ICD-10-CM/PCS MS-DRG v40.1 Definitions Manual |
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MDC 03 Diseases and disorders of the ear, nose, mouth and throat |
Dental and oral diseases |
Page 1 of 2 |
MCC | CC | DRG |
---|---|---|
Yes | n/a | 157 |
No | Yes | 158 |
No | No | 159 |
DRG 157 DENTAL AND ORAL DISEASES WITH MCC
DRG 158 DENTAL AND ORAL DISEASES WITH CC
DRG 159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC
PRINCIPAL DIAGNOSIS
A690 | Necrotizing ulcerative stomatitis |
B002 | Herpesviral gingivostomatitis and pharyngotonsillitis |
B370 | Candidal stomatitis |
B3783 | Candidal cheilitis |
D100 | Benign neoplasm of lip |
D101 | Benign neoplasm of tongue |
D102 | Benign neoplasm of floor of mouth |
D1030 | Benign neoplasm of unspecified part of mouth |
D1039 | Benign neoplasm of other parts of mouth |
D165 | Benign neoplasm of lower jaw bone |
K000 | Anodontia |
K001 | Supernumerary teeth |
K002 | Abnormalities of size and form of teeth |
K003 | Mottled teeth |
K004 | Disturbances in tooth formation |
K005 | Hereditary disturbances in tooth structure, not elsewhere classified |
K006 | Disturbances in tooth eruption |
K007 | Teething syndrome |
K008 | Other disorders of tooth development |
K009 | Disorder of tooth development, unspecified |
K010 | Embedded teeth |
K011 | Impacted teeth |
K023 | Arrested dental caries |
K0251 | Dental caries on pit and fissure surface limited to enamel |
K0252 | Dental caries on pit and fissure surface penetrating into dentin |
K0253 | Dental caries on pit and fissure surface penetrating into pulp |
K0261 | Dental caries on smooth surface limited to enamel |
K0262 | Dental caries on smooth surface penetrating into dentin |
K0263 | Dental caries on smooth surface penetrating into pulp |
K027 | Dental root caries |
K029 | Dental caries, unspecified |
K030 | Excessive attrition of teeth |
K031 | Abrasion of teeth |
K032 | Erosion of teeth |
K033 | Pathological resorption of teeth |
K034 | Hypercementosis |
K035 | Ankylosis of teeth |
K036 | Deposits [accretions] on teeth |
K037 | Posteruptive color changes of dental hard tissues |
K0381 | Cracked tooth |
K0389 | Other specified diseases of hard tissues of teeth |
K039 | Disease of hard tissues of teeth, unspecified |
K0401 | Reversible pulpitis |
K0402 | Irreversible pulpitis |
K041 | Necrosis of pulp |
K042 | Pulp degeneration |
K043 | Abnormal hard tissue formation in pulp |
K044 | Acute apical periodontitis of pulpal origin |
K045 | Chronic apical periodontitis |
K046 | Periapical abscess with sinus |
K047 | Periapical abscess without sinus |
K048 | Radicular cyst |
K0490 | Unspecified diseases of pulp and periapical tissues |
K0499 | Other diseases of pulp and periapical tissues |
K0500 | Acute gingivitis, plaque induced |
K0501 | Acute gingivitis, non-plaque induced |
K0510 | Chronic gingivitis, plaque induced |
K0511 | Chronic gingivitis, non-plaque induced |
K0520 | Aggressive periodontitis, unspecified |
K05211 | Aggressive periodontitis, localized, slight |
K05212 | Aggressive periodontitis, localized, moderate |
K05213 | Aggressive periodontitis, localized, severe |
K05219 | Aggressive periodontitis, localized, unspecified severity |
K05221 | Aggressive periodontitis, generalized, slight |
K05222 | Aggressive periodontitis, generalized, moderate |
K05223 | Aggressive periodontitis, generalized, severe |
K05229 | Aggressive periodontitis, generalized, unspecified severity |
K0530 | Chronic periodontitis, unspecified |
K05311 | Chronic periodontitis, localized, slight |
K05312 | Chronic periodontitis, localized, moderate |
K05313 | Chronic periodontitis, localized, severe |
K05319 | Chronic periodontitis, localized, unspecified severity |
K05321 | Chronic periodontitis, generalized, slight |
K05322 | Chronic periodontitis, generalized, moderate |
K05323 | Chronic periodontitis, generalized, severe |
K05329 | Chronic periodontitis, generalized, unspecified severity |
K054 | Periodontosis |
K055 | Other periodontal diseases |
K056 | Periodontal disease, unspecified |
K06010 | Localized gingival recession, unspecified |
K06011 | Localized gingival recession, minimal |
K06012 | Localized gingival recession, moderate |
K06013 | Localized gingival recession, severe |
K06020 | Generalized gingival recession, unspecified |
K06021 | Generalized gingival recession, minimal |
K06022 | Generalized gingival recession, moderate |
K06023 | Generalized gingival recession, severe |
K061 | Gingival enlargement |
K062 | Gingival and edentulous alveolar ridge lesions associated with trauma |
K063 | Horizontal alveolar bone loss |
K068 | Other specified disorders of gingiva and edentulous alveolar ridge |
K069 | Disorder of gingiva and edentulous alveolar ridge, unspecified |
K080 | Exfoliation of teeth due to systemic causes |
K08101 | Complete loss of teeth, unspecified cause, class I |
K08102 | Complete loss of teeth, unspecified cause, class II |
K08103 | Complete loss of teeth, unspecified cause, class III |
K08104 | Complete loss of teeth, unspecified cause, class IV |
K08109 | Complete loss of teeth, unspecified cause, unspecified class |
K08111 | Complete loss of teeth due to trauma, class I |
K08112 | Complete loss of teeth due to trauma, class II |
K08113 | Complete loss of teeth due to trauma, class III |
K08114 | Complete loss of teeth due to trauma, class IV |
K08119 | Complete loss of teeth due to trauma, unspecified class |
K08121 | Complete loss of teeth due to periodontal diseases, class I |
K08122 | Complete loss of teeth due to periodontal diseases, class II |
K08123 | Complete loss of teeth due to periodontal diseases, class III |
K08124 | Complete loss of teeth due to periodontal diseases, class IV |
K08129 | Complete loss of teeth due to periodontal diseases, unspecified class |
K08131 | Complete loss of teeth due to caries, class I |
K08132 | Complete loss of teeth due to caries, class II |
K08133 | Complete loss of teeth due to caries, class III |
K08134 | Complete loss of teeth due to caries, class IV |
K08139 | Complete loss of teeth due to caries, unspecified class |
K08191 | Complete loss of teeth due to other specified cause, class I |
K08192 | Complete loss of teeth due to other specified cause, class II |
K08193 | Complete loss of teeth due to other specified cause, class III |
K08194 | Complete loss of teeth due to other specified cause, class IV |
K08199 | Complete loss of teeth due to other specified cause, unspecified class |
K0820 | Unspecified atrophy of edentulous alveolar ridge |
K0821 | Minimal atrophy of the mandible |
K0822 | Moderate atrophy of the mandible |
K0823 | Severe atrophy of the mandible |
K0824 | Minimal atrophy of maxilla |
K0825 | Moderate atrophy of the maxilla |
K0826 | Severe atrophy of the maxilla |
K083 | Retained dental root |
K08401 | Partial loss of teeth, unspecified cause, class I |
K08402 | Partial loss of teeth, unspecified cause, class II |
K08403 | Partial loss of teeth, unspecified cause, class III |
K08404 | Partial loss of teeth, unspecified cause, class IV |
K08409 | Partial loss of teeth, unspecified cause, unspecified class |
K08411 | Partial loss of teeth due to trauma, class I |
K08412 | Partial loss of teeth due to trauma, class II |
K08413 | Partial loss of teeth due to trauma, class III |
K08414 | Partial loss of teeth due to trauma, class IV |
K08419 | Partial loss of teeth due to trauma, unspecified class |
K08421 | Partial loss of teeth due to periodontal diseases, class I |
K08422 | Partial loss of teeth due to periodontal diseases, class II |
K08423 | Partial loss of teeth due to periodontal diseases, class III |
K08424 | Partial loss of teeth due to periodontal diseases, class IV |
K08429 | Partial loss of teeth due to periodontal diseases, unspecified class |
K08431 | Partial loss of teeth due to caries, class I |
K08432 | Partial loss of teeth due to caries, class II |
K08433 | Partial loss of teeth due to caries, class III |
K08434 | Partial loss of teeth due to caries, class IV |
K08439 | Partial loss of teeth due to caries, unspecified class |
K08491 | Partial loss of teeth due to other specified cause, class I |
K08492 | Partial loss of teeth due to other specified cause, class II |
K08493 | Partial loss of teeth due to other specified cause, class III |
K08494 | Partial loss of teeth due to other specified cause, class IV |
K08499 | Partial loss of teeth due to other specified cause, unspecified class |
K0850 | Unsatisfactory restoration of tooth, unspecified |
K0851 | Open restoration margins of tooth |
K0852 | Unrepairable overhanging of dental restorative materials |
K08530 | Fractured dental restorative material without loss of material |
K08531 | Fractured dental restorative material with loss of material |
K08539 | Fractured dental restorative material, unspecified |
K0854 | Contour of existing restoration of tooth biologically incompatible with oral health |
K0855 | Allergy to existing dental restorative material |
K0856 | Poor aesthetic of existing restoration of tooth |
K0859 | Other unsatisfactory restoration of tooth |
K0881 | Primary occlusal trauma |
K0882 | Secondary occlusal trauma |
K0889 | Other specified disorders of teeth and supporting structures |
K089 | Disorder of teeth and supporting structures, unspecified |
K090 | Developmental odontogenic cysts |
K091 | Developmental (nonodontogenic) cysts of oral region |
K098 | Other cysts of oral region, not elsewhere classified |
K099 | Cyst of oral region, unspecified |
K120 | Recurrent oral aphthae |
K121 | Other forms of stomatitis |
K122 | Cellulitis and abscess of mouth |
K1230 | Oral mucositis (ulcerative), unspecified |
K1231 | Oral mucositis (ulcerative) due to antineoplastic therapy |
K1232 | Oral mucositis (ulcerative) due to other drugs |
K1233 | Oral mucositis (ulcerative) due to radiation |
K1239 | Other oral mucositis (ulcerative) |
K130 | Diseases of lips |
K131 | Cheek and lip biting |
K1321 | Leukoplakia of oral mucosa, including tongue |
K1322 | Minimal keratinized residual ridge mucosa |
K1323 | Excessive keratinized residual ridge mucosa |
K1324 | Leukokeratosis nicotina palati |
K1329 | Other disturbances of oral epithelium, including tongue |
K133 | Hairy leukoplakia |
K134 | Granuloma and granuloma-like lesions of oral mucosa |
K135 | Oral submucous fibrosis |
K136 | Irritative hyperplasia of oral mucosa |
K1370 | Unspecified lesions of oral mucosa |
K1379 | Other lesions of oral mucosa |
K140 | Glossitis |
K141 | Geographic tongue |
K142 | Median rhomboid glossitis |
K143 | Hypertrophy of tongue papillae |
K144 | Atrophy of tongue papillae |
K145 | Plicated tongue |
K146 | Glossodynia |
K148 | Other diseases of tongue |
K149 | Disease of tongue, unspecified |
M2600 | Unspecified anomaly of jaw size |
M2601 | Maxillary hyperplasia |
M2602 | Maxillary hypoplasia |
M2603 | Mandibular hyperplasia |
M2604 | Mandibular hypoplasia |
M2605 | Macrogenia |
M2606 | Microgenia |
M2607 | Excessive tuberosity of jaw |
M2609 | Other specified anomalies of jaw size |
M2610 | Unspecified anomaly of jaw-cranial base relationship |
M2611 | Maxillary asymmetry |
M2612 | Other jaw asymmetry |
M2619 | Other specified anomalies of jaw-cranial base relationship |
M2620 | Unspecified anomaly of dental arch relationship |
M26211 | Malocclusion, Angle's class I |
M26212 | Malocclusion, Angle's class II |
M26213 | Malocclusion, Angle's class III |
M26219 | Malocclusion, Angle's class, unspecified |
M26220 | Open anterior occlusal relationship |
M26221 | Open posterior occlusal relationship |
M2623 | Excessive horizontal overlap |
M2624 | Reverse articulation |
M2625 | Anomalies of interarch distance |
M2629 | Other anomalies of dental arch relationship |
M2630 | Unspecified anomaly of tooth position of fully erupted tooth or teeth |
M2631 | Crowding of fully erupted teeth |
M2632 | Excessive spacing of fully erupted teeth |
M2633 | Horizontal displacement of fully erupted tooth or teeth |
M2634 | Vertical displacement of fully erupted tooth or teeth |
M2635 | Rotation of fully erupted tooth or teeth |
M2636 | Insufficient interocclusal distance of fully erupted teeth (ridge) |
M2637 | Excessive interocclusal distance of fully erupted teeth |
M2639 | Other anomalies of tooth position of fully erupted tooth or teeth |
M264 | Malocclusion, unspecified |
M2650 | Dentofacial functional abnormalities, unspecified |
M2651 | Abnormal jaw closure |
M2652 | Limited mandibular range of motion |
M2653 | Deviation in opening and closing of the mandible |
M2654 | Insufficient anterior guidance |
M2655 | Centric occlusion maximum intercuspation discrepancy |
M2656 | Non-working side interference |
M2657 | Lack of posterior occlusal support |
M2659 | Other dentofacial functional abnormalities |
M26601 | Right temporomandibular joint disorder, unspecified |
M26602 | Left temporomandibular joint disorder, unspecified |
M26603 | Bilateral temporomandibular joint disorder, unspecified |
M26609 | Unspecified temporomandibular joint disorder, unspecified side |
M26611 | Adhesions and ankylosis of right temporomandibular joint |
M26612 | Adhesions and ankylosis of left temporomandibular joint |
M26613 | Adhesions and ankylosis of bilateral temporomandibular joint |
M26619 | Adhesions and ankylosis of temporomandibular joint, unspecified side |
M26621 | Arthralgia of right temporomandibular joint |
M26622 | Arthralgia of left temporomandibular joint |
M26623 | Arthralgia of bilateral temporomandibular joint |
M26629 | Arthralgia of temporomandibular joint, unspecified side |
M26631 | Articular disc disorder of right temporomandibular joint |
M26632 | Articular disc disorder of left temporomandibular joint |
M26633 | Articular disc disorder of bilateral temporomandibular joint |
M26639 | Articular disc disorder of temporomandibular joint, unspecified side |
M26641 | Arthritis of right temporomandibular joint |
M26642 | Arthritis of left temporomandibular joint |
M26643 | Arthritis of bilateral temporomandibular joint |
M26649 | Arthritis of unspecified temporomandibular joint |
M26651 | Arthropathy of right temporomandibular joint |
M26652 | Arthropathy of left temporomandibular joint |
M26653 | Arthropathy of bilateral temporomandibular joint |
M26659 | Arthropathy of unspecified temporomandibular joint |
M2669 | Other specified disorders of temporomandibular joint |
M2670 | Unspecified alveolar anomaly |
M2671 | Alveolar maxillary hyperplasia |
M2672 | Alveolar mandibular hyperplasia |
M2673 | Alveolar maxillary hypoplasia |
M2674 | Alveolar mandibular hypoplasia |
M2679 | Other specified alveolar anomalies |
M2681 | Anterior soft tissue impingement |
M2682 | Posterior soft tissue impingement |
M2689 | Other dentofacial anomalies |
M269 | Dentofacial anomaly, unspecified |
M270 | Developmental disorders of jaws |
M271 | Giant cell granuloma, central |
M272 | Inflammatory conditions of jaws |
M273 | Alveolitis of jaws |
M2740 | Unspecified cyst of jaw |
M2749 | Other cysts of jaw |
M2751 | Perforation of root canal space due to endodontic treatment |
M2752 | Endodontic overfill |
M2753 | Endodontic underfill |
M2759 | Other periradicular pathology associated with previous endodontic treatment |
M2761 | Osseointegration failure of dental implant |
M2762 | Post-osseointegration biological failure of dental implant |
M2763 | Post-osseointegration mechanical failure of dental implant |
M2769 | Other endosseous dental implant failure |
M278 | Other specified diseases of jaws |
M279 | Disease of jaws, unspecified |
Q184 | Macrostomia |
Q185 | Microstomia |
Q186 | Macrocheilia |
Q187 | Microcheilia |
Q351 | Cleft hard palate |
Q353 | Cleft soft palate |
Q355 | Cleft hard palate with cleft soft palate |
Q357 | Cleft uvula |
Q359 | Cleft palate, unspecified |
Q360 | Cleft lip, bilateral |
Q361 | Cleft lip, median |
Q369 | Cleft lip, unilateral |
Q370 | Cleft hard palate with bilateral cleft lip |
Q371 | Cleft hard palate with unilateral cleft lip |
Q372 | Cleft soft palate with bilateral cleft lip |
Q373 | Cleft soft palate with unilateral cleft lip |
Q374 | Cleft hard and soft palate with bilateral cleft lip |
Q375 | Cleft hard and soft palate with unilateral cleft lip |
Q378 | Unspecified cleft palate with bilateral cleft lip |
Q379 | Unspecified cleft palate with unilateral cleft lip |
Q380 | Congenital malformations of lips, not elsewhere classified |
Q381 | Ankyloglossia |
Q382 | Macroglossia |
Q383 | Other congenital malformations of tongue |
Q386 | Other congenital malformations of mouth |
R6884 | Jaw pain |
S01501A | Unspecified open wound of lip, initial encounter |
S01502A | Unspecified open wound of oral cavity, initial encounter |
S01511A | Laceration without foreign body of lip, initial encounter |
S01512A | Laceration without foreign body of oral cavity, initial encounter |
S01521A | Laceration with foreign body of lip, initial encounter |
S01522A | Laceration with foreign body of oral cavity, initial encounter |
S01531A | Puncture wound without foreign body of lip, initial encounter |
S01532A | Puncture wound without foreign body of oral cavity, initial encounter |
S01541A | Puncture wound with foreign body of lip, initial encounter |
S01542A | Puncture wound with foreign body of oral cavity, initial encounter |
S01551A | Open bite of lip, initial encounter |
S01552A | Open bite of oral cavity, initial encounter |
S02400A | Malar fracture, unspecified side, initial encounter for closed fracture |
S02400B | Malar fracture, unspecified side, initial encounter for open fracture |
S02401A | Maxillary fracture, unspecified side, initial encounter for closed fracture |
S02401B | Maxillary fracture, unspecified side, initial encounter for open fracture |
S02402A | Zygomatic fracture, unspecified side, initial encounter for closed fracture |
S02402B | Zygomatic fracture, unspecified side, initial encounter for open fracture |
S0240AA | Malar fracture, right side, initial encounter for closed fracture |
S0240AB | Malar fracture, right side, initial encounter for open fracture |
S0240BA | Malar fracture, left side, initial encounter for closed fracture |
S0240BB | Malar fracture, left side, initial encounter for open fracture |
S0240CA | Maxillary fracture, right side, initial encounter for closed fracture |
S0240CB | Maxillary fracture, right side, initial encounter for open fracture |
S0240DA | Maxillary fracture, left side, initial encounter for closed fracture |
S0240DB | Maxillary fracture, left side, initial encounter for open fracture |
S0240EA | Zygomatic fracture, right side, initial encounter for closed fracture |
S0240EB | Zygomatic fracture, right side, initial encounter for open fracture |
S0240FA | Zygomatic fracture, left side, initial encounter for closed fracture |
S0240FB | Zygomatic fracture, left side, initial encounter for open fracture |
S02411A | LeFort I fracture, initial encounter for closed fracture |
S02411B | LeFort I fracture, initial encounter for open fracture |
S02412A | LeFort II fracture, initial encounter for closed fracture |
S02412B | LeFort II fracture, initial encounter for open fracture |
S02413A | LeFort III fracture, initial encounter for closed fracture |
S02413B | LeFort III fracture, initial encounter for open fracture |
S025XXA | Fracture of tooth (traumatic), initial encounter for closed fracture |
S025XXB | Fracture of tooth (traumatic), initial encounter for open fracture |
S02600A | Fracture of unspecified part of body of mandible, unspecified side, initial encounter for closed fracture |
S02600B | Fracture of unspecified part of body of mandible, unspecified side, initial encounter for open fracture |
S02601A | Fracture of unspecified part of body of right mandible, initial encounter for closed fracture |
S02601B | Fracture of unspecified part of body of right mandible, initial encounter for open fracture |
S02602A | Fracture of unspecified part of body of left mandible, initial encounter for closed fracture |
S02602B | Fracture of unspecified part of body of left mandible, initial encounter for open fracture |
S02609A | Fracture of mandible, unspecified, initial encounter for closed fracture |
S02609B | Fracture of mandible, unspecified, initial encounter for open fracture |
S02610A | Fracture of condylar process of mandible, unspecified side, initial encounter for closed fracture |
S02610B | Fracture of condylar process of mandible, unspecified side, initial encounter for open fracture |
S02611A | Fracture of condylar process of right mandible, initial encounter for closed fracture |
S02611B | Fracture of condylar process of right mandible, initial encounter for open fracture |
S02612A | Fracture of condylar process of left mandible, initial encounter for closed fracture |
S02612B | Fracture of condylar process of left mandible, initial encounter for open fracture |
S02620A | Fracture of subcondylar process of mandible, unspecified side, initial encounter for closed fracture |
S02620B | Fracture of subcondylar process of mandible, unspecified side, initial encounter for open fracture |
S02621A | Fracture of subcondylar process of right mandible, initial encounter for closed fracture |
S02621B | Fracture of subcondylar process of right mandible, initial encounter for open fracture |
S02622A | Fracture of subcondylar process of left mandible, initial encounter for closed fracture |
S02622B | Fracture of subcondylar process of left mandible, initial encounter for open fracture |
S02630A | Fracture of coronoid process of mandible, unspecified side, initial encounter for closed fracture |
S02630B | Fracture of coronoid process of mandible, unspecified side, initial encounter for open fracture |
S02631A | Fracture of coronoid process of right mandible, initial encounter for closed fracture |
S02631B | Fracture of coronoid process of right mandible, initial encounter for open fracture |
S02632A | Fracture of coronoid process of left mandible, initial encounter for closed fracture |
S02632B | Fracture of coronoid process of left mandible, initial encounter for open fracture |
S02640A | Fracture of ramus of mandible, unspecified side, initial encounter for closed fracture |
S02640B | Fracture of ramus of mandible, unspecified side, initial encounter for open fracture |
S02641A | Fracture of ramus of right mandible, initial encounter for closed fracture |
S02641B | Fracture of ramus of right mandible, initial encounter for open fracture |
S02642A | Fracture of ramus of left mandible, initial encounter for closed fracture |
S02642B | Fracture of ramus of left mandible, initial encounter for open fracture |
S02650A | Fracture of angle of mandible, unspecified side, initial encounter for closed fracture |
S02650B | Fracture of angle of mandible, unspecified side, initial encounter for open fracture |
S02651A | Fracture of angle of right mandible, initial encounter for closed fracture |
S02651B | Fracture of angle of right mandible, initial encounter for open fracture |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 18 Jan 2023 08:46:59 CMS, code-revision=337, description-revision=1351 |