ICD-10-CM/PCS MS-DRG v40.1 Definitions Manual |
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MDC 08 Diseases and disorders of the musculoskeletal system and connective tissue |
Pathological fractures and musculoskeletal and connective tissue malignancy |
MCC | CC | DRG |
---|---|---|
Yes | n/a | 542 |
No | Yes | 543 |
No | No | 544 |
DRG 542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC
DRG 543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC
DRG 544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC
PRINCIPAL DIAGNOSIS
C4000 | Malignant neoplasm of scapula and long bones of unspecified upper limb |
C4001 | Malignant neoplasm of scapula and long bones of right upper limb |
C4002 | Malignant neoplasm of scapula and long bones of left upper limb |
C4010 | Malignant neoplasm of short bones of unspecified upper limb |
C4011 | Malignant neoplasm of short bones of right upper limb |
C4012 | Malignant neoplasm of short bones of left upper limb |
C4020 | Malignant neoplasm of long bones of unspecified lower limb |
C4021 | Malignant neoplasm of long bones of right lower limb |
C4022 | Malignant neoplasm of long bones of left lower limb |
C4030 | Malignant neoplasm of short bones of unspecified lower limb |
C4031 | Malignant neoplasm of short bones of right lower limb |
C4032 | Malignant neoplasm of short bones of left lower limb |
C4080 | Malignant neoplasm of overlapping sites of bone and articular cartilage of unspecified limb |
C4081 | Malignant neoplasm of overlapping sites of bone and articular cartilage of right limb |
C4082 | Malignant neoplasm of overlapping sites of bone and articular cartilage of left limb |
C4090 | Malignant neoplasm of unspecified bones and articular cartilage of unspecified limb |
C4091 | Malignant neoplasm of unspecified bones and articular cartilage of right limb |
C4092 | Malignant neoplasm of unspecified bones and articular cartilage of left limb |
C410 | Malignant neoplasm of bones of skull and face |
C411 | Malignant neoplasm of mandible |
C412 | Malignant neoplasm of vertebral column |
C413 | Malignant neoplasm of ribs, sternum and clavicle |
C414 | Malignant neoplasm of pelvic bones, sacrum and coccyx |
C419 | Malignant neoplasm of bone and articular cartilage, unspecified |
C470 | Malignant neoplasm of peripheral nerves of head, face and neck |
C4710 | Malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder |
C4711 | Malignant neoplasm of peripheral nerves of right upper limb, including shoulder |
C4712 | Malignant neoplasm of peripheral nerves of left upper limb, including shoulder |
C4720 | Malignant neoplasm of peripheral nerves of unspecified lower limb, including hip |
C4721 | Malignant neoplasm of peripheral nerves of right lower limb, including hip |
C4722 | Malignant neoplasm of peripheral nerves of left lower limb, including hip |
C473 | Malignant neoplasm of peripheral nerves of thorax |
C474 | Malignant neoplasm of peripheral nerves of abdomen |
C475 | Malignant neoplasm of peripheral nerves of pelvis |
C476 | Malignant neoplasm of peripheral nerves of trunk, unspecified |
C478 | Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system |
C479 | Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecified |
C490 | Malignant neoplasm of connective and soft tissue of head, face and neck |
C4910 | Malignant neoplasm of connective and soft tissue of unspecified upper limb, including shoulder |
C4911 | Malignant neoplasm of connective and soft tissue of right upper limb, including shoulder |
C4912 | Malignant neoplasm of connective and soft tissue of left upper limb, including shoulder |
C4920 | Malignant neoplasm of connective and soft tissue of unspecified lower limb, including hip |
C4921 | Malignant neoplasm of connective and soft tissue of right lower limb, including hip |
C4922 | Malignant neoplasm of connective and soft tissue of left lower limb, including hip |
C493 | Malignant neoplasm of connective and soft tissue of thorax |
C494 | Malignant neoplasm of connective and soft tissue of abdomen |
C495 | Malignant neoplasm of connective and soft tissue of pelvis |
C496 | Malignant neoplasm of connective and soft tissue of trunk, unspecified |
C498 | Malignant neoplasm of overlapping sites of connective and soft tissue |
C499 | Malignant neoplasm of connective and soft tissue, unspecified |
C7951 | Secondary malignant neoplasm of bone |
C7952 | Secondary malignant neoplasm of bone marrow |
C7B03 | Secondary carcinoid tumors of bone |
D480 | Neoplasm of uncertain behavior of bone and articular cartilage |
M301 | Polyarteritis with lung involvement [Churg-Strauss] |
M312 | Lethal midline granuloma |
M3130 | Wegener's granulomatosis without renal involvement |
M3131 | Wegener's granulomatosis with renal involvement |
M4840XA | Fatigue fracture of vertebra, site unspecified, initial encounter for fracture |
M4841XA | Fatigue fracture of vertebra, occipito-atlanto-axial region, initial encounter for fracture |
M4842XA | Fatigue fracture of vertebra, cervical region, initial encounter for fracture |
M4843XA | Fatigue fracture of vertebra, cervicothoracic region, initial encounter for fracture |
M4844XA | Fatigue fracture of vertebra, thoracic region, initial encounter for fracture |
M4845XA | Fatigue fracture of vertebra, thoracolumbar region, initial encounter for fracture |
M4846XA | Fatigue fracture of vertebra, lumbar region, initial encounter for fracture |
M4847XA | Fatigue fracture of vertebra, lumbosacral region, initial encounter for fracture |
M4848XA | Fatigue fracture of vertebra, sacral and sacrococcygeal region, initial encounter for fracture |
M4850XA | Collapsed vertebra, not elsewhere classified, site unspecified, initial encounter for fracture |
M4851XA | Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, initial encounter for fracture |
M4852XA | Collapsed vertebra, not elsewhere classified, cervical region, initial encounter for fracture |
M4853XA | Collapsed vertebra, not elsewhere classified, cervicothoracic region, initial encounter for fracture |
M4854XA | Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture |
M4855XA | Collapsed vertebra, not elsewhere classified, thoracolumbar region, initial encounter for fracture |
M4856XA | Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture |
M4857XA | Collapsed vertebra, not elsewhere classified, lumbosacral region, initial encounter for fracture |
M4858XA | Collapsed vertebra, not elsewhere classified, sacral and sacrococcygeal region, initial encounter for fracture |
M8000XA | Age-related osteoporosis with current pathological fracture, unspecified site, initial encounter for fracture |
M80011A | Age-related osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture |
M80012A | Age-related osteoporosis with current pathological fracture, left shoulder, initial encounter for fracture |
M80019A | Age-related osteoporosis with current pathological fracture, unspecified shoulder, initial encounter for fracture |
M80021A | Age-related osteoporosis with current pathological fracture, right humerus, initial encounter for fracture |
M80022A | Age-related osteoporosis with current pathological fracture, left humerus, initial encounter for fracture |
M80029A | Age-related osteoporosis with current pathological fracture, unspecified humerus, initial encounter for fracture |
M80031A | Age-related osteoporosis with current pathological fracture, right forearm, initial encounter for fracture |
M80032A | Age-related osteoporosis with current pathological fracture, left forearm, initial encounter for fracture |
M80039A | Age-related osteoporosis with current pathological fracture, unspecified forearm, initial encounter for fracture |
M80041A | Age-related osteoporosis with current pathological fracture, right hand, initial encounter for fracture |
M80042A | Age-related osteoporosis with current pathological fracture, left hand, initial encounter for fracture |
M80049A | Age-related osteoporosis with current pathological fracture, unspecified hand, initial encounter for fracture |
M80051A | Age-related osteoporosis with current pathological fracture, right femur, initial encounter for fracture |
M80052A | Age-related osteoporosis with current pathological fracture, left femur, initial encounter for fracture |
M80059A | Age-related osteoporosis with current pathological fracture, unspecified femur, initial encounter for fracture |
M80061A | Age-related osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture |
M80062A | Age-related osteoporosis with current pathological fracture, left lower leg, initial encounter for fracture |
M80069A | Age-related osteoporosis with current pathological fracture, unspecified lower leg, initial encounter for fracture |
M80071A | Age-related osteoporosis with current pathological fracture, right ankle and foot, initial encounter for fracture |
M80072A | Age-related osteoporosis with current pathological fracture, left ankle and foot, initial encounter for fracture |
M80079A | Age-related osteoporosis with current pathological fracture, unspecified ankle and foot, initial encounter for fracture |
M8008XA | Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture |
M800AXA | Age-related osteoporosis with current pathological fracture, other site, initial encounter for fracture |
M8080XA | Other osteoporosis with current pathological fracture, unspecified site, initial encounter for fracture |
M80811A | Other osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture |
M80812A | Other osteoporosis with current pathological fracture, left shoulder, initial encounter for fracture |
M80819A | Other osteoporosis with current pathological fracture, unspecified shoulder, initial encounter for fracture |
M80821A | Other osteoporosis with current pathological fracture, right humerus, initial encounter for fracture |
M80822A | Other osteoporosis with current pathological fracture, left humerus, initial encounter for fracture |
M80829A | Other osteoporosis with current pathological fracture, unspecified humerus, initial encounter for fracture |
M80831A | Other osteoporosis with current pathological fracture, right forearm, initial encounter for fracture |
M80832A | Other osteoporosis with current pathological fracture, left forearm, initial encounter for fracture |
M80839A | Other osteoporosis with current pathological fracture, unspecified forearm, initial encounter for fracture |
M80841A | Other osteoporosis with current pathological fracture, right hand, initial encounter for fracture |
M80842A | Other osteoporosis with current pathological fracture, left hand, initial encounter for fracture |
M80849A | Other osteoporosis with current pathological fracture, unspecified hand, initial encounter for fracture |
M80851A | Other osteoporosis with current pathological fracture, right femur, initial encounter for fracture |
M80852A | Other osteoporosis with current pathological fracture, left femur, initial encounter for fracture |
M80859A | Other osteoporosis with current pathological fracture, unspecified femur, initial encounter for fracture |
M80861A | Other osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture |
M80862A | Other osteoporosis with current pathological fracture, left lower leg, initial encounter for fracture |
M80869A | Other osteoporosis with current pathological fracture, unspecified lower leg, initial encounter for fracture |
M80871A | Other osteoporosis with current pathological fracture, right ankle and foot, initial encounter for fracture |
M80872A | Other osteoporosis with current pathological fracture, left ankle and foot, initial encounter for fracture |
M80879A | Other osteoporosis with current pathological fracture, unspecified ankle and foot, initial encounter for fracture |
M8088XA | Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture |
M808AXA | Other osteoporosis with current pathological fracture, other site, initial encounter for fracture |
M8430XA | Stress fracture, unspecified site, initial encounter for fracture |
M84311A | Stress fracture, right shoulder, initial encounter for fracture |
M84312A | Stress fracture, left shoulder, initial encounter for fracture |
M84319A | Stress fracture, unspecified shoulder, initial encounter for fracture |
M84321A | Stress fracture, right humerus, initial encounter for fracture |
M84322A | Stress fracture, left humerus, initial encounter for fracture |
M84329A | Stress fracture, unspecified humerus, initial encounter for fracture |
M84331A | Stress fracture, right ulna, initial encounter for fracture |
M84332A | Stress fracture, left ulna, initial encounter for fracture |
M84333A | Stress fracture, right radius, initial encounter for fracture |
M84334A | Stress fracture, left radius, initial encounter for fracture |
M84339A | Stress fracture, unspecified ulna and radius, initial encounter for fracture |
M84341A | Stress fracture, right hand, initial encounter for fracture |
M84342A | Stress fracture, left hand, initial encounter for fracture |
M84343A | Stress fracture, unspecified hand, initial encounter for fracture |
M84344A | Stress fracture, right finger(s), initial encounter for fracture |
M84345A | Stress fracture, left finger(s), initial encounter for fracture |
M84346A | Stress fracture, unspecified finger(s), initial encounter for fracture |
M84350A | Stress fracture, pelvis, initial encounter for fracture |
M84351A | Stress fracture, right femur, initial encounter for fracture |
M84352A | Stress fracture, left femur, initial encounter for fracture |
M84353A | Stress fracture, unspecified femur, initial encounter for fracture |
M84359A | Stress fracture, hip, unspecified, initial encounter for fracture |
M84361A | Stress fracture, right tibia, initial encounter for fracture |
M84362A | Stress fracture, left tibia, initial encounter for fracture |
M84363A | Stress fracture, right fibula, initial encounter for fracture |
M84364A | Stress fracture, left fibula, initial encounter for fracture |
M84369A | Stress fracture, unspecified tibia and fibula, initial encounter for fracture |
M84371A | Stress fracture, right ankle, initial encounter for fracture |
M84372A | Stress fracture, left ankle, initial encounter for fracture |
M84373A | Stress fracture, unspecified ankle, initial encounter for fracture |
M84374A | Stress fracture, right foot, initial encounter for fracture |
M84375A | Stress fracture, left foot, initial encounter for fracture |
M84376A | Stress fracture, unspecified foot, initial encounter for fracture |
M84377A | Stress fracture, right toe(s), initial encounter for fracture |
M84378A | Stress fracture, left toe(s), initial encounter for fracture |
M84379A | Stress fracture, unspecified toe(s), initial encounter for fracture |
M8438XA | Stress fracture, other site, initial encounter for fracture |
M8440XA | Pathological fracture, unspecified site, initial encounter for fracture |
M84411A | Pathological fracture, right shoulder, initial encounter for fracture |
M84412A | Pathological fracture, left shoulder, initial encounter for fracture |
M84419A | Pathological fracture, unspecified shoulder, initial encounter for fracture |
M84421A | Pathological fracture, right humerus, initial encounter for fracture |
M84422A | Pathological fracture, left humerus, initial encounter for fracture |
M84429A | Pathological fracture, unspecified humerus, initial encounter for fracture |
M84431A | Pathological fracture, right ulna, initial encounter for fracture |
M84432A | Pathological fracture, left ulna, initial encounter for fracture |
M84433A | Pathological fracture, right radius, initial encounter for fracture |
M84434A | Pathological fracture, left radius, initial encounter for fracture |
M84439A | Pathological fracture, unspecified ulna and radius, initial encounter for fracture |
M84441A | Pathological fracture, right hand, initial encounter for fracture |
M84442A | Pathological fracture, left hand, initial encounter for fracture |
M84443A | Pathological fracture, unspecified hand, initial encounter for fracture |
M84444A | Pathological fracture, right finger(s), initial encounter for fracture |
M84445A | Pathological fracture, left finger(s), initial encounter for fracture |
M84446A | Pathological fracture, unspecified finger(s), initial encounter for fracture |
M84451A | Pathological fracture, right femur, initial encounter for fracture |
M84452A | Pathological fracture, left femur, initial encounter for fracture |
M84453A | Pathological fracture, unspecified femur, initial encounter for fracture |
M84454A | Pathological fracture, pelvis, initial encounter for fracture |
M84459A | Pathological fracture, hip, unspecified, initial encounter for fracture |
M84461A | Pathological fracture, right tibia, initial encounter for fracture |
M84462A | Pathological fracture, left tibia, initial encounter for fracture |
M84463A | Pathological fracture, right fibula, initial encounter for fracture |
M84464A | Pathological fracture, left fibula, initial encounter for fracture |
M84469A | Pathological fracture, unspecified tibia and fibula, initial encounter for fracture |
M84471A | Pathological fracture, right ankle, initial encounter for fracture |
M84472A | Pathological fracture, left ankle, initial encounter for fracture |
M84473A | Pathological fracture, unspecified ankle, initial encounter for fracture |
M84474A | Pathological fracture, right foot, initial encounter for fracture |
M84475A | Pathological fracture, left foot, initial encounter for fracture |
M84476A | Pathological fracture, unspecified foot, initial encounter for fracture |
M84477A | Pathological fracture, right toe(s), initial encounter for fracture |
M84478A | Pathological fracture, left toe(s), initial encounter for fracture |
M84479A | Pathological fracture, unspecified toe(s), initial encounter for fracture |
M8448XA | Pathological fracture, other site, initial encounter for fracture |
M8450XA | Pathological fracture in neoplastic disease, unspecified site, initial encounter for fracture |
M84511A | Pathological fracture in neoplastic disease, right shoulder, initial encounter for fracture |
M84512A | Pathological fracture in neoplastic disease, left shoulder, initial encounter for fracture |
M84519A | Pathological fracture in neoplastic disease, unspecified shoulder, initial encounter for fracture |
M84521A | Pathological fracture in neoplastic disease, right humerus, initial encounter for fracture |
M84522A | Pathological fracture in neoplastic disease, left humerus, initial encounter for fracture |
M84529A | Pathological fracture in neoplastic disease, unspecified humerus, initial encounter for fracture |
M84531A | Pathological fracture in neoplastic disease, right ulna, initial encounter for fracture |
M84532A | Pathological fracture in neoplastic disease, left ulna, initial encounter for fracture |
M84533A | Pathological fracture in neoplastic disease, right radius, initial encounter for fracture |
M84534A | Pathological fracture in neoplastic disease, left radius, initial encounter for fracture |
M84539A | Pathological fracture in neoplastic disease, unspecified ulna and radius, initial encounter for fracture |
M84541A | Pathological fracture in neoplastic disease, right hand, initial encounter for fracture |
M84542A | Pathological fracture in neoplastic disease, left hand, initial encounter for fracture |
M84549A | Pathological fracture in neoplastic disease, unspecified hand, initial encounter for fracture |
M84550A | Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture |
M84551A | Pathological fracture in neoplastic disease, right femur, initial encounter for fracture |
M84552A | Pathological fracture in neoplastic disease, left femur, initial encounter for fracture |
M84553A | Pathological fracture in neoplastic disease, unspecified femur, initial encounter for fracture |
M84559A | Pathological fracture in neoplastic disease, hip, unspecified, initial encounter for fracture |
M84561A | Pathological fracture in neoplastic disease, right tibia, initial encounter for fracture |
M84562A | Pathological fracture in neoplastic disease, left tibia, initial encounter for fracture |
M84563A | Pathological fracture in neoplastic disease, right fibula, initial encounter for fracture |
M84564A | Pathological fracture in neoplastic disease, left fibula, initial encounter for fracture |
M84569A | Pathological fracture in neoplastic disease, unspecified tibia and fibula, initial encounter for fracture |
M84571A | Pathological fracture in neoplastic disease, right ankle, initial encounter for fracture |
M84572A | Pathological fracture in neoplastic disease, left ankle, initial encounter for fracture |
M84573A | Pathological fracture in neoplastic disease, unspecified ankle, initial encounter for fracture |
M84574A | Pathological fracture in neoplastic disease, right foot, initial encounter for fracture |
M84575A | Pathological fracture in neoplastic disease, left foot, initial encounter for fracture |
M84576A | Pathological fracture in neoplastic disease, unspecified foot, initial encounter for fracture |
M8458XA | Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture |
M8460XA | Pathological fracture in other disease, unspecified site, initial encounter for fracture |
M84611A | Pathological fracture in other disease, right shoulder, initial encounter for fracture |
M84612A | Pathological fracture in other disease, left shoulder, initial encounter for fracture |
M84619A | Pathological fracture in other disease, unspecified shoulder, initial encounter for fracture |
M84621A | Pathological fracture in other disease, right humerus, initial encounter for fracture |
M84622A | Pathological fracture in other disease, left humerus, initial encounter for fracture |
M84629A | Pathological fracture in other disease, unspecified humerus, initial encounter for fracture |
M84631A | Pathological fracture in other disease, right ulna, initial encounter for fracture |
M84632A | Pathological fracture in other disease, left ulna, initial encounter for fracture |
M84633A | Pathological fracture in other disease, right radius, initial encounter for fracture |
M84634A | Pathological fracture in other disease, left radius, initial encounter for fracture |
M84639A | Pathological fracture in other disease, unspecified ulna and radius, initial encounter for fracture |
M84641A | Pathological fracture in other disease, right hand, initial encounter for fracture |
M84642A | Pathological fracture in other disease, left hand, initial encounter for fracture |
M84649A | Pathological fracture in other disease, unspecified hand, initial encounter for fracture |
M84650A | Pathological fracture in other disease, pelvis, initial encounter for fracture |
M84651A | Pathological fracture in other disease, right femur, initial encounter for fracture |
M84652A | Pathological fracture in other disease, left femur, initial encounter for fracture |
M84653A | Pathological fracture in other disease, unspecified femur, initial encounter for fracture |
M84659A | Pathological fracture in other disease, hip, unspecified, initial encounter for fracture |
M84661A | Pathological fracture in other disease, right tibia, initial encounter for fracture |
M84662A | Pathological fracture in other disease, left tibia, initial encounter for fracture |
M84663A | Pathological fracture in other disease, right fibula, initial encounter for fracture |
M84664A | Pathological fracture in other disease, left fibula, initial encounter for fracture |
M84669A | Pathological fracture in other disease, unspecified tibia and fibula, initial encounter for fracture |
M84671A | Pathological fracture in other disease, right ankle, initial encounter for fracture |
M84672A | Pathological fracture in other disease, left ankle, initial encounter for fracture |
M84673A | Pathological fracture in other disease, unspecified ankle, initial encounter for fracture |
M84674A | Pathological fracture in other disease, right foot, initial encounter for fracture |
M84675A | Pathological fracture in other disease, left foot, initial encounter for fracture |
M84676A | Pathological fracture in other disease, unspecified foot, initial encounter for fracture |
M8468XA | Pathological fracture in other disease, other site, initial encounter for fracture |
M84750A | Atypical femoral fracture, unspecified, initial encounter for fracture |
M84751A | Incomplete atypical femoral fracture, right leg, initial encounter for fracture |
M84752A | Incomplete atypical femoral fracture, left leg, initial encounter for fracture |
M84753A | Incomplete atypical femoral fracture, unspecified leg, initial encounter for fracture |
M84754A | Complete transverse atypical femoral fracture, right leg, initial encounter for fracture |
M84755A | Complete transverse atypical femoral fracture, left leg, initial encounter for fracture |
M84756A | Complete transverse atypical femoral fracture, unspecified leg, initial encounter for fracture |
M84757A | Complete oblique atypical femoral fracture, right leg, initial encounter for fracture |
M84758A | Complete oblique atypical femoral fracture, left leg, initial encounter for fracture |
M84759A | Complete oblique atypical femoral fracture, unspecified leg, initial encounter for 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 |