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

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Secondary Diagnosis CC/MCC Severity Exclusions in Select MS-DRGs
Severity suppression for DRGs 082-084 TRAUMATIC STUPOR AND COMA >1 HOUR
DxCC/MCCDescription
S061X3AMCCTraumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S061X4AMCCTraumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounter
S061X5AMCCTraumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S061X6AMCCTraumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S061X7AMCCTraumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S061X8AMCCTraumatic cerebral edema with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S061X9AMCCTraumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter
S061XAAMCCTraumatic cerebral edema with loss of consciousness status unknown, initial encounter
S062X3ACCDiffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S062X4ACCDiffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter
S062X5ACCDiffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, initial encounter
S062X6AMCCDiffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S062X7AMCCDiffuse traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S062X8AMCCDiffuse traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S062X9ACCDiffuse traumatic brain injury with loss of consciousness of unspecified duration, initial encounter
S062XAACCDiffuse traumatic brain injury with loss of consciousness status unknown, initial encounter
S06303ACCUnspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06304ACCUnspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter
S06305ACCUnspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06306AMCCUnspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06307AMCCUnspecified focal traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06308AMCCUnspecified focal traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06309ACCUnspecified focal traumatic brain injury with loss of consciousness of unspecified duration, initial encounter
S0630AACCUnspecified focal traumatic brain injury with loss of consciousness status unknown, initial encounter
S06313AMCCContusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06314AMCCContusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter
S06315AMCCContusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06316AMCCContusion and laceration of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06317AMCCContusion and laceration of right cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06318AMCCContusion and laceration of right cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06319AMCCContusion and laceration of right cerebrum with loss of consciousness of unspecified duration, initial encounter
S0631AAMCCContusion and laceration of right cerebrum with loss of consciousness status unknown, initial encounter
S06323AMCCContusion and laceration of left cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06324AMCCContusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter
S06325AMCCContusion and laceration of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06326AMCCContusion and laceration of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06327AMCCContusion and laceration of left cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06328AMCCContusion and laceration of left cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06329AMCCContusion and laceration of left cerebrum with loss of consciousness of unspecified duration, initial encounter
S0632AAMCCContusion and laceration of left cerebrum with loss of consciousness status unknown, initial encounter
S06333AMCCContusion and laceration of cerebrum, unspecified, with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06334AMCCContusion and laceration of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter
S06335AMCCContusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06336AMCCContusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06337AMCCContusion and laceration of cerebrum, unspecified, with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06338AMCCContusion and laceration of cerebrum, unspecified, with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06339AMCCContusion and laceration of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter
S0633AAMCCContusion and laceration of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter
S06343AMCCTraumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter
S06344AMCCTraumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter
S06345AMCCTraumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06346AMCCTraumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06347AMCCTraumatic hemorrhage of right cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06348AMCCTraumatic hemorrhage of right cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06349AMCCTraumatic hemorrhage of right cerebrum with loss of consciousness of unspecified duration, initial encounter
S0634AAMCCTraumatic hemorrhage of right cerebrum with loss of consciousness status unknown, initial encounter
S06353AMCCTraumatic hemorrhage of left cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter
S06354AMCCTraumatic hemorrhage of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter
S06355AMCCTraumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06356AMCCTraumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06357AMCCTraumatic hemorrhage of left cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06358AMCCTraumatic hemorrhage of left cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06359AMCCTraumatic hemorrhage of left cerebrum with loss of consciousness of unspecified duration, initial encounter
S0635AAMCCTraumatic hemorrhage of left cerebrum with loss of consciousness status unknown, initial encounter
S06363AMCCTraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter
S06364AMCCTraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter
S06365AMCCTraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06366AMCCTraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06367AMCCTraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06368AMCCTraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06369AMCCTraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter
S0636AAMCCTraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter
S06373ACCContusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06374ACCContusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 6 hours to 24 hours, initial encounter
S06375ACCContusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06376AMCCContusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06377AMCCContusion, laceration, and hemorrhage of cerebellum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06378AMCCContusion, laceration, and hemorrhage of cerebellum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06379ACCContusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration, initial encounter
S0637AAMCCContusion, laceration, and hemorrhage of cerebellum with loss of consciousness status unknown, initial encounter
S06383ACCContusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06384ACCContusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, initial encounter
S06385ACCContusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06386AMCCContusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06387AMCCContusion, laceration, and hemorrhage of brainstem with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06388AMCCContusion, laceration, and hemorrhage of brainstem with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06389ACCContusion, laceration, and hemorrhage of brainstem with loss of consciousness of unspecified duration, initial encounter
S0638AAMCCContusion, laceration, and hemorrhage of brainstem with loss of consciousness status unknown, initial encounter
S064X3AMCCEpidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S064X4AMCCEpidural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter
S064X5AMCCEpidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S064X6AMCCEpidural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S064X7AMCCEpidural hemorrhage with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S064X8AMCCEpidural hemorrhage with loss of consciousness of any duration with death due to other causes prior to regaining consciousness, initial encounter
S064X9AMCCEpidural hemorrhage with loss of consciousness of unspecified duration, initial encounter
S064XAAMCCEpidural hemorrhage with loss of consciousness status unknown, initial encounter
S065X3AMCCTraumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S065X4AMCCTraumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter
S065X5AMCCTraumatic subdural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S065X6AMCCTraumatic subdural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S065X7AMCCTraumatic subdural hemorrhage with loss of consciousness of any duration with death due to brain injury before regaining consciousness, initial encounter
S065X8AMCCTraumatic subdural hemorrhage with loss of consciousness of any duration with death due to other cause before regaining consciousness, initial encounter
S065X9AMCCTraumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial encounter
S065XAAMCCTraumatic subdural hemorrhage with loss of consciousness status unknown, initial encounter
S066X3AMCCTraumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S066X4AMCCTraumatic subarachnoid hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter
S066X5AMCCTraumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S066X6AMCCTraumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S066X7AMCCTraumatic subarachnoid hemorrhage with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S066X8AMCCTraumatic subarachnoid hemorrhage with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S066X9AMCCTraumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, initial encounter
S066XAAMCCTraumatic subarachnoid hemorrhage with loss of consciousness status unknown, initial encounter
S06813ACCInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06814ACCInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter
S06815ACCInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06816AMCCInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06817AMCCInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06818AMCCInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06819ACCInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter
S0681AACCInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, initial encounter
S06823ACCInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06824ACCInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter
S06825ACCInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06826AMCCInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06827AMCCInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06828AMCCInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06829ACCInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter
S0682AACCInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, initial encounter
S06893ACCOther specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06894ACCOther specified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter
S06895ACCOther specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06896AMCCOther specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06897AMCCOther specified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06898AMCCOther specified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06899ACCOther specified intracranial injury with loss of consciousness of unspecified duration, initial encounter
S0689AACCOther specified intracranial injury with loss of consciousness status unknown, initial encounter
S068A3ACCPrimary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S068A4ACCPrimary blast injury of brain, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter
S068A5ACCPrimary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S068A6AMCCPrimary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S068A7AMCCPrimary blast injury of brain, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S068A8AMCCPrimary blast injury of brain, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S068A9ACCPrimary blast injury of brain, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter
S068AAACCPrimary blast injury of brain, not elsewhere classified with loss of consciousness status unknown, initial encounter
S069X3ACCUnspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S069X4ACCUnspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter
S069X5ACCUnspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S069X6AMCCUnspecified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S069X7AMCCUnspecified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S069X8AMCCUnspecified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S069X9ACCUnspecified intracranial injury with loss of consciousness of unspecified duration, initial encounter
S069XAACCUnspecified intracranial injury with loss of consciousness status unknown, initial encounter



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