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 1209 of 1375 |
| PDX Collection 6423 (continued) | |
| K929 | Disease of digestive system, unspecified |
| R1113 | Vomiting of fecal matter |
| PDX Collection 6424 | |
| D8130 | Adenosine deaminase deficiency, unspecified |
| D8131 | Severe combined immunodeficiency due to adenosine deaminase deficiency |
| D8132 | Adenosine deaminase 2 deficiency |
| D8139 | Other adenosine deaminase deficiency |
| D815 | Purine nucleoside phosphorylase [PNP] deficiency |
| D81810 | Biotinidase deficiency |
| D841 | Defects in the complement system |
| E7601 | Hurler's syndrome |
| E7602 | Hurler-Scheie syndrome |
| E7603 | Scheie's syndrome |
| E761 | Mucopolysaccharidosis, type II |
| E76210 | Morquio A mucopolysaccharidoses |
| E76211 | Morquio B mucopolysaccharidoses |
| E76219 | Morquio mucopolysaccharidoses, unspecified |
| E7622 | Sanfilippo mucopolysaccharidoses |
| E7629 | Other mucopolysaccharidoses |
| E763 | Mucopolysaccharidosis, unspecified |
| E768 | Other disorders of glucosaminoglycan metabolism |
| E769 | Glucosaminoglycan metabolism disorder, unspecified |
| E791 | Lesch-Nyhan syndrome |
| E792 | Myoadenylate deaminase deficiency |
| E7981 | Aicardi-Goutières syndrome |
| E7982 | Hereditary xanthinuria |
| E7989 | Other specified disorders of purine and pyrimidine metabolism |
| E799 | Disorder of purine and pyrimidine metabolism, unspecified |
| E800 | Hereditary erythropoietic porphyria |
| E801 | Porphyria cutanea tarda |
| E8020 | Unspecified porphyria |
| E8021 | Acute intermittent (hepatic) porphyria |
| E8029 | Other porphyria |
| E804 | Gilbert syndrome |
| E805 | Crigler-Najjar syndrome |
| E806 | Other disorders of bilirubin metabolism |
| E807 | Disorder of bilirubin metabolism, unspecified |
| E88810 | Metabolic syndrome |
| PDX Collection 6425 | |
| E7871 | Barth syndrome |
| E7872 | Smith-Lemli-Opitz syndrome |
| P2930 | Pulmonary hypertension of newborn |
| P2938 | Other persistent fetal circulation |
| Q251 | Coarctation of aorta |
| Q2521 | Interruption of aortic arch |
| Q2529 | Other atresia of aorta |
| Q253 | Supravalvular aortic stenosis |
| Q2730 | Arteriovenous malformation, site unspecified |
| Q274 | Congenital phlebectasia |
| Q280 | Arteriovenous malformation of precerebral vessels |
| Q281 | Other malformations of precerebral vessels |
| Q288 | Other specified congenital malformations of circulatory system |
| Q289 | Congenital malformation of circulatory system, unspecified |
| Q8711 | Prader-Willi syndrome |
| Q8719 | Other congenital malformation syndromes predominantly associated with short stature |
| Q872 | Congenital malformation syndromes predominantly involving limbs |
| Q873 | Congenital malformation syndromes involving early overgrowth |
| Q8740 | Marfan syndrome, unspecified |
| Q87410 | Marfan syndrome with aortic dilation |
| Q87418 | Marfan syndrome with other cardiovascular manifestations |
| Q8742 | Marfan syndrome with ocular manifestations |
| Q8743 | Marfan syndrome with skeletal manifestation |
| Q875 | Other congenital malformation syndromes with other skeletal changes |
| Q8781 | Alport syndrome |
| Q8782 | Arterial tortuosity syndrome |
| Q8783 | Bardet-Biedl syndrome |
| Q8784 | Laurence-Moon syndrome |
| Q8785 | MED13L syndrome |
| Q8789 | Other specified congenital malformation syndromes, not elsewhere classified |
| Q897 | Multiple congenital malformations, not elsewhere classified |
| Q898 | Other specified congenital malformations |
| Q992 | Fragile X chromosome |
| PDX Collection 6426 | |
| 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 |
| 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 |
| J180 | Bronchopneumonia, unspecified organism |
| J181 | Lobar pneumonia, unspecified organism |
| J188 | Other pneumonia, unspecified organism |
| J189 | Pneumonia, unspecified organism |
| J22 | Unspecified acute lower respiratory infection |
| J4481 | Bronchiolitis obliterans and bronchiolitis obliterans syndrome |
| J449 | Chronic obstructive pulmonary disease, unspecified |
| J470 | Bronchiectasis with acute lower respiratory infection |
| J471 | Bronchiectasis with (acute) exacerbation |
| J479 | Bronchiectasis, uncomplicated |
| 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 |
| 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 6427 | |
| 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 6428 | |
| E7871 | Barth syndrome |
| E7872 | Smith-Lemli-Opitz syndrome |
| P2930 | Pulmonary hypertension of newborn |
| P2938 | Other persistent fetal circulation |
| Q251 | Coarctation of aorta |
| Q2521 | Interruption of aortic arch |
| Q2529 | Other atresia of aorta |
| Q253 | Supravalvular aortic stenosis |
| Q2730 | Arteriovenous malformation, site unspecified |
| Q274 | Congenital phlebectasia |
| Q280 | Arteriovenous malformation of precerebral vessels |
| Q281 | Other malformations of precerebral vessels |
| Q288 | Other specified congenital malformations of circulatory system |
| Q289 | Congenital malformation of circulatory system, unspecified |
| Q8711 | Prader-Willi syndrome |
| Q8719 | Other congenital malformation syndromes predominantly associated with short stature |
| Q872 | Congenital malformation syndromes predominantly involving limbs |
| Q873 | Congenital malformation syndromes involving early overgrowth |
| Q8740 | Marfan syndrome, unspecified |
| Q87410 | Marfan syndrome with aortic dilation |
| Q87418 | Marfan syndrome with other cardiovascular manifestations |
| Q8742 | Marfan syndrome with ocular manifestations |
| Q8743 | Marfan syndrome with skeletal manifestation |
| Q875 | Other congenital malformation syndromes with other skeletal changes |
| Q8781 | Alport syndrome |
| Q8782 | Arterial tortuosity syndrome |
| Q8783 | Bardet-Biedl syndrome |
| Q8784 | Laurence-Moon syndrome |
| Q8785 | MED13L syndrome |
| Q8789 | Other specified congenital malformation syndromes, not elsewhere classified |
| Q897 | Multiple congenital malformations, not elsewhere classified |
| Q898 | Other specified congenital malformations |
| Q992 | Fragile X chromosome |
| PDX Collection 6429 | |
| 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 6430 | |
| 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 |
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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 |