ICD-10-CM/PCS MS-DRG v37.1 R1 Definitions Manual

Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
MDC 23 Factors Influencing Health Status & Other Contacts with Health Services
Assignment of Diagnosis Codes
Page 1 of 25
E0781 S01312D S1123XD S24151D S34103D S41119D S53025D S60448D S63250D S66391D S76209D S86092D S93512D S99249K T22552D T25112D T385X5D T43296A T472X3D T521X1D T63612D T82312D Z01110 Z48816 Z87798
E0781Sick-euthyroid syndrome
E790Hyperuricemia without signs of inflammatory arthritis and tophaceous disease
F17200Nicotine dependence, unspecified, uncomplicated
F17201Nicotine dependence, unspecified, in remission
F17210Nicotine dependence, cigarettes, uncomplicated
F17211Nicotine dependence, cigarettes, in remission
F17220Nicotine dependence, chewing tobacco, uncomplicated
F17221Nicotine dependence, chewing tobacco, in remission
F17290Nicotine dependence, other tobacco product, uncomplicated
F17291Nicotine dependence, other tobacco product, in remission
G8911Acute pain due to trauma
G8912Acute post-thoracotomy pain
G8918Other acute postprocedural pain
G893Neoplasm related pain (acute) (chronic)
G933Postviral fatigue syndrome
J95850Mechanical complication of respirator
P002Newborn affected by maternal infectious and parasitic diseases
P0089Newborn affected by other maternal conditions
P09Abnormal findings on neonatal screening
Q899Congenital malformation, unspecified
Q920Whole chromosome trisomy, nonmosaicism (meiotic nondisjunction)
Q921Whole chromosome trisomy, mosaicism (mitotic nondisjunction)
Q922Partial trisomy
Q925Duplications with other complex rearrangements
Q9261Marker chromosomes in normal individual
Q9262Marker chromosomes in abnormal individual
Q927Triploidy and polyploidy
Q928Other specified trisomies and partial trisomies of autosomes
Q929Trisomy and partial trisomy of autosomes, unspecified
Q930Whole chromosome monosomy, nonmosaicism (meiotic nondisjunction)
Q931Whole chromosome monosomy, mosaicism (mitotic nondisjunction)
Q932Chromosome replaced with ring, dicentric or isochromosome
Q950Balanced translocation and insertion in normal individual
Q951Chromosome inversion in normal individual
Q952Balanced autosomal rearrangement in abnormal individual
Q953Balanced sex/autosomal rearrangement in abnormal individual
Q955Individual with autosomal fragile site
Q958Other balanced rearrangements and structural markers
Q959Balanced rearrangement and structural marker, unspecified
Q999Chromosomal abnormality, unspecified
R180Malignant ascites
R188Other ascites
R230Cyanosis
R231Pallor
R232Flushing
R29700NIHSS score 0
R29701NIHSS score 1
R29702NIHSS score 2
R29703NIHSS score 3
R29704NIHSS score 4
R29705NIHSS score 5
R29706NIHSS score 6
R29707NIHSS score 7
R29708NIHSS score 8
R29709NIHSS score 9
R29710NIHSS score 10
R29711NIHSS score 11
R29712NIHSS score 12
R29713NIHSS score 13
R29714NIHSS score 14
R29715NIHSS score 15
R29716NIHSS score 16
R29717NIHSS score 17
R29718NIHSS score 18
R29719NIHSS score 19
R29720NIHSS score 20
R29721NIHSS score 21
R29722NIHSS score 22
R29723NIHSS score 23
R29724NIHSS score 24
R29725NIHSS score 25
R29726NIHSS score 26
R29727NIHSS score 27
R29728NIHSS score 28
R29729NIHSS score 29
R29730NIHSS score 30
R29731NIHSS score 31
R29732NIHSS score 32
R29733NIHSS score 33
R29734NIHSS score 34
R29735NIHSS score 35
R29736NIHSS score 36
R29737NIHSS score 37
R29738NIHSS score 38
R29739NIHSS score 39
R29740NIHSS score 40
R29741NIHSS score 41
R29742NIHSS score 42
R402130Coma scale, eyes open, to sound, unspecified time
R402131Coma scale, eyes open, to sound, in the field [EMT or ambulance]
R402132Coma scale, eyes open, to sound, at arrival to emergency department
R402133Coma scale, eyes open, to sound, at hospital admission
R402134Coma scale, eyes open, to sound, 24 hours or more after hospital admission
R402140Coma scale, eyes open, spontaneous, unspecified time
R402141Coma scale, eyes open, spontaneous, in the field [EMT or ambulance]
R402142Coma scale, eyes open, spontaneous, at arrival to emergency department
R402143Coma scale, eyes open, spontaneous, at hospital admission
R402144Coma scale, eyes open, spontaneous, 24 hours or more after hospital admission
R402230Coma scale, best verbal response, inappropriate words, unspecified time
R402231Coma scale, best verbal response, inappropriate words, in the field [EMT or ambulance]
R402232Coma scale, best verbal response, inappropriate words, at arrival to emergency department
R402233Coma scale, best verbal response, inappropriate words, at hospital admission
R402234Coma scale, best verbal response, inappropriate words, 24 hours or more after hospital admission
R402240Coma scale, best verbal response, confused conversation, unspecified time
R402241Coma scale, best verbal response, confused conversation, in the field [EMT or ambulance]
R402242Coma scale, best verbal response, confused conversation, at arrival to emergency department
R402243Coma scale, best verbal response, confused conversation, at hospital admission
R402244Coma scale, best verbal response, confused conversation, 24 hours or more after hospital admission
R402250Coma scale, best verbal response, oriented, unspecified time
R402251Coma scale, best verbal response, oriented, in the field [EMT or ambulance]
R402252Coma scale, best verbal response, oriented, at arrival to emergency department
R402253Coma scale, best verbal response, oriented, at hospital admission
R402254Coma scale, best verbal response, oriented, 24 hours or more after hospital admission
R402330Coma scale, best motor response, abnormal flexion, unspecified time
R402331Coma scale, best motor response, abnormal flexion, in the field [EMT or ambulance]
R402332Coma scale, best motor response, abnormal flexion, at arrival to emergency department
R402333Coma scale, best motor response, abnormal flexion, at hospital admission
R402334Coma scale, best motor response, abnormal flexion, 24 hours or more after hospital admission
R402350Coma scale, best motor response, localizes pain, unspecified time
R402351Coma scale, best motor response, localizes pain, in the field [EMT or ambulance]
R402352Coma scale, best motor response, localizes pain, at arrival to emergency department
R402353Coma scale, best motor response, localizes pain, at hospital admission
R402354Coma scale, best motor response, localizes pain, 24 hours or more after hospital admission
R402360Coma scale, best motor response, obeys commands, unspecified time
R402361Coma scale, best motor response, obeys commands, in the field [EMT or ambulance]
R402362Coma scale, best motor response, obeys commands, at arrival to emergency department
R402363Coma scale, best motor response, obeys commands, at hospital admission
R402364Coma scale, best motor response, obeys commands, 24 hours or more after hospital admission
R402410Glasgow coma scale score 13-15, unspecified time
R402411Glasgow coma scale score 13-15, in the field [EMT or ambulance]
R402412Glasgow coma scale score 13-15, at arrival to emergency department
R402413Glasgow coma scale score 13-15, at hospital admission
R402414Glasgow coma scale score 13-15, 24 hours or more after hospital admission
R402420Glasgow coma scale score 9-12, unspecified time
R402421Glasgow coma scale score 9-12, in the field [EMT or ambulance]
R402422Glasgow coma scale score 9-12, at arrival to emergency department
R402423Glasgow coma scale score 9-12, at hospital admission
R402424Glasgow coma scale score 9-12, 24 hours or more after hospital admission
R402430Glasgow coma scale score 3-8, unspecified time
R402431Glasgow coma scale score 3-8, in the field [EMT or ambulance]
R402432Glasgow coma scale score 3-8, at arrival to emergency department
R402433Glasgow coma scale score 3-8, at hospital admission
R402434Glasgow coma scale score 3-8, 24 hours or more after hospital admission
R402440Other coma, without documented Glasgow coma scale score, or with partial score reported, unspecified time
R402441Other coma, without documented Glasgow coma scale score, or with partial score reported, in the field [EMT or ambulance]
R402442Other coma, without documented Glasgow coma scale score, or with partial score reported, at arrival to emergency department
R402443Other coma, without documented Glasgow coma scale score, or with partial score reported, at hospital admission
R402444Other coma, without documented Glasgow coma scale score, or with partial score reported, 24 hours or more after hospital admission
R410Disorientation, unspecified
R411Anterograde amnesia
R412Retrograde amnesia
R413Other amnesia
R4182Altered mental status, unspecified
R4183Borderline intellectual functioning
R419Unspecified symptoms and signs involving cognitive functions and awareness
R448Other symptoms and signs involving general sensations and perceptions
R449Unspecified symptoms and signs involving general sensations and perceptions
R4583Excessive crying of child, adolescent or adult
R4584Anhedonia
R45850Homicidal ideations
R460Very low level of personal hygiene
R461Bizarre personal appearance
R462Strange and inexplicable behavior
R463Overactivity
R464Slowness and poor responsiveness
R465Suspiciousness and marked evasiveness
R466Undue concern and preoccupation with stressful events
R467Verbosity and circumstantial detail obscuring reason for contact
R4681Obsessive-compulsive behavior
R4689Other symptoms and signs involving appearance and behavior
R52Pain, unspecified
R530Neoplastic (malignant) related fatigue
R531Weakness
R532Functional quadriplegia
R5381Other malaise
R5382Chronic fatigue, unspecified
R5383Other fatigue
R600Localized edema
R601Generalized edema
R609Edema, unspecified
R64Cachexia
R680Hypothermia, not associated with low environmental temperature
R6811Excessive crying of infant (baby)
R6812Fussy infant (baby)
R6813Apparent life threatening event in infant (ALTE)
R6819Other nonspecific symptoms peculiar to infancy
R6881Early satiety
R6882Decreased libido
R6883Chills (without fever)
R6889Other general symptoms and signs
R69Illness, unspecified
R700Elevated erythrocyte sedimentation rate
R701Abnormal plasma viscosity
R740Nonspecific elevation of levels of transaminase and lactic acid dehydrogenase [LDH]
R748Abnormal levels of other serum enzymes
R749Abnormal serum enzyme level, unspecified
R770Abnormality of albumin
R771Abnormality of globulin
R772Abnormality of alphafetoprotein
R778Other specified abnormalities of plasma proteins
R779Abnormality of plasma protein, unspecified
R781Finding of opiate drug in blood
R782Finding of cocaine in blood
R783Finding of hallucinogen in blood
R784Finding of other drugs of addictive potential in blood
R785Finding of other psychotropic drug in blood
R786Finding of steroid agent in blood
R7871Abnormal lead level in blood
R7879Finding of abnormal level of heavy metals in blood
R7889Finding of other specified substances, not normally found in blood
R789Finding of unspecified substance, not normally found in blood
R790Abnormal level of blood mineral
R791Abnormal coagulation profile
R7981Abnormal blood-gas level
R7982Elevated C-reactive protein (CRP)
R7989Other specified abnormal findings of blood chemistry
R799Abnormal finding of blood chemistry, unspecified
R821Myoglobinuria
R840Abnormal level of enzymes in specimens from respiratory organs and thorax
R841Abnormal level of hormones in specimens from respiratory organs and thorax
R842Abnormal level of other drugs, medicaments and biological substances in specimens from respiratory organs and thorax
R843Abnormal level of substances chiefly nonmedicinal as to source in specimens from respiratory organs and thorax
R844Abnormal immunological findings in specimens from respiratory organs and thorax
R845Abnormal microbiological findings in specimens from respiratory organs and thorax
R846Abnormal cytological findings in specimens from respiratory organs and thorax
R847Abnormal histological findings in specimens from respiratory organs and thorax
R848Other abnormal findings in specimens from respiratory organs and thorax
R849Unspecified abnormal finding in specimens from respiratory organs and thorax
R850Abnormal level of enzymes in specimens from digestive organs and abdominal cavity
R851Abnormal level of hormones in specimens from digestive organs and abdominal cavity
R852Abnormal level of other drugs, medicaments and biological substances in specimens from digestive organs and abdominal cavity
R853Abnormal level of substances chiefly nonmedicinal as to source in specimens from digestive organs and abdominal cavity
R854Abnormal immunological findings in specimens from digestive organs and abdominal cavity
R855Abnormal microbiological findings in specimens from digestive organs and abdominal cavity
R8569Abnormal cytological findings in specimens from other digestive organs and abdominal cavity
R857Abnormal histological findings in specimens from digestive organs and abdominal cavity
R8589Other abnormal findings in specimens from digestive organs and abdominal cavity
R859Unspecified abnormal finding in specimens from digestive organs and abdominal cavity
R870Abnormal level of enzymes in specimens from female genital organs
R871Abnormal level of hormones in specimens from female genital organs
R872Abnormal level of other drugs, medicaments and biological substances in specimens from female genital organs
R873Abnormal level of substances chiefly nonmedicinal as to source in specimens from female genital organs
R874Abnormal immunological findings in specimens from female genital organs
R875Abnormal microbiological findings in specimens from female genital organs
R87618Other abnormal cytological findings on specimens from cervix uteri
R87619Unspecified abnormal cytological findings in specimens from cervix uteri
R87629Unspecified abnormal cytological findings in specimens from vagina
R8769Abnormal cytological findings in specimens from other female genital organs
R877Abnormal histological findings in specimens from female genital organs
R8789Other abnormal findings in specimens from female genital organs
R879Unspecified abnormal finding in specimens from female genital organs
R880Cloudy (hemodialysis) (peritoneal) dialysis effluent
R888Abnormal findings in other body fluids and substances
R890Abnormal level of enzymes in specimens from other organs, systems and tissues
R891Abnormal level of hormones in specimens from other organs, systems and tissues
R892Abnormal level of other drugs, medicaments and biological substances in specimens from other organs, systems and tissues
R893Abnormal level of substances chiefly nonmedicinal as to source in specimens from other organs, systems and tissues
R894Abnormal immunological findings in specimens from other organs, systems and tissues
R895Abnormal microbiological findings in specimens from other organs, systems and tissues
R896Abnormal cytological findings in specimens from other organs, systems and tissues
R897Abnormal histological findings in specimens from other organs, systems and tissues
R898Other abnormal findings in specimens from other organs, systems and tissues
R9089Other abnormal findings on diagnostic imaging of central nervous system
R9389Abnormal findings on diagnostic imaging of other specified body structures
R939Diagnostic imaging inconclusive due to excess body fat of patient
R970Elevated carcinoembryonic antigen [CEA]
R971Elevated cancer antigen 125 [CA 125]
R9720Elevated prostate specific antigen [PSA]
R9721Rising PSA following treatment for malignant neoplasm of prostate
R978Other abnormal tumor markers
R99Ill-defined and unknown cause of mortality
S0000XDUnspecified superficial injury of scalp, subsequent encounter
S0001XDAbrasion of scalp, subsequent encounter
S0002XDBlister (nonthermal) of scalp, subsequent encounter
S0003XDContusion of scalp, subsequent encounter
S0004XDExternal constriction of part of scalp, subsequent encounter
S0005XDSuperficial foreign body of scalp, subsequent encounter
S0006XDInsect bite (nonvenomous) of scalp, subsequent encounter
S0007XDOther superficial bite of scalp, subsequent encounter
S0010XDContusion of unspecified eyelid and periocular area, subsequent encounter
S0011XDContusion of right eyelid and periocular area, subsequent encounter
S0012XDContusion of left eyelid and periocular area, subsequent encounter
S00201DUnspecified superficial injury of right eyelid and periocular area, subsequent encounter
S00202DUnspecified superficial injury of left eyelid and periocular area, subsequent encounter
S00209DUnspecified superficial injury of unspecified eyelid and periocular area, subsequent encounter
S00211DAbrasion of right eyelid and periocular area, subsequent encounter
S00212DAbrasion of left eyelid and periocular area, subsequent encounter
S00219DAbrasion of unspecified eyelid and periocular area, subsequent encounter
S00221DBlister (nonthermal) of right eyelid and periocular area, subsequent encounter
S00222DBlister (nonthermal) of left eyelid and periocular area, subsequent encounter
S00229DBlister (nonthermal) of unspecified eyelid and periocular area, subsequent encounter
S00241DExternal constriction of right eyelid and periocular area, subsequent encounter
S00242DExternal constriction of left eyelid and periocular area, subsequent encounter
S00249DExternal constriction of unspecified eyelid and periocular area, subsequent encounter
S00251DSuperficial foreign body of right eyelid and periocular area, subsequent encounter
S00252DSuperficial foreign body of left eyelid and periocular area, subsequent encounter
S00259DSuperficial foreign body of unspecified eyelid and periocular area, subsequent encounter
S00261DInsect bite (nonvenomous) of right eyelid and periocular area, subsequent encounter
S00262DInsect bite (nonvenomous) of left eyelid and periocular area, subsequent encounter
S00269DInsect bite (nonvenomous) of unspecified eyelid and periocular area, subsequent encounter
S00271DOther superficial bite of right eyelid and periocular area, subsequent encounter
S00272DOther superficial bite of left eyelid and periocular area, subsequent encounter
S00279DOther superficial bite of unspecified eyelid and periocular area, subsequent encounter
S0030XDUnspecified superficial injury of nose, subsequent encounter
S0031XDAbrasion of nose, subsequent encounter
S0032XDBlister (nonthermal) of nose, subsequent encounter
S0033XDContusion of nose, subsequent encounter
S0034XDExternal constriction of nose, subsequent encounter
S0035XDSuperficial foreign body of nose, subsequent encounter
S0036XDInsect bite (nonvenomous) of nose, subsequent encounter
S0037XDOther superficial bite of nose, subsequent encounter
S00401DUnspecified superficial injury of right ear, subsequent encounter
S00402DUnspecified superficial injury of left ear, subsequent encounter
S00409DUnspecified superficial injury of unspecified ear, subsequent encounter
S00411DAbrasion of right ear, subsequent encounter
S00412DAbrasion of left ear, subsequent encounter
S00419DAbrasion of unspecified ear, subsequent encounter
S00421DBlister (nonthermal) of right ear, subsequent encounter
S00422DBlister (nonthermal) of left ear, subsequent encounter
S00429DBlister (nonthermal) of unspecified ear, subsequent encounter
S00431DContusion of right ear, subsequent encounter
S00432DContusion of left ear, subsequent encounter
S00439DContusion of unspecified ear, subsequent encounter
S00441DExternal constriction of right ear, subsequent encounter
S00442DExternal constriction of left ear, subsequent encounter
S00449DExternal constriction of unspecified ear, subsequent encounter
S00451DSuperficial foreign body of right ear, subsequent encounter
S00452DSuperficial foreign body of left ear, subsequent encounter
S00459DSuperficial foreign body of unspecified ear, subsequent encounter
S00461DInsect bite (nonvenomous) of right ear, subsequent encounter
S00462DInsect bite (nonvenomous) of left ear, subsequent encounter
S00469DInsect bite (nonvenomous) of unspecified ear, subsequent encounter
S00471DOther superficial bite of right ear, subsequent encounter
S00472DOther superficial bite of left ear, subsequent encounter
S00479DOther superficial bite of unspecified ear, subsequent encounter
S00501DUnspecified superficial injury of lip, subsequent encounter
S00502DUnspecified superficial injury of oral cavity, subsequent encounter
S00511DAbrasion of lip, subsequent encounter
S00512DAbrasion of oral cavity, subsequent encounter
S00521DBlister (nonthermal) of lip, subsequent encounter
S00522DBlister (nonthermal) of oral cavity, subsequent encounter
S00531DContusion of lip, subsequent encounter
S00532DContusion of oral cavity, subsequent encounter
S00541DExternal constriction of lip, subsequent encounter
S00542DExternal constriction of oral cavity, subsequent encounter
S00551DSuperficial foreign body of lip, subsequent encounter
S00552DSuperficial foreign body of oral cavity, subsequent encounter
S00561DInsect bite (nonvenomous) of lip, subsequent encounter
S00562DInsect bite (nonvenomous) of oral cavity, subsequent encounter
S00571DOther superficial bite of lip, subsequent encounter
S00572DOther superficial bite of oral cavity, subsequent encounter
S0080XDUnspecified superficial injury of other part of head, subsequent encounter
S0081XDAbrasion of other part of head, subsequent encounter
S0082XDBlister (nonthermal) of other part of head, subsequent encounter
S0083XDContusion of other part of head, subsequent encounter
S0084XDExternal constriction of other part of head, subsequent encounter
S0085XDSuperficial foreign body of other part of head, subsequent encounter
S0086XDInsect bite (nonvenomous) of other part of head, subsequent encounter
S0087XDOther superficial bite of other part of head, subsequent encounter
S0090XDUnspecified superficial injury of unspecified part of head, subsequent encounter
S0091XDAbrasion of unspecified part of head, subsequent encounter
S0092XDBlister (nonthermal) of unspecified part of head, subsequent encounter
S0093XDContusion of unspecified part of head, subsequent encounter
S0094XDExternal constriction of unspecified part of head, subsequent encounter
S0095XDSuperficial foreign body of unspecified part of head, subsequent encounter
S0096XDInsect bite (nonvenomous) of unspecified part of head, subsequent encounter
S0097XDOther superficial bite of unspecified part of head, subsequent encounter
S0100XDUnspecified open wound of scalp, subsequent encounter
S0101XDLaceration without foreign body of scalp, subsequent encounter
S0102XDLaceration with foreign body of scalp, subsequent encounter
S0103XDPuncture wound without foreign body of scalp, subsequent encounter
S0104XDPuncture wound with foreign body of scalp, subsequent encounter
S0105XDOpen bite of scalp, subsequent encounter
S01101DUnspecified open wound of right eyelid and periocular area, subsequent encounter
S01102DUnspecified open wound of left eyelid and periocular area, subsequent encounter
S01109DUnspecified open wound of unspecified eyelid and periocular area, subsequent encounter
S01111DLaceration without foreign body of right eyelid and periocular area, subsequent encounter
S01112DLaceration without foreign body of left eyelid and periocular area, subsequent encounter
S01119DLaceration without foreign body of unspecified eyelid and periocular area, subsequent encounter
S01121DLaceration with foreign body of right eyelid and periocular area, subsequent encounter
S01122DLaceration with foreign body of left eyelid and periocular area, subsequent encounter
S01129DLaceration with foreign body of unspecified eyelid and periocular area, subsequent encounter
S01131DPuncture wound without foreign body of right eyelid and periocular area, subsequent encounter
S01132DPuncture wound without foreign body of left eyelid and periocular area, subsequent encounter
S01139DPuncture wound without foreign body of unspecified eyelid and periocular area, subsequent encounter
S01141DPuncture wound with foreign body of right eyelid and periocular area, subsequent encounter
S01142DPuncture wound with foreign body of left eyelid and periocular area, subsequent encounter
S01149DPuncture wound with foreign body of unspecified eyelid and periocular area, subsequent encounter
S01151DOpen bite of right eyelid and periocular area, subsequent encounter
S01152DOpen bite of left eyelid and periocular area, subsequent encounter
S01159DOpen bite of unspecified eyelid and periocular area, subsequent encounter
S0120XDUnspecified open wound of nose, subsequent encounter
S0121XDLaceration without foreign body of nose, subsequent encounter
S0122XDLaceration with foreign body of nose, subsequent encounter
S0123XDPuncture wound without foreign body of nose, subsequent encounter
S0124XDPuncture wound with foreign body of nose, subsequent encounter
S0125XDOpen bite of nose, subsequent encounter
S01301DUnspecified open wound of right ear, subsequent encounter
S01302DUnspecified open wound of left ear, subsequent encounter
S01309DUnspecified open wound of unspecified ear, subsequent encounter
S01311DLaceration without foreign body of right ear, subsequent encounter



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
23 Mar 2020 12:40:01
CMS, code-revision=249, description-revision=1272