ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual |
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| MDC 05 Diseases and Disorders of the Circulatory System |
| Heart Failure and Shock |
| MCC | CC | DRG |
|---|---|---|
| Yes | n/a | 291 |
| No | Yes | 292 |
| No | No | 293 |
DRG 291 Heart Failure and Shock with MCC
DRG 292 Heart Failure and Shock with CC
DRG 293 Heart Failure and Shock without CC/MCC
PRINCIPAL DIAGNOSIS
| I0981 | Rheumatic heart failure |
| I110 | Hypertensive heart disease with heart failure |
| I130 | Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I132 | Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease |
| I501 | Left ventricular failure, unspecified |
| I5020 | Unspecified systolic (congestive) heart failure |
| I5021 | Acute systolic (congestive) heart failure |
| I5022 | Chronic systolic (congestive) heart failure |
| I5023 | Acute on chronic systolic (congestive) heart failure |
| I5030 | Unspecified diastolic (congestive) heart failure |
| I5031 | Acute diastolic (congestive) heart failure |
| I5032 | Chronic diastolic (congestive) heart failure |
| I5033 | Acute on chronic diastolic (congestive) heart failure |
| I5040 | Unspecified combined systolic (congestive) and diastolic (congestive) heart failure |
| I5041 | Acute combined systolic (congestive) and diastolic (congestive) heart failure |
| I5042 | Chronic combined systolic (congestive) and diastolic (congestive) heart failure |
| I5043 | Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure |
| I50810 | Right heart failure, unspecified |
| I50811 | Acute right heart failure |
| I50812 | Chronic right heart failure |
| I50813 | Acute on chronic right heart failure |
| I50814 | Right heart failure due to left heart failure |
| I5082 | Biventricular heart failure |
| I5083 | High output heart failure |
| I5084 | End stage heart failure |
| I5089 | Other heart failure |
| I509 | Heart failure, unspecified |
| R570 | Cardiogenic shock |
| R579 | Shock, unspecified |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 06 Sep 2024 16:41:54 CMS, code-revision=366, description-revision=1405 |