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 1185 of 1375 |
| PDX Collection 6322 (continued) | |
| 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 |
| Q334 | Congenital bronchiectasis |
| R911 | Solitary pulmonary nodule |
| PDX Collection 6323 | |
| A021 | Salmonella sepsis |
| A207 | Septicemic plague |
| A227 | Anthrax sepsis |
| A267 | Erysipelothrix sepsis |
| A327 | Listerial sepsis |
| A392 | Acute meningococcemia |
| A393 | Chronic meningococcemia |
| A394 | Meningococcemia, unspecified |
| A400 | Sepsis due to streptococcus, group A |
| A401 | Sepsis due to streptococcus, group B |
| A408 | Other streptococcal sepsis |
| A409 | Streptococcal sepsis, unspecified |
| A4101 | Sepsis due to Methicillin susceptible Staphylococcus aureus |
| A4102 | Sepsis due to Methicillin resistant Staphylococcus aureus |
| A411 | Sepsis due to other specified staphylococcus |
| A412 | Sepsis due to unspecified staphylococcus |
| A413 | Sepsis due to Hemophilus influenzae |
| A414 | Sepsis due to anaerobes |
| A4150 | Gram-negative sepsis, unspecified |
| A4151 | Sepsis due to Escherichia coli [E. coli] |
| A4152 | Sepsis due to Pseudomonas |
| A4153 | Sepsis due to Serratia |
| A4154 | Sepsis due to Acinetobacter baumannii |
| A4159 | Other Gram-negative sepsis |
| A4181 | Sepsis due to Enterococcus |
| A4189 | Other specified sepsis |
| A419 | Sepsis, unspecified organism |
| A427 | Actinomycotic sepsis |
| A482 | Nonpneumonic Legionnaires' disease [Pontiac fever] |
| A483 | Toxic shock syndrome |
| A484 | Brazilian purpuric fever |
| A488 | Other specified bacterial diseases |
| A4901 | Methicillin susceptible Staphylococcus aureus infection, unspecified site |
| A4902 | Methicillin resistant Staphylococcus aureus infection, unspecified site |
| A491 | Streptococcal infection, unspecified site |
| A492 | Hemophilus influenzae infection, unspecified site |
| A493 | Mycoplasma infection, unspecified site |
| A498 | Other bacterial infections of unspecified site |
| A499 | Bacterial infection, unspecified |
| A5486 | Gonococcal sepsis |
| B007 | Disseminated herpesviral disease |
| B377 | Candidal sepsis |
| PDX Collection 6324 | |
| A1831 | Tuberculous peritonitis |
| A34 | Obstetrical tetanus |
| A5001 | Early congenital syphilitic oculopathy |
| A5002 | Early congenital syphilitic osteochondropathy |
| A5003 | Early congenital syphilitic pharyngitis |
| A5004 | Early congenital syphilitic pneumonia |
| A5005 | Early congenital syphilitic rhinitis |
| A5006 | Early cutaneous congenital syphilis |
| A5007 | Early mucocutaneous congenital syphilis |
| A5008 | Early visceral congenital syphilis |
| A5009 | Other early congenital syphilis, symptomatic |
| A501 | Early congenital syphilis, latent |
| A502 | Early congenital syphilis, unspecified |
| A5030 | Late congenital syphilitic oculopathy, unspecified |
| A5031 | Late congenital syphilitic interstitial keratitis |
| A5032 | Late congenital syphilitic chorioretinitis |
| A5039 | Other late congenital syphilitic oculopathy |
| A5040 | Late congenital neurosyphilis, unspecified |
| A5041 | Late congenital syphilitic meningitis |
| A5042 | Late congenital syphilitic encephalitis |
| A5043 | Late congenital syphilitic polyneuropathy |
| A5044 | Late congenital syphilitic optic nerve atrophy |
| A5045 | Juvenile general paresis |
| A5049 | Other late congenital neurosyphilis |
| A5051 | Clutton's joints |
| A5052 | Hutchinson's teeth |
| A5053 | Hutchinson's triad |
| A5054 | Late congenital cardiovascular syphilis |
| A5055 | Late congenital syphilitic arthropathy |
| A5056 | Late congenital syphilitic osteochondropathy |
| A5057 | Syphilitic saddle nose |
| A5059 | Other late congenital syphilis, symptomatic |
| A506 | Late congenital syphilis, latent |
| A507 | Late congenital syphilis, unspecified |
| A509 | Congenital syphilis, unspecified |
| A510 | Primary genital syphilis |
| A511 | Primary anal syphilis |
| A512 | Primary syphilis of other sites |
| A5131 | Condyloma latum |
| A5132 | Syphilitic alopecia |
| A5139 | Other secondary syphilis of skin |
| A5141 | Secondary syphilitic meningitis |
| A5142 | Secondary syphilitic female pelvic disease |
| A5143 | Secondary syphilitic oculopathy |
| A5144 | Secondary syphilitic nephritis |
| A5145 | Secondary syphilitic hepatitis |
| A5146 | Secondary syphilitic osteopathy |
| A515 | Early syphilis, latent |
| A519 | Early syphilis, unspecified |
| A5200 | Cardiovascular syphilis, unspecified |
| A5201 | Syphilitic aneurysm of aorta |
| A5202 | Syphilitic aortitis |
| A5203 | Syphilitic endocarditis |
| A5204 | Syphilitic cerebral arteritis |
| A5205 | Other cerebrovascular syphilis |
| A5206 | Other syphilitic heart involvement |
| A5209 | Other cardiovascular syphilis |
| A5210 | Symptomatic neurosyphilis, unspecified |
| A5211 | Tabes dorsalis |
| A5212 | Other cerebrospinal syphilis |
| A5213 | Late syphilitic meningitis |
| A5214 | Late syphilitic encephalitis |
| A5215 | Late syphilitic neuropathy |
| A5216 | Charcot's arthropathy (tabetic) |
| A5217 | General paresis |
| A5219 | Other symptomatic neurosyphilis |
| A522 | Asymptomatic neurosyphilis |
| A523 | Neurosyphilis, unspecified |
| A5271 | Late syphilitic oculopathy |
| A5272 | Syphilis of lung and bronchus |
| A5273 | Symptomatic late syphilis of other respiratory organs |
| A5274 | Syphilis of liver and other viscera |
| A5275 | Syphilis of kidney and ureter |
| A5276 | Other genitourinary symptomatic late syphilis |
| A5277 | Syphilis of bone and joint |
| A5278 | Syphilis of other musculoskeletal tissue |
| A5279 | Other symptomatic late syphilis |
| A528 | Late syphilis, latent |
| A529 | Late syphilis, unspecified |
| A530 | Latent syphilis, unspecified as early or late |
| A539 | Syphilis, unspecified |
| A5400 | Gonococcal infection of lower genitourinary tract, unspecified |
| A5401 | Gonococcal cystitis and urethritis, unspecified |
| A5402 | Gonococcal vulvovaginitis, unspecified |
| A5403 | Gonococcal cervicitis, unspecified |
| A5409 | Other gonococcal infection of lower genitourinary tract |
| A541 | Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess |
| A5421 | Gonococcal infection of kidney and ureter |
| A5422 | Gonococcal prostatitis |
| A5423 | Gonococcal infection of other male genital organs |
| A5424 | Gonococcal female pelvic inflammatory disease |
| A5429 | Other gonococcal genitourinary infections |
| A5430 | Gonococcal infection of eye, unspecified |
| A5431 | Gonococcal conjunctivitis |
| A5432 | Gonococcal iridocyclitis |
| A5433 | Gonococcal keratitis |
| A5439 | Other gonococcal eye infection |
| A5440 | Gonococcal infection of musculoskeletal system, unspecified |
| A5441 | Gonococcal spondylopathy |
| A5442 | Gonococcal arthritis |
| A5443 | Gonococcal osteomyelitis |
| A5449 | Gonococcal infection of other musculoskeletal tissue |
| A545 | Gonococcal pharyngitis |
| A546 | Gonococcal infection of anus and rectum |
| A5481 | Gonococcal meningitis |
| A5482 | Gonococcal brain abscess |
| A5483 | Gonococcal heart infection |
| A5484 | Gonococcal pneumonia |
| A5485 | Gonococcal peritonitis |
| A5489 | Other gonococcal infections |
| A549 | Gonococcal infection, unspecified |
| A55 | Chlamydial lymphogranuloma (venereum) |
| A5600 | Chlamydial infection of lower genitourinary tract, unspecified |
| A5601 | Chlamydial cystitis and urethritis |
| A5602 | Chlamydial vulvovaginitis |
| A5609 | Other chlamydial infection of lower genitourinary tract |
| A5611 | Chlamydial female pelvic inflammatory disease |
| A5619 | Other chlamydial genitourinary infection |
| A562 | Chlamydial infection of genitourinary tract, unspecified |
| A563 | Chlamydial infection of anus and rectum |
| A564 | Chlamydial infection of pharynx |
| A568 | Sexually transmitted chlamydial infection of other sites |
| A57 | Chancroid |
| A58 | Granuloma inguinale |
| A638 | Other specified predominantly sexually transmitted diseases |
| A64 | Unspecified sexually transmitted disease |
| K35200 | Acute appendicitis with generalized peritonitis, without perforation or abscess |
| K35201 | Acute appendicitis with generalized peritonitis, with perforation, without abscess |
| K35209 | Acute appendicitis with generalized peritonitis, without abscess, unspecified as to perforation |
| K35210 | Acute appendicitis with generalized peritonitis, without perforation, with abscess |
| K35211 | Acute appendicitis with generalized peritonitis, with perforation and abscess |
| K35219 | Acute appendicitis with generalized peritonitis, with abscess, unspecified as to perforation |
| K3530 | Acute appendicitis with localized peritonitis, without perforation or gangrene |
| K3531 | Acute appendicitis with localized peritonitis and gangrene, without perforation |
| K3532 | Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess |
| K3533 | Acute appendicitis with perforation, localized peritonitis, and gangrene, with abscess |
| 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 |
| K651 | Peritoneal abscess |
| K653 | Choleperitonitis |
| K659 | Peritonitis, unspecified |
| K67 | Disorders of peritoneum in infectious diseases classified elsewhere |
| K8681 | Exocrine pancreatic insufficiency |
| K8689 | Other specified diseases of pancreas |
| K9289 | Other specified diseases of the digestive system |
| K929 | Disease of digestive system, unspecified |
| M0230 | Reiter's disease, unspecified site |
| M02311 | Reiter's disease, right shoulder |
| M02312 | Reiter's disease, left shoulder |
| M02319 | Reiter's disease, unspecified shoulder |
| M02321 | Reiter's disease, right elbow |
| M02322 | Reiter's disease, left elbow |
| M02329 | Reiter's disease, unspecified elbow |
| M02331 | Reiter's disease, right wrist |
| M02332 | Reiter's disease, left wrist |
| M02339 | Reiter's disease, unspecified wrist |
| M02341 | Reiter's disease, right hand |
| M02342 | Reiter's disease, left hand |
| M02349 | Reiter's disease, unspecified hand |
| M02351 | Reiter's disease, right hip |
| M02352 | Reiter's disease, left hip |
| M02359 | Reiter's disease, unspecified hip |
| M02361 | Reiter's disease, right knee |
| M02362 | Reiter's disease, left knee |
| M02369 | Reiter's disease, unspecified knee |
| M02371 | Reiter's disease, right ankle and foot |
| M02372 | Reiter's disease, left ankle and foot |
| M02379 | Reiter's disease, unspecified ankle and foot |
| M0238 | Reiter's disease, vertebrae |
| M0239 | Reiter's disease, multiple sites |
| N341 | Nonspecific urethritis |
| N733 | Female acute pelvic peritonitis |
| N734 | Female chronic pelvic peritonitis |
| N736 | Female pelvic peritoneal adhesions (postinfective) |
| O080 | Genital tract and pelvic infection following ectopic and molar pregnancy |
| O0882 | Sepsis following ectopic and molar pregnancy |
| O85 | Puerperal sepsis |
| O8604 | Sepsis following an obstetrical procedure |
| O8612 | Endometritis following delivery |
| O8681 | Puerperal septic thrombophlebitis |
| O8689 | Other specified puerperal infections |
| P780 | Perinatal intestinal perforation |
| R1113 | Vomiting of fecal matter |
| T8160XA | Unspecified acute reaction to foreign substance accidentally left during a procedure, initial encounter |
| T8161XA | Aseptic peritonitis due to foreign substance accidentally left during a procedure, initial encounter |
| T8169XA | Other acute reaction to foreign substance accidentally left during a procedure, initial encounter |
| PDX Collection 6325 | |
| A021 | Salmonella sepsis |
| A207 | Septicemic plague |
| A227 | Anthrax sepsis |
| A267 | Erysipelothrix sepsis |
| A327 | Listerial sepsis |
| A392 | Acute meningococcemia |
| A393 | Chronic meningococcemia |
| A394 | Meningococcemia, unspecified |
| A400 | Sepsis due to streptococcus, group A |
| A401 | Sepsis due to streptococcus, group B |
| A408 | Other streptococcal sepsis |
| A409 | Streptococcal sepsis, unspecified |
| A4101 | Sepsis due to Methicillin susceptible Staphylococcus aureus |
| A4102 | Sepsis due to Methicillin resistant Staphylococcus aureus |
| A411 | Sepsis due to other specified staphylococcus |
| A412 | Sepsis due to unspecified staphylococcus |
| A413 | Sepsis due to Hemophilus influenzae |
| A414 | Sepsis due to anaerobes |
| A4150 | Gram-negative sepsis, unspecified |
| A4151 | Sepsis due to Escherichia coli [E. coli] |
| A4152 | Sepsis due to Pseudomonas |
| A4153 | Sepsis due to Serratia |
| A4154 | Sepsis due to Acinetobacter baumannii |
| A4159 | Other Gram-negative sepsis |
| A4181 | Sepsis due to Enterococcus |
| A4189 | Other specified sepsis |
| A419 | Sepsis, unspecified organism |
| A427 | Actinomycotic sepsis |
| A482 | Nonpneumonic Legionnaires' disease [Pontiac fever] |
| A483 | Toxic shock syndrome |
| A484 | Brazilian purpuric fever |
| A488 | Other specified bacterial diseases |
| A4901 | Methicillin susceptible Staphylococcus aureus infection, unspecified site |
| A4902 | Methicillin resistant Staphylococcus aureus infection, unspecified site |
| A491 | Streptococcal infection, unspecified site |
| A492 | Hemophilus influenzae infection, unspecified site |
| A493 | Mycoplasma infection, unspecified site |
| A498 | Other bacterial infections of unspecified site |
| A499 | Bacterial infection, unspecified |
| A5486 | Gonococcal sepsis |
| B007 | Disseminated herpesviral disease |
| B377 | Candidal sepsis |
| 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 |
| B950 | Streptococcus, group A, as the cause of diseases classified elsewhere |
| B951 | Streptococcus, group B, as the cause of diseases classified elsewhere |
| B952 | Enterococcus as the cause of diseases classified elsewhere |
| B953 | Streptococcus pneumoniae as the cause of diseases classified elsewhere |
| B954 | Other streptococcus as the cause of diseases classified elsewhere |
| B955 | Unspecified streptococcus as the cause of diseases classified elsewhere |
| B9561 | Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere |
| B9562 | Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere |
| B957 | Other staphylococcus as the cause of diseases classified elsewhere |
| B958 | Unspecified staphylococcus as the cause of diseases classified elsewhere |
| B960 | Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere |
| B961 | Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere |
| B9620 | Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere |
| B9621 | Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere |
| B9622 | Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere |
| B9623 | Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere |
| B9629 | Other Escherichia coli [E. coli] as the cause of diseases classified elsewhere |
| B963 | Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere |
| B964 | Proteus (mirabilis) (morganii) as the cause of diseases classified elsewhere |
| B965 | Pseudomonas (aeruginosa) (mallei) (pseudomallei) 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 |
| R6510 | Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction |
| R6511 | Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction |
| R6520 | Severe sepsis without septic shock |
| Z1610 | Resistance to unspecified beta lactam antibiotics |
| Z1611 | Resistance to penicillins |
| Z1612 | Extended spectrum beta lactamase (ESBL) resistance |
| Z1619 | Resistance to other specified beta lactam antibiotics |
| Z1620 | Resistance to unspecified antibiotic |
| Z1621 | Resistance to vancomycin |
| Z1622 | Resistance to vancomycin related antibiotics |
| Z1623 | Resistance to quinolones and fluoroquinolones |
| Z1624 | Resistance to multiple antibiotics |
| Z1629 | Resistance to other single specified antibiotic |
| Z1630 | Resistance to unspecified antimicrobial drugs |
| Z1631 | Resistance to antiparasitic drug(s) |
| Z1632 | Resistance to antifungal drug(s) |
| Z1633 | Resistance to antiviral drug(s) |
| Z16341 | Resistance to single antimycobacterial drug |
| Z16342 | Resistance to multiple antimycobacterial drugs |
| Z1635 | Resistance to multiple antimicrobial drugs |
| Z1639 | Resistance to other specified antimicrobial drug |
| PDX Collection 6326 | |
| C880 | Waldenstrom macroglobulinemia |
| D472 | Monoclonal gammopathy |
| D890 | Polyclonal hypergammaglobulinemia |
| D891 | Cryoglobulinemia |
| E700 | Classical phenylketonuria |
| E701 | Other hyperphenylalaninemias |
| E7020 | Disorder of tyrosine metabolism, unspecified |
| E7021 | Tyrosinemia |
| E7029 | Other disorders of tyrosine metabolism |
| E7030 | Albinism, unspecified |
| E70310 | X-linked ocular albinism |
| E70311 | Autosomal recessive ocular albinism |
| E70318 | Other ocular albinism |
| E70319 | Ocular albinism, unspecified |
| E70320 | Tyrosinase negative oculocutaneous albinism |
| E70321 | Tyrosinase positive oculocutaneous albinism |
| E70328 | Other oculocutaneous albinism |
| E70329 | Oculocutaneous albinism, unspecified |
| E70330 | Chediak-Higashi syndrome |
| E70331 | Hermansky-Pudlak syndrome |
| E70338 | Other albinism with hematologic abnormality |
| E70339 | Albinism with hematologic abnormality, unspecified |
| E7039 | Other specified albinism |
| E7040 | Disorders of histidine metabolism, unspecified |
| E7041 | Histidinemia |
| E7049 | Other disorders of histidine metabolism |
| E705 | Disorders of tryptophan metabolism |
| E7081 | Aromatic L-amino acid decarboxylase deficiency |
| E7089 | Other disorders of aromatic amino-acid metabolism |
| E709 | Disorder of aromatic amino-acid metabolism, unspecified |
| E710 | Maple-syrup-urine disease |
| E71110 | Isovaleric acidemia |
| E71111 | 3-methylglutaconic aciduria |
| E71118 | Other branched-chain organic acidurias |
| E71120 | Methylmalonic acidemia |
| E71121 | Propionic acidemia |
| E71128 | Other disorders of propionate metabolism |
| E7119 | Other disorders of branched-chain amino-acid metabolism |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 01 Mar 2023 06:12:40 CMS, code-revision=344, description-revision=1357 |