U S Department of Health and Human Services www.hhs.gov
Centers for Medicare & Medicaid Services
Draft ICD-10-CM/PCS MS-DRGv28 Definitions Manual Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
MDC 23 Factors Influencing Health Status & Other Contacts with Health Services
Other Factors Influencing Health Status
Page 1 of 3

PRINCIPAL DIAGNOSIS

F17200Nicotine dependence, unspecified, uncomplicated
F17201Nicotine dependence, unspecified, in remission
F17210Nicotine dependence, cigarettes, uncomplicated
F17211Nicotine dependence, cigarettes, in remission
F17220Nicotine dependence, chewing tobacco, uncomplicated
F17221Nicotine dependence, chewing tobacco, in remission
F17290Nicotine dependence, other tobacco product, uncomplicated
F17291Nicotine dependence, other tobacco product, in remission
J95850Mechanical complication of respirator
M960Pseudarthrosis after fusion or arthrodesis
Q899Congenital malformation, unspecified
Q920Whole chromosome trisomy, nonmosaicism (meiotic nondisjunction)
Q921Whole chromosome trisomy, mosaicism (mitotic nondisjunction)
Q922Partial trisomy
Q925Duplications with other complex rearrangements
Q9261Marker chromosomes in normal individual
Q9262Marker chromosomes in abnormal individual
Q927Triploidy and polyploidy
Q928Other specified trisomies and partial trisomies of autosomes
Q929Trisomy and partial trisomy of autosomes, unspecified
Q930Whole chromosome monosomy, nonmosaicism (meiotic nondisjunction)
Q931Whole chromosome monosomy, mosaicism (mitotic nondisjunction)
Q932Chromosome replaced with ring, dicentric or isochromosome
Q950Balanced translocation and insertion in normal individual
Q951Chromosome inversion in normal individual
Q952Balanced autosomal rearrangement in abnormal individual
Q953Balanced sex/autosomal rearrangement in abnormal individual
Q955Individual with autosomal fragile site
Q958Other balanced rearrangements and structural markers
Q959Balanced rearrangement and structural marker, unspecified
Q999Chromosomal abnormality, unspecified
R402130Coma scale, eyes open, to sound, unspecified time
R402131Coma scale, eyes open, to sound, in the field [EMT or ambulance]
R402132Coma scale, eyes open, to sound, at arrival to emergency department
R402133Coma scale, eyes open, to sound, at hospital admission
R402134Coma scale, eyes open, to sound, 24 hours or more after hospital admission
R402140Coma scale, eyes open, spontaneous, unspecified time
R402141Coma scale, eyes open, spontaneous, in the field [EMT or ambulance]
R402142Coma scale, eyes open, spontaneous, at arrival to emergency department
R402143Coma scale, eyes open, spontaneous, at hospital admission
R402144Coma scale, eyes open, spontaneous, 24 hours or more after hospital admission
R402230Coma scale, best verbal response, inappropriate words, unspecified time
R402231Coma scale, best verbal response, inappropriate words, in the field [EMT or ambulance]
R402232Coma scale, best verbal response, inappropriate words, at arrival to emergency department
R402233Coma scale, best verbal response, inappropriate words, at hospital admission
R402234Coma scale, best verbal response, inappropriate words, 24 hours or more after hospital admission
R402240Coma scale, best verbal response, confused conversation, unspecified time
R402241Coma scale, best verbal response, confused conversation, in the field [EMT or ambulance]
R402242Coma scale, best verbal response, confused conversation, at arrival to emergency department
R402243Coma scale, best verbal response, confused conversation, at hospital admission
R402244Coma scale, best verbal response, confused conversation, 24 hours or more after hospital admission
R402250Coma scale, best verbal response, oriented, unspecified time
R402251Coma scale, best verbal response, oriented, in the field [EMT or ambulance]
R402252Coma scale, best verbal response, oriented, at arrival to emergency department
R402253Coma scale, best verbal response, oriented, at hospital admission
R402254Coma scale, best verbal response, oriented, 24 hours or more after hospital admission
R402330Coma scale, best motor response, abnormal, unspecified time
R402331Coma scale, best motor response, abnormal, in the field [EMT or ambulance]
R402332Coma scale, best motor response, abnormal, at arrival to emergency department
R402333Coma scale, best motor response, abnormal, at hospital admission
R402334Coma scale, best motor response, abnormal, 24 hours or more after hospital admission
R402350Coma scale, best motor response, localizes pain, unspecified time
R402351Coma scale, best motor response, localizes pain, in the field [EMT or ambulance]
R402352Coma scale, best motor response, localizes pain, at arrival to emergency department
R402353Coma scale, best motor response, localizes pain, at hospital admission
R402354Coma scale, best motor response, localizes pain, 24 hours or more after hospital admission
R402360Coma scale, best motor response, obeys commands, unspecified time
R402361Coma scale, best motor response, obeys commands, in the field [EMT or ambulance]
R402362Coma scale, best motor response, obeys commands, at arrival to emergency department
R402363Coma scale, best motor response, obeys commands, at hospital admission
R402364Coma scale, best motor response, obeys commands, 24 hours or more after hospital admission
R4183Borderline intellectual functioning
R448Other symptoms and signs involving general sensations and perceptions
R449Unspecified symptoms and signs involving general sensations and perceptions
R45850Homicidal ideations
R460Very low level of personal hygiene
R461Bizarre personal appearance
R462Strange and inexplicable behavior
R463Overactivity
R464Slowness and poor responsiveness
R465Suspiciousness and marked evasiveness
R466Undue concern and preoccupation with stressful events
R467Verbosity and circumstantial detail obscuring reason for contact
R4681Obsessive-compulsive behavior
R4689Other symptoms and signs involving appearance and behavior
R6813Apparent life threatening event in infant (ALTE)
R6819Other nonspecific symptoms peculiar to infancy
R6882Decreased libido
R69Illness, unspecified
R99Ill-defined and unknown cause of mortality
Z0000Encounter for general adult medical examination without abnormal findings
Z0001Encounter for general adult medical examination with abnormal findings
Z00110Health examination for newborn under 8 days old
Z00111Health examination for newborn 8 to 28 days old
Z00121Encounter for routine child health examination with abnormal findings
Z00129Encounter for routine child health examination without abnormal findings
Z002Encounter for examination for period of rapid growth in childhood
Z003Encounter for examination for adolescent development state
Z005Encounter for examination of potential donor of organ and tissue
Z006Encounter for examination for normal comparison and control in clinical research program
Z0070Encounter for examination for period of delayed growth in childhood without abnormal findings
Z0071Encounter for examination for period of delayed growth in childhood with abnormal findings
Z008Encounter for other general examination
Z0100Encounter for examination of eyes and vision without abnormal findings
Z0101Encounter for examination of eyes and vision with abnormal findings
Z0110Encounter for examination of ears and hearing without abnormal findings
Z01110Encounter for hearing examination following failed hearing screening
Z01118Encounter for examination of ears and hearing with other abnormal findings
Z0112Encounter for hearing conservation and treatment
Z0120Encounter for dental examination and cleaning without abnormal findings
Z0121Encounter for dental examination and cleaning with abnormal findings
Z0130Encounter for examination of blood pressure without abnormal findings
Z0131Encounter for examination of blood pressure with abnormal findings
Z01411Encounter for gynecological examination (general) (routine) with abnormal findings
Z01419Encounter for gynecological examination (general) (routine) without abnormal findings
Z0142Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smear
Z01810Encounter for preprocedural cardiovascular examination
Z01811Encounter for preprocedural respiratory examination
Z01812Encounter for preprocedural laboratory examination
Z01818Encounter for other preprocedural examination
Z0182Encounter for allergy testing
Z0183Encounter for blood typing
Z0184Encounter for antibody response examination
Z0189Encounter for other specified special examinations
Z020Encounter for examination for admission to educational institution
Z021Encounter for pre-employment examination
Z022Encounter for examination for admission to residential institution
Z023Encounter for examination for recruitment to armed forces
Z024Encounter for examination for driving license
Z025Encounter for examination for participation in sport
Z026Encounter for examination for insurance purposes
Z0271Encounter for disability determination
Z0279Encounter for issue of other medical certificate
Z0281Encounter for paternity testing
Z0282Encounter for adoption services
Z0283Encounter for blood-alcohol and blood-drug test
Z0289Encounter for other administrative examinations
Z029Encounter for administrative examinations, unspecified
Z036Encounter for observation for suspected toxic effect from ingested substance ruled out
Z0371Encounter for suspected problem with amniotic cavity and membrane ruled out
Z0372Encounter for suspected placental problem ruled out
Z0373Encounter for suspected fetal anomaly ruled out
Z0374Encounter for suspected problem with fetal growth ruled out
Z0375Encounter for suspected cervical shortening ruled out
Z0379Encounter for other suspected maternal and fetal conditions ruled out
Z03810Encounter for observation for suspected exposure to anthrax ruled out
Z03818Encounter for observation for suspected exposure to other biological agents ruled out
Z0389Encounter for observation for other suspected diseases and conditions ruled out
Z0441Encounter for examination and observation following alleged adult rape
Z0442Encounter for examination and observation following alleged child rape
Z046Encounter for general psychiatric examination, requested by authority
Z0471Encounter for examination and observation following alleged adult physical abuse
Z0472Encounter for examination and observation following alleged child physical abuse
Z048Encounter for examination and observation for other specified reasons
Z049Encounter for examination and observation for unspecified reason
Z09Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
Z110Encounter for screening for intestinal infectious diseases
Z111Encounter for screening for respiratory tuberculosis
Z112Encounter for screening for other bacterial diseases
Z113Encounter for screening for infections with a predominantly sexual mode of transmission
Z114Encounter for screening for human immunodeficiency virus [HIV]
Z1151Encounter for screening for human papillomavirus (HPV)
Z1159Encounter for screening for other viral diseases
Z116Encounter for screening for other protozoal diseases and helminthiases
Z118Encounter for screening for other infectious and parasitic diseases
Z119Encounter for screening for infectious and parasitic diseases, unspecified
Z120Encounter for screening for malignant neoplasm of stomach
Z1210Encounter for screening for malignant neoplasm of intestinal tract, unspecified
Z1211Encounter for screening for malignant neoplasm of colon
Z1212Encounter for screening for malignant neoplasm of rectum
Z1213Encounter for screening for malignant neoplasm of small intestine
Z122Encounter for screening for malignant neoplasm of respiratory organs
Z1231Encounter for screening mammogram for malignant neoplasm of breast
Z1239Encounter for other screening for malignant neoplasm of breast
Z124Encounter for screening for malignant neoplasm of cervix
Z125Encounter for screening for malignant neoplasm of prostate
Z126Encounter for screening for malignant neoplasm of bladder
Z1271Encounter for screening for malignant neoplasm of testis
Z1272Encounter for screening for malignant neoplasm of vagina
Z1273Encounter for screening for malignant neoplasm of ovary
Z1279Encounter for screening for malignant neoplasm of other genitourinary organs
Z1281Encounter for screening for malignant neoplasm of oral cavity
Z1282Encounter for screening for malignant neoplasm of nervous system
Z1283Encounter for screening for malignant neoplasm of skin
Z1289Encounter for screening for malignant neoplasm of other sites
Z129Encounter for screening for malignant neoplasm, site unspecified
Z130Encounter for screening for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Z131Encounter for screening for diabetes mellitus
Z1321Encounter for screening for nutritional disorder
Z13220Encounter for screening for lipoid disorders
Z13228Encounter for screening for other metabolic disorders
Z1329Encounter for screening for other suspected endocrine disorder
Z134Encounter for screening for certain developmental disorders in childhood
Z135Encounter for screening for eye and ear disorders
Z136Encounter for screening for cardiovascular disorders
Z1371Encounter for nonprocreative screening for genetic disease carrier status
Z1379Encounter for other screening for genetic and chromosomal anomalies
Z13810Encounter for screening for upper gastrointestinal disorder
Z13811Encounter for screening for lower gastrointestinal disorder
Z13818Encounter for screening for other digestive system disorders
Z13820Encounter for screening for osteoporosis
Z13828Encounter for screening for other musculoskeletal disorder
Z1383Encounter for screening for respiratory disorder NEC
Z1384Encounter for screening for dental disorders
Z13850Encounter for screening for traumatic brain injury
Z13858Encounter for screening for other nervous system disorders
Z1388Encounter for screening for disorder due to exposure to contaminants
Z1389Encounter for screening for other disorder
Z139Encounter for screening, unspecified
Z1401Asymptomatic hemophilia A carrier
Z1402Symptomatic hemophilia A carrier
Z141Cystic fibrosis carrier
Z148Genetic carrier of other disease
Z1501Genetic susceptibility to malignant neoplasm of breast
Z1502Genetic susceptibility to malignant neoplasm of ovary
Z1503Genetic susceptibility to malignant neoplasm of prostate
Z1504Genetic susceptibility to malignant neoplasm of endometrium
Z1509Genetic susceptibility to other malignant neoplasm
Z1581Genetic susceptibility to multiple endocrine neoplasia [MEN]
Z1589Genetic susceptibility to other disease
Z170Estrogen receptor positive status [ER+]
Z171Estrogen receptor negative status [ER-]
Z1801Retained depleted uranium fragments
Z1809Other retained radioactive fragments
Z1810Retained metal fragments, unspecified
Z1811Retained magnetic metal fragments
Z1812Retained nonmagnetic metal fragments
Z182Retained plastic fragments
Z1831Retained animal quills or spines
Z1832Retained tooth
Z1833Retained wood fragments
Z1839Other retained organic fragments
Z1881Retained glass fragments
Z1883Retained stone or crystalline fragments
Z1889Other specified retained foreign body fragments
Z189Retained foreign body fragments, unspecified material
Z2001Contact with and (suspected) exposure to intestinal infectious diseases due to Escherichia coli (E. coli)
Z2009Contact with and (suspected) exposure to other intestinal infectious diseases
Z201Contact with and (suspected) exposure to tuberculosis
Z202Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
Z203Contact with and (suspected) exposure to rabies
Z204Contact with and (suspected) exposure to rubella
Z205Contact with and (suspected) exposure to viral hepatitis
Z206Contact with and (suspected) exposure to human immunodeficiency virus [HIV]
Z207Contact with and (suspected) exposure to pediculosis, acariasis and other infestations
Z20810Contact with and (suspected) exposure to anthrax
Z20811Contact with and (suspected) exposure to meningococcus
Z20818Contact with and (suspected) exposure to other bacterial communicable diseases
Z20820Contact with and (suspected) exposure to varicella
Z20828Contact with and (suspected) exposure to other viral communicable diseases
Z2089Contact with and (suspected) exposure to other communicable diseases
Z209Contact with and (suspected) exposure to unspecified communicable disease
Z220Carrier of typhoid
Z221Carrier of other intestinal infectious diseases
Z222Carrier of diphtheria
Z2231Carrier of bacterial disease due to meningococci
Z2232Carrier of bacterial disease due to staphylococci
Z22330Carrier of Group B streptococcus
Z22338Carrier of other streptococcus
Z2239Carrier of other specified bacterial diseases
Z224Carrier of infections with a predominantly sexual mode of transmission
Z226Carrier of human T-lymphotropic virus type-1 [HTLV-1] infection
Z228Carrier of other infectious diseases
Z229Carrier of infectious disease, unspecified
Z23Encounter for immunization
Z2801Immunization not carried out because of acute illness of patient
Z2802Immunization not carried out because of chronic illness or condition of patient
Z2803Immunization not carried out because of immune compromised state of patient
Z2804Immunization not carried out because of patient allergy to vaccine or component
Z2809Immunization not carried out because of other contraindication
Z281Immunization not carried out because of patient decision for reasons of belief or group pressure
Z2820Immunization not carried out because of patient decision for unspecified reason
Z2821Immunization not carried out because of patient refusal
Z2829Immunization not carried out because of patient decision for other reason
Z283Underimmunization status
Z2881Immunization not carried out due to patient having had the disease
Z2882Immunization not carried out because of caregiver refusal
Z2889Immunization not carried out for other reason
Z289Immunization not carried out for unspecified reason
Z30011Encounter for initial prescription of contraceptive pills
Z30012Encounter for prescription of emergency contraception
Z30013Encounter for initial prescription of injectable contraceptive
Z30014Encounter for initial prescription of intrauterine contraceptive device
Z30018Encounter for initial prescription of other contraceptives
Z30019Encounter for initial prescription of contraceptives, unspecified
Z3002Counseling and instruction in natural family planning to avoid pregnancy
Z3009Encounter for other general counseling and advice on contraception
Z3040Encounter for surveillance of contraceptives, unspecified
Z3041Encounter for surveillance of contraceptive pills
Z3042Encounter for surveillance of injectable contraceptive
Z30430Encounter for insertion of intrauterine contraceptive device
Z30431Encounter for routine checking of intrauterine contraceptive device
Z30432Encounter for removal of intrauterine contraceptive device
Z30433Encounter for removal and reinsertion of intrauterine contraceptive device
Z3049Encounter for surveillance of other contraceptives
Z308Encounter for other contraceptive management
Z309Encounter for contraceptive management, unspecified
Z3141Encounter for fertility testing
Z3142Aftercare following sterilization reversal
Z31430Encounter of female for testing for genetic disease carrier status for procreative management
Z31438Encounter for other genetic testing of female for procreative management
Z31440Encounter of male for testing for genetic disease carrier status for procreative management
Z31441Encounter for testing of male partner of patient with recurrent pregnancy loss
Z31448Encounter for other genetic testing of male for procreative management
Z3149Encounter for other procreative investigation and testing
Z315Encounter for genetic counseling
Z3161Procreative counseling and advice using natural family planning
Z3162Encounter for fertility preservation counseling
Z3169Encounter for other general counseling and advice on procreation
Z3181Encounter for male factor infertility in female patient
Z3182Encounter for Rh incompatibility status
Z3183Encounter for assisted reproductive fertility procedure cycle
Z3184Encounter for fertility preservation procedure
Z3189Encounter for other procreative management
Z319Encounter for procreative management, unspecified
Z3200Encounter for pregnancy test, result unknown
Z3201Encounter for pregnancy test, result positive
Z3202Encounter for pregnancy test, result negative
Z322Encounter for childbirth instruction
Z323Encounter for childcare instruction
Z331Pregnant state, incidental
Z3400Encounter for supervision of normal first pregnancy, unspecified trimester
Z3401Encounter for supervision of normal first pregnancy, first trimester
Z3402Encounter for supervision of normal first pregnancy, second trimester
Z3403Encounter for supervision of normal first pregnancy, third trimester
Z3480Encounter for supervision of other normal pregnancy, unspecified trimester
Z3481Encounter for supervision of other normal pregnancy, first trimester
Z3482Encounter for supervision of other normal pregnancy, second trimester
Z3483Encounter for supervision of other normal pregnancy, third trimester
Z3490Encounter for supervision of normal pregnancy, unspecified, unspecified trimester
Z3491Encounter for supervision of normal pregnancy, unspecified, first trimester
Z3492Encounter for supervision of normal pregnancy, unspecified, second trimester
Z3493Encounter for supervision of normal pregnancy, unspecified, third trimester
Z36Encounter for antenatal screening of mother
Z370Single live birth
Z371Single stillbirth
Z372Twins, both liveborn
Z373Twins, one liveborn and one stillborn
Z374Twins, both stillborn
Z3750Multiple births, unspecified, all liveborn
Z3751Triplets, all liveborn
Z3752Quadruplets, all liveborn
Z3753Quintuplets, all liveborn
Z3754Sextuplets, all liveborn
Z3759Other multiple births, all liveborn
Z3760Multiple births, unspecified, some liveborn
Z3761Triplets, some liveborn
Z3762Quadruplets, some liveborn
Z3763Quintuplets, some liveborn
Z3764Sextuplets, some liveborn
Z3769Other multiple births, some liveborn
Z377Other multiple births, all stillborn
Z379Outcome of delivery, unspecified
Z391Encounter for care and examination of lactating mother
Z392Encounter for routine postpartum follow-up
Z4000Encounter for prophylactic removal of unspecified organ
Z4009Encounter for prophylactic removal of other organ
Z408Encounter for other prophylactic surgery
Z409Encounter for prophylactic surgery, unspecified
Z413Encounter for ear piercing
Z418Encounter for other procedures for purposes other than remedying health state
Z419Encounter for procedure for purposes other than remedying health state, unspecified
Z438Encounter for attention to other artificial openings
Z439Encounter for attention to unspecified artificial opening
Z4420Encounter for fitting and adjustment of artificial eye, unspecified
Z4421Encounter for fitting and adjustment of artificial right eye
Z4422Encounter for fitting and adjustment of artificial left eye
Z4430Encounter for fitting and adjustment of external breast prosthesis, unspecified breast
Z4431Encounter for fitting and adjustment of external right breast prosthesis
Z4432Encounter for fitting and adjustment of external left breast prosthesis
Z45811Encounter for adjustment or removal of right breast implant
Z45812Encounter for adjustment or removal of left breast implant
Z45819Encounter for adjustment or removal of unspecified breast implant
Z4582Encounter for adjustment or removal of myringotomy device (stent) (tube)
Z4589Encounter for adjustment and management of other implanted devices
Z459Encounter for adjustment and management of unspecified implanted device
Z460Encounter for fitting and adjustment of spectacles and contact lenses
Z461Encounter for fitting and adjustment of hearing aid
Z463Encounter for fitting and adjustment of dental prosthetic device
Z464Encounter for fitting and adjustment of orthodontic device
Z4681Encounter for fitting and adjustment of insulin pump
Z4689Encounter for fitting and adjustment of other specified devices
Z469Encounter for fitting and adjustment of unspecified device
Z4800Encounter for change or removal of nonsurgical wound dressing
Z4801Encounter for change or removal of surgical wound dressing
Z4802Encounter for removal of sutures
Z515Encounter for palliative care
Z52000Unspecified donor, whole blood
Z52001Unspecified donor, stem cells
Z52008Unspecified donor, other blood
Z52010Autologous donor, whole blood
Z52011Autologous donor, stem cells
Z52018Autologous donor, other blood
Z52090Other blood donor, whole blood
Z52091Other blood donor, stem cells
Z52098Other blood donor, other blood
Z523Bone marrow donor
Z525Cornea donor



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244