ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual

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MDC 06 Diseases and disorders of the digestive system
Other digestive system diagnoses
Page 1 of 2
MCC CC DRG
Yes n/a 393
No Yes 394
No No 395

DRG 393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC

DRG 394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC

DRG 395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

PRINCIPAL DIAGNOSIS

A511Primary anal syphilis
A546Gonococcal infection of anus and rectum
A563Chlamydial infection of anus and rectum
B0081Herpesviral hepatitis
D120Benign neoplasm of cecum
D121Benign neoplasm of appendix
D122Benign neoplasm of ascending colon
D123Benign neoplasm of transverse colon
D124Benign neoplasm of descending colon
D125Benign neoplasm of sigmoid colon
D126Benign neoplasm of colon, unspecified
D127Benign neoplasm of rectosigmoid junction
D128Benign neoplasm of rectum
D129Benign neoplasm of anus and anal canal
D130Benign neoplasm of esophagus
D131Benign neoplasm of stomach
D132Benign neoplasm of duodenum
D1330Benign neoplasm of unspecified part of small intestine
D1339Benign neoplasm of other parts of small intestine
D1391Familial adenomatous polyposis
D1399Benign neoplasm of ill-defined sites within the digestive system
D175Benign lipomatous neoplasm of intra-abdominal organs
D191Benign neoplasm of mesothelial tissue of peritoneum
D200Benign neoplasm of soft tissue of retroperitoneum
D201Benign neoplasm of soft tissue of peritoneum
D3A010Benign carcinoid tumor of the duodenum
D3A011Benign carcinoid tumor of the jejunum
D3A012Benign carcinoid tumor of the ileum
D3A019Benign carcinoid tumor of the small intestine, unspecified portion
D3A020Benign carcinoid tumor of the appendix
D3A021Benign carcinoid tumor of the cecum
D3A022Benign carcinoid tumor of the ascending colon
D3A023Benign carcinoid tumor of the transverse colon
D3A024Benign carcinoid tumor of the descending colon
D3A025Benign carcinoid tumor of the sigmoid colon
D3A026Benign carcinoid tumor of the rectum
D3A029Benign carcinoid tumor of the large intestine, unspecified portion
D3A092Benign carcinoid tumor of the stomach
D3A094Benign carcinoid tumor of the foregut, unspecified
D3A095Benign carcinoid tumor of the midgut, unspecified
D3A096Benign carcinoid tumor of the hindgut, unspecified
E8419Cystic fibrosis with other intestinal manifestations
I8510Secondary esophageal varices without bleeding
I880Nonspecific mesenteric lymphadenitis
K317Polyp of stomach and duodenum
K3580Unspecified acute appendicitis
K36Other appendicitis
K37Unspecified appendicitis
K380Hyperplasia of appendix
K381Appendicular concretions
K382Diverticulum of appendix
K383Fistula of appendix
K388Other specified diseases of appendix
K389Disease of appendix, unspecified
K4000Bilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent
K4001Bilateral inguinal hernia, with obstruction, without gangrene, recurrent
K4010Bilateral inguinal hernia, with gangrene, not specified as recurrent
K4011Bilateral inguinal hernia, with gangrene, recurrent
K4020Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
K4021Bilateral inguinal hernia, without obstruction or gangrene, recurrent
K4030Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent
K4031Unilateral inguinal hernia, with obstruction, without gangrene, recurrent
K4040Unilateral inguinal hernia, with gangrene, not specified as recurrent
K4041Unilateral inguinal hernia, with gangrene, recurrent
K4090Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
K4091Unilateral inguinal hernia, without obstruction or gangrene, recurrent
K4100Bilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent
K4101Bilateral femoral hernia, with obstruction, without gangrene, recurrent
K4110Bilateral femoral hernia, with gangrene, not specified as recurrent
K4111Bilateral femoral hernia, with gangrene, recurrent
K4120Bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent
K4121Bilateral femoral hernia, without obstruction or gangrene, recurrent
K4130Unilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent
K4131Unilateral femoral hernia, with obstruction, without gangrene, recurrent
K4140Unilateral femoral hernia, with gangrene, not specified as recurrent
K4141Unilateral femoral hernia, with gangrene, recurrent
K4190Unilateral femoral hernia, without obstruction or gangrene, not specified as recurrent
K4191Unilateral femoral hernia, without obstruction or gangrene, recurrent
K420Umbilical hernia with obstruction, without gangrene
K421Umbilical hernia with gangrene
K429Umbilical hernia without obstruction or gangrene
K430Incisional hernia with obstruction, without gangrene
K431Incisional hernia with gangrene
K432Incisional hernia without obstruction or gangrene
K433Parastomal hernia with obstruction, without gangrene
K434Parastomal hernia with gangrene
K435Parastomal hernia without obstruction or gangrene
K436Other and unspecified ventral hernia with obstruction, without gangrene
K437Other and unspecified ventral hernia with gangrene
K439Ventral hernia without obstruction or gangrene
K441Diaphragmatic hernia with gangrene
K450Other specified abdominal hernia with obstruction, without gangrene
K451Other specified abdominal hernia with gangrene
K458Other specified abdominal hernia without obstruction or gangrene
K460Unspecified abdominal hernia with obstruction, without gangrene
K461Unspecified abdominal hernia with gangrene
K469Unspecified abdominal hernia without obstruction or gangrene
K520Gastroenteritis and colitis due to radiation
K521Toxic gastroenteritis and colitis
K55011Focal (segmental) acute (reversible) ischemia of small intestine
K55012Diffuse acute (reversible) ischemia of small intestine
K55019Acute (reversible) ischemia of small intestine, extent unspecified
K55021Focal (segmental) acute infarction of small intestine
K55022Diffuse acute infarction of small intestine
K55029Acute infarction of small intestine, extent unspecified
K55031Focal (segmental) acute (reversible) ischemia of large intestine
K55032Diffuse acute (reversible) ischemia of large intestine
K55039Acute (reversible) ischemia of large intestine, extent unspecified
K55041Focal (segmental) acute infarction of large intestine
K55042Diffuse acute infarction of large intestine
K55049Acute infarction of large intestine, extent unspecified
K55051Focal (segmental) acute (reversible) ischemia of intestine, part unspecified
K55052Diffuse acute (reversible) ischemia of intestine, part unspecified
K55059Acute (reversible) ischemia of intestine, part and extent unspecified
K55061Focal (segmental) acute infarction of intestine, part unspecified
K55062Diffuse acute infarction of intestine, part unspecified
K55069Acute infarction of intestine, part and extent unspecified
K551Chronic vascular disorders of intestine
K5520Angiodysplasia of colon without hemorrhage
K5530Necrotizing enterocolitis, unspecified
K5531Stage 1 necrotizing enterocolitis
K5532Stage 2 necrotizing enterocolitis
K5533Stage 3 necrotizing enterocolitis
K558Other vascular disorders of intestine
K559Vascular disorder of intestine, unspecified
K5931Toxic megacolon
K5939Other megacolon
K600Acute anal fissure
K601Chronic anal fissure
K602Anal fissure, unspecified
K6030Anal fistula, unspecified
K60311Anal fistula, simple, initial
K60312Anal fistula, simple, persistent
K60313Anal fistula, simple, recurrent
K60319Anal fistula, simple, unspecified
K60321Anal fistula, complex, initial
K60322Anal fistula, complex, persistent
K60323Anal fistula, complex, recurrent
K60329Anal fistula, complex, unspecified
K6040Rectal fistula, unspecified
K60411Rectal fistula, simple, initial
K60412Rectal fistula, simple, persistent
K60413Rectal fistula, simple, recurrent
K60419Rectal fistula, simple, unspecified
K60421Rectal fistula, complex, initial
K60422Rectal fistula, complex, persistent
K60423Rectal fistula, complex, recurrent
K60429Rectal fistula, complex, unspecified
K6050Anorectal fistula, unspecified
K60511Anorectal fistula, simple, initial
K60512Anorectal fistula, simple, persistent
K60513Anorectal fistula, simple, recurrent
K60519Anorectal fistula, simple, unspecified
K60521Anorectal fistula, complex, initial
K60522Anorectal fistula, complex, persistent
K60523Anorectal fistula, complex, recurrent
K60529Anorectal fistula, complex, unspecified
K610Anal abscess
K611Rectal abscess
K612Anorectal abscess
K6131Horseshoe abscess
K6139Other ischiorectal abscess
K614Intrasphincteric abscess
K615Supralevator abscess
K620Anal polyp
K621Rectal polyp
K622Anal prolapse
K623Rectal prolapse
K624Stenosis of anus and rectum
K626Ulcer of anus and rectum
K627Radiation proctitis
K6281Anal sphincter tear (healed) (nontraumatic) (old)
K6282Dysplasia of anus
K6289Other specified diseases of anus and rectum
K629Disease of anus and rectum, unspecified
K631Perforation of intestine (nontraumatic)
K632Fistula of intestine
K633Ulcer of intestine
K634Enteroptosis
K635Polyp of colon
K6381Dieulafoy lesion of intestine
K638211Small intestinal bacterial overgrowth, hydrogen-subtype
K638212Small intestinal bacterial overgrowth, hydrogen sulfide-subtype
K638219Small intestinal bacterial overgrowth, unspecified
K63822Small intestinal fungal overgrowth
K63829Intestinal methanogen overgrowth, unspecified
K6389Other specified diseases of intestine
K639Disease of intestine, unspecified
K640First degree hemorrhoids
K641Second degree hemorrhoids
K642Third degree hemorrhoids
K643Fourth degree hemorrhoids
K644Residual hemorrhoidal skin tags
K645Perianal venous thrombosis
K648Other hemorrhoids
K649Unspecified hemorrhoids
K653Choleperitonitis
K654Sclerosing mesenteritis
K660Peritoneal adhesions (postprocedural) (postinfection)
K661Hemoperitoneum
K668Other specified disorders of peritoneum
K669Disorder of peritoneum, unspecified
K9081Whipple's disease
K9181Other intraoperative complications of digestive system
K9182Postprocedural hepatic failure
K9183Postprocedural hepatorenal syndrome
K91850Pouchitis
K91858Other complications of intestinal pouch
K9186Retained cholelithiasis following cholecystectomy
K9189Other postprocedural complications and disorders of digestive system
K9289Other specified diseases of the digestive system
K929Disease of digestive system, unspecified
K9400Colostomy complication, unspecified
K9401Colostomy hemorrhage
K9402Colostomy infection
K9403Colostomy malfunction
K9409Other complications of colostomy
K9410Enterostomy complication, unspecified
K9411Enterostomy hemorrhage
K9412Enterostomy infection
K9413Enterostomy malfunction
K9419Other complications of enterostomy
K9420Gastrostomy complication, unspecified
K9421Gastrostomy hemorrhage
K9422Gastrostomy infection
K9423Gastrostomy malfunction
K9429Other complications of gastrostomy
K9430Esophagostomy complications, unspecified
K9431Esophagostomy hemorrhage
K9432Esophagostomy infection
K9433Esophagostomy malfunction
K9439Other complications of esophagostomy
K9501Infection due to gastric band procedure
K9509Other complications of gastric band procedure
K9581Infection due to other bariatric procedure
K9589Other complications of other bariatric procedure
N822Fistula of vagina to small intestine
N823Fistula of vagina to large intestine
N824Other female intestinal-genital tract fistulae
N994Postprocedural pelvic peritoneal adhesions
Q385Congenital malformations of palate, not elsewhere classified
Q400Congenital hypertrophic pyloric stenosis
Q401Congenital hiatus hernia
Q402Other specified congenital malformations of stomach
Q403Congenital malformation of stomach, unspecified
Q408Other specified congenital malformations of upper alimentary tract
Q409Congenital malformation of upper alimentary tract, unspecified
Q410Congenital absence, atresia and stenosis of duodenum
Q411Congenital absence, atresia and stenosis of jejunum
Q412Congenital absence, atresia and stenosis of ileum
Q418Congenital absence, atresia and stenosis of other specified parts of small intestine
Q419Congenital absence, atresia and stenosis of small intestine, part unspecified
Q420Congenital absence, atresia and stenosis of rectum with fistula
Q421Congenital absence, atresia and stenosis of rectum without fistula
Q422Congenital absence, atresia and stenosis of anus with fistula
Q423Congenital absence, atresia and stenosis of anus without fistula
Q428Congenital absence, atresia and stenosis of other parts of large intestine
Q429Congenital absence, atresia and stenosis of large intestine, part unspecified
Q431Hirschsprung's disease
Q432Other congenital functional disorders of colon
Q433Congenital malformations of intestinal fixation
Q434Duplication of intestine
Q435Ectopic anus
Q436Congenital fistula of rectum and anus
Q437Persistent cloaca
Q438Other specified congenital malformations of intestine
Q439Congenital malformation of intestine, unspecified
Q458Other specified congenital malformations of digestive system
Q459Congenital malformation of digestive system, unspecified
Q792Exomphalos
Q793Gastroschisis
Q794Prune belly syndrome
Q7951Congenital hernia of bladder
Q7959Other congenital malformations of abdominal wall
Q893Situs inversus
Q894Conjoined twins
R1113Vomiting of fecal matter
R1115Cyclical vomiting syndrome unrelated to migraine
R1930Abdominal rigidity, unspecified site
R1931Right upper quadrant abdominal rigidity
R1932Left upper quadrant abdominal rigidity
R1933Right lower quadrant abdominal rigidity
R1934Left lower quadrant abdominal rigidity
R1935Periumbilic abdominal rigidity
R1936Epigastric abdominal rigidity
R1937Generalized abdominal rigidity
R85610Atypical squamous cells of undetermined significance on cytologic smear of anus (ASC-US)
R85611Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of anus (ASC-H)
R85612Low grade squamous intraepithelial lesion on cytologic smear of anus (LGSIL)
R85613High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)
R85614Cytologic evidence of malignancy on smear of anus
R85615Unsatisfactory cytologic smear of anus
R85616Satisfactory anal smear but lacking transformation zone
R85618Other abnormal cytological findings on specimens from anus
R85619Unspecified abnormal cytological findings in specimens from anus
R8581Anal high risk human papillomavirus (HPV) DNA test positive
R8582Anal low risk human papillomavirus (HPV) DNA test positive
S31600AUnspecified open wound of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
S31601AUnspecified open wound of abdominal wall, left upper quadrant with penetration into peritoneal cavity, initial encounter
S31602AUnspecified open wound of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter
S31603AUnspecified open wound of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter
S31604AUnspecified open wound of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter
S31605AUnspecified open wound of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter
S31609AUnspecified open wound of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter
S31610ALaceration without foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
S31611ALaceration without foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity, initial encounter
S31612ALaceration without foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter
S31613ALaceration without foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter
S31614ALaceration without foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter
S31615ALaceration without foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter
S31619ALaceration without foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter
S31620ALaceration with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
S31621ALaceration with foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity, initial encounter
S31622ALaceration with foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter
S31623ALaceration with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter
S31624ALaceration with foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter
S31625ALaceration with foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter
S31629ALaceration with foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter
S31630APuncture wound without foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
S31631APuncture wound without foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity, initial encounter
S31632APuncture wound without foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter
S31633APuncture wound without foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter
S31634APuncture wound without foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter
S31635APuncture wound without foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter
S31639APuncture wound without foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter
S31640APuncture wound with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
S31641APuncture wound with foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity, initial encounter
S31642APuncture wound with foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter
S31643APuncture wound with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter
S31644APuncture wound with foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter
S31645APuncture wound with foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter
S31649APuncture wound with foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter
S31650AOpen bite of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
S31651AOpen bite of abdominal wall, left upper quadrant with penetration into peritoneal cavity, initial encounter
S31652AOpen bite of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter
S31653AOpen bite of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter
S31654AOpen bite of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter
S31655AOpen bite of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter
S31659AOpen bite of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter
S3600XSUnspecified injury of spleen, sequela
S36020SMinor contusion of spleen, sequela
S36021SMajor contusion of spleen, sequela
S36029SUnspecified contusion of spleen, sequela
S36030SSuperficial (capsular) laceration of spleen, sequela
S36031SModerate laceration of spleen, sequela
S36032SMajor laceration of spleen, sequela
S36039SUnspecified laceration of spleen, sequela
S3609XSOther injury of spleen, sequela
S36112SContusion of liver, sequela
S36113SLaceration of liver, unspecified degree, sequela
S36114SMinor laceration of liver, sequela
S36115SModerate laceration of liver, sequela
S36116SMajor laceration of liver, sequela
S36118SOther injury of liver, sequela
S36119SUnspecified injury of liver, sequela
S36122SContusion of gallbladder, sequela
S36123SLaceration of gallbladder, sequela
S36128SOther injury of gallbladder, sequela
S36129SUnspecified injury of gallbladder, sequela
S3613XSInjury of bile duct, sequela
S36200SUnspecified injury of head of pancreas, sequela
S36201SUnspecified injury of body of pancreas, sequela
S36202SUnspecified injury of tail of pancreas, sequela
S36209SUnspecified injury of unspecified part of pancreas, sequela
S36220SContusion of head of pancreas, sequela
S36221SContusion of body of pancreas, sequela
S36222SContusion of tail of pancreas, sequela
S36229SContusion of unspecified part of pancreas, sequela
S36230SLaceration of head of pancreas, unspecified degree, sequela
S36231SLaceration of body of pancreas, unspecified degree, sequela
S36232SLaceration of tail of pancreas, unspecified degree, sequela
S36239SLaceration of unspecified part of pancreas, unspecified degree, sequela
S36240SMinor laceration of head of pancreas, sequela
S36241SMinor laceration of body of pancreas, sequela
S36242SMinor laceration of tail of pancreas, sequela
S36249SMinor laceration of unspecified part of pancreas, sequela
S36250SModerate laceration of head of pancreas, sequela
S36251SModerate laceration of body of pancreas, sequela
S36252SModerate laceration of tail of pancreas, sequela
S36259SModerate laceration of unspecified part of pancreas, sequela
S36260SMajor laceration of head of pancreas, sequela
S36261SMajor laceration of body of pancreas, sequela
S36262SMajor laceration of tail of pancreas, sequela
S36269SMajor laceration of unspecified part of pancreas, sequela
S36290SOther injury of head of pancreas, sequela
S36291SOther injury of body of pancreas, sequela
S36292SOther injury of tail of pancreas, sequela
S36299SOther injury of unspecified part of pancreas, sequela
S3630XAUnspecified injury of stomach, initial encounter
S3630XSUnspecified injury of stomach, sequela
S3632XAContusion of stomach, initial encounter
S3632XSContusion of stomach, sequela



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