ICD-10-CM/PCS MS-DRG v36.0 Definitions Manual
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MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy
MCC CC DRG
Yes n/a 542
No Yes 543
No No 544

DRG 542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC

DRG 543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC

DRG 544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC

PRINCIPAL DIAGNOSIS

C4000Malignant neoplasm of scapula and long bones of unspecified upper limb
C4001Malignant neoplasm of scapula and long bones of right upper limb
C4002Malignant neoplasm of scapula and long bones of left upper limb
C4010Malignant neoplasm of short bones of unspecified upper limb
C4011Malignant neoplasm of short bones of right upper limb
C4012Malignant neoplasm of short bones of left upper limb
C4020Malignant neoplasm of long bones of unspecified lower limb
C4021Malignant neoplasm of long bones of right lower limb
C4022Malignant neoplasm of long bones of left lower limb
C4030Malignant neoplasm of short bones of unspecified lower limb
C4031Malignant neoplasm of short bones of right lower limb
C4032Malignant neoplasm of short bones of left lower limb
C4080Malignant neoplasm of overlapping sites of bone and articular cartilage of unspecified limb
C4081Malignant neoplasm of overlapping sites of bone and articular cartilage of right limb
C4082Malignant neoplasm of overlapping sites of bone and articular cartilage of left limb
C4090Malignant neoplasm of unspecified bones and articular cartilage of unspecified limb
C4091Malignant neoplasm of unspecified bones and articular cartilage of right limb
C4092Malignant neoplasm of unspecified bones and articular cartilage of left limb
C410Malignant neoplasm of bones of skull and face
C411Malignant neoplasm of mandible
C412Malignant neoplasm of vertebral column
C413Malignant neoplasm of ribs, sternum and clavicle
C414Malignant neoplasm of pelvic bones, sacrum and coccyx
C419Malignant neoplasm of bone and articular cartilage, unspecified
C470Malignant neoplasm of peripheral nerves of head, face and neck
C4710Malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder
C4711Malignant neoplasm of peripheral nerves of right upper limb, including shoulder
C4712Malignant neoplasm of peripheral nerves of left upper limb, including shoulder
C4720Malignant neoplasm of peripheral nerves of unspecified lower limb, including hip
C4721Malignant neoplasm of peripheral nerves of right lower limb, including hip
C4722Malignant neoplasm of peripheral nerves of left lower limb, including hip
C473Malignant neoplasm of peripheral nerves of thorax
C474Malignant neoplasm of peripheral nerves of abdomen
C475Malignant neoplasm of peripheral nerves of pelvis
C476Malignant neoplasm of peripheral nerves of trunk, unspecified
C478Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system
C479Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecified
C490Malignant neoplasm of connective and soft tissue of head, face and neck
C4910Malignant neoplasm of connective and soft tissue of unspecified upper limb, including shoulder
C4911Malignant neoplasm of connective and soft tissue of right upper limb, including shoulder
C4912Malignant neoplasm of connective and soft tissue of left upper limb, including shoulder
C4920Malignant neoplasm of connective and soft tissue of unspecified lower limb, including hip
C4921Malignant neoplasm of connective and soft tissue of right lower limb, including hip
C4922Malignant neoplasm of connective and soft tissue of left lower limb, including hip
C493Malignant neoplasm of connective and soft tissue of thorax
C494Malignant neoplasm of connective and soft tissue of abdomen
C495Malignant neoplasm of connective and soft tissue of pelvis
C496Malignant neoplasm of connective and soft tissue of trunk, unspecified
C498Malignant neoplasm of overlapping sites of connective and soft tissue
C499Malignant neoplasm of connective and soft tissue, unspecified
C49A0Gastrointestinal stromal tumor, unspecified site
C49A1Gastrointestinal stromal tumor of esophagus
C49A2Gastrointestinal stromal tumor of stomach
C49A3Gastrointestinal stromal tumor of small intestine
C49A4Gastrointestinal stromal tumor of large intestine
C49A5Gastrointestinal stromal tumor of rectum
C49A9Gastrointestinal stromal tumor of other sites
C7951Secondary malignant neoplasm of bone
C7952Secondary malignant neoplasm of bone marrow
C7B03Secondary carcinoid tumors of bone
D480Neoplasm of uncertain behavior of bone and articular cartilage
M301Polyarteritis with lung involvement [Churg-Strauss]
M312Lethal midline granuloma
M3130Wegener's granulomatosis without renal involvement
M3131Wegener's granulomatosis with renal involvement
M4840XAFatigue fracture of vertebra, site unspecified, initial encounter for fracture
M4841XAFatigue fracture of vertebra, occipito-atlanto-axial region, initial encounter for fracture
M4842XAFatigue fracture of vertebra, cervical region, initial encounter for fracture
M4843XAFatigue fracture of vertebra, cervicothoracic region, initial encounter for fracture
M4844XAFatigue fracture of vertebra, thoracic region, initial encounter for fracture
M4845XAFatigue fracture of vertebra, thoracolumbar region, initial encounter for fracture
M4846XAFatigue fracture of vertebra, lumbar region, initial encounter for fracture
M4847XAFatigue fracture of vertebra, lumbosacral region, initial encounter for fracture
M4848XAFatigue fracture of vertebra, sacral and sacrococcygeal region, initial encounter for fracture
M4850XACollapsed vertebra, not elsewhere classified, site unspecified, initial encounter for fracture
M4851XACollapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, initial encounter for fracture
M4852XACollapsed vertebra, not elsewhere classified, cervical region, initial encounter for fracture
M4853XACollapsed vertebra, not elsewhere classified, cervicothoracic region, initial encounter for fracture
M4854XACollapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture
M4855XACollapsed vertebra, not elsewhere classified, thoracolumbar region, initial encounter for fracture
M4856XACollapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture
M4857XACollapsed vertebra, not elsewhere classified, lumbosacral region, initial encounter for fracture
M4858XACollapsed vertebra, not elsewhere classified, sacral and sacrococcygeal region, initial encounter for fracture
M8000XAAge-related osteoporosis with current pathological fracture, unspecified site, initial encounter for fracture
M80011AAge-related osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture
M80012AAge-related osteoporosis with current pathological fracture, left shoulder, initial encounter for fracture
M80019AAge-related osteoporosis with current pathological fracture, unspecified shoulder, initial encounter for fracture
M80021AAge-related osteoporosis with current pathological fracture, right humerus, initial encounter for fracture
M80022AAge-related osteoporosis with current pathological fracture, left humerus, initial encounter for fracture
M80029AAge-related osteoporosis with current pathological fracture, unspecified humerus, initial encounter for fracture
M80031AAge-related osteoporosis with current pathological fracture, right forearm, initial encounter for fracture
M80032AAge-related osteoporosis with current pathological fracture, left forearm, initial encounter for fracture
M80039AAge-related osteoporosis with current pathological fracture, unspecified forearm, initial encounter for fracture
M80041AAge-related osteoporosis with current pathological fracture, right hand, initial encounter for fracture
M80042AAge-related osteoporosis with current pathological fracture, left hand, initial encounter for fracture
M80049AAge-related osteoporosis with current pathological fracture, unspecified hand, initial encounter for fracture
M80051AAge-related osteoporosis with current pathological fracture, right femur, initial encounter for fracture
M80052AAge-related osteoporosis with current pathological fracture, left femur, initial encounter for fracture
M80059AAge-related osteoporosis with current pathological fracture, unspecified femur, initial encounter for fracture
M80061AAge-related osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture
M80062AAge-related osteoporosis with current pathological fracture, left lower leg, initial encounter for fracture
M80069AAge-related osteoporosis with current pathological fracture, unspecified lower leg, initial encounter for fracture
M80071AAge-related osteoporosis with current pathological fracture, right ankle and foot, initial encounter for fracture
M80072AAge-related osteoporosis with current pathological fracture, left ankle and foot, initial encounter for fracture
M80079AAge-related osteoporosis with current pathological fracture, unspecified ankle and foot, initial encounter for fracture
M8008XAAge-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture
M8080XAOther osteoporosis with current pathological fracture, unspecified site, initial encounter for fracture
M80811AOther osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture
M80812AOther osteoporosis with current pathological fracture, left shoulder, initial encounter for fracture
M80819AOther osteoporosis with current pathological fracture, unspecified shoulder, initial encounter for fracture
M80821AOther osteoporosis with current pathological fracture, right humerus, initial encounter for fracture
M80822AOther osteoporosis with current pathological fracture, left humerus, initial encounter for fracture
M80829AOther osteoporosis with current pathological fracture, unspecified humerus, initial encounter for fracture
M80831AOther osteoporosis with current pathological fracture, right forearm, initial encounter for fracture
M80832AOther osteoporosis with current pathological fracture, left forearm, initial encounter for fracture
M80839AOther osteoporosis with current pathological fracture, unspecified forearm, initial encounter for fracture
M80841AOther osteoporosis with current pathological fracture, right hand, initial encounter for fracture
M80842AOther osteoporosis with current pathological fracture, left hand, initial encounter for fracture
M80849AOther osteoporosis with current pathological fracture, unspecified hand, initial encounter for fracture
M80851AOther osteoporosis with current pathological fracture, right femur, initial encounter for fracture
M80852AOther osteoporosis with current pathological fracture, left femur, initial encounter for fracture
M80859AOther osteoporosis with current pathological fracture, unspecified femur, initial encounter for fracture
M80861AOther osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture
M80862AOther osteoporosis with current pathological fracture, left lower leg, initial encounter for fracture
M80869AOther osteoporosis with current pathological fracture, unspecified lower leg, initial encounter for fracture
M80871AOther osteoporosis with current pathological fracture, right ankle and foot, initial encounter for fracture
M80872AOther osteoporosis with current pathological fracture, left ankle and foot, initial encounter for fracture
M80879AOther osteoporosis with current pathological fracture, unspecified ankle and foot, initial encounter for fracture
M8088XAOther osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture
M8430XAStress fracture, unspecified site, initial encounter for fracture
M84311AStress fracture, right shoulder, initial encounter for fracture
M84312AStress fracture, left shoulder, initial encounter for fracture
M84319AStress fracture, unspecified shoulder, initial encounter for fracture
M84321AStress fracture, right humerus, initial encounter for fracture
M84322AStress fracture, left humerus, initial encounter for fracture
M84329AStress fracture, unspecified humerus, initial encounter for fracture
M84331AStress fracture, right ulna, initial encounter for fracture
M84332AStress fracture, left ulna, initial encounter for fracture
M84333AStress fracture, right radius, initial encounter for fracture
M84334AStress fracture, left radius, initial encounter for fracture
M84339AStress fracture, unspecified ulna and radius, initial encounter for fracture
M84341AStress fracture, right hand, initial encounter for fracture
M84342AStress fracture, left hand, initial encounter for fracture
M84343AStress fracture, unspecified hand, initial encounter for fracture
M84344AStress fracture, right finger(s), initial encounter for fracture
M84345AStress fracture, left finger(s), initial encounter for fracture
M84346AStress fracture, unspecified finger(s), initial encounter for fracture
M84350AStress fracture, pelvis, initial encounter for fracture
M84351AStress fracture, right femur, initial encounter for fracture
M84352AStress fracture, left femur, initial encounter for fracture
M84353AStress fracture, unspecified femur, initial encounter for fracture
M84359AStress fracture, hip, unspecified, initial encounter for fracture
M84361AStress fracture, right tibia, initial encounter for fracture
M84362AStress fracture, left tibia, initial encounter for fracture
M84363AStress fracture, right fibula, initial encounter for fracture
M84364AStress fracture, left fibula, initial encounter for fracture
M84369AStress fracture, unspecified tibia and fibula, initial encounter for fracture
M84371AStress fracture, right ankle, initial encounter for fracture
M84372AStress fracture, left ankle, initial encounter for fracture
M84373AStress fracture, unspecified ankle, initial encounter for fracture
M84374AStress fracture, right foot, initial encounter for fracture
M84375AStress fracture, left foot, initial encounter for fracture
M84376AStress fracture, unspecified foot, initial encounter for fracture
M84377AStress fracture, right toe(s), initial encounter for fracture
M84378AStress fracture, left toe(s), initial encounter for fracture
M84379AStress fracture, unspecified toe(s), initial encounter for fracture
M8438XAStress fracture, other site, initial encounter for fracture
M8440XAPathological fracture, unspecified site, initial encounter for fracture
M84411APathological fracture, right shoulder, initial encounter for fracture
M84412APathological fracture, left shoulder, initial encounter for fracture
M84419APathological fracture, unspecified shoulder, initial encounter for fracture
M84421APathological fracture, right humerus, initial encounter for fracture
M84422APathological fracture, left humerus, initial encounter for fracture
M84429APathological fracture, unspecified humerus, initial encounter for fracture
M84431APathological fracture, right ulna, initial encounter for fracture
M84432APathological fracture, left ulna, initial encounter for fracture
M84433APathological fracture, right radius, initial encounter for fracture
M84434APathological fracture, left radius, initial encounter for fracture
M84439APathological fracture, unspecified ulna and radius, initial encounter for fracture
M84441APathological fracture, right hand, initial encounter for fracture
M84442APathological fracture, left hand, initial encounter for fracture
M84443APathological fracture, unspecified hand, initial encounter for fracture
M84444APathological fracture, right finger(s), initial encounter for fracture
M84445APathological fracture, left finger(s), initial encounter for fracture
M84446APathological fracture, unspecified finger(s), initial encounter for fracture
M84451APathological fracture, right femur, initial encounter for fracture
M84452APathological fracture, left femur, initial encounter for fracture
M84453APathological fracture, unspecified femur, initial encounter for fracture
M84454APathological fracture, pelvis, initial encounter for fracture
M84459APathological fracture, hip, unspecified, initial encounter for fracture
M84461APathological fracture, right tibia, initial encounter for fracture
M84462APathological fracture, left tibia, initial encounter for fracture
M84463APathological fracture, right fibula, initial encounter for fracture
M84464APathological fracture, left fibula, initial encounter for fracture
M84469APathological fracture, unspecified tibia and fibula, initial encounter for fracture
M84471APathological fracture, right ankle, initial encounter for fracture
M84472APathological fracture, left ankle, initial encounter for fracture
M84473APathological fracture, unspecified ankle, initial encounter for fracture
M84474APathological fracture, right foot, initial encounter for fracture
M84475APathological fracture, left foot, initial encounter for fracture
M84476APathological fracture, unspecified foot, initial encounter for fracture
M84477APathological fracture, right toe(s), initial encounter for fracture
M84478APathological fracture, left toe(s), initial encounter for fracture
M84479APathological fracture, unspecified toe(s), initial encounter for fracture
M8448XAPathological fracture, other site, initial encounter for fracture
M8450XAPathological fracture in neoplastic disease, unspecified site, initial encounter for fracture
M84511APathological fracture in neoplastic disease, right shoulder, initial encounter for fracture
M84512APathological fracture in neoplastic disease, left shoulder, initial encounter for fracture
M84519APathological fracture in neoplastic disease, unspecified shoulder, initial encounter for fracture
M84521APathological fracture in neoplastic disease, right humerus, initial encounter for fracture
M84522APathological fracture in neoplastic disease, left humerus, initial encounter for fracture
M84529APathological fracture in neoplastic disease, unspecified humerus, initial encounter for fracture
M84531APathological fracture in neoplastic disease, right ulna, initial encounter for fracture
M84532APathological fracture in neoplastic disease, left ulna, initial encounter for fracture
M84533APathological fracture in neoplastic disease, right radius, initial encounter for fracture
M84534APathological fracture in neoplastic disease, left radius, initial encounter for fracture
M84539APathological fracture in neoplastic disease, unspecified ulna and radius, initial encounter for fracture
M84541APathological fracture in neoplastic disease, right hand, initial encounter for fracture
M84542APathological fracture in neoplastic disease, left hand, initial encounter for fracture
M84549APathological fracture in neoplastic disease, unspecified hand, initial encounter for fracture
M84550APathological fracture in neoplastic disease, pelvis, initial encounter for fracture
M84551APathological fracture in neoplastic disease, right femur, initial encounter for fracture
M84552APathological fracture in neoplastic disease, left femur, initial encounter for fracture
M84553APathological fracture in neoplastic disease, unspecified femur, initial encounter for fracture
M84559APathological fracture in neoplastic disease, hip, unspecified, initial encounter for fracture
M84561APathological fracture in neoplastic disease, right tibia, initial encounter for fracture
M84562APathological fracture in neoplastic disease, left tibia, initial encounter for fracture
M84563APathological fracture in neoplastic disease, right fibula, initial encounter for fracture
M84564APathological fracture in neoplastic disease, left fibula, initial encounter for fracture
M84569APathological fracture in neoplastic disease, unspecified tibia and fibula, initial encounter for fracture
M84571APathological fracture in neoplastic disease, right ankle, initial encounter for fracture
M84572APathological fracture in neoplastic disease, left ankle, initial encounter for fracture
M84573APathological fracture in neoplastic disease, unspecified ankle, initial encounter for fracture
M84574APathological fracture in neoplastic disease, right foot, initial encounter for fracture
M84575APathological fracture in neoplastic disease, left foot, initial encounter for fracture
M84576APathological fracture in neoplastic disease, unspecified foot, initial encounter for fracture
M8458XAPathological fracture in neoplastic disease, other specified site, initial encounter for fracture
M8460XAPathological fracture in other disease, unspecified site, initial encounter for fracture
M84611APathological fracture in other disease, right shoulder, initial encounter for fracture
M84612APathological fracture in other disease, left shoulder, initial encounter for fracture
M84619APathological fracture in other disease, unspecified shoulder, initial encounter for fracture
M84621APathological fracture in other disease, right humerus, initial encounter for fracture
M84622APathological fracture in other disease, left humerus, initial encounter for fracture
M84629APathological fracture in other disease, unspecified humerus, initial encounter for fracture
M84631APathological fracture in other disease, right ulna, initial encounter for fracture
M84632APathological fracture in other disease, left ulna, initial encounter for fracture
M84633APathological fracture in other disease, right radius, initial encounter for fracture
M84634APathological fracture in other disease, left radius, initial encounter for fracture
M84639APathological fracture in other disease, unspecified ulna and radius, initial encounter for fracture
M84641APathological fracture in other disease, right hand, initial encounter for fracture
M84642APathological fracture in other disease, left hand, initial encounter for fracture
M84649APathological fracture in other disease, unspecified hand, initial encounter for fracture
M84650APathological fracture in other disease, pelvis, initial encounter for fracture
M84651APathological fracture in other disease, right femur, initial encounter for fracture
M84652APathological fracture in other disease, left femur, initial encounter for fracture
M84653APathological fracture in other disease, unspecified femur, initial encounter for fracture
M84659APathological fracture in other disease, hip, unspecified, initial encounter for fracture
M84661APathological fracture in other disease, right tibia, initial encounter for fracture
M84662APathological fracture in other disease, left tibia, initial encounter for fracture
M84663APathological fracture in other disease, right fibula, initial encounter for fracture
M84664APathological fracture in other disease, left fibula, initial encounter for fracture
M84669APathological fracture in other disease, unspecified tibia and fibula, initial encounter for fracture
M84671APathological fracture in other disease, right ankle, initial encounter for fracture
M84672APathological fracture in other disease, left ankle, initial encounter for fracture
M84673APathological fracture in other disease, unspecified ankle, initial encounter for fracture
M84674APathological fracture in other disease, right foot, initial encounter for fracture
M84675APathological fracture in other disease, left foot, initial encounter for fracture
M84676APathological fracture in other disease, unspecified foot, initial encounter for fracture
M8468XAPathological fracture in other disease, other site, initial encounter for fracture
M84750AAtypical femoral fracture, unspecified, initial encounter for fracture
M84751AIncomplete atypical femoral fracture, right leg, initial encounter for fracture
M84752AIncomplete atypical femoral fracture, left leg, initial encounter for fracture
M84753AIncomplete atypical femoral fracture, unspecified leg, initial encounter for fracture
M84754AComplete transverse atypical femoral fracture, right leg, initial encounter for fracture
M84755AComplete transverse atypical femoral fracture, left leg, initial encounter for fracture
M84756AComplete transverse atypical femoral fracture, unspecified leg, initial encounter for fracture
M84757AComplete oblique atypical femoral fracture, right leg, initial encounter for fracture
M84758AComplete oblique atypical femoral fracture, left leg, initial encounter for fracture
M84759AComplete oblique atypical femoral fracture, unspecified leg, initial encounter for fracture



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