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 696 of 1270 |
| PDX Collection 5107 (continued) | |
| F4010 | Social phobia, unspecified |
| F4011 | Social phobia, generalized |
| F40210 | Arachnophobia |
| F40218 | Other animal type phobia |
| F40220 | Fear of thunderstorms |
| F40228 | Other natural environment type phobia |
| F40230 | Fear of blood |
| F40231 | Fear of injections and transfusions |
| F40232 | Fear of other medical care |
| F40233 | Fear of injury |
| F40240 | Claustrophobia |
| F40241 | Acrophobia |
| F40242 | Fear of bridges |
| F40243 | Fear of flying |
| F40248 | Other situational type phobia |
| F40290 | Androphobia |
| F40291 | Gynephobia |
| F40298 | Other specified phobia |
| F408 | Other phobic anxiety disorders |
| F409 | Phobic anxiety disorder, unspecified |
| F410 | Panic disorder [episodic paroxysmal anxiety] |
| F411 | Generalized anxiety disorder |
| F413 | Other mixed anxiety disorders |
| F418 | Other specified anxiety disorders |
| F419 | Anxiety disorder, unspecified |
| F422 | Mixed obsessional thoughts and acts |
| F423 | Hoarding disorder |
| F424 | Excoriation (skin-picking) disorder |
| F428 | Other obsessive-compulsive disorder |
| F429 | Obsessive-compulsive disorder, unspecified |
| F430 | Acute stress reaction |
| F4310 | Post-traumatic stress disorder, unspecified |
| F4311 | Post-traumatic stress disorder, acute |
| F4312 | Post-traumatic stress disorder, chronic |
| F4320 | Adjustment disorder, unspecified |
| F4321 | Adjustment disorder with depressed mood |
| F4322 | Adjustment disorder with anxiety |
| F4323 | Adjustment disorder with mixed anxiety and depressed mood |
| F4324 | Adjustment disorder with disturbance of conduct |
| F4325 | Adjustment disorder with mixed disturbance of emotions and conduct |
| F4329 | Adjustment disorder with other symptoms |
| F4381 | Prolonged grief disorder |
| F4389 | Other reactions to severe stress |
| F439 | Reaction to severe stress, unspecified |
| F440 | Dissociative amnesia |
| F441 | Dissociative fugue |
| F442 | Dissociative stupor |
| F444 | Conversion disorder with motor symptom or deficit |
| F445 | Conversion disorder with seizures or convulsions |
| F446 | Conversion disorder with sensory symptom or deficit |
| F447 | Conversion disorder with mixed symptom presentation |
| F4481 | Dissociative identity disorder |
| F4489 | Other dissociative and conversion disorders |
| F449 | Dissociative and conversion disorder, unspecified |
| F450 | Somatization disorder |
| F451 | Undifferentiated somatoform disorder |
| F4520 | Hypochondriacal disorder, unspecified |
| F4521 | Hypochondriasis |
| F4522 | Body dysmorphic disorder |
| F4529 | Other hypochondriacal disorders |
| F4541 | Pain disorder exclusively related to psychological factors |
| F4542 | Pain disorder with related psychological factors |
| F458 | Other somatoform disorders |
| F459 | Somatoform disorder, unspecified |
| F481 | Depersonalization-derealization syndrome |
| F488 | Other specified nonpsychotic mental disorders |
| F489 | Nonpsychotic mental disorder, unspecified |
| F5000 | Anorexia nervosa, unspecified |
| F5001 | Anorexia nervosa, restricting type |
| F5002 | Anorexia nervosa, binge eating/purging type |
| F502 | Bulimia nervosa |
| F5081 | Binge eating disorder |
| F5082 | Avoidant/restrictive food intake disorder |
| F5089 | Other specified eating disorder |
| F509 | Eating disorder, unspecified |
| F5101 | Primary insomnia |
| F5102 | Adjustment insomnia |
| F5103 | Paradoxical insomnia |
| F5112 | Insufficient sleep syndrome |
| F5119 | Other hypersomnia not due to a substance or known physiological condition |
| F513 | Sleepwalking [somnambulism] |
| F514 | Sleep terrors [night terrors] |
| F515 | Nightmare disorder |
| F518 | Other sleep disorders not due to a substance or known physiological condition |
| F519 | Sleep disorder not due to a substance or known physiological condition, unspecified |
| F525 | Vaginismus not due to a substance or known physiological condition |
| F54 | Psychological and behavioral factors associated with disorders or diseases classified elsewhere |
| F59 | Unspecified behavioral syndromes associated with physiological disturbances and physical factors |
| F600 | Paranoid personality disorder |
| F601 | Schizoid personality disorder |
| F602 | Antisocial personality disorder |
| F603 | Borderline personality disorder |
| F604 | Histrionic personality disorder |
| F605 | Obsessive-compulsive personality disorder |
| F606 | Avoidant personality disorder |
| F607 | Dependent personality disorder |
| F6081 | Narcissistic personality disorder |
| F6089 | Other specific personality disorders |
| F609 | Personality disorder, unspecified |
| F630 | Pathological gambling |
| F631 | Pyromania |
| F632 | Kleptomania |
| F6381 | Intermittent explosive disorder |
| F6389 | Other impulse disorders |
| F639 | Impulse disorder, unspecified |
| F6810 | Factitious disorder imposed on self, unspecified |
| F6811 | Factitious disorder imposed on self, with predominantly psychological signs and symptoms |
| F6812 | Factitious disorder imposed on self, with predominantly physical signs and symptoms |
| F6813 | Factitious disorder imposed on self, with combined psychological and physical signs and symptoms |
| F688 | Other specified disorders of adult personality and behavior |
| F68A | Factitious disorder imposed on another |
| F69 | Unspecified disorder of adult personality and behavior |
| F70 | Mild intellectual disabilities |
| F71 | Moderate intellectual disabilities |
| F72 | Severe intellectual disabilities |
| F73 | Profound intellectual disabilities |
| F78A1 | SYNGAP1-related intellectual disability |
| F78A9 | Other genetic related intellectual disability |
| F79 | Unspecified intellectual disabilities |
| F800 | Phonological disorder |
| F801 | Expressive language disorder |
| F802 | Mixed receptive-expressive language disorder |
| F804 | Speech and language development delay due to hearing loss |
| F8082 | Social pragmatic communication disorder |
| F8089 | Other developmental disorders of speech and language |
| F809 | Developmental disorder of speech and language, unspecified |
| F810 | Specific reading disorder |
| F812 | Mathematics disorder |
| F8181 | Disorder of written expression |
| F8189 | Other developmental disorders of scholastic skills |
| F819 | Developmental disorder of scholastic skills, unspecified |
| F82 | Specific developmental disorder of motor function |
| F840 | Autistic disorder |
| F843 | Other childhood disintegrative disorder |
| F845 | Asperger's syndrome |
| F848 | Other pervasive developmental disorders |
| F849 | Pervasive developmental disorder, unspecified |
| F88 | Other disorders of psychological development |
| F89 | Unspecified disorder of psychological development |
| F900 | Attention-deficit hyperactivity disorder, predominantly inattentive type |
| F901 | Attention-deficit hyperactivity disorder, predominantly hyperactive type |
| F902 | Attention-deficit hyperactivity disorder, combined type |
| F908 | Attention-deficit hyperactivity disorder, other type |
| F909 | Attention-deficit hyperactivity disorder, unspecified type |
| F910 | Conduct disorder confined to family context |
| F911 | Conduct disorder, childhood-onset type |
| F912 | Conduct disorder, adolescent-onset type |
| F913 | Oppositional defiant disorder |
| F918 | Other conduct disorders |
| F919 | Conduct disorder, unspecified |
| F930 | Separation anxiety disorder of childhood |
| F938 | Other childhood emotional disorders |
| F939 | Childhood emotional disorder, unspecified |
| F940 | Selective mutism |
| F941 | Reactive attachment disorder of childhood |
| F942 | Disinhibited attachment disorder of childhood |
| F948 | Other childhood disorders of social functioning |
| F949 | Childhood disorder of social functioning, unspecified |
| F950 | Transient tic disorder |
| F951 | Chronic motor or vocal tic disorder |
| F952 | Tourette's disorder |
| F958 | Other tic disorders |
| F959 | Tic disorder, unspecified |
| F980 | Enuresis not due to a substance or known physiological condition |
| F981 | Encopresis not due to a substance or known physiological condition |
| F9821 | Rumination disorder of infancy |
| F9829 | Other feeding disorders of infancy and early childhood |
| F983 | Pica of infancy and childhood |
| F984 | Stereotyped movement disorders |
| F985 | Adult onset fluency disorder |
| F988 | Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence |
| F989 | Unspecified behavioral and emotional disorders with onset usually occurring in childhood and adolescence |
| F99 | Mental disorder, not otherwise specified |
| G44201 | Tension-type headache, unspecified, intractable |
| G44209 | Tension-type headache, unspecified, not intractable |
| G44211 | Episodic tension-type headache, intractable |
| G44219 | Episodic tension-type headache, not intractable |
| G44221 | Chronic tension-type headache, intractable |
| G44229 | Chronic tension-type headache, not intractable |
| H9325 | Central auditory processing disorder |
| R451 | Restlessness and agitation |
| R452 | Unhappiness |
| R455 | Hostility |
| R456 | Violent behavior |
| R457 | State of emotional shock and stress, unspecified |
| R4581 | Low self-esteem |
| R4582 | Worries |
| R4586 | Emotional lability |
| R4587 | Impulsiveness |
| PDX Collection 5108 | |
| D474 | Osteomyelofibrosis |
| D500 | Iron deficiency anemia secondary to blood loss (chronic) |
| D501 | Sideropenic dysphagia |
| D508 | Other iron deficiency anemias |
| D509 | Iron deficiency anemia, unspecified |
| D510 | Vitamin B12 deficiency anemia due to intrinsic factor deficiency |
| D511 | Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria |
| D512 | Transcobalamin II deficiency |
| D513 | Other dietary vitamin B12 deficiency anemia |
| D518 | Other vitamin B12 deficiency anemias |
| D519 | Vitamin B12 deficiency anemia, unspecified |
| D520 | Dietary folate deficiency anemia |
| D521 | Drug-induced folate deficiency anemia |
| D528 | Other folate deficiency anemias |
| D529 | Folate deficiency anemia, unspecified |
| D530 | Protein deficiency anemia |
| D531 | Other megaloblastic anemias, not elsewhere classified |
| D532 | Scorbutic anemia |
| D538 | Other specified nutritional anemias |
| D539 | Nutritional anemia, unspecified |
| D550 | Anemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency |
| D551 | Anemia due to other disorders of glutathione metabolism |
| D553 | Anemia due to disorders of nucleotide metabolism |
| D558 | Other anemias due to enzyme disorders |
| D559 | Anemia due to enzyme disorder, unspecified |
| D560 | Alpha thalassemia |
| D561 | Beta thalassemia |
| D562 | Delta-beta thalassemia |
| D563 | Thalassemia minor |
| D564 | Hereditary persistence of fetal hemoglobin [HPFH] |
| D565 | Hemoglobin E-beta thalassemia |
| D568 | Other thalassemias |
| D569 | Thalassemia, unspecified |
| D5700 | Hb-SS disease with crisis, unspecified |
| D5701 | Hb-SS disease with acute chest syndrome |
| D5702 | Hb-SS disease with splenic sequestration |
| D571 | Sickle-cell disease without crisis |
| D5720 | Sickle-cell/Hb-C disease without crisis |
| D57211 | Sickle-cell/Hb-C disease with acute chest syndrome |
| D57212 | Sickle-cell/Hb-C disease with splenic sequestration |
| D57213 | Sickle-cell/Hb-C disease with cerebral vascular involvement |
| D57218 | Sickle-cell/Hb-C disease with crisis with other specified complication |
| D57219 | Sickle-cell/Hb-C disease with crisis, unspecified |
| D573 | Sickle-cell trait |
| D5740 | Sickle-cell thalassemia without crisis |
| D57411 | Sickle-cell thalassemia, unspecified, with acute chest syndrome |
| D57412 | Sickle-cell thalassemia, unspecified, with splenic sequestration |
| D57419 | Sickle-cell thalassemia, unspecified, with crisis |
| D5780 | Other sickle-cell disorders without crisis |
| D57811 | Other sickle-cell disorders with acute chest syndrome |
| D57812 | Other sickle-cell disorders with splenic sequestration |
| D57819 | Other sickle-cell disorders with crisis, unspecified |
| D580 | Hereditary spherocytosis |
| D581 | Hereditary elliptocytosis |
| D582 | Other hemoglobinopathies |
| D588 | Other specified hereditary hemolytic anemias |
| D589 | Hereditary hemolytic anemia, unspecified |
| D590 | Drug-induced autoimmune hemolytic anemia |
| D5910 | Autoimmune hemolytic anemia, unspecified |
| D5911 | Warm autoimmune hemolytic anemia |
| D5912 | Cold autoimmune hemolytic anemia |
| D5913 | Mixed type autoimmune hemolytic anemia |
| D5919 | Other autoimmune hemolytic anemia |
| D592 | Drug-induced nonautoimmune hemolytic anemia |
| D5930 | Hemolytic-uremic syndrome, unspecified |
| D5931 | Infection-associated hemolytic-uremic syndrome |
| D5932 | Hereditary hemolytic-uremic syndrome |
| D5939 | Other hemolytic-uremic syndrome |
| D594 | Other nonautoimmune hemolytic anemias |
| D595 | Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli] |
| D596 | Hemoglobinuria due to hemolysis from other external causes |
| D598 | Other acquired hemolytic anemias |
| D599 | Acquired hemolytic anemia, unspecified |
| D600 | Chronic acquired pure red cell aplasia |
| D601 | Transient acquired pure red cell aplasia |
| D608 | Other acquired pure red cell aplasias |
| D609 | Acquired pure red cell aplasia, unspecified |
| D6101 | Constitutional (pure) red blood cell aplasia |
| D6109 | Other constitutional aplastic anemia |
| D611 | Drug-induced aplastic anemia |
| D612 | Aplastic anemia due to other external agents |
| D613 | Idiopathic aplastic anemia |
| D61810 | Antineoplastic chemotherapy induced pancytopenia |
| D61811 | Other drug-induced pancytopenia |
| D61818 | Other pancytopenia |
| D6182 | Myelophthisis |
| D6189 | Other specified aplastic anemias and other bone marrow failure syndromes |
| D619 | Aplastic anemia, unspecified |
| D62 | Acute posthemorrhagic anemia |
| D630 | Anemia in neoplastic disease |
| D631 | Anemia in chronic kidney disease |
| D638 | Anemia in other chronic diseases classified elsewhere |
| D640 | Hereditary sideroblastic anemia |
| D641 | Secondary sideroblastic anemia due to disease |
| D642 | Secondary sideroblastic anemia due to drugs and toxins |
| D643 | Other sideroblastic anemias |
| D644 | Congenital dyserythropoietic anemia |
| D6481 | Anemia due to antineoplastic chemotherapy |
| D6489 | Other specified anemias |
| D649 | Anemia, unspecified |
| D68312 | Antiphospholipid antibody with hemorrhagic disorder |
| D6851 | Activated protein C resistance |
| D6852 | Prothrombin gene mutation |
| D6859 | Other primary thrombophilia |
| D6861 | Antiphospholipid syndrome |
| D6862 | Lupus anticoagulant syndrome |
| D6869 | Other thrombophilia |
| D7581 | Myelofibrosis |
| D7589 | Other specified diseases of blood and blood-forming organs |
| D759 | Disease of blood and blood-forming organs, unspecified |
| D75A | Glucose-6-phosphate dehydrogenase (G6PD) deficiency without anemia |
| D77 | Other disorders of blood and blood-forming organs in diseases classified elsewhere |
| D892 | Hypergammaglobulinemia, unspecified |
| PDX Collection 5109 | |
| F070 | Personality change due to known physiological condition |
| F0781 | Postconcussional syndrome |
| F079 | Unspecified personality and behavioral disorder due to known physiological condition |
| F09 | Unspecified mental disorder due to known physiological condition |
| F200 | Paranoid schizophrenia |
| F201 | Disorganized schizophrenia |
| F202 | Catatonic schizophrenia |
| F203 | Undifferentiated schizophrenia |
| F205 | Residual schizophrenia |
| F2081 | Schizophreniform disorder |
| F2089 | Other schizophrenia |
| F209 | Schizophrenia, unspecified |
| F21 | Schizotypal disorder |
| F22 | Delusional disorders |
| F23 | Brief psychotic disorder |
| F24 | Shared psychotic disorder |
| F250 | Schizoaffective disorder, bipolar type |
| F251 | Schizoaffective disorder, depressive type |
| F258 | Other schizoaffective disorders |
| F259 | Schizoaffective disorder, unspecified |
| F28 | Other psychotic disorder not due to a substance or known physiological condition |
| F29 | Unspecified psychosis not due to a substance or known physiological condition |
| F3010 | Manic episode without psychotic symptoms, unspecified |
| F3011 | Manic episode without psychotic symptoms, mild |
| F3012 | Manic episode without psychotic symptoms, moderate |
| F3013 | Manic episode, severe, without psychotic symptoms |
| F302 | Manic episode, severe with psychotic symptoms |
| F303 | Manic episode in partial remission |
| F304 | Manic episode in full remission |
| F308 | Other manic episodes |
| F309 | Manic episode, unspecified |
| F310 | Bipolar disorder, current episode hypomanic |
| F3110 | Bipolar disorder, current episode manic without psychotic features, unspecified |
| F3111 | Bipolar disorder, current episode manic without psychotic features, mild |
| F3112 | Bipolar disorder, current episode manic without psychotic features, moderate |
| F3113 | Bipolar disorder, current episode manic without psychotic features, severe |
| F312 | Bipolar disorder, current episode manic severe with psychotic features |
| F3130 | Bipolar disorder, current episode depressed, mild or moderate severity, unspecified |
| F3131 | Bipolar disorder, current episode depressed, mild |
| F3132 | Bipolar disorder, current episode depressed, moderate |
| F314 | Bipolar disorder, current episode depressed, severe, without psychotic features |
| F315 | Bipolar disorder, current episode depressed, severe, with psychotic features |
| F3160 | Bipolar disorder, current episode mixed, unspecified |
| F3161 | Bipolar disorder, current episode mixed, mild |
| F3162 | Bipolar disorder, current episode mixed, moderate |
| F3163 | Bipolar disorder, current episode mixed, severe, without psychotic features |
| F3164 | Bipolar disorder, current episode mixed, severe, with psychotic features |
| F3170 | Bipolar disorder, currently in remission, most recent episode unspecified |
| F3171 | Bipolar disorder, in partial remission, most recent episode hypomanic |
| F3172 | Bipolar disorder, in full remission, most recent episode hypomanic |
| F3173 | Bipolar disorder, in partial remission, most recent episode manic |
| F3174 | Bipolar disorder, in full remission, most recent episode manic |
| F3175 | Bipolar disorder, in partial remission, most recent episode depressed |
| F3176 | Bipolar disorder, in full remission, most recent episode depressed |
| F3177 | Bipolar disorder, in partial remission, most recent episode mixed |
| F3178 | Bipolar disorder, in full remission, most recent episode mixed |
| F3181 | Bipolar II disorder |
| F3189 | Other bipolar disorder |
| F319 | Bipolar disorder, unspecified |
| F320 | Major depressive disorder, single episode, mild |
| F321 | Major depressive disorder, single episode, moderate |
| F322 | Major depressive disorder, single episode, severe without psychotic features |
| F323 | Major depressive disorder, single episode, severe with psychotic features |
| F324 | Major depressive disorder, single episode, in partial remission |
| F325 | Major depressive disorder, single episode, in full remission |
| F3281 | Premenstrual dysphoric disorder |
| F3289 | Other specified depressive episodes |
| F329 | Major depressive disorder, single episode, unspecified |
| F330 | Major depressive disorder, recurrent, mild |
| F331 | Major depressive disorder, recurrent, moderate |
| F332 | Major depressive disorder, recurrent severe without psychotic features |
| F333 | Major depressive disorder, recurrent, severe with psychotic symptoms |
| F3340 | Major depressive disorder, recurrent, in remission, unspecified |
| F3341 | Major depressive disorder, recurrent, in partial remission |
| F3342 | Major depressive disorder, recurrent, in full remission |
| F338 | Other recurrent depressive disorders |
| F339 | Major depressive disorder, recurrent, unspecified |
| F340 | Cyclothymic disorder |
| F341 | Dysthymic disorder |
| F3481 | Disruptive mood dysregulation disorder |
| F3489 | Other specified persistent mood disorders |
| F349 | Persistent mood [affective] disorder, unspecified |
| F39 | Unspecified mood [affective] disorder |
| F4000 | Agoraphobia, unspecified |
| F4001 | Agoraphobia with panic disorder |
| F4002 | Agoraphobia without panic disorder |
| F4010 | Social phobia, unspecified |
| F4011 | Social phobia, generalized |
| F40210 | Arachnophobia |
| F40218 | Other animal type phobia |
| F40220 | Fear of thunderstorms |
| F40228 | Other natural environment type phobia |
| F40230 | Fear of blood |
| F40231 | Fear of injections and transfusions |
| F40232 | Fear of other medical care |
| F40233 | Fear of injury |
| F40240 | Claustrophobia |
| F40241 | Acrophobia |
| F40242 | Fear of bridges |
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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 |