ICD-10-CM/PCS MS-DRG v36.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v36.0 Definitions Manual |
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| 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 |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 04 Oct 2018 16:21:08 CMS, code-revision=145, description-revision=1114 |