ICD-10-CM/PCS MS-DRG v43.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v43.1 Definitions Manual |
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| Appendix I Hospital Acquired Conditions (HACs) List |
| Hospital Acquired Conditions |
| Page 1 of 14 |
HAC 01: Foreign Object Retained After Surgery
SECONDARY DIAGNOSIS
| T81500A | CC | Unspecified complication of foreign body accidentally left in body following surgical operation, initial encounter |
| T81501A | CC | Unspecified complication of foreign body accidentally left in body following infusion or transfusion, initial encounter |
| T81502A | CC | Unspecified complication of foreign body accidentally left in body following kidney dialysis, initial encounter |
| T81503A | CC | Unspecified complication of foreign body accidentally left in body following injection or immunization, initial encounter |
| T81504A | CC | Unspecified complication of foreign body accidentally left in body following endoscopic examination, initial encounter |
| T81505A | CC | Unspecified complication of foreign body accidentally left in body following heart catheterization, initial encounter |
| T81506A | CC | Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter |
| T81507A | CC | Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, initial encounter |
| T81508A | CC | Unspecified complication of foreign body accidentally left in body following other procedure, initial encounter |
| T81509A | CC | Unspecified complication of foreign body accidentally left in body following unspecified procedure, initial encounter |
| T81510A | CC | Adhesions due to foreign body accidentally left in body following surgical operation, initial encounter |
| T81511A | CC | Adhesions due to foreign body accidentally left in body following infusion or transfusion, initial encounter |
| T81512A | CC | Adhesions due to foreign body accidentally left in body following kidney dialysis, initial encounter |
| T81513A | CC | Adhesions due to foreign body accidentally left in body following injection or immunization, initial encounter |
| T81514A | CC | Adhesions due to foreign body accidentally left in body following endoscopic examination, initial encounter |
| T81515A | CC | Adhesions due to foreign body accidentally left in body following heart catheterization, initial encounter |
| T81516A | CC | Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter |
| T81517A | CC | Adhesions due to foreign body accidentally left in body following removal of catheter or packing, initial encounter |
| T81518A | CC | Adhesions due to foreign body accidentally left in body following other procedure, initial encounter |
| T81519A | CC | Adhesions due to foreign body accidentally left in body following unspecified procedure, initial encounter |
| T81520A | CC | Obstruction due to foreign body accidentally left in body following surgical operation, initial encounter |
| T81521A | CC | Obstruction due to foreign body accidentally left in body following infusion or transfusion, initial encounter |
| T81522A | CC | Obstruction due to foreign body accidentally left in body following kidney dialysis, initial encounter |
| T81523A | CC | Obstruction due to foreign body accidentally left in body following injection or immunization, initial encounter |
| T81524A | CC | Obstruction due to foreign body accidentally left in body following endoscopic examination, initial encounter |
| T81525A | CC | Obstruction due to foreign body accidentally left in body following heart catheterization, initial encounter |
| T81526A | CC | Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter |
| T81527A | CC | Obstruction due to foreign body accidentally left in body following removal of catheter or packing, initial encounter |
| T81528A | CC | Obstruction due to foreign body accidentally left in body following other procedure, initial encounter |
| T81529A | CC | Obstruction due to foreign body accidentally left in body following unspecified procedure, initial encounter |
| T81530A | CC | Perforation due to foreign body accidentally left in body following surgical operation, initial encounter |
| T81531A | CC | Perforation due to foreign body accidentally left in body following infusion or transfusion, initial encounter |
| T81532A | CC | Perforation due to foreign body accidentally left in body following kidney dialysis, initial encounter |
| T81533A | CC | Perforation due to foreign body accidentally left in body following injection or immunization, initial encounter |
| T81534A | CC | Perforation due to foreign body accidentally left in body following endoscopic examination, initial encounter |
| T81535A | CC | Perforation due to foreign body accidentally left in body following heart catheterization, initial encounter |
| T81536A | CC | Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter |
| T81537A | CC | Perforation due to foreign body accidentally left in body following removal of catheter or packing, initial encounter |
| T81538A | CC | Perforation due to foreign body accidentally left in body following other procedure, initial encounter |
| T81539A | CC | Perforation due to foreign body accidentally left in body following unspecified procedure, initial encounter |
| T81590A | CC | Other complications of foreign body accidentally left in body following surgical operation, initial encounter |
| T81591A | CC | Other complications of foreign body accidentally left in body following infusion or transfusion, initial encounter |
| T81592A | CC | Other complications of foreign body accidentally left in body following kidney dialysis, initial encounter |
| T81593A | CC | Other complications of foreign body accidentally left in body following injection or immunization, initial encounter |
| T81594A | CC | Other complications of foreign body accidentally left in body following endoscopic examination, initial encounter |
| T81595A | CC | Other complications of foreign body accidentally left in body following heart catheterization, initial encounter |
| T81596A | CC | Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter |
| T81597A | CC | Other complications of foreign body accidentally left in body following removal of catheter or packing, initial encounter |
| T81598A | CC | Other complications of foreign body accidentally left in body following other procedure, initial encounter |
| T81599A | CC | Other complications of foreign body accidentally left in body following unspecified procedure, initial encounter |
| T8160XA | CC | Unspecified acute reaction to foreign substance accidentally left during a procedure, initial encounter |
| T8161XA | CC | Aseptic peritonitis due to foreign substance accidentally left during a procedure, initial encounter |
| T8169XA | CC | Other acute reaction to foreign substance accidentally left during a procedure, initial encounter |
HAC 02: Air Embolism
SECONDARY DIAGNOSIS
| T800XXA | MCC | Air embolism following infusion, transfusion and therapeutic injection, initial encounter |
HAC 03: Blood Incompatibility
SECONDARY DIAGNOSIS
| T8030XA | CC | ABO incompatibility reaction due to transfusion of blood or blood products, unspecified, initial encounter |
| T80310A | CC | ABO incompatibility with acute hemolytic transfusion reaction, initial encounter |
| T80311A | CC | ABO incompatibility with delayed hemolytic transfusion reaction, initial encounter |
| T80319A | CC | ABO incompatibility with hemolytic transfusion reaction, unspecified, initial encounter |
| T8039XA | CC | Other ABO incompatibility reaction due to transfusion of blood or blood products, initial encounter |
HAC 04: Stage III and IV Pressure Ulcers
SECONDARY DIAGNOSIS
| L89003 | MCC | Pressure ulcer of unspecified elbow, stage 3 |
| L89004 | MCC | Pressure ulcer of unspecified elbow, stage 4 |
| L89013 | MCC | Pressure ulcer of right elbow, stage 3 |
| L89014 | MCC | Pressure ulcer of right elbow, stage 4 |
| L89023 | MCC | Pressure ulcer of left elbow, stage 3 |
| L89024 | MCC | Pressure ulcer of left elbow, stage 4 |
| L89103 | MCC | Pressure ulcer of unspecified part of back, stage 3 |
| L89104 | MCC | Pressure ulcer of unspecified part of back, stage 4 |
| L89113 | MCC | Pressure ulcer of right upper back, stage 3 |
| L89114 | MCC | Pressure ulcer of right upper back, stage 4 |
| L89123 | MCC | Pressure ulcer of left upper back, stage 3 |
| L89124 | MCC | Pressure ulcer of left upper back, stage 4 |
| L89133 | MCC | Pressure ulcer of right lower back, stage 3 |
| L89134 | MCC | Pressure ulcer of right lower back, stage 4 |
| L89143 | MCC | Pressure ulcer of left lower back, stage 3 |
| L89144 | MCC | Pressure ulcer of left lower back, stage 4 |
| L89153 | MCC | Pressure ulcer of sacral region, stage 3 |
| L89154 | MCC | Pressure ulcer of sacral region, stage 4 |
| L89203 | MCC | Pressure ulcer of unspecified hip, stage 3 |
| L89204 | MCC | Pressure ulcer of unspecified hip, stage 4 |
| L89213 | MCC | Pressure ulcer of right hip, stage 3 |
| L89214 | MCC | Pressure ulcer of right hip, stage 4 |
| L89223 | MCC | Pressure ulcer of left hip, stage 3 |
| L89224 | MCC | Pressure ulcer of left hip, stage 4 |
| L89303 | MCC | Pressure ulcer of unspecified buttock, stage 3 |
| L89304 | MCC | Pressure ulcer of unspecified buttock, stage 4 |
| L89313 | MCC | Pressure ulcer of right buttock, stage 3 |
| L89314 | MCC | Pressure ulcer of right buttock, stage 4 |
| L89323 | MCC | Pressure ulcer of left buttock, stage 3 |
| L89324 | MCC | Pressure ulcer of left buttock, stage 4 |
| L8943 | MCC | Pressure ulcer of contiguous site of back, buttock and hip, stage 3 |
| L8944 | MCC | Pressure ulcer of contiguous site of back, buttock and hip, stage 4 |
| L89503 | MCC | Pressure ulcer of unspecified ankle, stage 3 |
| L89504 | MCC | Pressure ulcer of unspecified ankle, stage 4 |
| L89513 | MCC | Pressure ulcer of right ankle, stage 3 |
| L89514 | MCC | Pressure ulcer of right ankle, stage 4 |
| L89523 | MCC | Pressure ulcer of left ankle, stage 3 |
| L89524 | MCC | Pressure ulcer of left ankle, stage 4 |
| L89603 | MCC | Pressure ulcer of unspecified heel, stage 3 |
| L89604 | MCC | Pressure ulcer of unspecified heel, stage 4 |
| L89613 | MCC | Pressure ulcer of right heel, stage 3 |
| L89614 | MCC | Pressure ulcer of right heel, stage 4 |
| L89623 | MCC | Pressure ulcer of left heel, stage 3 |
| L89624 | MCC | Pressure ulcer of left heel, stage 4 |
| L89813 | MCC | Pressure ulcer of head, stage 3 |
| L89814 | MCC | Pressure ulcer of head, stage 4 |
| L89893 | MCC | Pressure ulcer of other site, stage 3 |
| L89894 | MCC | Pressure ulcer of other site, stage 4 |
| L8993 | MCC | Pressure ulcer of unspecified site, stage 3 |
| L8994 | MCC | Pressure ulcer of unspecified site, stage 4 |
HAC 05: Falls and Trauma
SECONDARY DIAGNOSIS
M9910 S064X8A S24104A S42223B S52209A S59202A S72101C S79111A S82464C T23779A
| M9910 | CC | Subluxation complex (vertebral) of head region |
| M9911 | CC | Subluxation complex (vertebral) of cervical region |
| M9918 | CC | Subluxation complex (vertebral) of rib cage |
| S020XXA | CC | Fracture of vault of skull, initial encounter for closed fracture |
| S020XXB | MCC | Fracture of vault of skull, initial encounter for open fracture |
| S02101A | CC | Fracture of base of skull, right side, initial encounter for closed fracture |
| S02101B | MCC | Fracture of base of skull, right side, initial encounter for open fracture |
| S02102A | CC | Fracture of base of skull, left side, initial encounter for closed fracture |
| S02102B | MCC | Fracture of base of skull, left side, initial encounter for open fracture |
| S02109A | CC | Fracture of base of skull, unspecified side, initial encounter for closed fracture |
| S02109B | MCC | Fracture of base of skull, unspecified side, initial encounter for open fracture |
| S02110A | CC | Type I occipital condyle fracture, unspecified side, initial encounter for closed fracture |
| S02110B | MCC | Type I occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02111A | CC | Type II occipital condyle fracture, unspecified side, initial encounter for closed fracture |
| S02111B | MCC | Type II occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02112A | CC | Type III occipital condyle fracture, unspecified side, initial encounter for closed fracture |
| S02112B | MCC | Type III occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02113A | CC | Unspecified occipital condyle fracture, initial encounter for closed fracture |
| S02113B | MCC | Unspecified occipital condyle fracture, initial encounter for open fracture |
| S02118A | CC | Other fracture of occiput, unspecified side, initial encounter for closed fracture |
| S02118B | MCC | Other fracture of occiput, unspecified side, initial encounter for open fracture |
| S02119A | CC | Unspecified fracture of occiput, initial encounter for closed fracture |
| S02119B | MCC | Unspecified fracture of occiput, initial encounter for open fracture |
| S0211AA | CC | Type I occipital condyle fracture, right side, initial encounter for closed fracture |
| S0211AB | MCC | Type I occipital condyle fracture, right side, initial encounter for open fracture |
| S0211BA | CC | Type I occipital condyle fracture, left side, initial encounter for closed fracture |
| S0211BB | MCC | Type I occipital condyle fracture, left side, initial encounter for open fracture |
| S0211CA | CC | Type II occipital condyle fracture, right side, initial encounter for closed fracture |
| S0211CB | MCC | Type II occipital condyle fracture, right side, initial encounter for open fracture |
| S0211DA | CC | Type II occipital condyle fracture, left side, initial encounter for closed fracture |
| S0211DB | MCC | Type II occipital condyle fracture, left side, initial encounter for open fracture |
| S0211EA | CC | Type III occipital condyle fracture, right side, initial encounter for closed fracture |
| S0211EB | MCC | Type III occipital condyle fracture, right side, initial encounter for open fracture |
| S0211FA | CC | Type III occipital condyle fracture, left side, initial encounter for closed fracture |
| S0211FB | MCC | Type III occipital condyle fracture, left side, initial encounter for open fracture |
| S0211GA | CC | Other fracture of occiput, right side, initial encounter for closed fracture |
| S0211GB | MCC | Other fracture of occiput, right side, initial encounter for open fracture |
| S0211HA | CC | Other fracture of occiput, left side, initial encounter for closed fracture |
| S0211HB | MCC | Other fracture of occiput, left side, initial encounter for open fracture |
| S02121A | CC | Fracture of orbital roof, right side, initial encounter for closed fracture |
| S02121B | MCC | Fracture of orbital roof, right side, initial encounter for open fracture |
| S02122A | CC | Fracture of orbital roof, left side, initial encounter for closed fracture |
| S02122B | MCC | Fracture of orbital roof, left side, initial encounter for open fracture |
| S02129A | CC | Fracture of orbital roof, unspecified side, initial encounter for closed fracture |
| S02129B | MCC | Fracture of orbital roof, unspecified side, initial encounter for open fracture |
| S0219XA | CC | Other fracture of base of skull, initial encounter for closed fracture |
| S0219XB | MCC | Other fracture of base of skull, initial encounter for open fracture |
| S022XXB | CC | Fracture of nasal bones, initial encounter for open fracture |
| S0230XA | CC | Fracture of orbital floor, unspecified side, initial encounter for closed fracture |
| S0230XB | CC | Fracture of orbital floor, unspecified side, initial encounter for open fracture |
| S0231XA | CC | Fracture of orbital floor, right side, initial encounter for closed fracture |
| S0231XB | CC | Fracture of orbital floor, right side, initial encounter for open fracture |
| S0232XA | CC | Fracture of orbital floor, left side, initial encounter for closed fracture |
| S0232XB | CC | Fracture of orbital floor, left side, initial encounter for open fracture |
| S02400A | CC | Malar fracture, unspecified side, initial encounter for closed fracture |
| S02400B | CC | Malar fracture, unspecified side, initial encounter for open fracture |
| S02401A | CC | Maxillary fracture, unspecified side, initial encounter for closed fracture |
| S02401B | CC | Maxillary fracture, unspecified side, initial encounter for open fracture |
| S02402A | CC | Zygomatic fracture, unspecified side, initial encounter for closed fracture |
| S02402B | CC | Zygomatic fracture, unspecified side, initial encounter for open fracture |
| S0240AA | CC | Malar fracture, right side, initial encounter for closed fracture |
| S0240AB | CC | Malar fracture, right side, initial encounter for open fracture |
| S0240BA | CC | Malar fracture, left side, initial encounter for closed fracture |
| S0240BB | CC | Malar fracture, left side, initial encounter for open fracture |
| S0240CA | CC | Maxillary fracture, right side, initial encounter for closed fracture |
| S0240CB | CC | Maxillary fracture, right side, initial encounter for open fracture |
| S0240DA | CC | Maxillary fracture, left side, initial encounter for closed fracture |
| S0240DB | CC | Maxillary fracture, left side, initial encounter for open fracture |
| S0240EA | CC | Zygomatic fracture, right side, initial encounter for closed fracture |
| S0240EB | CC | Zygomatic fracture, right side, initial encounter for open fracture |
| S0240FA | CC | Zygomatic fracture, left side, initial encounter for closed fracture |
| S0240FB | CC | Zygomatic fracture, left side, initial encounter for open fracture |
| S02411A | CC | LeFort I fracture, initial encounter for closed fracture |
| S02411B | CC | LeFort I fracture, initial encounter for open fracture |
| S02412A | CC | LeFort II fracture, initial encounter for closed fracture |
| S02412B | CC | LeFort II fracture, initial encounter for open fracture |
| S02413A | CC | LeFort III fracture, initial encounter for closed fracture |
| S02413B | CC | LeFort III fracture, initial encounter for open fracture |
| S0242XA | CC | Fracture of alveolus of maxilla, initial encounter for closed fracture |
| S0242XB | CC | Fracture of alveolus of maxilla, initial encounter for open fracture |
| S02600A | CC | Fracture of unspecified part of body of mandible, unspecified side, initial encounter for closed fracture |
| S02600B | CC | Fracture of unspecified part of body of mandible, unspecified side, initial encounter for open fracture |
| S02601A | CC | Fracture of unspecified part of body of right mandible, initial encounter for closed fracture |
| S02601B | CC | Fracture of unspecified part of body of right mandible, initial encounter for open fracture |
| S02602A | CC | Fracture of unspecified part of body of left mandible, initial encounter for closed fracture |
| S02602B | CC | Fracture of unspecified part of body of left mandible, initial encounter for open fracture |
| S02609A | CC | Fracture of mandible, unspecified, initial encounter for closed fracture |
| S02609B | CC | Fracture of mandible, unspecified, initial encounter for open fracture |
| S02610A | CC | Fracture of condylar process of mandible, unspecified side, initial encounter for closed fracture |
| S02610B | CC | Fracture of condylar process of mandible, unspecified side, initial encounter for open fracture |
| S02611A | CC | Fracture of condylar process of right mandible, initial encounter for closed fracture |
| S02611B | CC | Fracture of condylar process of right mandible, initial encounter for open fracture |
| S02612A | CC | Fracture of condylar process of left mandible, initial encounter for closed fracture |
| S02612B | CC | Fracture of condylar process of left mandible, initial encounter for open fracture |
| S02620A | CC | Fracture of subcondylar process of mandible, unspecified side, initial encounter for closed fracture |
| S02620B | CC | Fracture of subcondylar process of mandible, unspecified side, initial encounter for open fracture |
| S02621A | CC | Fracture of subcondylar process of right mandible, initial encounter for closed fracture |
| S02621B | CC | Fracture of subcondylar process of right mandible, initial encounter for open fracture |
| S02622A | CC | Fracture of subcondylar process of left mandible, initial encounter for closed fracture |
| S02622B | CC | Fracture of subcondylar process of left mandible, initial encounter for open fracture |
| S02630A | CC | Fracture of coronoid process of mandible, unspecified side, initial encounter for closed fracture |
| S02630B | CC | Fracture of coronoid process of mandible, unspecified side, initial encounter for open fracture |
| S02631A | CC | Fracture of coronoid process of right mandible, initial encounter for closed fracture |
| S02631B | CC | Fracture of coronoid process of right mandible, initial encounter for open fracture |
| S02632A | CC | Fracture of coronoid process of left mandible, initial encounter for closed fracture |
| S02632B | CC | Fracture of coronoid process of left mandible, initial encounter for open fracture |
| S02640A | CC | Fracture of ramus of mandible, unspecified side, initial encounter for closed fracture |
| S02640B | CC | Fracture of ramus of mandible, unspecified side, initial encounter for open fracture |
| S02641A | CC | Fracture of ramus of right mandible, initial encounter for closed fracture |
| S02641B | CC | Fracture of ramus of right mandible, initial encounter for open fracture |
| S02642A | CC | Fracture of ramus of left mandible, initial encounter for closed fracture |
| S02642B | CC | Fracture of ramus of left mandible, initial encounter for open fracture |
| S02650A | CC | Fracture of angle of mandible, unspecified side, initial encounter for closed fracture |
| S02650B | CC | Fracture of angle of mandible, unspecified side, initial encounter for open fracture |
| S02651A | CC | Fracture of angle of right mandible, initial encounter for closed fracture |
| S02651B | CC | Fracture of angle of right mandible, initial encounter for open fracture |
| S02652A | CC | Fracture of angle of left mandible, initial encounter for closed fracture |
| S02652B | CC | Fracture of angle of left mandible, initial encounter for open fracture |
| S0266XA | CC | Fracture of symphysis of mandible, initial encounter for closed fracture |
| S0266XB | CC | Fracture of symphysis of mandible, initial encounter for open fracture |
| S02670A | CC | Fracture of alveolus of mandible, unspecified side, initial encounter for closed fracture |
| S02670B | CC | Fracture of alveolus of mandible, unspecified side, initial encounter for open fracture |
| S02671A | CC | Fracture of alveolus of right mandible, initial encounter for closed fracture |
| S02671B | CC | Fracture of alveolus of right mandible, initial encounter for open fracture |
| S02672A | CC | Fracture of alveolus of left mandible, initial encounter for closed fracture |
| S02672B | CC | Fracture of alveolus of left mandible, initial encounter for open fracture |
| S0269XA | CC | Fracture of mandible of other specified site, initial encounter for closed fracture |
| S0269XB | CC | Fracture of mandible of other specified site, initial encounter for open fracture |
| S0280XA | CC | Fracture of other specified skull and facial bones, unspecified side, initial encounter for closed fracture |
| S0280XB | CC | Fracture of other specified skull and facial bones, unspecified side, initial encounter for open fracture |
| S0281XA | CC | Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture |
| S0281XB | CC | Fracture of other specified skull and facial bones, right side, initial encounter for open fracture |
| S0282XA | CC | Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture |
| S0282XB | CC | Fracture of other specified skull and facial bones, left side, initial encounter for open fracture |
| S02831A | CC | Fracture of medial orbital wall, right side, initial encounter for closed fracture |
| S02831B | CC | Fracture of medial orbital wall, right side, initial encounter for open fracture |
| S02832A | CC | Fracture of medial orbital wall, left side, initial encounter for closed fracture |
| S02832B | CC | Fracture of medial orbital wall, left side, initial encounter for open fracture |
| S02839A | CC | Fracture of medial orbital wall, unspecified side, initial encounter for closed fracture |
| S02839B | CC | Fracture of medial orbital wall, unspecified side, initial encounter for open fracture |
| S02841A | CC | Fracture of lateral orbital wall, right side, initial encounter for closed fracture |
| S02841B | CC | Fracture of lateral orbital wall, right side, initial encounter for open fracture |
| S02842A | CC | Fracture of lateral orbital wall, left side, initial encounter for closed fracture |
| S02842B | CC | Fracture of lateral orbital wall, left side, initial encounter for open fracture |
| S02849A | CC | Fracture of lateral orbital wall, unspecified side, initial encounter for closed fracture |
| S02849B | CC | Fracture of lateral orbital wall, unspecified side, initial encounter for open fracture |
| S0285XA | CC | Fracture of orbit, unspecified, initial encounter for closed fracture |
| S0285XB | CC | Fracture of orbit, unspecified, initial encounter for open fracture |
| S0291XA | CC | Unspecified fracture of skull, initial encounter for closed fracture |
| S0291XB | MCC | Unspecified fracture of skull, initial encounter for open fracture |
| S0292XA | CC | Unspecified fracture of facial bones, initial encounter for closed fracture |
| S0292XB | CC | Unspecified fracture of facial bones, initial encounter for open fracture |
| S060X1A | CC | Concussion with loss of consciousness of 30 minutes or less, initial encounter |
| S060X9A | CC | Concussion with loss of consciousness of unspecified duration, initial encounter |
| S060XAA | CC | Concussion with loss of consciousness status unknown, initial encounter |
| S061X1A | MCC | Traumatic cerebral edema with loss of consciousness of 30 minutes or less, initial encounter |
| S061X2A | MCC | Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S061X3A | MCC | Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S061X4A | MCC | Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S061X5A | MCC | Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S061X6A | MCC | Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S061X7A | MCC | Traumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| S061X8A | MCC | Traumatic cerebral edema with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| S061X9A | MCC | Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter |
| S061XAA | MCC | Traumatic cerebral edema with loss of consciousness status unknown, initial encounter |
| S062X1A | CC | Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter |
| S062X2A | CC | Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S062X3A | CC | Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S062X4A | CC | Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S062X5A | CC | Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, initial encounter |
| S062X6A | MCC | Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S062X7A | MCC | Diffuse traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| S062X8A | MCC | Diffuse traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| S062X9A | CC | Diffuse traumatic brain injury with loss of consciousness of unspecified duration, initial encounter |
| S062XAA | CC | Diffuse traumatic brain injury with loss of consciousness status unknown, initial encounter |
| S06301A | CC | Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter |
| S06302A | CC | Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06303A | CC | Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06304A | CC | Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06305A | CC | Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06306A | MCC | Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06307A | MCC | Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| S06308A | MCC | Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| S06309A | CC | Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration, initial encounter |
| S0630AA | CC | Unspecified focal traumatic brain injury with loss of consciousness status unknown, initial encounter |
| S06310A | MCC | Contusion and laceration of right cerebrum without loss of consciousness, initial encounter |
| S06311A | MCC | Contusion and laceration of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter |
| S06312A | MCC | Contusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06313A | MCC | Contusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06314A | MCC | Contusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06315A | MCC | Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06316A | MCC | Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06317A | MCC | Contusion and laceration of right cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| S06318A | MCC | Contusion and laceration of right cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| S06319A | MCC | Contusion and laceration of right cerebrum with loss of consciousness of unspecified duration, initial encounter |
| S0631AA | MCC | Contusion and laceration of right cerebrum with loss of consciousness status unknown, initial encounter |
| S06320A | MCC | Contusion and laceration of left cerebrum without loss of consciousness, initial encounter |
| S06321A | MCC | Contusion and laceration of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter |
| S06322A | MCC | Contusion and laceration of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06323A | MCC | Contusion and laceration of left cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06324A | MCC | Contusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06325A | MCC | Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06326A | MCC | Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06327A | MCC | Contusion and laceration of left cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| S06328A | MCC | Contusion and laceration of left cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| S06329A | MCC | Contusion and laceration of left cerebrum with loss of consciousness of unspecified duration, initial encounter |
| S0632AA | MCC | Contusion and laceration of left cerebrum with loss of consciousness status unknown, initial encounter |
| S06330A | MCC | Contusion and laceration of cerebrum, unspecified, without loss of consciousness, initial encounter |
| S06331A | MCC | Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter |
| S06332A | MCC | Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06333A | MCC | Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06334A | MCC | Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06335A | MCC | Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06336A | MCC | Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06337A | MCC | Contusion and laceration of cerebrum, unspecified, with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| S06338A | MCC | Contusion and laceration of cerebrum, unspecified, with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| S06339A | MCC | Contusion and laceration of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter |
| S0633AA | MCC | Contusion and laceration of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter |
| S06340A | MCC | Traumatic hemorrhage of right cerebrum without loss of consciousness, initial encounter |
| S06341A | MCC | Traumatic hemorrhage of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter |
| S06342A | MCC | Traumatic hemorrhage of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06343A | MCC | Traumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter |
| S06344A | MCC | Traumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06345A | MCC | Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06346A | MCC | Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06347A | MCC | Traumatic hemorrhage of right cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| S06348A | MCC | Traumatic hemorrhage of right cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| S06349A | MCC | Traumatic hemorrhage of right cerebrum with loss of consciousness of unspecified duration, initial encounter |
| S0634AA | MCC | Traumatic hemorrhage of right cerebrum with loss of consciousness status unknown, initial encounter |
| S06350A | MCC | Traumatic hemorrhage of left cerebrum without loss of consciousness, initial encounter |
| S06351A | MCC | Traumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter |
| S06352A | MCC | Traumatic hemorrhage of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06353A | MCC | Traumatic hemorrhage of left cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter |
| S06354A | MCC | Traumatic hemorrhage of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06355A | MCC | Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06356A | MCC | Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06357A | MCC | Traumatic hemorrhage of left cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| S06358A | MCC | Traumatic hemorrhage of left cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| S06359A | MCC | Traumatic hemorrhage of left cerebrum with loss of consciousness of unspecified duration, initial encounter |
| S0635AA | MCC | Traumatic hemorrhage of left cerebrum with loss of consciousness status unknown, initial encounter |
| S06360A | MCC | Traumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, initial encounter |
| S06361A | MCC | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter |
| S06362A | MCC | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06363A | MCC | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter |
| S06364A | MCC | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06365A | MCC | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06366A | MCC | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06367A | MCC | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| S06368A | MCC | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| S06369A | MCC | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter |
| S0636AA | MCC | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter |
| S06370A | MCC | Contusion, laceration, and hemorrhage of cerebellum without loss of consciousness, initial encounter |
| S06371A | CC | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 30 minutes or less, initial encounter |
| S06372A | CC | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06373A | CC | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06374A | CC | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06375A | CC | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06376A | MCC | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06377A | MCC | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| S06378A | MCC | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| S06379A | CC | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration, initial encounter |
| S0637AA | MCC | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness status unknown, initial encounter |
| S06380A | MCC | Contusion, laceration, and hemorrhage of brainstem without loss of consciousness, initial encounter |
| S06381A | CC | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less, initial encounter |
| S06382A | CC | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06383A | CC | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06384A | CC | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06385A | CC | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06386A | MCC | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06387A | MCC | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| S06388A | MCC | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| S06389A | CC | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of unspecified duration, initial encounter |
| S0638AA | MCC | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness status unknown, initial encounter |
| S064X0A | MCC | Epidural hemorrhage without loss of consciousness, initial encounter |
| S064X1A | MCC | Epidural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter |
| S064X2A | MCC | Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S064X3A | MCC | Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S064X4A | MCC | Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S064X5A | MCC | Epidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S064X6A | MCC | Epidural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S064X7A | MCC | Epidural hemorrhage with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 28 Jan 2026 12:38:39 CMS, code-revision=378, description-revision=1466 |