ICD-10-CM/PCS MS-DRG v42.1 Definitions Manual |
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| MDC 05 Diseases and Disorders of the Circulatory System |
| Cardiac Congenital and Valvular Disorders |
| MCC | DRG |
|---|---|
| Yes | 306 |
| No | 307 |
DRG 306 Cardiac Congenital and Valvular Disorders with MCC
DRG 307 Cardiac Congenital and Valvular Disorders without MCC
PRINCIPAL DIAGNOSIS
| A5201 | Syphilitic aneurysm of aorta |
| A5202 | Syphilitic aortitis |
| B3321 | Viral endocarditis |
| I011 | Acute rheumatic endocarditis |
| I050 | Rheumatic mitral stenosis |
| I051 | Rheumatic mitral insufficiency |
| I052 | Rheumatic mitral stenosis with insufficiency |
| I058 | Other rheumatic mitral valve diseases |
| I059 | Rheumatic mitral valve disease, unspecified |
| I060 | Rheumatic aortic stenosis |
| I061 | Rheumatic aortic insufficiency |
| I062 | Rheumatic aortic stenosis with insufficiency |
| I068 | Other rheumatic aortic valve diseases |
| I069 | Rheumatic aortic valve disease, unspecified |
| I070 | Rheumatic tricuspid stenosis |
| I071 | Rheumatic tricuspid insufficiency |
| I072 | Rheumatic tricuspid stenosis and insufficiency |
| I078 | Other rheumatic tricuspid valve diseases |
| I079 | Rheumatic tricuspid valve disease, unspecified |
| I080 | Rheumatic disorders of both mitral and aortic valves |
| I081 | Rheumatic disorders of both mitral and tricuspid valves |
| I082 | Rheumatic disorders of both aortic and tricuspid valves |
| I083 | Combined rheumatic disorders of mitral, aortic and tricuspid valves |
| I088 | Other rheumatic multiple valve diseases |
| I089 | Rheumatic multiple valve disease, unspecified |
| I091 | Rheumatic diseases of endocardium, valve unspecified |
| I0989 | Other specified rheumatic heart diseases |
| I234 | Rupture of chordae tendineae as current complication following acute myocardial infarction |
| I235 | Rupture of papillary muscle as current complication following acute myocardial infarction |
| I340 | Nonrheumatic mitral (valve) insufficiency |
| I341 | Nonrheumatic mitral (valve) prolapse |
| I342 | Nonrheumatic mitral (valve) stenosis |
| I3481 | Nonrheumatic mitral (valve) annulus calcification |
| I3489 | Other nonrheumatic mitral valve disorders |
| I349 | Nonrheumatic mitral valve disorder, unspecified |
| I350 | Nonrheumatic aortic (valve) stenosis |
| I351 | Nonrheumatic aortic (valve) insufficiency |
| I352 | Nonrheumatic aortic (valve) stenosis with insufficiency |
| I358 | Other nonrheumatic aortic valve disorders |
| I359 | Nonrheumatic aortic valve disorder, unspecified |
| I360 | Nonrheumatic tricuspid (valve) stenosis |
| I361 | Nonrheumatic tricuspid (valve) insufficiency |
| I362 | Nonrheumatic tricuspid (valve) stenosis with insufficiency |
| I368 | Other nonrheumatic tricuspid valve disorders |
| I369 | Nonrheumatic tricuspid valve disorder, unspecified |
| I370 | Nonrheumatic pulmonary valve stenosis |
| I371 | Nonrheumatic pulmonary valve insufficiency |
| I372 | Nonrheumatic pulmonary valve stenosis with insufficiency |
| I378 | Other nonrheumatic pulmonary valve disorders |
| I379 | Nonrheumatic pulmonary valve disorder, unspecified |
| I38 | Endocarditis, valve unspecified |
| I39 | Endocarditis and heart valve disorders in diseases classified elsewhere |
| I511 | Rupture of chordae tendineae, not elsewhere classified |
| I512 | Rupture of papillary muscle, not elsewhere classified |
| Q200 | Common arterial trunk |
| Q201 | Double outlet right ventricle |
| Q202 | Double outlet left ventricle |
| Q203 | Discordant ventriculoarterial connection |
| Q204 | Double inlet ventricle |
| Q205 | Discordant atrioventricular connection |
| Q206 | Isomerism of atrial appendages |
| Q208 | Other congenital malformations of cardiac chambers and connections |
| Q209 | Congenital malformation of cardiac chambers and connections, unspecified |
| Q210 | Ventricular septal defect |
| Q2110 | Atrial septal defect, unspecified |
| Q2111 | Secundum atrial septal defect |
| Q2112 | Patent foramen ovale |
| Q2113 | Coronary sinus atrial septal defect |
| Q2114 | Superior sinus venosus atrial septal defect |
| Q2115 | Inferior sinus venosus atrial septal defect |
| Q2116 | Sinus venosus atrial septal defect, unspecified |
| Q2119 | Other specified atrial septal defect |
| Q2120 | Atrioventricular septal defect, unspecified as to partial or complete |
| Q2121 | Partial atrioventricular septal defect |
| Q2122 | Transitional atrioventricular septal defect |
| Q2123 | Complete atrioventricular septal defect |
| Q213 | Tetralogy of Fallot |
| Q214 | Aortopulmonary septal defect |
| Q218 | Other congenital malformations of cardiac septa |
| Q219 | Congenital malformation of cardiac septum, unspecified |
| Q220 | Pulmonary valve atresia |
| Q221 | Congenital pulmonary valve stenosis |
| Q222 | Congenital pulmonary valve insufficiency |
| Q223 | Other congenital malformations of pulmonary valve |
| Q224 | Congenital tricuspid stenosis |
| Q225 | Ebstein's anomaly |
| Q226 | Hypoplastic right heart syndrome |
| Q228 | Other congenital malformations of tricuspid valve |
| Q229 | Congenital malformation of tricuspid valve, unspecified |
| Q230 | Congenital stenosis of aortic valve |
| Q231 | Congenital insufficiency of aortic valve |
| Q232 | Congenital mitral stenosis |
| Q233 | Congenital mitral insufficiency |
| Q234 | Hypoplastic left heart syndrome |
| Q2381 | Bicuspid aortic valve |
| Q2382 | Congenital mitral valve cleft leaflet |
| Q2388 | Other congenital malformations of aortic and mitral valves |
| Q239 | Congenital malformation of aortic and mitral valves, unspecified |
| Q240 | Dextrocardia |
| Q241 | Levocardia |
| Q242 | Cor triatriatum |
| Q243 | Pulmonary infundibular stenosis |
| Q244 | Congenital subaortic stenosis |
| Q245 | Malformation of coronary vessels |
| Q248 | Other specified congenital malformations of heart |
| Q249 | Congenital malformation of heart, unspecified |
| Q250 | Patent ductus arteriosus |
| Q251 | Coarctation of aorta |
| Q2521 | Interruption of aortic arch |
| Q2529 | Other atresia of aorta |
| Q253 | Supravalvular aortic stenosis |
| Q2540 | Congenital malformation of aorta unspecified |
| Q2541 | Absence and aplasia of aorta |
| Q2542 | Hypoplasia of aorta |
| Q2543 | Congenital aneurysm of aorta |
| Q2544 | Congenital dilation of aorta |
| Q2545 | Double aortic arch |
| Q2546 | Tortuous aortic arch |
| Q2547 | Right aortic arch |
| Q2548 | Anomalous origin of subclavian artery |
| Q2549 | Other congenital malformations of aorta |
| Q255 | Atresia of pulmonary artery |
| Q256 | Stenosis of pulmonary artery |
| Q2571 | Coarctation of pulmonary artery |
| Q2572 | Congenital pulmonary arteriovenous malformation |
| Q2579 | Other congenital malformations of pulmonary artery |
| Q258 | Other congenital malformations of other great arteries |
| Q259 | Congenital malformation of great arteries, unspecified |
| Q260 | Congenital stenosis of vena cava |
| Q261 | Persistent left superior vena cava |
| Q262 | Total anomalous pulmonary venous connection |
| Q263 | Partial anomalous pulmonary venous connection |
| Q264 | Anomalous pulmonary venous connection, unspecified |
| Q268 | Other congenital malformations of great veins |
| Q269 | Congenital malformation of great vein, unspecified |
| Q8740 | Marfan syndrome, unspecified |
| Q87410 | Marfan syndrome with aortic dilation |
| Q87418 | Marfan syndrome with other cardiovascular manifestations |
| Q8742 | Marfan syndrome with ocular manifestations |
| Q8743 | Marfan syndrome with skeletal manifestation |
| R010 | Benign and innocent cardiac murmurs |
| R011 | Cardiac murmur, unspecified |
| T8201XA | Breakdown (mechanical) of heart valve prosthesis, initial encounter |
| T8202XA | Displacement of heart valve prosthesis, initial encounter |
| T8203XA | Leakage of heart valve prosthesis, initial encounter |
| T8209XA | Other mechanical complication of heart valve prosthesis, initial encounter |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 22 Jan 2025 17:07:44 CMS, code-revision=368, description-revision=1425 |