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 1233 of 1375 |
| PDX Collection 6510 | |
| K3189 | Other diseases of stomach and duodenum |
| K319 | Disease of stomach and duodenum, unspecified |
| K35200 | Acute appendicitis with generalized peritonitis, without perforation or abscess |
| K35201 | Acute appendicitis with generalized peritonitis, with perforation, without abscess |
| K35209 | Acute appendicitis with generalized peritonitis, without abscess, unspecified as to perforation |
| K35210 | Acute appendicitis with generalized peritonitis, without perforation, with abscess |
| K35211 | Acute appendicitis with generalized peritonitis, with perforation and abscess |
| K35219 | Acute appendicitis with generalized peritonitis, with abscess, unspecified as to perforation |
| K3530 | Acute appendicitis with localized peritonitis, without perforation or gangrene |
| K3531 | Acute appendicitis with localized peritonitis and gangrene, without perforation |
| K3532 | Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess |
| K3533 | Acute appendicitis with perforation, localized peritonitis, and gangrene, with abscess |
| K3580 | Unspecified acute appendicitis |
| K35890 | Other acute appendicitis without perforation or gangrene |
| K35891 | Other acute appendicitis without perforation, with gangrene |
| K36 | Other appendicitis |
| K37 | Unspecified appendicitis |
| K380 | Hyperplasia of appendix |
| K381 | Appendicular concretions |
| K382 | Diverticulum of appendix |
| K383 | Fistula of appendix |
| K388 | Other specified diseases of appendix |
| K389 | Disease of appendix, unspecified |
| K9281 | Gastrointestinal mucositis (ulcerative) |
| PDX Collection 6511 | |
| D500 | Iron deficiency anemia secondary to blood loss (chronic) |
| D501 | Sideropenic dysphagia |
| D508 | Other iron deficiency anemias |
| D509 | Iron deficiency anemia, unspecified |
| D510 | Vitamin B12 deficiency anemia due to intrinsic factor deficiency |
| D511 | Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria |
| D512 | Transcobalamin II deficiency |
| D513 | Other dietary vitamin B12 deficiency anemia |
| D518 | Other vitamin B12 deficiency anemias |
| D519 | Vitamin B12 deficiency anemia, unspecified |
| D520 | Dietary folate deficiency anemia |
| D521 | Drug-induced folate deficiency anemia |
| D528 | Other folate deficiency anemias |
| D529 | Folate deficiency anemia, unspecified |
| D530 | Protein deficiency anemia |
| D531 | Other megaloblastic anemias, not elsewhere classified |
| D532 | Scorbutic anemia |
| D538 | Other specified nutritional anemias |
| D539 | Nutritional anemia, unspecified |
| D550 | Anemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency |
| D551 | Anemia due to other disorders of glutathione metabolism |
| D553 | Anemia due to disorders of nucleotide metabolism |
| D558 | Other anemias due to enzyme disorders |
| D559 | Anemia due to enzyme disorder, unspecified |
| D560 | Alpha thalassemia |
| D561 | Beta thalassemia |
| D562 | Delta-beta thalassemia |
| D563 | Thalassemia minor |
| D564 | Hereditary persistence of fetal hemoglobin [HPFH] |
| D565 | Hemoglobin E-beta thalassemia |
| D568 | Other thalassemias |
| D569 | Thalassemia, unspecified |
| D5700 | Hb-SS disease with crisis, unspecified |
| D5701 | Hb-SS disease with acute chest syndrome |
| D5702 | Hb-SS disease with splenic sequestration |
| D571 | Sickle-cell disease without crisis |
| D5720 | Sickle-cell/Hb-C disease without crisis |
| D57211 | Sickle-cell/Hb-C disease with acute chest syndrome |
| D57212 | Sickle-cell/Hb-C disease with splenic sequestration |
| D57213 | Sickle-cell/Hb-C disease with cerebral vascular involvement |
| D57214 | Sickle-cell/Hb-C disease with dactylitis |
| D57218 | Sickle-cell/Hb-C disease with crisis with other specified complication |
| D57219 | Sickle-cell/Hb-C disease with crisis, unspecified |
| D573 | Sickle-cell trait |
| D5740 | Sickle-cell thalassemia without crisis |
| D57411 | Sickle-cell thalassemia, unspecified, with acute chest syndrome |
| D57412 | Sickle-cell thalassemia, unspecified, with splenic sequestration |
| D57419 | Sickle-cell thalassemia, unspecified, with crisis |
| D5780 | Other sickle-cell disorders without crisis |
| D57811 | Other sickle-cell disorders with acute chest syndrome |
| D57812 | Other sickle-cell disorders with splenic sequestration |
| D57819 | Other sickle-cell disorders with crisis, unspecified |
| D580 | Hereditary spherocytosis |
| D581 | Hereditary elliptocytosis |
| D582 | Other hemoglobinopathies |
| D588 | Other specified hereditary hemolytic anemias |
| D589 | Hereditary hemolytic anemia, unspecified |
| D590 | Drug-induced autoimmune hemolytic anemia |
| D5910 | Autoimmune hemolytic anemia, unspecified |
| D5911 | Warm autoimmune hemolytic anemia |
| D5912 | Cold autoimmune hemolytic anemia |
| D5913 | Mixed type autoimmune hemolytic anemia |
| D5919 | Other autoimmune hemolytic anemia |
| D592 | Drug-induced nonautoimmune hemolytic anemia |
| D5930 | Hemolytic-uremic syndrome, unspecified |
| D5931 | Infection-associated hemolytic-uremic syndrome |
| D5932 | Hereditary hemolytic-uremic syndrome |
| D5939 | Other hemolytic-uremic syndrome |
| D594 | Other nonautoimmune hemolytic anemias |
| D595 | Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli] |
| D596 | Hemoglobinuria due to hemolysis from other external causes |
| D598 | Other acquired hemolytic anemias |
| D599 | Acquired hemolytic anemia, unspecified |
| D600 | Chronic acquired pure red cell aplasia |
| D601 | Transient acquired pure red cell aplasia |
| D608 | Other acquired pure red cell aplasias |
| D609 | Acquired pure red cell aplasia, unspecified |
| D6101 | Constitutional (pure) red blood cell aplasia |
| D6102 | Shwachman-Diamond syndrome |
| D6109 | Other constitutional aplastic anemia |
| D611 | Drug-induced aplastic anemia |
| D612 | Aplastic anemia due to other external agents |
| D613 | Idiopathic aplastic anemia |
| D6189 | Other specified aplastic anemias and other bone marrow failure syndromes |
| D619 | Aplastic anemia, unspecified |
| D62 | Acute posthemorrhagic anemia |
| D630 | Anemia in neoplastic disease |
| D631 | Anemia in chronic kidney disease |
| D638 | Anemia in other chronic diseases classified elsewhere |
| D640 | Hereditary sideroblastic anemia |
| D641 | Secondary sideroblastic anemia due to disease |
| D642 | Secondary sideroblastic anemia due to drugs and toxins |
| D643 | Other sideroblastic anemias |
| D644 | Congenital dyserythropoietic anemia |
| D6481 | Anemia due to antineoplastic chemotherapy |
| D6489 | Other specified anemias |
| D649 | Anemia, unspecified |
| D693 | Immune thrombocytopenic purpura |
| D6941 | Evans syndrome |
| D6942 | Congenital and hereditary thrombocytopenia purpura |
| D6949 | Other primary thrombocytopenia |
| D759 | Disease of blood and blood-forming organs, unspecified |
| P612 | Anemia of prematurity |
| P613 | Congenital anemia from fetal blood loss |
| P614 | Other congenital anemias, not elsewhere classified |
| PDX Collection 6512 | |
| Q900 | Trisomy 21, nonmosaicism (meiotic nondisjunction) |
| Q901 | Trisomy 21, mosaicism (mitotic nondisjunction) |
| Q902 | Trisomy 21, translocation |
| Q909 | Down syndrome, unspecified |
| Q910 | Trisomy 18, nonmosaicism (meiotic nondisjunction) |
| Q911 | Trisomy 18, mosaicism (mitotic nondisjunction) |
| Q912 | Trisomy 18, translocation |
| Q913 | Trisomy 18, unspecified |
| Q914 | Trisomy 13, nonmosaicism (meiotic nondisjunction) |
| Q915 | Trisomy 13, mosaicism (mitotic nondisjunction) |
| Q916 | Trisomy 13, translocation |
| Q917 | Trisomy 13, unspecified |
| Q920 | Whole chromosome trisomy, nonmosaicism (meiotic nondisjunction) |
| Q921 | Whole chromosome trisomy, mosaicism (mitotic nondisjunction) |
| Q922 | Partial trisomy |
| Q925 | Duplications with other complex rearrangements |
| Q9261 | Marker chromosomes in normal individual |
| Q9262 | Marker chromosomes in abnormal individual |
| Q927 | Triploidy and polyploidy |
| Q928 | Other specified trisomies and partial trisomies of autosomes |
| Q929 | Trisomy and partial trisomy of autosomes, unspecified |
| Q930 | Whole chromosome monosomy, nonmosaicism (meiotic nondisjunction) |
| Q931 | Whole chromosome monosomy, mosaicism (mitotic nondisjunction) |
| Q932 | Chromosome replaced with ring, dicentric or isochromosome |
| Q933 | Deletion of short arm of chromosome 4 |
| Q934 | Deletion of short arm of chromosome 5 |
| Q9351 | Angelman syndrome |
| Q9352 | Phelan-McDermid syndrome |
| Q9359 | Other deletions of part of a chromosome |
| Q937 | Deletions with other complex rearrangements |
| Q9381 | Velo-cardio-facial syndrome |
| Q9382 | Williams syndrome |
| Q9388 | Other microdeletions |
| Q9389 | Other deletions from the autosomes |
| Q939 | Deletion from autosomes, unspecified |
| Q950 | Balanced translocation and insertion in normal individual |
| Q951 | Chromosome inversion in normal individual |
| Q952 | Balanced autosomal rearrangement in abnormal individual |
| Q953 | Balanced sex/autosomal rearrangement in abnormal individual |
| Q955 | Individual with autosomal fragile site |
| Q958 | Other balanced rearrangements and structural markers |
| Q959 | Balanced rearrangement and structural marker, unspecified |
| Q960 | Karyotype 45, X |
| Q961 | Karyotype 46, X iso (Xq) |
| Q962 | Karyotype 46, X with abnormal sex chromosome, except iso (Xq) |
| Q963 | Mosaicism, 45, X/46, XX or XY |
| Q964 | Mosaicism, 45, X/other cell line(s) with abnormal sex chromosome |
| Q968 | Other variants of Turner's syndrome |
| Q969 | Turner's syndrome, unspecified |
| Q970 | Karyotype 47, XXX |
| Q971 | Female with more than three X chromosomes |
| Q972 | Mosaicism, lines with various numbers of X chromosomes |
| Q973 | Female with 46, XY karyotype |
| Q978 | Other specified sex chromosome abnormalities, female phenotype |
| Q979 | Sex chromosome abnormality, female phenotype, unspecified |
| Q980 | Klinefelter syndrome karyotype 47, XXY |
| Q981 | Klinefelter syndrome, male with more than two X chromosomes |
| Q983 | Other male with 46, XX karyotype |
| Q984 | Klinefelter syndrome, unspecified |
| Q985 | Karyotype 47, XYY |
| Q986 | Male with structurally abnormal sex chromosome |
| Q987 | Male with sex chromosome mosaicism |
| Q988 | Other specified sex chromosome abnormalities, male phenotype |
| Q989 | Sex chromosome abnormality, male phenotype, unspecified |
| Q990 | Chimera 46, XX/46, XY |
| Q991 | 46, XX true hermaphrodite |
| Q998 | Other specified chromosome abnormalities |
| Q999 | Chromosomal abnormality, unspecified |
| PDX Collection 6513 | |
| G041 | Tropical spastic paraplegia |
| G110 | Congenital nonprogressive ataxia |
| G1110 | Early-onset cerebellar ataxia, unspecified |
| G1111 | Friedreich ataxia |
| G1119 | Other early-onset cerebellar ataxia |
| G112 | Late-onset cerebellar ataxia |
| G113 | Cerebellar ataxia with defective DNA repair |
| G114 | Hereditary spastic paraplegia |
| G115 | Hypomyelination - hypogonadotropic hypogonadism - hypodontia |
| G116 | Leukodystrophy with vanishing white matter disease |
| G118 | Other hereditary ataxias |
| G119 | Hereditary ataxia, unspecified |
| G120 | Infantile spinal muscular atrophy, type I [Werdnig-Hoffman] |
| G121 | Other inherited spinal muscular atrophy |
| G1220 | Motor neuron disease, unspecified |
| G1221 | Amyotrophic lateral sclerosis |
| G1222 | Progressive bulbar palsy |
| G1223 | Primary lateral sclerosis |
| G1224 | Familial motor neuron disease |
| G1225 | Progressive spinal muscle atrophy |
| G1229 | Other motor neuron disease |
| G128 | Other spinal muscular atrophies and related syndromes |
| G129 | Spinal muscular atrophy, unspecified |
| G320 | Subacute combined degeneration of spinal cord in diseases classified elsewhere |
| G3281 | Cerebellar ataxia in diseases classified elsewhere |
| G3289 | Other specified degenerative disorders of nervous system in diseases classified elsewhere |
| G35 | Multiple sclerosis |
| G360 | Neuromyelitis optica [Devic] |
| G361 | Acute and subacute hemorrhagic leukoencephalitis [Hurst] |
| G368 | Other specified acute disseminated demyelination |
| G369 | Acute disseminated demyelination, unspecified |
| G370 | Diffuse sclerosis of central nervous system |
| G371 | Central demyelination of corpus callosum |
| G372 | Central pontine myelinolysis |
| G373 | Acute transverse myelitis in demyelinating disease of central nervous system |
| G375 | Concentric sclerosis [Balo] of central nervous system |
| G3781 | Myelin oligodendrocyte glycoprotein antibody disease |
| G3789 | Other specified demyelinating diseases of central nervous system |
| G379 | Demyelinating disease of central nervous system, unspecified |
| G800 | Spastic quadriplegic cerebral palsy |
| G801 | Spastic diplegic cerebral palsy |
| G802 | Spastic hemiplegic cerebral palsy |
| G804 | Ataxic cerebral palsy |
| G808 | Other cerebral palsy |
| G809 | Cerebral palsy, unspecified |
| G8100 | Flaccid hemiplegia affecting unspecified side |
| G8101 | Flaccid hemiplegia affecting right dominant side |
| G8102 | Flaccid hemiplegia affecting left dominant side |
| G8103 | Flaccid hemiplegia affecting right nondominant side |
| G8104 | Flaccid hemiplegia affecting left nondominant side |
| G8110 | Spastic hemiplegia affecting unspecified side |
| G8111 | Spastic hemiplegia affecting right dominant side |
| G8112 | Spastic hemiplegia affecting left dominant side |
| G8113 | Spastic hemiplegia affecting right nondominant side |
| G8114 | Spastic hemiplegia affecting left nondominant side |
| G8190 | Hemiplegia, unspecified affecting unspecified side |
| G8191 | Hemiplegia, unspecified affecting right dominant side |
| G8192 | Hemiplegia, unspecified affecting left dominant side |
| G8193 | Hemiplegia, unspecified affecting right nondominant side |
| G8194 | Hemiplegia, unspecified affecting left nondominant side |
| G8220 | Paraplegia, unspecified |
| G8221 | Paraplegia, complete |
| G8222 | Paraplegia, incomplete |
| G8250 | Quadriplegia, unspecified |
| G8251 | Quadriplegia, C1-C4 complete |
| G8252 | Quadriplegia, C1-C4 incomplete |
| G8253 | Quadriplegia, C5-C7 complete |
| G8254 | Quadriplegia, C5-C7 incomplete |
| G830 | Diplegia of upper limbs |
| G8310 | Monoplegia of lower limb affecting unspecified side |
| G8311 | Monoplegia of lower limb affecting right dominant side |
| G8312 | Monoplegia of lower limb affecting left dominant side |
| G8313 | Monoplegia of lower limb affecting right nondominant side |
| G8314 | Monoplegia of lower limb affecting left nondominant side |
| G8320 | Monoplegia of upper limb affecting unspecified side |
| G8321 | Monoplegia of upper limb affecting right dominant side |
| G8322 | Monoplegia of upper limb affecting left dominant side |
| G8323 | Monoplegia of upper limb affecting right nondominant side |
| G8324 | Monoplegia of upper limb affecting left nondominant side |
| G8330 | Monoplegia, unspecified affecting unspecified side |
| G8331 | Monoplegia, unspecified affecting right dominant side |
| G8332 | Monoplegia, unspecified affecting left dominant side |
| G8333 | Monoplegia, unspecified affecting right nondominant side |
| G8334 | Monoplegia, unspecified affecting left nondominant side |
| G834 | Cauda equina syndrome |
| G835 | Locked-in state |
| G8381 | Brown-Sequard syndrome |
| G8382 | Anterior cord syndrome |
| G8383 | Posterior cord syndrome |
| G8384 | Todd's paralysis (postepileptic) |
| G8389 | Other specified paralytic syndromes |
| G839 | Paralytic syndrome, unspecified |
| G9001 | Carotid sinus syncope |
| G9009 | Other idiopathic peripheral autonomic neuropathy |
| G902 | Horner's syndrome |
| G904 | Autonomic dysreflexia |
| G9050 | Complex regional pain syndrome I, unspecified |
| G90511 | Complex regional pain syndrome I of right upper limb |
| G90512 | Complex regional pain syndrome I of left upper limb |
| G90513 | Complex regional pain syndrome I of upper limb, bilateral |
| G90519 | Complex regional pain syndrome I of unspecified upper limb |
| G90521 | Complex regional pain syndrome I of right lower limb |
| G90522 | Complex regional pain syndrome I of left lower limb |
| G90523 | Complex regional pain syndrome I of lower limb, bilateral |
| G90529 | Complex regional pain syndrome I of unspecified lower limb |
| G9059 | Complex regional pain syndrome I of other specified site |
| G908 | Other disorders of autonomic nervous system |
| G909 | Disorder of the autonomic nervous system, unspecified |
| G90B | LMNB1-related autosomal dominant leukodystrophy |
| G9340 | Encephalopathy, unspecified |
| G9341 | Metabolic encephalopathy |
| G9342 | Megaloencephalic leukoencephalopathy with subcortical cysts |
| G9343 | Leukoencephalopathy with calcifications and cysts |
| G9344 | Adult-onset leukodystrophy with axonal spheroids |
| G9349 | Other encephalopathy |
| G9381 | Temporal sclerosis |
| G9389 | Other specified disorders of brain |
| G939 | Disorder of brain, unspecified |
| G950 | Syringomyelia and syringobulbia |
| G9511 | Acute infarction of spinal cord (embolic) (nonembolic) |
| G9519 | Other vascular myelopathies |
| G9520 | Unspecified cord compression |
| G9529 | Other cord compression |
| G9581 | Conus medullaris syndrome |
| G9589 | Other specified diseases of spinal cord |
| G959 | Disease of spinal cord, unspecified |
| G969 | Disorder of central nervous system, unspecified |
| G980 | Neurogenic arthritis, not elsewhere classified |
| G988 | Other disorders of nervous system |
| G990 | Autonomic neuropathy in diseases classified elsewhere |
| G992 | Myelopathy in diseases classified elsewhere |
| G998 | Other specified disorders of nervous system in diseases classified elsewhere |
| I6783 | Posterior reversible encephalopathy syndrome |
| R532 | Functional quadriplegia |
| PDX Collection 6514 | |
| A3981 | Meningococcal encephalitis |
| A5042 | Late congenital syphilitic encephalitis |
| A5214 | Late syphilitic encephalitis |
| A830 | Japanese encephalitis |
| A831 | Western equine encephalitis |
| A832 | Eastern equine encephalitis |
| A833 | St Louis encephalitis |
| A834 | Australian encephalitis |
| A835 | California encephalitis |
| A836 | Rocio virus disease |
| A838 | Other mosquito-borne viral encephalitis |
| A839 | Mosquito-borne viral encephalitis, unspecified |
| A840 | Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis] |
| A841 | Central European tick-borne encephalitis |
| A849 | Tick-borne viral encephalitis, unspecified |
| A850 | Enteroviral encephalitis |
| A851 | Adenoviral encephalitis |
| A858 | Other specified viral encephalitis |
| A86 | Unspecified viral encephalitis |
| A888 | Other specified viral infections of central nervous system |
| A89 | Unspecified viral infection of central nervous system |
| B004 | Herpesviral encephalitis |
| B0111 | Varicella encephalitis and encephalomyelitis |
| B1001 | Human herpesvirus 6 encephalitis |
| B1009 | Other human herpesvirus encephalitis |
| B262 | Mumps encephalitis |
| B582 | Toxoplasma meningoencephalitis |
| G0400 | Acute disseminated encephalitis and encephalomyelitis, unspecified |
| G0401 | Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM) |
| G0431 | Postinfectious acute necrotizing hemorrhagic encephalopathy |
| G0481 | Other encephalitis and encephalomyelitis |
| G0489 | Other myelitis |
| G0490 | Encephalitis and encephalomyelitis, unspecified |
| G0491 | Myelitis, unspecified |
| G053 | Encephalitis and encephalomyelitis in diseases classified elsewhere |
| G054 | Myelitis in diseases classified elsewhere |
| G3289 | Other specified degenerative disorders of nervous system in diseases classified elsewhere |
| G373 | Acute transverse myelitis in demyelinating disease of central nervous system |
| G374 | Subacute necrotizing myelitis of central nervous system |
| G9200 | Immune effector cell-associated neurotoxicity syndrome, grade unspecified |
| G9201 | Immune effector cell-associated neurotoxicity syndrome, grade 1 |
| G9202 | Immune effector cell-associated neurotoxicity syndrome, grade 2 |
| G9203 | Immune effector cell-associated neurotoxicity syndrome, grade 3 |
| G9204 | Immune effector cell-associated neurotoxicity syndrome, grade 4 |
| G9205 | Immune effector cell-associated neurotoxicity syndrome, grade 5 |
| G928 | Other toxic encephalopathy |
| G929 | Unspecified toxic encephalopathy |
| G9340 | Encephalopathy, unspecified |
| G9341 | Metabolic encephalopathy |
| G9342 | Megaloencephalic leukoencephalopathy with subcortical cysts |
| G9343 | Leukoencephalopathy with calcifications and cysts |
| G9344 | Adult-onset leukodystrophy with axonal spheroids |
| G9349 | Other encephalopathy |
| G9381 | Temporal sclerosis |
| G9389 | Other specified disorders of brain |
| G939 | Disorder of brain, unspecified |
| G969 | Disorder of central nervous system, unspecified |
| G980 | Neurogenic arthritis, not elsewhere classified |
| G988 | Other disorders of nervous system |
| G998 | Other specified disorders of nervous system in diseases classified elsewhere |
| I6783 | Posterior reversible encephalopathy syndrome |
| PDX Collection 6515 | |
| G041 | Tropical spastic paraplegia |
| G110 | Congenital nonprogressive ataxia |
| G1110 | Early-onset cerebellar ataxia, unspecified |
| G1111 | Friedreich ataxia |
| G1119 | Other early-onset cerebellar ataxia |
| G112 | Late-onset cerebellar ataxia |
| G113 | Cerebellar ataxia with defective DNA repair |
| G114 | Hereditary spastic paraplegia |
| G115 | Hypomyelination - hypogonadotropic hypogonadism - hypodontia |
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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 |