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 1172 of 1375 |
| PDX Collection 6259 (continued) | |
| D849 | Immunodeficiency, unspecified |
| D893 | Immune reconstitution syndrome |
| D8940 | Mast cell activation, unspecified |
| D8941 | Monoclonal mast cell activation syndrome |
| D8942 | Idiopathic mast cell activation syndrome |
| D8943 | Secondary mast cell activation |
| D8949 | Other mast cell activation disorder |
| D8982 | Autoimmune lymphoproliferative syndrome [ALPS] |
| D8984 | IgG4-related disease |
| D8989 | Other specified disorders involving the immune mechanism, not elsewhere classified |
| D899 | Disorder involving the immune mechanism, unspecified |
| PDX Collection 6260 | |
| K634 | Enteroptosis |
| K638211 | Small intestinal bacterial overgrowth, hydrogen-subtype |
| K638212 | Small intestinal bacterial overgrowth, hydrogen sulfide-subtype |
| K638219 | Small intestinal bacterial overgrowth, unspecified |
| K63822 | Small intestinal fungal overgrowth |
| K63829 | Intestinal methanogen overgrowth, unspecified |
| K6389 | Other specified diseases of intestine |
| K639 | Disease of intestine, unspecified |
| K650 | Generalized (acute) peritonitis |
| K651 | Peritoneal abscess |
| K652 | Spontaneous bacterial peritonitis |
| K653 | Choleperitonitis |
| K654 | Sclerosing mesenteritis |
| K658 | Other peritonitis |
| K659 | Peritonitis, unspecified |
| K67 | Disorders of peritoneum in infectious diseases classified elsewhere |
| K6819 | Other retroperitoneal abscess |
| K682 | Retroperitoneal fibrosis |
| K683 | Retroperitoneal hematoma |
| K689 | Other disorders of retroperitoneum |
| K9289 | Other specified diseases of the digestive system |
| K929 | Disease of digestive system, unspecified |
| R1113 | Vomiting of fecal matter |
| PDX Collection 6261 | |
| A150 | Tuberculosis of lung |
| A154 | Tuberculosis of intrathoracic lymph nodes |
| A155 | Tuberculosis of larynx, trachea and bronchus |
| A156 | Tuberculous pleurisy |
| A158 | Other respiratory tuberculosis |
| A159 | Respiratory tuberculosis unspecified |
| A179 | Tuberculosis of nervous system, unspecified |
| A1882 | Tuberculosis of other endocrine glands |
| A1884 | Tuberculosis of heart |
| A1889 | Tuberculosis of other sites |
| A221 | Pulmonary anthrax |
| A310 | Pulmonary mycobacterial infection |
| A312 | Disseminated mycobacterium avium-intracellulare complex (DMAC) |
| A318 | Other mycobacterial infections |
| A319 | Mycobacterial infection, unspecified |
| A3701 | Whooping cough due to Bordetella pertussis with pneumonia |
| A3711 | Whooping cough due to Bordetella parapertussis with pneumonia |
| A3781 | Whooping cough due to other Bordetella species with pneumonia |
| A3791 | Whooping cough, unspecified species with pneumonia |
| A481 | Legionnaires' disease |
| A493 | Mycoplasma infection, unspecified site |
| A498 | Other bacterial infections of unspecified site |
| A499 | Bacterial infection, unspecified |
| B250 | Cytomegaloviral pneumonitis |
| B440 | Invasive pulmonary aspergillosis |
| B909 | Sequelae of respiratory and unspecified tuberculosis |
| B92 | Sequelae of leprosy |
| B942 | Sequelae of viral hepatitis |
| B948 | Sequelae of other specified infectious and parasitic diseases |
| B949 | Sequelae of unspecified infectious and parasitic disease |
| B960 | Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere |
| B966 | Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere |
| B967 | Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere |
| B9681 | Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere |
| B9682 | Vibrio vulnificus as the cause of diseases classified elsewhere |
| B9689 | Other specified bacterial agents as the cause of diseases classified elsewhere |
| J09X1 | Influenza due to identified novel influenza A virus with pneumonia |
| J09X2 | Influenza due to identified novel influenza A virus with other respiratory manifestations |
| J1000 | Influenza due to other identified influenza virus with unspecified type of pneumonia |
| J1001 | Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia |
| J1008 | Influenza due to other identified influenza virus with other specified pneumonia |
| J101 | Influenza due to other identified influenza virus with other respiratory manifestations |
| J1100 | Influenza due to unidentified influenza virus with unspecified type of pneumonia |
| J1108 | Influenza due to unidentified influenza virus with specified pneumonia |
| J111 | Influenza due to unidentified influenza virus with other respiratory manifestations |
| J120 | Adenoviral pneumonia |
| J121 | Respiratory syncytial virus pneumonia |
| J122 | Parainfluenza virus pneumonia |
| J123 | Human metapneumovirus pneumonia |
| J1289 | Other viral pneumonia |
| J129 | Viral pneumonia, unspecified |
| 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 |
| J4481 | Bronchiolitis obliterans and bronchiolitis obliterans syndrome |
| J4489 | Other specified chronic obstructive pulmonary disease |
| J449 | Chronic obstructive pulmonary disease, unspecified |
| J470 | Bronchiectasis with acute lower respiratory infection |
| J471 | Bronchiectasis with (acute) exacerbation |
| J479 | Bronchiectasis, uncomplicated |
| J4A0 | Restrictive allograft syndrome |
| J4A8 | Other chronic lung allograft dysfunction |
| J4A9 | Chronic lung allograft dysfunction, unspecified |
| 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 |
| R911 | Solitary pulmonary nodule |
| PDX Collection 6262 | |
| 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 |
| D5703 | Hb-SS disease with cerebral vascular involvement |
| D5704 | Hb-SS disease with dactylitis |
| D5709 | Hb-SS disease with crisis with other specified complication |
| 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 |
| 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 |
| D57413 | Sickle-cell thalassemia, unspecified, with cerebral vascular involvement |
| D57414 | Sickle-cell thalassemia, unspecified, with dactylitis |
| D57418 | Sickle-cell thalassemia, unspecified, with crisis with other specified complication |
| D57419 | Sickle-cell thalassemia, unspecified, with crisis |
| D5742 | Sickle-cell thalassemia beta zero without crisis |
| D57431 | Sickle-cell thalassemia beta zero with acute chest syndrome |
| D57432 | Sickle-cell thalassemia beta zero with splenic sequestration |
| D57433 | Sickle-cell thalassemia beta zero with cerebral vascular involvement |
| D57434 | Sickle-cell thalassemia beta zero with dactylitis |
| D57438 | Sickle-cell thalassemia beta zero with crisis with other specified complication |
| D57439 | Sickle-cell thalassemia beta zero with crisis, unspecified |
| D5744 | Sickle-cell thalassemia beta plus without crisis |
| D57451 | Sickle-cell thalassemia beta plus with acute chest syndrome |
| D57452 | Sickle-cell thalassemia beta plus with splenic sequestration |
| D57453 | Sickle-cell thalassemia beta plus with cerebral vascular involvement |
| D57454 | Sickle-cell thalassemia beta plus with dactylitis |
| D57458 | Sickle-cell thalassemia beta plus with crisis with other specified complication |
| D57459 | Sickle-cell thalassemia beta plus with crisis, unspecified |
| D5780 | Other sickle-cell disorders without crisis |
| D57811 | Other sickle-cell disorders with acute chest syndrome |
| D57812 | Other sickle-cell disorders with splenic sequestration |
| D57813 | Other sickle-cell disorders with cerebral vascular involvement |
| D57814 | Other sickle-cell disorders with dactylitis |
| D57818 | Other sickle-cell disorders with crisis with other specified complication |
| 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 |
| 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 6263 | |
| 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 |
| D5703 | Hb-SS disease with cerebral vascular involvement |
| D5704 | Hb-SS disease with dactylitis |
| D5709 | Hb-SS disease with crisis with other specified complication |
| 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 |
| 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 |
| D57413 | Sickle-cell thalassemia, unspecified, with cerebral vascular involvement |
| D57414 | Sickle-cell thalassemia, unspecified, with dactylitis |
| D57418 | Sickle-cell thalassemia, unspecified, with crisis with other specified complication |
| D57419 | Sickle-cell thalassemia, unspecified, with crisis |
| D5742 | Sickle-cell thalassemia beta zero without crisis |
| D57431 | Sickle-cell thalassemia beta zero with acute chest syndrome |
| D57432 | Sickle-cell thalassemia beta zero with splenic sequestration |
| D57433 | Sickle-cell thalassemia beta zero with cerebral vascular involvement |
| D57434 | Sickle-cell thalassemia beta zero with dactylitis |
| D57438 | Sickle-cell thalassemia beta zero with crisis with other specified complication |
| D57439 | Sickle-cell thalassemia beta zero with crisis, unspecified |
| D5744 | Sickle-cell thalassemia beta plus without crisis |
| D57451 | Sickle-cell thalassemia beta plus with acute chest syndrome |
| D57452 | Sickle-cell thalassemia beta plus with splenic sequestration |
| D57453 | Sickle-cell thalassemia beta plus with cerebral vascular involvement |
| D57454 | Sickle-cell thalassemia beta plus with dactylitis |
| D57458 | Sickle-cell thalassemia beta plus with crisis with other specified complication |
| D57459 | Sickle-cell thalassemia beta plus with crisis, unspecified |
| D5780 | Other sickle-cell disorders without crisis |
| D57811 | Other sickle-cell disorders with acute chest syndrome |
| D57812 | Other sickle-cell disorders with splenic sequestration |
| D57813 | Other sickle-cell disorders with cerebral vascular involvement |
| D57814 | Other sickle-cell disorders with dactylitis |
| D57818 | Other sickle-cell disorders with crisis with other specified complication |
| 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 |
| 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 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 01 Mar 2023 06:12:40 CMS, code-revision=344, description-revision=1357 |