ICD-10-CM/PCS MS-DRG v36.0 Definitions Manual
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MDC 18 Infectious & Parasitic Diseases, Systemic or Unspecified Sites
Septicemia or Severe Sepsis
ECMO MV >96 Hours MCC DRG
No Yes n/a 870
Yes No n/a 870
No Yes n/a 871
No No n/a 872

DRG 870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

DRG 871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC

DRG 872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC

SEPTICEMIA

PRINCIPAL DIAGNOSIS

A021Salmonella sepsis
A207Septicemic plague
A227Anthrax sepsis
A267Erysipelothrix sepsis
A327Listerial sepsis
A391Waterhouse-Friderichsen syndrome
A392Acute meningococcemia
A393Chronic meningococcemia
A394Meningococcemia, unspecified
A3989Other meningococcal infections
A399Meningococcal infection, unspecified
A400Sepsis due to streptococcus, group A
A401Sepsis due to streptococcus, group B
A403Sepsis due to Streptococcus pneumoniae
A408Other streptococcal sepsis
A409Streptococcal sepsis, unspecified
A4101Sepsis due to Methicillin susceptible Staphylococcus aureus
A4102Sepsis due to Methicillin resistant Staphylococcus aureus
A411Sepsis due to other specified staphylococcus
A412Sepsis due to unspecified staphylococcus
A413Sepsis due to Hemophilus influenzae
A414Sepsis due to anaerobes
A4150Gram-negative sepsis, unspecified
A4151Sepsis due to Escherichia coli [E. coli]
A4152Sepsis due to Pseudomonas
A4153Sepsis due to Serratia
A4159Other Gram-negative sepsis
A4181Sepsis due to Enterococcus
A4189Other specified sepsis
A419Sepsis, unspecified organism
A427Actinomycotic sepsis
A5486Gonococcal sepsis
B007Disseminated herpesviral disease
B377Candidal sepsis
R571Hypovolemic shock
R578Other shock
R6520Severe sepsis without septic shock
R6521Severe sepsis with septic shock
R7881Bacteremia

ECMO

NON-OPERATING ROOM PROCEDURES

5A1522G*Extracorporeal Oxygenation, Membrane, Peripheral Veno-arterial
5A1522H*Extracorporeal Oxygenation, Membrane, Peripheral Veno-venous

MECHANICAL VENTILATION >96 HOURS

5A1955Z*Respiratory Ventilation, Greater than 96 Consecutive Hours



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
04 Oct 2018 16:21:08
CMS, code-revision=145, description-revision=1114