ICD-10-CM/PCS MS-DRG v37.1 R1 Definitions Manual
Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
Appendix H Part 1: Diagnoses Defined as Major Complications or Comorbidities
Page 3 of 9
A021 I63423 O411033 S06315A S25492A S42265B S52562C S72436C T3253
O411033Infection of amniotic sac and membranes, unspecified, third trimester, fetus 3
O411034Infection of amniotic sac and membranes, unspecified, third trimester, fetus 4
O411035Infection of amniotic sac and membranes, unspecified, third trimester, fetus 5
O411039Infection of amniotic sac and membranes, unspecified, third trimester, other fetus
O411210Chorioamnionitis, first trimester, not applicable or unspecified
O411211Chorioamnionitis, first trimester, fetus 1
O411212Chorioamnionitis, first trimester, fetus 2
O411213Chorioamnionitis, first trimester, fetus 3
O411214Chorioamnionitis, first trimester, fetus 4
O411215Chorioamnionitis, first trimester, fetus 5
O411219Chorioamnionitis, first trimester, other fetus
O411220Chorioamnionitis, second trimester, not applicable or unspecified
O411221Chorioamnionitis, second trimester, fetus 1
O411222Chorioamnionitis, second trimester, fetus 2
O411223Chorioamnionitis, second trimester, fetus 3
O411224Chorioamnionitis, second trimester, fetus 4
O411225Chorioamnionitis, second trimester, fetus 5
O411229Chorioamnionitis, second trimester, other fetus
O411230Chorioamnionitis, third trimester, not applicable or unspecified
O411231Chorioamnionitis, third trimester, fetus 1
O411232Chorioamnionitis, third trimester, fetus 2
O411233Chorioamnionitis, third trimester, fetus 3
O411234Chorioamnionitis, third trimester, fetus 4
O411235Chorioamnionitis, third trimester, fetus 5
O411239Chorioamnionitis, third trimester, other fetus
O411410Placentitis, first trimester, not applicable or unspecified
O411411Placentitis, first trimester, fetus 1
O411412Placentitis, first trimester, fetus 2
O411413Placentitis, first trimester, fetus 3
O411414Placentitis, first trimester, fetus 4
O411415Placentitis, first trimester, fetus 5
O411419Placentitis, first trimester, other fetus
O411420Placentitis, second trimester, not applicable or unspecified
O411421Placentitis, second trimester, fetus 1
O411422Placentitis, second trimester, fetus 2
O411423Placentitis, second trimester, fetus 3
O411424Placentitis, second trimester, fetus 4
O411425Placentitis, second trimester, fetus 5
O411429Placentitis, second trimester, other fetus
O411430Placentitis, third trimester, not applicable or unspecified
O411431Placentitis, third trimester, fetus 1
O411432Placentitis, third trimester, fetus 2
O411433Placentitis, third trimester, fetus 3
O411434Placentitis, third trimester, fetus 4
O411435Placentitis, third trimester, fetus 5
O411439Placentitis, third trimester, other fetus
O4411Complete placenta previa with hemorrhage, first trimester
O4412Complete placenta previa with hemorrhage, second trimester
O4413Complete placenta previa with hemorrhage, third trimester
O4431Partial placenta previa with hemorrhage, first trimester
O4432Partial placenta previa with hemorrhage, second trimester
O4433Partial placenta previa with hemorrhage, third trimester
O4451Low lying placenta with hemorrhage, first trimester
O4452Low lying placenta with hemorrhage, second trimester
O4453Low lying placenta with hemorrhage, third trimester
O45001Premature separation of placenta with coagulation defect, unspecified, first trimester
O45002Premature separation of placenta with coagulation defect, unspecified, second trimester
O45003Premature separation of placenta with coagulation defect, unspecified, third trimester
O45011Premature separation of placenta with afibrinogenemia, first trimester
O45012Premature separation of placenta with afibrinogenemia, second trimester
O45013Premature separation of placenta with afibrinogenemia, third trimester
O45021Premature separation of placenta with disseminated intravascular coagulation, first trimester
O45022Premature separation of placenta with disseminated intravascular coagulation, second trimester
O45023Premature separation of placenta with disseminated intravascular coagulation, third trimester
O45091Premature separation of placenta with other coagulation defect, first trimester
O45092Premature separation of placenta with other coagulation defect, second trimester
O45093Premature separation of placenta with other coagulation defect, third trimester
O458X1Other premature separation of placenta, first trimester
O458X2Other premature separation of placenta, second trimester
O458X3Other premature separation of placenta, third trimester
O4591Premature separation of placenta, unspecified, first trimester
O4592Premature separation of placenta, unspecified, second trimester
O4593Premature separation of placenta, unspecified, third trimester
O46001Antepartum hemorrhage with coagulation defect, unspecified, first trimester
O46002Antepartum hemorrhage with coagulation defect, unspecified, second trimester
O46003Antepartum hemorrhage with coagulation defect, unspecified, third trimester
O46011Antepartum hemorrhage with afibrinogenemia, first trimester
O46012Antepartum hemorrhage with afibrinogenemia, second trimester
O46013Antepartum hemorrhage with afibrinogenemia, third trimester
O46021Antepartum hemorrhage with disseminated intravascular coagulation, first trimester
O46022Antepartum hemorrhage with disseminated intravascular coagulation, second trimester
O46023Antepartum hemorrhage with disseminated intravascular coagulation, third trimester
O46091Antepartum hemorrhage with other coagulation defect, first trimester
O46092Antepartum hemorrhage with other coagulation defect, second trimester
O46093Antepartum hemorrhage with other coagulation defect, third trimester
O6002Preterm labor without delivery, second trimester
O6003Preterm labor without delivery, third trimester
O6012X0Preterm labor second trimester with preterm delivery second trimester, not applicable or unspecified
O6012X1Preterm labor second trimester with preterm delivery second trimester, fetus 1
O6012X2Preterm labor second trimester with preterm delivery second trimester, fetus 2
O6012X3Preterm labor second trimester with preterm delivery second trimester, fetus 3
O6012X4Preterm labor second trimester with preterm delivery second trimester, fetus 4
O6012X5Preterm labor second trimester with preterm delivery second trimester, fetus 5
O6012X9Preterm labor second trimester with preterm delivery second trimester, other fetus
O6013X0Preterm labor second trimester with preterm delivery third trimester, not applicable or unspecified
O6013X1Preterm labor second trimester with preterm delivery third trimester, fetus 1
O6013X2Preterm labor second trimester with preterm delivery third trimester, fetus 2
O6013X3Preterm labor second trimester with preterm delivery third trimester, fetus 3
O6013X4Preterm labor second trimester with preterm delivery third trimester, fetus 4
O6013X5Preterm labor second trimester with preterm delivery third trimester, fetus 5
O6013X9Preterm labor second trimester with preterm delivery third trimester, other fetus
O6014X0Preterm labor third trimester with preterm delivery third trimester, not applicable or unspecified
O6014X1Preterm labor third trimester with preterm delivery third trimester, fetus 1
O6014X2Preterm labor third trimester with preterm delivery third trimester, fetus 2
O6014X3Preterm labor third trimester with preterm delivery third trimester, fetus 3
O6014X4Preterm labor third trimester with preterm delivery third trimester, fetus 4
O6014X5Preterm labor third trimester with preterm delivery third trimester, fetus 5
O6014X9Preterm labor third trimester with preterm delivery third trimester, other fetus
O6022X0Term delivery with preterm labor, second trimester, not applicable or unspecified
O6022X1Term delivery with preterm labor, second trimester, fetus 1
O6022X2Term delivery with preterm labor, second trimester, fetus 2
O6022X3Term delivery with preterm labor, second trimester, fetus 3
O6022X4Term delivery with preterm labor, second trimester, fetus 4
O6022X5Term delivery with preterm labor, second trimester, fetus 5
O6022X9Term delivery with preterm labor, second trimester, other fetus
O6023X0Term delivery with preterm labor, third trimester, not applicable or unspecified
O6023X1Term delivery with preterm labor, third trimester, fetus 1
O6023X2Term delivery with preterm labor, third trimester, fetus 2
O6023X3Term delivery with preterm labor, third trimester, fetus 3
O6023X4Term delivery with preterm labor, third trimester, fetus 4
O6023X5Term delivery with preterm labor, third trimester, fetus 5
O6023X9Term delivery with preterm labor, third trimester, other fetus
O670Intrapartum hemorrhage with coagulation defect
O7102Rupture of uterus before onset of labor, second trimester
O7103Rupture of uterus before onset of labor, third trimester
O711Rupture of uterus during labor
O751Shock during or following labor and delivery
O753Other infection during labor
O85Puerperal sepsis
O8604Sepsis following an obstetrical procedure
O8681Puerperal septic thrombophlebitis
O8689Other specified puerperal infections
O871Deep phlebothrombosis in the puerperium
O88011Air embolism in pregnancy, first trimester
O88012Air embolism in pregnancy, second trimester
O88013Air embolism in pregnancy, third trimester
O8802Air embolism in childbirth
O8803Air embolism in the puerperium
O88111Amniotic fluid embolism in pregnancy, first trimester
O88112Amniotic fluid embolism in pregnancy, second trimester
O88113Amniotic fluid embolism in pregnancy, third trimester
O8812Amniotic fluid embolism in childbirth
O8813Amniotic fluid embolism in the puerperium
O88211Thromboembolism in pregnancy, first trimester
O88212Thromboembolism in pregnancy, second trimester
O88213Thromboembolism in pregnancy, third trimester
O8822Thromboembolism in childbirth
O8823Thromboembolism in the puerperium
O88311Pyemic and septic embolism in pregnancy, first trimester
O88312Pyemic and septic embolism in pregnancy, second trimester
O88313Pyemic and septic embolism in pregnancy, third trimester
O8832Pyemic and septic embolism in childbirth
O8833Pyemic and septic embolism in the puerperium
O88811Other embolism in pregnancy, first trimester
O88812Other embolism in pregnancy, second trimester
O88813Other embolism in pregnancy, third trimester
O8882Other embolism in childbirth
O8883Other embolism in the puerperium
O903Peripartum cardiomyopathy
O904Postpartum acute kidney failure
O9942Diseases of the circulatory system complicating childbirth
P100Subdural hemorrhage due to birth injury
P101Cerebral hemorrhage due to birth injury
P103Subarachnoid hemorrhage due to birth injury
P104Tentorial tear due to birth injury
P108Other intracranial lacerations and hemorrhages due to birth injury
P109Unspecified intracranial laceration and hemorrhage due to birth injury
P110Cerebral edema due to birth injury
P112Unspecified brain damage due to birth injury
P119Birth injury to central nervous system, unspecified
P220Respiratory distress syndrome of newborn
P230Congenital pneumonia due to viral agent
P231Congenital pneumonia due to Chlamydia
P232Congenital pneumonia due to staphylococcus
P233Congenital pneumonia due to streptococcus, group B
P234Congenital pneumonia due to Escherichia coli
P235Congenital pneumonia due to Pseudomonas
P236Congenital pneumonia due to other bacterial agents
P238Congenital pneumonia due to other organisms
P239Congenital pneumonia, unspecified
P2401Meconium aspiration with respiratory symptoms
P2411Neonatal aspiration of (clear) amniotic fluid and mucus with respiratory symptoms
P2421Neonatal aspiration of blood with respiratory symptoms
P2431Neonatal aspiration of milk and regurgitated food with respiratory symptoms
P2481Other neonatal aspiration with respiratory symptoms
P250Interstitial emphysema originating in the perinatal period
P251Pneumothorax originating in the perinatal period
P252Pneumomediastinum originating in the perinatal period
P253Pneumopericardium originating in the perinatal period
P258Other conditions related to interstitial emphysema originating in the perinatal period
P260Tracheobronchial hemorrhage originating in the perinatal period
P261Massive pulmonary hemorrhage originating in the perinatal period
P268Other pulmonary hemorrhages originating in the perinatal period
P269Unspecified pulmonary hemorrhage originating in the perinatal period
P270Wilson-Mikity syndrome
P271Bronchopulmonary dysplasia originating in the perinatal period
P278Other chronic respiratory diseases originating in the perinatal period
P279Unspecified chronic respiratory disease originating in the perinatal period
P285Respiratory failure of newborn
P2881Respiratory arrest of newborn
P2930Pulmonary hypertension of newborn
P2938Other persistent fetal circulation
P2981Cardiac arrest of newborn
P351Congenital cytomegalovirus infection
P352Congenital herpesviral [herpes simplex] infection
P353Congenital viral hepatitis
P354Congenital Zika virus disease
P358Other congenital viral diseases
P359Congenital viral disease, unspecified
P360Sepsis of newborn due to streptococcus, group B
P3610Sepsis of newborn due to unspecified streptococci
P3619Sepsis of newborn due to other streptococci
P362Sepsis of newborn due to Staphylococcus aureus
P3630Sepsis of newborn due to unspecified staphylococci
P3639Sepsis of newborn due to other staphylococci
P364Sepsis of newborn due to Escherichia coli
P365Sepsis of newborn due to anaerobes
P368Other bacterial sepsis of newborn
P369Bacterial sepsis of newborn, unspecified
P370Congenital tuberculosis
P371Congenital toxoplasmosis
P372Neonatal (disseminated) listeriosis
P373Congenital falciparum malaria
P374Other congenital malaria
P378Other specified congenital infectious and parasitic diseases
P379Congenital infectious or parasitic disease, unspecified
P5221Intraventricular (nontraumatic) hemorrhage, grade 3, of newborn
P5222Intraventricular (nontraumatic) hemorrhage, grade 4, of newborn
P524Intracerebral (nontraumatic) hemorrhage of newborn
P525Subarachnoid (nontraumatic) hemorrhage of newborn
P526Cerebellar (nontraumatic) and posterior fossa hemorrhage of newborn
P528Other intracranial (nontraumatic) hemorrhages of newborn
P529Intracranial (nontraumatic) hemorrhage of newborn, unspecified
P541Neonatal melena
P542Neonatal rectal hemorrhage
P543Other neonatal gastrointestinal hemorrhage
P560Hydrops fetalis due to isoimmunization
P5690Hydrops fetalis due to unspecified hemolytic disease
P5699Hydrops fetalis due to other hemolytic disease
P570Kernicterus due to isoimmunization
P578Other specified kernicterus
P579Kernicterus, unspecified
P591Inspissated bile syndrome
P5920Neonatal jaundice from unspecified hepatocellular damage
P5929Neonatal jaundice from other hepatocellular damage
P60Disseminated intravascular coagulation of newborn
P610Transient neonatal thrombocytopenia
P615Transient neonatal neutropenia
P740Late metabolic acidosis of newborn
P771Stage 1 necrotizing enterocolitis in newborn
P772Stage 2 necrotizing enterocolitis in newborn
P773Stage 3 necrotizing enterocolitis in newborn
P779Necrotizing enterocolitis in newborn, unspecified
P780Perinatal intestinal perforation
P832Hydrops fetalis not due to hemolytic disease
P90Convulsions of newborn
P910Neonatal cerebral ischemia
P911Acquired periventricular cysts of newborn
P912Neonatal cerebral leukomalacia
P913Neonatal cerebral irritability
P914Neonatal cerebral depression
P915Neonatal coma
P9163Severe hypoxic ischemic encephalopathy [HIE]
P9201Bilious vomiting of newborn
Q000Anencephaly
Q001Craniorachischisis
Q002Iniencephaly
Q040Congenital malformations of corpus callosum
Q041Arhinencephaly
Q042Holoprosencephaly
Q043Other reduction deformities of brain
Q200Common arterial trunk
Q201Double outlet right ventricle
Q202Double outlet left ventricle
Q203Discordant ventriculoarterial connection
Q204Double inlet ventricle
Q213Tetralogy of Fallot
Q220Pulmonary valve atresia
Q224Congenital tricuspid stenosis
Q225Ebstein's anomaly
Q226Hypoplastic right heart syndrome
Q228Other congenital malformations of tricuspid valve
Q229Congenital malformation of tricuspid valve, unspecified
Q234Hypoplastic left heart syndrome
Q242Cor triatriatum
Q244Congenital subaortic stenosis
Q246Congenital heart block
Q255Atresia of pulmonary artery
Q256Stenosis of pulmonary artery
Q2571Coarctation of pulmonary artery
Q2572Congenital pulmonary arteriovenous malformation
Q2579Other congenital malformations of pulmonary artery
Q282Arteriovenous malformation of cerebral vessels
Q283Other malformations of cerebral vessels
Q332Sequestration of lung
Q333Agenesis of lung
Q336Congenital hypoplasia and dysplasia of lung
Q390Atresia of esophagus without fistula
Q391Atresia of esophagus with tracheo-esophageal fistula
Q392Congenital tracheo-esophageal fistula without atresia
Q393Congenital stenosis and stricture of esophagus
Q394Esophageal web
Q442Atresia of bile ducts
Q443Congenital stenosis and stricture of bile ducts
Q790Congenital diaphragmatic hernia
Q791Other congenital malformations of diaphragm
Q792Exomphalos
Q793Gastroschisis
Q794Prune belly syndrome
Q7951Congenital hernia of bladder
Q7959Other congenital malformations of abdominal wall
Q894Conjoined twins
Q9381Velo-cardio-facial syndrome
R092Respiratory arrest
R4020Unspecified coma
R402110Coma scale, eyes open, never, unspecified time
R402111Coma scale, eyes open, never, in the field [EMT or ambulance]
R402112Coma scale, eyes open, never, at arrival to emergency department
R402113Coma scale, eyes open, never, at hospital admission
R402114Coma scale, eyes open, never, 24 hours or more after hospital admission
R402120Coma scale, eyes open, to pain, unspecified time
R402121Coma scale, eyes open, to pain, in the field [EMT or ambulance]
R402122Coma scale, eyes open, to pain, at arrival to emergency department
R402123Coma scale, eyes open, to pain, at hospital admission
R402124Coma scale, eyes open, to pain, 24 hours or more after hospital admission
R402210Coma scale, best verbal response, none, unspecified time
R402211Coma scale, best verbal response, none, in the field [EMT or ambulance]
R402212Coma scale, best verbal response, none, at arrival to emergency department
R402213Coma scale, best verbal response, none, at hospital admission
R402214Coma scale, best verbal response, none, 24 hours or more after hospital admission
R402220Coma scale, best verbal response, incomprehensible words, unspecified time
R402221Coma scale, best verbal response, incomprehensible words, in the field [EMT or ambulance]
R402222Coma scale, best verbal response, incomprehensible words, at arrival to emergency department
R402223Coma scale, best verbal response, incomprehensible words, at hospital admission
R402224Coma scale, best verbal response, incomprehensible words, 24 hours or more after hospital admission
R402310Coma scale, best motor response, none, unspecified time
R402311Coma scale, best motor response, none, in the field [EMT or ambulance]
R402312Coma scale, best motor response, none, at arrival to emergency department
R402313Coma scale, best motor response, none, at hospital admission
R402314Coma scale, best motor response, none, 24 hours or more after hospital admission
R402320Coma scale, best motor response, extension, unspecified time
R402321Coma scale, best motor response, extension, in the field [EMT or ambulance]
R402322Coma scale, best motor response, extension, at arrival to emergency department
R402323Coma scale, best motor response, extension, at hospital admission
R402324Coma scale, best motor response, extension, 24 hours or more after hospital admission
R402340Coma scale, best motor response, flexion withdrawal, unspecified time
R402341Coma scale, best motor response, flexion withdrawal, in the field [EMT or ambulance]
R402342Coma scale, best motor response, flexion withdrawal, at arrival to emergency department
R402343Coma scale, best motor response, flexion withdrawal, at hospital admission
R402344Coma scale, best motor response, flexion withdrawal, 24 hours or more after hospital admission
R532Functional quadriplegia
R570Cardiogenic shock
R571Hypovolemic shock
R578Other shock
R6511Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction
R6520Severe sepsis without septic shock
R6521Severe sepsis with septic shock
S020XXBFracture of vault of skull, initial encounter for open fracture
S02101BFracture of base of skull, right side, initial encounter for open fracture
S02102BFracture of base of skull, left side, initial encounter for open fracture
S02109BFracture of base of skull, unspecified side, initial encounter for open fracture
S02110BType I occipital condyle fracture, unspecified side, initial encounter for open fracture
S02111BType II occipital condyle fracture, unspecified side, initial encounter for open fracture
S02112BType III occipital condyle fracture, unspecified side, initial encounter for open fracture
S02113BUnspecified occipital condyle fracture, initial encounter for open fracture
S02118BOther fracture of occiput, unspecified side, initial encounter for open fracture
S02119BUnspecified fracture of occiput, initial encounter for open fracture
S0211ABType I occipital condyle fracture, right side, initial encounter for open fracture
S0211BBType I occipital condyle fracture, left side, initial encounter for open fracture
S0211CBType II occipital condyle fracture, right side, initial encounter for open fracture
S0211DBType II occipital condyle fracture, left side, initial encounter for open fracture
S0211EBType III occipital condyle fracture, right side, initial encounter for open fracture
S0211FBType III occipital condyle fracture, left side, initial encounter for open fracture
S0211GBOther fracture of occiput, right side, initial encounter for open fracture
S0211HBOther fracture of occiput, left side, initial encounter for open fracture
S02121BFracture of orbital roof, right side, initial encounter for open fracture
S02122BFracture of orbital roof, left side, initial encounter for open fracture
S02129BFracture of orbital roof, unspecified side, initial encounter for open fracture
S0219XBOther fracture of base of skull, initial encounter for open fracture
S0291XBUnspecified fracture of skull, initial encounter for open fracture
S061X0ATraumatic cerebral edema without loss of consciousness, initial encounter
S061X1ATraumatic cerebral edema with loss of consciousness of 30 minutes or less, initial encounter
S061X2ATraumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S061X3ATraumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S061X4ATraumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounter
S061X5ATraumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S061X6ATraumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S061X7ATraumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S061X8ATraumatic cerebral edema with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S061X9ATraumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter
S062X6ADiffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S062X7ADiffuse traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S062X8ADiffuse traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06306AUnspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06307AUnspecified focal traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06308AUnspecified focal traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S06310AContusion and laceration of right cerebrum without loss of consciousness, initial encounter
S06311AContusion and laceration of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter
S06312AContusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06313AContusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06314AContusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial 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