe without psychotic features |
| F333 | Major depressive disorder, recurrent, severe with psychotic symptoms |
| F3340 | Major depressive disorder, recurrent, in remission, unspecified |
| F3341 | Major depressive disorder, recurrent, in partial remission |
| F3342 | Major depressive disorder, recurrent, in full remission |
| F338 | Other recurrent depressive disorders |
| F339 | Major depressive disorder, recurrent, unspecified |
| F340 | Cyclothymic disorder |
| F341 | Dysthymic disorder |
| F3481 | Disruptive mood dysregulation disorder |
| F3489 | Other specified persistent mood disorders |
| F349 | Persistent mood [affective] disorder, unspecified |
| F39 | Unspecified mood [affective] disorder |
| F4000 | Agoraphobia, unspecified |
| F4001 | Agoraphobia with panic disorder |
| F4002 | Agoraphobia without panic disorder |
| F4010 | Social phobia, unspecified |
| F4011 | Social phobia, generalized |
| F40210 | Arachnophobia |
| F40218 | Other animal type phobia |
| F40220 | Fear of thunderstorms |
| F40228 | Other natural environment type phobia |
| F40230 | Fear of blood |
| F40231 | Fear of injections and transfusions |
| F40232 | Fear of other medical care |
| F40233 | Fear of injury |
| F40240 | Claustrophobia |
| F40241 | Acrophobia |
| F40242 | Fear of bridges |
| F40243 | Fear of flying |
| F40248 | Other situational type phobia |
| F40290 | Androphobia |
| F40291 | Gynephobia |
| F40298 | Other specified phobia |
| F408 | Other phobic anxiety disorders |
| F409 | Phobic anxiety disorder, unspecified |
| F410 | Panic disorder [episodic paroxysmal anxiety] |
| F411 | Generalized anxiety disorder |
| F413 | Other mixed anxiety disorders |
| F418 | Other specified anxiety disorders |
| F419 | Anxiety disorder, unspecified |
| F422 | Mixed obsessional thoughts and acts |
| F423 | Hoarding disorder |
| F424 | Excoriation (skin-picking) disorder |
| F428 | Other obsessive-compulsive disorder |
| F429 | Obsessive-compulsive disorder, unspecified |
| F430 | Acute stress reaction |
| F4310 | Post-traumatic stress disorder, unspecified |
| F4311 | Post-traumatic stress disorder, acute |
| F4312 | Post-traumatic stress disorder, chronic |
| F4320 | Adjustment disorder, unspecified |
| F4321 | Adjustment disorder with depressed mood |
| F4322 | Adjustment disorder with anxiety |
| F4323 | Adjustment disorder with mixed anxiety and depressed mood |
| F4324 | Adjustment disorder with disturbance of conduct |
| F4325 | Adjustment disorder with mixed disturbance of emotions and conduct |
| F4329 | Adjustment disorder with other symptoms |
| F4381 | Prolonged grief disorder |
| F4389 | Other reactions to severe stress |
| F439 | Reaction to severe stress, unspecified |
| F440 | Dissociative amnesia |
| F441 | Dissociative fugue |
| F442 | Dissociative stupor |
| F444 | Conversion disorder with motor symptom or deficit |
| F445 | Conversion disorder with seizures or convulsions |
| F446 | Conversion disorder with sensory symptom or deficit |
| F447 | Conversion disorder with mixed symptom presentation |
| F4481 | Dissociative identity disorder |
| F4489 | Other dissociative and conversion disorders |
| F449 | Dissociative and conversion disorder, unspecified |
| F450 | Somatization disorder |
| F451 | Undifferentiated somatoform disorder |
| F4520 | Hypochondriacal disorder, unspecified |
| F4521 | Hypochondriasis |
| F4522 | Body dysmorphic disorder |
| F4529 | Other hypochondriacal disorders |
| F4541 | Pain disorder exclusively related to psychological factors |
| F4542 | Pain disorder with related psychological factors |
| F458 | Other somatoform disorders |
| F459 | Somatoform disorder, unspecified |
| F481 | Depersonalization-derealization syndrome |
| F488 | Other specified nonpsychotic mental disorders |
| F489 | Nonpsychotic mental disorder, unspecified |
| F5000 | Anorexia nervosa, unspecified |
| F5001 | Anorexia nervosa, restricting type |
| F5002 | Anorexia nervosa, binge eating/purging type |
| F502 | Bulimia nervosa |
| F5081 | Binge eating disorder |
| F5082 | Avoidant/restrictive food intake disorder |
| F5089 | Other specified eating disorder |
| F509 | Eating disorder, unspecified |
| F5101 | Primary insomnia |
| F5102 | Adjustment insomnia |
| F5103 | Paradoxical insomnia |
| F5112 | Insufficient sleep syndrome |
| F5119 | Other hypersomnia not due to a substance or known physiological condition |
| F513 | Sleepwalking [somnambulism] |
| F514 | Sleep terrors [night terrors] |
| F515 | Nightmare disorder |
| F518 | Other sleep disorders not due to a substance or known physiological condition |
| F519 | Sleep disorder not due to a substance or known physiological condition, unspecified |
| F525 | Vaginismus not due to a substance or known physiological condition |
| F54 | Psychological and behavioral factors associated with disorders or diseases classified elsewhere |
| F59 | Unspecified behavioral syndromes associated with physiological disturbances and physical factors |
| F600 | Paranoid personality disorder |
| F601 | Schizoid personality disorder |
| F602 | Antisocial personality disorder |
| F603 | Borderline personality disorder |
| F604 | Histrionic personality disorder |
| F605 | Obsessive-compulsive personality disorder |
| F606 | Avoidant personality disorder |
| F607 | Dependent personality disorder |
| F6081 | Narcissistic personality disorder |
| F6089 | Other specific personality disorders |
| F609 | Personality disorder, unspecified |
| F630 | Pathological gambling |
| F631 | Pyromania |
| F632 | Kleptomania |
| F6381 | Intermittent explosive disorder |
| F6389 | Other impulse disorders |
| F639 | Impulse disorder, unspecified |
| F6810 | Factitious disorder imposed on self, unspecified |
| F6811 | Factitious disorder imposed on self, with predominantly psychological signs and symptoms |
| F6812 | Factitious disorder imposed on self, with predominantly physical signs and symptoms |
| F6813 | Factitious disorder imposed on self, with combined psychological and physical signs and symptoms |
| F688 | Other specified disorders of adult personality and behavior |
| F68A | Factitious disorder imposed on another |
| F69 | Unspecified disorder of adult personality and behavior |
| F70 | Mild intellectual disabilities |
| F71 | Moderate intellectual disabilities |
| F72 | Severe intellectual disabilities |
| F73 | Profound intellectual disabilities |
| F79 | Unspecified intellectual disabilities |
| F800 | Phonological disorder |
| F801 | Expressive language disorder |
| F802 | Mixed receptive-expressive language disorder |
| F804 | Speech and language development delay due to hearing loss |
| F8082 | Social pragmatic communication disorder |
| F8089 | Other developmental disorders of speech and language |
| F809 | Developmental disorder of speech and language, unspecified |
| F810 | Specific reading disorder |
| F812 | Mathematics disorder |
| F8181 | Disorder of written expression |
| F8189 | Other developmental disorders of scholastic skills |
| F819 | Developmental disorder of scholastic skills, unspecified |
| F82 | Specific developmental disorder of motor function |
| F840 | Autistic disorder |
| F843 | Other childhood disintegrative disorder |
| F845 | Asperger's syndrome |
| F848 | Other pervasive developmental disorders |
| F849 | Pervasive developmental disorder, unspecified |
| F88 | Other disorders of psychological development |
| F89 | Unspecified disorder of psychological development |
| F900 | Attention-deficit hyperactivity disorder, predominantly inattentive type |
| F901 | Attention-deficit hyperactivity disorder, predominantly hyperactive type |
| F902 | Attention-deficit hyperactivity disorder, combined type |
| F908 | Attention-deficit hyperactivity disorder, other type |
| F909 | Attention-deficit hyperactivity disorder, unspecified type |
| F910 | Conduct disorder confined to family context |
| F911 | Conduct disorder, childhood-onset type |
| F912 | Conduct disorder, adolescent-onset type |
| F913 | Oppositional defiant disorder |
| F918 | Other conduct disorders |
| F919 | Conduct disorder, unspecified |
| F930 | Separation anxiety disorder of childhood |
| F938 | Other childhood emotional disorders |
| F939 | Childhood emotional disorder, unspecified |
| F940 | Selective mutism |
| F941 | Reactive attachment disorder of childhood |
| F942 | Disinhibited attachment disorder of childhood |
| F948 | Other childhood disorders of social functioning |
| F949 | Childhood disorder of social functioning, unspecified |
| F950 | Transient tic disorder |
| F951 | Chronic motor or vocal tic disorder |
| F952 | Tourette's disorder |
| F958 | Other tic disorders |
| F959 | Tic disorder, unspecified |
| F980 | Enuresis not due to a substance or known physiological condition |
| F981 | Encopresis not due to a substance or known physiological condition |
| F9821 | Rumination disorder of infancy |
| F9829 | Other feeding disorders of infancy and early childhood |
| F983 | Pica of infancy and childhood |
| F984 | Stereotyped movement disorders |
| F985 | Adult onset fluency disorder |
| F988 | Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence |
| F989 | Unspecified behavioral and emotional disorders with onset usually occurring in childhood and adolescence |
| F99 | Mental disorder, not otherwise specified |
| G44201 | Tension-type headache, unspecified, intractable |
| G44209 | Tension-type headache, unspecified, not intractable |
| G44211 | Episodic tension-type headache, intractable |
| G44219 | Episodic tension-type headache, not intractable |
| G44221 | Chronic tension-type headache, intractable |
| G44229 | Chronic tension-type headache, not intractable |
| H9325 | Central auditory processing disorder |
| R451 | Restlessness and agitation |
| R452 | Unhappiness |
| R455 | Hostility |
| R456 | Violent behavior |
| R457 | State of emotional shock and stress, unspecified |
| R4581 | Low self-esteem |
| R4582 | Worries |
| R4586 | Emotional lability |
| R4587 | Impulsiveness |
| PDX Collection 5260 | |
| S0190XA | Unspecified open wound of unspecified part of head, initial encounter |
| S0191XA | Laceration without foreign body of unspecified part of head, initial encounter |
| S0192XA | Laceration with foreign body of unspecified part of head, initial encounter |
| S0193XA | Puncture wound without foreign body of unspecified part of head, initial encounter |
| S0194XA | Puncture wound with foreign body of unspecified part of head, initial encounter |
| S0195XA | Open bite of unspecified part of head, initial encounter |
| S020XXA | Fracture of vault of skull, initial encounter for closed fracture |
| S020XXB | Fracture of vault of skull, initial encounter for open fracture |
| S020XXS | Fracture of vault of skull, sequela |
| S02101A | Fracture of base of skull, right side, initial encounter for closed fracture |
| S02101B | Fracture of base of skull, right side, initial encounter for open fracture |
| S02101S | Fracture of base of skull, right side, sequela |
| S02102A | Fracture of base of skull, left side, initial encounter for closed fracture |
| S02102B | Fracture of base of skull, left side, initial encounter for open fracture |
| S02102S | Fracture of base of skull, left side, sequela |
| S02109A | Fracture of base of skull, unspecified side, initial encounter for closed fracture |
| S02109B | Fracture of base of skull, unspecified side, initial encounter for open fracture |
| S02109S | Fracture of base of skull, unspecified side, sequela |
| S02110A | Type I occipital condyle fracture, unspecified side, initial encounter for closed fracture |
| S02110B | Type I occipital condyle fracture, unspecified side, initial encounter for open fracture |
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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 |