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 1196 of 1375 |
| PDX Collection 6368 (continued) | |
| N073 | Hereditary nephropathy, not elsewhere classified with diffuse mesangial proliferative glomerulonephritis |
| N074 | Hereditary nephropathy, not elsewhere classified with diffuse endocapillary proliferative glomerulonephritis |
| N075 | Hereditary nephropathy, not elsewhere classified with diffuse mesangiocapillary glomerulonephritis |
| N076 | Hereditary nephropathy, not elsewhere classified with dense deposit disease |
| N077 | Hereditary nephropathy, not elsewhere classified with diffuse crescentic glomerulonephritis |
| N078 | Hereditary nephropathy, not elsewhere classified with other morphologic lesions |
| N079 | Hereditary nephropathy, not elsewhere classified with unspecified morphologic lesions |
| N07A | Hereditary nephropathy, not elsewhere classified with C3 glomerulonephritis |
| N10 | Acute pyelonephritis |
| N110 | Nonobstructive reflux-associated chronic pyelonephritis |
| N118 | Other chronic tubulo-interstitial nephritis |
| N119 | Chronic tubulo-interstitial nephritis, unspecified |
| N12 | Tubulo-interstitial nephritis, not specified as acute or chronic |
| N130 | Hydronephrosis with ureteropelvic junction obstruction |
| N131 | Hydronephrosis with ureteral stricture, not elsewhere classified |
| N132 | Hydronephrosis with renal and ureteral calculous obstruction |
| N1330 | Unspecified hydronephrosis |
| N1339 | Other hydronephrosis |
| N136 | Pyonephrosis |
| N140 | Analgesic nephropathy |
| N1411 | Contrast-induced nephropathy |
| N1419 | Nephropathy induced by other drugs, medicaments and biological substances |
| N142 | Nephropathy induced by unspecified drug, medicament or biological substance |
| N143 | Nephropathy induced by heavy metals |
| N144 | Toxic nephropathy, not elsewhere classified |
| N150 | Balkan nephropathy |
| N151 | Renal and perinephric abscess |
| N158 | Other specified renal tubulo-interstitial diseases |
| N159 | Renal tubulo-interstitial disease, unspecified |
| N170 | Acute kidney failure with tubular necrosis |
| N171 | Acute kidney failure with acute cortical necrosis |
| N172 | Acute kidney failure with medullary necrosis |
| N178 | Other acute kidney failure |
| N179 | Acute kidney failure, unspecified |
| N181 | Chronic kidney disease, stage 1 |
| N182 | Chronic kidney disease, stage 2 (mild) |
| N1830 | Chronic kidney disease, stage 3 unspecified |
| N1831 | Chronic kidney disease, stage 3a |
| N1832 | Chronic kidney disease, stage 3b |
| N184 | Chronic kidney disease, stage 4 (severe) |
| N185 | Chronic kidney disease, stage 5 |
| N186 | End stage renal disease |
| N189 | Chronic kidney disease, unspecified |
| N19 | Unspecified kidney failure |
| N250 | Renal osteodystrophy |
| N251 | Nephrogenic diabetes insipidus |
| N2581 | Secondary hyperparathyroidism of renal origin |
| N2589 | Other disorders resulting from impaired renal tubular function |
| N259 | Disorder resulting from impaired renal tubular function, unspecified |
| N261 | Atrophy of kidney (terminal) |
| N269 | Renal sclerosis, unspecified |
| N270 | Small kidney, unilateral |
| N271 | Small kidney, bilateral |
| N279 | Small kidney, unspecified |
| N281 | Cyst of kidney, acquired |
| N2881 | Hypertrophy of kidney |
| N2882 | Megaloureter |
| N2883 | Nephroptosis |
| N2884 | Pyelitis cystica |
| N2885 | Pyeloureteritis cystica |
| N2886 | Ureteritis cystica |
| N2889 | Other specified disorders of kidney and ureter |
| N289 | Disorder of kidney and ureter, unspecified |
| N3641 | Hypermobility of urethra |
| N3642 | Intrinsic sphincter deficiency (ISD) |
| N3643 | Combined hypermobility of urethra and intrinsic sphincter deficiency |
| N368 | Other specified disorders of urethra |
| N369 | Urethral disorder, unspecified |
| N398 | Other specified disorders of urinary system |
| N399 | Disorder of urinary system, unspecified |
| N80A0 | Endometriosis of bladder, unspecified depth |
| N80A1 | Superficial endometriosis of bladder |
| N80A2 | Deep endometriosis of bladder |
| N80A41 | Superficial endometriosis of right ureter |
| N80A42 | Superficial endometriosis of left ureter |
| N80A43 | Superficial endometriosis of bilateral ureters |
| N80A49 | Superficial endometriosis of unspecified ureter |
| N80A51 | Deep endometriosis of right ureter |
| N80A52 | Deep endometriosis of left ureter |
| N80A53 | Deep endometriosis of bilateral ureters |
| N80A59 | Deep endometriosis of unspecified ureter |
| N80A61 | Endometriosis of right ureter, unspecified depth |
| N80A62 | Endometriosis of left ureter, unspecified depth |
| N80A63 | Endometriosis of bilateral ureters, unspecified depth |
| N80A69 | Endometriosis of unspecified ureter, unspecified depth |
| R310 | Gross hematuria |
| R311 | Benign essential microscopic hematuria |
| R3121 | Asymptomatic microscopic hematuria |
| R3129 | Other microscopic hematuria |
| R319 | Hematuria, unspecified |
| PDX Collection 6369 | |
| E8419 | Cystic fibrosis with other intestinal manifestations |
| K900 | Celiac disease |
| K901 | Tropical sprue |
| K902 | Blind loop syndrome, not elsewhere classified |
| K903 | Pancreatic steatorrhea |
| K9041 | Non-celiac gluten sensitivity |
| K9049 | Malabsorption due to intolerance, not elsewhere classified |
| K90821 | Short bowel syndrome with colon in continuity |
| K90822 | Short bowel syndrome without colon in continuity |
| K90829 | Short bowel syndrome, unspecified |
| K9083 | Intestinal failure |
| K9089 | Other intestinal malabsorption |
| K909 | Intestinal malabsorption, unspecified |
| K912 | Postsurgical malabsorption, not elsewhere classified |
| PDX Collection 6370 | |
| 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 |
| A5486 | Gonococcal sepsis |
| B007 | Disseminated herpesviral disease |
| B0082 | Herpes simplex myelitis |
| B0089 | Other herpesviral infection |
| B009 | Herpesviral infection, unspecified |
| B1081 | Human herpesvirus 6 infection |
| B1082 | Human herpesvirus 7 infection |
| B1089 | Other human herpesvirus infection |
| 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 |
| 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 |
| PDX Collection 6371 | |
| 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 6372 | |
| 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 |
| A190 | Acute miliary tuberculosis of a single specified site |
| A191 | Acute miliary tuberculosis of multiple sites |
| A192 | Acute miliary tuberculosis, unspecified |
| A198 | Other miliary tuberculosis |
| A199 | Miliary tuberculosis, unspecified |
| 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 6373 | |
| 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 |
| A190 | Acute miliary tuberculosis of a single specified site |
| A191 | Acute miliary tuberculosis of multiple sites |
| A192 | Acute miliary tuberculosis, unspecified |
| A198 | Other miliary tuberculosis |
| A199 | Miliary tuberculosis, unspecified |
| 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 |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 01 Mar 2023 06:12:40 CMS, code-revision=344, description-revision=1357 |