ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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| Appendix C: Principal diagnoses which convert CC/MCC to non-CC |
| Page 9 of 1270 |
| PDX Collection 0048 | |
| A179 | Tuberculosis of nervous system, unspecified |
| A187 | Tuberculosis of adrenal glands |
| A1882 | Tuberculosis of other endocrine glands |
| A1884 | Tuberculosis of heart |
| A1889 | Tuberculosis of other sites |
| A312 | Disseminated mycobacterium avium-intracellulare complex (DMAC) |
| A318 | Other mycobacterial infections |
| A319 | Mycobacterial infection, unspecified |
| A493 | Mycoplasma infection, unspecified site |
| A498 | Other bacterial infections of unspecified site |
| A499 | Bacterial infection, unspecified |
| B92 | Sequelae of leprosy |
| B942 | Sequelae of viral hepatitis |
| B948 | Sequelae of other specified infectious and parasitic diseases |
| B949 | Sequelae of unspecified infectious and parasitic disease |
| B960 | Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere |
| B966 | Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere |
| B967 | Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere |
| B9681 | Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere |
| B9682 | Vibrio vulnificus as the cause of diseases classified elsewhere |
| B9689 | Other specified bacterial agents as the cause of diseases classified elsewhere |
| PDX Collection 0049 | |
| A179 | Tuberculosis of nervous system, unspecified |
| A1881 | Tuberculosis of thyroid gland |
| A1882 | Tuberculosis of other endocrine glands |
| A1884 | Tuberculosis of heart |
| A1889 | Tuberculosis of other sites |
| A312 | Disseminated mycobacterium avium-intracellulare complex (DMAC) |
| A318 | Other mycobacterial infections |
| A319 | Mycobacterial infection, unspecified |
| A493 | Mycoplasma infection, unspecified site |
| A498 | Other bacterial infections of unspecified site |
| A499 | Bacterial infection, unspecified |
| B92 | Sequelae of leprosy |
| B942 | Sequelae of viral hepatitis |
| B948 | Sequelae of other specified infectious and parasitic diseases |
| B949 | Sequelae of unspecified infectious and parasitic disease |
| B960 | Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere |
| B966 | Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere |
| B967 | Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere |
| B9681 | Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere |
| B9682 | Vibrio vulnificus as the cause of diseases classified elsewhere |
| B9689 | Other specified bacterial agents as the cause of diseases classified elsewhere |
| PDX Collection 0050 | |
| A179 | Tuberculosis of nervous system, unspecified |
| A1882 | Tuberculosis of other endocrine glands |
| A1884 | Tuberculosis of heart |
| A1885 | Tuberculosis of spleen |
| A1889 | Tuberculosis of other sites |
| A312 | Disseminated mycobacterium avium-intracellulare complex (DMAC) |
| A318 | Other mycobacterial infections |
| A319 | Mycobacterial infection, unspecified |
| A493 | Mycoplasma infection, unspecified site |
| A498 | Other bacterial infections of unspecified site |
| A499 | Bacterial infection, unspecified |
| B92 | Sequelae of leprosy |
| B942 | Sequelae of viral hepatitis |
| B948 | Sequelae of other specified infectious and parasitic diseases |
| B949 | Sequelae of unspecified infectious and parasitic disease |
| B960 | Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere |
| B966 | Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere |
| B967 | Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere |
| B9681 | Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere |
| B9682 | Vibrio vulnificus as the cause of diseases classified elsewhere |
| B9689 | Other specified bacterial agents as the cause of diseases classified elsewhere |
| PDX Collection 0051 | |
| A179 | Tuberculosis of nervous system, unspecified |
| A1882 | Tuberculosis of other endocrine glands |
| A1884 | Tuberculosis of heart |
| A1889 | Tuberculosis of other sites |
| A190 | Acute miliary tuberculosis of a single specified site |
| A191 | Acute miliary tuberculosis of multiple sites |
| A192 | Acute miliary tuberculosis, unspecified |
| A198 | Other miliary tuberculosis |
| A199 | Miliary tuberculosis, unspecified |
| A312 | Disseminated mycobacterium avium-intracellulare complex (DMAC) |
| A318 | Other mycobacterial infections |
| A319 | Mycobacterial infection, unspecified |
| A493 | Mycoplasma infection, unspecified site |
| A498 | Other bacterial infections of unspecified site |
| A499 | Bacterial infection, unspecified |
| B92 | Sequelae of leprosy |
| B942 | Sequelae of viral hepatitis |
| B948 | Sequelae of other specified infectious and parasitic diseases |
| B949 | Sequelae of unspecified infectious and parasitic disease |
| B960 | Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere |
| B966 | Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere |
| B967 | Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere |
| B9681 | Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere |
| B9682 | Vibrio vulnificus as the cause of diseases classified elsewhere |
| B9689 | Other specified bacterial agents as the cause of diseases classified elsewhere |
| PDX Collection 0052 | |
| A200 | Bubonic plague |
| A201 | Cellulocutaneous plague |
| A202 | Pneumonic plague |
| A203 | Plague meningitis |
| A207 | Septicemic plague |
| A208 | Other forms of plague |
| A209 | Plague, unspecified |
| PDX Collection 0053 | |
| A202 | Pneumonic plague |
| J1281 | Pneumonia due to SARS-associated coronavirus |
| PDX Collection 0054 | |
| A203 | Plague meningitis |
| A208 | Other forms of plague |
| PDX Collection 0055 | |
| A021 | Salmonella sepsis |
| A200 | Bubonic plague |
| A201 | Cellulocutaneous plague |
| A202 | Pneumonic plague |
| A203 | Plague meningitis |
| A207 | Septicemic plague |
| A208 | Other forms of plague |
| A209 | Plague, unspecified |
| A227 | Anthrax sepsis |
| A267 | Erysipelothrix sepsis |
| A327 | Listerial sepsis |
| A400 | Sepsis due to streptococcus, group A |
| A401 | Sepsis due to streptococcus, group B |
| A408 | Other streptococcal sepsis |
| A409 | Streptococcal sepsis, unspecified |
| A4101 | Sepsis due to Methicillin susceptible Staphylococcus aureus |
| A4102 | Sepsis due to Methicillin resistant Staphylococcus aureus |
| A411 | Sepsis due to other specified staphylococcus |
| A412 | Sepsis due to unspecified staphylococcus |
| A413 | Sepsis due to Hemophilus influenzae |
| A414 | Sepsis due to anaerobes |
| A4150 | Gram-negative sepsis, unspecified |
| A4151 | Sepsis due to Escherichia coli [E. coli] |
| A4152 | Sepsis due to Pseudomonas |
| A4153 | Sepsis due to Serratia |
| A4159 | Other Gram-negative sepsis |
| A4181 | Sepsis due to Enterococcus |
| A4189 | Other specified sepsis |
| A419 | Sepsis, unspecified organism |
| A427 | Actinomycotic sepsis |
| A5486 | Gonococcal sepsis |
| B377 | Candidal sepsis |
| P360 | Sepsis of newborn due to streptococcus, group B |
| P3610 | Sepsis of newborn due to unspecified streptococci |
| P3619 | Sepsis of newborn due to other streptococci |
| P362 | Sepsis of newborn due to Staphylococcus aureus |
| P3630 | Sepsis of newborn due to unspecified staphylococci |
| P3639 | Sepsis of newborn due to other staphylococci |
| P364 | Sepsis of newborn due to Escherichia coli |
| P365 | Sepsis of newborn due to anaerobes |
| P368 | Other bacterial sepsis of newborn |
| P369 | Bacterial sepsis of newborn, unspecified |
| P392 | Intra-amniotic infection affecting newborn, not elsewhere classified |
| P394 | Neonatal skin infection |
| P398 | Other specified infections specific to the perinatal period |
| P399 | Infection specific to the perinatal period, unspecified |
| R6510 | Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction |
| R6511 | Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction |
| R6520 | Severe sepsis without septic shock |
| PDX Collection 0056 | |
| A209 | Plague, unspecified |
| PDX Collection 0057 | |
| A210 | Ulceroglandular tularemia |
| PDX Collection 0058 | |
| A211 | Oculoglandular tularemia |
| J1281 | Pneumonia due to SARS-associated coronavirus |
| PDX Collection 0060 | |
| A213 | Gastrointestinal tularemia |
| PDX Collection 0061 | |
| A210 | Ulceroglandular tularemia |
| A211 | Oculoglandular tularemia |
| A212 | Pulmonary tularemia |
| A213 | Gastrointestinal tularemia |
| A217 | Generalized tularemia |
| A218 | Other forms of tularemia |
| A219 | Tularemia, unspecified |
| PDX Collection 0062 | |
| A220 | Cutaneous anthrax |
| PDX Collection 0064 | |
| A222 | Gastrointestinal anthrax |
| PDX Collection 0065 | |
| A228 | Other forms of anthrax |
| PDX Collection 0066 | |
| A220 | Cutaneous anthrax |
| A221 | Pulmonary anthrax |
| A222 | Gastrointestinal anthrax |
| A227 | Anthrax sepsis |
| A228 | Other forms of anthrax |
| A229 | Anthrax, unspecified |
| PDX Collection 0067 | |
| A230 | Brucellosis due to Brucella melitensis |
| A231 | Brucellosis due to Brucella abortus |
| A232 | Brucellosis due to Brucella suis |
| A233 | Brucellosis due to Brucella canis |
| A238 | Other brucellosis |
| A239 | Brucellosis, unspecified |
| PDX Collection 0068 | |
| A240 | Glanders |
| PDX Collection 0069 | |
| A241 | Acute and fulminating melioidosis |
| A242 | Subacute and chronic melioidosis |
| A243 | Other melioidosis |
| A249 | Melioidosis, unspecified |
| PDX Collection 0070 | |
| A250 | Spirillosis |
| A251 | Streptobacillosis |
| A259 | Rat-bite fever, unspecified |
| PDX Collection 0071 | |
| A021 | Salmonella sepsis |
| A207 | Septicemic plague |
| A227 | Anthrax sepsis |
| A267 | Erysipelothrix sepsis |
| A327 | Listerial sepsis |
| A392 | Acute meningococcemia |
| A393 | Chronic meningococcemia |
| A394 | Meningococcemia, unspecified |
| A400 | Sepsis due to streptococcus, group A |
| A401 | Sepsis due to streptococcus, group B |
| A408 | Other streptococcal sepsis |
| A409 | Streptococcal sepsis, unspecified |
| A4101 | Sepsis due to Methicillin susceptible Staphylococcus aureus |
| A4102 | Sepsis due to Methicillin resistant Staphylococcus aureus |
| A411 | Sepsis due to other specified staphylococcus |
| A412 | Sepsis due to unspecified staphylococcus |
| A413 | Sepsis due to Hemophilus influenzae |
| A414 | Sepsis due to anaerobes |
| A4150 | Gram-negative sepsis, unspecified |
| A4151 | Sepsis due to Escherichia coli [E. coli] |
| A4152 | Sepsis due to Pseudomonas |
| A4153 | Sepsis due to Serratia |
| A4159 | Other Gram-negative sepsis |
| A4181 | Sepsis due to Enterococcus |
| A4189 | Other specified sepsis |
| A419 | Sepsis, unspecified organism |
| A427 | Actinomycotic sepsis |
| A482 | Nonpneumonic Legionnaires' disease [Pontiac fever] |
| A483 | Toxic shock syndrome |
| A484 | Brazilian purpuric fever |
| A488 | Other specified bacterial diseases |
| A4901 | Methicillin susceptible Staphylococcus aureus infection, unspecified site |
| A4902 | Methicillin resistant Staphylococcus aureus infection, unspecified site |
| A491 | Streptococcal infection, unspecified site |
| A492 | Hemophilus influenzae infection, unspecified site |
| A493 | Mycoplasma infection, unspecified site |
| A498 | Other bacterial infections of unspecified site |
| A499 | Bacterial infection, unspecified |
| A5486 | Gonococcal sepsis |
| B007 | Disseminated herpesviral disease |
| B377 | Candidal sepsis |
| B92 | Sequelae of leprosy |
| B942 | Sequelae of viral hepatitis |
| B948 | Sequelae of other specified infectious and parasitic diseases |
| B949 | Sequelae of unspecified infectious and parasitic disease |
| B950 | Streptococcus, group A, as the cause of diseases classified elsewhere |
| B951 | Streptococcus, group B, as the cause of diseases classified elsewhere |
| B952 | Enterococcus as the cause of diseases classified elsewhere |
| B953 | Streptococcus pneumoniae as the cause of diseases classified elsewhere |
| B954 | Other streptococcus as the cause of diseases classified elsewhere |
| B955 | Unspecified streptococcus as the cause of diseases classified elsewhere |
| B9561 | Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere |
| B9562 | Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere |
| B957 | Other staphylococcus as the cause of diseases classified elsewhere |
| B958 | Unspecified staphylococcus as the cause of diseases classified elsewhere |
| B960 | Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere |
| B961 | Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere |
| B9620 | Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere |
| B9621 | Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere |
| B9622 | Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere |
| B9623 | Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere |
| B9629 | Other Escherichia coli [E. coli] as the cause of diseases classified elsewhere |
| B963 | Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere |
| B964 | Proteus (mirabilis) (morganii) as the cause of diseases classified elsewhere |
| B965 | Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere |
| B966 | Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere |
| B967 | Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere |
| B9681 | Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere |
| B9682 | Vibrio vulnificus as the cause of diseases classified elsewhere |
| B9689 | Other specified bacterial agents as the cause of diseases classified elsewhere |
| R6510 | Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction |
| R6511 | Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction |
| R6520 | Severe sepsis without septic shock |
| Z1610 | Resistance to unspecified beta lactam antibiotics |
| Z1611 | Resistance to penicillins |
| Z1612 | Extended spectrum beta lactamase (ESBL) resistance |
| Z1619 | Resistance to other specified beta lactam antibiotics |
| Z1620 | Resistance to unspecified antibiotic |
| Z1621 | Resistance to vancomycin |
| Z1622 | Resistance to vancomycin related antibiotics |
| Z1623 | Resistance to quinolones and fluoroquinolones |
| Z1624 | Resistance to multiple antibiotics |
| Z1629 | Resistance to other single specified antibiotic |
| Z1630 | Resistance to unspecified antimicrobial drugs |
| Z1631 | Resistance to antiparasitic drug(s) |
| Z1632 | Resistance to antifungal drug(s) |
| Z1633 | Resistance to antiviral drug(s) |
| Z16341 | Resistance to single antimycobacterial drug |
| Z16342 | Resistance to multiple antimycobacterial drugs |
| Z1635 | Resistance to multiple antimicrobial drugs |
| Z1639 | Resistance to other specified antimicrobial drug |
| PDX Collection 0072 | |
| A270 | Leptospirosis icterohemorrhagica |
| A2781 | Aseptic meningitis in leptospirosis |
| A2789 | Other forms of leptospirosis |
| A279 | Leptospirosis, unspecified |
| PDX Collection 0073 | |
| A0221 | Salmonella meningitis |
| A170 | Tuberculous meningitis |
| A171 | Meningeal tuberculoma |
| A270 | Leptospirosis icterohemorrhagica |
| A2781 | Aseptic meningitis in leptospirosis |
| A2789 | Other forms of leptospirosis |
| A279 | Leptospirosis, unspecified |
| A390 | Meningococcal meningitis |
| A5041 | Late congenital syphilitic meningitis |
| A5141 | Secondary syphilitic meningitis |
| A5213 | Late syphilitic meningitis |
| A5482 | Gonococcal brain abscess |
| A5484 | Gonococcal pneumonia |
| A5489 | Other gonococcal infections |
| A549 | Gonococcal infection, unspecified |
| A7481 | Chlamydial peritonitis |
| A7489 | Other chlamydial diseases |
| A749 | Chlamydial infection, unspecified |
| A870 | Enteroviral meningitis |
| A871 | Adenoviral meningitis |
| A872 | Lymphocytic choriomeningitis |
| A878 | Other viral meningitis |
| A879 | Viral meningitis, unspecified |
| A962 | Lassa fever |
| A983 | Marburg virus disease |
| A984 | Ebola virus disease |
| B261 | Mumps meningitis |
| B3324 | Viral cardiomyopathy |
| B334 | Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS] |
| B338 | Other specified viral diseases |
| B341 | Enterovirus infection, unspecified |
| B342 | Coronavirus infection, unspecified |
| B344 | Papovavirus infection, unspecified |
| B348 | Other viral infections of unspecified site |
| B375 | Candidal meningitis |
| B384 | Coccidioidomycosis meningitis |
| B451 | Cerebral cryptococcosis |
| B582 | Toxoplasma meningoencephalitis |
| B92 | Sequelae of leprosy |
| B942 | Sequelae of viral hepatitis |
| B948 | Sequelae of other specified infectious and parasitic diseases |
| B949 | Sequelae of unspecified infectious and parasitic disease |
| B9710 | Unspecified enterovirus as the cause of diseases classified elsewhere |
| B9719 | Other enterovirus as the cause of diseases classified elsewhere |
| B9729 | Other coronavirus as the cause of diseases classified elsewhere |
| B975 | Reovirus as the cause of diseases classified elsewhere |
| B976 | Parvovirus as the cause of diseases classified elsewhere |
| B9781 | Human metapneumovirus as the cause of diseases classified elsewhere |
| B9789 | Other viral agents as the cause of diseases classified elsewhere |
| G000 | Hemophilus meningitis |
| G001 | Pneumococcal meningitis |
| G002 | Streptococcal meningitis |
| G003 | Staphylococcal meningitis |
| G008 | Other bacterial meningitis |
| G009 | Bacterial meningitis, unspecified |
| G01 | Meningitis in bacterial diseases classified elsewhere |
| G02 | Meningitis in other infectious and parasitic diseases classified elsewhere |
| G030 | Nonpyogenic meningitis |
| G031 | Chronic meningitis |
| G032 | Benign recurrent meningitis [Mollaret] |
| G038 | Meningitis due to other specified causes |
| G039 | Meningitis, unspecified |
| G042 | Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified |
| G3289 | Other specified degenerative disorders of nervous system in diseases classified elsewhere |
| G610 | Guillain-Barre syndrome |
| G969 | Disorder of central nervous system, unspecified |
| G980 | Neurogenic arthritis, not elsewhere classified |
| G988 | Other disorders of nervous system |
| G998 | Other specified disorders of nervous system in diseases classified elsewhere |
| PDX Collection 0074 | |
| A260 | Cutaneous erysipeloid |
| A268 | Other forms of erysipeloid |
| A269 | Erysipeloid, unspecified |
| A280 | Pasteurellosis |
| A282 | Extraintestinal yersiniosis |
| A288 | Other specified zoonotic bacterial diseases, not elsewhere classified |
| A289 | Zoonotic bacterial disease, unspecified |
| A320 | Cutaneous listeriosis |
| A3211 | Listerial meningitis |
| A3212 | Listerial meningoencephalitis |
| A3281 | Oculoglandular listeriosis |
| A3282 | Listerial endocarditis |
| A3289 | Other forms of listeriosis |
| A329 | Listeriosis, unspecified |
| PDX Collection 0075 | |
| A281 | Cat-scratch disease |
| B9721 | SARS-associated coronavirus as the cause of diseases classified elsewhere |
| PDX Collection 0076 | |
| A300 | Indeterminate leprosy |
| PDX Collection 0077 | |
| A301 | Tuberculoid leprosy |
| PDX Collection 0078 | |
| A302 | Borderline tuberculoid leprosy |
| A303 | Borderline leprosy |
| A304 | Borderline lepromatous leprosy |
| PDX Collection 0079 | |
| A305 | Lepromatous leprosy |
| PDX Collection 0080 | |
| A308 | Other forms of leprosy |
| PDX Collection 0081 | |
| A309 | Leprosy, unspecified |
| PDX Collection 0082 | |
| A150 | Tuberculosis of lung |
| A154 | Tuberculosis of intrathoracic lymph nodes |
| A155 | Tuberculosis of larynx, trachea and bronchus |
| A156 | Tuberculous pleurisy |
| A158 | Other respiratory tuberculosis |
| A159 | Respiratory tuberculosis unspecified |
| A179 | Tuberculosis of nervous system, unspecified |
| A1882 | Tuberculosis of other endocrine glands |
| A1884 | Tuberculosis of heart |
| A1889 | Tuberculosis of other sites |
| A221 | Pulmonary anthrax |
| A310 | Pulmonary mycobacterial infection |
| A312 | Disseminated mycobacterium avium-intracellulare complex (DMAC) |
| A318 | Other mycobacterial infections |
| A319 | Mycobacterial infection, unspecified |
| A3701 | Whooping cough due to Bordetella pertussis with pneumonia |
| A3711 | Whooping cough due to Bordetella parapertussis with pneumonia |
| A3781 | Whooping cough due to other Bordetella species with pneumonia |
| A3791 | Whooping cough, unspecified species with pneumonia |
| A481 | Legionnaires' disease |
| A493 | Mycoplasma infection, unspecified site |
| A498 | Other bacterial infections of unspecified site |
| A499 | Bacterial infection, unspecified |
| B250 | Cytomegaloviral pneumonitis |
| B440 | Invasive pulmonary aspergillosis |
| B909 | Sequelae of respiratory and unspecified tuberculosis |
| B92 | Sequelae of leprosy |
| B942 | Sequelae of viral hepatitis |
| B948 | Sequelae of other specified infectious and parasitic diseases |
| B949 | Sequelae of unspecified infectious and parasitic disease |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |