ICD-10-CM/PCS MS-DRG v37.2 Definitions Manual
Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
Appendix C: Principal diagnoses which convert CC/MCC to non-CC
Page 96 of 360
PDX Collection 0783 (continued)
K4090Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
K4091Unilateral inguinal hernia, without obstruction or gangrene, recurrent
K4100Bilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent
K4101Bilateral femoral hernia, with obstruction, without gangrene, recurrent
K4110Bilateral femoral hernia, with gangrene, not specified as recurrent
K4111Bilateral femoral hernia, with gangrene, recurrent
K4120Bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent
K4121Bilateral femoral hernia, without obstruction or gangrene, recurrent
K4130Unilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent
K4131Unilateral femoral hernia, with obstruction, without gangrene, recurrent
K4140Unilateral femoral hernia, with gangrene, not specified as recurrent
K4141Unilateral femoral hernia, with gangrene, recurrent
K4190Unilateral femoral hernia, without obstruction or gangrene, not specified as recurrent
K4191Unilateral femoral hernia, without obstruction or gangrene, recurrent
K420Umbilical hernia with obstruction, without gangrene
K421Umbilical hernia with gangrene
K429Umbilical hernia without obstruction or gangrene
K430Incisional hernia with obstruction, without gangrene
K431Incisional hernia with gangrene
K432Incisional hernia without obstruction or gangrene
K433Parastomal hernia with obstruction, without gangrene
K434Parastomal hernia with gangrene
K435Parastomal hernia without obstruction or gangrene
K436Other and unspecified ventral hernia with obstruction, without gangrene
K437Other and unspecified ventral hernia with gangrene
K439Ventral hernia without obstruction or gangrene
K440Diaphragmatic hernia with obstruction, without gangrene
K441Diaphragmatic hernia with gangrene
K449Diaphragmatic hernia without obstruction or gangrene
K450Other specified abdominal hernia with obstruction, without gangrene
K451Other specified abdominal hernia with gangrene
K458Other specified abdominal hernia without obstruction or gangrene
K460Unspecified abdominal hernia with obstruction, without gangrene
K461Unspecified abdominal hernia with gangrene
K469Unspecified abdominal hernia without obstruction or gangrene
 
PDX Collection 0784
K3189Other diseases of stomach and duodenum
K319Disease of stomach and duodenum, unspecified
K4000Bilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent
K4001Bilateral inguinal hernia, with obstruction, without gangrene, recurrent
K4010Bilateral inguinal hernia, with gangrene, not specified as recurrent
K4011Bilateral inguinal hernia, with gangrene, recurrent
K4020Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
K4021Bilateral inguinal hernia, without obstruction or gangrene, recurrent
K4030Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent
K4031Unilateral inguinal hernia, with obstruction, without gangrene, recurrent
K4040Unilateral inguinal hernia, with gangrene, not specified as recurrent
K4041Unilateral inguinal hernia, with gangrene, recurrent
K4090Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
K4091Unilateral inguinal hernia, without obstruction or gangrene, recurrent
K4100Bilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent
K4101Bilateral femoral hernia, with obstruction, without gangrene, recurrent
K4110Bilateral femoral hernia, with gangrene, not specified as recurrent
K4111Bilateral femoral hernia, with gangrene, recurrent
K4120Bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent
K4121Bilateral femoral hernia, without obstruction or gangrene, recurrent
K4130Unilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent
K4131Unilateral femoral hernia, with obstruction, without gangrene, recurrent
K4140Unilateral femoral hernia, with gangrene, not specified as recurrent
K4141Unilateral femoral hernia, with gangrene, recurrent
K4190Unilateral femoral hernia, without obstruction or gangrene, not specified as recurrent
K4191Unilateral femoral hernia, without obstruction or gangrene, recurrent
K420Umbilical hernia with obstruction, without gangrene
K421Umbilical hernia with gangrene
K429Umbilical hernia without obstruction or gangrene
K430Incisional hernia with obstruction, without gangrene
K431Incisional hernia with gangrene
K432Incisional hernia without obstruction or gangrene
K433Parastomal hernia with obstruction, without gangrene
K434Parastomal hernia with gangrene
K435Parastomal hernia without obstruction or gangrene
K436Other and unspecified ventral hernia with obstruction, without gangrene
K437Other and unspecified ventral hernia with gangrene
K439Ventral hernia without obstruction or gangrene
K440Diaphragmatic hernia with obstruction, without gangrene
K441Diaphragmatic hernia with gangrene
K449Diaphragmatic hernia without obstruction or gangrene
K450Other specified abdominal hernia with obstruction, without gangrene
K451Other specified abdominal hernia with gangrene
K458Other specified abdominal hernia without obstruction or gangrene
K460Unspecified abdominal hernia with obstruction, without gangrene
K461Unspecified abdominal hernia with gangrene
K469Unspecified abdominal hernia without obstruction or gangrene
K9281Gastrointestinal mucositis (ulcerative)
 
PDX Collection 0785
K5000Crohn's disease of small intestine without complications
K50011Crohn's disease of small intestine with rectal bleeding
K50012Crohn's disease of small intestine with intestinal obstruction
K50013Crohn's disease of small intestine with fistula
K50014Crohn's disease of small intestine with abscess
K50018Crohn's disease of small intestine with other complication
K50019Crohn's disease of small intestine with unspecified complications
K5010Crohn's disease of large intestine without complications
K50111Crohn's disease of large intestine with rectal bleeding
K50112Crohn's disease of large intestine with intestinal obstruction
K50113Crohn's disease of large intestine with fistula
K50114Crohn's disease of large intestine with abscess
K50118Crohn's disease of large intestine with other complication
K50119Crohn's disease of large intestine with unspecified complications
K5080Crohn's disease of both small and large intestine without complications
K50811Crohn's disease of both small and large intestine with rectal bleeding
K50812Crohn's disease of both small and large intestine with intestinal obstruction
K50813Crohn's disease of both small and large intestine with fistula
K50814Crohn's disease of both small and large intestine with abscess
K50818Crohn's disease of both small and large intestine with other complication
K50819Crohn's disease of both small and large intestine with unspecified complications
K5090Crohn's disease, unspecified, without complications
K50911Crohn's disease, unspecified, with rectal bleeding
K50912Crohn's disease, unspecified, with intestinal obstruction
K50913Crohn's disease, unspecified, with fistula
K50914Crohn's disease, unspecified, with abscess
K50918Crohn's disease, unspecified, with other complication
K50919Crohn's disease, unspecified, with unspecified complications
K5100Ulcerative (chronic) pancolitis without complications
K51011Ulcerative (chronic) pancolitis with rectal bleeding
K51012Ulcerative (chronic) pancolitis with intestinal obstruction
K51013Ulcerative (chronic) pancolitis with fistula
K51014Ulcerative (chronic) pancolitis with abscess
K51018Ulcerative (chronic) pancolitis with other complication
K51019Ulcerative (chronic) pancolitis with unspecified complications
K5120Ulcerative (chronic) proctitis without complications
K51211Ulcerative (chronic) proctitis with rectal bleeding
K51212Ulcerative (chronic) proctitis with intestinal obstruction
K51213Ulcerative (chronic) proctitis with fistula
K51214Ulcerative (chronic) proctitis with abscess
K51218Ulcerative (chronic) proctitis with other complication
K51219Ulcerative (chronic) proctitis with unspecified complications
K5130Ulcerative (chronic) rectosigmoiditis without complications
K51311Ulcerative (chronic) rectosigmoiditis with rectal bleeding
K51312Ulcerative (chronic) rectosigmoiditis with intestinal obstruction
K51313Ulcerative (chronic) rectosigmoiditis with fistula
K51314Ulcerative (chronic) rectosigmoiditis with abscess
K51318Ulcerative (chronic) rectosigmoiditis with other complication
K51319Ulcerative (chronic) rectosigmoiditis with unspecified complications
K5140Inflammatory polyps of colon without complications
K51411Inflammatory polyps of colon with rectal bleeding
K51412Inflammatory polyps of colon with intestinal obstruction
K51413Inflammatory polyps of colon with fistula
K51414Inflammatory polyps of colon with abscess
K51418Inflammatory polyps of colon with other complication
K51419Inflammatory polyps of colon with unspecified complications
K5150Left sided colitis without complications
K51511Left sided colitis with rectal bleeding
K51512Left sided colitis with intestinal obstruction
K51513Left sided colitis with fistula
K51514Left sided colitis with abscess
K51518Left sided colitis with other complication
K51519Left sided colitis with unspecified complications
K5180Other ulcerative colitis without complications
K51811Other ulcerative colitis with rectal bleeding
K51812Other ulcerative colitis with intestinal obstruction
K51813Other ulcerative colitis with fistula
K51814Other ulcerative colitis with abscess
K51818Other ulcerative colitis with other complication
K51819Other ulcerative colitis with unspecified complications
K5190Ulcerative colitis, unspecified, without complications
K51911Ulcerative colitis, unspecified with rectal bleeding
K51912Ulcerative colitis, unspecified with intestinal obstruction
K51913Ulcerative colitis, unspecified with fistula
K51914Ulcerative colitis, unspecified with abscess
K51918Ulcerative colitis, unspecified with other complication
K51919Ulcerative colitis, unspecified with unspecified complications
 
PDX Collection 0786
K5000Crohn's disease of small intestine without complications
K50011Crohn's disease of small intestine with rectal bleeding
K50012Crohn's disease of small intestine with intestinal obstruction
K50013Crohn's disease of small intestine with fistula
K50014Crohn's disease of small intestine with abscess
K50018Crohn's disease of small intestine with other complication
K50019Crohn's disease of small intestine with unspecified complications
K5010Crohn's disease of large intestine without complications
K50111Crohn's disease of large intestine with rectal bleeding
K50112Crohn's disease of large intestine with intestinal obstruction
K50113Crohn's disease of large intestine with fistula
K50114Crohn's disease of large intestine with abscess
K50118Crohn's disease of large intestine with other complication
K50119Crohn's disease of large intestine with unspecified complications
K5080Crohn's disease of both small and large intestine without complications
K50811Crohn's disease of both small and large intestine with rectal bleeding
K50812Crohn's disease of both small and large intestine with intestinal obstruction
K50813Crohn's disease of both small and large intestine with fistula
K50814Crohn's disease of both small and large intestine with abscess
K50818Crohn's disease of both small and large intestine with other complication
K50819Crohn's disease of both small and large intestine with unspecified complications
K5090Crohn's disease, unspecified, without complications
K50911Crohn's disease, unspecified, with rectal bleeding
K50912Crohn's disease, unspecified, with intestinal obstruction
K50913Crohn's disease, unspecified, with fistula
K50914Crohn's disease, unspecified, with abscess
K50918Crohn's disease, unspecified, with other complication
K50919Crohn's disease, unspecified, with unspecified complications
 
PDX Collection 0787
K5100Ulcerative (chronic) pancolitis without complications
K51011Ulcerative (chronic) pancolitis with rectal bleeding
K51012Ulcerative (chronic) pancolitis with intestinal obstruction
K51013Ulcerative (chronic) pancolitis with fistula
K51014Ulcerative (chronic) pancolitis with abscess
K51018Ulcerative (chronic) pancolitis with other complication
K51019Ulcerative (chronic) pancolitis with unspecified complications
K5120Ulcerative (chronic) proctitis without complications
K51211Ulcerative (chronic) proctitis with rectal bleeding
K51212Ulcerative (chronic) proctitis with intestinal obstruction
K51213Ulcerative (chronic) proctitis with fistula
K51214Ulcerative (chronic) proctitis with abscess
K51218Ulcerative (chronic) proctitis with other complication
K51219Ulcerative (chronic) proctitis with unspecified complications
K5130Ulcerative (chronic) rectosigmoiditis without complications
K51311Ulcerative (chronic) rectosigmoiditis with rectal bleeding
K51312Ulcerative (chronic) rectosigmoiditis with intestinal obstruction
K51313Ulcerative (chronic) rectosigmoiditis with fistula
K51314Ulcerative (chronic) rectosigmoiditis with abscess
K51318Ulcerative (chronic) rectosigmoiditis with other complication
K51319Ulcerative (chronic) rectosigmoiditis with unspecified complications
K5140Inflammatory polyps of colon without complications
K51411Inflammatory polyps of colon with rectal bleeding
K51412Inflammatory polyps of colon with intestinal obstruction
K51413Inflammatory polyps of colon with fistula
K51414Inflammatory polyps of colon with abscess
K51418Inflammatory polyps of colon with other complication
K51419Inflammatory polyps of colon with unspecified complications
K5150Left sided colitis without complications
K51511Left sided colitis with rectal bleeding
K51512Left sided colitis with intestinal obstruction
K51513Left sided colitis with fistula
K51514Left sided colitis with abscess
K51518Left sided colitis with other complication
K51519Left sided colitis with unspecified complications
K5180Other ulcerative colitis without complications
K51811Other ulcerative colitis with rectal bleeding
K51812Other ulcerative colitis with intestinal obstruction
K51813Other ulcerative colitis with fistula
K51814Other ulcerative colitis with abscess
K51818Other ulcerative colitis with other complication
K51819Other ulcerative colitis with unspecified complications
K5190Ulcerative colitis, unspecified, without complications
K51911Ulcerative colitis, unspecified with rectal bleeding
K51912Ulcerative colitis, unspecified with intestinal obstruction
K51913Ulcerative colitis, unspecified with fistula
K51914Ulcerative colitis, unspecified with abscess
K51918Ulcerative colitis, unspecified with other complication
K51919Ulcerative colitis, unspecified with unspecified complications
 
PDX Collection 0788
K520Gastroenteritis and colitis due to radiation
 
PDX Collection 0789
K521Toxic gastroenteritis and colitis
 
PDX Collection 0790
K55011Focal (segmental) acute (reversible) ischemia of small intestine
K55012Diffuse acute (reversible) ischemia of small intestine
K55019Acute (reversible) ischemia of small intestine, extent unspecified
K55021Focal (segmental) acute infarction of small intestine
K55022Diffuse acute infarction of small intestine
K55029Acute infarction of small intestine, extent unspecified
K55031Focal (segmental) acute (reversible) ischemia of large intestine
K55032Diffuse acute (reversible) ischemia of large intestine
K55039Acute (reversible) ischemia of large intestine, extent unspecified
K55041Focal (segmental) acute infarction of large intestine
K55042Diffuse acute infarction of large intestine
K55049Acute infarction of large intestine, extent unspecified
K55051Focal (segmental) acute (reversible) ischemia of intestine, part unspecified
K55052Diffuse acute (reversible) ischemia of intestine, part unspecified
K55059Acute (reversible) ischemia of intestine, part and extent unspecified
K55061Focal (segmental) acute infarction of intestine, part unspecified
K55062Diffuse acute infarction of intestine, part unspecified
K55069Acute infarction of intestine, part and extent unspecified
K551Chronic vascular disorders of intestine
K5530Necrotizing enterocolitis, unspecified
K5531Stage 1 necrotizing enterocolitis
K5532Stage 2 necrotizing enterocolitis
K5533Stage 3 necrotizing enterocolitis
 
PDX Collection 0791
K55011Focal (segmental) acute (reversible) ischemia of small intestine
K55012Diffuse acute (reversible) ischemia of small intestine
K55019Acute (reversible) ischemia of small intestine, extent unspecified
K55021Focal (segmental) acute infarction of small intestine
K55022Diffuse acute infarction of small intestine
K55029Acute infarction of small intestine, extent unspecified
K55031Focal (segmental) acute (reversible) ischemia of large intestine
K55032Diffuse acute (reversible) ischemia of large intestine
K55039Acute (reversible) ischemia of large intestine, extent unspecified
K55041Focal (segmental) acute infarction of large intestine
K55042Diffuse acute infarction of large intestine
K55049Acute infarction of large intestine, extent unspecified
K55051Focal (segmental) acute (reversible) ischemia of intestine, part unspecified
K55052Diffuse acute (reversible) ischemia of intestine, part unspecified
K55059Acute (reversible) ischemia of intestine, part and extent unspecified
K55061Focal (segmental) acute infarction of intestine, part unspecified
K55062Diffuse acute infarction of intestine, part unspecified
K55069Acute infarction of intestine, part and extent unspecified
K551Chronic vascular disorders of intestine
K5530Necrotizing enterocolitis, unspecified
K5531Stage 1 necrotizing enterocolitis
K5532Stage 2 necrotizing enterocolitis
K5533Stage 3 necrotizing enterocolitis
K558Other vascular disorders of intestine
K559Vascular disorder of intestine, unspecified
 
PDX Collection 0792
K560Paralytic ileus
K561Intussusception
K562Volvulus
K563Gallstone ileus
K5649Other impaction of intestine
K5650Intestinal adhesions [bands], unspecified as to partial versus complete obstruction
K5651Intestinal adhesions [bands], with partial obstruction
K5652Intestinal adhesions [bands] with complete obstruction
K56600Partial intestinal obstruction, unspecified as to cause
K56601Complete intestinal obstruction, unspecified as to cause
K56609Unspecified intestinal obstruction, unspecified as to partial versus complete obstruction
K56690Other partial intestinal obstruction
K56691Other complete intestinal obstruction
K56699Other intestinal obstruction unspecified as to partial versus complete obstruction
K567Ileus, unspecified
K634Enteroptosis
K6389Other specified diseases of intestine
K639Disease of intestine, unspecified
K9130Postprocedural intestinal obstruction, unspecified as to partial versus complete
K9131Postprocedural partial intestinal obstruction
K9132Postprocedural complete intestinal obstruction
K9289Other specified diseases of the digestive system
K929Disease of digestive system, unspecified
R1113Vomiting of fecal matter
 
PDX Collection 0793
K5700Diverticulitis of small intestine with perforation and abscess without bleeding
K5701Diverticulitis of small intestine with perforation and abscess with bleeding
K5710Diverticulosis of small intestine without perforation or abscess without bleeding
K5711Diverticulosis of small intestine without perforation or abscess with bleeding
K5712Diverticulitis of small intestine without perforation or abscess without bleeding
K5713Diverticulitis of small intestine without perforation or abscess with bleeding
 
PDX Collection 0794
K5720Diverticulitis of large intestine with perforation and abscess without bleeding
K5721Diverticulitis of large intestine with perforation and abscess with bleeding
K5730Diverticulosis of large intestine without perforation or abscess without bleeding
K5731Diverticulosis of large intestine without perforation or abscess with bleeding
K5732Diverticulitis of large intestine without perforation or abscess without bleeding
K5733Diverticulitis of large intestine without perforation or abscess with bleeding
K5740Diverticulitis of both small and large intestine with perforation and abscess without bleeding
K5741Diverticulitis of both small and large intestine with perforation and abscess with bleeding
K5750Diverticulosis of both small and large intestine without perforation or abscess without bleeding
K5751Diverticulosis of both small and large intestine without perforation or abscess with bleeding
K5752Diverticulitis of both small and large intestine without perforation or abscess without bleeding
K5753Diverticulitis of both small and large intestine without perforation or abscess with bleeding
K5780Diverticulitis of intestine, part unspecified, with perforation and abscess without bleeding
K5781Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding
K5790Diverticulosis of intestine, part unspecified, without perforation or abscess without bleeding
K5791Diverticulosis of intestine, part unspecified, without perforation or abscess with bleeding
K5792Diverticulitis of intestine, part unspecified, without perforation or abscess without bleeding
K5793Diverticulitis of intestine, part unspecified, without perforation or abscess with bleeding
 
PDX Collection 0795
K580Irritable bowel syndrome with diarrhea
K581Irritable bowel syndrome with constipation
K582Mixed irritable bowel syndrome
K588Other irritable bowel syndrome
K589Irritable bowel syndrome without diarrhea
K591Functional diarrhea
K592Neurogenic bowel, not elsewhere classified
K5931Toxic megacolon
K5939Other megacolon
K594Anal spasm
K598Other specified functional intestinal disorders
K599Functional intestinal disorder, unspecified
K910Vomiting following gastrointestinal surgery
K911Postgastric surgery syndromes
 
PDX Collection 0796
K610Anal abscess
K611Rectal abscess
K612Anorectal abscess
K6131Horseshoe abscess
K6139Other ischiorectal abscess
K614Intrasphincteric abscess
K615Supralevator abscess
 
PDX Collection 0797
K626Ulcer of anus and rectum
 
PDX Collection 0798
K630Abscess of intestine
 
PDX Collection 0799
K631Perforation of intestine (nontraumatic)
 
PDX Collection 0800
K632Fistula of intestine
 
PDX Collection 0801
K633Ulcer of intestine
 
PDX Collection 0802
E164Increased secretion of gastrin
I8501Esophageal varices with bleeding
K2210Ulcer of esophagus without bleeding
K2211Ulcer of esophagus with bleeding
K226Gastro-esophageal laceration-hemorrhage syndrome
K2270Barrett's esophagus without dysplasia
K22710Barrett's esophagus with low grade dysplasia
K22711Barrett's esophagus with high grade dysplasia
K22719Barrett's esophagus with dysplasia, unspecified
K250Acute gastric ulcer with hemorrhage
K251Acute gastric ulcer with perforation
K252Acute gastric ulcer with both hemorrhage and perforation
K253Acute gastric ulcer without hemorrhage or perforation
K254Chronic or unspecified gastric ulcer with hemorrhage
K255Chronic or unspecified gastric ulcer with perforation
K256Chronic or unspecified gastric ulcer with both hemorrhage and perforation
K257Chronic gastric ulcer without hemorrhage or perforation
K259Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K260Acute duodenal ulcer with hemorrhage
K261Acute duodenal ulcer with perforation
K262Acute duodenal ulcer with both hemorrhage and perforation
K263Acute duodenal ulcer without hemorrhage or perforation
K264Chronic or unspecified duodenal ulcer with hemorrhage
K265Chronic or unspecified duodenal ulcer with perforation
K266Chronic or unspecified duodenal ulcer with both hemorrhage and perforation
K267Chronic duodenal ulcer without hemorrhage or perforation
K269Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K270Acute peptic ulcer, site unspecified, with hemorrhage
K271Acute peptic ulcer, site unspecified, with perforation
K272Acute peptic ulcer, site unspecified, with both hemorrhage and perforation
K273Acute peptic ulcer, site unspecified, without hemorrhage or perforation
K274Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage
K275Chronic or unspecified peptic ulcer, site unspecified, with perforation
K276Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation
K277Chronic peptic ulcer, site unspecified, without hemorrhage or perforation
K279Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation
K280Acute gastrojejunal ulcer with hemorrhage
K281Acute gastrojejunal ulcer with perforation
K282Acute gastrojejunal ulcer with both hemorrhage and perforation
K283Acute gastrojejunal ulcer without hemorrhage or perforation



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
09 Jul 2020 15:51:46
CMS, code-revision=268, description-revision=1285