ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual |
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| Appendix C: Principal diagnoses which convert CC/MCC to non-CC |
| Page 484 of 1375 |
| PDX Collection 4813 (continued) | |
| F03B4 | Unspecified dementia, moderate, with anxiety |
| F03C11 | Unspecified dementia, severe, with agitation |
| F03C18 | Unspecified dementia, severe, with other behavioral disturbance |
| F03C2 | Unspecified dementia, severe, with psychotic disturbance |
| F03C3 | Unspecified dementia, severe, with mood disturbance |
| F03C4 | Unspecified dementia, severe, with anxiety |
| PDX Collection 4814 | |
| F01511 | Vascular dementia, unspecified severity, with agitation |
| F01518 | Vascular dementia, unspecified severity, with other behavioral disturbance |
| F0152 | Vascular dementia, unspecified severity, with psychotic disturbance |
| F0153 | Vascular dementia, unspecified severity, with mood disturbance |
| F0154 | Vascular dementia, unspecified severity, with anxiety |
| F01A11 | Vascular dementia, mild, with agitation |
| F01A18 | Vascular dementia, mild, with other behavioral disturbance |
| F01A2 | Vascular dementia, mild, with psychotic disturbance |
| F01A3 | Vascular dementia, mild, with mood disturbance |
| F01A4 | Vascular dementia, mild, with anxiety |
| F01B11 | Vascular dementia, moderate, with agitation |
| F01B18 | Vascular dementia, moderate, with other behavioral disturbance |
| F01B2 | Vascular dementia, moderate, with psychotic disturbance |
| F01B3 | Vascular dementia, moderate, with mood disturbance |
| F01B4 | Vascular dementia, moderate, with anxiety |
| F01C11 | Vascular dementia, severe, with agitation |
| F01C18 | Vascular dementia, severe, with other behavioral disturbance |
| F01C2 | Vascular dementia, severe, with psychotic disturbance |
| F01C3 | Vascular dementia, severe, with mood disturbance |
| F01C4 | Vascular dementia, severe, with anxiety |
| F03911 | Unspecified dementia, unspecified severity, with agitation |
| F03918 | Unspecified dementia, unspecified severity, with other behavioral disturbance |
| F0392 | Unspecified dementia, unspecified severity, with psychotic disturbance |
| F0393 | Unspecified dementia, unspecified severity, with mood disturbance |
| F0394 | Unspecified dementia, unspecified severity, with anxiety |
| F03A11 | Unspecified dementia, mild, with agitation |
| F03A18 | Unspecified dementia, mild, with other behavioral disturbance |
| F03A2 | Unspecified dementia, mild, with psychotic disturbance |
| F03A3 | Unspecified dementia, mild, with mood disturbance |
| F03A4 | Unspecified dementia, mild, with anxiety |
| F03B11 | Unspecified dementia, moderate, with agitation |
| F03B18 | Unspecified dementia, moderate, with other behavioral disturbance |
| F03B2 | Unspecified dementia, moderate, with psychotic disturbance |
| F03B3 | Unspecified dementia, moderate, with mood disturbance |
| F03B4 | Unspecified dementia, moderate, with anxiety |
| F03C11 | Unspecified dementia, severe, with agitation |
| F03C18 | Unspecified dementia, severe, with other behavioral disturbance |
| F03C2 | Unspecified dementia, severe, with psychotic disturbance |
| F03C3 | Unspecified dementia, severe, with mood disturbance |
| F03C4 | Unspecified dementia, severe, with anxiety |
| PDX Collection 4815 | |
| F070 | Personality change due to known physiological condition |
| F0781 | Postconcussional syndrome |
| F079 | Unspecified personality and behavioral disorder due to known physiological condition |
| F09 | Unspecified mental disorder due to known physiological condition |
| F200 | Paranoid schizophrenia |
| F201 | Disorganized schizophrenia |
| F202 | Catatonic schizophrenia |
| F203 | Undifferentiated schizophrenia |
| F205 | Residual schizophrenia |
| F2081 | Schizophreniform disorder |
| F2089 | Other schizophrenia |
| F209 | Schizophrenia, unspecified |
| F21 | Schizotypal disorder |
| F22 | Delusional disorders |
| F23 | Brief psychotic disorder |
| F24 | Shared psychotic disorder |
| F250 | Schizoaffective disorder, bipolar type |
| F251 | Schizoaffective disorder, depressive type |
| F258 | Other schizoaffective disorders |
| F259 | Schizoaffective disorder, unspecified |
| F28 | Other psychotic disorder not due to a substance or known physiological condition |
| F29 | Unspecified psychosis not due to a substance or known physiological condition |
| F3010 | Manic episode without psychotic symptoms, unspecified |
| F3011 | Manic episode without psychotic symptoms, mild |
| F3012 | Manic episode without psychotic symptoms, moderate |
| F3013 | Manic episode, severe, without psychotic symptoms |
| F302 | Manic episode, severe with psychotic symptoms |
| F303 | Manic episode in partial remission |
| F304 | Manic episode in full remission |
| F308 | Other manic episodes |
| F309 | Manic episode, unspecified |
| F310 | Bipolar disorder, current episode hypomanic |
| F3110 | Bipolar disorder, current episode manic without psychotic features, unspecified |
| F3111 | Bipolar disorder, current episode manic without psychotic features, mild |
| F3112 | Bipolar disorder, current episode manic without psychotic features, moderate |
| F3113 | Bipolar disorder, current episode manic without psychotic features, severe |
| F312 | Bipolar disorder, current episode manic severe with psychotic features |
| F3130 | Bipolar disorder, current episode depressed, mild or moderate severity, unspecified |
| F3131 | Bipolar disorder, current episode depressed, mild |
| F3132 | Bipolar disorder, current episode depressed, moderate |
| F314 | Bipolar disorder, current episode depressed, severe, without psychotic features |
| F315 | Bipolar disorder, current episode depressed, severe, with psychotic features |
| F3160 | Bipolar disorder, current episode mixed, unspecified |
| F3161 | Bipolar disorder, current episode mixed, mild |
| F3162 | Bipolar disorder, current episode mixed, moderate |
| F3163 | Bipolar disorder, current episode mixed, severe, without psychotic features |
| F3164 | Bipolar disorder, current episode mixed, severe, with psychotic features |
| F3170 | Bipolar disorder, currently in remission, most recent episode unspecified |
| F3171 | Bipolar disorder, in partial remission, most recent episode hypomanic |
| F3172 | Bipolar disorder, in full remission, most recent episode hypomanic |
| F3173 | Bipolar disorder, in partial remission, most recent episode manic |
| F3174 | Bipolar disorder, in full remission, most recent episode manic |
| F3175 | Bipolar disorder, in partial remission, most recent episode depressed |
| F3176 | Bipolar disorder, in full remission, most recent episode depressed |
| F3177 | Bipolar disorder, in partial remission, most recent episode mixed |
| F3178 | Bipolar disorder, in full remission, most recent episode mixed |
| F3181 | Bipolar II disorder |
| F3189 | Other bipolar disorder |
| F319 | Bipolar disorder, unspecified |
| F320 | Major depressive disorder, single episode, mild |
| F321 | Major depressive disorder, single episode, moderate |
| F322 | Major depressive disorder, single episode, severe without psychotic features |
| F323 | Major depressive disorder, single episode, severe with psychotic features |
| F324 | Major depressive disorder, single episode, in partial remission |
| F325 | Major depressive disorder, single episode, in full remission |
| F3281 | Premenstrual dysphoric disorder |
| F3289 | Other specified depressive episodes |
| F329 | Major depressive disorder, single episode, unspecified |
| F32A | Depression, unspecified |
| F330 | Major depressive disorder, recurrent, mild |
| F331 | Major depressive disorder, recurrent, moderate |
| F332 | Major depressive disorder, recurrent severe without psychotic features |
| F333 | Major depressive disorder, recurrent, severe with psychotic symptoms |
| F3340 | Major depressive disorder, recurrent, in remission, unspecified |
| F3341 | Major depressive disorder, recurrent, in partial remission |
| F3342 | Major depressive disorder, recurrent, in full remission |
| F338 | Other recurrent depressive disorders |
| F339 | Major depressive disorder, recurrent, unspecified |
| F340 | Cyclothymic disorder |
| F341 | Dysthymic disorder |
| F3481 | Disruptive mood dysregulation disorder |
| F3489 | Other specified persistent mood disorders |
| F349 | Persistent mood [affective] disorder, unspecified |
| F39 | Unspecified mood [affective] disorder |
| F4000 | Agoraphobia, unspecified |
| F4001 | Agoraphobia with panic disorder |
| F4002 | Agoraphobia without panic disorder |
| F4010 | Social phobia, unspecified |
| F4011 | Social phobia, generalized |
| F40210 | Arachnophobia |
| F40218 | Other animal type phobia |
| F40220 | Fear of thunderstorms |
| F40228 | Other natural environment type phobia |
| F40230 | Fear of blood |
| F40231 | Fear of injections and transfusions |
| F40232 | Fear of other medical care |
| F40233 | Fear of injury |
| F40240 | Claustrophobia |
| F40241 | Acrophobia |
| F40242 | Fear of bridges |
| F40243 | Fear of flying |
| F40248 | Other situational type phobia |
| F40290 | Androphobia |
| F40291 | Gynephobia |
| F40298 | Other specified phobia |
| F408 | Other phobic anxiety disorders |
| F409 | Phobic anxiety disorder, unspecified |
| F410 | Panic disorder [episodic paroxysmal anxiety] |
| F411 | Generalized anxiety disorder |
| F413 | Other mixed anxiety disorders |
| F418 | Other specified anxiety disorders |
| F419 | Anxiety disorder, unspecified |
| F422 | Mixed obsessional thoughts and acts |
| F423 | Hoarding disorder |
| F424 | Excoriation (skin-picking) disorder |
| F428 | Other obsessive-compulsive disorder |
| F429 | Obsessive-compulsive disorder, unspecified |
| F430 | Acute stress reaction |
| F4310 | Post-traumatic stress disorder, unspecified |
| F4311 | Post-traumatic stress disorder, acute |
| F4312 | Post-traumatic stress disorder, chronic |
| F4320 | Adjustment disorder, unspecified |
| F4321 | Adjustment disorder with depressed mood |
| F4322 | Adjustment disorder with anxiety |
| F4323 | Adjustment disorder with mixed anxiety and depressed mood |
| F4324 | Adjustment disorder with disturbance of conduct |
| F4325 | Adjustment disorder with mixed disturbance of emotions and conduct |
| F4329 | Adjustment disorder with other symptoms |
| F4381 | Prolonged grief disorder |
| F4389 | Other reactions to severe stress |
| F439 | Reaction to severe stress, unspecified |
| F440 | Dissociative amnesia |
| F441 | Dissociative fugue |
| F442 | Dissociative stupor |
| F444 | Conversion disorder with motor symptom or deficit |
| F445 | Conversion disorder with seizures or convulsions |
| F446 | Conversion disorder with sensory symptom or deficit |
| F447 | Conversion disorder with mixed symptom presentation |
| F4481 | Dissociative identity disorder |
| F4489 | Other dissociative and conversion disorders |
| F449 | Dissociative and conversion disorder, unspecified |
| F450 | Somatization disorder |
| F451 | Undifferentiated somatoform disorder |
| F4520 | Hypochondriacal disorder, unspecified |
| F4521 | Hypochondriasis |
| F4522 | Body dysmorphic disorder |
| F4529 | Other hypochondriacal disorders |
| F4541 | Pain disorder exclusively related to psychological factors |
| F4542 | Pain disorder with related psychological factors |
| F458 | Other somatoform disorders |
| F459 | Somatoform disorder, unspecified |
| F481 | Depersonalization-derealization syndrome |
| F488 | Other specified nonpsychotic mental disorders |
| F489 | Nonpsychotic mental disorder, unspecified |
| F5000 | Anorexia nervosa, unspecified |
| F5001 | Anorexia nervosa, restricting type |
| F5002 | Anorexia nervosa, binge eating/purging type |
| F502 | Bulimia nervosa |
| F5081 | Binge eating disorder |
| F5082 | Avoidant/restrictive food intake disorder |
| F5089 | Other specified eating disorder |
| F509 | Eating disorder, unspecified |
| F5101 | Primary insomnia |
| F5102 | Adjustment insomnia |
| F5103 | Paradoxical insomnia |
| F5112 | Insufficient sleep syndrome |
| F5119 | Other hypersomnia not due to a substance or known physiological condition |
| F513 | Sleepwalking [somnambulism] |
| F514 | Sleep terrors [night terrors] |
| F515 | Nightmare disorder |
| F518 | Other sleep disorders not due to a substance or known physiological condition |
| F519 | Sleep disorder not due to a substance or known physiological condition, unspecified |
| F525 | Vaginismus not due to a substance or known physiological condition |
| F54 | Psychological and behavioral factors associated with disorders or diseases classified elsewhere |
| F59 | Unspecified behavioral syndromes associated with physiological disturbances and physical factors |
| F600 | Paranoid personality disorder |
| F601 | Schizoid personality disorder |
| F602 | Antisocial personality disorder |
| F603 | Borderline personality disorder |
| F604 | Histrionic personality disorder |
| F605 | Obsessive-compulsive personality disorder |
| F606 | Avoidant personality disorder |
| F607 | Dependent personality disorder |
| F6081 | Narcissistic personality disorder |
| F6089 | Other specific personality disorders |
| F609 | Personality disorder, unspecified |
| F630 | Pathological gambling |
| F631 | Pyromania |
| F632 | Kleptomania |
| F6381 | Intermittent explosive disorder |
| F6389 | Other impulse disorders |
| F639 | Impulse disorder, unspecified |
| F6810 | Factitious disorder imposed on self, unspecified |
| F6811 | Factitious disorder imposed on self, with predominantly psychological signs and symptoms |
| F6812 | Factitious disorder imposed on self, with predominantly physical signs and symptoms |
| F6813 | Factitious disorder imposed on self, with combined psychological and physical signs and symptoms |
| F688 | Other specified disorders of adult personality and behavior |
| F68A | Factitious disorder imposed on another |
| F69 | Unspecified disorder of adult personality and behavior |
| F70 | Mild intellectual disabilities |
| F71 | Moderate intellectual disabilities |
| F72 | Severe intellectual disabilities |
| F73 | Profound intellectual disabilities |
| F79 | Unspecified intellectual disabilities |
| F800 | Phonological disorder |
| F801 | Expressive language disorder |
| F802 | Mixed receptive-expressive language disorder |
| F804 | Speech and language development delay due to hearing loss |
| F8082 | Social pragmatic communication disorder |
| F8089 | Other developmental disorders of speech and language |
| F809 | Developmental disorder of speech and language, unspecified |
| F810 | Specific reading disorder |
| F812 | Mathematics disorder |
| F8181 | Disorder of written expression |
| F8189 | Other developmental disorders of scholastic skills |
| F819 | Developmental disorder of scholastic skills, unspecified |
| F82 | Specific developmental disorder of motor function |
| F840 | Autistic disorder |
| F843 | Other childhood disintegrative disorder |
| F845 | Asperger's syndrome |
| F848 | Other pervasive developmental disorders |
| F849 | Pervasive developmental disorder, unspecified |
| F88 | Other disorders of psychological development |
| F89 | Unspecified disorder of psychological development |
| F900 | Attention-deficit hyperactivity disorder, predominantly inattentive type |
| F901 | Attention-deficit hyperactivity disorder, predominantly hyperactive type |
| F902 | Attention-deficit hyperactivity disorder, combined type |
| F908 | Attention-deficit hyperactivity disorder, other type |
| F909 | Attention-deficit hyperactivity disorder, unspecified type |
| F910 | Conduct disorder confined to family context |
| F911 | Conduct disorder, childhood-onset type |
| F912 | Conduct disorder, adolescent-onset type |
| F913 | Oppositional defiant disorder |
| F918 | Other conduct disorders |
| F919 | Conduct disorder, unspecified |
| F930 | Separation anxiety disorder of childhood |
| F938 | Other childhood emotional disorders |
| F939 | Childhood emotional disorder, unspecified |
| F940 | Selective mutism |
| F941 | Reactive attachment disorder of childhood |
| F942 | Disinhibited attachment disorder of childhood |
| F948 | Other childhood disorders of social functioning |
| F949 | Childhood disorder of social functioning, unspecified |
| F950 | Transient tic disorder |
| F951 | Chronic motor or vocal tic disorder |
| F952 | Tourette's disorder |
| F958 | Other tic disorders |
| F959 | Tic disorder, unspecified |
| F980 | Enuresis not due to a substance or known physiological condition |
| F981 | Encopresis not due to a substance or known physiological condition |
| F9821 | Rumination disorder of infancy |
| F9829 | Other feeding disorders of infancy and early childhood |
| F983 | Pica of infancy and childhood |
| F984 | Stereotyped movement disorders |
| F985 | Adult onset fluency disorder |
| F988 | Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence |
| F989 | Unspecified behavioral and emotional disorders with onset usually occurring in childhood and adolescence |
| F99 | Mental disorder, not otherwise specified |
| G44201 | Tension-type headache, unspecified, intractable |
| G44209 | Tension-type headache, unspecified, not intractable |
| G44211 | Episodic tension-type headache, intractable |
| G44219 | Episodic tension-type headache, not intractable |
| G44221 | Chronic tension-type headache, intractable |
| G44229 | Chronic tension-type headache, not intractable |
| H9325 | Central auditory processing disorder |
| R451 | Restlessness and agitation |
| R452 | Unhappiness |
| R455 | Hostility |
| R456 | Violent behavior |
| R457 | State of emotional shock and stress, unspecified |
| R4581 | Low self-esteem |
| R4582 | Worries |
| R4586 | Emotional lability |
| R4587 | Impulsiveness |
| PDX Collection 4820 | |
| D474 | Osteomyelofibrosis |
| D65 | Disseminated intravascular coagulation [defibrination syndrome] |
| D66 | Hereditary factor VIII deficiency |
| D67 | Hereditary factor IX deficiency |
| D6800 | Von Willebrand disease, unspecified |
| D6801 | Von Willebrand disease, type 1 |
| D68020 | Von Willebrand disease, type 2A |
| D68021 | Von Willebrand disease, type 2B |
| D68022 | Von Willebrand disease, type 2M |
| D68023 | Von Willebrand disease, type 2N |
| D68029 | Von Willebrand disease, type 2, unspecified |
| D6803 | Von Willebrand disease, type 3 |
| D6804 | Acquired von Willebrand disease |
| D6809 | Other von Willebrand disease |
| D681 | Hereditary factor XI deficiency |
| D682 | Hereditary deficiency of other clotting factors |
| D68311 | Acquired hemophilia |
| D68312 | Antiphospholipid antibody with hemorrhagic disorder |
| D68318 | Other hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhibitors |
| D6832 | Hemorrhagic disorder due to extrinsic circulating anticoagulants |
| D684 | Acquired coagulation factor deficiency |
| D6851 | Activated protein C resistance |
| D6852 | Prothrombin gene mutation |
| D6859 | Other primary thrombophilia |
| D6861 | Antiphospholipid syndrome |
| D6862 | Lupus anticoagulant syndrome |
| D6869 | Other thrombophilia |
| D688 | Other specified coagulation defects |
| D689 | Coagulation defect, unspecified |
| D690 | Allergic purpura |
| D691 | Qualitative platelet defects |
| D692 | Other nonthrombocytopenic purpura |
| D693 | Immune thrombocytopenic purpura |
| D6941 | Evans syndrome |
| D6942 | Congenital and hereditary thrombocytopenia purpura |
| D6949 | Other primary thrombocytopenia |
| D6951 | Posttransfusion purpura |
| D6959 | Other secondary thrombocytopenia |
| D696 | Thrombocytopenia, unspecified |
| D698 | Other specified hemorrhagic conditions |
| D699 | Hemorrhagic condition, unspecified |
| D7581 | Myelofibrosis |
| D75821 | Non-immune heparin-induced thrombocytopenia |
| D75822 | Immune-mediated heparin-induced thrombocytopenia |
| D75828 | Other heparin-induced thrombocytopenia syndrome |
| D75829 | Heparin-induced thrombocytopenia, unspecified |
| D7584 | Other platelet-activating anti-PF4 disorders |
| D7589 | Other specified diseases of blood and blood-forming organs |
| D759 | Disease of blood and blood-forming organs, unspecified |
| D75A | Glucose-6-phosphate dehydrogenase (G6PD) deficiency without anemia |
| D77 | Other disorders of blood and blood-forming organs in diseases classified elsewhere |
| D892 | Hypergammaglobulinemia, unspecified |
| PDX Collection 4821 | |
| F0280 | Dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F04 | Amnestic disorder due to known physiological condition |
| F05 | Delirium due to known physiological condition |
| F060 | Psychotic disorder with hallucinations due to known physiological condition |
| F061 | Catatonic disorder due to known physiological condition |
| F062 | Psychotic disorder with delusions due to known physiological condition |
| F0630 | Mood disorder due to known physiological condition, unspecified |
| F0631 | Mood disorder due to known physiological condition with depressive features |
| F0632 | Mood disorder due to known physiological condition with major depressive-like episode |
| F0633 | Mood disorder due to known physiological condition with manic features |
| F0634 | Mood disorder due to known physiological condition with mixed features |
| F064 | Anxiety disorder due to known physiological condition |
| F0670 | Mild neurocognitive disorder due to known physiological condition without behavioral disturbance |
| F0671 | Mild neurocognitive disorder due to known physiological condition with behavioral disturbance |
| F068 | Other specified mental disorders due to known physiological condition |
| F1010 | Alcohol abuse, uncomplicated |
| F1011 | Alcohol abuse, in remission |
| F10120 | Alcohol abuse with intoxication, uncomplicated |
| F10121 | Alcohol abuse with intoxication delirium |
| F10129 | Alcohol abuse with intoxication, unspecified |
| F10130 | Alcohol abuse with withdrawal, uncomplicated |
| F10131 | Alcohol abuse with withdrawal delirium |
| F10132 | Alcohol abuse with withdrawal with perceptual disturbance |
| F10139 | Alcohol abuse with withdrawal, unspecified |
| F1014 | Alcohol abuse with alcohol-induced mood disorder |
| F10150 | Alcohol abuse with alcohol-induced psychotic disorder with delusions |
| F10151 | Alcohol abuse with alcohol-induced psychotic disorder with hallucinations |
| F10159 | Alcohol abuse with alcohol-induced psychotic disorder, unspecified |
| F10180 | Alcohol abuse with alcohol-induced anxiety disorder |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 01 Mar 2023 06:12:40 CMS, code-revision=344, description-revision=1357 |