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 812 of 1270 |
| PDX Collection 5256 (continued) | |
| N067 | Isolated proteinuria with diffuse crescentic glomerulonephritis |
| N068 | Isolated proteinuria with other morphologic lesion |
| N069 | Isolated proteinuria with unspecified morphologic lesion |
| N06A | Isolated proteinuria with C3 glomerulonephritis |
| N070 | Hereditary nephropathy, not elsewhere classified with minor glomerular abnormality |
| N071 | Hereditary nephropathy, not elsewhere classified with focal and segmental glomerular lesions |
| N072 | Hereditary nephropathy, not elsewhere classified with diffuse membranous glomerulonephritis |
| N073 | Hereditary nephropathy, not elsewhere classified with diffuse mesangial proliferative glomerulonephritis |
| N074 | Hereditary nephropathy, not elsewhere classified with diffuse endocapillary proliferative glomerulonephritis |
| N075 | Hereditary nephropathy, not elsewhere classified with diffuse mesangiocapillary glomerulonephritis |
| N076 | Hereditary nephropathy, not elsewhere classified with dense deposit disease |
| N077 | Hereditary nephropathy, not elsewhere classified with diffuse crescentic glomerulonephritis |
| N078 | Hereditary nephropathy, not elsewhere classified with other morphologic lesions |
| N079 | Hereditary nephropathy, not elsewhere classified with unspecified morphologic lesions |
| N07A | Hereditary nephropathy, not elsewhere classified with C3 glomerulonephritis |
| N08 | Glomerular disorders in diseases classified elsewhere |
| N10 | Acute pyelonephritis |
| N110 | Nonobstructive reflux-associated chronic pyelonephritis |
| N118 | Other chronic tubulo-interstitial nephritis |
| N119 | Chronic tubulo-interstitial nephritis, unspecified |
| N12 | Tubulo-interstitial nephritis, not specified as acute or chronic |
| N130 | Hydronephrosis with ureteropelvic junction obstruction |
| N131 | Hydronephrosis with ureteral stricture, not elsewhere classified |
| N132 | Hydronephrosis with renal and ureteral calculous obstruction |
| N1330 | Unspecified hydronephrosis |
| N1339 | Other hydronephrosis |
| N136 | Pyonephrosis |
| N140 | Analgesic nephropathy |
| N1411 | Contrast-induced nephropathy |
| N1419 | Nephropathy induced by other drugs, medicaments and biological substances |
| N142 | Nephropathy induced by unspecified drug, medicament or biological substance |
| N143 | Nephropathy induced by heavy metals |
| N144 | Toxic nephropathy, not elsewhere classified |
| N150 | Balkan nephropathy |
| N151 | Renal and perinephric abscess |
| N158 | Other specified renal tubulo-interstitial diseases |
| N159 | Renal tubulo-interstitial disease, unspecified |
| N16 | Renal tubulo-interstitial disorders in diseases classified elsewhere |
| N170 | Acute kidney failure with tubular necrosis |
| N171 | Acute kidney failure with acute cortical necrosis |
| N172 | Acute kidney failure with medullary necrosis |
| N178 | Other acute kidney failure |
| N179 | Acute kidney failure, unspecified |
| N181 | Chronic kidney disease, stage 1 |
| N182 | Chronic kidney disease, stage 2 (mild) |
| N1830 | Chronic kidney disease, stage 3 unspecified |
| N1831 | Chronic kidney disease, stage 3a |
| N1832 | Chronic kidney disease, stage 3b |
| N184 | Chronic kidney disease, stage 4 (severe) |
| N185 | Chronic kidney disease, stage 5 |
| N186 | End stage renal disease |
| N189 | Chronic kidney disease, unspecified |
| N19 | Unspecified kidney failure |
| N250 | Renal osteodystrophy |
| N251 | Nephrogenic diabetes insipidus |
| N2581 | Secondary hyperparathyroidism of renal origin |
| N2589 | Other disorders resulting from impaired renal tubular function |
| N259 | Disorder resulting from impaired renal tubular function, unspecified |
| N261 | Atrophy of kidney (terminal) |
| N269 | Renal sclerosis, unspecified |
| N270 | Small kidney, unilateral |
| N271 | Small kidney, bilateral |
| N279 | Small kidney, unspecified |
| N281 | Cyst of kidney, acquired |
| N2881 | Hypertrophy of kidney |
| N2882 | Megaloureter |
| N2883 | Nephroptosis |
| N2884 | Pyelitis cystica |
| N2885 | Pyeloureteritis cystica |
| N2886 | Ureteritis cystica |
| N2889 | Other specified disorders of kidney and ureter |
| N289 | Disorder of kidney and ureter, unspecified |
| N29 | Other disorders of kidney and ureter in diseases classified elsewhere |
| N3641 | Hypermobility of urethra |
| N3642 | Intrinsic sphincter deficiency (ISD) |
| N3643 | Combined hypermobility of urethra and intrinsic sphincter deficiency |
| N368 | Other specified disorders of urethra |
| N369 | Urethral disorder, unspecified |
| N398 | Other specified disorders of urinary system |
| N399 | Disorder of urinary system, unspecified |
| N80A0 | Endometriosis of bladder, unspecified depth |
| N80A1 | Superficial endometriosis of bladder |
| N80A2 | Deep endometriosis of bladder |
| N80A41 | Superficial endometriosis of right ureter |
| N80A42 | Superficial endometriosis of left ureter |
| N80A43 | Superficial endometriosis of bilateral ureters |
| N80A49 | Superficial endometriosis of unspecified ureter |
| N80A51 | Deep endometriosis of right ureter |
| N80A52 | Deep endometriosis of left ureter |
| N80A53 | Deep endometriosis of bilateral ureters |
| N80A59 | Deep endometriosis of unspecified ureter |
| N80A61 | Endometriosis of right ureter, unspecified depth |
| N80A62 | Endometriosis of left ureter, unspecified depth |
| N80A63 | Endometriosis of bilateral ureters, unspecified depth |
| N80A69 | Endometriosis of unspecified ureter, unspecified depth |
| Q600 | Renal agenesis, unilateral |
| Q601 | Renal agenesis, bilateral |
| Q602 | Renal agenesis, unspecified |
| Q603 | Renal hypoplasia, unilateral |
| Q604 | Renal hypoplasia, bilateral |
| Q605 | Renal hypoplasia, unspecified |
| Q606 | Potter's syndrome |
| Q6100 | Congenital renal cyst, unspecified |
| Q6101 | Congenital single renal cyst |
| Q6102 | Congenital multiple renal cysts |
| Q6111 | Cystic dilatation of collecting ducts |
| Q6119 | Other polycystic kidney, infantile type |
| Q612 | Polycystic kidney, adult type |
| Q613 | Polycystic kidney, unspecified |
| Q614 | Renal dysplasia |
| Q615 | Medullary cystic kidney |
| Q618 | Other cystic kidney diseases |
| Q619 | Cystic kidney disease, unspecified |
| Q620 | Congenital hydronephrosis |
| Q6210 | Congenital occlusion of ureter, unspecified |
| Q6211 | Congenital occlusion of ureteropelvic junction |
| Q6212 | Congenital occlusion of ureterovesical orifice |
| Q622 | Congenital megaureter |
| Q6231 | Congenital ureterocele, orthotopic |
| Q6232 | Cecoureterocele |
| Q6239 | Other obstructive defects of renal pelvis and ureter |
| Q630 | Accessory kidney |
| Q631 | Lobulated, fused and horseshoe kidney |
| Q632 | Ectopic kidney |
| Q633 | Hyperplastic and giant kidney |
| Q638 | Other specified congenital malformations of kidney |
| Q639 | Congenital malformation of kidney, unspecified |
| Q648 | Other specified congenital malformations of urinary system |
| Q649 | Congenital malformation of urinary system, unspecified |
| R310 | Gross hematuria |
| R311 | Benign essential microscopic hematuria |
| R3121 | Asymptomatic microscopic hematuria |
| R3129 | Other microscopic hematuria |
| R319 | Hematuria, unspecified |
| PDX Collection 5257 | |
| 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 |
| 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 |
| 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 |
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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 |