ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual |
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| MDC 09 Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast |
| Skin Ulcers |
| MCC | CC | DRG |
|---|---|---|
| Yes | n/a | 592 |
| No | Yes | 593 |
| No | No | 594 |
DRG 592 SKIN ULCERS WITH MCC
DRG 593 SKIN ULCERS WITH CC
DRG 594 SKIN ULCERS WITHOUT CC/MCC
PRINCIPAL DIAGNOSIS
| L89000 | Pressure ulcer of unspecified elbow, unstageable |
| L89001 | Pressure ulcer of unspecified elbow, stage 1 |
| L89002 | Pressure ulcer of unspecified elbow, stage 2 |
| L89003 | Pressure ulcer of unspecified elbow, stage 3 |
| L89004 | Pressure ulcer of unspecified elbow, stage 4 |
| L89009 | Pressure ulcer of unspecified elbow, unspecified stage |
| L89010 | Pressure ulcer of right elbow, unstageable |
| L89011 | Pressure ulcer of right elbow, stage 1 |
| L89012 | Pressure ulcer of right elbow, stage 2 |
| L89013 | Pressure ulcer of right elbow, stage 3 |
| L89014 | Pressure ulcer of right elbow, stage 4 |
| L89019 | Pressure ulcer of right elbow, unspecified stage |
| L89020 | Pressure ulcer of left elbow, unstageable |
| L89021 | Pressure ulcer of left elbow, stage 1 |
| L89022 | Pressure ulcer of left elbow, stage 2 |
| L89023 | Pressure ulcer of left elbow, stage 3 |
| L89024 | Pressure ulcer of left elbow, stage 4 |
| L89029 | Pressure ulcer of left elbow, unspecified stage |
| L89100 | Pressure ulcer of unspecified part of back, unstageable |
| L89101 | Pressure ulcer of unspecified part of back, stage 1 |
| L89102 | Pressure ulcer of unspecified part of back, stage 2 |
| L89103 | Pressure ulcer of unspecified part of back, stage 3 |
| L89104 | Pressure ulcer of unspecified part of back, stage 4 |
| L89109 | Pressure ulcer of unspecified part of back, unspecified stage |
| L89110 | Pressure ulcer of right upper back, unstageable |
| L89111 | Pressure ulcer of right upper back, stage 1 |
| L89112 | Pressure ulcer of right upper back, stage 2 |
| L89113 | Pressure ulcer of right upper back, stage 3 |
| L89114 | Pressure ulcer of right upper back, stage 4 |
| L89119 | Pressure ulcer of right upper back, unspecified stage |
| L89120 | Pressure ulcer of left upper back, unstageable |
| L89121 | Pressure ulcer of left upper back, stage 1 |
| L89122 | Pressure ulcer of left upper back, stage 2 |
| L89123 | Pressure ulcer of left upper back, stage 3 |
| L89124 | Pressure ulcer of left upper back, stage 4 |
| L89129 | Pressure ulcer of left upper back, unspecified stage |
| L89130 | Pressure ulcer of right lower back, unstageable |
| L89131 | Pressure ulcer of right lower back, stage 1 |
| L89132 | Pressure ulcer of right lower back, stage 2 |
| L89133 | Pressure ulcer of right lower back, stage 3 |
| L89134 | Pressure ulcer of right lower back, stage 4 |
| L89139 | Pressure ulcer of right lower back, unspecified stage |
| L89140 | Pressure ulcer of left lower back, unstageable |
| L89141 | Pressure ulcer of left lower back, stage 1 |
| L89142 | Pressure ulcer of left lower back, stage 2 |
| L89143 | Pressure ulcer of left lower back, stage 3 |
| L89144 | Pressure ulcer of left lower back, stage 4 |
| L89149 | Pressure ulcer of left lower back, unspecified stage |
| L89150 | Pressure ulcer of sacral region, unstageable |
| L89151 | Pressure ulcer of sacral region, stage 1 |
| L89152 | Pressure ulcer of sacral region, stage 2 |
| L89153 | Pressure ulcer of sacral region, stage 3 |
| L89154 | Pressure ulcer of sacral region, stage 4 |
| L89159 | Pressure ulcer of sacral region, unspecified stage |
| L89200 | Pressure ulcer of unspecified hip, unstageable |
| L89201 | Pressure ulcer of unspecified hip, stage 1 |
| L89202 | Pressure ulcer of unspecified hip, stage 2 |
| L89203 | Pressure ulcer of unspecified hip, stage 3 |
| L89204 | Pressure ulcer of unspecified hip, stage 4 |
| L89209 | Pressure ulcer of unspecified hip, unspecified stage |
| L89210 | Pressure ulcer of right hip, unstageable |
| L89211 | Pressure ulcer of right hip, stage 1 |
| L89212 | Pressure ulcer of right hip, stage 2 |
| L89213 | Pressure ulcer of right hip, stage 3 |
| L89214 | Pressure ulcer of right hip, stage 4 |
| L89219 | Pressure ulcer of right hip, unspecified stage |
| L89220 | Pressure ulcer of left hip, unstageable |
| L89221 | Pressure ulcer of left hip, stage 1 |
| L89222 | Pressure ulcer of left hip, stage 2 |
| L89223 | Pressure ulcer of left hip, stage 3 |
| L89224 | Pressure ulcer of left hip, stage 4 |
| L89229 | Pressure ulcer of left hip, unspecified stage |
| L89300 | Pressure ulcer of unspecified buttock, unstageable |
| L89301 | Pressure ulcer of unspecified buttock, stage 1 |
| L89302 | Pressure ulcer of unspecified buttock, stage 2 |
| L89303 | Pressure ulcer of unspecified buttock, stage 3 |
| L89304 | Pressure ulcer of unspecified buttock, stage 4 |
| L89309 | Pressure ulcer of unspecified buttock, unspecified stage |
| L89310 | Pressure ulcer of right buttock, unstageable |
| L89311 | Pressure ulcer of right buttock, stage 1 |
| L89312 | Pressure ulcer of right buttock, stage 2 |
| L89313 | Pressure ulcer of right buttock, stage 3 |
| L89314 | Pressure ulcer of right buttock, stage 4 |
| L89319 | Pressure ulcer of right buttock, unspecified stage |
| L89320 | Pressure ulcer of left buttock, unstageable |
| L89321 | Pressure ulcer of left buttock, stage 1 |
| L89322 | Pressure ulcer of left buttock, stage 2 |
| L89323 | Pressure ulcer of left buttock, stage 3 |
| L89324 | Pressure ulcer of left buttock, stage 4 |
| L89329 | Pressure ulcer of left buttock, unspecified stage |
| L8940 | Pressure ulcer of contiguous site of back, buttock and hip, unspecified stage |
| L8941 | Pressure ulcer of contiguous site of back, buttock and hip, stage 1 |
| L8942 | Pressure ulcer of contiguous site of back, buttock and hip, stage 2 |
| L8943 | Pressure ulcer of contiguous site of back, buttock and hip, stage 3 |
| L8944 | Pressure ulcer of contiguous site of back, buttock and hip, stage 4 |
| L8945 | Pressure ulcer of contiguous site of back, buttock and hip, unstageable |
| L89500 | Pressure ulcer of unspecified ankle, unstageable |
| L89501 | Pressure ulcer of unspecified ankle, stage 1 |
| L89502 | Pressure ulcer of unspecified ankle, stage 2 |
| L89503 | Pressure ulcer of unspecified ankle, stage 3 |
| L89504 | Pressure ulcer of unspecified ankle, stage 4 |
| L89509 | Pressure ulcer of unspecified ankle, unspecified stage |
| L89510 | Pressure ulcer of right ankle, unstageable |
| L89511 | Pressure ulcer of right ankle, stage 1 |
| L89512 | Pressure ulcer of right ankle, stage 2 |
| L89513 | Pressure ulcer of right ankle, stage 3 |
| L89514 | Pressure ulcer of right ankle, stage 4 |
| L89519 | Pressure ulcer of right ankle, unspecified stage |
| L89520 | Pressure ulcer of left ankle, unstageable |
| L89521 | Pressure ulcer of left ankle, stage 1 |
| L89522 | Pressure ulcer of left ankle, stage 2 |
| L89523 | Pressure ulcer of left ankle, stage 3 |
| L89524 | Pressure ulcer of left ankle, stage 4 |
| L89529 | Pressure ulcer of left ankle, unspecified stage |
| L89600 | Pressure ulcer of unspecified heel, unstageable |
| L89601 | Pressure ulcer of unspecified heel, stage 1 |
| L89602 | Pressure ulcer of unspecified heel, stage 2 |
| L89603 | Pressure ulcer of unspecified heel, stage 3 |
| L89604 | Pressure ulcer of unspecified heel, stage 4 |
| L89609 | Pressure ulcer of unspecified heel, unspecified stage |
| L89610 | Pressure ulcer of right heel, unstageable |
| L89611 | Pressure ulcer of right heel, stage 1 |
| L89612 | Pressure ulcer of right heel, stage 2 |
| L89613 | Pressure ulcer of right heel, stage 3 |
| L89614 | Pressure ulcer of right heel, stage 4 |
| L89619 | Pressure ulcer of right heel, unspecified stage |
| L89620 | Pressure ulcer of left heel, unstageable |
| L89621 | Pressure ulcer of left heel, stage 1 |
| L89622 | Pressure ulcer of left heel, stage 2 |
| L89623 | Pressure ulcer of left heel, stage 3 |
| L89624 | Pressure ulcer of left heel, stage 4 |
| L89629 | Pressure ulcer of left heel, unspecified stage |
| L89810 | Pressure ulcer of head, unstageable |
| L89811 | Pressure ulcer of head, stage 1 |
| L89812 | Pressure ulcer of head, stage 2 |
| L89813 | Pressure ulcer of head, stage 3 |
| L89814 | Pressure ulcer of head, stage 4 |
| L89819 | Pressure ulcer of head, unspecified stage |
| L89890 | Pressure ulcer of other site, unstageable |
| L89891 | Pressure ulcer of other site, stage 1 |
| L89892 | Pressure ulcer of other site, stage 2 |
| L89893 | Pressure ulcer of other site, stage 3 |
| L89894 | Pressure ulcer of other site, stage 4 |
| L89899 | Pressure ulcer of other site, unspecified stage |
| L8990 | Pressure ulcer of unspecified site, unspecified stage |
| L8991 | Pressure ulcer of unspecified site, stage 1 |
| L8992 | Pressure ulcer of unspecified site, stage 2 |
| L8993 | Pressure ulcer of unspecified site, stage 3 |
| L8994 | Pressure ulcer of unspecified site, stage 4 |
| L8995 | Pressure ulcer of unspecified site, unstageable |
| L97101 | Non-pressure chronic ulcer of unspecified thigh limited to breakdown of skin |
| L97102 | Non-pressure chronic ulcer of unspecified thigh with fat layer exposed |
| L97103 | Non-pressure chronic ulcer of unspecified thigh with necrosis of muscle |
| L97104 | Non-pressure chronic ulcer of unspecified thigh with necrosis of bone |
| L97109 | Non-pressure chronic ulcer of unspecified thigh with unspecified severity |
| L97111 | Non-pressure chronic ulcer of right thigh limited to breakdown of skin |
| L97112 | Non-pressure chronic ulcer of right thigh with fat layer exposed |
| L97113 | Non-pressure chronic ulcer of right thigh with necrosis of muscle |
| L97114 | Non-pressure chronic ulcer of right thigh with necrosis of bone |
| L97119 | Non-pressure chronic ulcer of right thigh with unspecified severity |
| L97121 | Non-pressure chronic ulcer of left thigh limited to breakdown of skin |
| L97122 | Non-pressure chronic ulcer of left thigh with fat layer exposed |
| L97123 | Non-pressure chronic ulcer of left thigh with necrosis of muscle |
| L97124 | Non-pressure chronic ulcer of left thigh with necrosis of bone |
| L97129 | Non-pressure chronic ulcer of left thigh with unspecified severity |
| L97201 | Non-pressure chronic ulcer of unspecified calf limited to breakdown of skin |
| L97202 | Non-pressure chronic ulcer of unspecified calf with fat layer exposed |
| L97203 | Non-pressure chronic ulcer of unspecified calf with necrosis of muscle |
| L97204 | Non-pressure chronic ulcer of unspecified calf with necrosis of bone |
| L97209 | Non-pressure chronic ulcer of unspecified calf with unspecified severity |
| L97211 | Non-pressure chronic ulcer of right calf limited to breakdown of skin |
| L97212 | Non-pressure chronic ulcer of right calf with fat layer exposed |
| L97213 | Non-pressure chronic ulcer of right calf with necrosis of muscle |
| L97214 | Non-pressure chronic ulcer of right calf with necrosis of bone |
| L97219 | Non-pressure chronic ulcer of right calf with unspecified severity |
| L97221 | Non-pressure chronic ulcer of left calf limited to breakdown of skin |
| L97222 | Non-pressure chronic ulcer of left calf with fat layer exposed |
| L97223 | Non-pressure chronic ulcer of left calf with necrosis of muscle |
| L97224 | Non-pressure chronic ulcer of left calf with necrosis of bone |
| L97229 | Non-pressure chronic ulcer of left calf with unspecified severity |
| L97301 | Non-pressure chronic ulcer of unspecified ankle limited to breakdown of skin |
| L97302 | Non-pressure chronic ulcer of unspecified ankle with fat layer exposed |
| L97303 | Non-pressure chronic ulcer of unspecified ankle with necrosis of muscle |
| L97304 | Non-pressure chronic ulcer of unspecified ankle with necrosis of bone |
| L97309 | Non-pressure chronic ulcer of unspecified ankle with unspecified severity |
| L97311 | Non-pressure chronic ulcer of right ankle limited to breakdown of skin |
| L97312 | Non-pressure chronic ulcer of right ankle with fat layer exposed |
| L97313 | Non-pressure chronic ulcer of right ankle with necrosis of muscle |
| L97314 | Non-pressure chronic ulcer of right ankle with necrosis of bone |
| L97319 | Non-pressure chronic ulcer of right ankle with unspecified severity |
| L97321 | Non-pressure chronic ulcer of left ankle limited to breakdown of skin |
| L97322 | Non-pressure chronic ulcer of left ankle with fat layer exposed |
| L97323 | Non-pressure chronic ulcer of left ankle with necrosis of muscle |
| L97324 | Non-pressure chronic ulcer of left ankle with necrosis of bone |
| L97329 | Non-pressure chronic ulcer of left ankle with unspecified severity |
| L97401 | Non-pressure chronic ulcer of unspecified heel and midfoot limited to breakdown of skin |
| L97402 | Non-pressure chronic ulcer of unspecified heel and midfoot with fat layer exposed |
| L97403 | Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of muscle |
| L97404 | Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of bone |
| L97409 | Non-pressure chronic ulcer of unspecified heel and midfoot with unspecified severity |
| L97411 | Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin |
| L97412 | Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed |
| L97413 | Non-pressure chronic ulcer of right heel and midfoot with necrosis of muscle |
| L97414 | Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone |
| L97419 | Non-pressure chronic ulcer of right heel and midfoot with unspecified severity |
| L97421 | Non-pressure chronic ulcer of left heel and midfoot limited to breakdown of skin |
| L97422 | Non-pressure chronic ulcer of left heel and midfoot with fat layer exposed |
| L97423 | Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle |
| L97424 | Non-pressure chronic ulcer of left heel and midfoot with necrosis of bone |
| L97429 | Non-pressure chronic ulcer of left heel and midfoot with unspecified severity |
| L97501 | Non-pressure chronic ulcer of other part of unspecified foot limited to breakdown of skin |
| L97502 | Non-pressure chronic ulcer of other part of unspecified foot with fat layer exposed |
| L97503 | Non-pressure chronic ulcer of other part of unspecified foot with necrosis of muscle |
| L97504 | Non-pressure chronic ulcer of other part of unspecified foot with necrosis of bone |
| L97509 | Non-pressure chronic ulcer of other part of unspecified foot with unspecified severity |
| L97511 | Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin |
| L97512 | Non-pressure chronic ulcer of other part of right foot with fat layer exposed |
| L97513 | Non-pressure chronic ulcer of other part of right foot with necrosis of muscle |
| L97514 | Non-pressure chronic ulcer of other part of right foot with necrosis of bone |
| L97519 | Non-pressure chronic ulcer of other part of right foot with unspecified severity |
| L97521 | Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin |
| L97522 | Non-pressure chronic ulcer of other part of left foot with fat layer exposed |
| L97523 | Non-pressure chronic ulcer of other part of left foot with necrosis of muscle |
| L97524 | Non-pressure chronic ulcer of other part of left foot with necrosis of bone |
| L97529 | Non-pressure chronic ulcer of other part of left foot with unspecified severity |
| L97801 | Non-pressure chronic ulcer of other part of unspecified lower leg limited to breakdown of skin |
| L97802 | Non-pressure chronic ulcer of other part of unspecified lower leg with fat layer exposed |
| L97803 | Non-pressure chronic ulcer of other part of unspecified lower leg with necrosis of muscle |
| L97804 | Non-pressure chronic ulcer of other part of unspecified lower leg with necrosis of bone |
| L97809 | Non-pressure chronic ulcer of other part of unspecified lower leg with unspecified severity |
| L97811 | Non-pressure chronic ulcer of other part of right lower leg limited to breakdown of skin |
| L97812 | Non-pressure chronic ulcer of other part of right lower leg with fat layer exposed |
| L97813 | Non-pressure chronic ulcer of other part of right lower leg with necrosis of muscle |
| L97814 | Non-pressure chronic ulcer of other part of right lower leg with necrosis of bone |
| L97819 | Non-pressure chronic ulcer of other part of right lower leg with unspecified severity |
| L97821 | Non-pressure chronic ulcer of other part of left lower leg limited to breakdown of skin |
| L97822 | Non-pressure chronic ulcer of other part of left lower leg with fat layer exposed |
| L97823 | Non-pressure chronic ulcer of other part of left lower leg with necrosis of muscle |
| L97824 | Non-pressure chronic ulcer of other part of left lower leg with necrosis of bone |
| L97829 | Non-pressure chronic ulcer of other part of left lower leg with unspecified severity |
| L97901 | Non-pressure chronic ulcer of unspecified part of unspecified lower leg limited to breakdown of skin |
| L97902 | Non-pressure chronic ulcer of unspecified part of unspecified lower leg with fat layer exposed |
| L97903 | Non-pressure chronic ulcer of unspecified part of unspecified lower leg with necrosis of muscle |
| L97904 | Non-pressure chronic ulcer of unspecified part of unspecified lower leg with necrosis of bone |
| L97909 | Non-pressure chronic ulcer of unspecified part of unspecified lower leg with unspecified severity |
| L97911 | Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin |
| L97912 | Non-pressure chronic ulcer of unspecified part of right lower leg with fat layer exposed |
| L97913 | Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of muscle |
| L97914 | Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of bone |
| L97919 | Non-pressure chronic ulcer of unspecified part of right lower leg with unspecified severity |
| L97921 | Non-pressure chronic ulcer of unspecified part of left lower leg limited to breakdown of skin |
| L97922 | Non-pressure chronic ulcer of unspecified part of left lower leg with fat layer exposed |
| L97923 | Non-pressure chronic ulcer of unspecified part of left lower leg with necrosis of muscle |
| L97924 | Non-pressure chronic ulcer of unspecified part of left lower leg with necrosis of bone |
| L97929 | Non-pressure chronic ulcer of unspecified part of left lower leg with unspecified severity |
| L98411 | Non-pressure chronic ulcer of buttock limited to breakdown of skin |
| L98412 | Non-pressure chronic ulcer of buttock with fat layer exposed |
| L98413 | Non-pressure chronic ulcer of buttock with necrosis of muscle |
| L98414 | Non-pressure chronic ulcer of buttock with necrosis of bone |
| L98419 | Non-pressure chronic ulcer of buttock with unspecified severity |
| L98421 | Non-pressure chronic ulcer of back limited to breakdown of skin |
| L98422 | Non-pressure chronic ulcer of back with fat layer exposed |
| L98423 | Non-pressure chronic ulcer of back with necrosis of muscle |
| L98424 | Non-pressure chronic ulcer of back with necrosis of bone |
| L98429 | Non-pressure chronic ulcer of back with unspecified severity |
| L98491 | Non-pressure chronic ulcer of skin of other sites limited to breakdown of skin |
| L98492 | Non-pressure chronic ulcer of skin of other sites with fat layer exposed |
| L98493 | Non-pressure chronic ulcer of skin of other sites with necrosis of muscle |
| L98494 | Non-pressure chronic ulcer of skin of other sites with necrosis of bone |
| L98499 | Non-pressure chronic ulcer of skin of other sites with unspecified severity |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 02 Nov 2016 09:53:07 PROD, CMS, code-revision=31, description-revision=86 |