ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual
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Appendix C: Principal diagnoses which convert CC/MCC to non-CC
Page 93 of 312
PDX Collection 0757 (continued)
T8182XAEmphysema (subcutaneous) resulting from a procedure, initial encounter
T8189XAOther complications of procedures, not elsewhere classified, initial encounter
T819XXAUnspecified complication of procedure, initial encounter
 
PDX Collection 0758
H95811Postprocedural stenosis of right external ear canal
H95812Postprocedural stenosis of left external ear canal
H95813Postprocedural stenosis of external ear canal, bilateral
H95819Postprocedural stenosis of unspecified external ear canal
H9588Other intraoperative complications and disorders of the ear and mastoid process, not elsewhere classified
H9589Other postprocedural complications and disorders of the ear and mastoid process, not elsewhere classified
I8501Esophageal varices with bleeding
I8511Secondary esophageal varices with bleeding
I973Postprocedural hypertension
J9561Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure
J9562Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating other procedure
J95830Postprocedural hemorrhage of a respiratory system organ or structure following a respiratory system procedure
J95831Postprocedural hemorrhage of a respiratory system organ or structure following other procedure
J95860Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure
J95861Postprocedural hematoma of a respiratory system organ or structure following other procedure
J95862Postprocedural seroma of a respiratory system organ or structure following a respiratory system procedure
J95863Postprocedural seroma of a respiratory system organ or structure following other procedure
K219Gastro-esophageal reflux disease without esophagitis
K228Other specified diseases of esophagus
K23Disorders of esophagus in diseases classified elsewhere
K250Acute gastric ulcer with hemorrhage
K252Acute gastric ulcer with both hemorrhage and perforation
K254Chronic or unspecified gastric ulcer with hemorrhage
K256Chronic or unspecified gastric ulcer with both hemorrhage and perforation
K260Acute duodenal ulcer with hemorrhage
K262Acute duodenal ulcer with both hemorrhage and perforation
K264Chronic or unspecified duodenal ulcer with hemorrhage
K266Chronic or unspecified duodenal ulcer with both hemorrhage and perforation
K270Acute peptic ulcer, site unspecified, with hemorrhage
K272Acute peptic ulcer, site unspecified, with both hemorrhage and perforation
K274Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage
K276Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation
K280Acute gastrojejunal ulcer with hemorrhage
K282Acute gastrojejunal ulcer with both hemorrhage and perforation
K284Chronic or unspecified gastrojejunal ulcer with hemorrhage
K286Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation
K2901Acute gastritis with bleeding
K2921Alcoholic gastritis with bleeding
K2931Chronic superficial gastritis with bleeding
K2941Chronic atrophic gastritis with bleeding
K2951Unspecified chronic gastritis with bleeding
K2961Other gastritis with bleeding
K2971Gastritis, unspecified, with bleeding
K2981Duodenitis with bleeding
K2991Gastroduodenitis, unspecified, with bleeding
K31811Angiodysplasia of stomach and duodenum with bleeding
K5521Angiodysplasia of colon with hemorrhage
K5701Diverticulitis of small intestine with perforation and abscess with bleeding
K5711Diverticulosis of small intestine without perforation or abscess with bleeding
K5713Diverticulitis of small intestine without perforation or abscess with bleeding
K5721Diverticulitis of large intestine with perforation and abscess with bleeding
K5731Diverticulosis of large intestine without perforation or abscess with bleeding
K5733Diverticulitis of large intestine without perforation or abscess with bleeding
K5741Diverticulitis of both small and large intestine with perforation and abscess with bleeding
K5751Diverticulosis of both small and large intestine without perforation or abscess with bleeding
K5753Diverticulitis of both small and large intestine without perforation or abscess with bleeding
K5781Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding
K5791Diverticulosis of intestine, part unspecified, without perforation or abscess with bleeding
K5793Diverticulitis of intestine, part unspecified, without perforation or abscess with bleeding
K625Hemorrhage of anus and rectum
K920Hematemesis
K921Melena
K922Gastrointestinal hemorrhage, unspecified
M9689Other intraoperative and postprocedural complications and disorders of the musculoskeletal system
N981Hyperstimulation of ovaries
N982Complications of attempted introduction of fertilized ovum following in vitro fertilization
N983Complications of attempted introduction of embryo in embryo transfer
N988Other complications associated with artificial fertilization
N989Complication associated with artificial fertilization, unspecified
P541Neonatal melena
P542Neonatal rectal hemorrhage
P543Other neonatal gastrointestinal hemorrhage
T8110XAPostprocedural shock unspecified, initial encounter
T8111XAPostprocedural cardiogenic shock, initial encounter
T8112XAPostprocedural septic shock, initial encounter
T8119XAOther postprocedural shock, initial encounter
T8182XAEmphysema (subcutaneous) resulting from a procedure, initial encounter
T8189XAOther complications of procedures, not elsewhere classified, initial encounter
T819XXAUnspecified complication of procedure, initial encounter
 
PDX Collection 0759
J95850Mechanical complication of respirator
Z990Dependence on aspirator
Z9911Dependence on respirator [ventilator] status
Z9912Encounter for respirator [ventilator] dependence during power failure
Z9981Dependence on supplemental oxygen
Z9989Dependence on other enabling machines and devices
 
PDX Collection 0760
J22Unspecified acute lower respiratory infection
J9811Atelectasis
J9819Other pulmonary collapse
J988Other specified respiratory disorders
J989Respiratory disorder, unspecified
 
PDX Collection 0761
K000Anodontia
K001Supernumerary teeth
K002Abnormalities of size and form of teeth
K003Mottled teeth
K004Disturbances in tooth formation
K005Hereditary disturbances in tooth structure, not elsewhere classified
K006Disturbances in tooth eruption
K007Teething syndrome
K008Other disorders of tooth development
K009Disorder of tooth development, unspecified
K010Embedded teeth
K011Impacted teeth
K023Arrested dental caries
K0251Dental caries on pit and fissure surface limited to enamel
K0252Dental caries on pit and fissure surface penetrating into dentin
K0253Dental caries on pit and fissure surface penetrating into pulp
K0261Dental caries on smooth surface limited to enamel
K0262Dental caries on smooth surface penetrating into dentin
K0263Dental caries on smooth surface penetrating into pulp
K027Dental root caries
K029Dental caries, unspecified
K030Excessive attrition of teeth
K031Abrasion of teeth
K032Erosion of teeth
K033Pathological resorption of teeth
K034Hypercementosis
K035Ankylosis of teeth
K036Deposits [accretions] on teeth
K037Posteruptive color changes of dental hard tissues
K0381Cracked tooth
K0389Other specified diseases of hard tissues of teeth
K039Disease of hard tissues of teeth, unspecified
K0401Reversible pulpitis
K0402Irreversible pulpitis
K041Necrosis of pulp
K042Pulp degeneration
K043Abnormal hard tissue formation in pulp
K044Acute apical periodontitis of pulpal origin
K045Chronic apical periodontitis
K046Periapical abscess with sinus
K047Periapical abscess without sinus
K048Radicular cyst
K0490Unspecified diseases of pulp and periapical tissues
K0499Other diseases of pulp and periapical tissues
K0500Acute gingivitis, plaque induced
K0501Acute gingivitis, non-plaque induced
K0510Chronic gingivitis, plaque induced
K0511Chronic gingivitis, non-plaque induced
K0520Aggressive periodontitis, unspecified
K05211Aggressive periodontitis, localized, slight
K05212Aggressive periodontitis, localized, moderate
K05213Aggressive periodontitis, localized, severe
K05219Aggressive periodontitis, localized, unspecified severity
K05221Aggressive periodontitis, generalized, slight
K05222Aggressive periodontitis, generalized, moderate
K05223Aggressive periodontitis, generalized, severe
K05229Aggressive periodontitis, generalized, unspecified severity
K0530Chronic periodontitis, unspecified
K05311Chronic periodontitis, localized, slight
K05312Chronic periodontitis, localized, moderate
K05313Chronic periodontitis, localized, severe
K05319Chronic periodontitis, localized, unspecified severity
K05321Chronic periodontitis, generalized, slight
K05322Chronic periodontitis, generalized, moderate
K05323Chronic periodontitis, generalized, severe
K05329Chronic periodontitis, generalized, unspecified severity
K054Periodontosis
K055Other periodontal diseases
K056Periodontal disease, unspecified
K060Gingival recession
K061Gingival enlargement
K062Gingival and edentulous alveolar ridge lesions associated with trauma
K063Horizontal alveolar bone loss
K068Other specified disorders of gingiva and edentulous alveolar ridge
K069Disorder of gingiva and edentulous alveolar ridge, unspecified
K080Exfoliation of teeth due to systemic causes
K08101Complete loss of teeth, unspecified cause, class I
K08102Complete loss of teeth, unspecified cause, class II
K08103Complete loss of teeth, unspecified cause, class III
K08104Complete loss of teeth, unspecified cause, class IV
K08109Complete loss of teeth, unspecified cause, unspecified class
K08111Complete loss of teeth due to trauma, class I
K08112Complete loss of teeth due to trauma, class II
K08113Complete loss of teeth due to trauma, class III
K08114Complete loss of teeth due to trauma, class IV
K08119Complete loss of teeth due to trauma, unspecified class
K08121Complete loss of teeth due to periodontal diseases, class I
K08122Complete loss of teeth due to periodontal diseases, class II
K08123Complete loss of teeth due to periodontal diseases, class III
K08124Complete loss of teeth due to periodontal diseases, class IV
K08129Complete loss of teeth due to periodontal diseases, unspecified class
K08131Complete loss of teeth due to caries, class I
K08132Complete loss of teeth due to caries, class II
K08133Complete loss of teeth due to caries, class III
K08134Complete loss of teeth due to caries, class IV
K08139Complete loss of teeth due to caries, unspecified class
K08191Complete loss of teeth due to other specified cause, class I
K08192Complete loss of teeth due to other specified cause, class II
K08193Complete loss of teeth due to other specified cause, class III
K08194Complete loss of teeth due to other specified cause, class IV
K08199Complete loss of teeth due to other specified cause, unspecified class
K0820Unspecified atrophy of edentulous alveolar ridge
K0821Minimal atrophy of the mandible
K0822Moderate atrophy of the mandible
K0823Severe atrophy of the mandible
K0824Minimal atrophy of maxilla
K0825Moderate atrophy of the maxilla
K0826Severe atrophy of the maxilla
K083Retained dental root
K08401Partial loss of teeth, unspecified cause, class I
K08402Partial loss of teeth, unspecified cause, class II
K08403Partial loss of teeth, unspecified cause, class III
K08404Partial loss of teeth, unspecified cause, class IV
K08409Partial loss of teeth, unspecified cause, unspecified class
K08411Partial loss of teeth due to trauma, class I
K08412Partial loss of teeth due to trauma, class II
K08413Partial loss of teeth due to trauma, class III
K08414Partial loss of teeth due to trauma, class IV
K08419Partial loss of teeth due to trauma, unspecified class
K08421Partial loss of teeth due to periodontal diseases, class I
K08422Partial loss of teeth due to periodontal diseases, class II
K08423Partial loss of teeth due to periodontal diseases, class III
K08424Partial loss of teeth due to periodontal diseases, class IV
K08429Partial loss of teeth due to periodontal diseases, unspecified class
K08431Partial loss of teeth due to caries, class I
K08432Partial loss of teeth due to caries, class II
K08433Partial loss of teeth due to caries, class III
K08434Partial loss of teeth due to caries, class IV
K08439Partial loss of teeth due to caries, unspecified class
K08491Partial loss of teeth due to other specified cause, class I
K08492Partial loss of teeth due to other specified cause, class II
K08493Partial loss of teeth due to other specified cause, class III
K08494Partial loss of teeth due to other specified cause, class IV
K08499Partial loss of teeth due to other specified cause, unspecified class
K0850Unsatisfactory restoration of tooth, unspecified
K0851Open restoration margins of tooth
K0852Unrepairable overhanging of dental restorative materials
K08530Fractured dental restorative material without loss of material
K08531Fractured dental restorative material with loss of material
K08539Fractured dental restorative material, unspecified
K0854Contour of existing restoration of tooth biologically incompatible with oral health
K0855Allergy to existing dental restorative material
K0856Poor aesthetic of existing restoration of tooth
K0859Other unsatisfactory restoration of tooth
K0881Primary occlusal trauma
K0882Secondary occlusal trauma
K0889Other specified disorders of teeth and supporting structures
K089Disorder of teeth and supporting structures, unspecified
M2600Unspecified anomaly of jaw size
M2601Maxillary hyperplasia
M2602Maxillary hypoplasia
M2603Mandibular hyperplasia
M2604Mandibular hypoplasia
M2605Macrogenia
M2606Microgenia
M2607Excessive tuberosity of jaw
M2609Other specified anomalies of jaw size
M2610Unspecified anomaly of jaw-cranial base relationship
M2611Maxillary asymmetry
M2612Other jaw asymmetry
M2619Other specified anomalies of jaw-cranial base relationship
M2620Unspecified anomaly of dental arch relationship
M26211Malocclusion, Angle's class I
M26212Malocclusion, Angle's class II
M26213Malocclusion, Angle's class III
M26219Malocclusion, Angle's class, unspecified
M26220Open anterior occlusal relationship
M26221Open posterior occlusal relationship
M2623Excessive horizontal overlap
M2624Reverse articulation
M2625Anomalies of interarch distance
M2629Other anomalies of dental arch relationship
M2630Unspecified anomaly of tooth position of fully erupted tooth or teeth
M2631Crowding of fully erupted teeth
M2632Excessive spacing of fully erupted teeth
M2633Horizontal displacement of fully erupted tooth or teeth
M2634Vertical displacement of fully erupted tooth or teeth
M2635Rotation of fully erupted tooth or teeth
M2636Insufficient interocclusal distance of fully erupted teeth (ridge)
M2637Excessive interocclusal distance of fully erupted teeth
M2639Other anomalies of tooth position of fully erupted tooth or teeth
M264Malocclusion, unspecified
M2650Dentofacial functional abnormalities, unspecified
M2651Abnormal jaw closure
M2652Limited mandibular range of motion
M2653Deviation in opening and closing of the mandible
M2654Insufficient anterior guidance
M2655Centric occlusion maximum intercuspation discrepancy
M2656Non-working side interference
M2657Lack of posterior occlusal support
M2659Other dentofacial functional abnormalities
M26601Right temporomandibular joint disorder, unspecified
M26602Left temporomandibular joint disorder, unspecified
M26603Bilateral temporomandibular joint disorder, unspecified
M26609Unspecified temporomandibular joint disorder, unspecified side
M26611Adhesions and ankylosis of right temporomandibular joint
M26612Adhesions and ankylosis of left temporomandibular joint
M26613Adhesions and ankylosis of bilateral temporomandibular joint
M26619Adhesions and ankylosis of temporomandibular joint, unspecified side
M26621Arthralgia of right temporomandibular joint
M26622Arthralgia of left temporomandibular joint
M26623Arthralgia of bilateral temporomandibular joint
M26629Arthralgia of temporomandibular joint, unspecified side
M26631Articular disc disorder of right temporomandibular joint
M26632Articular disc disorder of left temporomandibular joint
M26633Articular disc disorder of bilateral temporomandibular joint
M26639Articular disc disorder of temporomandibular joint, unspecified side
M2669Other specified disorders of temporomandibular joint
M2670Unspecified alveolar anomaly
M2671Alveolar maxillary hyperplasia
M2672Alveolar mandibular hyperplasia
M2673Alveolar maxillary hypoplasia
M2674Alveolar mandibular hypoplasia
M2679Other specified alveolar anomalies
M2681Anterior soft tissue impingement
M2682Posterior soft tissue impingement
M2689Other dentofacial anomalies
M269Dentofacial anomaly, unspecified
M2761Osseointegration failure of dental implant
M2762Post-osseointegration biological failure of dental implant
M2763Post-osseointegration mechanical failure of dental implant
M2769Other endosseous dental implant failure
 
PDX Collection 0762
K110Atrophy of salivary gland
K111Hypertrophy of salivary gland
K1120Sialoadenitis, unspecified
K1121Acute sialoadenitis
K1122Acute recurrent sialoadenitis
K1123Chronic sialoadenitis
K113Abscess of salivary gland
K114Fistula of salivary gland
K115Sialolithiasis
K116Mucocele of salivary gland
K117Disturbances of salivary secretion
K118Other diseases of salivary glands
K119Disease of salivary gland, unspecified
K3189Other diseases of stomach and duodenum
K319Disease of stomach and duodenum, unspecified
K9281Gastrointestinal mucositis (ulcerative)
R682Dry mouth, unspecified
 
PDX Collection 0763
K121Other forms of stomatitis
K122Cellulitis and abscess of mouth
K1230Oral mucositis (ulcerative), unspecified
K1231Oral mucositis (ulcerative) due to antineoplastic therapy
K1232Oral mucositis (ulcerative) due to other drugs
K1233Oral mucositis (ulcerative) due to radiation
K1239Other oral mucositis (ulcerative)
K140Glossitis
K142Median rhomboid glossitis
 
PDX Collection 0764
K2211Ulcer of esophagus with bleeding
K228Other specified diseases of esophagus
K229Disease of esophagus, unspecified
K23Disorders of esophagus in diseases classified elsewhere
K3182Dieulafoy lesion (hemorrhagic) of stomach and duodenum
 
PDX Collection 0765
E164Increased secretion of gastrin
I8501Esophageal varices with bleeding
K2210Ulcer of esophagus without bleeding
K2211Ulcer of esophagus with bleeding
K226Gastro-esophageal laceration-hemorrhage syndrome
K2270Barrett's esophagus without dysplasia
K22710Barrett's esophagus with low grade dysplasia
K22711Barrett's esophagus with high grade dysplasia
K22719Barrett's esophagus with dysplasia, unspecified
K250Acute gastric ulcer with hemorrhage
K251Acute gastric ulcer with perforation
K252Acute gastric ulcer with both hemorrhage and perforation
K253Acute gastric ulcer without hemorrhage or perforation
K254Chronic or unspecified gastric ulcer with hemorrhage
K255Chronic or unspecified gastric ulcer with perforation
K256Chronic or unspecified gastric ulcer with both hemorrhage and perforation
K257Chronic gastric ulcer without hemorrhage or perforation
K259Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K260Acute duodenal ulcer with hemorrhage
K261Acute duodenal ulcer with perforation
K262Acute duodenal ulcer with both hemorrhage and perforation
K263Acute duodenal ulcer without hemorrhage or perforation
K264Chronic or unspecified duodenal ulcer with hemorrhage
K265Chronic or unspecified duodenal ulcer with perforation
K266Chronic or unspecified duodenal ulcer with both hemorrhage and perforation
K267Chronic duodenal ulcer without hemorrhage or perforation
K269Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K270Acute peptic ulcer, site unspecified, with hemorrhage
K271Acute peptic ulcer, site unspecified, with perforation
K272Acute peptic ulcer, site unspecified, with both hemorrhage and perforation
K273Acute peptic ulcer, site unspecified, without hemorrhage or perforation
K274Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage
K275Chronic or unspecified peptic ulcer, site unspecified, with perforation
K276Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation
K277Chronic peptic ulcer, site unspecified, without hemorrhage or perforation
K279Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation
K280Acute gastrojejunal ulcer with hemorrhage
K281Acute gastrojejunal ulcer with perforation
K282Acute gastrojejunal ulcer with both hemorrhage and perforation
K283Acute gastrojejunal ulcer without hemorrhage or perforation
K284Chronic or unspecified gastrojejunal ulcer with hemorrhage
K285Chronic or unspecified gastrojejunal ulcer with perforation
K286Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation
K287Chronic gastrojejunal ulcer without hemorrhage or perforation
K289Gastrojejunal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K2901Acute gastritis with bleeding
K2921Alcoholic gastritis with bleeding
K2931Chronic superficial gastritis with bleeding
K2941Chronic atrophic gastritis with bleeding
K2951Unspecified chronic gastritis with bleeding
K2961Other gastritis with bleeding
K2971Gastritis, unspecified, with bleeding
K2981Duodenitis with bleeding
K2991Gastroduodenitis, unspecified, with bleeding



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