ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual |
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| MDC 01 Diseases and disorders of the nervous system |
| Traumatic stupor and coma <1 hour |
| MCC | CC | DRG |
|---|---|---|
| Yes | n/a | 085 |
| No | Yes | 086 |
| No | No | 087 |
DRG 085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC
DRG 086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC
DRG 087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC
PRINCIPAL DIAGNOSIS
| S020XXA | Fracture of vault of skull, initial encounter for closed fracture |
| S020XXB | Fracture of vault of skull, initial encounter for open fracture |
| S02101A | Fracture of base of skull, right side, initial encounter for closed fracture |
| S02101B | Fracture of base of skull, right side, initial encounter for open fracture |
| S02102A | Fracture of base of skull, left side, initial encounter for closed fracture |
| S02102B | Fracture of base of skull, left side, initial encounter for open fracture |
| S02109A | Fracture of base of skull, unspecified side, initial encounter for closed fracture |
| S02109B | Fracture of base of skull, unspecified side, initial encounter for open fracture |
| S02110A | Type I occipital condyle fracture, unspecified side, initial encounter for closed fracture |
| S02110B | Type I occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02111A | Type II occipital condyle fracture, unspecified side, initial encounter for closed fracture |
| S02111B | Type II occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02112A | Type III occipital condyle fracture, unspecified side, initial encounter for closed fracture |
| S02112B | Type III occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02113A | Unspecified occipital condyle fracture, initial encounter for closed fracture |
| S02113B | Unspecified occipital condyle fracture, initial encounter for open fracture |
| S02118A | Other fracture of occiput, unspecified side, initial encounter for closed fracture |
| S02118B | Other fracture of occiput, unspecified side, initial encounter for open fracture |
| S02119A | Unspecified fracture of occiput, initial encounter for closed fracture |
| S02119B | Unspecified fracture of occiput, initial encounter for open fracture |
| S0211AA | Type I occipital condyle fracture, right side, initial encounter for closed fracture |
| S0211AB | Type I occipital condyle fracture, right side, initial encounter for open fracture |
| S0211BA | Type I occipital condyle fracture, left side, initial encounter for closed fracture |
| S0211BB | Type I occipital condyle fracture, left side, initial encounter for open fracture |
| S0211CA | Type II occipital condyle fracture, right side, initial encounter for closed fracture |
| S0211CB | Type II occipital condyle fracture, right side, initial encounter for open fracture |
| S0211DA | Type II occipital condyle fracture, left side, initial encounter for closed fracture |
| S0211DB | Type II occipital condyle fracture, left side, initial encounter for open fracture |
| S0211EA | Type III occipital condyle fracture, right side, initial encounter for closed fracture |
| S0211EB | Type III occipital condyle fracture, right side, initial encounter for open fracture |
| S0211FA | Type III occipital condyle fracture, left side, initial encounter for closed fracture |
| S0211FB | Type III occipital condyle fracture, left side, initial encounter for open fracture |
| S0211GA | Other fracture of occiput, right side, initial encounter for closed fracture |
| S0211GB | Other fracture of occiput, right side, initial encounter for open fracture |
| S0211HA | Other fracture of occiput, left side, initial encounter for closed fracture |
| S0211HB | Other fracture of occiput, left side, initial encounter for open fracture |
| S02121A | Fracture of orbital roof, right side, initial encounter for closed fracture |
| S02121B | Fracture of orbital roof, right side, initial encounter for open fracture |
| S02122A | Fracture of orbital roof, left side, initial encounter for closed fracture |
| S02122B | Fracture of orbital roof, left side, initial encounter for open fracture |
| S02129A | Fracture of orbital roof, unspecified side, initial encounter for closed fracture |
| S02129B | Fracture of orbital roof, unspecified side, initial encounter for open fracture |
| S0219XA | Other fracture of base of skull, initial encounter for closed fracture |
| S0219XB | Other fracture of base of skull, initial encounter for open fracture |
| S02831A | Fracture of medial orbital wall, right side, initial encounter for closed fracture |
| S02831B | Fracture of medial orbital wall, right side, initial encounter for open fracture |
| S02832A | Fracture of medial orbital wall, left side, initial encounter for closed fracture |
| S02832B | Fracture of medial orbital wall, left side, initial encounter for open fracture |
| S02839A | Fracture of medial orbital wall, unspecified side, initial encounter for closed fracture |
| S02839B | Fracture of medial orbital wall, unspecified side, initial encounter for open fracture |
| S02841A | Fracture of lateral orbital wall, right side, initial encounter for closed fracture |
| S02841B | Fracture of lateral orbital wall, right side, initial encounter for open fracture |
| S02842A | Fracture of lateral orbital wall, left side, initial encounter for closed fracture |
| S02842B | Fracture of lateral orbital wall, left side, initial encounter for open fracture |
| S02849A | Fracture of lateral orbital wall, unspecified side, initial encounter for closed fracture |
| S02849B | Fracture of lateral orbital wall, unspecified side, initial encounter for open fracture |
| S0285XA | Fracture of orbit, unspecified, initial encounter for closed fracture |
| S0285XB | Fracture of orbit, unspecified, initial encounter for open fracture |
| S0291XA | Unspecified fracture of skull, initial encounter for closed fracture |
| S0291XB | Unspecified fracture of skull, initial encounter for open fracture |
| S061X0A | Traumatic cerebral edema without loss of consciousness, initial encounter |
| S061X1A | Traumatic cerebral edema with loss of consciousness of 30 minutes or less, initial encounter |
| S061X2A | Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S062X0A | Diffuse traumatic brain injury without loss of consciousness, initial encounter |
| S062X1A | Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter |
| S062X2A | Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06300A | Unspecified focal traumatic brain injury without loss of consciousness, initial encounter |
| S06301A | Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter |
| S06302A | Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06310A | Contusion and laceration of right cerebrum without loss of consciousness, initial encounter |
| S06311A | Contusion and laceration of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter |
| S06312A | Contusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06320A | Contusion and laceration of left cerebrum without loss of consciousness, initial encounter |
| S06321A | Contusion and laceration of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter |
| S06322A | Contusion and laceration of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06330A | Contusion and laceration of cerebrum, unspecified, without loss of consciousness, initial encounter |
| S06331A | Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter |
| S06332A | Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06340A | Traumatic hemorrhage of right cerebrum without loss of consciousness, initial encounter |
| S06341A | Traumatic hemorrhage of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter |
| S06342A | Traumatic hemorrhage of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06350A | Traumatic hemorrhage of left cerebrum without loss of consciousness, initial encounter |
| S06351A | Traumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter |
| S06352A | Traumatic hemorrhage of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06360A | Traumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, initial encounter |
| S06361A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter |
| S06362A | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06370A | Contusion, laceration, and hemorrhage of cerebellum without loss of consciousness, initial encounter |
| S06371A | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 30 minutes or less, initial encounter |
| S06372A | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06380A | Contusion, laceration, and hemorrhage of brainstem without loss of consciousness, initial encounter |
| S06381A | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less, initial encounter |
| S06382A | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S064X0A | Epidural hemorrhage without loss of consciousness, initial encounter |
| S064X1A | Epidural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter |
| S064X2A | Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S065X0A | Traumatic subdural hemorrhage without loss of consciousness, initial encounter |
| S065X1A | Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter |
| S065X2A | Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S066X0A | Traumatic subarachnoid hemorrhage without loss of consciousness, initial encounter |
| S066X1A | Traumatic subarachnoid hemorrhage with loss of consciousness of 30 minutes or less, initial encounter |
| S066X2A | Traumatic subarachnoid hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06810A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter |
| S06811A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter |
| S06812A | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06820A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter |
| S06821A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter |
| S06822A | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06890A | Other specified intracranial injury without loss of consciousness, initial encounter |
| S06891A | Other specified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter |
| S06892A | Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S069X0A | Unspecified intracranial injury without loss of consciousness, initial encounter |
| S069X1A | Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter |
| S069X2A | Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 17 Sep 2020 09:49:17 CMS, code-revision=275, description-revision=1286 |