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 1170 of 1375 |
| PDX Collection 6247 (continued) | |
| J13 | Pneumonia due to Streptococcus pneumoniae |
| J14 | Pneumonia due to Hemophilus influenzae |
| J150 | Pneumonia due to Klebsiella pneumoniae |
| J151 | Pneumonia due to Pseudomonas |
| J1520 | Pneumonia due to staphylococcus, unspecified |
| J15211 | Pneumonia due to Methicillin susceptible Staphylococcus aureus |
| J15212 | Pneumonia due to Methicillin resistant Staphylococcus aureus |
| J1529 | Pneumonia due to other staphylococcus |
| J153 | Pneumonia due to streptococcus, group B |
| J154 | Pneumonia due to other streptococci |
| J155 | Pneumonia due to Escherichia coli |
| J1561 | Pneumonia due to Acinetobacter baumannii |
| J1569 | Pneumonia due to other Gram-negative bacteria |
| J157 | Pneumonia due to Mycoplasma pneumoniae |
| J158 | Pneumonia due to other specified bacteria |
| J159 | Unspecified bacterial pneumonia |
| J160 | Chlamydial pneumonia |
| J168 | Pneumonia due to other specified infectious organisms |
| J17 | Pneumonia in diseases classified elsewhere |
| J180 | Bronchopneumonia, unspecified organism |
| J181 | Lobar pneumonia, unspecified organism |
| J188 | Other pneumonia, unspecified organism |
| J189 | Pneumonia, unspecified organism |
| J22 | Unspecified acute lower respiratory infection |
| J60 | Coalworker's pneumoconiosis |
| J61 | Pneumoconiosis due to asbestos and other mineral fibers |
| J620 | Pneumoconiosis due to talc dust |
| J628 | Pneumoconiosis due to other dust containing silica |
| J630 | Aluminosis (of lung) |
| J631 | Bauxite fibrosis (of lung) |
| J632 | Berylliosis |
| J633 | Graphite fibrosis (of lung) |
| J634 | Siderosis |
| J635 | Stannosis |
| J636 | Pneumoconiosis due to other specified inorganic dusts |
| J64 | Unspecified pneumoconiosis |
| J65 | Pneumoconiosis associated with tuberculosis |
| J660 | Byssinosis |
| J661 | Flax-dressers' disease |
| J662 | Cannabinosis |
| J668 | Airway disease due to other specific organic dusts |
| J670 | Farmer's lung |
| J671 | Bagassosis |
| J672 | Bird fancier's lung |
| J673 | Suberosis |
| J674 | Maltworker's lung |
| J675 | Mushroom-worker's lung |
| J676 | Maple-bark-stripper's lung |
| J677 | Air conditioner and humidifier lung |
| J678 | Hypersensitivity pneumonitis due to other organic dusts |
| J679 | Hypersensitivity pneumonitis due to unspecified organic dust |
| J680 | Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors |
| J681 | Pulmonary edema due to chemicals, gases, fumes and vapors |
| J682 | Upper respiratory inflammation due to chemicals, gases, fumes and vapors, not elsewhere classified |
| J683 | Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors |
| J684 | Chronic respiratory conditions due to chemicals, gases, fumes and vapors |
| J688 | Other respiratory conditions due to chemicals, gases, fumes and vapors |
| J689 | Unspecified respiratory condition due to chemicals, gases, fumes and vapors |
| J690 | Pneumonitis due to inhalation of food and vomit |
| J691 | Pneumonitis due to inhalation of oils and essences |
| J698 | Pneumonitis due to inhalation of other solids and liquids |
| J700 | Acute pulmonary manifestations due to radiation |
| J701 | Chronic and other pulmonary manifestations due to radiation |
| J702 | Acute drug-induced interstitial lung disorders |
| J703 | Chronic drug-induced interstitial lung disorders |
| J704 | Drug-induced interstitial lung disorders, unspecified |
| J708 | Respiratory conditions due to other specified external agents |
| J709 | Respiratory conditions due to unspecified external agent |
| J984 | Other disorders of lung |
| J988 | Other specified respiratory disorders |
| J989 | Respiratory disorder, unspecified |
| J99 | Respiratory disorders in diseases classified elsewhere |
| N80B1 | Endometriosis of pleura |
| N80B2 | Endometriosis of lung |
| N80B31 | Superficial endometriosis of diaphragm |
| N80B32 | Deep endometriosis of diaphragm |
| N80B39 | Endometriosis of diaphragm, unspecified depth |
| R911 | Solitary pulmonary nodule |
| PDX Collection 6248 | |
| A020 | Salmonella enteritis |
| A039 | Shigellosis, unspecified |
| A040 | Enteropathogenic Escherichia coli infection |
| A041 | Enterotoxigenic Escherichia coli infection |
| A042 | Enteroinvasive Escherichia coli infection |
| A043 | Enterohemorrhagic Escherichia coli infection |
| A044 | Other intestinal Escherichia coli infections |
| A045 | Campylobacter enteritis |
| A046 | Enteritis due to Yersinia enterocolitica |
| A0471 | Enterocolitis due to Clostridium difficile, recurrent |
| A0472 | Enterocolitis due to Clostridium difficile, not specified as recurrent |
| A048 | Other specified bacterial intestinal infections |
| A049 | Bacterial intestinal infection, unspecified |
| A050 | Foodborne staphylococcal intoxication |
| A052 | Foodborne Clostridium perfringens [Clostridium welchii] intoxication |
| A060 | Acute amebic dysentery |
| A061 | Chronic intestinal amebiasis |
| A062 | Amebic nondysenteric colitis |
| A069 | Amebiasis, unspecified |
| A071 | Giardiasis [lambliasis] |
| A072 | Cryptosporidiosis |
| A073 | Isosporiasis |
| A074 | Cyclosporiasis |
| A078 | Other specified protozoal intestinal diseases |
| A079 | Protozoal intestinal disease, unspecified |
| A080 | Rotaviral enteritis |
| A0811 | Acute gastroenteropathy due to Norwalk agent |
| A0819 | Acute gastroenteropathy due to other small round viruses |
| A082 | Adenoviral enteritis |
| A0831 | Calicivirus enteritis |
| A0832 | Astrovirus enteritis |
| A0839 | Other viral enteritis |
| A084 | Viral intestinal infection, unspecified |
| A088 | Other specified intestinal infections |
| A09 | Infectious gastroenteritis and colitis, unspecified |
| A1832 | Tuberculous enteritis |
| A1839 | Retroperitoneal tuberculosis |
| A1883 | Tuberculosis of digestive tract organs, not elsewhere classified |
| B3782 | Candidal enteritis |
| B829 | Intestinal parasitism, unspecified |
| 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 |
| K30 | Functional dyspepsia |
| K3184 | Gastroparesis |
| K521 | Toxic gastroenteritis and colitis |
| K5221 | Food protein-induced enterocolitis syndrome |
| K5222 | Food protein-induced enteropathy |
| K5229 | Other allergic and dietetic gastroenteritis and colitis |
| K523 | Indeterminate colitis |
| K5282 | Eosinophilic colitis |
| K52831 | Collagenous colitis |
| K52832 | Lymphocytic colitis |
| K52838 | Other microscopic colitis |
| K52839 | Microscopic colitis, unspecified |
| K5289 | Other specified noninfective gastroenteritis and colitis |
| K529 | Noninfective gastroenteritis and colitis, unspecified |
| K580 | Irritable bowel syndrome with diarrhea |
| K581 | Irritable bowel syndrome with constipation |
| K582 | Mixed irritable bowel syndrome |
| K588 | Other irritable bowel syndrome |
| K589 | Irritable bowel syndrome without diarrhea |
| K650 | Generalized (acute) peritonitis |
| K652 | Spontaneous bacterial peritonitis |
| K658 | Other peritonitis |
| K6812 | Psoas muscle abscess |
| K6819 | Other retroperitoneal abscess |
| K682 | Retroperitoneal fibrosis |
| K683 | Retroperitoneal hematoma |
| K689 | Other disorders of retroperitoneum |
| P768 | Other specified intestinal obstruction of newborn |
| P769 | Intestinal obstruction of newborn, unspecified |
| P771 | Stage 1 necrotizing enterocolitis in newborn |
| P772 | Stage 2 necrotizing enterocolitis in newborn |
| P773 | Stage 3 necrotizing enterocolitis in newborn |
| P779 | Necrotizing enterocolitis in newborn, unspecified |
| P781 | Other neonatal peritonitis |
| P783 | Noninfective neonatal diarrhea |
| P7881 | Congenital cirrhosis (of liver) |
| P7882 | Peptic ulcer of newborn |
| P7883 | Newborn esophageal reflux |
| P7884 | Gestational alloimmune liver disease |
| P7889 | Other specified perinatal digestive system disorders |
| PDX Collection 6249 | |
| D474 | Osteomyelofibrosis |
| D500 | Iron deficiency anemia secondary to blood loss (chronic) |
| D501 | Sideropenic dysphagia |
| D508 | Other iron deficiency anemias |
| D509 | Iron deficiency anemia, unspecified |
| D510 | Vitamin B12 deficiency anemia due to intrinsic factor deficiency |
| D511 | Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria |
| D512 | Transcobalamin II deficiency |
| D513 | Other dietary vitamin B12 deficiency anemia |
| D518 | Other vitamin B12 deficiency anemias |
| D519 | Vitamin B12 deficiency anemia, unspecified |
| D520 | Dietary folate deficiency anemia |
| D521 | Drug-induced folate deficiency anemia |
| D528 | Other folate deficiency anemias |
| D529 | Folate deficiency anemia, unspecified |
| D530 | Protein deficiency anemia |
| D531 | Other megaloblastic anemias, not elsewhere classified |
| D532 | Scorbutic anemia |
| D538 | Other specified nutritional anemias |
| D539 | Nutritional anemia, unspecified |
| D550 | Anemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency |
| D551 | Anemia due to other disorders of glutathione metabolism |
| D553 | Anemia due to disorders of nucleotide metabolism |
| D558 | Other anemias due to enzyme disorders |
| D559 | Anemia due to enzyme disorder, unspecified |
| D560 | Alpha thalassemia |
| D561 | Beta thalassemia |
| D562 | Delta-beta thalassemia |
| D563 | Thalassemia minor |
| D564 | Hereditary persistence of fetal hemoglobin [HPFH] |
| D565 | Hemoglobin E-beta thalassemia |
| D568 | Other thalassemias |
| D569 | Thalassemia, unspecified |
| D5700 | Hb-SS disease with crisis, unspecified |
| D5701 | Hb-SS disease with acute chest syndrome |
| D5702 | Hb-SS disease with splenic sequestration |
| D571 | Sickle-cell disease without crisis |
| D5720 | Sickle-cell/Hb-C disease without crisis |
| D57211 | Sickle-cell/Hb-C disease with acute chest syndrome |
| D57212 | Sickle-cell/Hb-C disease with splenic sequestration |
| D57213 | Sickle-cell/Hb-C disease with cerebral vascular involvement |
| D57214 | Sickle-cell/Hb-C disease with dactylitis |
| D57218 | Sickle-cell/Hb-C disease with crisis with other specified complication |
| D57219 | Sickle-cell/Hb-C disease with crisis, unspecified |
| D573 | Sickle-cell trait |
| D5740 | Sickle-cell thalassemia without crisis |
| D57411 | Sickle-cell thalassemia, unspecified, with acute chest syndrome |
| D57412 | Sickle-cell thalassemia, unspecified, with splenic sequestration |
| D57419 | Sickle-cell thalassemia, unspecified, with crisis |
| D5780 | Other sickle-cell disorders without crisis |
| D57811 | Other sickle-cell disorders with acute chest syndrome |
| D57812 | Other sickle-cell disorders with splenic sequestration |
| D57819 | Other sickle-cell disorders with crisis, unspecified |
| D580 | Hereditary spherocytosis |
| D581 | Hereditary elliptocytosis |
| D582 | Other hemoglobinopathies |
| D588 | Other specified hereditary hemolytic anemias |
| D589 | Hereditary hemolytic anemia, unspecified |
| D590 | Drug-induced autoimmune hemolytic anemia |
| D5910 | Autoimmune hemolytic anemia, unspecified |
| D5911 | Warm autoimmune hemolytic anemia |
| D5912 | Cold autoimmune hemolytic anemia |
| D5913 | Mixed type autoimmune hemolytic anemia |
| D5919 | Other autoimmune hemolytic anemia |
| D592 | Drug-induced nonautoimmune hemolytic anemia |
| D5930 | Hemolytic-uremic syndrome, unspecified |
| D5931 | Infection-associated hemolytic-uremic syndrome |
| D5932 | Hereditary hemolytic-uremic syndrome |
| D5939 | Other hemolytic-uremic syndrome |
| D594 | Other nonautoimmune hemolytic anemias |
| D595 | Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli] |
| D596 | Hemoglobinuria due to hemolysis from other external causes |
| D598 | Other acquired hemolytic anemias |
| D599 | Acquired hemolytic anemia, unspecified |
| D600 | Chronic acquired pure red cell aplasia |
| D601 | Transient acquired pure red cell aplasia |
| D608 | Other acquired pure red cell aplasias |
| D609 | Acquired pure red cell aplasia, unspecified |
| D6101 | Constitutional (pure) red blood cell aplasia |
| D6102 | Shwachman-Diamond syndrome |
| D6109 | Other constitutional aplastic anemia |
| D611 | Drug-induced aplastic anemia |
| D612 | Aplastic anemia due to other external agents |
| D613 | Idiopathic aplastic anemia |
| D61810 | Antineoplastic chemotherapy induced pancytopenia |
| D61811 | Other drug-induced pancytopenia |
| D61818 | Other pancytopenia |
| D6182 | Myelophthisis |
| D6189 | Other specified aplastic anemias and other bone marrow failure syndromes |
| D619 | Aplastic anemia, unspecified |
| D62 | Acute posthemorrhagic anemia |
| D630 | Anemia in neoplastic disease |
| D631 | Anemia in chronic kidney disease |
| D638 | Anemia in other chronic diseases classified elsewhere |
| D640 | Hereditary sideroblastic anemia |
| D641 | Secondary sideroblastic anemia due to disease |
| D642 | Secondary sideroblastic anemia due to drugs and toxins |
| D643 | Other sideroblastic anemias |
| D644 | Congenital dyserythropoietic anemia |
| D6481 | Anemia due to antineoplastic chemotherapy |
| D6489 | Other specified anemias |
| D649 | Anemia, unspecified |
| D68312 | Antiphospholipid antibody with hemorrhagic disorder |
| D6851 | Activated protein C resistance |
| D6852 | Prothrombin gene mutation |
| D6859 | Other primary thrombophilia |
| D6861 | Antiphospholipid syndrome |
| D6862 | Lupus anticoagulant syndrome |
| D6869 | Other thrombophilia |
| D7581 | Myelofibrosis |
| D7589 | Other specified diseases of blood and blood-forming organs |
| D759 | Disease of blood and blood-forming organs, unspecified |
| D75A | Glucose-6-phosphate dehydrogenase (G6PD) deficiency without anemia |
| D77 | Other disorders of blood and blood-forming organs in diseases classified elsewhere |
| D892 | Hypergammaglobulinemia, unspecified |
| PDX Collection 6250 | |
| D474 | Osteomyelofibrosis |
| D500 | Iron deficiency anemia secondary to blood loss (chronic) |
| D501 | Sideropenic dysphagia |
| D508 | Other iron deficiency anemias |
| D509 | Iron deficiency anemia, unspecified |
| D510 | Vitamin B12 deficiency anemia due to intrinsic factor deficiency |
| D511 | Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria |
| D512 | Transcobalamin II deficiency |
| D513 | Other dietary vitamin B12 deficiency anemia |
| D518 | Other vitamin B12 deficiency anemias |
| D519 | Vitamin B12 deficiency anemia, unspecified |
| D520 | Dietary folate deficiency anemia |
| D521 | Drug-induced folate deficiency anemia |
| D528 | Other folate deficiency anemias |
| D529 | Folate deficiency anemia, unspecified |
| D530 | Protein deficiency anemia |
| D531 | Other megaloblastic anemias, not elsewhere classified |
| D532 | Scorbutic anemia |
| D538 | Other specified nutritional anemias |
| D539 | Nutritional anemia, unspecified |
| D550 | Anemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency |
| D551 | Anemia due to other disorders of glutathione metabolism |
| D553 | Anemia due to disorders of nucleotide metabolism |
| D558 | Other anemias due to enzyme disorders |
| D559 | Anemia due to enzyme disorder, unspecified |
| D560 | Alpha thalassemia |
| D561 | Beta thalassemia |
| D562 | Delta-beta thalassemia |
| D563 | Thalassemia minor |
| D564 | Hereditary persistence of fetal hemoglobin [HPFH] |
| D565 | Hemoglobin E-beta thalassemia |
| D568 | Other thalassemias |
| D569 | Thalassemia, unspecified |
| D5700 | Hb-SS disease with crisis, unspecified |
| D5701 | Hb-SS disease with acute chest syndrome |
| D5702 | Hb-SS disease with splenic sequestration |
| D571 | Sickle-cell disease without crisis |
| D5720 | Sickle-cell/Hb-C disease without crisis |
| D57211 | Sickle-cell/Hb-C disease with acute chest syndrome |
| D57212 | Sickle-cell/Hb-C disease with splenic sequestration |
| D57213 | Sickle-cell/Hb-C disease with cerebral vascular involvement |
| D57214 | Sickle-cell/Hb-C disease with dactylitis |
| D57218 | Sickle-cell/Hb-C disease with crisis with other specified complication |
| D57219 | Sickle-cell/Hb-C disease with crisis, unspecified |
| D573 | Sickle-cell trait |
| D5740 | Sickle-cell thalassemia without crisis |
| D57411 | Sickle-cell thalassemia, unspecified, with acute chest syndrome |
| D57412 | Sickle-cell thalassemia, unspecified, with splenic sequestration |
| D57419 | Sickle-cell thalassemia, unspecified, with crisis |
| D5780 | Other sickle-cell disorders without crisis |
| D57811 | Other sickle-cell disorders with acute chest syndrome |
| D57812 | Other sickle-cell disorders with splenic sequestration |
| D57819 | Other sickle-cell disorders with crisis, unspecified |
| D580 | Hereditary spherocytosis |
| D581 | Hereditary elliptocytosis |
| D582 | Other hemoglobinopathies |
| D588 | Other specified hereditary hemolytic anemias |
| D589 | Hereditary hemolytic anemia, unspecified |
| D590 | Drug-induced autoimmune hemolytic anemia |
| D5910 | Autoimmune hemolytic anemia, unspecified |
| D5911 | Warm autoimmune hemolytic anemia |
| D5912 | Cold autoimmune hemolytic anemia |
| D5913 | Mixed type autoimmune hemolytic anemia |
| D5919 | Other autoimmune hemolytic anemia |
| D592 | Drug-induced nonautoimmune hemolytic anemia |
| D5930 | Hemolytic-uremic syndrome, unspecified |
| D5931 | Infection-associated hemolytic-uremic syndrome |
| D5932 | Hereditary hemolytic-uremic syndrome |
| D5939 | Other hemolytic-uremic syndrome |
| D594 | Other nonautoimmune hemolytic anemias |
| D595 | Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli] |
| D596 | Hemoglobinuria due to hemolysis from other external causes |
| D598 | Other acquired hemolytic anemias |
| D599 | Acquired hemolytic anemia, unspecified |
| D600 | Chronic acquired pure red cell aplasia |
| D601 | Transient acquired pure red cell aplasia |
| D608 | Other acquired pure red cell aplasias |
| D609 | Acquired pure red cell aplasia, unspecified |
| D6101 | Constitutional (pure) red blood cell aplasia |
| D6102 | Shwachman-Diamond syndrome |
| D6109 | Other constitutional aplastic anemia |
| D611 | Drug-induced aplastic anemia |
| D612 | Aplastic anemia due to other external agents |
| D613 | Idiopathic aplastic anemia |
| D61810 | Antineoplastic chemotherapy induced pancytopenia |
| D61811 | Other drug-induced pancytopenia |
| D61818 | Other pancytopenia |
| D6182 | Myelophthisis |
| D6189 | Other specified aplastic anemias and other bone marrow failure syndromes |
| D619 | Aplastic anemia, unspecified |
| D62 | Acute posthemorrhagic anemia |
| D630 | Anemia in neoplastic disease |
| D631 | Anemia in chronic kidney disease |
| D638 | Anemia in other chronic diseases classified elsewhere |
| D640 | Hereditary sideroblastic anemia |
| D641 | Secondary sideroblastic anemia due to disease |
| D642 | Secondary sideroblastic anemia due to drugs and toxins |
| D643 | Other sideroblastic anemias |
| D644 | Congenital dyserythropoietic anemia |
| D6481 | Anemia due to antineoplastic chemotherapy |
| D6489 | Other specified anemias |
| D649 | Anemia, unspecified |
| D68312 | Antiphospholipid antibody with hemorrhagic disorder |
| D6851 | Activated protein C resistance |
| D6852 | Prothrombin gene mutation |
| D6859 | Other primary thrombophilia |
| D6861 | Antiphospholipid syndrome |
| D6862 | Lupus anticoagulant syndrome |
| D6869 | Other thrombophilia |
| D7581 | Myelofibrosis |
| D7589 | Other specified diseases of blood and blood-forming organs |
| D759 | Disease of blood and blood-forming organs, unspecified |
| D75A | Glucose-6-phosphate dehydrogenase (G6PD) deficiency without anemia |
| D77 | Other disorders of blood and blood-forming organs in diseases classified elsewhere |
| D892 | Hypergammaglobulinemia, unspecified |
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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 |