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 19 of 1270 |
| PDX Collection 0123 (continued) | |
| A522 | Asymptomatic neurosyphilis |
| A523 | Neurosyphilis, unspecified |
| A5271 | Late syphilitic oculopathy |
| A5272 | Syphilis of lung and bronchus |
| A5273 | Symptomatic late syphilis of other respiratory organs |
| A5274 | Syphilis of liver and other viscera |
| A5275 | Syphilis of kidney and ureter |
| A5276 | Other genitourinary symptomatic late syphilis |
| A5277 | Syphilis of bone and joint |
| A5278 | Syphilis of other musculoskeletal tissue |
| A5279 | Other symptomatic late syphilis |
| A528 | Late syphilis, latent |
| A529 | Late syphilis, unspecified |
| A530 | Latent syphilis, unspecified as early or late |
| A539 | Syphilis, unspecified |
| A5400 | Gonococcal infection of lower genitourinary tract, unspecified |
| A5401 | Gonococcal cystitis and urethritis, unspecified |
| A5402 | Gonococcal vulvovaginitis, unspecified |
| A5403 | Gonococcal cervicitis, unspecified |
| A5409 | Other gonococcal infection of lower genitourinary tract |
| A541 | Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess |
| A5421 | Gonococcal infection of kidney and ureter |
| A5422 | Gonococcal prostatitis |
| A5423 | Gonococcal infection of other male genital organs |
| A5424 | Gonococcal female pelvic inflammatory disease |
| A5429 | Other gonococcal genitourinary infections |
| A5430 | Gonococcal infection of eye, unspecified |
| A5431 | Gonococcal conjunctivitis |
| A5432 | Gonococcal iridocyclitis |
| A5433 | Gonococcal keratitis |
| A5439 | Other gonococcal eye infection |
| A5440 | Gonococcal infection of musculoskeletal system, unspecified |
| A5441 | Gonococcal spondylopathy |
| A5442 | Gonococcal arthritis |
| A5443 | Gonococcal osteomyelitis |
| A5449 | Gonococcal infection of other musculoskeletal tissue |
| A545 | Gonococcal pharyngitis |
| A546 | Gonococcal infection of anus and rectum |
| A5481 | Gonococcal meningitis |
| A5482 | Gonococcal brain abscess |
| A5483 | Gonococcal heart infection |
| A5484 | Gonococcal pneumonia |
| A5485 | Gonococcal peritonitis |
| A5489 | Other gonococcal infections |
| A549 | Gonococcal infection, unspecified |
| A55 | Chlamydial lymphogranuloma (venereum) |
| A5600 | Chlamydial infection of lower genitourinary tract, unspecified |
| A5601 | Chlamydial cystitis and urethritis |
| A5602 | Chlamydial vulvovaginitis |
| A5609 | Other chlamydial infection of lower genitourinary tract |
| A5611 | Chlamydial female pelvic inflammatory disease |
| A5619 | Other chlamydial genitourinary infection |
| A562 | Chlamydial infection of genitourinary tract, unspecified |
| A563 | Chlamydial infection of anus and rectum |
| A564 | Chlamydial infection of pharynx |
| A568 | Sexually transmitted chlamydial infection of other sites |
| A57 | Chancroid |
| A58 | Granuloma inguinale |
| A638 | Other specified predominantly sexually transmitted diseases |
| A64 | Unspecified sexually transmitted disease |
| M0230 | Reiter's disease, unspecified site |
| M02311 | Reiter's disease, right shoulder |
| M02312 | Reiter's disease, left shoulder |
| M02319 | Reiter's disease, unspecified shoulder |
| M02321 | Reiter's disease, right elbow |
| M02322 | Reiter's disease, left elbow |
| M02329 | Reiter's disease, unspecified elbow |
| M02331 | Reiter's disease, right wrist |
| M02332 | Reiter's disease, left wrist |
| M02339 | Reiter's disease, unspecified wrist |
| M02341 | Reiter's disease, right hand |
| M02342 | Reiter's disease, left hand |
| M02349 | Reiter's disease, unspecified hand |
| M02351 | Reiter's disease, right hip |
| M02352 | Reiter's disease, left hip |
| M02359 | Reiter's disease, unspecified hip |
| M02361 | Reiter's disease, right knee |
| M02362 | Reiter's disease, left knee |
| M02369 | Reiter's disease, unspecified knee |
| M02371 | Reiter's disease, right ankle and foot |
| M02372 | Reiter's disease, left ankle and foot |
| M02379 | Reiter's disease, unspecified ankle and foot |
| M0238 | Reiter's disease, vertebrae |
| M0239 | Reiter's disease, multiple sites |
| N2581 | Secondary hyperparathyroidism of renal origin |
| N2589 | Other disorders resulting from impaired renal tubular function |
| N341 | Nonspecific urethritis |
| PDX Collection 0125 | |
| A1831 | Tuberculous peritonitis |
| A34 | Obstetrical tetanus |
| A5001 | Early congenital syphilitic oculopathy |
| A5002 | Early congenital syphilitic osteochondropathy |
| A5003 | Early congenital syphilitic pharyngitis |
| A5004 | Early congenital syphilitic pneumonia |
| A5005 | Early congenital syphilitic rhinitis |
| A5006 | Early cutaneous congenital syphilis |
| A5007 | Early mucocutaneous congenital syphilis |
| A5008 | Early visceral congenital syphilis |
| A5009 | Other early congenital syphilis, symptomatic |
| A501 | Early congenital syphilis, latent |
| A502 | Early congenital syphilis, unspecified |
| A5030 | Late congenital syphilitic oculopathy, unspecified |
| A5031 | Late congenital syphilitic interstitial keratitis |
| A5032 | Late congenital syphilitic chorioretinitis |
| A5039 | Other late congenital syphilitic oculopathy |
| A5040 | Late congenital neurosyphilis, unspecified |
| A5041 | Late congenital syphilitic meningitis |
| A5042 | Late congenital syphilitic encephalitis |
| A5043 | Late congenital syphilitic polyneuropathy |
| A5044 | Late congenital syphilitic optic nerve atrophy |
| A5045 | Juvenile general paresis |
| A5049 | Other late congenital neurosyphilis |
| A5051 | Clutton's joints |
| A5052 | Hutchinson's teeth |
| A5053 | Hutchinson's triad |
| A5054 | Late congenital cardiovascular syphilis |
| A5055 | Late congenital syphilitic arthropathy |
| A5056 | Late congenital syphilitic osteochondropathy |
| A5057 | Syphilitic saddle nose |
| A5059 | Other late congenital syphilis, symptomatic |
| A506 | Late congenital syphilis, latent |
| A507 | Late congenital syphilis, unspecified |
| A509 | Congenital syphilis, unspecified |
| A510 | Primary genital syphilis |
| A511 | Primary anal syphilis |
| A512 | Primary syphilis of other sites |
| A5131 | Condyloma latum |
| A5132 | Syphilitic alopecia |
| A5139 | Other secondary syphilis of skin |
| A5141 | Secondary syphilitic meningitis |
| A5142 | Secondary syphilitic female pelvic disease |
| A5143 | Secondary syphilitic oculopathy |
| A5144 | Secondary syphilitic nephritis |
| A5145 | Secondary syphilitic hepatitis |
| A5146 | Secondary syphilitic osteopathy |
| A515 | Early syphilis, latent |
| A519 | Early syphilis, unspecified |
| A5200 | Cardiovascular syphilis, unspecified |
| A5201 | Syphilitic aneurysm of aorta |
| A5202 | Syphilitic aortitis |
| A5203 | Syphilitic endocarditis |
| A5204 | Syphilitic cerebral arteritis |
| A5205 | Other cerebrovascular syphilis |
| A5206 | Other syphilitic heart involvement |
| A5209 | Other cardiovascular syphilis |
| A5210 | Symptomatic neurosyphilis, unspecified |
| A5211 | Tabes dorsalis |
| A5212 | Other cerebrospinal syphilis |
| A5213 | Late syphilitic meningitis |
| A5214 | Late syphilitic encephalitis |
| A5215 | Late syphilitic neuropathy |
| A5216 | Charcot's arthropathy (tabetic) |
| A5217 | General paresis |
| A5219 | Other symptomatic neurosyphilis |
| A522 | Asymptomatic neurosyphilis |
| A523 | Neurosyphilis, unspecified |
| A5271 | Late syphilitic oculopathy |
| A5272 | Syphilis of lung and bronchus |
| A5273 | Symptomatic late syphilis of other respiratory organs |
| A5274 | Syphilis of liver and other viscera |
| A5275 | Syphilis of kidney and ureter |
| A5276 | Other genitourinary symptomatic late syphilis |
| A5277 | Syphilis of bone and joint |
| A5278 | Syphilis of other musculoskeletal tissue |
| A5279 | Other symptomatic late syphilis |
| A528 | Late syphilis, latent |
| A529 | Late syphilis, unspecified |
| A530 | Latent syphilis, unspecified as early or late |
| A539 | Syphilis, unspecified |
| A5400 | Gonococcal infection of lower genitourinary tract, unspecified |
| A5401 | Gonococcal cystitis and urethritis, unspecified |
| A5402 | Gonococcal vulvovaginitis, unspecified |
| A5403 | Gonococcal cervicitis, unspecified |
| A5409 | Other gonococcal infection of lower genitourinary tract |
| A541 | Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess |
| A5421 | Gonococcal infection of kidney and ureter |
| A5422 | Gonococcal prostatitis |
| A5423 | Gonococcal infection of other male genital organs |
| A5424 | Gonococcal female pelvic inflammatory disease |
| A5429 | Other gonococcal genitourinary infections |
| A5430 | Gonococcal infection of eye, unspecified |
| A5431 | Gonococcal conjunctivitis |
| A5432 | Gonococcal iridocyclitis |
| A5433 | Gonococcal keratitis |
| A5439 | Other gonococcal eye infection |
| A5440 | Gonococcal infection of musculoskeletal system, unspecified |
| A5441 | Gonococcal spondylopathy |
| A5442 | Gonococcal arthritis |
| A5443 | Gonococcal osteomyelitis |
| A5449 | Gonococcal infection of other musculoskeletal tissue |
| A545 | Gonococcal pharyngitis |
| A546 | Gonococcal infection of anus and rectum |
| A5481 | Gonococcal meningitis |
| A5482 | Gonococcal brain abscess |
| A5483 | Gonococcal heart infection |
| A5484 | Gonococcal pneumonia |
| A5485 | Gonococcal peritonitis |
| A5489 | Other gonococcal infections |
| A549 | Gonococcal infection, unspecified |
| A55 | Chlamydial lymphogranuloma (venereum) |
| A5600 | Chlamydial infection of lower genitourinary tract, unspecified |
| A5601 | Chlamydial cystitis and urethritis |
| A5602 | Chlamydial vulvovaginitis |
| A5609 | Other chlamydial infection of lower genitourinary tract |
| A5611 | Chlamydial female pelvic inflammatory disease |
| A5619 | Other chlamydial genitourinary infection |
| A562 | Chlamydial infection of genitourinary tract, unspecified |
| A563 | Chlamydial infection of anus and rectum |
| A564 | Chlamydial infection of pharynx |
| A568 | Sexually transmitted chlamydial infection of other sites |
| A57 | Chancroid |
| A58 | Granuloma inguinale |
| A638 | Other specified predominantly sexually transmitted diseases |
| A64 | Unspecified sexually transmitted disease |
| K3520 | Acute appendicitis with generalized peritonitis, without abscess |
| K3521 | Acute appendicitis with generalized peritonitis, with abscess |
| K3530 | Acute appendicitis with localized peritonitis, without perforation or gangrene |
| K3531 | Acute appendicitis with localized peritonitis and gangrene, without perforation |
| K3532 | Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess |
| K3533 | Acute appendicitis with perforation, localized peritonitis, and gangrene, with abscess |
| K634 | Enteroptosis |
| K6389 | Other specified diseases of intestine |
| K639 | Disease of intestine, unspecified |
| K651 | Peritoneal abscess |
| K653 | Choleperitonitis |
| K659 | Peritonitis, unspecified |
| K67 | Disorders of peritoneum in infectious diseases classified elsewhere |
| K8681 | Exocrine pancreatic insufficiency |
| K8689 | Other specified diseases of pancreas |
| K9289 | Other specified diseases of the digestive system |
| K929 | Disease of digestive system, unspecified |
| M0230 | Reiter's disease, unspecified site |
| M02311 | Reiter's disease, right shoulder |
| M02312 | Reiter's disease, left shoulder |
| M02319 | Reiter's disease, unspecified shoulder |
| M02321 | Reiter's disease, right elbow |
| M02322 | Reiter's disease, left elbow |
| M02329 | Reiter's disease, unspecified elbow |
| M02331 | Reiter's disease, right wrist |
| M02332 | Reiter's disease, left wrist |
| M02339 | Reiter's disease, unspecified wrist |
| M02341 | Reiter's disease, right hand |
| M02342 | Reiter's disease, left hand |
| M02349 | Reiter's disease, unspecified hand |
| M02351 | Reiter's disease, right hip |
| M02352 | Reiter's disease, left hip |
| M02359 | Reiter's disease, unspecified hip |
| M02361 | Reiter's disease, right knee |
| M02362 | Reiter's disease, left knee |
| M02369 | Reiter's disease, unspecified knee |
| M02371 | Reiter's disease, right ankle and foot |
| M02372 | Reiter's disease, left ankle and foot |
| M02379 | Reiter's disease, unspecified ankle and foot |
| M0238 | Reiter's disease, vertebrae |
| M0239 | Reiter's disease, multiple sites |
| N341 | Nonspecific urethritis |
| N733 | Female acute pelvic peritonitis |
| N734 | Female chronic pelvic peritonitis |
| N736 | Female pelvic peritoneal adhesions (postinfective) |
| O080 | Genital tract and pelvic infection following ectopic and molar pregnancy |
| O0882 | Sepsis following ectopic and molar pregnancy |
| O85 | Puerperal sepsis |
| O8604 | Sepsis following an obstetrical procedure |
| O8612 | Endometritis following delivery |
| O8681 | Puerperal septic thrombophlebitis |
| O8689 | Other specified puerperal infections |
| P780 | Perinatal intestinal perforation |
| R1113 | Vomiting of fecal matter |
| T8160XA | Unspecified acute reaction to foreign substance accidentally left during a procedure, initial encounter |
| T8161XA | Aseptic peritonitis due to foreign substance accidentally left during a procedure, initial encounter |
| T8169XA | Other acute reaction to foreign substance accidentally left during a procedure, initial encounter |
| PDX Collection 0126 | |
| A691 | Other Vincent's infections |
| PDX Collection 0127 | |
| A70 | Chlamydia psittaci infections |
| PDX Collection 0128 | |
| A1782 | Tuberculous meningoencephalitis |
| A440 | Systemic bartonellosis |
| A441 | Cutaneous and mucocutaneous bartonellosis |
| A448 | Other forms of bartonellosis |
| A449 | Bartonellosis, unspecified |
| A5042 | Late congenital syphilitic encephalitis |
| A5214 | Late syphilitic encephalitis |
| A680 | Louse-borne relapsing fever |
| A681 | Tick-borne relapsing fever |
| A689 | Relapsing fever, unspecified |
| A6920 | Lyme disease, unspecified |
| A6921 | Meningitis due to Lyme disease |
| A6922 | Other neurologic disorders in Lyme disease |
| A6923 | Arthritis due to Lyme disease |
| A6929 | Other conditions associated with Lyme disease |
| A750 | Epidemic louse-borne typhus fever due to Rickettsia prowazekii |
| A751 | Recrudescent typhus [Brill's disease] |
| A752 | Typhus fever due to Rickettsia typhi |
| A753 | Typhus fever due to Rickettsia tsutsugamushi |
| A759 | Typhus fever, unspecified |
| A770 | Spotted fever due to Rickettsia rickettsii |
| A771 | Spotted fever due to Rickettsia conorii |
| A772 | Spotted fever due to Rickettsia siberica |
| A773 | Spotted fever due to Rickettsia australis |
| A7740 | Ehrlichiosis, unspecified |
| A7741 | Ehrlichiosis chafeensis [E. chafeensis] |
| A7749 | Other ehrlichiosis |
| A778 | Other spotted fevers |
| A779 | Spotted fever, unspecified |
| A78 | Q fever |
| A790 | Trench fever |
| A791 | Rickettsialpox due to Rickettsia akari |
| A7981 | Rickettsiosis due to Ehrlichia sennetsu |
| A7989 | Other specified rickettsioses |
| A799 | Rickettsiosis, unspecified |
| A811 | Subacute sclerosing panencephalitis |
| A8182 | Gerstmann-Straussler-Scheinker syndrome |
| A8183 | Fatal familial insomnia |
| A8189 | Other atypical virus infections of central nervous system |
| A830 | Japanese encephalitis |
| A831 | Western equine encephalitis |
| A832 | Eastern equine encephalitis |
| A833 | St Louis encephalitis |
| A834 | Australian encephalitis |
| A835 | California encephalitis |
| A836 | Rocio virus disease |
| A838 | Other mosquito-borne viral encephalitis |
| A839 | Mosquito-borne viral encephalitis, unspecified |
| A840 | Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis] |
| A841 | Central European tick-borne encephalitis |
| A849 | Tick-borne viral encephalitis, unspecified |
| A850 | Enteroviral encephalitis |
| A851 | Adenoviral encephalitis |
| A852 | Arthropod-borne viral encephalitis, unspecified |
| A858 | Other specified viral encephalitis |
| A872 | Lymphocytic choriomeningitis |
| A880 | Enteroviral exanthematous fever [Boston exanthem] |
| A888 | Other specified viral infections of central nervous system |
| A921 | O'nyong-nyong fever |
| A922 | Venezuelan equine fever |
| A9230 | West Nile virus infection, unspecified |
| A9231 | West Nile virus infection with encephalitis |
| A9232 | West Nile virus infection with other neurologic manifestation |
| A9239 | West Nile virus infection with other complications |
| A924 | Rift Valley fever |
| A925 | Zika virus disease |
| A928 | Other specified mosquito-borne viral fevers |
| A930 | Oropouche virus disease |
| B004 | Herpesviral encephalitis |
| B0082 | Herpes simplex myelitis |
| B0111 | Varicella encephalitis and encephalomyelitis |
| B0112 | Varicella myelitis |
| B04 | Monkeypox |
| B0601 | Rubella encephalitis |
| B0809 | Other orthopoxvirus infections |
| B0820 | Exanthema subitum [sixth disease], unspecified |
| B0821 | Exanthema subitum [sixth disease] due to human herpesvirus 6 |
| B0822 | Exanthema subitum [sixth disease] due to human herpesvirus 7 |
| B0860 | Parapoxvirus infection, unspecified |
| B0861 | Bovine stomatitis |
| B0862 | Sealpox |
| B0869 | Other parapoxvirus infections |
| B0870 | Yatapoxvirus infection, unspecified |
| B0871 | Tanapox virus disease |
| B0872 | Yaba pox virus disease |
| B0879 | Other yatapoxvirus infections |
| B09 | Unspecified viral infection characterized by skin and mucous membrane lesions |
| B1001 | Human herpesvirus 6 encephalitis |
| B1009 | Other human herpesvirus encephalitis |
| B262 | Mumps encephalitis |
| B331 | Ross River disease |
| B450 | Pulmonary cryptococcosis |
| B452 | Cutaneous cryptococcosis |
| B453 | Osseous cryptococcosis |
| B457 | Disseminated cryptococcosis |
| B458 | Other forms of cryptococcosis |
| B459 | Cryptococcosis, unspecified |
| B509 | Plasmodium falciparum malaria, unspecified |
| B550 | Visceral leishmaniasis |
| B551 | Cutaneous leishmaniasis |
| B552 | Mucocutaneous leishmaniasis |
| B559 | Leishmaniasis, unspecified |
| B560 | Gambiense trypanosomiasis |
| B561 | Rhodesiense trypanosomiasis |
| B569 | African trypanosomiasis, unspecified |
| B570 | Acute Chagas' disease with heart involvement |
| B571 | Acute Chagas' disease without heart involvement |
| B572 | Chagas' disease (chronic) with heart involvement |
| B5730 | Chagas' disease with digestive system involvement, unspecified |
| B5731 | Megaesophagus in Chagas' disease |
| B5732 | Megacolon in Chagas' disease |
| B5739 | Other digestive system involvement in Chagas' disease |
| B5740 | Chagas' disease with nervous system involvement, unspecified |
| B5741 | Meningitis in Chagas' disease |
| B5742 | Meningoencephalitis in Chagas' disease |
| B5749 | Other nervous system involvement in Chagas' disease |
| B575 | Chagas' disease (chronic) with other organ involvement |
| B582 | Toxoplasma meningoencephalitis |
| B6000 | Babesiosis, unspecified |
| B6001 | Babesiosis due to Babesia microti |
| B6002 | Babesiosis due to Babesia duncani |
| B6003 | Babesiosis due to Babesia divergens |
| B6009 | Other babesiosis |
| B75 | Trichinellosis |
| B9710 | Unspecified enterovirus as the cause of diseases classified elsewhere |
| B9721 | SARS-associated coronavirus as the cause of diseases classified elsewhere |
| G0400 | Acute disseminated encephalitis and encephalomyelitis, unspecified |
| G0401 | Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM) |
| G0431 | Postinfectious acute necrotizing hemorrhagic encephalopathy |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |