ICD-10-CM/PCS MS-DRG v43.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v43.0 Definitions Manual |
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| MDC 01 Diseases and Disorders of the Nervous System |
| Spinal Disorders and Injuries |
| CC or MCC | DRG |
|---|---|
| Yes | 052 |
| No | 053 |
DRG 052 Spinal Disorders and Injuries with CC/MCC
DRG 053 Spinal Disorders and Injuries without CC/MCC
PRINCIPAL DIAGNOSIS
| G041 | Tropical spastic paraplegia |
| G800 | Spastic quadriplegic cerebral palsy |
| G801 | Spastic diplegic cerebral palsy |
| G802 | Spastic hemiplegic cerebral palsy |
| 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 |
| Q8788 | CTNNB1 syndrome |
| S140XXA | Concussion and edema of cervical spinal cord, initial encounter |
| S140XXS | Concussion and edema of cervical spinal cord, sequela |
| S14101A | Unspecified injury at C1 level of cervical spinal cord, initial encounter |
| S14101S | Unspecified injury at C1 level of cervical spinal cord, sequela |
| S14102A | Unspecified injury at C2 level of cervical spinal cord, initial encounter |
| S14102S | Unspecified injury at C2 level of cervical spinal cord, sequela |
| S14103A | Unspecified injury at C3 level of cervical spinal cord, initial encounter |
| S14103S | Unspecified injury at C3 level of cervical spinal cord, sequela |
| S14104A | Unspecified injury at C4 level of cervical spinal cord, initial encounter |
| S14104S | Unspecified injury at C4 level of cervical spinal cord, sequela |
| S14105A | Unspecified injury at C5 level of cervical spinal cord, initial encounter |
| S14105S | Unspecified injury at C5 level of cervical spinal cord, sequela |
| S14106A | Unspecified injury at C6 level of cervical spinal cord, initial encounter |
| S14106S | Unspecified injury at C6 level of cervical spinal cord, sequela |
| S14107A | Unspecified injury at C7 level of cervical spinal cord, initial encounter |
| S14107S | Unspecified injury at C7 level of cervical spinal cord, sequela |
| S14108A | Unspecified injury at C8 level of cervical spinal cord, initial encounter |
| S14108S | Unspecified injury at C8 level of cervical spinal cord, sequela |
| S14109A | Unspecified injury at unspecified level of cervical spinal cord, initial encounter |
| S14109S | Unspecified injury at unspecified level of cervical spinal cord, sequela |
| S14111A | Complete lesion at C1 level of cervical spinal cord, initial encounter |
| S14111S | Complete lesion at C1 level of cervical spinal cord, sequela |
| S14112A | Complete lesion at C2 level of cervical spinal cord, initial encounter |
| S14112S | Complete lesion at C2 level of cervical spinal cord, sequela |
| S14113A | Complete lesion at C3 level of cervical spinal cord, initial encounter |
| S14113S | Complete lesion at C3 level of cervical spinal cord, sequela |
| S14114A | Complete lesion at C4 level of cervical spinal cord, initial encounter |
| S14114S | Complete lesion at C4 level of cervical spinal cord, sequela |
| S14115A | Complete lesion at C5 level of cervical spinal cord, initial encounter |
| S14115S | Complete lesion at C5 level of cervical spinal cord, sequela |
| S14116A | Complete lesion at C6 level of cervical spinal cord, initial encounter |
| S14116S | Complete lesion at C6 level of cervical spinal cord, sequela |
| S14117A | Complete lesion at C7 level of cervical spinal cord, initial encounter |
| S14117S | Complete lesion at C7 level of cervical spinal cord, sequela |
| S14118A | Complete lesion at C8 level of cervical spinal cord, initial encounter |
| S14118S | Complete lesion at C8 level of cervical spinal cord, sequela |
| S14119A | Complete lesion at unspecified level of cervical spinal cord, initial encounter |
| S14119S | Complete lesion at unspecified level of cervical spinal cord, sequela |
| S14121A | Central cord syndrome at C1 level of cervical spinal cord, initial encounter |
| S14121S | Central cord syndrome at C1 level of cervical spinal cord, sequela |
| S14122A | Central cord syndrome at C2 level of cervical spinal cord, initial encounter |
| S14122S | Central cord syndrome at C2 level of cervical spinal cord, sequela |
| S14123A | Central cord syndrome at C3 level of cervical spinal cord, initial encounter |
| S14123S | Central cord syndrome at C3 level of cervical spinal cord, sequela |
| S14124A | Central cord syndrome at C4 level of cervical spinal cord, initial encounter |
| S14124S | Central cord syndrome at C4 level of cervical spinal cord, sequela |
| S14125A | Central cord syndrome at C5 level of cervical spinal cord, initial encounter |
| S14125S | Central cord syndrome at C5 level of cervical spinal cord, sequela |
| S14126A | Central cord syndrome at C6 level of cervical spinal cord, initial encounter |
| S14126S | Central cord syndrome at C6 level of cervical spinal cord, sequela |
| S14127A | Central cord syndrome at C7 level of cervical spinal cord, initial encounter |
| S14127S | Central cord syndrome at C7 level of cervical spinal cord, sequela |
| S14128A | Central cord syndrome at C8 level of cervical spinal cord, initial encounter |
| S14128S | Central cord syndrome at C8 level of cervical spinal cord, sequela |
| S14129A | Central cord syndrome at unspecified level of cervical spinal cord, initial encounter |
| S14129S | Central cord syndrome at unspecified level of cervical spinal cord, sequela |
| S14131A | Anterior cord syndrome at C1 level of cervical spinal cord, initial encounter |
| S14131S | Anterior cord syndrome at C1 level of cervical spinal cord, sequela |
| S14132A | Anterior cord syndrome at C2 level of cervical spinal cord, initial encounter |
| S14132S | Anterior cord syndrome at C2 level of cervical spinal cord, sequela |
| S14133A | Anterior cord syndrome at C3 level of cervical spinal cord, initial encounter |
| S14133S | Anterior cord syndrome at C3 level of cervical spinal cord, sequela |
| S14134A | Anterior cord syndrome at C4 level of cervical spinal cord, initial encounter |
| S14134S | Anterior cord syndrome at C4 level of cervical spinal cord, sequela |
| S14135A | Anterior cord syndrome at C5 level of cervical spinal cord, initial encounter |
| S14135S | Anterior cord syndrome at C5 level of cervical spinal cord, sequela |
| S14136A | Anterior cord syndrome at C6 level of cervical spinal cord, initial encounter |
| S14136S | Anterior cord syndrome at C6 level of cervical spinal cord, sequela |
| S14137A | Anterior cord syndrome at C7 level of cervical spinal cord, initial encounter |
| S14137S | Anterior cord syndrome at C7 level of cervical spinal cord, sequela |
| S14138A | Anterior cord syndrome at C8 level of cervical spinal cord, initial encounter |
| S14138S | Anterior cord syndrome at C8 level of cervical spinal cord, sequela |
| S14139A | Anterior cord syndrome at unspecified level of cervical spinal cord, initial encounter |
| S14139S | Anterior cord syndrome at unspecified level of cervical spinal cord, sequela |
| S14141A | Brown-Sequard syndrome at C1 level of cervical spinal cord, initial encounter |
| S14141S | Brown-Sequard syndrome at C1 level of cervical spinal cord, sequela |
| S14142A | Brown-Sequard syndrome at C2 level of cervical spinal cord, initial encounter |
| S14142S | Brown-Sequard syndrome at C2 level of cervical spinal cord, sequela |
| S14143A | Brown-Sequard syndrome at C3 level of cervical spinal cord, initial encounter |
| S14143S | Brown-Sequard syndrome at C3 level of cervical spinal cord, sequela |
| S14144A | Brown-Sequard syndrome at C4 level of cervical spinal cord, initial encounter |
| S14144S | Brown-Sequard syndrome at C4 level of cervical spinal cord, sequela |
| S14145A | Brown-Sequard syndrome at C5 level of cervical spinal cord, initial encounter |
| S14145S | Brown-Sequard syndrome at C5 level of cervical spinal cord, sequela |
| S14146A | Brown-Sequard syndrome at C6 level of cervical spinal cord, initial encounter |
| S14146S | Brown-Sequard syndrome at C6 level of cervical spinal cord, sequela |
| S14147A | Brown-Sequard syndrome at C7 level of cervical spinal cord, initial encounter |
| S14147S | Brown-Sequard syndrome at C7 level of cervical spinal cord, sequela |
| S14148A | Brown-Sequard syndrome at C8 level of cervical spinal cord, initial encounter |
| S14148S | Brown-Sequard syndrome at C8 level of cervical spinal cord, sequela |
| S14149A | Brown-Sequard syndrome at unspecified level of cervical spinal cord, initial encounter |
| S14149S | Brown-Sequard syndrome at unspecified level of cervical spinal cord, sequela |
| S14151A | Other incomplete lesion at C1 level of cervical spinal cord, initial encounter |
| S14151S | Other incomplete lesion at C1 level of cervical spinal cord, sequela |
| S14152A | Other incomplete lesion at C2 level of cervical spinal cord, initial encounter |
| S14152S | Other incomplete lesion at C2 level of cervical spinal cord, sequela |
| S14153A | Other incomplete lesion at C3 level of cervical spinal cord, initial encounter |
| S14153S | Other incomplete lesion at C3 level of cervical spinal cord, sequela |
| S14154A | Other incomplete lesion at C4 level of cervical spinal cord, initial encounter |
| S14154S | Other incomplete lesion at C4 level of cervical spinal cord, sequela |
| S14155A | Other incomplete lesion at C5 level of cervical spinal cord, initial encounter |
| S14155S | Other incomplete lesion at C5 level of cervical spinal cord, sequela |
| S14156A | Other incomplete lesion at C6 level of cervical spinal cord, initial encounter |
| S14156S | Other incomplete lesion at C6 level of cervical spinal cord, sequela |
| S14157A | Other incomplete lesion at C7 level of cervical spinal cord, initial encounter |
| S14157S | Other incomplete lesion at C7 level of cervical spinal cord, sequela |
| S14158A | Other incomplete lesion at C8 level of cervical spinal cord, initial encounter |
| S14158S | Other incomplete lesion at C8 level of cervical spinal cord, sequela |
| S14159A | Other incomplete lesion at unspecified level of cervical spinal cord, initial encounter |
| S14159S | Other incomplete lesion at unspecified level of cervical spinal cord, sequela |
| S240XXA | Concussion and edema of thoracic spinal cord, initial encounter |
| S240XXS | Concussion and edema of thoracic spinal cord, sequela |
| S24101A | Unspecified injury at T1 level of thoracic spinal cord, initial encounter |
| S24101S | Unspecified injury at T1 level of thoracic spinal cord, sequela |
| S24102A | Unspecified injury at T2-T6 level of thoracic spinal cord, initial encounter |
| S24102S | Unspecified injury at T2-T6 level of thoracic spinal cord, sequela |
| S24103A | Unspecified injury at T7-T10 level of thoracic spinal cord, initial encounter |
| S24103S | Unspecified injury at T7-T10 level of thoracic spinal cord, sequela |
| S24104A | Unspecified injury at T11-T12 level of thoracic spinal cord, initial encounter |
| S24104S | Unspecified injury at T11-T12 level of thoracic spinal cord, sequela |
| S24109A | Unspecified injury at unspecified level of thoracic spinal cord, initial encounter |
| S24109S | Unspecified injury at unspecified level of thoracic spinal cord, sequela |
| S24111A | Complete lesion at T1 level of thoracic spinal cord, initial encounter |
| S24111S | Complete lesion at T1 level of thoracic spinal cord, sequela |
| S24112A | Complete lesion at T2-T6 level of thoracic spinal cord, initial encounter |
| S24112S | Complete lesion at T2-T6 level of thoracic spinal cord, sequela |
| S24113A | Complete lesion at T7-T10 level of thoracic spinal cord, initial encounter |
| S24113S | Complete lesion at T7-T10 level of thoracic spinal cord, sequela |
| S24114A | Complete lesion at T11-T12 level of thoracic spinal cord, initial encounter |
| S24114S | Complete lesion at T11-T12 level of thoracic spinal cord, sequela |
| S24119A | Complete lesion at unspecified level of thoracic spinal cord, initial encounter |
| S24119S | Complete lesion at unspecified level of thoracic spinal cord, sequela |
| S24131A | Anterior cord syndrome at T1 level of thoracic spinal cord, initial encounter |
| S24131S | Anterior cord syndrome at T1 level of thoracic spinal cord, sequela |
| S24132A | Anterior cord syndrome at T2-T6 level of thoracic spinal cord, initial encounter |
| S24132S | Anterior cord syndrome at T2-T6 level of thoracic spinal cord, sequela |
| S24133A | Anterior cord syndrome at T7-T10 level of thoracic spinal cord, initial encounter |
| S24133S | Anterior cord syndrome at T7-T10 level of thoracic spinal cord, sequela |
| S24134A | Anterior cord syndrome at T11-T12 level of thoracic spinal cord, initial encounter |
| S24134S | Anterior cord syndrome at T11-T12 level of thoracic spinal cord, sequela |
| S24139A | Anterior cord syndrome at unspecified level of thoracic spinal cord, initial encounter |
| S24139S | Anterior cord syndrome at unspecified level of thoracic spinal cord, sequela |
| S24141A | Brown-Sequard syndrome at T1 level of thoracic spinal cord, initial encounter |
| S24141S | Brown-Sequard syndrome at T1 level of thoracic spinal cord, sequela |
| S24142A | Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, initial encounter |
| S24142S | Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, sequela |
| S24143A | Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, initial encounter |
| S24143S | Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, sequela |
| S24144A | Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, initial encounter |
| S24144S | Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, sequela |
| S24149A | Brown-Sequard syndrome at unspecified level of thoracic spinal cord, initial encounter |
| S24149S | Brown-Sequard syndrome at unspecified level of thoracic spinal cord, sequela |
| S24151A | Other incomplete lesion at T1 level of thoracic spinal cord, initial encounter |
| S24151S | Other incomplete lesion at T1 level of thoracic spinal cord, sequela |
| S24152A | Other incomplete lesion at T2-T6 level of thoracic spinal cord, initial encounter |
| S24152S | Other incomplete lesion at T2-T6 level of thoracic spinal cord, sequela |
| S24153A | Other incomplete lesion at T7-T10 level of thoracic spinal cord, initial encounter |
| S24153S | Other incomplete lesion at T7-T10 level of thoracic spinal cord, sequela |
| S24154A | Other incomplete lesion at T11-T12 level of thoracic spinal cord, initial encounter |
| S24154S | Other incomplete lesion at T11-T12 level of thoracic spinal cord, sequela |
| S24159A | Other incomplete lesion at unspecified level of thoracic spinal cord, initial encounter |
| S24159S | Other incomplete lesion at unspecified level of thoracic spinal cord, sequela |
| S3401XA | Concussion and edema of lumbar spinal cord, initial encounter |
| S3401XS | Concussion and edema of lumbar spinal cord, sequela |
| S3402XA | Concussion and edema of sacral spinal cord, initial encounter |
| S3402XS | Concussion and edema of sacral spinal cord, sequela |
| S34101A | Unspecified injury to L1 level of lumbar spinal cord, initial encounter |
| S34101S | Unspecified injury to L1 level of lumbar spinal cord, sequela |
| S34102A | Unspecified injury to L2 level of lumbar spinal cord, initial encounter |
| S34102S | Unspecified injury to L2 level of lumbar spinal cord, sequela |
| S34103A | Unspecified injury to L3 level of lumbar spinal cord, initial encounter |
| S34103S | Unspecified injury to L3 level of lumbar spinal cord, sequela |
| S34104A | Unspecified injury to L4 level of lumbar spinal cord, initial encounter |
| S34104S | Unspecified injury to L4 level of lumbar spinal cord, sequela |
| S34105A | Unspecified injury to L5 level of lumbar spinal cord, initial encounter |
| S34105S | Unspecified injury to L5 level of lumbar spinal cord, sequela |
| S34109A | Unspecified injury to unspecified level of lumbar spinal cord, initial encounter |
| S34109S | Unspecified injury to unspecified level of lumbar spinal cord, sequela |
| S34111A | Complete lesion of L1 level of lumbar spinal cord, initial encounter |
| S34111S | Complete lesion of L1 level of lumbar spinal cord, sequela |
| S34112A | Complete lesion of L2 level of lumbar spinal cord, initial encounter |
| S34112S | Complete lesion of L2 level of lumbar spinal cord, sequela |
| S34113A | Complete lesion of L3 level of lumbar spinal cord, initial encounter |
| S34113S | Complete lesion of L3 level of lumbar spinal cord, sequela |
| S34114A | Complete lesion of L4 level of lumbar spinal cord, initial encounter |
| S34114S | Complete lesion of L4 level of lumbar spinal cord, sequela |
| S34115A | Complete lesion of L5 level of lumbar spinal cord, initial encounter |
| S34115S | Complete lesion of L5 level of lumbar spinal cord, sequela |
| S34119A | Complete lesion of unspecified level of lumbar spinal cord, initial encounter |
| S34119S | Complete lesion of unspecified level of lumbar spinal cord, sequela |
| S34121A | Incomplete lesion of L1 level of lumbar spinal cord, initial encounter |
| S34121S | Incomplete lesion of L1 level of lumbar spinal cord, sequela |
| S34122A | Incomplete lesion of L2 level of lumbar spinal cord, initial encounter |
| S34122S | Incomplete lesion of L2 level of lumbar spinal cord, sequela |
| S34123A | Incomplete lesion of L3 level of lumbar spinal cord, initial encounter |
| S34123S | Incomplete lesion of L3 level of lumbar spinal cord, sequela |
| S34124A | Incomplete lesion of L4 level of lumbar spinal cord, initial encounter |
| S34124S | Incomplete lesion of L4 level of lumbar spinal cord, sequela |
| S34125A | Incomplete lesion of L5 level of lumbar spinal cord, initial encounter |
| S34125S | Incomplete lesion of L5 level of lumbar spinal cord, sequela |
| S34129A | Incomplete lesion of unspecified level of lumbar spinal cord, initial encounter |
| S34129S | Incomplete lesion of unspecified level of lumbar spinal cord, sequela |
| S34131A | Complete lesion of sacral spinal cord, initial encounter |
| S34131S | Complete lesion of sacral spinal cord, sequela |
| S34132A | Incomplete lesion of sacral spinal cord, initial encounter |
| S34132S | Incomplete lesion of sacral spinal cord, sequela |
| S34139A | Unspecified injury to sacral spinal cord, initial encounter |
| S34139S | Unspecified injury to sacral spinal cord, sequela |
| S343XXA | Injury of cauda equina, initial encounter |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 12 Mar 2025 12:04:04 CMS, code-revision=373, description-revision=1431 |