ICD-10-CM/PCS MS-DRGv33 Definitions Manual

Pre-MDC

Tracheostomy for Face, Mouth and Neck Diagnoses

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Tracheostomy for Face, Mouth and Neck Diagnoses
MCC	CC	DRG
Yes		011
No	Yes	012
No	No	013


DRG 011	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MCC
DRG 012	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH CC
DRG 013	TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITHOUT CC/MCC

LARYNGECTOMY

OPERATING ROOM PROCEDURES

0CTS0ZZ	Resection of Larynx, Open Approach
0CTS4ZZ	Resection of Larynx, Percutaneous Endoscopic Approach
0CTS7ZZ	Resection of Larynx, Via Natural or Artificial Opening
0CTS8ZZ	Resection of Larynx, Via Natural or Artificial Opening Endoscopic

TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES

OPERATING ROOM PROCEDURES

0B110F4	Bypass Trachea to Cutaneous with Tracheostomy Device, Open Approach
0B110Z4	Bypass Trachea to Cutaneous, Open Approach
0B114F4	Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Endoscopic Approach
0B114Z4	Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach

OR NON-OPERATING ROOM PROCEDURES

0B113F4	Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Approach
0B113Z4	Bypass Trachea to Cutaneous, Percutaneous Approach

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 classical Hodgkin lymphoma, lymph nodes of head, face, and neck
C8121	Mixed cellularity classical Hodgkin lymphoma, lymph nodes of head, face, and neck
C8131	Lymphocyte depleted classical Hodgkin lymphoma, lymph nodes of head, face, and neck
C8141	Lymphocyte-rich classical Hodgkin lymphoma, lymph nodes of head, face, and neck
C8171	Other classical 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
C962	Malignant mast cell tumor
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
K040	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
K0521	Aggressive periodontitis, localized
K0522	Aggressive periodontitis, generalized
K0530	Chronic periodontitis, unspecified
K0531	Chronic periodontitis, localized
K0532	Chronic periodontitis, generalized
K054	Periodontosis
K055	Other periodontal diseases
K056	Periodontal disease, unspecified
K060	Gingival recession
K061	Gingival enlargement
K062	Gingival and edentulous alveolar ridge lesions associated with trauma
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
K08132	Complete loss of teeth due to caries, class II
K08133	Complete loss of teeth due to caries, class III
K08134	Complete loss of teeth due to caries, class IV
K08139	Complete loss of teeth due to caries, unspecified class
K08191	Complete loss of teeth due to other specified cause, class I
K08192	Complete loss of teeth due to other specified cause, class II
K08193	Complete loss of teeth due to other specified cause, class III
K08194	Complete loss of teeth due to other specified cause, class IV
K08199	Complete loss of teeth due to other specified cause, unspecified class
K0820	Unspecified atrophy of edentulous alveolar ridge

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