ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual |
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| MDC 13 Diseases and disorders of the female reproductive system |
| Menstrual and other female reproductive system disorders |
| Page 1 of 2 |
| CC or MCC | DRG |
|---|---|
| Yes | 760 |
| No | 761 |
DRG 760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC
DRG 761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC
PRINCIPAL DIAGNOSIS
| D250 | Submucous leiomyoma of uterus |
| D251 | Intramural leiomyoma of uterus |
| D252 | Subserosal leiomyoma of uterus |
| D259 | Leiomyoma of uterus, unspecified |
| D260 | Other benign neoplasm of cervix uteri |
| D261 | Other benign neoplasm of corpus uteri |
| D267 | Other benign neoplasm of other parts of uterus |
| D269 | Other benign neoplasm of uterus, unspecified |
| D270 | Benign neoplasm of right ovary |
| D271 | Benign neoplasm of left ovary |
| D279 | Benign neoplasm of unspecified ovary |
| D280 | Benign neoplasm of vulva |
| D281 | Benign neoplasm of vagina |
| D282 | Benign neoplasm of uterine tubes and ligaments |
| D287 | Benign neoplasm of other specified female genital organs |
| D289 | Benign neoplasm of female genital organ, unspecified |
| E280 | Estrogen excess |
| E281 | Androgen excess |
| E282 | Polycystic ovarian syndrome |
| E28310 | Symptomatic premature menopause |
| E28319 | Asymptomatic premature menopause |
| E2839 | Other primary ovarian failure |
| E288 | Other ovarian dysfunction |
| E289 | Ovarian dysfunction, unspecified |
| E8940 | Asymptomatic postprocedural ovarian failure |
| E8941 | Symptomatic postprocedural ovarian failure |
| F525 | Vaginismus not due to a substance or known physiological condition |
| I862 | Pelvic varices |
| I863 | Vulval varices |
| N393 | Stress incontinence (female) (male) |
| N736 | Female pelvic peritoneal adhesions (postinfective) |
| N750 | Cyst of Bartholin's gland |
| N758 | Other diseases of Bartholin's gland |
| N766 | Ulceration of vulva |
| N770 | Ulceration of vulva in diseases classified elsewhere |
| N8000 | Endometriosis of the uterus, unspecified |
| N8001 | Superficial endometriosis of the uterus |
| N8002 | Deep endometriosis of the uterus |
| N8003 | Adenomyosis of the uterus |
| N80101 | Endometriosis of right ovary, unspecified depth |
| N80102 | Endometriosis of left ovary, unspecified depth |
| N80103 | Endometriosis of bilateral ovaries, unspecified depth |
| N80109 | Endometriosis of ovary, unspecified side, unspecified depth |
| N80111 | Superficial endometriosis of right ovary |
| N80112 | Superficial endometriosis of left ovary |
| N80113 | Superficial endometriosis of bilateral ovaries |
| N80119 | Superficial endometriosis of ovary, unspecified ovary |
| N80121 | Deep endometriosis of right ovary |
| N80122 | Deep endometriosis of left ovary |
| N80123 | Deep endometriosis of bilateral ovaries |
| N80129 | Deep endometriosis of ovary, unspecified ovary |
| N80201 | Endometriosis of right fallopian tube, unspecified depth |
| N80202 | Endometriosis of left fallopian tube, unspecified depth |
| N80203 | Endometriosis of bilateral fallopian tubes, unspecified depth |
| N80209 | Endometriosis of unspecified fallopian tube, unspecified depth |
| N80211 | Superficial endometriosis of right fallopian tube |
| N80212 | Superficial endometriosis of left fallopian tube |
| N80213 | Superficial endometriosis of bilateral fallopian tubes |
| N80219 | Superficial endometriosis of unspecified fallopian tube |
| N80221 | Deep endometriosis of right fallopian tube |
| N80222 | Deep endometriosis of left fallopian tube |
| N80223 | Deep endometriosis of bilateral fallopian tubes |
| N80229 | Deep endometriosis of unspecified fallopian tube |
| N8030 | Endometriosis of pelvic peritoneum, unspecified |
| N80311 | Superficial endometriosis of the anterior cul-de-sac |
| N80312 | Deep endometriosis of the anterior cul-de-sac |
| N80319 | Endometriosis of the anterior cul-de-sac, unspecified depth |
| N80321 | Superficial endometriosis of the posterior cul-de-sac |
| N80322 | Deep endometriosis of the posterior cul-de-sac |
| N80329 | Endometriosis of the posterior cul-de-sac, unspecified depth |
| N80331 | Superficial endometriosis of the right pelvic sidewall |
| N80332 | Superficial endometriosis of the left pelvic sidewall |
| N80333 | Superficial endometriosis of bilateral pelvic sidewall |
| N80339 | Superficial endometriosis of pelvic sidewall, unspecified side |
| N80341 | Deep endometriosis of the right pelvic sidewall |
| N80342 | Deep endometriosis of the left pelvic sidewall |
| N80343 | Deep endometriosis of the bilateral pelvic sidewall |
| N80349 | Deep endometriosis of the pelvic sidewall, unspecified side |
| N80351 | Endometriosis of the right pelvic sidewall, unspecified depth |
| N80352 | Endometriosis of the left pelvic sidewall, unspecified depth |
| N80353 | Endometriosis of bilateral pelvic sidewall, unspecified depth |
| N80359 | Endometriosis of pelvic sidewall, unspecified side, unspecified depth |
| N80361 | Superficial endometriosis of the right pelvic brim |
| N80362 | Superficial endometriosis of the left pelvic brim |
| N80363 | Superficial endometriosis of bilateral pelvic brim |
| N80369 | Superficial endometriosis of the pelvic brim, unspecified side |
| N80371 | Deep endometriosis of the right pelvic brim |
| N80372 | Deep endometriosis of the left pelvic brim |
| N80373 | Deep endometriosis of bilateral pelvic brim |
| N80379 | Deep endometriosis of the pelvic brim, unspecified side |
| N80381 | Endometriosis of the right pelvic brim, unspecified depth |
| N80382 | Endometriosis of the left pelvic brim, unspecified depth |
| N80383 | Endometriosis of bilateral pelvic brim, unspecified depth |
| N80389 | Endometriosis of the pelvic brim, unspecified side, unspecified depth |
| N80391 | Superficial endometriosis of the pelvic peritoneum, other specified sites |
| N80392 | Deep endometriosis of the pelvic peritoneum, other specified sites |
| N80399 | Endometriosis of the pelvic peritoneum, other specified sites, unspecified depth |
| N803A1 | Superficial endometriosis of the right uterosacral ligament |
| N803A2 | Superficial endometriosis of the left uterosacral ligament |
| N803A3 | Superficial endometriosis of the bilateral uterosacral ligament(s) |
| N803A9 | Superficial endometriosis of the uterosacral ligament(s), unspecified side |
| N803B1 | Deep endometriosis of the right uterosacral ligament |
| N803B2 | Deep endometriosis of the left uterosacral ligament |
| N803B3 | Deep endometriosis of bilateral uterosacral ligament(s) |
| N803B9 | Deep endometriosis of the uterosacral ligament(s), unspecified side |
| N803C1 | Endometriosis of the right uterosacral ligament, unspecified depth |
| N803C2 | Endometriosis of the left uterosacral ligament, unspecified depth |
| N803C3 | Endometriosis of bilateral uterosacral ligament(s), unspecified depth |
| N803C9 | Endometriosis of the uterosacral ligament(s), unspecified side, unspecified depth |
| N8040 | Endometriosis of rectovaginal septum, unspecified involvement of vagina |
| N8041 | Endometriosis of rectovaginal septum without involvement of vagina |
| N8042 | Endometriosis of rectovaginal septum with involvement of vagina |
| N808 | Other endometriosis |
| N809 | Endometriosis, unspecified |
| N80B4 | Endometriosis of the pericardial space |
| N80B5 | Endometriosis of the mediastinal space |
| N80B6 | Endometriosis of cardiothoracic space |
| N80C0 | Endometriosis of the abdomen, unspecified |
| N80C10 | Endometriosis of the anterior abdominal wall, subcutaneous tissue |
| N80C11 | Endometriosis of the anterior abdominal wall, fascia and muscular layers |
| N80C19 | Endometriosis of the anterior abdominal wall, unspecified depth |
| N80C2 | Endometriosis of the umbilicus |
| N80C3 | Endometriosis of the inguinal canal |
| N80C4 | Endometriosis of extra-pelvic abdominal peritoneum |
| N80C9 | Endometriosis of other site of abdomen |
| N80D0 | Endometriosis of the pelvic nerves, unspecified |
| N80D1 | Endometriosis of the sacral splanchnic nerves |
| N80D2 | Endometriosis of the sacral nerve roots |
| N80D3 | Endometriosis of the obturator nerve |
| N80D4 | Endometriosis of the sciatic nerve |
| N80D5 | Endometriosis of the pudendal nerve |
| N80D6 | Endometriosis of the femoral nerve |
| N80D9 | Endometriosis of other pelvic nerve |
| N810 | Urethrocele |
| N8110 | Cystocele, unspecified |
| N8111 | Cystocele, midline |
| N8112 | Cystocele, lateral |
| N812 | Incomplete uterovaginal prolapse |
| N813 | Complete uterovaginal prolapse |
| N814 | Uterovaginal prolapse, unspecified |
| N815 | Vaginal enterocele |
| N816 | Rectocele |
| N8181 | Perineocele |
| N8182 | Incompetence or weakening of pubocervical tissue |
| N8183 | Incompetence or weakening of rectovaginal tissue |
| N8184 | Pelvic muscle wasting |
| N8185 | Cervical stump prolapse |
| N8189 | Other female genital prolapse |
| N819 | Female genital prolapse, unspecified |
| N820 | Vesicovaginal fistula |
| N821 | Other female urinary-genital tract fistulae |
| N825 | Female genital tract-skin fistulae |
| N828 | Other female genital tract fistulae |
| N829 | Female genital tract fistula, unspecified |
| N8300 | Follicular cyst of ovary, unspecified side |
| N8301 | Follicular cyst of right ovary |
| N8302 | Follicular cyst of left ovary |
| N8310 | Corpus luteum cyst of ovary, unspecified side |
| N8311 | Corpus luteum cyst of right ovary |
| N8312 | Corpus luteum cyst of left ovary |
| N83201 | Unspecified ovarian cyst, right side |
| N83202 | Unspecified ovarian cyst, left side |
| N83209 | Unspecified ovarian cyst, unspecified side |
| N83291 | Other ovarian cyst, right side |
| N83292 | Other ovarian cyst, left side |
| N83299 | Other ovarian cyst, unspecified side |
| N83311 | Acquired atrophy of right ovary |
| N83312 | Acquired atrophy of left ovary |
| N83319 | Acquired atrophy of ovary, unspecified side |
| N83321 | Acquired atrophy of right fallopian tube |
| N83322 | Acquired atrophy of left fallopian tube |
| N83329 | Acquired atrophy of fallopian tube, unspecified side |
| N83331 | Acquired atrophy of right ovary and fallopian tube |
| N83332 | Acquired atrophy of left ovary and fallopian tube |
| N83339 | Acquired atrophy of ovary and fallopian tube, unspecified side |
| N8340 | Prolapse and hernia of ovary and fallopian tube, unspecified side |
| N8341 | Prolapse and hernia of right ovary and fallopian tube |
| N8342 | Prolapse and hernia of left ovary and fallopian tube |
| N83511 | Torsion of right ovary and ovarian pedicle |
| N83512 | Torsion of left ovary and ovarian pedicle |
| N83519 | Torsion of ovary and ovarian pedicle, unspecified side |
| N83521 | Torsion of right fallopian tube |
| N83522 | Torsion of left fallopian tube |
| N83529 | Torsion of fallopian tube, unspecified side |
| N8353 | Torsion of ovary, ovarian pedicle and fallopian tube |
| N836 | Hematosalpinx |
| N837 | Hematoma of broad ligament |
| N838 | Other noninflammatory disorders of ovary, fallopian tube and broad ligament |
| N839 | Noninflammatory disorder of ovary, fallopian tube and broad ligament, unspecified |
| N840 | Polyp of corpus uteri |
| N841 | Polyp of cervix uteri |
| N842 | Polyp of vagina |
| N843 | Polyp of vulva |
| N848 | Polyp of other parts of female genital tract |
| N849 | Polyp of female genital tract, unspecified |
| N8500 | Endometrial hyperplasia, unspecified |
| N8501 | Benign endometrial hyperplasia |
| N8502 | Endometrial intraepithelial neoplasia [EIN] |
| N852 | Hypertrophy of uterus |
| N853 | Subinvolution of uterus |
| N854 | Malposition of uterus |
| N855 | Inversion of uterus |
| N856 | Intrauterine synechiae |
| N857 | Hematometra |
| N858 | Other specified noninflammatory disorders of uterus |
| N859 | Noninflammatory disorder of uterus, unspecified |
| N85A | Isthmocele |
| N86 | Erosion and ectropion of cervix uteri |
| N870 | Mild cervical dysplasia |
| N871 | Moderate cervical dysplasia |
| N879 | Dysplasia of cervix uteri, unspecified |
| N880 | Leukoplakia of cervix uteri |
| N881 | Old laceration of cervix uteri |
| N882 | Stricture and stenosis of cervix uteri |
| N883 | Incompetence of cervix uteri |
| N884 | Hypertrophic elongation of cervix uteri |
| N888 | Other specified noninflammatory disorders of cervix uteri |
| N889 | Noninflammatory disorder of cervix uteri, unspecified |
| N890 | Mild vaginal dysplasia |
| N891 | Moderate vaginal dysplasia |
| N893 | Dysplasia of vagina, unspecified |
| N894 | Leukoplakia of vagina |
| N895 | Stricture and atresia of vagina |
| N896 | Tight hymenal ring |
| N897 | Hematocolpos |
| N898 | Other specified noninflammatory disorders of vagina |
| N899 | Noninflammatory disorder of vagina, unspecified |
| N900 | Mild vulvar dysplasia |
| N901 | Moderate vulvar dysplasia |
| N903 | Dysplasia of vulva, unspecified |
| N904 | Leukoplakia of vulva |
| N905 | Atrophy of vulva |
| N9060 | Unspecified hypertrophy of vulva |
| N9061 | Childhood asymmetric labium majus enlargement |
| N9069 | Other specified hypertrophy of vulva |
| N907 | Vulvar cyst |
| N90810 | Female genital mutilation status, unspecified |
| N90811 | Female genital mutilation Type I status |
| N90812 | Female genital mutilation Type II status |
| N90813 | Female genital mutilation Type III status |
| N90818 | Other female genital mutilation status |
| N9089 | Other specified noninflammatory disorders of vulva and perineum |
| N909 | Noninflammatory disorder of vulva and perineum, unspecified |
| N910 | Primary amenorrhea |
| N911 | Secondary amenorrhea |
| N912 | Amenorrhea, unspecified |
| N913 | Primary oligomenorrhea |
| N914 | Secondary oligomenorrhea |
| N915 | Oligomenorrhea, unspecified |
| N920 | Excessive and frequent menstruation with regular cycle |
| N921 | Excessive and frequent menstruation with irregular cycle |
| N922 | Excessive menstruation at puberty |
| N923 | Ovulation bleeding |
| N924 | Excessive bleeding in the premenopausal period |
| N925 | Other specified irregular menstruation |
| N926 | Irregular menstruation, unspecified |
| N930 | Postcoital and contact bleeding |
| N931 | Pre-pubertal vaginal bleeding |
| N938 | Other specified abnormal uterine and vaginal bleeding |
| N939 | Abnormal uterine and vaginal bleeding, unspecified |
| N940 | Mittelschmerz |
| N9410 | Unspecified dyspareunia |
| N9411 | Superficial (introital) dyspareunia |
| N9412 | Deep dyspareunia |
| N9419 | Other specified dyspareunia |
| N942 | Vaginismus |
| N943 | Premenstrual tension syndrome |
| N944 | Primary dysmenorrhea |
| N945 | Secondary dysmenorrhea |
| N946 | Dysmenorrhea, unspecified |
| N94818 | Other vulvodynia |
| N94819 | Vulvodynia, unspecified |
| N9489 | Other specified conditions associated with female genital organs and menstrual cycle |
| N949 | Unspecified condition associated with female genital organs and menstrual cycle |
| N950 | Postmenopausal bleeding |
| N951 | Menopausal and female climacteric states |
| N952 | Postmenopausal atrophic vaginitis |
| N958 | Other specified menopausal and perimenopausal disorders |
| N959 | Unspecified menopausal and perimenopausal disorder |
| N96 | Recurrent pregnancy loss |
| N970 | Female infertility associated with anovulation |
| N971 | Female infertility of tubal origin |
| N972 | Female infertility of uterine origin |
| N978 | Female infertility of other origin |
| N979 | Female infertility, unspecified |
| N992 | Postprocedural adhesions of vagina |
| N993 | Prolapse of vaginal vault after hysterectomy |
| N9983 | Residual ovary syndrome |
| N9985 | Post endometrial ablation syndrome |
| Q5001 | Congenital absence of ovary, unilateral |
| Q5002 | Congenital absence of ovary, bilateral |
| Q501 | Developmental ovarian cyst |
| Q502 | Congenital torsion of ovary |
| Q5031 | Accessory ovary |
| Q5032 | Ovarian streak |
| Q5039 | Other congenital malformation of ovary |
| Q504 | Embryonic cyst of fallopian tube |
| Q505 | Embryonic cyst of broad ligament |
| Q506 | Other congenital malformations of fallopian tube and broad ligament |
| Q510 | Agenesis and aplasia of uterus |
| Q5110 | Doubling of uterus with doubling of cervix and vagina without obstruction |
| Q5111 | Doubling of uterus with doubling of cervix and vagina with obstruction |
| Q5121 | Complete doubling of uterus |
| Q5122 | Partial doubling of uterus |
| Q5128 | Other and unspecified doubling of uterus |
| Q513 | Bicornate uterus |
| Q514 | Unicornate uterus |
| Q515 | Agenesis and aplasia of cervix |
| Q516 | Embryonic cyst of cervix |
| Q517 | Congenital fistulae between uterus and digestive and urinary tracts |
| Q51810 | Arcuate uterus |
| Q51811 | Hypoplasia of uterus |
| Q51818 | Other congenital malformations of uterus |
| Q51820 | Cervical duplication |
| Q51821 | Hypoplasia of cervix |
| Q51828 | Other congenital malformations of cervix |
| Q519 | Congenital malformation of uterus and cervix, unspecified |
| Q520 | Congenital absence of vagina |
| Q5210 | Doubling of vagina, unspecified |
| Q5211 | Transverse vaginal septum |
| Q52120 | Longitudinal vaginal septum, nonobstructing |
| Q52121 | Longitudinal vaginal septum, obstructing, right side |
| Q52122 | Longitudinal vaginal septum, obstructing, left side |
| Q52123 | Longitudinal vaginal septum, microperforate, right side |
| Q52124 | Longitudinal vaginal septum, microperforate, left side |
| Q52129 | Other and unspecified longitudinal vaginal septum |
| Q522 | Congenital rectovaginal fistula |
| Q523 | Imperforate hymen |
| Q524 | Other congenital malformations of vagina |
| Q525 | Fusion of labia |
| Q526 | Congenital malformation of clitoris |
| Q5270 | Unspecified congenital malformations of vulva |
| Q5271 | Congenital absence of vulva |
| Q5279 | Other congenital malformations of vulva |
| Q528 | Other specified congenital malformations of female genitalia |
| Q529 | Congenital malformation of female genitalia, unspecified |
| Q560 | Hermaphroditism, not elsewhere classified |
| Q562 | Female pseudohermaphroditism, not elsewhere classified |
| Q563 | Pseudohermaphroditism, unspecified |
| Q564 | Indeterminate sex, 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 |
| Q985 | Karyotype 47, XYY |
| Q990 | Chimera 46, XX/46, XY |
| Q991 | 46, XX true hermaphrodite |
| Q998 | Other specified chromosome abnormalities |
| R87610 | Atypical squamous cells of undetermined significance on cytologic smear of cervix (ASC-US) |
| R87611 | Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix (ASC-H) |
| R87612 | Low grade squamous intraepithelial lesion on cytologic smear of cervix (LGSIL) |
| R87613 | High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL) |
| R87614 | Cytologic evidence of malignancy on smear of cervix |
| R87615 | Unsatisfactory cytologic smear of cervix |
| R87616 | Satisfactory cervical smear but lacking transformation zone |
| R87620 | Atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US) |
| R87621 | Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H) |
| R87622 | Low grade squamous intraepithelial lesion on cytologic smear of vagina (LGSIL) |
| R87623 | High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL) |
| R87624 | Cytologic evidence of malignancy on smear of vagina |
| R87625 | Unsatisfactory cytologic smear of vagina |
| R87628 | Other abnormal cytological findings on specimens from vagina |
| R87810 | Cervical high risk human papillomavirus (HPV) DNA test positive |
| R87811 | Vaginal high risk human papillomavirus (HPV) DNA test positive |
| R87820 | Cervical low risk human papillomavirus (HPV) DNA test positive |
| R87821 | Vaginal low risk human papillomavirus (HPV) DNA test positive |
| S30202A | Contusion of unspecified external genital organ, female, initial encounter |
| S3023XA | Contusion of vagina and vulva, initial encounter |
| S3140XA | Unspecified open wound of vagina and vulva, initial encounter |
| S3141XA | Laceration without foreign body of vagina and vulva, initial encounter |
| S3142XA | Laceration with foreign body of vagina and vulva, initial encounter |
| S3143XA | Puncture wound without foreign body of vagina and vulva, initial encounter |
| S3144XA | Puncture wound with foreign body of vagina and vulva, initial encounter |
| S3145XA | Open bite of vagina and vulva, initial encounter |
| S31502A | Unspecified open wound of unspecified external genital organs, female, initial encounter |
| S31502S | Unspecified open wound of unspecified external genital organs, female, sequela |
| S31512A | Laceration without foreign body of unspecified external genital organs, female, initial encounter |
| S31512S | Laceration without foreign body of unspecified external genital organs, female, sequela |
| S31522A | Laceration with foreign body of unspecified external genital organs, female, initial encounter |
| S31522S | Laceration with foreign body of unspecified external genital organs, female, sequela |
| S31532A | Puncture wound without foreign body of unspecified external genital organs, female, initial encounter |
| S31532S | Puncture wound without foreign body of unspecified external genital organs, female, sequela |
| S31542A | Puncture wound with foreign body of unspecified external genital organs, female, initial encounter |
| S31542S | Puncture wound with foreign body of unspecified external genital organs, female, sequela |
| S31552A | Open bite of unspecified external genital organs, female, initial encounter |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 29 Mar 2024 17:03:46 CMS, code-revision=361, description-revision=1397 |