ICD-10-CM/PCS MS-DRG v36.0 Definitions Manual

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MDC 03 Diseases & Disorders of the Ear, Nose, Mouth & Throat
Dental and Oral Diseases
Page 1 of 2
MCC CC DRG
Yes n/a 157
No Yes 158
No No 159

DRG 157 DENTAL AND ORAL DISEASES WITH MCC

DRG 158 DENTAL AND ORAL DISEASES WITH CC

DRG 159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC

PRINCIPAL DIAGNOSIS

A690Necrotizing ulcerative stomatitis
B002Herpesviral gingivostomatitis and pharyngotonsillitis
B370Candidal stomatitis
B3783Candidal cheilitis
D100Benign neoplasm of lip
D101Benign neoplasm of tongue
D102Benign neoplasm of floor of mouth
D1030Benign neoplasm of unspecified part of mouth
D1039Benign neoplasm of other parts of mouth
D165Benign neoplasm of lower jaw bone
K000Anodontia
K001Supernumerary teeth
K002Abnormalities of size and form of teeth
K003Mottled teeth
K004Disturbances in tooth formation
K005Hereditary disturbances in tooth structure, not elsewhere classified
K006Disturbances in tooth eruption
K007Teething syndrome
K008Other disorders of tooth development
K009Disorder of tooth development, unspecified
K010Embedded teeth
K011Impacted teeth
K023Arrested dental caries
K0251Dental caries on pit and fissure surface limited to enamel
K0252Dental caries on pit and fissure surface penetrating into dentin
K0253Dental caries on pit and fissure surface penetrating into pulp
K0261Dental caries on smooth surface limited to enamel
K0262Dental caries on smooth surface penetrating into dentin
K0263Dental caries on smooth surface penetrating into pulp
K027Dental root caries
K029Dental caries, unspecified
K030Excessive attrition of teeth
K031Abrasion of teeth
K032Erosion of teeth
K033Pathological resorption of teeth
K034Hypercementosis
K035Ankylosis of teeth
K036Deposits [accretions] on teeth
K037Posteruptive color changes of dental hard tissues
K0381Cracked tooth
K0389Other specified diseases of hard tissues of teeth
K039Disease of hard tissues of teeth, unspecified
K0401Reversible pulpitis
K0402Irreversible pulpitis
K041Necrosis of pulp
K042Pulp degeneration
K043Abnormal hard tissue formation in pulp
K044Acute apical periodontitis of pulpal origin
K045Chronic apical periodontitis
K046Periapical abscess with sinus
K047Periapical abscess without sinus
K048Radicular cyst
K0490Unspecified diseases of pulp and periapical tissues
K0499Other diseases of pulp and periapical tissues
K0500Acute gingivitis, plaque induced
K0501Acute gingivitis, non-plaque induced
K0510Chronic gingivitis, plaque induced
K0511Chronic gingivitis, non-plaque induced
K0520Aggressive periodontitis, unspecified
K05211Aggressive periodontitis, localized, slight
K05212Aggressive periodontitis, localized, moderate
K05213Aggressive periodontitis, localized, severe
K05219Aggressive periodontitis, localized, unspecified severity
K05221Aggressive periodontitis, generalized, slight
K05222Aggressive periodontitis, generalized, moderate
K05223Aggressive periodontitis, generalized, severe
K05229Aggressive periodontitis, generalized, unspecified severity
K0530Chronic periodontitis, unspecified
K05311Chronic periodontitis, localized, slight
K05312Chronic periodontitis, localized, moderate
K05313Chronic periodontitis, localized, severe
K05319Chronic periodontitis, localized, unspecified severity
K05321Chronic periodontitis, generalized, slight
K05322Chronic periodontitis, generalized, moderate
K05323Chronic periodontitis, generalized, severe
K05329Chronic periodontitis, generalized, unspecified severity
K054Periodontosis
K055Other periodontal diseases
K056Periodontal disease, unspecified
K06010Localized gingival recession, unspecified
K06011Localized gingival recession, minimal
K06012Localized gingival recession, moderate
K06013Localized gingival recession, severe
K06020Generalized gingival recession, unspecified
K06021Generalized gingival recession, minimal
K06022Generalized gingival recession, moderate
K06023Generalized gingival recession, severe
K061Gingival enlargement
K062Gingival and edentulous alveolar ridge lesions associated with trauma
K063Horizontal alveolar bone loss
K068Other specified disorders of gingiva and edentulous alveolar ridge
K069Disorder of gingiva and edentulous alveolar ridge, unspecified
K080Exfoliation of teeth due to systemic causes
K08101Complete loss of teeth, unspecified cause, class I
K08102Complete loss of teeth, unspecified cause, class II
K08103Complete loss of teeth, unspecified cause, class III
K08104Complete loss of teeth, unspecified cause, class IV
K08109Complete loss of teeth, unspecified cause, unspecified class
K08111Complete loss of teeth due to trauma, class I
K08112Complete loss of teeth due to trauma, class II
K08113Complete loss of teeth due to trauma, class III
K08114Complete loss of teeth due to trauma, class IV
K08119Complete loss of teeth due to trauma, unspecified class
K08121Complete loss of teeth due to periodontal diseases, class I
K08122Complete loss of teeth due to periodontal diseases, class II
K08123Complete loss of teeth due to periodontal diseases, class III
K08124Complete loss of teeth due to periodontal diseases, class IV
K08129Complete loss of teeth due to periodontal diseases, unspecified class
K08131Complete loss of teeth due to caries, class I
K08132Complete loss of teeth due to caries, class II
K08133Complete loss of teeth due to caries, class III
K08134Complete loss of teeth due to caries, class IV
K08139Complete loss of teeth due to caries, unspecified class
K08191Complete loss of teeth due to other specified cause, class I
K08192Complete loss of teeth due to other specified cause, class II
K08193Complete loss of teeth due to other specified cause, class III
K08194Complete loss of teeth due to other specified cause, class IV
K08199Complete loss of teeth due to other specified cause, unspecified class
K0820Unspecified atrophy of edentulous alveolar ridge
K0821Minimal atrophy of the mandible
K0822Moderate atrophy of the mandible
K0823Severe atrophy of the mandible
K0824Minimal atrophy of maxilla
K0825Moderate atrophy of the maxilla
K0826Severe atrophy of the maxilla
K083Retained dental root
K08401Partial loss of teeth, unspecified cause, class I
K08402Partial loss of teeth, unspecified cause, class II
K08403Partial loss of teeth, unspecified cause, class III
K08404Partial loss of teeth, unspecified cause, class IV
K08409Partial loss of teeth, unspecified cause, unspecified class
K08411Partial loss of teeth due to trauma, class I
K08412Partial loss of teeth due to trauma, class II
K08413Partial loss of teeth due to trauma, class III
K08414Partial loss of teeth due to trauma, class IV
K08419Partial loss of teeth due to trauma, unspecified class
K08421Partial loss of teeth due to periodontal diseases, class I
K08422Partial loss of teeth due to periodontal diseases, class II
K08423Partial loss of teeth due to periodontal diseases, class III
K08424Partial loss of teeth due to periodontal diseases, class IV
K08429Partial loss of teeth due to periodontal diseases, unspecified class
K08431Partial loss of teeth due to caries, class I
K08432Partial loss of teeth due to caries, class II
K08433Partial loss of teeth due to caries, class III
K08434Partial loss of teeth due to caries, class IV
K08439Partial loss of teeth due to caries, unspecified class
K08491Partial loss of teeth due to other specified cause, class I
K08492Partial loss of teeth due to other specified cause, class II
K08493Partial loss of teeth due to other specified cause, class III
K08494Partial loss of teeth due to other specified cause, class IV
K08499Partial loss of teeth due to other specified cause, unspecified class
K0850Unsatisfactory restoration of tooth, unspecified
K0851Open restoration margins of tooth
K0852Unrepairable overhanging of dental restorative materials
K08530Fractured dental restorative material without loss of material
K08531Fractured dental restorative material with loss of material
K08539Fractured dental restorative material, unspecified
K0854Contour of existing restoration of tooth biologically incompatible with oral health
K0855Allergy to existing dental restorative material
K0856Poor aesthetic of existing restoration of tooth
K0859Other unsatisfactory restoration of tooth
K0881Primary occlusal trauma
K0882Secondary occlusal trauma
K0889Other specified disorders of teeth and supporting structures
K089Disorder of teeth and supporting structures, unspecified
K090Developmental odontogenic cysts
K091Developmental (nonodontogenic) cysts of oral region
K098Other cysts of oral region, not elsewhere classified
K099Cyst of oral region, unspecified
K120Recurrent oral aphthae
K121Other forms of stomatitis
K122Cellulitis and abscess of mouth
K1230Oral mucositis (ulcerative), unspecified
K1231Oral mucositis (ulcerative) due to antineoplastic therapy
K1232Oral mucositis (ulcerative) due to other drugs
K1233Oral mucositis (ulcerative) due to radiation
K1239Other oral mucositis (ulcerative)
K130Diseases of lips
K131Cheek and lip biting
K1321Leukoplakia of oral mucosa, including tongue
K1322Minimal keratinized residual ridge mucosa
K1323Excessive keratinized residual ridge mucosa
K1324Leukokeratosis nicotina palati
K1329Other disturbances of oral epithelium, including tongue
K133Hairy leukoplakia
K134Granuloma and granuloma-like lesions of oral mucosa
K135Oral submucous fibrosis
K136Irritative hyperplasia of oral mucosa
K1370Unspecified lesions of oral mucosa
K1379Other lesions of oral mucosa
K140Glossitis
K141Geographic tongue
K142Median rhomboid glossitis
K143Hypertrophy of tongue papillae
K144Atrophy of tongue papillae
K145Plicated tongue
K146Glossodynia
K148Other diseases of tongue
K149Disease of tongue, unspecified
M2600Unspecified anomaly of jaw size
M2601Maxillary hyperplasia
M2602Maxillary hypoplasia
M2603Mandibular hyperplasia
M2604Mandibular hypoplasia
M2605Macrogenia
M2606Microgenia
M2607Excessive tuberosity of jaw
M2609Other specified anomalies of jaw size
M2610Unspecified anomaly of jaw-cranial base relationship
M2611Maxillary asymmetry
M2612Other jaw asymmetry
M2619Other specified anomalies of jaw-cranial base relationship
M2620Unspecified anomaly of dental arch relationship
M26211Malocclusion, Angle's class I
M26212Malocclusion, Angle's class II
M26213Malocclusion, Angle's class III
M26219Malocclusion, Angle's class, unspecified
M26220Open anterior occlusal relationship
M26221Open posterior occlusal relationship
M2623Excessive horizontal overlap
M2624Reverse articulation
M2625Anomalies of interarch distance
M2629Other anomalies of dental arch relationship
M2630Unspecified anomaly of tooth position of fully erupted tooth or teeth
M2631Crowding of fully erupted teeth
M2632Excessive spacing of fully erupted teeth
M2633Horizontal displacement of fully erupted tooth or teeth
M2634Vertical displacement of fully erupted tooth or teeth
M2635Rotation of fully erupted tooth or teeth
M2636Insufficient interocclusal distance of fully erupted teeth (ridge)
M2637Excessive interocclusal distance of fully erupted teeth
M2639Other anomalies of tooth position of fully erupted tooth or teeth
M264Malocclusion, unspecified
M2650Dentofacial functional abnormalities, unspecified
M2651Abnormal jaw closure
M2652Limited mandibular range of motion
M2653Deviation in opening and closing of the mandible
M2654Insufficient anterior guidance
M2655Centric occlusion maximum intercuspation discrepancy
M2656Non-working side interference
M2657Lack of posterior occlusal support
M2659Other dentofacial functional abnormalities
M26601Right temporomandibular joint disorder, unspecified
M26602Left temporomandibular joint disorder, unspecified
M26603Bilateral temporomandibular joint disorder, unspecified
M26609Unspecified temporomandibular joint disorder, unspecified side
M26611Adhesions and ankylosis of right temporomandibular joint
M26612Adhesions and ankylosis of left temporomandibular joint
M26613Adhesions and ankylosis of bilateral temporomandibular joint
M26619Adhesions and ankylosis of temporomandibular joint, unspecified side
M26621Arthralgia of right temporomandibular joint
M26622Arthralgia of left temporomandibular joint
M26623Arthralgia of bilateral temporomandibular joint
M26629Arthralgia of temporomandibular joint, unspecified side
M26631Articular disc disorder of right temporomandibular joint
M26632Articular disc disorder of left temporomandibular joint
M26633Articular disc disorder of bilateral temporomandibular joint
M26639Articular disc disorder of temporomandibular joint, unspecified side
M2669Other specified disorders of temporomandibular joint
M2670Unspecified alveolar anomaly
M2671Alveolar maxillary hyperplasia
M2672Alveolar mandibular hyperplasia
M2673Alveolar maxillary hypoplasia
M2674Alveolar mandibular hypoplasia
M2679Other specified alveolar anomalies
M2681Anterior soft tissue impingement
M2682Posterior soft tissue impingement
M2689Other dentofacial anomalies
M269Dentofacial anomaly, unspecified
M270Developmental disorders of jaws
M271Giant cell granuloma, central
M272Inflammatory conditions of jaws
M273Alveolitis of jaws
M2740Unspecified cyst of jaw
M2749Other cysts of jaw
M2751Perforation of root canal space due to endodontic treatment
M2752Endodontic overfill
M2753Endodontic underfill
M2759Other periradicular pathology associated with previous endodontic treatment
M2761Osseointegration failure of dental implant
M2762Post-osseointegration biological failure of dental implant
M2763Post-osseointegration mechanical failure of dental implant
M2769Other endosseous dental implant failure
M278Other specified diseases of jaws
M279Disease of jaws, unspecified
Q184Macrostomia
Q185Microstomia
Q186Macrocheilia
Q187Microcheilia
Q351Cleft hard palate
Q353Cleft soft palate
Q355Cleft hard palate with cleft soft palate
Q357Cleft uvula
Q359Cleft palate, unspecified
Q360Cleft lip, bilateral
Q361Cleft lip, median
Q369Cleft lip, unilateral
Q370Cleft hard palate with bilateral cleft lip
Q371Cleft hard palate with unilateral cleft lip
Q372Cleft soft palate with bilateral cleft lip
Q373Cleft soft palate with unilateral cleft lip
Q374Cleft hard and soft palate with bilateral cleft lip
Q375Cleft hard and soft palate with unilateral cleft lip
Q378Unspecified cleft palate with bilateral cleft lip
Q379Unspecified cleft palate with unilateral cleft lip
Q380Congenital malformations of lips, not elsewhere classified
Q381Ankyloglossia
Q382Macroglossia
Q383Other congenital malformations of tongue
Q386Other congenital malformations of mouth
R6884Jaw pain
S01501AUnspecified open wound of lip, initial encounter
S01502AUnspecified open wound of oral cavity, initial encounter
S01511ALaceration without foreign body of lip, initial encounter
S01512ALaceration without foreign body of oral cavity, initial encounter
S01521ALaceration with foreign body of lip, initial encounter
S01522ALaceration with foreign body of oral cavity, initial encounter
S01531APuncture wound without foreign body of lip, initial encounter
S01532APuncture wound without foreign body of oral cavity, initial encounter
S01541APuncture wound with foreign body of lip, initial encounter
S01542APuncture wound with foreign body of oral cavity, initial encounter
S01551AOpen bite of lip, initial encounter
S01552AOpen bite of oral cavity, initial encounter
S02400AMalar fracture, unspecified side, initial encounter for closed fracture
S02400BMalar fracture, unspecified side, initial encounter for open fracture
S02401AMaxillary fracture, unspecified side, initial encounter for closed fracture
S02401BMaxillary fracture, unspecified side, initial encounter for open fracture
S02402AZygomatic fracture, unspecified side, initial encounter for closed fracture
S02402BZygomatic fracture, unspecified side, initial encounter for open fracture
S0240AAMalar fracture, right side, initial encounter for closed fracture
S0240ABMalar fracture, right side, initial encounter for open fracture
S0240BAMalar fracture, left side, initial encounter for closed fracture
S0240BBMalar fracture, left side, initial encounter for open fracture
S0240CAMaxillary fracture, right side, initial encounter for closed fracture
S0240CBMaxillary fracture, right side, initial encounter for open fracture
S0240DAMaxillary fracture, left side, initial encounter for closed fracture
S0240DBMaxillary fracture, left side, initial encounter for open fracture
S0240EAZygomatic fracture, right side, initial encounter for closed fracture
S0240EBZygomatic fracture, right side, initial encounter for open fracture
S0240FAZygomatic fracture, left side, initial encounter for closed fracture
S0240FBZygomatic fracture, left side, initial encounter for open fracture
S02411ALeFort I fracture, initial encounter for closed fracture
S02411BLeFort I fracture, initial encounter for open fracture
S02412ALeFort II fracture, initial encounter for closed fracture
S02412BLeFort II fracture, initial encounter for open fracture
S02413ALeFort III fracture, initial encounter for closed fracture
S02413BLeFort III fracture, initial encounter for open fracture
S025XXAFracture of tooth (traumatic), initial encounter for closed fracture
S025XXBFracture of tooth (traumatic), initial encounter for open fracture
S02600AFracture of unspecified part of body of mandible, unspecified side, initial encounter for closed fracture
S02600BFracture of unspecified part of body of mandible, unspecified side, initial encounter for open fracture
S02601AFracture of unspecified part of body of right mandible, initial encounter for closed fracture
S02601BFracture of unspecified part of body of right mandible, initial encounter for open fracture
S02602AFracture of unspecified part of body of left mandible, initial encounter for closed fracture
S02602BFracture of unspecified part of body of left mandible, initial encounter for open fracture
S02609AFracture of mandible, unspecified, initial encounter for closed fracture
S02609BFracture of mandible, unspecified, initial encounter for open fracture
S02610AFracture of condylar process of mandible, unspecified side, initial encounter for closed fracture
S02610BFracture of condylar process of mandible, unspecified side, initial encounter for open fracture
S02611AFracture of condylar process of right mandible, initial encounter for closed fracture
S02611BFracture of condylar process of right mandible, initial encounter for open fracture
S02612AFracture of condylar process of left mandible, initial encounter for closed fracture
S02612BFracture of condylar process of left mandible, initial encounter for open fracture
S02620AFracture of subcondylar process of mandible, unspecified side, initial encounter for closed fracture
S02620BFracture of subcondylar process of mandible, unspecified side, initial encounter for open fracture
S02621AFracture of subcondylar process of right mandible, initial encounter for closed fracture
S02621BFracture of subcondylar process of right mandible, initial encounter for open fracture
S02622AFracture of subcondylar process of left mandible, initial encounter for closed fracture
S02622BFracture of subcondylar process of left mandible, initial encounter for open fracture
S02630AFracture of coronoid process of mandible, unspecified side, initial encounter for closed fracture
S02630BFracture of coronoid process of mandible, unspecified side, initial encounter for open fracture
S02631AFracture of coronoid process of right mandible, initial encounter for closed fracture
S02631BFracture of coronoid process of right mandible, initial encounter for open fracture
S02632AFracture of coronoid process of left mandible, initial encounter for closed fracture
S02632BFracture of coronoid process of left mandible, initial encounter for open fracture
S02640AFracture of ramus of mandible, unspecified side, initial encounter for closed fracture
S02640BFracture of ramus of mandible, unspecified side, initial encounter for open fracture
S02641AFracture of ramus of right mandible, initial encounter for closed fracture
S02641BFracture of ramus of right mandible, initial encounter for open fracture
S02642AFracture of ramus of left mandible, initial encounter for closed fracture
S02642BFracture of ramus of left mandible, initial encounter for open fracture
S02650AFracture of angle of mandible, unspecified side, initial encounter for closed fracture
S02650BFracture of angle of mandible, unspecified side, initial encounter for open fracture
S02651AFracture of angle of right mandible, initial encounter for closed fracture
S02651BFracture of angle of right mandible, initial encounter for open fracture
S02652AFracture of angle of left mandible, initial encounter for closed fracture
S02652BFracture of angle of left mandible, initial encounter for open fracture
S0266XAFracture of symphysis of mandible, initial encounter for closed fracture
S0266XBFracture of symphysis of mandible, initial encounter for open fracture
S02670AFracture of alveolus of mandible, unspecified side, initial encounter for closed fracture
S02670BFracture of alveolus of mandible, unspecified side, initial encounter for open fracture
S02671AFracture of alveolus of right mandible, initial encounter for closed fracture
S02671BFracture of alveolus of right mandible, initial encounter for open fracture



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