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 1266 of 1375 |
| PDX Collection 6657 (continued) | |
| O99355 | Diseases of the nervous system complicating the puerperium |
| O99511 | Diseases of the respiratory system complicating pregnancy, first trimester |
| O99512 | Diseases of the respiratory system complicating pregnancy, second trimester |
| O99513 | Diseases of the respiratory system complicating pregnancy, third trimester |
| O99519 | Diseases of the respiratory system complicating pregnancy, unspecified trimester |
| O9952 | Diseases of the respiratory system complicating childbirth |
| O9953 | Diseases of the respiratory system complicating the puerperium |
| O99611 | Diseases of the digestive system complicating pregnancy, first trimester |
| O99612 | Diseases of the digestive system complicating pregnancy, second trimester |
| O99613 | Diseases of the digestive system complicating pregnancy, third trimester |
| O99619 | Diseases of the digestive system complicating pregnancy, unspecified trimester |
| O9962 | Diseases of the digestive system complicating childbirth |
| O9963 | Diseases of the digestive system complicating the puerperium |
| O99711 | Diseases of the skin and subcutaneous tissue complicating pregnancy, first trimester |
| O99712 | Diseases of the skin and subcutaneous tissue complicating pregnancy, second trimester |
| O99713 | Diseases of the skin and subcutaneous tissue complicating pregnancy, third trimester |
| O99719 | Diseases of the skin and subcutaneous tissue complicating pregnancy, unspecified trimester |
| O9972 | Diseases of the skin and subcutaneous tissue complicating childbirth |
| O9973 | Diseases of the skin and subcutaneous tissue complicating the puerperium |
| O99820 | Streptococcus B carrier state complicating pregnancy |
| O99824 | Streptococcus B carrier state complicating childbirth |
| O99825 | Streptococcus B carrier state complicating the puerperium |
| O99840 | Bariatric surgery status complicating pregnancy, unspecified trimester |
| O99841 | Bariatric surgery status complicating pregnancy, first trimester |
| O99842 | Bariatric surgery status complicating pregnancy, second trimester |
| O99843 | Bariatric surgery status complicating pregnancy, third trimester |
| O99844 | Bariatric surgery status complicating childbirth |
| O99845 | Bariatric surgery status complicating the puerperium |
| O9A111 | Malignant neoplasm complicating pregnancy, first trimester |
| O9A112 | Malignant neoplasm complicating pregnancy, second trimester |
| O9A113 | Malignant neoplasm complicating pregnancy, third trimester |
| O9A119 | Malignant neoplasm complicating pregnancy, unspecified trimester |
| O9A12 | Malignant neoplasm complicating childbirth |
| O9A13 | Malignant neoplasm complicating the puerperium |
| O9A211 | Injury, poisoning and certain other consequences of external causes complicating pregnancy, first trimester |
| O9A212 | Injury, poisoning and certain other consequences of external causes complicating pregnancy, second trimester |
| O9A213 | Injury, poisoning and certain other consequences of external causes complicating pregnancy, third trimester |
| O9A219 | Injury, poisoning and certain other consequences of external causes complicating pregnancy, unspecified trimester |
| O9A22 | Injury, poisoning and certain other consequences of external causes complicating childbirth |
| O9A23 | Injury, poisoning and certain other consequences of external causes complicating the puerperium |
| O9A311 | Physical abuse complicating pregnancy, first trimester |
| O9A312 | Physical abuse complicating pregnancy, second trimester |
| O9A313 | Physical abuse complicating pregnancy, third trimester |
| O9A319 | Physical abuse complicating pregnancy, unspecified trimester |
| O9A32 | Physical abuse complicating childbirth |
| O9A33 | Physical abuse complicating the puerperium |
| O9A411 | Sexual abuse complicating pregnancy, first trimester |
| O9A412 | Sexual abuse complicating pregnancy, second trimester |
| O9A413 | Sexual abuse complicating pregnancy, third trimester |
| O9A419 | Sexual abuse complicating pregnancy, unspecified trimester |
| O9A42 | Sexual abuse complicating childbirth |
| O9A43 | Sexual abuse complicating the puerperium |
| O9A511 | Psychological abuse complicating pregnancy, first trimester |
| O9A512 | Psychological abuse complicating pregnancy, second trimester |
| O9A513 | Psychological abuse complicating pregnancy, third trimester |
| O9A519 | Psychological abuse complicating pregnancy, unspecified trimester |
| O9A52 | Psychological abuse complicating childbirth |
| O9A53 | Psychological abuse complicating the puerperium |
| PDX Collection 6658 | |
| G041 | Tropical spastic paraplegia |
| G10 | Huntington's disease |
| G110 | Congenital nonprogressive ataxia |
| G1110 | Early-onset cerebellar ataxia, unspecified |
| G1111 | Friedreich ataxia |
| G1119 | Other early-onset cerebellar ataxia |
| G112 | Late-onset cerebellar ataxia |
| G113 | Cerebellar ataxia with defective DNA repair |
| G114 | Hereditary spastic paraplegia |
| G115 | Hypomyelination - hypogonadotropic hypogonadism - hypodontia |
| G116 | Leukodystrophy with vanishing white matter disease |
| G118 | Other hereditary ataxias |
| G119 | Hereditary ataxia, unspecified |
| G120 | Infantile spinal muscular atrophy, type I [Werdnig-Hoffman] |
| G121 | Other inherited spinal muscular atrophy |
| G1220 | Motor neuron disease, unspecified |
| G1221 | Amyotrophic lateral sclerosis |
| G1222 | Progressive bulbar palsy |
| G1223 | Primary lateral sclerosis |
| G1224 | Familial motor neuron disease |
| G1225 | Progressive spinal muscle atrophy |
| G1229 | Other motor neuron disease |
| G128 | Other spinal muscular atrophies and related syndromes |
| G129 | Spinal muscular atrophy, unspecified |
| G210 | Malignant neuroleptic syndrome |
| G2401 | Drug induced subacute dyskinesia |
| G2402 | Drug induced acute dystonia |
| G2409 | Other drug induced dystonia |
| G241 | Genetic torsion dystonia |
| G242 | Idiopathic nonfamilial dystonia |
| G243 | Spasmodic torticollis |
| G244 | Idiopathic orofacial dystonia |
| G245 | Blepharospasm |
| G248 | Other dystonia |
| G249 | Dystonia, unspecified |
| G250 | Essential tremor |
| G251 | Drug-induced tremor |
| G252 | Other specified forms of tremor |
| G253 | Myoclonus |
| G254 | Drug-induced chorea |
| G255 | Other chorea |
| G2561 | Drug induced tics |
| G2569 | Other tics of organic origin |
| G2570 | Drug induced movement disorder, unspecified |
| G2571 | Drug induced akathisia |
| G2579 | Other drug induced movement disorders |
| G2582 | Stiff-man syndrome |
| G2583 | Benign shuddering attacks |
| G2589 | Other specified extrapyramidal and movement disorders |
| G259 | Extrapyramidal and movement disorder, unspecified |
| G26 | Extrapyramidal and movement disorders in diseases classified elsewhere |
| G320 | Subacute combined degeneration of spinal cord in diseases classified elsewhere |
| G3281 | Cerebellar ataxia in diseases classified elsewhere |
| G3289 | Other specified degenerative disorders of nervous system in diseases classified elsewhere |
| G35 | Multiple sclerosis |
| G360 | Neuromyelitis optica [Devic] |
| G361 | Acute and subacute hemorrhagic leukoencephalitis [Hurst] |
| G368 | Other specified acute disseminated demyelination |
| G369 | Acute disseminated demyelination, unspecified |
| G370 | Diffuse sclerosis of central nervous system |
| G371 | Central demyelination of corpus callosum |
| G372 | Central pontine myelinolysis |
| G373 | Acute transverse myelitis in demyelinating disease of central nervous system |
| G375 | Concentric sclerosis [Balo] of central nervous system |
| G3781 | Myelin oligodendrocyte glycoprotein antibody disease |
| G3789 | Other specified demyelinating diseases of central nervous system |
| G379 | Demyelinating disease of central nervous system, unspecified |
| G800 | Spastic quadriplegic cerebral palsy |
| G801 | Spastic diplegic cerebral palsy |
| G802 | Spastic hemiplegic cerebral palsy |
| G803 | Athetoid cerebral palsy |
| G804 | Ataxic cerebral palsy |
| G808 | Other cerebral palsy |
| G809 | Cerebral palsy, unspecified |
| G8100 | Flaccid hemiplegia affecting unspecified side |
| G8101 | Flaccid hemiplegia affecting right dominant side |
| G8102 | Flaccid hemiplegia affecting left dominant side |
| G8103 | Flaccid hemiplegia affecting right nondominant side |
| G8104 | Flaccid hemiplegia affecting left nondominant side |
| G8110 | Spastic hemiplegia affecting unspecified side |
| G8111 | Spastic hemiplegia affecting right dominant side |
| G8112 | Spastic hemiplegia affecting left dominant side |
| G8113 | Spastic hemiplegia affecting right nondominant side |
| G8114 | Spastic hemiplegia affecting left nondominant side |
| G8190 | Hemiplegia, unspecified affecting unspecified side |
| G8191 | Hemiplegia, unspecified affecting right dominant side |
| G8192 | Hemiplegia, unspecified affecting left dominant side |
| G8193 | Hemiplegia, unspecified affecting right nondominant side |
| G8194 | Hemiplegia, unspecified affecting left nondominant side |
| G8220 | Paraplegia, unspecified |
| G8221 | Paraplegia, complete |
| G8222 | Paraplegia, incomplete |
| G8250 | Quadriplegia, unspecified |
| G8251 | Quadriplegia, C1-C4 complete |
| G8252 | Quadriplegia, C1-C4 incomplete |
| G8253 | Quadriplegia, C5-C7 complete |
| G8254 | Quadriplegia, C5-C7 incomplete |
| G830 | Diplegia of upper limbs |
| G8310 | Monoplegia of lower limb affecting unspecified side |
| G8311 | Monoplegia of lower limb affecting right dominant side |
| G8312 | Monoplegia of lower limb affecting left dominant side |
| G8313 | Monoplegia of lower limb affecting right nondominant side |
| G8314 | Monoplegia of lower limb affecting left nondominant side |
| G8320 | Monoplegia of upper limb affecting unspecified side |
| G8321 | Monoplegia of upper limb affecting right dominant side |
| G8322 | Monoplegia of upper limb affecting left dominant side |
| G8323 | Monoplegia of upper limb affecting right nondominant side |
| G8324 | Monoplegia of upper limb affecting left nondominant side |
| G8330 | Monoplegia, unspecified affecting unspecified side |
| G8331 | Monoplegia, unspecified affecting right dominant side |
| G8332 | Monoplegia, unspecified affecting left dominant side |
| G8333 | Monoplegia, unspecified affecting right nondominant side |
| G8334 | Monoplegia, unspecified affecting left nondominant side |
| G834 | Cauda equina syndrome |
| G835 | Locked-in state |
| G8381 | Brown-Sequard syndrome |
| G8382 | Anterior cord syndrome |
| G8383 | Posterior cord syndrome |
| G8384 | Todd's paralysis (postepileptic) |
| G8389 | Other specified paralytic syndromes |
| G839 | Paralytic syndrome, unspecified |
| G9001 | Carotid sinus syncope |
| G9009 | Other idiopathic peripheral autonomic neuropathy |
| G902 | Horner's syndrome |
| G904 | Autonomic dysreflexia |
| G9050 | Complex regional pain syndrome I, unspecified |
| G90511 | Complex regional pain syndrome I of right upper limb |
| G90512 | Complex regional pain syndrome I of left upper limb |
| G90513 | Complex regional pain syndrome I of upper limb, bilateral |
| G90519 | Complex regional pain syndrome I of unspecified upper limb |
| G90521 | Complex regional pain syndrome I of right lower limb |
| G90522 | Complex regional pain syndrome I of left lower limb |
| G90523 | Complex regional pain syndrome I of lower limb, bilateral |
| G90529 | Complex regional pain syndrome I of unspecified lower limb |
| G9059 | Complex regional pain syndrome I of other specified site |
| G908 | Other disorders of autonomic nervous system |
| G909 | Disorder of the autonomic nervous system, unspecified |
| G90B | LMNB1-related autosomal dominant leukodystrophy |
| G9340 | Encephalopathy, unspecified |
| G9341 | Metabolic encephalopathy |
| G9342 | Megaloencephalic leukoencephalopathy with subcortical cysts |
| G9343 | Leukoencephalopathy with calcifications and cysts |
| G9344 | Adult-onset leukodystrophy with axonal spheroids |
| G9349 | Other encephalopathy |
| G9381 | Temporal sclerosis |
| G9389 | Other specified disorders of brain |
| G939 | Disorder of brain, unspecified |
| G950 | Syringomyelia and syringobulbia |
| G9511 | Acute infarction of spinal cord (embolic) (nonembolic) |
| G9519 | Other vascular myelopathies |
| G9520 | Unspecified cord compression |
| G9529 | Other cord compression |
| G9581 | Conus medullaris syndrome |
| G9589 | Other specified diseases of spinal cord |
| G959 | Disease of spinal cord, unspecified |
| G969 | Disorder of central nervous system, unspecified |
| G980 | Neurogenic arthritis, not elsewhere classified |
| G988 | Other disorders of nervous system |
| G990 | Autonomic neuropathy in diseases classified elsewhere |
| G992 | Myelopathy in diseases classified elsewhere |
| G998 | Other specified disorders of nervous system in diseases classified elsewhere |
| I6783 | Posterior reversible encephalopathy syndrome |
| R532 | Functional quadriplegia |
| PDX Collection 6659 | |
| I200 | Unstable angina |
| I201 | Angina pectoris with documented spasm |
| I202 | Refractory angina pectoris |
| I2081 | Angina pectoris with coronary microvascular dysfunction |
| I2089 | Other forms of angina pectoris |
| I209 | Angina pectoris, unspecified |
| I2101 | ST elevation (STEMI) myocardial infarction involving left main coronary artery |
| I2102 | ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery |
| I2109 | ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall |
| I2111 | ST elevation (STEMI) myocardial infarction involving right coronary artery |
| I2119 | ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall |
| I2121 | ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery |
| I2129 | ST elevation (STEMI) myocardial infarction involving other sites |
| I213 | ST elevation (STEMI) myocardial infarction of unspecified site |
| I214 | Non-ST elevation (NSTEMI) myocardial infarction |
| I219 | Acute myocardial infarction, unspecified |
| I21A1 | Myocardial infarction type 2 |
| I21A9 | Other myocardial infarction type |
| I220 | Subsequent ST elevation (STEMI) myocardial infarction of anterior wall |
| I221 | Subsequent ST elevation (STEMI) myocardial infarction of inferior wall |
| I222 | Subsequent non-ST elevation (NSTEMI) myocardial infarction |
| I228 | Subsequent ST elevation (STEMI) myocardial infarction of other sites |
| I229 | Subsequent ST elevation (STEMI) myocardial infarction of unspecified site |
| I240 | Acute coronary thrombosis not resulting in myocardial infarction |
| I241 | Dressler's syndrome |
| I2481 | Acute coronary microvascular dysfunction |
| I2489 | Other forms of acute ischemic heart disease |
| I249 | Acute ischemic heart disease, unspecified |
| I255 | Ischemic cardiomyopathy |
| I256 | Silent myocardial ischemia |
| I25702 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris |
| I25712 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris |
| I25722 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris |
| I25732 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris |
| I25752 | Atherosclerosis of native coronary artery of transplanted heart with refractory angina pectoris |
| I25762 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris |
| I25792 | Atherosclerosis of other coronary artery bypass graft(s) with refractory angina pectoris |
| I2589 | Other forms of chronic ischemic heart disease |
| I259 | Chronic ischemic heart disease, unspecified |
| I878 | Other specified disorders of veins |
| I879 | Disorder of vein, unspecified |
| I998 | Other disorder of circulatory system |
| I999 | Unspecified disorder of circulatory system |
| PDX Collection 6660 | |
| G20A1 | Parkinson's disease without dyskinesia, without mention of fluctuations |
| G20A2 | Parkinson's disease without dyskinesia, with fluctuations |
| G20B1 | Parkinson's disease with dyskinesia, without mention of fluctuations |
| G20B2 | Parkinson's disease with dyskinesia, with fluctuations |
| G20C | Parkinsonism, unspecified |
| G2111 | Neuroleptic induced parkinsonism |
| G2119 | Other drug induced secondary parkinsonism |
| G212 | Secondary parkinsonism due to other external agents |
| G213 | Postencephalitic parkinsonism |
| G214 | Vascular parkinsonism |
| G218 | Other secondary parkinsonism |
| G219 | Secondary parkinsonism, unspecified |
| G2409 | Other drug induced dystonia |
| G2570 | Drug induced movement disorder, unspecified |
| G2571 | Drug induced akathisia |
| G2579 | Other drug induced movement disorders |
| G2589 | Other specified extrapyramidal and movement disorders |
| G259 | Extrapyramidal and movement disorder, unspecified |
| G26 | Extrapyramidal and movement disorders in diseases classified elsewhere |
| G803 | Athetoid cerebral palsy |
| G9340 | Encephalopathy, unspecified |
| G9341 | Metabolic encephalopathy |
| G9342 | Megaloencephalic leukoencephalopathy with subcortical cysts |
| G9343 | Leukoencephalopathy with calcifications and cysts |
| G9344 | Adult-onset leukodystrophy with axonal spheroids |
| G9349 | Other encephalopathy |
| I6783 | Posterior reversible encephalopathy syndrome |
| PDX Collection 6661 | |
| G041 | Tropical spastic paraplegia |
| G110 | Congenital nonprogressive ataxia |
| G1110 | Early-onset cerebellar ataxia, unspecified |
| G1111 | Friedreich ataxia |
| G1119 | Other early-onset cerebellar ataxia |
| G112 | Late-onset cerebellar ataxia |
| G113 | Cerebellar ataxia with defective DNA repair |
| G114 | Hereditary spastic paraplegia |
| G115 | Hypomyelination - hypogonadotropic hypogonadism - hypodontia |
| G116 | Leukodystrophy with vanishing white matter disease |
| G118 | Other hereditary ataxias |
| G119 | Hereditary ataxia, unspecified |
| G120 | Infantile spinal muscular atrophy, type I [Werdnig-Hoffman] |
| G121 | Other inherited spinal muscular atrophy |
| G1220 | Motor neuron disease, unspecified |
| G1221 | Amyotrophic lateral sclerosis |
| G1222 | Progressive bulbar palsy |
| G1223 | Primary lateral sclerosis |
| G1224 | Familial motor neuron disease |
| G1225 | Progressive spinal muscle atrophy |
| G1229 | Other motor neuron disease |
| G128 | Other spinal muscular atrophies and related syndromes |
| G129 | Spinal muscular atrophy, unspecified |
| G320 | Subacute combined degeneration of spinal cord in diseases classified elsewhere |
| G3281 | Cerebellar ataxia in diseases classified elsewhere |
| G3289 | Other specified degenerative disorders of nervous system in diseases classified elsewhere |
| G35 | Multiple sclerosis |
| G360 | Neuromyelitis optica [Devic] |
| G361 | Acute and subacute hemorrhagic leukoencephalitis [Hurst] |
| G368 | Other specified acute disseminated demyelination |
| G369 | Acute disseminated demyelination, unspecified |
| G370 | Diffuse sclerosis of central nervous system |
| G371 | Central demyelination of corpus callosum |
| G372 | Central pontine myelinolysis |
| G373 | Acute transverse myelitis in demyelinating disease of central nervous system |
| G375 | Concentric sclerosis [Balo] of central nervous system |
| G3781 | Myelin oligodendrocyte glycoprotein antibody disease |
| G3789 | Other specified demyelinating diseases of central nervous system |
| G379 | Demyelinating disease of central nervous system, unspecified |
| G800 | Spastic quadriplegic cerebral palsy |
| G801 | Spastic diplegic cerebral palsy |
| G802 | Spastic hemiplegic cerebral palsy |
| G804 | Ataxic cerebral palsy |
| G808 | Other cerebral palsy |
| G809 | Cerebral palsy, unspecified |
| G8100 | Flaccid hemiplegia affecting unspecified side |
| G8101 | Flaccid hemiplegia affecting right dominant side |
| G8102 | Flaccid hemiplegia affecting left dominant side |
| G8103 | Flaccid hemiplegia affecting right nondominant side |
| G8104 | Flaccid hemiplegia affecting left nondominant side |
| G8110 | Spastic hemiplegia affecting unspecified side |
| G8111 | Spastic hemiplegia affecting right dominant side |
| G8112 | Spastic hemiplegia affecting left dominant side |
| G8113 | Spastic hemiplegia affecting right nondominant side |
| G8114 | Spastic hemiplegia affecting left nondominant side |
| G8190 | Hemiplegia, unspecified affecting unspecified side |
| G8191 | Hemiplegia, unspecified affecting right dominant side |
| G8192 | Hemiplegia, unspecified affecting left dominant side |
| G8193 | Hemiplegia, unspecified affecting right nondominant side |
| G8194 | Hemiplegia, unspecified affecting left nondominant side |
| G8220 | Paraplegia, unspecified |
| G8221 | Paraplegia, complete |
| G8222 | Paraplegia, incomplete |
| G8250 | Quadriplegia, unspecified |
| G8251 | Quadriplegia, C1-C4 complete |
| G8252 | Quadriplegia, C1-C4 incomplete |
| G8253 | Quadriplegia, C5-C7 complete |
| G8254 | Quadriplegia, C5-C7 incomplete |
| G830 | Diplegia of upper limbs |
| G8310 | Monoplegia of lower limb affecting unspecified side |
| G8311 | Monoplegia of lower limb affecting right dominant side |
| G8312 | Monoplegia of lower limb affecting left dominant side |
| G8313 | Monoplegia of lower limb affecting right nondominant side |
| G8314 | Monoplegia of lower limb affecting left nondominant side |
| G8320 | Monoplegia of upper limb affecting unspecified side |
| G8321 | Monoplegia of upper limb affecting right dominant side |
| G8322 | Monoplegia of upper limb affecting left dominant side |
| G8323 | Monoplegia of upper limb affecting right nondominant side |
| G8324 | Monoplegia of upper limb affecting left nondominant side |
| G8330 | Monoplegia, unspecified affecting unspecified side |
| G8331 | Monoplegia, unspecified affecting right dominant side |
| G8332 | Monoplegia, unspecified affecting left dominant side |
| G8333 | Monoplegia, unspecified affecting right nondominant side |
| G8334 | Monoplegia, unspecified affecting left nondominant side |
| G834 | Cauda equina syndrome |
| G835 | Locked-in state |
| G8381 | Brown-Sequard syndrome |
| G8382 | Anterior cord syndrome |
| G8383 | Posterior cord syndrome |
| G8384 | Todd's paralysis (postepileptic) |
| G8389 | Other specified paralytic syndromes |
| G839 | Paralytic syndrome, unspecified |
| G9001 | Carotid sinus syncope |
| G9009 | Other idiopathic peripheral autonomic neuropathy |
| G902 | Horner's syndrome |
| G904 | Autonomic dysreflexia |
| G9050 | Complex regional pain syndrome I, unspecified |
| G90511 | Complex regional pain syndrome I of right upper limb |
| G90512 | Complex regional pain syndrome I of left upper limb |
| G90513 | Complex regional pain syndrome I of upper limb, bilateral |
| G90519 | Complex regional pain syndrome I of unspecified upper limb |
| G90521 | Complex regional pain syndrome I of right lower limb |
| G90522 | Complex regional pain syndrome I of left lower limb |
| G90523 | Complex regional pain syndrome I of lower limb, bilateral |
| G90529 | Complex regional pain syndrome I of unspecified lower limb |
| G9059 | Complex regional pain syndrome I of other specified site |
| G908 | Other disorders of autonomic nervous system |
| G909 | Disorder of the autonomic nervous system, unspecified |
| G90B | LMNB1-related autosomal dominant leukodystrophy |
| G9340 | Encephalopathy, unspecified |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 01 Mar 2023 06:12:40 CMS, code-revision=344, description-revision=1357 |