ICD-10-CM/PCS MS-DRG v37.2 Definitions Manual |
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| MDC 03 Diseases & Disorders of the Ear, Nose, Mouth & Throat |
| Otitis Media and Upper Respiratory Infection |
| MCC | DRG |
|---|---|
| Yes | 152 |
| No | 153 |
DRG 152 OTITIS MEDIA AND URI WITH MCC
DRG 153 OTITIS MEDIA AND URI WITHOUT MCC
PRINCIPAL DIAGNOSIS
| A545 | Gonococcal pharyngitis |
| A564 | Chlamydial infection of pharynx |
| A691 | Other Vincent's infections |
| B053 | Measles complicated by otitis media |
| B085 | Enteroviral vesicular pharyngitis |
| H61001 | Unspecified perichondritis of right external ear |
| H61002 | Unspecified perichondritis of left external ear |
| H61003 | Unspecified perichondritis of external ear, bilateral |
| H61009 | Unspecified perichondritis of external ear, unspecified ear |
| H6500 | Acute serous otitis media, unspecified ear |
| H6501 | Acute serous otitis media, right ear |
| H6502 | Acute serous otitis media, left ear |
| H6503 | Acute serous otitis media, bilateral |
| H6504 | Acute serous otitis media, recurrent, right ear |
| H6505 | Acute serous otitis media, recurrent, left ear |
| H6506 | Acute serous otitis media, recurrent, bilateral |
| H6507 | Acute serous otitis media, recurrent, unspecified ear |
| H65111 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear |
| H65112 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear |
| H65113 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral |
| H65114 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear |
| H65115 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear |
| H65116 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral |
| H65117 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear |
| H65119 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear |
| H65191 | Other acute nonsuppurative otitis media, right ear |
| H65192 | Other acute nonsuppurative otitis media, left ear |
| H65193 | Other acute nonsuppurative otitis media, bilateral |
| H65194 | Other acute nonsuppurative otitis media, recurrent, right ear |
| H65195 | Other acute nonsuppurative otitis media, recurrent, left ear |
| H65196 | Other acute nonsuppurative otitis media, recurrent, bilateral |
| H65197 | Other acute nonsuppurative otitis media recurrent, unspecified ear |
| H65199 | Other acute nonsuppurative otitis media, unspecified ear |
| H6520 | Chronic serous otitis media, unspecified ear |
| H6521 | Chronic serous otitis media, right ear |
| H6522 | Chronic serous otitis media, left ear |
| H6523 | Chronic serous otitis media, bilateral |
| H6530 | Chronic mucoid otitis media, unspecified ear |
| H6531 | Chronic mucoid otitis media, right ear |
| H6532 | Chronic mucoid otitis media, left ear |
| H6533 | Chronic mucoid otitis media, bilateral |
| H65411 | Chronic allergic otitis media, right ear |
| H65412 | Chronic allergic otitis media, left ear |
| H65413 | Chronic allergic otitis media, bilateral |
| H65419 | Chronic allergic otitis media, unspecified ear |
| H65491 | Other chronic nonsuppurative otitis media, right ear |
| H65492 | Other chronic nonsuppurative otitis media, left ear |
| H65493 | Other chronic nonsuppurative otitis media, bilateral |
| H65499 | Other chronic nonsuppurative otitis media, unspecified ear |
| H6590 | Unspecified nonsuppurative otitis media, unspecified ear |
| H6591 | Unspecified nonsuppurative otitis media, right ear |
| H6592 | Unspecified nonsuppurative otitis media, left ear |
| H6593 | Unspecified nonsuppurative otitis media, bilateral |
| H66001 | Acute suppurative otitis media without spontaneous rupture of ear drum, right ear |
| H66002 | Acute suppurative otitis media without spontaneous rupture of ear drum, left ear |
| H66003 | Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral |
| H66004 | Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear |
| H66005 | Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left ear |
| H66006 | Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral |
| H66007 | Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified ear |
| H66009 | Acute suppurative otitis media without spontaneous rupture of ear drum, unspecified ear |
| H66011 | Acute suppurative otitis media with spontaneous rupture of ear drum, right ear |
| H66012 | Acute suppurative otitis media with spontaneous rupture of ear drum, left ear |
| H66013 | Acute suppurative otitis media with spontaneous rupture of ear drum, bilateral |
| H66014 | Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, right ear |
| H66015 | Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, left ear |
| H66016 | Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, bilateral |
| H66017 | Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear |
| H66019 | Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear |
| H6610 | Chronic tubotympanic suppurative otitis media, unspecified |
| H6611 | Chronic tubotympanic suppurative otitis media, right ear |
| H6612 | Chronic tubotympanic suppurative otitis media, left ear |
| H6613 | Chronic tubotympanic suppurative otitis media, bilateral |
| H6620 | Chronic atticoantral suppurative otitis media, unspecified ear |
| H6621 | Chronic atticoantral suppurative otitis media, right ear |
| H6622 | Chronic atticoantral suppurative otitis media, left ear |
| H6623 | Chronic atticoantral suppurative otitis media, bilateral |
| H663X1 | Other chronic suppurative otitis media, right ear |
| H663X2 | Other chronic suppurative otitis media, left ear |
| H663X3 | Other chronic suppurative otitis media, bilateral |
| H663X9 | Other chronic suppurative otitis media, unspecified ear |
| H6640 | Suppurative otitis media, unspecified, unspecified ear |
| H6641 | Suppurative otitis media, unspecified, right ear |
| H6642 | Suppurative otitis media, unspecified, left ear |
| H6643 | Suppurative otitis media, unspecified, bilateral |
| H6690 | Otitis media, unspecified, unspecified ear |
| H6691 | Otitis media, unspecified, right ear |
| H6692 | Otitis media, unspecified, left ear |
| H6693 | Otitis media, unspecified, bilateral |
| H671 | Otitis media in diseases classified elsewhere, right ear |
| H672 | Otitis media in diseases classified elsewhere, left ear |
| H673 | Otitis media in diseases classified elsewhere, bilateral |
| H679 | Otitis media in diseases classified elsewhere, unspecified ear |
| H68001 | Unspecified Eustachian salpingitis, right ear |
| H68002 | Unspecified Eustachian salpingitis, left ear |
| H68003 | Unspecified Eustachian salpingitis, bilateral |
| H68009 | Unspecified Eustachian salpingitis, unspecified ear |
| H68011 | Acute Eustachian salpingitis, right ear |
| H68012 | Acute Eustachian salpingitis, left ear |
| H68013 | Acute Eustachian salpingitis, bilateral |
| H68019 | Acute Eustachian salpingitis, unspecified ear |
| H68021 | Chronic Eustachian salpingitis, right ear |
| H68022 | Chronic Eustachian salpingitis, left ear |
| H68023 | Chronic Eustachian salpingitis, bilateral |
| H68029 | Chronic Eustachian salpingitis, unspecified ear |
| H70001 | Acute mastoiditis without complications, right ear |
| H70002 | Acute mastoiditis without complications, left ear |
| H70003 | Acute mastoiditis without complications, bilateral |
| H70009 | Acute mastoiditis without complications, unspecified ear |
| H70011 | Subperiosteal abscess of mastoid, right ear |
| H70012 | Subperiosteal abscess of mastoid, left ear |
| H70013 | Subperiosteal abscess of mastoid, bilateral |
| H70019 | Subperiosteal abscess of mastoid, unspecified ear |
| H70091 | Acute mastoiditis with other complications, right ear |
| H70092 | Acute mastoiditis with other complications, left ear |
| H70093 | Acute mastoiditis with other complications, bilateral |
| H70099 | Acute mastoiditis with other complications, unspecified ear |
| H7010 | Chronic mastoiditis, unspecified ear |
| H7011 | Chronic mastoiditis, right ear |
| H7012 | Chronic mastoiditis, left ear |
| H7013 | Chronic mastoiditis, bilateral |
| H70201 | Unspecified petrositis, right ear |
| H70202 | Unspecified petrositis, left ear |
| H70203 | Unspecified petrositis, bilateral |
| H70209 | Unspecified petrositis, unspecified ear |
| H70211 | Acute petrositis, right ear |
| H70212 | Acute petrositis, left ear |
| H70213 | Acute petrositis, bilateral |
| H70219 | Acute petrositis, unspecified ear |
| H70221 | Chronic petrositis, right ear |
| H70222 | Chronic petrositis, left ear |
| H70223 | Chronic petrositis, bilateral |
| H70229 | Chronic petrositis, unspecified ear |
| H7090 | Unspecified mastoiditis, unspecified ear |
| H7091 | Unspecified mastoiditis, right ear |
| H7092 | Unspecified mastoiditis, left ear |
| H7093 | Unspecified mastoiditis, bilateral |
| H73001 | Acute myringitis, right ear |
| H73002 | Acute myringitis, left ear |
| H73003 | Acute myringitis, bilateral |
| H73009 | Acute myringitis, unspecified ear |
| H73011 | Bullous myringitis, right ear |
| H73012 | Bullous myringitis, left ear |
| H73013 | Bullous myringitis, bilateral |
| H73019 | Bullous myringitis, unspecified ear |
| H73091 | Other acute myringitis, right ear |
| H73092 | Other acute myringitis, left ear |
| H73093 | Other acute myringitis, bilateral |
| H73099 | Other acute myringitis, unspecified ear |
| H7310 | Chronic myringitis, unspecified ear |
| H7311 | Chronic myringitis, right ear |
| H7312 | Chronic myringitis, left ear |
| H7313 | Chronic myringitis, bilateral |
| H7320 | Unspecified myringitis, unspecified ear |
| H7321 | Unspecified myringitis, right ear |
| H7322 | Unspecified myringitis, left ear |
| H7323 | Unspecified myringitis, bilateral |
| J00 | Acute nasopharyngitis [common cold] |
| J0100 | Acute maxillary sinusitis, unspecified |
| J0101 | Acute recurrent maxillary sinusitis |
| J0110 | Acute frontal sinusitis, unspecified |
| J0111 | Acute recurrent frontal sinusitis |
| J0120 | Acute ethmoidal sinusitis, unspecified |
| J0121 | Acute recurrent ethmoidal sinusitis |
| J0130 | Acute sphenoidal sinusitis, unspecified |
| J0131 | Acute recurrent sphenoidal sinusitis |
| J0140 | Acute pansinusitis, unspecified |
| J0141 | Acute recurrent pansinusitis |
| J0180 | Other acute sinusitis |
| J0181 | Other acute recurrent sinusitis |
| J0190 | Acute sinusitis, unspecified |
| J0191 | Acute recurrent sinusitis, unspecified |
| J020 | Streptococcal pharyngitis |
| J028 | Acute pharyngitis due to other specified organisms |
| J029 | Acute pharyngitis, unspecified |
| J0300 | Acute streptococcal tonsillitis, unspecified |
| J0301 | Acute recurrent streptococcal tonsillitis |
| J0380 | Acute tonsillitis due to other specified organisms |
| J0381 | Acute recurrent tonsillitis due to other specified organisms |
| J0390 | Acute tonsillitis, unspecified |
| J0391 | Acute recurrent tonsillitis, unspecified |
| J040 | Acute laryngitis |
| J042 | Acute laryngotracheitis |
| J0430 | Supraglottitis, unspecified, without obstruction |
| J0431 | Supraglottitis, unspecified, with obstruction |
| J050 | Acute obstructive laryngitis [croup] |
| J0510 | Acute epiglottitis without obstruction |
| J0511 | Acute epiglottitis with obstruction |
| J060 | Acute laryngopharyngitis |
| J069 | Acute upper respiratory infection, unspecified |
| J111 | Influenza due to unidentified influenza virus with other respiratory manifestations |
| J300 | Vasomotor rhinitis |
| J301 | Allergic rhinitis due to pollen |
| J302 | Other seasonal allergic rhinitis |
| J305 | Allergic rhinitis due to food |
| J3081 | Allergic rhinitis due to animal (cat) (dog) hair and dander |
| J3089 | Other allergic rhinitis |
| J309 | Allergic rhinitis, unspecified |
| J310 | Chronic rhinitis |
| J311 | Chronic nasopharyngitis |
| J312 | Chronic pharyngitis |
| J320 | Chronic maxillary sinusitis |
| J321 | Chronic frontal sinusitis |
| J322 | Chronic ethmoidal sinusitis |
| J323 | Chronic sphenoidal sinusitis |
| J324 | Chronic pansinusitis |
| J328 | Other chronic sinusitis |
| J329 | Chronic sinusitis, unspecified |
| J3501 | Chronic tonsillitis |
| J3502 | Chronic adenoiditis |
| J3503 | Chronic tonsillitis and adenoiditis |
| J36 | Peritonsillar abscess |
| J370 | Chronic laryngitis |
| J371 | Chronic laryngotracheitis |
| J390 | Retropharyngeal and parapharyngeal abscess |
| J391 | Other abscess of pharynx |
| J393 | Upper respiratory tract hypersensitivity reaction, site unspecified |
| J399 | Disease of upper respiratory tract, unspecified |
| T700XXA | Otitic barotrauma, initial encounter |
| T701XXA | Sinus barotrauma, initial encounter |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 09 Jul 2020 15:51:46 CMS, code-revision=268, description-revision=1285 |