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

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Appendix C: Principal diagnoses which convert CC/MCC to non-CC
Page 147 of 431
PDX Collection 1067 (continued)
K0854Contour of existing restoration of tooth biologically incompatible with oral health
K0855Allergy to existing dental restorative material
K0856Poor aesthetic of existing restoration of tooth
K0859Other unsatisfactory restoration of tooth
K0881Primary occlusal trauma
K0882Secondary occlusal trauma
K0889Other specified disorders of teeth and supporting structures
K089Disorder of teeth and supporting structures, unspecified
M2600Unspecified anomaly of jaw size
M2601Maxillary hyperplasia
M2602Maxillary hypoplasia
M2603Mandibular hyperplasia
M2604Mandibular hypoplasia
M2605Macrogenia
M2606Microgenia
M2607Excessive tuberosity of jaw
M2609Other specified anomalies of jaw size
M2610Unspecified anomaly of jaw-cranial base relationship
M2611Maxillary asymmetry
M2612Other jaw asymmetry
M2619Other specified anomalies of jaw-cranial base relationship
M2620Unspecified anomaly of dental arch relationship
M26211Malocclusion, Angle's class I
M26212Malocclusion, Angle's class II
M26213Malocclusion, Angle's class III
M26219Malocclusion, Angle's class, unspecified
M26220Open anterior occlusal relationship
M26221Open posterior occlusal relationship
M2623Excessive horizontal overlap
M2624Reverse articulation
M2625Anomalies of interarch distance
M2629Other anomalies of dental arch relationship
M2630Unspecified anomaly of tooth position of fully erupted tooth or teeth
M2631Crowding of fully erupted teeth
M2632Excessive spacing of fully erupted teeth
M2633Horizontal displacement of fully erupted tooth or teeth
M2634Vertical displacement of fully erupted tooth or teeth
M2635Rotation of fully erupted tooth or teeth
M2636Insufficient interocclusal distance of fully erupted teeth (ridge)
M2637Excessive interocclusal distance of fully erupted teeth
M2639Other anomalies of tooth position of fully erupted tooth or teeth
M264Malocclusion, unspecified
M2650Dentofacial functional abnormalities, unspecified
M2651Abnormal jaw closure
M2652Limited mandibular range of motion
M2653Deviation in opening and closing of the mandible
M2654Insufficient anterior guidance
M2655Centric occlusion maximum intercuspation discrepancy
M2656Non-working side interference
M2657Lack of posterior occlusal support
M2659Other dentofacial functional abnormalities
M26601Right temporomandibular joint disorder, unspecified
M26602Left temporomandibular joint disorder, unspecified
M26603Bilateral temporomandibular joint disorder, unspecified
M26609Unspecified temporomandibular joint disorder, unspecified side
M26611Adhesions and ankylosis of right temporomandibular joint
M26612Adhesions and ankylosis of left temporomandibular joint
M26613Adhesions and ankylosis of bilateral temporomandibular joint
M26619Adhesions and ankylosis of temporomandibular joint, unspecified side
M26621Arthralgia of right temporomandibular joint
M26622Arthralgia of left temporomandibular joint
M26623Arthralgia of bilateral temporomandibular joint
M26629Arthralgia of temporomandibular joint, unspecified side
M26631Articular disc disorder of right temporomandibular joint
M26632Articular disc disorder of left temporomandibular joint
M26633Articular disc disorder of bilateral temporomandibular joint
M26639Articular disc disorder of temporomandibular joint, unspecified side
M2669Other specified disorders of temporomandibular joint
M2670Unspecified alveolar anomaly
M2671Alveolar maxillary hyperplasia
M2672Alveolar mandibular hyperplasia
M2673Alveolar maxillary hypoplasia
M2674Alveolar mandibular hypoplasia
M2679Other specified alveolar anomalies
M2681Anterior soft tissue impingement
M2682Posterior soft tissue impingement
M2689Other dentofacial anomalies
M269Dentofacial anomaly, unspecified
M2761Osseointegration failure of dental implant
M2762Post-osseointegration biological failure of dental implant
M2763Post-osseointegration mechanical failure of dental implant
M2769Other endosseous dental implant failure
 
PDX Collection 1068
K110Atrophy of salivary gland
K111Hypertrophy of salivary gland
K1120Sialoadenitis, unspecified
K1121Acute sialoadenitis
K1122Acute recurrent sialoadenitis
K1123Chronic sialoadenitis
K113Abscess of salivary gland
K114Fistula of salivary gland
K115Sialolithiasis
K116Mucocele of salivary gland
K117Disturbances of salivary secretion
K118Other diseases of salivary glands
K119Disease of salivary gland, unspecified
K3189Other diseases of stomach and duodenum
K319Disease of stomach and duodenum, unspecified
K31A19Gastric intestinal metaplasia without dysplasia, unspecified site
K31A22Gastric intestinal metaplasia with high grade dysplasia
K9281Gastrointestinal mucositis (ulcerative)
R682Dry mouth, unspecified
 
PDX Collection 1069
K121Other forms of stomatitis
K122Cellulitis and abscess of mouth
K1230Oral mucositis (ulcerative), unspecified
K1231Oral mucositis (ulcerative) due to antineoplastic therapy
K1232Oral mucositis (ulcerative) due to other drugs
K1233Oral mucositis (ulcerative) due to radiation
K1239Other oral mucositis (ulcerative)
K140Glossitis
K142Median rhomboid glossitis
 
PDX Collection 1070
E164Increased secretion of gastrin
I8501Esophageal varices with bleeding
K2081Other esophagitis with bleeding
K2091Esophagitis, unspecified with bleeding
K2101Gastro-esophageal reflux disease with esophagitis, with bleeding
K219Gastro-esophageal reflux disease without esophagitis
K2210Ulcer of esophagus without bleeding
K2211Ulcer of esophagus with bleeding
K223Perforation of esophagus
K226Gastro-esophageal laceration-hemorrhage syndrome
K270Acute peptic ulcer, site unspecified, with hemorrhage
K271Acute peptic ulcer, site unspecified, with perforation
K272Acute peptic ulcer, site unspecified, with both hemorrhage and perforation
K273Acute peptic ulcer, site unspecified, without hemorrhage or perforation
K274Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage
K275Chronic or unspecified peptic ulcer, site unspecified, with perforation
K276Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation
K277Chronic peptic ulcer, site unspecified, without hemorrhage or perforation
K279Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation
K280Acute gastrojejunal ulcer with hemorrhage
K281Acute gastrojejunal ulcer with perforation
K282Acute gastrojejunal ulcer with both hemorrhage and perforation
K283Acute gastrojejunal ulcer without hemorrhage or perforation
K284Chronic or unspecified gastrojejunal ulcer with hemorrhage
K285Chronic or unspecified gastrojejunal ulcer with perforation
K286Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation
K287Chronic gastrojejunal ulcer without hemorrhage or perforation
K289Gastrojejunal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K2901Acute gastritis with bleeding
K2921Alcoholic gastritis with bleeding
K2931Chronic superficial gastritis with bleeding
K2941Chronic atrophic gastritis with bleeding
K2951Unspecified chronic gastritis with bleeding
K2961Other gastritis with bleeding
K2971Gastritis, unspecified, with bleeding
K2981Duodenitis with bleeding
K2991Gastroduodenitis, unspecified, with bleeding
K31811Angiodysplasia of stomach and duodenum with bleeding
 
PDX Collection 1071
K2210Ulcer of esophagus without bleeding
K2211Ulcer of esophagus with bleeding
K229Disease of esophagus, unspecified
K3182Dieulafoy lesion (hemorrhagic) of stomach and duodenum
 
PDX Collection 1072
E164Increased secretion of gastrin
I8501Esophageal varices with bleeding
K2210Ulcer of esophagus without bleeding
K2211Ulcer of esophagus with bleeding
K226Gastro-esophageal laceration-hemorrhage syndrome
K2270Barrett's esophagus without dysplasia
K22710Barrett's esophagus with low grade dysplasia
K22711Barrett's esophagus with high grade dysplasia
K22719Barrett's esophagus with dysplasia, unspecified
K250Acute gastric ulcer with hemorrhage
K251Acute gastric ulcer with perforation
K252Acute gastric ulcer with both hemorrhage and perforation
K253Acute gastric ulcer without hemorrhage or perforation
K254Chronic or unspecified gastric ulcer with hemorrhage
K255Chronic or unspecified gastric ulcer with perforation
K256Chronic or unspecified gastric ulcer with both hemorrhage and perforation
K257Chronic gastric ulcer without hemorrhage or perforation
K259Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K260Acute duodenal ulcer with hemorrhage
K261Acute duodenal ulcer with perforation
K262Acute duodenal ulcer with both hemorrhage and perforation
K263Acute duodenal ulcer without hemorrhage or perforation
K264Chronic or unspecified duodenal ulcer with hemorrhage
K265Chronic or unspecified duodenal ulcer with perforation
K266Chronic or unspecified duodenal ulcer with both hemorrhage and perforation
K267Chronic duodenal ulcer without hemorrhage or perforation
K269Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K270Acute peptic ulcer, site unspecified, with hemorrhage
K271Acute peptic ulcer, site unspecified, with perforation
K272Acute peptic ulcer, site unspecified, with both hemorrhage and perforation
K273Acute peptic ulcer, site unspecified, without hemorrhage or perforation
K274Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage
K275Chronic or unspecified peptic ulcer, site unspecified, with perforation
K276Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation
K277Chronic peptic ulcer, site unspecified, without hemorrhage or perforation
K279Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation
K280Acute gastrojejunal ulcer with hemorrhage
K281Acute gastrojejunal ulcer with perforation
K282Acute gastrojejunal ulcer with both hemorrhage and perforation
K283Acute gastrojejunal ulcer without hemorrhage or perforation
K284Chronic or unspecified gastrojejunal ulcer with hemorrhage
K285Chronic or unspecified gastrojejunal ulcer with perforation
K286Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation
K287Chronic gastrojejunal ulcer without hemorrhage or perforation
K289Gastrojejunal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K2901Acute gastritis with bleeding
K2921Alcoholic gastritis with bleeding
K2931Chronic superficial gastritis with bleeding
K2941Chronic atrophic gastritis with bleeding
K2951Unspecified chronic gastritis with bleeding
K2961Other gastritis with bleeding
K2971Gastritis, unspecified, with bleeding
K2981Duodenitis with bleeding
K2991Gastroduodenitis, unspecified, with bleeding
K31811Angiodysplasia of stomach and duodenum with bleeding
K3189Other diseases of stomach and duodenum
K319Disease of stomach and duodenum, unspecified
K31A19Gastric intestinal metaplasia without dysplasia, unspecified site
K31A22Gastric intestinal metaplasia with high grade dysplasia
K5521Angiodysplasia of colon with hemorrhage
K5701Diverticulitis of small intestine with perforation and abscess with bleeding
K5711Diverticulosis of small intestine without perforation or abscess with bleeding
K5713Diverticulitis of small intestine without perforation or abscess with bleeding
K5721Diverticulitis of large intestine with perforation and abscess with bleeding
K5731Diverticulosis of large intestine without perforation or abscess with bleeding
K5733Diverticulitis of large intestine without perforation or abscess with bleeding
K5741Diverticulitis of both small and large intestine with perforation and abscess with bleeding
K5751Diverticulosis of both small and large intestine without perforation or abscess with bleeding
K5753Diverticulitis of both small and large intestine without perforation or abscess with bleeding
K5781Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding
K5791Diverticulosis of intestine, part unspecified, without perforation or abscess with bleeding
K5793Diverticulitis of intestine, part unspecified, without perforation or abscess with bleeding
K625Hemorrhage of anus and rectum
K920Hematemesis
K921Melena
K922Gastrointestinal hemorrhage, unspecified
K9281Gastrointestinal mucositis (ulcerative)
 
PDX Collection 1073
K219Gastro-esophageal reflux disease without esophagitis
K223Perforation of esophagus
K226Gastro-esophageal laceration-hemorrhage syndrome
K229Disease of esophagus, unspecified
 
PDX Collection 1074
E164Increased secretion of gastrin
I8501Esophageal varices with bleeding
K219Gastro-esophageal reflux disease without esophagitis
K2210Ulcer of esophagus without bleeding
K2211Ulcer of esophagus with bleeding
K223Perforation of esophagus
K226Gastro-esophageal laceration-hemorrhage syndrome
K2270Barrett's esophagus without dysplasia
K22710Barrett's esophagus with low grade dysplasia
K22711Barrett's esophagus with high grade dysplasia
K22719Barrett's esophagus with dysplasia, unspecified
K229Disease of esophagus, unspecified
K250Acute gastric ulcer with hemorrhage
K251Acute gastric ulcer with perforation
K252Acute gastric ulcer with both hemorrhage and perforation
K253Acute gastric ulcer without hemorrhage or perforation
K254Chronic or unspecified gastric ulcer with hemorrhage
K255Chronic or unspecified gastric ulcer with perforation
K256Chronic or unspecified gastric ulcer with both hemorrhage and perforation
K257Chronic gastric ulcer without hemorrhage or perforation
K259Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K260Acute duodenal ulcer with hemorrhage
K261Acute duodenal ulcer with perforation
K262Acute duodenal ulcer with both hemorrhage and perforation
K263Acute duodenal ulcer without hemorrhage or perforation
K264Chronic or unspecified duodenal ulcer with hemorrhage
K265Chronic or unspecified duodenal ulcer with perforation
K266Chronic or unspecified duodenal ulcer with both hemorrhage and perforation
K267Chronic duodenal ulcer without hemorrhage or perforation
K269Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K270Acute peptic ulcer, site unspecified, with hemorrhage
K271Acute peptic ulcer, site unspecified, with perforation
K272Acute peptic ulcer, site unspecified, with both hemorrhage and perforation
K273Acute peptic ulcer, site unspecified, without hemorrhage or perforation
K274Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage
K275Chronic or unspecified peptic ulcer, site unspecified, with perforation
K276Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation
K277Chronic peptic ulcer, site unspecified, without hemorrhage or perforation
K279Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation
K280Acute gastrojejunal ulcer with hemorrhage
K281Acute gastrojejunal ulcer with perforation
K282Acute gastrojejunal ulcer with both hemorrhage and perforation
K283Acute gastrojejunal ulcer without hemorrhage or perforation
K284Chronic or unspecified gastrojejunal ulcer with hemorrhage
K285Chronic or unspecified gastrojejunal ulcer with perforation
K286Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation
K287Chronic gastrojejunal ulcer without hemorrhage or perforation
K289Gastrojejunal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K2901Acute gastritis with bleeding
K2921Alcoholic gastritis with bleeding
K2931Chronic superficial gastritis with bleeding
K2941Chronic atrophic gastritis with bleeding
K2951Unspecified chronic gastritis with bleeding
K2961Other gastritis with bleeding
K2971Gastritis, unspecified, with bleeding
K2981Duodenitis with bleeding
K2991Gastroduodenitis, unspecified, with bleeding
K31811Angiodysplasia of stomach and duodenum with bleeding
K5521Angiodysplasia of colon with hemorrhage
K5701Diverticulitis of small intestine with perforation and abscess with bleeding
K5711Diverticulosis of small intestine without perforation or abscess with bleeding
K5713Diverticulitis of small intestine without perforation or abscess with bleeding
K5721Diverticulitis of large intestine with perforation and abscess with bleeding
K5731Diverticulosis of large intestine without perforation or abscess with bleeding
K5733Diverticulitis of large intestine without perforation or abscess with bleeding
K5741Diverticulitis of both small and large intestine with perforation and abscess with bleeding
K5751Diverticulosis of both small and large intestine without perforation or abscess with bleeding
K5753Diverticulitis of both small and large intestine without perforation or abscess with bleeding
K5781Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding
K5791Diverticulosis of intestine, part unspecified, without perforation or abscess with bleeding
K5793Diverticulitis of intestine, part unspecified, without perforation or abscess with bleeding
K625Hemorrhage of anus and rectum
K920Hematemesis
K921Melena
K922Gastrointestinal hemorrhage, unspecified
 
PDX Collection 1075
E164Increased secretion of gastrin
I8501Esophageal varices with bleeding
K2210Ulcer of esophagus without bleeding
K2211Ulcer of esophagus with bleeding
K226Gastro-esophageal laceration-hemorrhage syndrome
K2270Barrett's esophagus without dysplasia
K22710Barrett's esophagus with low grade dysplasia
K22711Barrett's esophagus with high grade dysplasia
K22719Barrett's esophagus with dysplasia, unspecified
K250Acute gastric ulcer with hemorrhage
K251Acute gastric ulcer with perforation
K252Acute gastric ulcer with both hemorrhage and perforation
K253Acute gastric ulcer without hemorrhage or perforation
K254Chronic or unspecified gastric ulcer with hemorrhage
K255Chronic or unspecified gastric ulcer with perforation
K256Chronic or unspecified gastric ulcer with both hemorrhage and perforation
K257Chronic gastric ulcer without hemorrhage or perforation
K259Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K260Acute duodenal ulcer with hemorrhage
K261Acute duodenal ulcer with perforation
K262Acute duodenal ulcer with both hemorrhage and perforation
K263Acute duodenal ulcer without hemorrhage or perforation
K264Chronic or unspecified duodenal ulcer with hemorrhage
K265Chronic or unspecified duodenal ulcer with perforation
K266Chronic or unspecified duodenal ulcer with both hemorrhage and perforation
K267Chronic duodenal ulcer without hemorrhage or perforation
K269Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K270Acute peptic ulcer, site unspecified, with hemorrhage
K271Acute peptic ulcer, site unspecified, with perforation
K272Acute peptic ulcer, site unspecified, with both hemorrhage and perforation
K273Acute peptic ulcer, site unspecified, without hemorrhage or perforation
K274Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage
K275Chronic or unspecified peptic ulcer, site unspecified, with perforation
K276Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation
K277Chronic peptic ulcer, site unspecified, without hemorrhage or perforation
K279Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation
K280Acute gastrojejunal ulcer with hemorrhage
K281Acute gastrojejunal ulcer with perforation
K282Acute gastrojejunal ulcer with both hemorrhage and perforation
K283Acute gastrojejunal ulcer without hemorrhage or perforation
K284Chronic or unspecified gastrojejunal ulcer with hemorrhage
K285Chronic or unspecified gastrojejunal ulcer with perforation
K286Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation
K287Chronic gastrojejunal ulcer without hemorrhage or perforation
K289Gastrojejunal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K2901Acute gastritis with bleeding
K2921Alcoholic gastritis with bleeding
K2931Chronic superficial gastritis with bleeding
K2941Chronic atrophic gastritis with bleeding
K2951Unspecified chronic gastritis with bleeding
K2961Other gastritis with bleeding
K2971Gastritis, unspecified, with bleeding
K2981Duodenitis with bleeding
K2991Gastroduodenitis, unspecified, with bleeding
K31811Angiodysplasia of stomach and duodenum with bleeding
K3189Other diseases of stomach and duodenum
K319Disease of stomach and duodenum, unspecified
K5521Angiodysplasia of colon with hemorrhage
K5701Diverticulitis of small intestine with perforation and abscess with bleeding
K5711Diverticulosis of small intestine without perforation or abscess with bleeding
K5713Diverticulitis of small intestine without perforation or abscess with bleeding
K5721Diverticulitis of large intestine with perforation and abscess with bleeding
K5731Diverticulosis of large intestine without perforation or abscess with bleeding
K5733Diverticulitis of large intestine without perforation or abscess with bleeding
K5741Diverticulitis of both small and large intestine with perforation and abscess with bleeding
K5751Diverticulosis of both small and large intestine without perforation or abscess with bleeding
K5753Diverticulitis of both small and large intestine without perforation or abscess with bleeding
K5781Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding
K5791Diverticulosis of intestine, part unspecified, without perforation or abscess with bleeding
K5793Diverticulitis of intestine, part unspecified, without perforation or abscess with bleeding
K625Hemorrhage of anus and rectum
K920Hematemesis
K921Melena
K922Gastrointestinal hemorrhage, unspecified
K9281Gastrointestinal mucositis (ulcerative)
 
PDX Collection 1076
E164Increased secretion of gastrin
I8501Esophageal varices with bleeding
K2210Ulcer of esophagus without bleeding
K2211Ulcer of esophagus with bleeding
K226Gastro-esophageal laceration-hemorrhage syndrome
K2270Barrett's esophagus without dysplasia
K22710Barrett's esophagus with low grade dysplasia
K22711Barrett's esophagus with high grade dysplasia
K22719Barrett's esophagus with dysplasia, unspecified
K250Acute gastric ulcer with hemorrhage
K251Acute gastric ulcer with perforation
K252Acute gastric ulcer with both hemorrhage and perforation
K253Acute gastric ulcer without hemorrhage or perforation
K254Chronic or unspecified gastric ulcer with hemorrhage
K255Chronic or unspecified gastric ulcer with perforation
K256Chronic or unspecified gastric ulcer with both hemorrhage and perforation
K257Chronic gastric ulcer without hemorrhage or perforation



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