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 1187 of 1375 |
| PDX Collection 6330 | |
| 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 6331 | |
| 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 |
| E712 | Disorder of branched-chain amino-acid metabolism, unspecified |
| E7130 | Disorder of fatty-acid metabolism, unspecified |
| E7200 | Disorders of amino-acid transport, unspecified |
| E7201 | Cystinuria |
| E7202 | Hartnup's disease |
| E7204 | Cystinosis |
| E7209 | Other disorders of amino-acid transport |
| E7210 | Disorders of sulfur-bearing amino-acid metabolism, unspecified |
| E7211 | Homocystinuria |
| E7212 | Methylenetetrahydrofolate reductase deficiency |
| E7219 | Other disorders of sulfur-bearing amino-acid metabolism |
| E7220 | Disorder of urea cycle metabolism, unspecified |
| E7221 | Argininemia |
| E7222 | Arginosuccinic aciduria |
| E7223 | Citrullinemia |
| E7229 | Other disorders of urea cycle metabolism |
| E723 | Disorders of lysine and hydroxylysine metabolism |
| E724 | Disorders of ornithine metabolism |
| E7250 | Disorder of glycine metabolism, unspecified |
| E7251 | Non-ketotic hyperglycinemia |
| E7252 | Trimethylaminuria |
| E7253 | Primary hyperoxaluria |
| E7259 | Other disorders of glycine metabolism |
| E7281 | Disorders of gamma aminobutyric acid metabolism |
| E7289 | Other specified disorders of amino-acid metabolism |
| E729 | Disorder of amino-acid metabolism, unspecified |
| E730 | Congenital lactase deficiency |
| E731 | Secondary lactase deficiency |
| E738 | Other lactose intolerance |
| E739 | Lactose intolerance, unspecified |
| E7400 | Glycogen storage disease, unspecified |
| E7401 | von Gierke disease |
| E7402 | Pompe disease |
| E7403 | Cori disease |
| E7404 | McArdle disease |
| E7405 | Lysosome-associated membrane protein 2 [LAMP2] deficiency |
| E7409 | Other glycogen storage disease |
| E7410 | Disorder of fructose metabolism, unspecified |
| E7411 | Essential fructosuria |
| E7412 | Hereditary fructose intolerance |
| E7419 | Other disorders of fructose metabolism |
| E7420 | Disorders of galactose metabolism, unspecified |
| E7421 | Galactosemia |
| E7429 | Other disorders of galactose metabolism |
| E7431 | Sucrase-isomaltase deficiency |
| E7439 | Other disorders of intestinal carbohydrate absorption |
| E744 | Disorders of pyruvate metabolism and gluconeogenesis |
| E74810 | Glucose transporter protein type 1 deficiency |
| E74818 | Other disorders of glucose transport |
| E74819 | Disorders of glucose transport, unspecified |
| E7489 | Other specified disorders of carbohydrate metabolism |
| E749 | Disorder of carbohydrate metabolism, unspecified |
| E7521 | Fabry (-Anderson) disease |
| E7522 | Gaucher disease |
| E75240 | Niemann-Pick disease type A |
| E75241 | Niemann-Pick disease type B |
| E75242 | Niemann-Pick disease type C |
| E75243 | Niemann-Pick disease type D |
| E75248 | Other Niemann-Pick disease |
| E75249 | Niemann-Pick disease, unspecified |
| E753 | Sphingolipidosis, unspecified |
| E755 | Other lipid storage disorders |
| E756 | Lipid storage disorder, unspecified |
| E770 | Defects in post-translational modification of lysosomal enzymes |
| E771 | Defects in glycoprotein degradation |
| E778 | Other disorders of glycoprotein metabolism |
| E779 | Disorder of glycoprotein metabolism, unspecified |
| E7800 | Pure hypercholesterolemia, unspecified |
| E7801 | Familial hypercholesterolemia |
| E781 | Pure hyperglyceridemia |
| E782 | Mixed hyperlipidemia |
| E783 | Hyperchylomicronemia |
| E7841 | Elevated Lipoprotein(a) |
| E7849 | Other hyperlipidemia |
| E785 | Hyperlipidemia, unspecified |
| E786 | Lipoprotein deficiency |
| E7870 | Disorder of bile acid and cholesterol metabolism, unspecified |
| E7879 | Other disorders of bile acid and cholesterol metabolism |
| E7881 | Lipoid dermatoarthritis |
| E7889 | Other lipoprotein metabolism disorders |
| E789 | Disorder of lipoprotein metabolism, unspecified |
| E8802 | Plasminogen deficiency |
| E8809 | Other disorders of plasma-protein metabolism, not elsewhere classified |
| E881 | Lipodystrophy, not elsewhere classified |
| E882 | Lipomatosis, not elsewhere classified |
| E88811 | Insulin resistance syndrome, Type A |
| E88818 | Other insulin resistance |
| E88819 | Insulin resistance, unspecified |
| E8889 | Other specified metabolic disorders |
| PDX Collection 6332 | |
| 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 |
| E712 | Disorder of branched-chain amino-acid metabolism, unspecified |
| E7130 | Disorder of fatty-acid metabolism, unspecified |
| E7200 | Disorders of amino-acid transport, unspecified |
| E7201 | Cystinuria |
| E7202 | Hartnup's disease |
| E7204 | Cystinosis |
| E7209 | Other disorders of amino-acid transport |
| E7210 | Disorders of sulfur-bearing amino-acid metabolism, unspecified |
| E7211 | Homocystinuria |
| E7212 | Methylenetetrahydrofolate reductase deficiency |
| E7219 | Other disorders of sulfur-bearing amino-acid metabolism |
| E7220 | Disorder of urea cycle metabolism, unspecified |
| E7221 | Argininemia |
| E7222 | Arginosuccinic aciduria |
| E7223 | Citrullinemia |
| E7229 | Other disorders of urea cycle metabolism |
| E723 | Disorders of lysine and hydroxylysine metabolism |
| E724 | Disorders of ornithine metabolism |
| E7250 | Disorder of glycine metabolism, unspecified |
| E7251 | Non-ketotic hyperglycinemia |
| E7252 | Trimethylaminuria |
| E7253 | Primary hyperoxaluria |
| E7259 | Other disorders of glycine metabolism |
| E7281 | Disorders of gamma aminobutyric acid metabolism |
| E7289 | Other specified disorders of amino-acid metabolism |
| E729 | Disorder of amino-acid metabolism, unspecified |
| E730 | Congenital lactase deficiency |
| E731 | Secondary lactase deficiency |
| E738 | Other lactose intolerance |
| E739 | Lactose intolerance, unspecified |
| E7400 | Glycogen storage disease, unspecified |
| E7401 | von Gierke disease |
| E7402 | Pompe disease |
| E7403 | Cori disease |
| E7404 | McArdle disease |
| E7405 | Lysosome-associated membrane protein 2 [LAMP2] deficiency |
| E7409 | Other glycogen storage disease |
| E7410 | Disorder of fructose metabolism, unspecified |
| E7411 | Essential fructosuria |
| E7412 | Hereditary fructose intolerance |
| E7419 | Other disorders of fructose metabolism |
| E7420 | Disorders of galactose metabolism, unspecified |
| E7421 | Galactosemia |
| E7429 | Other disorders of galactose metabolism |
| E7431 | Sucrase-isomaltase deficiency |
| E7439 | Other disorders of intestinal carbohydrate absorption |
| E744 | Disorders of pyruvate metabolism and gluconeogenesis |
| E74810 | Glucose transporter protein type 1 deficiency |
| E74818 | Other disorders of glucose transport |
| E74819 | Disorders of glucose transport, unspecified |
| E7489 | Other specified disorders of carbohydrate metabolism |
| E749 | Disorder of carbohydrate metabolism, unspecified |
| E7521 | Fabry (-Anderson) disease |
| E7522 | Gaucher disease |
| E75240 | Niemann-Pick disease type A |
| E75241 | Niemann-Pick disease type B |
| E75242 | Niemann-Pick disease type C |
| E75243 | Niemann-Pick disease type D |
| E75248 | Other Niemann-Pick disease |
| E75249 | Niemann-Pick disease, unspecified |
| E753 | Sphingolipidosis, unspecified |
| E755 | Other lipid storage disorders |
| E756 | Lipid storage disorder, unspecified |
| E770 | Defects in post-translational modification of lysosomal enzymes |
| E771 | Defects in glycoprotein degradation |
| E778 | Other disorders of glycoprotein metabolism |
| E779 | Disorder of glycoprotein metabolism, unspecified |
| E7800 | Pure hypercholesterolemia, unspecified |
| E7801 | Familial hypercholesterolemia |
| E781 | Pure hyperglyceridemia |
| E782 | Mixed hyperlipidemia |
| E783 | Hyperchylomicronemia |
| E7841 | Elevated Lipoprotein(a) |
| E7849 | Other hyperlipidemia |
| E785 | Hyperlipidemia, unspecified |
| E786 | Lipoprotein deficiency |
| E7870 | Disorder of bile acid and cholesterol metabolism, unspecified |
| E7879 | Other disorders of bile acid and cholesterol metabolism |
| E7881 | Lipoid dermatoarthritis |
| E7889 | Other lipoprotein metabolism disorders |
| E789 | Disorder of lipoprotein metabolism, unspecified |
| E8802 | Plasminogen deficiency |
| E8809 | Other disorders of plasma-protein metabolism, not elsewhere classified |
| E881 | Lipodystrophy, not elsewhere classified |
| E882 | Lipomatosis, not elsewhere classified |
| E88811 | Insulin resistance syndrome, Type A |
| E88818 | Other insulin resistance |
| E88819 | Insulin resistance, unspecified |
| E8889 | Other specified metabolic disorders |
| PDX Collection 6333 | |
| 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 |
| A212 | Pulmonary tularemia |
| A221 | Pulmonary anthrax |
| A310 | Pulmonary mycobacterial infection |
| 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 |
| A420 | Pulmonary actinomycosis |
| A430 | Pulmonary nocardiosis |
| A481 | Legionnaires' disease |
| B250 | Cytomegaloviral pneumonitis |
| B390 | Acute pulmonary histoplasmosis capsulati |
| B391 | Chronic pulmonary histoplasmosis capsulati |
| B392 | Pulmonary histoplasmosis capsulati, unspecified |
| B440 | Invasive pulmonary aspergillosis |
| B583 | Pulmonary toxoplasmosis |
| B59 | Pneumocystosis |
| B671 | Echinococcus granulosus infection of lung |
| 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 |
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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 |