ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual

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MDC 05 Diseases and disorders of the circulatory system
Heart failure and shock
MCC CC DRG
Yes n/a 291
No Yes 292
No No 293

DRG 291 HEART FAILURE AND SHOCK WITH MCC

DRG 292 HEART FAILURE AND SHOCK WITH CC

DRG 293 HEART FAILURE AND SHOCK WITHOUT CC/MCC

PRINCIPAL DIAGNOSIS

I0981Rheumatic heart failure
I110Hypertensive heart disease with heart failure
I130Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I132Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
I501Left ventricular failure, unspecified
I5020Unspecified systolic (congestive) heart failure
I5021Acute systolic (congestive) heart failure
I5022Chronic systolic (congestive) heart failure
I5023Acute on chronic systolic (congestive) heart failure
I5030Unspecified diastolic (congestive) heart failure
I5031Acute diastolic (congestive) heart failure
I5032Chronic diastolic (congestive) heart failure
I5033Acute on chronic diastolic (congestive) heart failure
I5040Unspecified combined systolic (congestive) and diastolic (congestive) heart failure
I5041Acute combined systolic (congestive) and diastolic (congestive) heart failure
I5042Chronic combined systolic (congestive) and diastolic (congestive) heart failure
I5043Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
I50810Right heart failure, unspecified
I50811Acute right heart failure
I50812Chronic right heart failure
I50813Acute on chronic right heart failure
I50814Right heart failure due to left heart failure
I5082Biventricular heart failure
I5083High output heart failure
I5084End stage heart failure
I5089Other heart failure
I509Heart failure, unspecified
R570Cardiogenic shock
R579Shock, unspecified



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
17 Sep 2020 09:49:17
CMS, code-revision=275, description-revision=1286