ICD-10-CM/PCS MS-DRG v37.1 R1 Definitions Manual |
||||
Skip to content |
Pre-MDC |
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy |
Page 1 of 3 |
MCC | CC | DRG |
---|---|---|
Yes | n/a | 011 |
No | Yes | 012 |
No | No | 013 |
DRG 011 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
DRG 012 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH CC
DRG 013 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
PRINCIPAL DIAGNOSIS
A360 | Pharyngeal diphtheria |
A361 | Nasopharyngeal diphtheria |
A362 | Laryngeal diphtheria |
A545 | Gonococcal pharyngitis |
A564 | Chlamydial infection of pharynx |
A665 | Gangosa |
A690 | Necrotizing ulcerative stomatitis |
A691 | Other Vincent's infections |
B002 | Herpesviral gingivostomatitis and pharyngotonsillitis |
B085 | Enteroviral vesicular pharyngitis |
B370 | Candidal stomatitis |
B3783 | Candidal cheilitis |
C000 | Malignant neoplasm of external upper lip |
C001 | Malignant neoplasm of external lower lip |
C002 | Malignant neoplasm of external lip, unspecified |
C003 | Malignant neoplasm of upper lip, inner aspect |
C004 | Malignant neoplasm of lower lip, inner aspect |
C005 | Malignant neoplasm of lip, unspecified, inner aspect |
C006 | Malignant neoplasm of commissure of lip, unspecified |
C008 | Malignant neoplasm of overlapping sites of lip |
C009 | Malignant neoplasm of lip, unspecified |
C01 | Malignant neoplasm of base of tongue |
C020 | Malignant neoplasm of dorsal surface of tongue |
C021 | Malignant neoplasm of border of tongue |
C022 | Malignant neoplasm of ventral surface of tongue |
C023 | Malignant neoplasm of anterior two-thirds of tongue, part unspecified |
C024 | Malignant neoplasm of lingual tonsil |
C028 | Malignant neoplasm of overlapping sites of tongue |
C029 | Malignant neoplasm of tongue, unspecified |
C030 | Malignant neoplasm of upper gum |
C031 | Malignant neoplasm of lower gum |
C039 | Malignant neoplasm of gum, unspecified |
C040 | Malignant neoplasm of anterior floor of mouth |
C041 | Malignant neoplasm of lateral floor of mouth |
C048 | Malignant neoplasm of overlapping sites of floor of mouth |
C049 | Malignant neoplasm of floor of mouth, unspecified |
C050 | Malignant neoplasm of hard palate |
C051 | Malignant neoplasm of soft palate |
C052 | Malignant neoplasm of uvula |
C058 | Malignant neoplasm of overlapping sites of palate |
C059 | Malignant neoplasm of palate, unspecified |
C060 | Malignant neoplasm of cheek mucosa |
C061 | Malignant neoplasm of vestibule of mouth |
C062 | Malignant neoplasm of retromolar area |
C0680 | Malignant neoplasm of overlapping sites of unspecified parts of mouth |
C0689 | Malignant neoplasm of overlapping sites of other parts of mouth |
C069 | Malignant neoplasm of mouth, unspecified |
C07 | Malignant neoplasm of parotid gland |
C080 | Malignant neoplasm of submandibular gland |
C081 | Malignant neoplasm of sublingual gland |
C089 | Malignant neoplasm of major salivary gland, unspecified |
C090 | Malignant neoplasm of tonsillar fossa |
C091 | Malignant neoplasm of tonsillar pillar (anterior) (posterior) |
C098 | Malignant neoplasm of overlapping sites of tonsil |
C099 | Malignant neoplasm of tonsil, unspecified |
C100 | Malignant neoplasm of vallecula |
C101 | Malignant neoplasm of anterior surface of epiglottis |
C102 | Malignant neoplasm of lateral wall of oropharynx |
C103 | Malignant neoplasm of posterior wall of oropharynx |
C104 | Malignant neoplasm of branchial cleft |
C108 | Malignant neoplasm of overlapping sites of oropharynx |
C109 | Malignant neoplasm of oropharynx, unspecified |
C110 | Malignant neoplasm of superior wall of nasopharynx |
C111 | Malignant neoplasm of posterior wall of nasopharynx |
C112 | Malignant neoplasm of lateral wall of nasopharynx |
C113 | Malignant neoplasm of anterior wall of nasopharynx |
C118 | Malignant neoplasm of overlapping sites of nasopharynx |
C119 | Malignant neoplasm of nasopharynx, unspecified |
C12 | Malignant neoplasm of pyriform sinus |
C130 | Malignant neoplasm of postcricoid region |
C131 | Malignant neoplasm of aryepiglottic fold, hypopharyngeal aspect |
C132 | Malignant neoplasm of posterior wall of hypopharynx |
C138 | Malignant neoplasm of overlapping sites of hypopharynx |
C139 | Malignant neoplasm of hypopharynx, unspecified |
C140 | Malignant neoplasm of pharynx, unspecified |
C142 | Malignant neoplasm of Waldeyer's ring |
C148 | Malignant neoplasm of overlapping sites of lip, oral cavity and pharynx |
C300 | Malignant neoplasm of nasal cavity |
C301 | Malignant neoplasm of middle ear |
C310 | Malignant neoplasm of maxillary sinus |
C311 | Malignant neoplasm of ethmoidal sinus |
C312 | Malignant neoplasm of frontal sinus |
C313 | Malignant neoplasm of sphenoid sinus |
C318 | Malignant neoplasm of overlapping sites of accessory sinuses |
C319 | Malignant neoplasm of accessory sinus, unspecified |
C320 | Malignant neoplasm of glottis |
C321 | Malignant neoplasm of supraglottis |
C322 | Malignant neoplasm of subglottis |
C323 | Malignant neoplasm of laryngeal cartilage |
C328 | Malignant neoplasm of overlapping sites of larynx |
C329 | Malignant neoplasm of larynx, unspecified |
C390 | Malignant neoplasm of upper respiratory tract, part unspecified |
C411 | Malignant neoplasm of mandible |
C4400 | Unspecified malignant neoplasm of skin of lip |
C4401 | Basal cell carcinoma of skin of lip |
C4402 | Squamous cell carcinoma of skin of lip |
C4409 | Other specified malignant neoplasm of skin of lip |
C462 | Kaposi's sarcoma of palate |
C73 | Malignant neoplasm of thyroid gland |
C760 | Malignant neoplasm of head, face and neck |
C770 | Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck |
C8101 | Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of head, face, and neck |
C8111 | Nodular sclerosis Hodgkin lymphoma, lymph nodes of head, face, and neck |
C8121 | Mixed cellularity Hodgkin lymphoma, lymph nodes of head, face, and neck |
C8131 | Lymphocyte depleted Hodgkin lymphoma, lymph nodes of head, face, and neck |
C8141 | Lymphocyte-rich Hodgkin lymphoma, lymph nodes of head, face, and neck |
C8171 | Other Hodgkin lymphoma, lymph nodes of head, face, and neck |
C8191 | Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck |
C8201 | Follicular lymphoma grade I, lymph nodes of head, face, and neck |
C8211 | Follicular lymphoma grade II, lymph nodes of head, face, and neck |
C8221 | Follicular lymphoma grade III, unspecified, lymph nodes of head, face, and neck |
C8231 | Follicular lymphoma grade IIIa, lymph nodes of head, face, and neck |
C8241 | Follicular lymphoma grade IIIb, lymph nodes of head, face, and neck |
C8251 | Diffuse follicle center lymphoma, lymph nodes of head, face, and neck |
C8261 | Cutaneous follicle center lymphoma, lymph nodes of head, face, and neck |
C8281 | Other types of follicular lymphoma, lymph nodes of head, face, and neck |
C8291 | Follicular lymphoma, unspecified, lymph nodes of head, face, and neck |
C8301 | Small cell B-cell lymphoma, lymph nodes of head, face, and neck |
C8331 | Diffuse large B-cell lymphoma, lymph nodes of head, face, and neck |
C8351 | Lymphoblastic (diffuse) lymphoma, lymph nodes of head, face, and neck |
C8371 | Burkitt lymphoma, lymph nodes of head, face, and neck |
C8381 | Other non-follicular lymphoma, lymph nodes of head, face, and neck |
C8391 | Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of head, face, and neck |
C8401 | Mycosis fungoides, lymph nodes of head, face, and neck |
C8411 | Sezary disease, lymph nodes of head, face, and neck |
C8491 | Mature T/NK-cell lymphomas, unspecified, lymph nodes of head, face, and neck |
C84A1 | Cutaneous T-cell lymphoma, unspecified lymph nodes of head, face, and neck |
C84Z1 | Other mature T/NK-cell lymphomas, lymph nodes of head, face, and neck |
C8511 | Unspecified B-cell lymphoma, lymph nodes of head, face, and neck |
C8521 | Mediastinal (thymic) large B-cell lymphoma, lymph nodes of head, face, and neck |
C8581 | Other specified types of non-Hodgkin lymphoma, lymph nodes of head, face, and neck |
C8591 | Non-Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck |
C860 | Extranodal NK/T-cell lymphoma, nasal type |
C9140 | Hairy cell leukemia not having achieved remission |
C960 | Multifocal and multisystemic (disseminated) Langerhans-cell histiocytosis |
C9620 | Malignant mast cell neoplasm, unspecified |
C9621 | Aggressive systemic mastocytosis |
C9622 | Mast cell sarcoma |
C9629 | Other malignant mast cell neoplasm |
C969 | Malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified |
C96A | Histiocytic sarcoma |
D0000 | Carcinoma in situ of oral cavity, unspecified site |
D0001 | Carcinoma in situ of labial mucosa and vermilion border |
D0002 | Carcinoma in situ of buccal mucosa |
D0003 | Carcinoma in situ of gingiva and edentulous alveolar ridge |
D0004 | Carcinoma in situ of soft palate |
D0005 | Carcinoma in situ of hard palate |
D0006 | Carcinoma in situ of floor of mouth |
D0007 | Carcinoma in situ of tongue |
D0008 | Carcinoma in situ of pharynx |
D020 | Carcinoma in situ of larynx |
D100 | Benign neoplasm of lip |
D101 | Benign neoplasm of tongue |
D102 | Benign neoplasm of floor of mouth |
D1030 | Benign neoplasm of unspecified part of mouth |
D1039 | Benign neoplasm of other parts of mouth |
D104 | Benign neoplasm of tonsil |
D105 | Benign neoplasm of other parts of oropharynx |
D106 | Benign neoplasm of nasopharynx |
D107 | Benign neoplasm of hypopharynx |
D109 | Benign neoplasm of pharynx, unspecified |
D110 | Benign neoplasm of parotid gland |
D117 | Benign neoplasm of other major salivary glands |
D119 | Benign neoplasm of major salivary gland, unspecified |
D140 | Benign neoplasm of middle ear, nasal cavity and accessory sinuses |
D141 | Benign neoplasm of larynx |
D164 | Benign neoplasm of bones of skull and face |
D165 | Benign neoplasm of lower jaw bone |
D1800 | Hemangioma unspecified site |
D1801 | Hemangioma of skin and subcutaneous tissue |
D1809 | Hemangioma of other sites |
D34 | Benign neoplasm of thyroid gland |
D3701 | Neoplasm of uncertain behavior of lip |
D3702 | Neoplasm of uncertain behavior of tongue |
D37030 | Neoplasm of uncertain behavior of the parotid salivary glands |
D37031 | Neoplasm of uncertain behavior of the sublingual salivary glands |
D37032 | Neoplasm of uncertain behavior of the submandibular salivary glands |
D37039 | Neoplasm of uncertain behavior of the major salivary glands, unspecified |
D3704 | Neoplasm of uncertain behavior of the minor salivary glands |
D3705 | Neoplasm of uncertain behavior of pharynx |
D3709 | Neoplasm of uncertain behavior of other specified sites of the oral cavity |
D380 | Neoplasm of uncertain behavior of larynx |
E034 | Atrophy of thyroid (acquired) |
E041 | Nontoxic single thyroid nodule |
E0500 | Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm |
E0501 | Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm |
E0510 | Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm |
E0511 | Thyrotoxicosis with toxic single thyroid nodule with thyrotoxic crisis or storm |
E0520 | Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm |
E0521 | Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm |
E0530 | Thyrotoxicosis from ectopic thyroid tissue without thyrotoxic crisis or storm |
E0531 | Thyrotoxicosis from ectopic thyroid tissue with thyrotoxic crisis or storm |
E0540 | Thyrotoxicosis factitia without thyrotoxic crisis or storm |
E0541 | Thyrotoxicosis factitia with thyrotoxic crisis or storm |
E0580 | Other thyrotoxicosis without thyrotoxic crisis or storm |
E0581 | Other thyrotoxicosis with thyrotoxic crisis or storm |
E0590 | Thyrotoxicosis, unspecified without thyrotoxic crisis or storm |
E0591 | Thyrotoxicosis, unspecified with thyrotoxic crisis or storm |
E060 | Acute thyroiditis |
E061 | Subacute thyroiditis |
E062 | Chronic thyroiditis with transient thyrotoxicosis |
E063 | Autoimmune thyroiditis |
E064 | Drug-induced thyroiditis |
E065 | Other chronic thyroiditis |
E069 | Thyroiditis, unspecified |
E0789 | Other specified disorders of thyroid |
E079 | Disorder of thyroid, unspecified |
E35 | Disorders of endocrine glands in diseases classified elsewhere |
G4720 | Circadian rhythm sleep disorder, unspecified type |
G4721 | Circadian rhythm sleep disorder, delayed sleep phase type |
G4722 | Circadian rhythm sleep disorder, advanced sleep phase type |
G4723 | Circadian rhythm sleep disorder, irregular sleep wake type |
G4724 | Circadian rhythm sleep disorder, free running type |
G4725 | Circadian rhythm sleep disorder, jet lag type |
G4726 | Circadian rhythm sleep disorder, shift work type |
G4727 | Circadian rhythm sleep disorder in conditions classified elsewhere |
G4729 | Other circadian rhythm sleep disorder |
G4730 | Sleep apnea, unspecified |
G4731 | Primary central sleep apnea |
G4732 | High altitude periodic breathing |
G4733 | Obstructive sleep apnea (adult) (pediatric) |
G4734 | Idiopathic sleep related nonobstructive alveolar hypoventilation |
G4735 | Congenital central alveolar hypoventilation syndrome |
G4736 | Sleep related hypoventilation in conditions classified elsewhere |
G4737 | Central sleep apnea in conditions classified elsewhere |
G4739 | Other sleep apnea |
G4750 | Parasomnia, unspecified |
G4751 | Confusional arousals |
G4752 | REM sleep behavior disorder |
G4753 | Recurrent isolated sleep paralysis |
G4754 | Parasomnia in conditions classified elsewhere |
G4759 | Other parasomnia |
G4761 | Periodic limb movement disorder |
G4762 | Sleep related leg cramps |
G4763 | Sleep related bruxism |
G4769 | Other sleep related movement disorders |
G478 | Other sleep disorders |
J00 | Acute nasopharyngitis [common cold] |
J020 | Streptococcal pharyngitis |
J028 | Acute pharyngitis due to other specified organisms |
J029 | Acute pharyngitis, unspecified |
J0300 | Acute streptococcal tonsillitis, unspecified |
J0301 | Acute recurrent streptococcal tonsillitis |
J0380 | Acute tonsillitis due to other specified organisms |
J0381 | Acute recurrent tonsillitis due to other specified organisms |
J0390 | Acute tonsillitis, unspecified |
J0391 | Acute recurrent tonsillitis, unspecified |
J040 | Acute laryngitis |
J042 | Acute laryngotracheitis |
J0430 | Supraglottitis, unspecified, without obstruction |
J0431 | Supraglottitis, unspecified, with obstruction |
J050 | Acute obstructive laryngitis [croup] |
J0510 | Acute epiglottitis without obstruction |
J0511 | Acute epiglottitis with obstruction |
J060 | Acute laryngopharyngitis |
J069 | Acute upper respiratory infection, unspecified |
J311 | Chronic nasopharyngitis |
J312 | Chronic pharyngitis |
J342 | Deviated nasal septum |
J3501 | Chronic tonsillitis |
J3502 | Chronic adenoiditis |
J3503 | Chronic tonsillitis and adenoiditis |
J351 | Hypertrophy of tonsils |
J352 | Hypertrophy of adenoids |
J353 | Hypertrophy of tonsils with hypertrophy of adenoids |
J358 | Other chronic diseases of tonsils and adenoids |
J359 | Chronic disease of tonsils and adenoids, unspecified |
J36 | Peritonsillar abscess |
J370 | Chronic laryngitis |
J371 | Chronic laryngotracheitis |
J3800 | Paralysis of vocal cords and larynx, unspecified |
J3801 | Paralysis of vocal cords and larynx, unilateral |
J3802 | Paralysis of vocal cords and larynx, bilateral |
J381 | Polyp of vocal cord and larynx |
J382 | Nodules of vocal cords |
J383 | Other diseases of vocal cords |
J384 | Edema of larynx |
J385 | Laryngeal spasm |
J386 | Stenosis of larynx |
J387 | Other diseases of larynx |
J390 | Retropharyngeal and parapharyngeal abscess |
J391 | Other abscess of pharynx |
J392 | Other diseases of pharynx |
J393 | Upper respiratory tract hypersensitivity reaction, site unspecified |
J398 | Other specified diseases of upper respiratory tract |
J399 | Disease of upper respiratory tract, unspecified |
J9500 | Unspecified tracheostomy complication |
J9501 | Hemorrhage from tracheostomy stoma |
J9502 | Infection of tracheostomy stoma |
J9503 | Malfunction of tracheostomy stoma |
J9504 | Tracheo-esophageal fistula following tracheostomy |
J9509 | Other tracheostomy complication |
J9801 | Acute bronchospasm |
J9809 | Other diseases of bronchus, not elsewhere classified |
K000 | Anodontia |
K001 | Supernumerary teeth |
K002 | Abnormalities of size and form of teeth |
K003 | Mottled teeth |
K004 | Disturbances in tooth formation |
K005 | Hereditary disturbances in tooth structure, not elsewhere classified |
K006 | Disturbances in tooth eruption |
K007 | Teething syndrome |
K008 | Other disorders of tooth development |
K009 | Disorder of tooth development, unspecified |
K010 | Embedded teeth |
K011 | Impacted teeth |
K023 | Arrested dental caries |
K0251 | Dental caries on pit and fissure surface limited to enamel |
K0252 | Dental caries on pit and fissure surface penetrating into dentin |
K0253 | Dental caries on pit and fissure surface penetrating into pulp |
K0261 | Dental caries on smooth surface limited to enamel |
K0262 | Dental caries on smooth surface penetrating into dentin |
K0263 | Dental caries on smooth surface penetrating into pulp |
K027 | Dental root caries |
K029 | Dental caries, unspecified |
K030 | Excessive attrition of teeth |
K031 | Abrasion of teeth |
K032 | Erosion of teeth |
K033 | Pathological resorption of teeth |
K034 | Hypercementosis |
K035 | Ankylosis of teeth |
K036 | Deposits [accretions] on teeth |
K037 | Posteruptive color changes of dental hard tissues |
K0381 | Cracked tooth |
K0389 | Other specified diseases of hard tissues of teeth |
K039 | Disease of hard tissues of teeth, unspecified |
K0401 | Reversible pulpitis |
K0402 | Irreversible pulpitis |
K041 | Necrosis of pulp |
K042 | Pulp degeneration |
K043 | Abnormal hard tissue formation in pulp |
K044 | Acute apical periodontitis of pulpal origin |
K045 | Chronic apical periodontitis |
K046 | Periapical abscess with sinus |
K047 | Periapical abscess without sinus |
K048 | Radicular cyst |
K0490 | Unspecified diseases of pulp and periapical tissues |
K0499 | Other diseases of pulp and periapical tissues |
K0500 | Acute gingivitis, plaque induced |
K0501 | Acute gingivitis, non-plaque induced |
K0510 | Chronic gingivitis, plaque induced |
K0511 | Chronic gingivitis, non-plaque induced |
K0520 | Aggressive periodontitis, unspecified |
K05211 | Aggressive periodontitis, localized, slight |
K05212 | Aggressive periodontitis, localized, moderate |
K05213 | Aggressive periodontitis, localized, severe |
K05219 | Aggressive periodontitis, localized, unspecified severity |
K05221 | Aggressive periodontitis, generalized, slight |
K05222 | Aggressive periodontitis, generalized, moderate |
K05223 | Aggressive periodontitis, generalized, severe |
K05229 | Aggressive periodontitis, generalized, unspecified severity |
K0530 | Chronic periodontitis, unspecified |
K05311 | Chronic periodontitis, localized, slight |
K05312 | Chronic periodontitis, localized, moderate |
K05313 | Chronic periodontitis, localized, severe |
K05319 | Chronic periodontitis, localized, unspecified severity |
K05321 | Chronic periodontitis, generalized, slight |
K05322 | Chronic periodontitis, generalized, moderate |
K05323 | Chronic periodontitis, generalized, severe |
K05329 | Chronic periodontitis, generalized, unspecified severity |
K054 | Periodontosis |
K055 | Other periodontal diseases |
K056 | Periodontal disease, unspecified |
K06010 | Localized gingival recession, unspecified |
K06011 | Localized gingival recession, minimal |
K06012 | Localized gingival recession, moderate |
K06013 | Localized gingival recession, severe |
K06020 | Generalized gingival recession, unspecified |
K06021 | Generalized gingival recession, minimal |
K06022 | Generalized gingival recession, moderate |
K06023 | Generalized gingival recession, severe |
K061 | Gingival enlargement |
K062 | Gingival and edentulous alveolar ridge lesions associated with trauma |
K063 | Horizontal alveolar bone loss |
K068 | Other specified disorders of gingiva and edentulous alveolar ridge |
K069 | Disorder of gingiva and edentulous alveolar ridge, unspecified |
K080 | Exfoliation of teeth due to systemic causes |
K08101 | Complete loss of teeth, unspecified cause, class I |
K08102 | Complete loss of teeth, unspecified cause, class II |
K08103 | Complete loss of teeth, unspecified cause, class III |
K08104 | Complete loss of teeth, unspecified cause, class IV |
K08109 | Complete loss of teeth, unspecified cause, unspecified class |
K08111 | Complete loss of teeth due to trauma, class I |
K08112 | Complete loss of teeth due to trauma, class II |
K08113 | Complete loss of teeth due to trauma, class III |
K08114 | Complete loss of teeth due to trauma, class IV |
K08119 | Complete loss of teeth due to trauma, unspecified class |
K08121 | Complete loss of teeth due to periodontal diseases, class I |
K08122 | Complete loss of teeth due to periodontal diseases, class II |
K08123 | Complete loss of teeth due to periodontal diseases, class III |
K08124 | Complete loss of teeth due to periodontal diseases, class IV |
K08129 | Complete loss of teeth due to periodontal diseases, unspecified class |
K08131 | Complete loss of teeth due to caries, class I |
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 23 Mar 2020 12:40:01 CMS, code-revision=249, description-revision=1272 |