DRAFT
ICD-10-CM/PCS MS-DRG v43.0 Definitions Manual |
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| Part 1: List of CC and Major CC Codes |
| Page 10 of 47 |
| A000 A8182 C227 C8266 D57213 E8722 G115 H47511 I63441 I83224 K51919 L97106 M02819 M84321K M84758P M9050 O2313 O8621 Q391 S02630A S1201XK S22010B S32010B S3282XK S42135P S42416B S49139K S52209R S52321P S52514B S56229A S62201B S62605K S72019C S72125P S72355B S72461N S82014A S82136M S82261R S82491Q S85102A S92121P S95011A T3282 T82868A Z48290 |
| Dx | CC/MCC | Exclusions | Description |
|---|---|---|---|
| I83224 | CC | 0957:49 codes | Varicose veins of left lower extremity with both ulcer of heel and midfoot and inflammation |
| I83225 | CC | 0957:49 codes | Varicose veins of left lower extremity with both ulcer other part of foot and inflammation |
| I83228 | CC | 0957:49 codes | Varicose veins of left lower extremity with both ulcer of other part of lower extremity and inflammation |
| I83229 | CC | 0957:49 codes | Varicose veins of left lower extremity with both ulcer of unspecified site and inflammation |
| I8500 | CC | 0958:61 codes | Esophageal varices without bleeding |
| I8501 | MCC | 0959:80 codes | Esophageal varices with bleeding |
| I8510 | CC | 0960:61 codes | Secondary esophageal varices without bleeding |
| I8511 | MCC | 0961:9 codes | Secondary esophageal varices with bleeding |
| I87011 | CC | 0962:40 codes | Postthrombotic syndrome with ulcer of right lower extremity |
| I87012 | CC | 0963:40 codes | Postthrombotic syndrome with ulcer of left lower extremity |
| I87013 | CC | 0964:40 codes | Postthrombotic syndrome with ulcer of bilateral lower extremity |
| I87019 | CC | 0965:40 codes | Postthrombotic syndrome with ulcer of unspecified lower extremity |
| I87031 | CC | 0966:40 codes | Postthrombotic syndrome with ulcer and inflammation of right lower extremity |
| I87032 | CC | 0967:40 codes | Postthrombotic syndrome with ulcer and inflammation of left lower extremity |
| I87033 | CC | 0968:40 codes | Postthrombotic syndrome with ulcer and inflammation of bilateral lower extremity |
| I87039 | CC | 0969:40 codes | Postthrombotic syndrome with ulcer and inflammation of unspecified lower extremity |
| I871 | CC | 0970:1 code | Compression of vein |
| I87311 | CC | 0971:58 codes | Chronic venous hypertension (idiopathic) with ulcer of right lower extremity |
| I87312 | CC | 0972:58 codes | Chronic venous hypertension (idiopathic) with ulcer of left lower extremity |
| I87313 | CC | 0973:58 codes | Chronic venous hypertension (idiopathic) with ulcer of bilateral lower extremity |
| I87319 | CC | 0974:58 codes | Chronic venous hypertension (idiopathic) with ulcer of unspecified lower extremity |
| I87331 | CC | 0975:58 codes | Chronic venous hypertension (idiopathic) with ulcer and inflammation of right lower extremity |
| I87332 | CC | 0976:58 codes | Chronic venous hypertension (idiopathic) with ulcer and inflammation of left lower extremity |
| I87333 | CC | 0977:58 codes | Chronic venous hypertension (idiopathic) with ulcer and inflammation of bilateral lower extremity |
| I87339 | CC | 0978:58 codes | Chronic venous hypertension (idiopathic) with ulcer and inflammation of unspecified lower extremity |
| I96 | CC | 0531:45 codes | Gangrene, not elsewhere classified |
| I97110 | CC | 0979:60 codes | Postprocedural cardiac insufficiency following cardiac surgery |
| I97111 | CC | 0979:60 codes | Postprocedural cardiac insufficiency following other surgery |
| I97120 | CC | 0979:60 codes | Postprocedural cardiac arrest following cardiac surgery |
| I97121 | CC | 0979:60 codes | Postprocedural cardiac arrest following other surgery |
| I97130 | CC | 0979:60 codes | Postprocedural heart failure following cardiac surgery |
| I97131 | CC | 0979:60 codes | Postprocedural heart failure following other surgery |
| I97190 | CC | 0979:60 codes | Other postprocedural cardiac functional disturbances following cardiac surgery |
| I97191 | CC | 0979:60 codes | Other postprocedural cardiac functional disturbances following other surgery |
| I97410 | CC | 0980:84 codes | Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac catheterization |
| I97411 | CC | 0980:84 codes | Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass |
| I97418 | CC | 0980:84 codes | Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory system procedure |
| I9742 | CC | 0980:84 codes | Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure |
| I9751 | CC | 0521:76 codes | Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure |
| I9752 | CC | 0521:76 codes | Accidental puncture and laceration of a circulatory system organ or structure during other procedure |
| I97610 | CC | 0980:84 codes | Postprocedural hemorrhage of a circulatory system organ or structure following a cardiac catheterization |
| I97611 | CC | 0980:84 codes | Postprocedural hemorrhage of a circulatory system organ or structure following cardiac bypass |
| I97618 | CC | 0980:84 codes | Postprocedural hemorrhage of a circulatory system organ or structure following other circulatory system procedure |
| I97620 | CC | 0980:84 codes | Postprocedural hemorrhage of a circulatory system organ or structure following other procedure |
| I97621 | CC | 0980:84 codes | Postprocedural hematoma of a circulatory system organ or structure following other procedure |
| I97622 | CC | 0980:84 codes | Postprocedural seroma of a circulatory system organ or structure following other procedure |
| I97630 | CC | 0980:84 codes | Postprocedural hematoma of a circulatory system organ or structure following a cardiac catheterization |
| I97631 | CC | 0980:84 codes | Postprocedural hematoma of a circulatory system organ or structure following cardiac bypass |
| I97638 | CC | 0980:84 codes | Postprocedural hematoma of a circulatory system organ or structure following other circulatory system procedure |
| I97640 | CC | 0980:84 codes | Postprocedural seroma of a circulatory system organ or structure following a cardiac catheterization |
| I97641 | CC | 0980:84 codes | Postprocedural seroma of a circulatory system organ or structure following cardiac bypass |
| I97648 | CC | 0980:84 codes | Postprocedural seroma of a circulatory system organ or structure following other circulatory system procedure |
| I97710 | CC | 0979:60 codes | Intraoperative cardiac arrest during cardiac surgery |
| I97711 | CC | 0979:60 codes | Intraoperative cardiac arrest during other surgery |
| I97790 | CC | 0979:60 codes | Other intraoperative cardiac functional disturbances during cardiac surgery |
| I97791 | CC | 0979:60 codes | Other intraoperative cardiac functional disturbances during other surgery |
| I97810 | CC | 0737:58 codes | Intraoperative cerebrovascular infarction during cardiac surgery |
| I97811 | CC | 0737:58 codes | Intraoperative cerebrovascular infarction during other surgery |
| I97820 | CC | 0737:58 codes | Postprocedural cerebrovascular infarction following cardiac surgery |
| I97821 | CC | 0737:58 codes | Postprocedural cerebrovascular infarction following other surgery |
| I9788 | CC | 0979:60 codes | Other intraoperative complications of the circulatory system, not elsewhere classified |
| I9789 | CC | 0979:60 codes | Other postprocedural complications and disorders of the circulatory system, not elsewhere classified |
| J0411 | MCC | 0981:19 codes | Acute tracheitis with obstruction |
| J0431 | MCC | 0982:21 codes | Supraglottitis, unspecified, with obstruction |
| J0510 | CC | 0983:8 codes | Acute epiglottitis without obstruction |
| J0511 | MCC | 0981:19 codes | Acute epiglottitis with obstruction |
| J09X1 | MCC | 0113:129 codes | Influenza due to identified novel influenza A virus with pneumonia |
| J1000 | MCC | 0113:129 codes | Influenza due to other identified influenza virus with unspecified type of pneumonia |
| J1001 | MCC | 0113:129 codes | Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia |
| J1008 | MCC | 0984:141 codes | Influenza due to other identified influenza virus with other specified pneumonia |
| J1100 | MCC | 0113:129 codes | Influenza due to unidentified influenza virus with unspecified type of pneumonia |
| J1108 | MCC | 0113:129 codes | Influenza due to unidentified influenza virus with specified pneumonia |
| J120 | MCC | 0985:121 codes | Adenoviral pneumonia |
| J121 | MCC | 0985:121 codes | Respiratory syncytial virus pneumonia |
| J122 | MCC | 0985:121 codes | Parainfluenza virus pneumonia |
| J123 | MCC | 0985:121 codes | Human metapneumovirus pneumonia |
| J1281 | MCC | 0986:130 codes | Pneumonia due to SARS-associated coronavirus |
| J1282 | MCC | No Excl | Pneumonia due to coronavirus disease 2019 |
| J1289 | MCC | 0985:121 codes | Other viral pneumonia |
| J129 | MCC | 0985:121 codes | Viral pneumonia, unspecified |
| J13 | MCC | 0113:129 codes | Pneumonia due to Streptococcus pneumoniae |
| J14 | MCC | 0113:129 codes | Pneumonia due to Hemophilus influenzae |
| J150 | MCC | 0113:129 codes | Pneumonia due to Klebsiella pneumoniae |
| J151 | MCC | 0113:129 codes | Pneumonia due to Pseudomonas |
| J1520 | MCC | 0113:129 codes | Pneumonia due to staphylococcus, unspecified |
| J15211 | MCC | 0113:129 codes | Pneumonia due to Methicillin susceptible Staphylococcus aureus |
| J15212 | MCC | 0113:129 codes | Pneumonia due to Methicillin resistant Staphylococcus aureus |
| J1529 | MCC | 0113:129 codes | Pneumonia due to other staphylococcus |
| J153 | MCC | 0113:129 codes | Pneumonia due to streptococcus, group B |
| J154 | MCC | 0113:129 codes | Pneumonia due to other streptococci |
| J155 | MCC | 0113:129 codes | Pneumonia due to Escherichia coli |
| J1561 | MCC | 0987:125 codes | Pneumonia due to Acinetobacter baumannii |
| J1569 | MCC | 0987:125 codes | Pneumonia due to other Gram-negative bacteria |
| J157 | MCC | 0113:129 codes | Pneumonia due to Mycoplasma pneumoniae |
| J158 | MCC | 0113:129 codes | Pneumonia due to other specified bacteria |
| J159 | MCC | 0113:129 codes | Unspecified bacterial pneumonia |
| J160 | MCC | 0113:129 codes | Chlamydial pneumonia |
| J168 | MCC | 0113:129 codes | Pneumonia due to other specified infectious organisms |
| J17 | MCC | 0113:129 codes | Pneumonia in diseases classified elsewhere |
| J180 | MCC | 0113:129 codes | Bronchopneumonia, unspecified organism |
| J181 | MCC | 0113:129 codes | Lobar pneumonia, unspecified organism |
| J182 | CC | 0988:12 codes | Hypostatic pneumonia, unspecified organism |
| J188 | MCC | 0113:129 codes | Other pneumonia, unspecified organism |
| J189 | MCC | 0113:129 codes | Pneumonia, unspecified organism |
| J210 | CC | 0989:1 code | Acute bronchiolitis due to respiratory syncytial virus |
| J211 | CC | 0990:14 codes | Acute bronchiolitis due to human metapneumovirus |
| J218 | CC | 0990:14 codes | Acute bronchiolitis due to other specified organisms |
| J219 | CC | 0990:14 codes | Acute bronchiolitis, unspecified |
| J36 | CC | 0991:9 codes | Peritonsillar abscess |
| J390 | CC | 0992:10 codes | Retropharyngeal and parapharyngeal abscess |
| J391 | CC | 0992:10 codes | Other abscess of pharynx |
| J440 | CC | 0993:6 codes | Chronic obstructive pulmonary disease with (acute) lower respiratory infection |
| J441 | CC | 0993:6 codes | Chronic obstructive pulmonary disease with (acute) exacerbation |
| J4521 | CC | 0994:29 codes | Mild intermittent asthma with (acute) exacerbation |
| J4522 | CC | 0994:29 codes | Mild intermittent asthma with status asthmaticus |
| J4531 | CC | 0994:29 codes | Mild persistent asthma with (acute) exacerbation |
| J4532 | CC | 0994:29 codes | Mild persistent asthma with status asthmaticus |
| J4541 | CC | 0994:29 codes | Moderate persistent asthma with (acute) exacerbation |
| J4542 | CC | 0994:29 codes | Moderate persistent asthma with status asthmaticus |
| J4551 | CC | 0994:29 codes | Severe persistent asthma with (acute) exacerbation |
| J4552 | CC | 0994:29 codes | Severe persistent asthma with status asthmaticus |
| J45901 | CC | 0994:29 codes | Unspecified asthma with (acute) exacerbation |
| J45902 | CC | 0994:29 codes | Unspecified asthma with status asthmaticus |
| J470 | CC | 0995:21 codes | Bronchiectasis with acute lower respiratory infection |
| J471 | CC | 0995:21 codes | Bronchiectasis with (acute) exacerbation |
| J677 | CC | 0996:124 codes | Air conditioner and humidifier lung |
| J678 | CC | 0997:125 codes | Hypersensitivity pneumonitis due to other organic dusts |
| J679 | CC | 0997:125 codes | Hypersensitivity pneumonitis due to unspecified organic dust |
| J680 | CC | 0997:125 codes | Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors |
| J681 | MCC | 0997:125 codes | Pulmonary edema due to chemicals, gases, fumes and vapors |
| J690 | MCC | 0996:124 codes | Pneumonitis due to inhalation of food and vomit |
| J691 | MCC | 0997:125 codes | Pneumonitis due to inhalation of oils and essences |
| J698 | MCC | 0996:124 codes | Pneumonitis due to inhalation of other solids and liquids |
| J700 | CC | 0996:124 codes | Acute pulmonary manifestations due to radiation |
| J701 | CC | 0996:124 codes | Chronic and other pulmonary manifestations due to radiation |
| J80 | MCC | 0998:22 codes | Acute respiratory distress syndrome |
| J810 | MCC | 0999:33 codes | Acute pulmonary edema |
| J811 | CC | 0988:12 codes | Chronic pulmonary edema |
| J8281 | CC | 1000:4 codes | Chronic eosinophilic pneumonia |
| J8282 | CC | 1000:4 codes | Acute eosinophilic pneumonia |
| J8283 | CC | 1000:4 codes | Eosinophilic asthma |
| J8289 | CC | 1000:4 codes | Other pulmonary eosinophilia, not elsewhere classified |
| J8401 | CC | 1001:90 codes | Alveolar proteinosis |
| J8402 | CC | 1001:90 codes | Pulmonary alveolar microlithiasis |
| J8403 | CC | 1001:90 codes | Idiopathic pulmonary hemosiderosis |
| J8409 | CC | 1001:90 codes | Other alveolar and parieto-alveolar conditions |
| J84114 | CC | 1001:90 codes | Acute interstitial pneumonitis |
| J84116 | CC | 1001:90 codes | Cryptogenic organizing pneumonia |
| J84117 | CC | 1001:90 codes | Desquamative interstitial pneumonia |
| J842 | CC | 1001:90 codes | Lymphoid interstitial pneumonia |
| J8481 | MCC | 1001:90 codes | Lymphangioleiomyomatosis |
| J8482 | CC | 1001:90 codes | Adult pulmonary Langerhans cell histiocytosis |
| J8483 | MCC | 1002:78 codes | Surfactant mutations of the lung |
| J84841 | MCC | 1002:78 codes | Neuroendocrine cell hyperplasia of infancy |
| J84842 | MCC | 1002:78 codes | Pulmonary interstitial glycogenosis |
| J84843 | MCC | 1002:78 codes | Alveolar capillary dysplasia with vein misalignment |
| J84848 | MCC | 1002:78 codes | Other interstitial lung diseases of childhood |
| J849 | CC | 1001:90 codes | Interstitial pulmonary disease, unspecified |
| J850 | MCC | 1003:22 codes | Gangrene and necrosis of lung |
| J851 | MCC | 1003:22 codes | Abscess of lung with pneumonia |
| J852 | MCC | 1003:22 codes | Abscess of lung without pneumonia |
| J853 | MCC | 1004:9 codes | Abscess of mediastinum |
| J860 | MCC | 1005:12 codes | Pyothorax with fistula |
| J869 | MCC | 1005:12 codes | Pyothorax without fistula |
| J90 | CC | 1006:29 codes | Pleural effusion, not elsewhere classified |
| J910 | CC | 1007:24 codes | Malignant pleural effusion |
| J918 | CC | 1006:29 codes | Pleural effusion in other conditions classified elsewhere |
| J930 | MCC | 1008:18 codes | Spontaneous tension pneumothorax |
| J9311 | CC | 1008:18 codes | Primary spontaneous pneumothorax |
| J9312 | CC | 1008:18 codes | Secondary spontaneous pneumothorax |
| J9381 | CC | 1008:18 codes | Chronic pneumothorax |
| J9382 | CC | 1008:18 codes | Other air leak |
| J9383 | CC | 1008:18 codes | Other pneumothorax |
| J939 | CC | 1008:18 codes | Pneumothorax, unspecified |
| J940 | CC | 1006:29 codes | Chylous effusion |
| J942 | CC | 1006:29 codes | Hemothorax |
| J948 | CC | 1009:1 code | Other specified pleural conditions |
| J9500 | CC | 1010:12 codes | Unspecified tracheostomy complication |
| J9501 | CC | 1010:12 codes | Hemorrhage from tracheostomy stoma |
| J9502 | CC | 1010:12 codes | Infection of tracheostomy stoma |
| J9503 | CC | 1010:12 codes | Malfunction of tracheostomy stoma |
| J9504 | CC | 1010:12 codes | Tracheo-esophageal fistula following tracheostomy |
| J9509 | CC | 1010:12 codes | Other tracheostomy complication |
| J951 | MCC | 1011:13 codes | Acute pulmonary insufficiency following thoracic surgery |
| J952 | MCC | 1012:9 codes | Acute pulmonary insufficiency following nonthoracic surgery |
| J953 | MCC | 1013:12 codes | Chronic pulmonary insufficiency following surgery |
| J954 | CC | 1014:54 codes | Chemical pneumonitis due to anesthesia |
| J955 | CC | 1014:54 codes | Postprocedural subglottic stenosis |
| J9561 | CC | 1015:76 codes | Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure |
| J9562 | CC | 1015:76 codes | Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating other procedure |
| J9571 | CC | 0521:76 codes | Accidental puncture and laceration of a respiratory system organ or structure during a respiratory system procedure |
| J9572 | CC | 0521:76 codes | Accidental puncture and laceration of a respiratory system organ or structure during other procedure |
| J95811 | CC | 1008:18 codes | Postprocedural pneumothorax |
| J95812 | CC | 1008:18 codes | Postprocedural air leak |
| J95821 | MCC | 1011:13 codes | Acute postprocedural respiratory failure |
| J95822 | MCC | 1011:13 codes | Acute and chronic postprocedural respiratory failure |
| J95830 | CC | 1015:76 codes | Postprocedural hemorrhage of a respiratory system organ or structure following a respiratory system procedure |
| J95831 | CC | 1015:76 codes | Postprocedural hemorrhage of a respiratory system organ or structure following other procedure |
| J9584 | CC | 1014:54 codes | Transfusion-related acute lung injury (TRALI) |
| J95850 | CC | 1016:3 codes | Mechanical complication of respirator |
| J95851 | CC | 1017:53 codes | Ventilator associated pneumonia |
| J95859 | CC | 1017:53 codes | Other complication of respirator [ventilator] |
| J95860 | CC | 1015:76 codes | Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure |
| J95861 | CC | 1015:76 codes | Postprocedural hematoma of a respiratory system organ or structure following other procedure |
| J95862 | CC | 1015:76 codes | Postprocedural seroma of a respiratory system organ or structure following a respiratory system procedure |
| J95863 | CC | 1015:76 codes | Postprocedural seroma of a respiratory system organ or structure following other procedure |
| J9587 | CC | 1018:34 codes | Transfusion-associated dyspnea (TAD) |
| J9588 | CC | 1014:54 codes | Other intraoperative complications of respiratory system, not elsewhere classified |
| J9589 | CC | 1014:54 codes | Other postprocedural complications and disorders of respiratory system, not elsewhere classified |
| J9600 | MCC | 0998:22 codes | Acute respiratory failure, unspecified whether with hypoxia or hypercapnia |
| J9601 | MCC | 0998:22 codes | Acute respiratory failure with hypoxia |
| J9602 | MCC | 0998:22 codes | Acute respiratory failure with hypercapnia |
| J9610 | CC | 0998:22 codes | Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia |
| J9611 | CC | 0998:22 codes | Chronic respiratory failure with hypoxia |
| J9612 | CC | 0998:22 codes | Chronic respiratory failure with hypercapnia |
| J9620 | MCC | 0998:22 codes | Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia |
| J9621 | MCC | 0998:22 codes | Acute and chronic respiratory failure with hypoxia |
| J9622 | MCC | 0998:22 codes | Acute and chronic respiratory failure with hypercapnia |
| J9690 | MCC | 0998:22 codes | Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia |
| J9691 | MCC | 0998:22 codes | Respiratory failure, unspecified with hypoxia |
| J9692 | MCC | 0998:22 codes | Respiratory failure, unspecified with hypercapnia |
| J9811 | CC | 1019:10 codes | Atelectasis |
| J9819 | CC | 1019:10 codes | Other pulmonary collapse |
| J9851 | MCC | 1020:1 code | Mediastinitis |
| J9859 | MCC | 1021:1 code | Other diseases of mediastinum, not elsewhere classified |
| K0401 | CC | 1022:229 codes | Reversible pulpitis |
| K0402 | CC | 1022:229 codes | Irreversible pulpitis |
| K044 | CC | 1022:229 codes | Acute apical periodontitis of pulpal origin |
| K113 | CC | 1023:19 codes | Abscess of salivary gland |
| K114 | CC | 1023:19 codes | Fistula of salivary gland |
| K122 | CC | 1024:9 codes | Cellulitis and abscess of mouth |
| K2081 | MCC | 1025:38 codes | Other esophagitis with bleeding |
| K2091 | MCC | 1025:38 codes | Esophagitis, unspecified with bleeding |
| K2101 | MCC | 1025:38 codes | Gastro-esophageal reflux disease with esophagitis, with bleeding |
| K2210 | CC | 1026:4 codes | Ulcer of esophagus without bleeding |
| K2211 | MCC | 1027:77 codes | Ulcer of esophagus with bleeding |
| K223 | MCC | 1028:4 codes | Perforation of esophagus |
| K226 | MCC | 1029:75 codes | Gastro-esophageal laceration-hemorrhage syndrome |
| K250 | MCC | 1030:75 codes | Acute gastric ulcer with hemorrhage |
| K251 | MCC | 1030:75 codes | Acute gastric ulcer with perforation |
| K252 | MCC | 1030:75 codes | Acute gastric ulcer with both hemorrhage and perforation |
| K253 | CC | 1030:75 codes | Acute gastric ulcer without hemorrhage or perforation |
| K254 | MCC | 1030:75 codes | Chronic or unspecified gastric ulcer with hemorrhage |
| K255 | MCC | 1030:75 codes | Chronic or unspecified gastric ulcer with perforation |
| K256 | MCC | 1030:75 codes | Chronic or unspecified gastric ulcer with both hemorrhage and perforation |
| K260 | MCC | 1031:76 codes | Acute duodenal ulcer with hemorrhage |
| K261 | MCC | 1031:76 codes | Acute duodenal ulcer with perforation |
| K262 | MCC | 1031:76 codes | Acute duodenal ulcer with both hemorrhage and perforation |
| K263 | CC | 1032:71 codes | Acute duodenal ulcer without hemorrhage or perforation |
| K264 | MCC | 1031:76 codes | Chronic or unspecified duodenal ulcer with hemorrhage |
| K265 | MCC | 1031:76 codes | Chronic or unspecified duodenal ulcer with perforation |
| K266 | MCC | 1031:76 codes | Chronic or unspecified duodenal ulcer with both hemorrhage and perforation |
| K270 | MCC | 1031:76 codes | Acute peptic ulcer, site unspecified, with hemorrhage |
| K271 | MCC | 1031:76 codes | Acute peptic ulcer, site unspecified, with perforation |
| K272 | MCC | 1031:76 codes | Acute peptic ulcer, site unspecified, with both hemorrhage and perforation |
| K273 | CC | 1031:76 codes | Acute peptic ulcer, site unspecified, without hemorrhage or perforation |
| K274 | MCC | 1031:76 codes | Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage |
| K275 | MCC | 1031:76 codes | Chronic or unspecified peptic ulcer, site unspecified, with perforation |
| K276 | MCC | 1031:76 codes | Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation |
| K280 | MCC | 1030:75 codes | Acute gastrojejunal ulcer with hemorrhage |
| K281 | MCC | 1030:75 codes | Acute gastrojejunal ulcer with perforation |
| K282 | MCC | 1030:75 codes | Acute gastrojejunal ulcer with both hemorrhage and perforation |
| K283 | CC | 1030:75 codes | Acute gastrojejunal ulcer without hemorrhage or perforation |
| K284 | MCC | 1030:75 codes | Chronic or unspecified gastrojejunal ulcer with hemorrhage |
| K285 | MCC | 1030:75 codes | Chronic or unspecified gastrojejunal ulcer with perforation |
| K286 | MCC | 1030:75 codes | Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation |
| K2901 | MCC | 1033:72 codes | Acute gastritis with bleeding |
| K2921 | MCC | 1033:72 codes | Alcoholic gastritis with bleeding |
| K2931 | MCC | 1033:72 codes | Chronic superficial gastritis with bleeding |
| K2941 | MCC | 1033:72 codes | Chronic atrophic gastritis with bleeding |
| K2951 | MCC | 1033:72 codes | Unspecified chronic gastritis with bleeding |
| K2961 | MCC | 1033:72 codes | Other gastritis with bleeding |
| K2971 | MCC | 1033:72 codes | Gastritis, unspecified, with bleeding |
| K2981 | MCC | 1033:72 codes | Duodenitis with bleeding |
| K2991 | MCC | 1033:72 codes | Gastroduodenitis, unspecified, with bleeding |
| K310 | CC | 1034:1 code | Acute dilatation of stomach |
| K311 | CC | 1035:19 codes | Adult hypertrophic pyloric stenosis |
| K315 | CC | 1036:15 codes | Obstruction of duodenum |
| K316 | CC | 1037:10 codes | Fistula of stomach and duodenum |
| K31811 | MCC | 1033:72 codes | Angiodysplasia of stomach and duodenum with bleeding |
| K3182 | MCC | 1038:73 codes | Dieulafoy lesion (hemorrhagic) of stomach and duodenum |
| K35200 | CC | 1039:24 codes | Acute appendicitis with generalized peritonitis, without perforation or abscess |
| K35201 | CC | 1039:24 codes | Acute appendicitis with generalized peritonitis, with perforation, without abscess |
| K35209 | CC | 1039:24 codes | Acute appendicitis with generalized peritonitis, without abscess, unspecified as to perforation |
| K35210 | MCC | 1039:24 codes | Acute appendicitis with generalized peritonitis, without perforation, with abscess |
| K35211 | MCC | 1039:24 codes | Acute appendicitis with generalized peritonitis, with perforation and abscess |
| K35219 | MCC | 1039:24 codes | Acute appendicitis with generalized peritonitis, with abscess, unspecified as to perforation |
| K3530 | CC | 1039:24 codes | Acute appendicitis with localized peritonitis, without perforation or gangrene |
| K3531 | CC | 1039:24 codes | Acute appendicitis with localized peritonitis and gangrene, without perforation |
| K3532 | MCC | 1039:24 codes | Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess |
| K3533 | MCC | 1039:24 codes | Acute appendicitis with perforation, localized peritonitis, and gangrene, with abscess |
| K3580 | CC | 1039:24 codes | Unspecified acute appendicitis |
| K35890 | CC | 1039:24 codes | Other acute appendicitis without perforation or gangrene |
| K35891 | CC | 1039:24 codes | Other acute appendicitis without perforation, with gangrene |
| K4000 | CC | 1040:18 codes | Bilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent |
| K4001 | CC | 1040:18 codes | Bilateral inguinal hernia, with obstruction, without gangrene, recurrent |
| K4010 | MCC | 1040:18 codes | Bilateral inguinal hernia, with gangrene, not specified as recurrent |
| K4011 | MCC | 1040:18 codes | Bilateral inguinal hernia, with gangrene, recurrent |
| K4030 | CC | 1040:18 codes | Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent |
| K4031 | CC | 1040:18 codes | Unilateral inguinal hernia, with obstruction, without gangrene, recurrent |
| K4040 | MCC | 1040:18 codes | Unilateral inguinal hernia, with gangrene, not specified as recurrent |
| K4041 | MCC | 1040:18 codes | Unilateral inguinal hernia, with gangrene, recurrent |
| K4100 | CC | 1041:18 codes | Bilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent |
| K4101 | CC | 1041:18 codes | Bilateral femoral hernia, with obstruction, without gangrene, recurrent |
| K4110 | MCC | 1042:14 codes | Bilateral femoral hernia, with gangrene, not specified as recurrent |
| K4111 | MCC | 1042:14 codes | Bilateral femoral hernia, with gangrene, recurrent |
| K4130 | CC | 1041:18 codes | Unilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent |
| K4131 | CC | 1041:18 codes | Unilateral femoral hernia, with obstruction, without gangrene, recurrent |
| K4140 | MCC | 1042:14 codes | Unilateral femoral hernia, with gangrene, not specified as recurrent |
| K4141 | MCC | 1042:14 codes | Unilateral femoral hernia, with gangrene, recurrent |
| K420 | CC | 1043:11 codes | Umbilical hernia with obstruction, without gangrene |
| K421 | MCC | 1044:19 codes | Umbilical hernia with gangrene |
| K430 | CC | 1043:11 codes | Incisional hernia with obstruction, without gangrene |
| K431 | MCC | 1044:19 codes | Incisional hernia with gangrene |
| K433 | CC | 1043:11 codes | Parastomal hernia with obstruction, without gangrene |
| K434 | MCC | 1044:19 codes | Parastomal hernia with gangrene |
| K436 | CC | 1043:11 codes | Other and unspecified ventral hernia with obstruction, without gangrene |
| K437 | MCC | 1044:19 codes | Other and unspecified ventral hernia with gangrene |
| K440 | CC | 1045:6 codes | Diaphragmatic hernia with obstruction, without gangrene |
| K441 | MCC | 1045:6 codes | Diaphragmatic hernia with gangrene |
| K450 | CC | 1046:45 codes | Other specified abdominal hernia with obstruction, without gangrene |
| K451 | MCC | 1047:48 codes | Other specified abdominal hernia with gangrene |
| K460 | CC | 1046:45 codes | Unspecified abdominal hernia with obstruction, without gangrene |
| K461 | MCC | 1047:48 codes | Unspecified abdominal hernia with gangrene |
| K5000 | CC | 1048:77 codes | Crohn's disease of small intestine without complications |
| K50011 | CC | 1048:77 codes | Crohn's disease of small intestine with rectal bleeding |
| K50012 | CC | 1048:77 codes | Crohn's disease of small intestine with intestinal obstruction |
| K50013 | CC | 1048:77 codes | Crohn's disease of small intestine with fistula |
| K50014 | CC | 1048:77 codes | Crohn's disease of small intestine with abscess |
| K50018 | CC | 1048:77 codes | Crohn's disease of small intestine with other complication |
| K50019 | CC | 1048:77 codes | Crohn's disease of small intestine with unspecified complications |
| K5010 | CC | 1048:77 codes | Crohn's disease of large intestine without complications |
| K50111 | CC | 1048:77 codes | Crohn's disease of large intestine with rectal bleeding |
| K50112 | CC | 1048:77 codes | Crohn's disease of large intestine with intestinal obstruction |
| K50113 | CC | 1048:77 codes | Crohn's disease of large intestine with fistula |
| K50114 | CC | 1048:77 codes | Crohn's disease of large intestine with abscess |
| K50118 | CC | 1048:77 codes | Crohn's disease of large intestine with other complication |
| K50119 | CC | 1048:77 codes | Crohn's disease of large intestine with unspecified complications |
| K5080 | CC | 1048:77 codes | Crohn's disease of both small and large intestine without complications |
| K50811 | CC | 1048:77 codes | Crohn's disease of both small and large intestine with rectal bleeding |
| K50812 | CC | 1048:77 codes | Crohn's disease of both small and large intestine with intestinal obstruction |
| K50813 | CC | 1048:77 codes | Crohn's disease of both small and large intestine with fistula |
| K50814 | CC | 1048:77 codes | Crohn's disease of both small and large intestine with abscess |
| K50818 | CC | 1048:77 codes | Crohn's disease of both small and large intestine with other complication |
| K50819 | CC | 1048:77 codes | Crohn's disease of both small and large intestine with unspecified complications |
| K5090 | CC | 1049:28 codes | Crohn's disease, unspecified, without complications |
| K50911 | CC | 1049:28 codes | Crohn's disease, unspecified, with rectal bleeding |
| K50912 | CC | 1049:28 codes | Crohn's disease, unspecified, with intestinal obstruction |
| K50913 | CC | 1049:28 codes | Crohn's disease, unspecified, with fistula |
| K50914 | CC | 1049:28 codes | Crohn's disease, unspecified, with abscess |
| K50918 | CC | 1049:28 codes | Crohn's disease, unspecified, with other complication |
| K50919 | CC | 1049:28 codes | Crohn's disease, unspecified, with unspecified complications |
| K5100 | CC | 1048:77 codes | Ulcerative (chronic) pancolitis without complications |
| K51011 | CC | 1048:77 codes | Ulcerative (chronic) pancolitis with rectal bleeding |
| K51012 | CC | 1048:77 codes | Ulcerative (chronic) pancolitis with intestinal obstruction |
| K51013 | CC | 1048:77 codes | Ulcerative (chronic) pancolitis with fistula |
| K51014 | CC | 1048:77 codes | Ulcerative (chronic) pancolitis with abscess |
| K51018 | CC | 1048:77 codes | Ulcerative (chronic) pancolitis with other complication |
| K51019 | CC | 1048:77 codes | Ulcerative (chronic) pancolitis with unspecified complications |
| K5120 | CC | 1048:77 codes | Ulcerative (chronic) proctitis without complications |
| K51211 | CC | 1048:77 codes | Ulcerative (chronic) proctitis with rectal bleeding |
| K51212 | CC | 1048:77 codes | Ulcerative (chronic) proctitis with intestinal obstruction |
| K51213 | CC | 1048:77 codes | Ulcerative (chronic) proctitis with fistula |
| K51214 | CC | 1048:77 codes | Ulcerative (chronic) proctitis with abscess |
| K51218 | CC | 1048:77 codes | Ulcerative (chronic) proctitis with other complication |
| K51219 | CC | 1048:77 codes | Ulcerative (chronic) proctitis with unspecified complications |
| K5130 | CC | 1048:77 codes | Ulcerative (chronic) rectosigmoiditis without complications |
| K51311 | CC | 1048:77 codes | Ulcerative (chronic) rectosigmoiditis with rectal bleeding |
| K51312 | CC | 1048:77 codes | Ulcerative (chronic) rectosigmoiditis with intestinal obstruction |
| K51313 | CC | 1048:77 codes | Ulcerative (chronic) rectosigmoiditis with fistula |
| K51314 | CC | 1048:77 codes | Ulcerative (chronic) rectosigmoiditis with abscess |
| K51318 | CC | 1048:77 codes | Ulcerative (chronic) rectosigmoiditis with other complication |
| K51319 | CC | 1048:77 codes | Ulcerative (chronic) rectosigmoiditis with unspecified complications |
| K5140 | CC | 1048:77 codes | Inflammatory polyps of colon without complications |
| K51411 | CC | 1048:77 codes | Inflammatory polyps of colon with rectal bleeding |
| K51412 | CC | 1048:77 codes | Inflammatory polyps of colon with intestinal obstruction |
| K51413 | CC | 1048:77 codes | Inflammatory polyps of colon with fistula |
| K51414 | CC | 1048:77 codes | Inflammatory polyps of colon with abscess |
| K51418 | CC | 1048:77 codes | Inflammatory polyps of colon with other complication |
| K51419 | CC | 1048:77 codes | Inflammatory polyps of colon with unspecified complications |
| K5150 | CC | 1048:77 codes | Left sided colitis without complications |
| K51511 | CC | 1048:77 codes | Left sided colitis with rectal bleeding |
| K51512 | CC | 1048:77 codes | Left sided colitis with intestinal obstruction |
| K51513 | CC | 1048:77 codes | Left sided colitis with fistula |
| K51514 | CC | 1048:77 codes | Left sided colitis with abscess |
| K51518 | CC | 1048:77 codes | Left sided colitis with other complication |
| K51519 | CC | 1048:77 codes | Left sided colitis with unspecified complications |
| K5180 | CC | 1048:77 codes | Other ulcerative colitis without complications |
| K51811 | CC | 1048:77 codes | Other ulcerative colitis with rectal bleeding |
| K51812 | CC | 1048:77 codes | Other ulcerative colitis with intestinal obstruction |
| K51813 | CC | 1048:77 codes | Other ulcerative colitis with fistula |
| K51814 | CC | 1048:77 codes | Other ulcerative colitis with abscess |
| K51818 | CC | 1048:77 codes | Other ulcerative colitis with other complication |
| K51819 | CC | 1048:77 codes | Other ulcerative colitis with unspecified complications |
| K5190 | CC | 1050:49 codes | Ulcerative colitis, unspecified, without complications |
| K51911 | CC | 1050:49 codes | Ulcerative colitis, unspecified with rectal bleeding |
| K51912 | CC | 1050:49 codes | Ulcerative colitis, unspecified with intestinal obstruction |
| K51913 | CC | 1050:49 codes | Ulcerative colitis, unspecified with fistula |
| K51914 | CC | 1050:49 codes | Ulcerative colitis, unspecified with abscess |
| K51918 | CC | 1050:49 codes | Ulcerative colitis, unspecified with other complication |
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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 |