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 14 Pregnancy, Childbirth & the Puerperium |
| Cesarean Section |
| CC or MCC | SDX Twins | PDX Malpresentation | DRG |
|---|---|---|---|
| Yes | No | No | 765 |
| No | Yes | No | 765 |
| No | No | Yes | 766 |
| No | Yes | Yes | 766 |
| No | No | No | 766 |
DRG 765 CESAREAN SECTION WITH CC/MCC
DRG 766 CESAREAN SECTION WITHOUT CC/MCC
OPERATING ROOM PROCEDURES
| 10D00Z0 | Extraction of Products of Conception, Classical, Open Approach |
| 10D00Z1 | Extraction of Products of Conception, Low Cervical, Open Approach |
| 10D00Z2 | Extraction of Products of Conception, Extraperitoneal, Open Approach |
CC FOR CSECTION
| O131 | Gestational [pregnancy-induced] hypertension without significant proteinuria, first trimester |
| O132 | Gestational [pregnancy-induced] hypertension without significant proteinuria, second trimester |
| O133 | Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester |
| O169 | Unspecified maternal hypertension, unspecified trimester |
| O2291 | Venous complication in pregnancy, unspecified, first trimester |
| O2292 | Venous complication in pregnancy, unspecified, second trimester |
| O2293 | Venous complication in pregnancy, unspecified, third trimester |
| O2492 | Unspecified diabetes mellitus in childbirth |
| O2621 | Pregnancy care for patient with recurrent pregnancy loss, first trimester |
| O2622 | Pregnancy care for patient with recurrent pregnancy loss, second trimester |
| O2623 | Pregnancy care for patient with recurrent pregnancy loss, third trimester |
| O2651 | Maternal hypotension syndrome, first trimester |
| O2652 | Maternal hypotension syndrome, second trimester |
| O2653 | Maternal hypotension syndrome, third trimester |
| O365113 | Maternal care for known or suspected placental insufficiency, first trimester, fetus 3 |
| O365114 | Maternal care for known or suspected placental insufficiency, first trimester, fetus 4 |
| O365115 | Maternal care for known or suspected placental insufficiency, first trimester, fetus 5 |
| O365119 | Maternal care for known or suspected placental insufficiency, first trimester, other fetus |
| O365120 | Maternal care for known or suspected placental insufficiency, second trimester, not applicable or unspecified |
| O365121 | Maternal care for known or suspected placental insufficiency, second trimester, fetus 1 |
| O365123 | Maternal care for known or suspected placental insufficiency, second trimester, fetus 3 |
| O365124 | Maternal care for known or suspected placental insufficiency, second trimester, fetus 4 |
| O365125 | Maternal care for known or suspected placental insufficiency, second trimester, fetus 5 |
| O365129 | Maternal care for known or suspected placental insufficiency, second trimester, other fetus |
| O365130 | Maternal care for known or suspected placental insufficiency, third trimester, not applicable or unspecified |
| O365131 | Maternal care for known or suspected placental insufficiency, third trimester, fetus 1 |
| O365132 | Maternal care for known or suspected placental insufficiency, third trimester, fetus 2 |
| O365133 | Maternal care for known or suspected placental insufficiency, third trimester, fetus 3 |
| O365134 | Maternal care for known or suspected placental insufficiency, third trimester, fetus 4 |
| O365135 | Maternal care for known or suspected placental insufficiency, third trimester, fetus 5 |
| O365139 | Maternal care for known or suspected placental insufficiency, third trimester, other fetus |
| O365910 | Maternal care for other known or suspected poor fetal growth, first trimester, not applicable or unspecified |
| O365911 | Maternal care for other known or suspected poor fetal growth, first trimester, fetus 1 |
| O365912 | Maternal care for other known or suspected poor fetal growth, first trimester, fetus 2 |
| O365913 | Maternal care for other known or suspected poor fetal growth, first trimester, fetus 3 |
| O365914 | Maternal care for other known or suspected poor fetal growth, first trimester, fetus 4 |
| O365915 | Maternal care for other known or suspected poor fetal growth, first trimester, fetus 5 |
| O365919 | Maternal care for other known or suspected poor fetal growth, first trimester, other fetus |
| O365920 | Maternal care for other known or suspected poor fetal growth, second trimester, not applicable or unspecified |
| O365921 | Maternal care for other known or suspected poor fetal growth, second trimester, fetus 1 |
| O365922 | Maternal care for other known or suspected poor fetal growth, second trimester, fetus 2 |
| O365923 | Maternal care for other known or suspected poor fetal growth, second trimester, fetus 3 |
| O365924 | Maternal care for other known or suspected poor fetal growth, second trimester, fetus 4 |
| O365925 | Maternal care for other known or suspected poor fetal growth, second trimester, fetus 5 |
| O365929 | Maternal care for other known or suspected poor fetal growth, second trimester, other fetus |
| O365930 | Maternal care for other known or suspected poor fetal growth, third trimester, not applicable or unspecified |
| O365931 | Maternal care for other known or suspected poor fetal growth, third trimester, fetus 1 |
| O365932 | Maternal care for other known or suspected poor fetal growth, third trimester, fetus 2 |
| O365933 | Maternal care for other known or suspected poor fetal growth, third trimester, fetus 3 |
| O365934 | Maternal care for other known or suspected poor fetal growth, third trimester, fetus 4 |
| O365935 | Maternal care for other known or suspected poor fetal growth, third trimester, fetus 5 |
| O365939 | Maternal care for other known or suspected poor fetal growth, third trimester, other fetus |
| O401XX0 | Polyhydramnios, first trimester, not applicable or unspecified |
| O401XX1 | Polyhydramnios, first trimester, fetus 1 |
| O401XX2 | Polyhydramnios, first trimester, fetus 2 |
| O401XX3 | Polyhydramnios, first trimester, fetus 3 |
| O401XX4 | Polyhydramnios, first trimester, fetus 4 |
| O401XX5 | Polyhydramnios, first trimester, fetus 5 |
| O401XX9 | Polyhydramnios, first trimester, other fetus |
| O402XX0 | Polyhydramnios, second trimester, not applicable or unspecified |
| O402XX1 | Polyhydramnios, second trimester, fetus 1 |
| O402XX2 | Polyhydramnios, second trimester, fetus 2 |
| O402XX3 | Polyhydramnios, second trimester, fetus 3 |
| O402XX4 | Polyhydramnios, second trimester, fetus 4 |
| O402XX5 | Polyhydramnios, second trimester, fetus 5 |
| O402XX9 | Polyhydramnios, second trimester, other fetus |
| O403XX0 | Polyhydramnios, third trimester, not applicable or unspecified |
| O403XX1 | Polyhydramnios, third trimester, fetus 1 |
| O403XX2 | Polyhydramnios, third trimester, fetus 2 |
| O403XX3 | Polyhydramnios, third trimester, fetus 3 |
| O403XX4 | Polyhydramnios, third trimester, fetus 4 |
| O403XX5 | Polyhydramnios, third trimester, fetus 5 |
| O403XX9 | Polyhydramnios, third trimester, other fetus |
| O418X10 | Other specified disorders of amniotic fluid and membranes, first trimester, not applicable or unspecified |
| O418X11 | Other specified disorders of amniotic fluid and membranes, first trimester, fetus 1 |
| O418X12 | Other specified disorders of amniotic fluid and membranes, first trimester, fetus 2 |
| O418X13 | Other specified disorders of amniotic fluid and membranes, first trimester, fetus 3 |
| O418X14 | Other specified disorders of amniotic fluid and membranes, first trimester, fetus 4 |
| O418X15 | Other specified disorders of amniotic fluid and membranes, first trimester, fetus 5 |
| O418X19 | Other specified disorders of amniotic fluid and membranes, first trimester, other fetus |
| O418X20 | Other specified disorders of amniotic fluid and membranes, second trimester, not applicable or unspecified |
| O418X21 | Other specified disorders of amniotic fluid and membranes, second trimester, fetus 1 |
| O418X22 | Other specified disorders of amniotic fluid and membranes, second trimester, fetus 2 |
| O418X23 | Other specified disorders of amniotic fluid and membranes, second trimester, fetus 3 |
| O418X24 | Other specified disorders of amniotic fluid and membranes, second trimester, fetus 4 |
| O418X25 | Other specified disorders of amniotic fluid and membranes, second trimester, fetus 5 |
| O418X29 | Other specified disorders of amniotic fluid and membranes, second trimester, other fetus |
| O418X30 | Other specified disorders of amniotic fluid and membranes, third trimester, not applicable or unspecified |
| O418X31 | Other specified disorders of amniotic fluid and membranes, third trimester, fetus 1 |
| O418X32 | Other specified disorders of amniotic fluid and membranes, third trimester, fetus 2 |
| O418X33 | Other specified disorders of amniotic fluid and membranes, third trimester, fetus 3 |
| O418X34 | Other specified disorders of amniotic fluid and membranes, third trimester, fetus 4 |
| O418X35 | Other specified disorders of amniotic fluid and membranes, third trimester, fetus 5 |
| O418X39 | Other specified disorders of amniotic fluid and membranes, third trimester, other fetus |
| O722 | Delayed and secondary postpartum hemorrhage |
| O723 | Postpartum coagulation defects |
| O91111 | Abscess of breast associated with pregnancy, first trimester |
| O91112 | Abscess of breast associated with pregnancy, second trimester |
| O91113 | Abscess of breast associated with pregnancy, third trimester |
| O9112 | Abscess of breast associated with the puerperium |
MALPRESENTATION
| O329XX0 | Maternal care for malpresentation of fetus, unspecified, not applicable or unspecified |
| O329XX1 | Maternal care for malpresentation of fetus, unspecified, fetus 1 |
| O329XX2 | Maternal care for malpresentation of fetus, unspecified, fetus 2 |
| O329XX3 | Maternal care for malpresentation of fetus, unspecified, fetus 3 |
| O329XX4 | Maternal care for malpresentation of fetus, unspecified, fetus 4 |
| O329XX5 | Maternal care for malpresentation of fetus, unspecified, fetus 5 |
| O329XX9 | Maternal care for malpresentation of fetus, unspecified, other fetus |
TWINS
| O30001 | Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester |
| O30002 | Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester |
| O30003 | Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester |
| O30011 | Twin pregnancy, monochorionic/monoamniotic, first trimester |
| O30012 | Twin pregnancy, monochorionic/monoamniotic, second trimester |
| O30013 | Twin pregnancy, monochorionic/monoamniotic, third trimester |
| O30031 | Twin pregnancy, monochorionic/diamniotic, first trimester |
| O30032 | Twin pregnancy, monochorionic/diamniotic, second trimester |
| O30033 | Twin pregnancy, monochorionic/diamniotic, third trimester |
| O30041 | Twin pregnancy, dichorionic/diamniotic, first trimester |
| O30042 | Twin pregnancy, dichorionic/diamniotic, second trimester |
| O30043 | Twin pregnancy, dichorionic/diamniotic, third trimester |
| O30091 | Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester |
| O30092 | Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester |
| O30093 | Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester |
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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 |