ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual |
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| MDC 06 Diseases and disorders of the digestive system |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders |
| MCC | DRG |
|---|---|
| Yes | 391 |
| No | 392 |
DRG 391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
DRG 392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC
PRINCIPAL DIAGNOSIS
| A059 | Bacterial foodborne intoxication, unspecified |
| A080 | Rotaviral enteritis |
| A0811 | Acute gastroenteropathy due to Norwalk agent |
| A0819 | Acute gastroenteropathy due to other small round viruses |
| A082 | Adenoviral enteritis |
| A0831 | Calicivirus enteritis |
| A0832 | Astrovirus enteritis |
| A0839 | Other viral enteritis |
| A084 | Viral intestinal infection, unspecified |
| A088 | Other specified intestinal infections |
| A09 | Infectious gastroenteritis and colitis, unspecified |
| B3782 | Candidal enteritis |
| B680 | Taenia solium taeniasis |
| B681 | Taenia saginata taeniasis |
| B689 | Taeniasis, unspecified |
| B700 | Diphyllobothriasis |
| B770 | Ascariasis with intestinal complications |
| B7781 | Ascariasis pneumonia |
| B7789 | Ascariasis with other complications |
| B779 | Ascariasis, unspecified |
| B780 | Intestinal strongyloidiasis |
| B787 | Disseminated strongyloidiasis |
| B789 | Strongyloidiasis, unspecified |
| B79 | Trichuriasis |
| B80 | Enterobiasis |
| B810 | Anisakiasis |
| B811 | Intestinal capillariasis |
| B812 | Trichostrongyliasis |
| B813 | Intestinal angiostrongyliasis |
| B818 | Other specified intestinal helminthiases |
| B820 | Intestinal helminthiasis, unspecified |
| B829 | Intestinal parasitism, unspecified |
| D1803 | Hemangioma of intra-abdominal structures |
| E730 | Congenital lactase deficiency |
| E731 | Secondary lactase deficiency |
| E738 | Other lactose intolerance |
| E739 | Lactose intolerance, unspecified |
| E7410 | Disorder of fructose metabolism, unspecified |
| E7411 | Essential fructosuria |
| E7412 | Hereditary fructose intolerance |
| E7419 | Other disorders of fructose metabolism |
| E7431 | Sucrase-isomaltase deficiency |
| E7439 | Other disorders of intestinal carbohydrate absorption |
| I774 | Celiac artery compression syndrome |
| K200 | Eosinophilic esophagitis |
| K2080 | Other esophagitis without bleeding |
| K2090 | Esophagitis, unspecified without bleeding |
| K2100 | Gastro-esophageal reflux disease with esophagitis, without bleeding |
| K219 | Gastro-esophageal reflux disease without esophagitis |
| K220 | Achalasia of cardia |
| K222 | Esophageal obstruction |
| K224 | Dyskinesia of esophagus |
| K225 | Diverticulum of esophagus, acquired |
| K2281 | Esophageal polyp |
| K2282 | Esophagogastric junction polyp |
| K2289 | Other specified disease of esophagus |
| K229 | Disease of esophagus, unspecified |
| K23 | Disorders of esophagus in diseases classified elsewhere |
| K2900 | Acute gastritis without bleeding |
| K2920 | Alcoholic gastritis without bleeding |
| K2930 | Chronic superficial gastritis without bleeding |
| K2940 | Chronic atrophic gastritis without bleeding |
| K2950 | Unspecified chronic gastritis without bleeding |
| K2960 | Other gastritis without bleeding |
| K2970 | Gastritis, unspecified, without bleeding |
| K2980 | Duodenitis without bleeding |
| K2990 | Gastroduodenitis, unspecified, without bleeding |
| K30 | Functional dyspepsia |
| K310 | Acute dilatation of stomach |
| K312 | Hourglass stricture and stenosis of stomach |
| K313 | Pylorospasm, not elsewhere classified |
| K314 | Gastric diverticulum |
| K316 | Fistula of stomach and duodenum |
| K31819 | Angiodysplasia of stomach and duodenum without bleeding |
| K3183 | Achlorhydria |
| K3184 | Gastroparesis |
| K3189 | Other diseases of stomach and duodenum |
| K319 | Disease of stomach and duodenum, unspecified |
| K31A0 | Gastric intestinal metaplasia, unspecified |
| K31A11 | Gastric intestinal metaplasia without dysplasia, involving the antrum |
| K31A12 | Gastric intestinal metaplasia without dysplasia, involving the body (corpus) |
| K31A13 | Gastric intestinal metaplasia without dysplasia, involving the fundus |
| K31A14 | Gastric intestinal metaplasia without dysplasia, involving the cardia |
| K31A15 | Gastric intestinal metaplasia without dysplasia, involving multiple sites |
| K31A19 | Gastric intestinal metaplasia without dysplasia, unspecified site |
| K31A21 | Gastric intestinal metaplasia with low grade dysplasia |
| K31A22 | Gastric intestinal metaplasia with high grade dysplasia |
| K31A29 | Gastric intestinal metaplasia with dysplasia, unspecified |
| K440 | Diaphragmatic hernia with obstruction, without gangrene |
| K449 | Diaphragmatic hernia without obstruction or gangrene |
| K5221 | Food protein-induced enterocolitis syndrome |
| K5222 | Food protein-induced enteropathy |
| K5229 | Other allergic and dietetic gastroenteritis and colitis |
| K523 | Indeterminate colitis |
| K5281 | Eosinophilic gastritis or gastroenteritis |
| K5282 | Eosinophilic colitis |
| K52831 | Collagenous colitis |
| K52832 | Lymphocytic colitis |
| K52838 | Other microscopic colitis |
| K52839 | Microscopic colitis, unspecified |
| K5289 | Other specified noninfective gastroenteritis and colitis |
| K529 | Noninfective gastroenteritis and colitis, unspecified |
| K5700 | Diverticulitis of small intestine with perforation and abscess without bleeding |
| K5710 | Diverticulosis of small intestine without perforation or abscess without bleeding |
| K5712 | Diverticulitis of small intestine without perforation or abscess without bleeding |
| K5720 | Diverticulitis of large intestine with perforation and abscess without bleeding |
| K5730 | Diverticulosis of large intestine without perforation or abscess without bleeding |
| K5732 | Diverticulitis of large intestine without perforation or abscess without bleeding |
| K5740 | Diverticulitis of both small and large intestine with perforation and abscess without bleeding |
| K5750 | Diverticulosis of both small and large intestine without perforation or abscess without bleeding |
| K5752 | Diverticulitis of both small and large intestine without perforation or abscess without bleeding |
| K5780 | Diverticulitis of intestine, part unspecified, with perforation and abscess without bleeding |
| K5790 | Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding |
| K5792 | Diverticulitis of intestine, part unspecified, without perforation or abscess without bleeding |
| K580 | Irritable bowel syndrome with diarrhea |
| K581 | Irritable bowel syndrome with constipation |
| K582 | Mixed irritable bowel syndrome |
| K588 | Other irritable bowel syndrome |
| K589 | Irritable bowel syndrome without diarrhea |
| K5900 | Constipation, unspecified |
| K5901 | Slow transit constipation |
| K5902 | Outlet dysfunction constipation |
| K5903 | Drug induced constipation |
| K5904 | Chronic idiopathic constipation |
| K5909 | Other constipation |
| K591 | Functional diarrhea |
| K592 | Neurogenic bowel, not elsewhere classified |
| K594 | Anal spasm |
| K5981 | Ogilvie syndrome |
| K5989 | Other specified functional intestinal disorders |
| K599 | Functional intestinal disorder, unspecified |
| K900 | Celiac disease |
| K901 | Tropical sprue |
| K902 | Blind loop syndrome, not elsewhere classified |
| K903 | Pancreatic steatorrhea |
| K9041 | Non-celiac gluten sensitivity |
| K9049 | Malabsorption due to intolerance, not elsewhere classified |
| K9089 | Other intestinal malabsorption |
| K909 | Intestinal malabsorption, unspecified |
| K910 | Vomiting following gastrointestinal surgery |
| K911 | Postgastric surgery syndromes |
| K912 | Postsurgical malabsorption, not elsewhere classified |
| K9281 | Gastrointestinal mucositis (ulcerative) |
| N805 | Endometriosis of intestine |
| R100 | Acute abdomen |
| R1010 | Upper abdominal pain, unspecified |
| R1011 | Right upper quadrant pain |
| R1012 | Left upper quadrant pain |
| R1013 | Epigastric pain |
| R102 | Pelvic and perineal pain |
| R1030 | Lower abdominal pain, unspecified |
| R1031 | Right lower quadrant pain |
| R1032 | Left lower quadrant pain |
| R1033 | Periumbilical pain |
| R10811 | Right upper quadrant abdominal tenderness |
| R10812 | Left upper quadrant abdominal tenderness |
| R10813 | Right lower quadrant abdominal tenderness |
| R10814 | Left lower quadrant abdominal tenderness |
| R10815 | Periumbilic abdominal tenderness |
| R10816 | Epigastric abdominal tenderness |
| R10817 | Generalized abdominal tenderness |
| R10819 | Abdominal tenderness, unspecified site |
| R10821 | Right upper quadrant rebound abdominal tenderness |
| R10822 | Left upper quadrant rebound abdominal tenderness |
| R10823 | Right lower quadrant rebound abdominal tenderness |
| R10824 | Left lower quadrant rebound abdominal tenderness |
| R10825 | Periumbilic rebound abdominal tenderness |
| R10826 | Epigastric rebound abdominal tenderness |
| R10827 | Generalized rebound abdominal tenderness |
| R10829 | Rebound abdominal tenderness, unspecified site |
| R1083 | Colic |
| R1084 | Generalized abdominal pain |
| R109 | Unspecified abdominal pain |
| R110 | Nausea |
| R1110 | Vomiting, unspecified |
| R1111 | Vomiting without nausea |
| R1112 | Projectile vomiting |
| R1114 | Bilious vomiting |
| R112 | Nausea with vomiting, unspecified |
| R12 | Heartburn |
| R130 | Aphagia |
| R1310 | Dysphagia, unspecified |
| R1311 | Dysphagia, oral phase |
| R1312 | Dysphagia, oropharyngeal phase |
| R1313 | Dysphagia, pharyngeal phase |
| R1314 | Dysphagia, pharyngoesophageal phase |
| R1319 | Other dysphagia |
| R140 | Abdominal distension (gaseous) |
| R141 | Gas pain |
| R142 | Eructation |
| R143 | Flatulence |
| R150 | Incomplete defecation |
| R151 | Fecal smearing |
| R152 | Fecal urgency |
| R159 | Full incontinence of feces |
| R1900 | Intra-abdominal and pelvic swelling, mass and lump, unspecified site |
| R1901 | Right upper quadrant abdominal swelling, mass and lump |
| R1902 | Left upper quadrant abdominal swelling, mass and lump |
| R1903 | Right lower quadrant abdominal swelling, mass and lump |
| R1904 | Left lower quadrant abdominal swelling, mass and lump |
| R1905 | Periumbilic swelling, mass or lump |
| R1906 | Epigastric swelling, mass or lump |
| R1907 | Generalized intra-abdominal and pelvic swelling, mass and lump |
| R1909 | Other intra-abdominal and pelvic swelling, mass and lump |
| R1911 | Absent bowel sounds |
| R1912 | Hyperactive bowel sounds |
| R1915 | Other abnormal bowel sounds |
| R192 | Visible peristalsis |
| R194 | Change in bowel habit |
| R195 | Other fecal abnormalities |
| R197 | Diarrhea, unspecified |
| R198 | Other specified symptoms and signs involving the digestive system and abdomen |
| R933 | Abnormal findings on diagnostic imaging of other parts of digestive tract |
| R935 | Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 06 Jul 2021 14:18:42 CMS, code-revision=311, description-revision=1309 |