ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual
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Pre-MDC
Tracheostomy for face, mouth and neck diagnoses or laryngectomy
Page 1 of 3
MCC CC DRG
Yes n/a 011
No Yes 012
No No 013

DRG 011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC

DRG 012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC

DRG 013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC

PRINCIPAL DIAGNOSIS

A360 K08132 S11011A

A360Pharyngeal diphtheria
A361Nasopharyngeal diphtheria
A362Laryngeal diphtheria
A545Gonococcal pharyngitis
A564Chlamydial infection of pharynx
A665Gangosa
A690Necrotizing ulcerative stomatitis
A691Other Vincent's infections
B002Herpesviral gingivostomatitis and pharyngotonsillitis
B085Enteroviral vesicular pharyngitis
B370Candidal stomatitis
B3783Candidal cheilitis
C000Malignant neoplasm of external upper lip
C001Malignant neoplasm of external lower lip
C002Malignant neoplasm of external lip, unspecified
C003Malignant neoplasm of upper lip, inner aspect
C004Malignant neoplasm of lower lip, inner aspect
C005Malignant neoplasm of lip, unspecified, inner aspect
C006Malignant neoplasm of commissure of lip, unspecified
C008Malignant neoplasm of overlapping sites of lip
C009Malignant neoplasm of lip, unspecified
C01Malignant neoplasm of base of tongue
C020Malignant neoplasm of dorsal surface of tongue
C021Malignant neoplasm of border of tongue
C022Malignant neoplasm of ventral surface of tongue
C023Malignant neoplasm of anterior two-thirds of tongue, part unspecified
C024Malignant neoplasm of lingual tonsil
C028Malignant neoplasm of overlapping sites of tongue
C029Malignant neoplasm of tongue, unspecified
C030Malignant neoplasm of upper gum
C031Malignant neoplasm of lower gum
C039Malignant neoplasm of gum, unspecified
C040Malignant neoplasm of anterior floor of mouth
C041Malignant neoplasm of lateral floor of mouth
C048Malignant neoplasm of overlapping sites of floor of mouth
C049Malignant neoplasm of floor of mouth, unspecified
C050Malignant neoplasm of hard palate
C051Malignant neoplasm of soft palate
C052Malignant neoplasm of uvula
C058Malignant neoplasm of overlapping sites of palate
C059Malignant neoplasm of palate, unspecified
C060Malignant neoplasm of cheek mucosa
C061Malignant neoplasm of vestibule of mouth
C062Malignant neoplasm of retromolar area
C0680Malignant neoplasm of overlapping sites of unspecified parts of mouth
C0689Malignant neoplasm of overlapping sites of other parts of mouth
C069Malignant neoplasm of mouth, unspecified
C07Malignant neoplasm of parotid gland
C080Malignant neoplasm of submandibular gland
C081Malignant neoplasm of sublingual gland
C089Malignant neoplasm of major salivary gland, unspecified
C090Malignant neoplasm of tonsillar fossa
C091Malignant neoplasm of tonsillar pillar (anterior) (posterior)
C098Malignant neoplasm of overlapping sites of tonsil
C099Malignant neoplasm of tonsil, unspecified
C100Malignant neoplasm of vallecula
C101Malignant neoplasm of anterior surface of epiglottis
C102Malignant neoplasm of lateral wall of oropharynx
C103Malignant neoplasm of posterior wall of oropharynx
C104Malignant neoplasm of branchial cleft
C108Malignant neoplasm of overlapping sites of oropharynx
C109Malignant neoplasm of oropharynx, unspecified
C110Malignant neoplasm of superior wall of nasopharynx
C111Malignant neoplasm of posterior wall of nasopharynx
C112Malignant neoplasm of lateral wall of nasopharynx
C113Malignant neoplasm of anterior wall of nasopharynx
C118Malignant neoplasm of overlapping sites of nasopharynx
C119Malignant neoplasm of nasopharynx, unspecified
C12Malignant neoplasm of pyriform sinus
C130Malignant neoplasm of postcricoid region
C131Malignant neoplasm of aryepiglottic fold, hypopharyngeal aspect
C132Malignant neoplasm of posterior wall of hypopharynx
C138Malignant neoplasm of overlapping sites of hypopharynx
C139Malignant neoplasm of hypopharynx, unspecified
C140Malignant neoplasm of pharynx, unspecified
C142Malignant neoplasm of Waldeyer's ring
C148Malignant neoplasm of overlapping sites of lip, oral cavity and pharynx
C300Malignant neoplasm of nasal cavity
C301Malignant neoplasm of middle ear
C310Malignant neoplasm of maxillary sinus
C311Malignant neoplasm of ethmoidal sinus
C312Malignant neoplasm of frontal sinus
C313Malignant neoplasm of sphenoid sinus
C318Malignant neoplasm of overlapping sites of accessory sinuses
C319Malignant neoplasm of accessory sinus, unspecified
C320Malignant neoplasm of glottis
C321Malignant neoplasm of supraglottis
C322Malignant neoplasm of subglottis
C323Malignant neoplasm of laryngeal cartilage
C328Malignant neoplasm of overlapping sites of larynx
C329Malignant neoplasm of larynx, unspecified
C390Malignant neoplasm of upper respiratory tract, part unspecified
C411Malignant neoplasm of mandible
C4400Unspecified malignant neoplasm of skin of lip
C4401Basal cell carcinoma of skin of lip
C4402Squamous cell carcinoma of skin of lip
C4409Other specified malignant neoplasm of skin of lip
C462Kaposi's sarcoma of palate
C73Malignant neoplasm of thyroid gland
C760Malignant neoplasm of head, face and neck
C770Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck
C8101Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of head, face, and neck
C8111Nodular sclerosis Hodgkin lymphoma, lymph nodes of head, face, and neck
C8121Mixed cellularity Hodgkin lymphoma, lymph nodes of head, face, and neck
C8131Lymphocyte depleted Hodgkin lymphoma, lymph nodes of head, face, and neck
C8141Lymphocyte-rich Hodgkin lymphoma, lymph nodes of head, face, and neck
C8171Other Hodgkin lymphoma, lymph nodes of head, face, and neck
C8191Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck
C8201Follicular lymphoma grade I, lymph nodes of head, face, and neck
C8211Follicular lymphoma grade II, lymph nodes of head, face, and neck
C8221Follicular lymphoma grade III, unspecified, lymph nodes of head, face, and neck
C8231Follicular lymphoma grade IIIa, lymph nodes of head, face, and neck
C8241Follicular lymphoma grade IIIb, lymph nodes of head, face, and neck
C8251Diffuse follicle center lymphoma, lymph nodes of head, face, and neck
C8261Cutaneous follicle center lymphoma, lymph nodes of head, face, and neck
C8281Other types of follicular lymphoma, lymph nodes of head, face, and neck
C8291Follicular lymphoma, unspecified, lymph nodes of head, face, and neck
C8301Small cell B-cell lymphoma, lymph nodes of head, face, and neck
C8331Diffuse large B-cell lymphoma, lymph nodes of head, face, and neck
C8351Lymphoblastic (diffuse) lymphoma, lymph nodes of head, face, and neck
C8371Burkitt lymphoma, lymph nodes of head, face, and neck
C8381Other non-follicular lymphoma, lymph nodes of head, face, and neck
C8391Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of head, face, and neck
C8401Mycosis fungoides, lymph nodes of head, face, and neck
C8411Sezary disease, lymph nodes of head, face, and neck
C8491Mature T/NK-cell lymphomas, unspecified, lymph nodes of head, face, and neck
C84A1Cutaneous T-cell lymphoma, unspecified lymph nodes of head, face, and neck
C84Z1Other mature T/NK-cell lymphomas, lymph nodes of head, face, and neck
C8511Unspecified B-cell lymphoma, lymph nodes of head, face, and neck
C8521Mediastinal (thymic) large B-cell lymphoma, lymph nodes of head, face, and neck
C8581Other specified types of non-Hodgkin lymphoma, lymph nodes of head, face, and neck
C8591Non-Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck
C860Extranodal NK/T-cell lymphoma, nasal type
C9140Hairy cell leukemia not having achieved remission
C960Multifocal and multisystemic (disseminated) Langerhans-cell histiocytosis
C9620Malignant mast cell neoplasm, unspecified
C9621Aggressive systemic mastocytosis
C9622Mast cell sarcoma
C9629Other malignant mast cell neoplasm
C969Malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified
C96AHistiocytic sarcoma
D0000Carcinoma in situ of oral cavity, unspecified site
D0001Carcinoma in situ of labial mucosa and vermilion border
D0002Carcinoma in situ of buccal mucosa
D0003Carcinoma in situ of gingiva and edentulous alveolar ridge
D0004Carcinoma in situ of soft palate
D0005Carcinoma in situ of hard palate
D0006Carcinoma in situ of floor of mouth
D0007Carcinoma in situ of tongue
D0008Carcinoma in situ of pharynx
D020Carcinoma in situ of larynx
D100Benign neoplasm of lip
D101Benign neoplasm of tongue
D102Benign neoplasm of floor of mouth
D1030Benign neoplasm of unspecified part of mouth
D1039Benign neoplasm of other parts of mouth
D104Benign neoplasm of tonsil
D105Benign neoplasm of other parts of oropharynx
D106Benign neoplasm of nasopharynx
D107Benign neoplasm of hypopharynx
D109Benign neoplasm of pharynx, unspecified
D110Benign neoplasm of parotid gland
D117Benign neoplasm of other major salivary glands
D119Benign neoplasm of major salivary gland, unspecified
D140Benign neoplasm of middle ear, nasal cavity and accessory sinuses
D141Benign neoplasm of larynx
D164Benign neoplasm of bones of skull and face
D165Benign neoplasm of lower jaw bone
D1800Hemangioma unspecified site
D1801Hemangioma of skin and subcutaneous tissue
D1809Hemangioma of other sites
D34Benign neoplasm of thyroid gland
D3701Neoplasm of uncertain behavior of lip
D3702Neoplasm of uncertain behavior of tongue
D37030Neoplasm of uncertain behavior of the parotid salivary glands
D37031Neoplasm of uncertain behavior of the sublingual salivary glands
D37032Neoplasm of uncertain behavior of the submandibular salivary glands
D37039Neoplasm of uncertain behavior of the major salivary glands, unspecified
D3704Neoplasm of uncertain behavior of the minor salivary glands
D3705Neoplasm of uncertain behavior of pharynx
D3709Neoplasm of uncertain behavior of other specified sites of the oral cavity
D380Neoplasm of uncertain behavior of larynx
E034Atrophy of thyroid (acquired)
E041Nontoxic single thyroid nodule
E0500Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm
E0501Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm
E0510Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm
E0511Thyrotoxicosis with toxic single thyroid nodule with thyrotoxic crisis or storm
E0520Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm
E0521Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm
E0530Thyrotoxicosis from ectopic thyroid tissue without thyrotoxic crisis or storm
E0531Thyrotoxicosis from ectopic thyroid tissue with thyrotoxic crisis or storm
E0540Thyrotoxicosis factitia without thyrotoxic crisis or storm
E0541Thyrotoxicosis factitia with thyrotoxic crisis or storm
E0580Other thyrotoxicosis without thyrotoxic crisis or storm
E0581Other thyrotoxicosis with thyrotoxic crisis or storm
E0590Thyrotoxicosis, unspecified without thyrotoxic crisis or storm
E0591Thyrotoxicosis, unspecified with thyrotoxic crisis or storm
E060Acute thyroiditis
E061Subacute thyroiditis
E062Chronic thyroiditis with transient thyrotoxicosis
E063Autoimmune thyroiditis
E064Drug-induced thyroiditis
E065Other chronic thyroiditis
E069Thyroiditis, unspecified
E0789Other specified disorders of thyroid
E079Disorder of thyroid, unspecified
E35Disorders of endocrine glands in diseases classified elsewhere
G4720Circadian rhythm sleep disorder, unspecified type
G4721Circadian rhythm sleep disorder, delayed sleep phase type
G4722Circadian rhythm sleep disorder, advanced sleep phase type
G4723Circadian rhythm sleep disorder, irregular sleep wake type
G4724Circadian rhythm sleep disorder, free running type
G4725Circadian rhythm sleep disorder, jet lag type
G4726Circadian rhythm sleep disorder, shift work type
G4727Circadian rhythm sleep disorder in conditions classified elsewhere
G4729Other circadian rhythm sleep disorder
G4730Sleep apnea, unspecified
G4731Primary central sleep apnea
G4732High altitude periodic breathing
G4733Obstructive sleep apnea (adult) (pediatric)
G4734Idiopathic sleep related nonobstructive alveolar hypoventilation
G4735Congenital central alveolar hypoventilation syndrome
G4736Sleep related hypoventilation in conditions classified elsewhere
G4737Central sleep apnea in conditions classified elsewhere
G4739Other sleep apnea
G4750Parasomnia, unspecified
G4751Confusional arousals
G4752REM sleep behavior disorder
G4753Recurrent isolated sleep paralysis
G4754Parasomnia in conditions classified elsewhere
G4759Other parasomnia
G4761Periodic limb movement disorder
G4762Sleep related leg cramps
G4763Sleep related bruxism
G4769Other sleep related movement disorders
G478Other sleep disorders
J00Acute nasopharyngitis [common cold]
J020Streptococcal pharyngitis
J028Acute pharyngitis due to other specified organisms
J029Acute pharyngitis, unspecified
J0300Acute streptococcal tonsillitis, unspecified
J0301Acute recurrent streptococcal tonsillitis
J0380Acute tonsillitis due to other specified organisms
J0381Acute recurrent tonsillitis due to other specified organisms
J0390Acute tonsillitis, unspecified
J0391Acute recurrent tonsillitis, unspecified
J040Acute laryngitis
J042Acute laryngotracheitis
J0430Supraglottitis, unspecified, without obstruction
J0431Supraglottitis, unspecified, with obstruction
J050Acute obstructive laryngitis [croup]
J0510Acute epiglottitis without obstruction
J0511Acute epiglottitis with obstruction
J060Acute laryngopharyngitis
J069Acute upper respiratory infection, unspecified
J311Chronic nasopharyngitis
J312Chronic pharyngitis
J342Deviated nasal septum
J3501Chronic tonsillitis
J3502Chronic adenoiditis
J3503Chronic tonsillitis and adenoiditis
J351Hypertrophy of tonsils
J352Hypertrophy of adenoids
J353Hypertrophy of tonsils with hypertrophy of adenoids
J358Other chronic diseases of tonsils and adenoids
J359Chronic disease of tonsils and adenoids, unspecified
J36Peritonsillar abscess
J370Chronic laryngitis
J371Chronic laryngotracheitis
J3800Paralysis of vocal cords and larynx, unspecified
J3801Paralysis of vocal cords and larynx, unilateral
J3802Paralysis of vocal cords and larynx, bilateral
J381Polyp of vocal cord and larynx
J382Nodules of vocal cords
J383Other diseases of vocal cords
J384Edema of larynx
J385Laryngeal spasm
J386Stenosis of larynx
J387Other diseases of larynx
J390Retropharyngeal and parapharyngeal abscess
J391Other abscess of pharynx
J392Other diseases of pharynx
J393Upper respiratory tract hypersensitivity reaction, site unspecified
J398Other specified diseases of upper respiratory tract
J399Disease of upper respiratory tract, unspecified
J9500Unspecified tracheostomy complication
J9501Hemorrhage from tracheostomy stoma
J9502Infection of tracheostomy stoma
J9503Malfunction of tracheostomy stoma
J9504Tracheo-esophageal fistula following tracheostomy
J9509Other tracheostomy complication
J9801Acute bronchospasm
J9809Other diseases of bronchus, not elsewhere classified
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
K06010Localized gingival recession, unspecified
K06011Localized gingival recession, minimal
K06012Localized gingival recession, moderate
K06013Localized gingival recession, severe
K06020Generalized gingival recession, unspecified
K06021Generalized gingival recession, minimal
K06022Generalized gingival recession, moderate
K06023Generalized gingival recession, severe
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



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