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 05 Diseases and disorders of the circulatory system |
| Other circulatory system diagnoses |
| MCC | CC | DRG |
|---|---|---|
| Yes | n/a | 314 |
| No | Yes | 315 |
| No | No | 316 |
DRG 314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
DRG 315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
DRG 316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
PRINCIPAL DIAGNOSIS
| A3681 | Diphtheritic cardiomyopathy |
| A3950 | Meningococcal carditis, unspecified |
| A3952 | Meningococcal myocarditis |
| A3953 | Meningococcal pericarditis |
| A5200 | Cardiovascular syphilis, unspecified |
| A5204 | Syphilitic cerebral arteritis |
| A5205 | Other cerebrovascular syphilis |
| A5206 | Other syphilitic heart involvement |
| A5209 | Other cardiovascular syphilis |
| A5483 | Gonococcal heart infection |
| B3320 | Viral carditis, unspecified |
| B3322 | Viral myocarditis |
| B3323 | Viral pericarditis |
| B570 | Acute Chagas' disease with heart involvement |
| B572 | Chagas' disease (chronic) with heart involvement |
| B5881 | Toxoplasma myocarditis |
| C380 | Malignant neoplasm of heart |
| C452 | Mesothelioma of pericardium |
| D151 | Benign neoplasm of heart |
| D1800 | Hemangioma unspecified site |
| D1809 | Hemangioma of other sites |
| I010 | Acute rheumatic pericarditis |
| I012 | Acute rheumatic myocarditis |
| I018 | Other acute rheumatic heart disease |
| I019 | Acute rheumatic heart disease, unspecified |
| I020 | Rheumatic chorea with heart involvement |
| I029 | Rheumatic chorea without heart involvement |
| I090 | Rheumatic myocarditis |
| I092 | Chronic rheumatic pericarditis |
| I099 | Rheumatic heart disease, unspecified |
| I230 | Hemopericardium as current complication following acute myocardial infarction |
| I231 | Atrial septal defect as current complication following acute myocardial infarction |
| I232 | Ventricular septal defect as current complication following acute myocardial infarction |
| I233 | Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction |
| I236 | Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction |
| I237 | Postinfarction angina |
| I238 | Other current complications following acute myocardial infarction |
| I241 | Dressler's syndrome |
| I253 | Aneurysm of heart |
| I2541 | Coronary artery aneurysm |
| I2542 | Coronary artery dissection |
| I270 | Primary pulmonary hypertension |
| I271 | Kyphoscoliotic heart disease |
| I2720 | Pulmonary hypertension, unspecified |
| I2721 | Secondary pulmonary arterial hypertension |
| I2722 | Pulmonary hypertension due to left heart disease |
| I2723 | Pulmonary hypertension due to lung diseases and hypoxia |
| I2724 | Chronic thromboembolic pulmonary hypertension |
| I2729 | Other secondary pulmonary hypertension |
| I2781 | Cor pulmonale (chronic) |
| I2783 | Eisenmenger's syndrome |
| I2789 | Other specified pulmonary heart diseases |
| I279 | Pulmonary heart disease, unspecified |
| I280 | Arteriovenous fistula of pulmonary vessels |
| I281 | Aneurysm of pulmonary artery |
| I288 | Other diseases of pulmonary vessels |
| I289 | Disease of pulmonary vessels, unspecified |
| I300 | Acute nonspecific idiopathic pericarditis |
| I301 | Infective pericarditis |
| I308 | Other forms of acute pericarditis |
| I309 | Acute pericarditis, unspecified |
| I310 | Chronic adhesive pericarditis |
| I311 | Chronic constrictive pericarditis |
| I312 | Hemopericardium, not elsewhere classified |
| I313 | Pericardial effusion (noninflammatory) |
| I314 | Cardiac tamponade |
| I318 | Other specified diseases of pericardium |
| I319 | Disease of pericardium, unspecified |
| I32 | Pericarditis in diseases classified elsewhere |
| I400 | Infective myocarditis |
| I401 | Isolated myocarditis |
| I408 | Other acute myocarditis |
| I409 | Acute myocarditis, unspecified |
| I41 | Myocarditis in diseases classified elsewhere |
| I420 | Dilated cardiomyopathy |
| I421 | Obstructive hypertrophic cardiomyopathy |
| I422 | Other hypertrophic cardiomyopathy |
| I423 | Endomyocardial (eosinophilic) disease |
| I424 | Endocardial fibroelastosis |
| I425 | Other restrictive cardiomyopathy |
| I426 | Alcoholic cardiomyopathy |
| I427 | Cardiomyopathy due to drug and external agent |
| I428 | Other cardiomyopathies |
| I429 | Cardiomyopathy, unspecified |
| I43 | Cardiomyopathy in diseases classified elsewhere |
| I510 | Cardiac septal defect, acquired |
| I514 | Myocarditis, unspecified |
| I515 | Myocardial degeneration |
| I5181 | Takotsubo syndrome |
| I950 | Idiopathic hypotension |
| I9589 | Other hypotension |
| I959 | Hypotension, unspecified |
| I970 | Postcardiotomy syndrome |
| I97110 | Postprocedural cardiac insufficiency following cardiac surgery |
| I97111 | Postprocedural cardiac insufficiency following other surgery |
| I97120 | Postprocedural cardiac arrest following cardiac surgery |
| I97121 | Postprocedural cardiac arrest following other surgery |
| I97130 | Postprocedural heart failure following cardiac surgery |
| I97131 | Postprocedural heart failure following other surgery |
| I97190 | Other postprocedural cardiac functional disturbances following cardiac surgery |
| I97191 | Other postprocedural cardiac functional disturbances following other surgery |
| I97710 | Intraoperative cardiac arrest during cardiac surgery |
| I97711 | Intraoperative cardiac arrest during other surgery |
| I97790 | Other intraoperative cardiac functional disturbances during cardiac surgery |
| I97791 | Other intraoperative cardiac functional disturbances during other surgery |
| I9788 | Other intraoperative complications of the circulatory system, not elsewhere classified |
| I9789 | Other postprocedural complications and disorders of the circulatory system, not elsewhere classified |
| R008 | Other abnormalities of heart beat |
| R009 | Unspecified abnormalities of heart beat |
| R012 | Other cardiac sounds |
| R030 | Elevated blood-pressure reading, without diagnosis of hypertension |
| R031 | Nonspecific low blood-pressure reading |
| R0989 | Other specified symptoms and signs involving the circulatory and respiratory systems |
| R58 | Hemorrhage, not elsewhere classified |
| R9430 | Abnormal result of cardiovascular function study, unspecified |
| R9431 | Abnormal electrocardiogram [ECG] [EKG] |
| R9439 | Abnormal result of other cardiovascular function study |
| S2600XA | Unspecified injury of heart with hemopericardium, initial encounter |
| S2601XA | Contusion of heart with hemopericardium, initial encounter |
| S26020A | Mild laceration of heart with hemopericardium, initial encounter |
| S26021A | Moderate laceration of heart with hemopericardium, initial encounter |
| S26022A | Major laceration of heart with hemopericardium, initial encounter |
| S2609XA | Other injury of heart with hemopericardium, initial encounter |
| S2610XA | Unspecified injury of heart without hemopericardium, initial encounter |
| S2611XA | Contusion of heart without hemopericardium, initial encounter |
| S2612XA | Laceration of heart without hemopericardium, initial encounter |
| S2619XA | Other injury of heart without hemopericardium, initial encounter |
| S2690XA | Unspecified injury of heart, unspecified with or without hemopericardium, initial encounter |
| S2691XA | Contusion of heart, unspecified with or without hemopericardium, initial encounter |
| S2692XA | Laceration of heart, unspecified with or without hemopericardium, initial encounter |
| S2699XA | Other injury of heart, unspecified with or without hemopericardium, initial encounter |
| T801XXA | Vascular complications following infusion, transfusion and therapeutic injection, initial encounter |
| T80211A | Bloodstream infection due to central venous catheter, initial encounter |
| T80212A | Local infection due to central venous catheter, initial encounter |
| T80218A | Other infection due to central venous catheter, initial encounter |
| T80219A | Unspecified infection due to central venous catheter, initial encounter |
| T80810A | Extravasation of vesicant antineoplastic chemotherapy, initial encounter |
| T80818A | Extravasation of other vesicant agent, initial encounter |
| T8090XA | Unspecified complication following infusion and therapeutic injection, initial encounter |
| T82118A | Breakdown (mechanical) of other cardiac electronic device, initial encounter |
| T82119A | Breakdown (mechanical) of unspecified cardiac electronic device, initial encounter |
| T82128A | Displacement of other cardiac electronic device, initial encounter |
| T82129A | Displacement of unspecified cardiac electronic device, initial encounter |
| T82198A | Other mechanical complication of other cardiac electronic device, initial encounter |
| T82199A | Other mechanical complication of unspecified cardiac device, initial encounter |
| T82211A | Breakdown (mechanical) of coronary artery bypass graft, initial encounter |
| T82212A | Displacement of coronary artery bypass graft, initial encounter |
| T82213A | Leakage of coronary artery bypass graft, initial encounter |
| T82218A | Other mechanical complication of coronary artery bypass graft, initial encounter |
| T82221A | Breakdown (mechanical) of biological heart valve graft, initial encounter |
| T82222A | Displacement of biological heart valve graft, initial encounter |
| T82223A | Leakage of biological heart valve graft, initial encounter |
| T82228A | Other mechanical complication of biological heart valve graft, initial encounter |
| T82310A | Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter |
| T82311A | Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter |
| T82312A | Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter |
| T82318A | Breakdown (mechanical) of other vascular grafts, initial encounter |
| T82319A | Breakdown (mechanical) of unspecified vascular grafts, initial encounter |
| T82320A | Displacement of aortic (bifurcation) graft (replacement), initial encounter |
| T82321A | Displacement of carotid arterial graft (bypass), initial encounter |
| T82322A | Displacement of femoral arterial graft (bypass), initial encounter |
| T82328A | Displacement of other vascular grafts, initial encounter |
| T82329A | Displacement of unspecified vascular grafts, initial encounter |
| T82330A | Leakage of aortic (bifurcation) graft (replacement), initial encounter |
| T82331A | Leakage of carotid arterial graft (bypass), initial encounter |
| T82332A | Leakage of femoral arterial graft (bypass), initial encounter |
| T82338A | Leakage of other vascular grafts, initial encounter |
| T82339A | Leakage of unspecified vascular graft, initial encounter |
| T82390A | Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter |
| T82391A | Other mechanical complication of carotid arterial graft (bypass), initial encounter |
| T82392A | Other mechanical complication of femoral arterial graft (bypass), initial encounter |
| T82398A | Other mechanical complication of other vascular grafts, initial encounter |
| T82399A | Other mechanical complication of unspecified vascular grafts, initial encounter |
| T82510A | Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter |
| T82511A | Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter |
| T82512A | Breakdown (mechanical) of artificial heart, initial encounter |
| T82513A | Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter |
| T82514A | Breakdown (mechanical) of infusion catheter, initial encounter |
| T82515A | Breakdown (mechanical) of umbrella device, initial encounter |
| T82518A | Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter |
| T82519A | Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, initial encounter |
| T82520A | Displacement of surgically created arteriovenous fistula, initial encounter |
| T82521A | Displacement of surgically created arteriovenous shunt, initial encounter |
| T82522A | Displacement of artificial heart, initial encounter |
| T82523A | Displacement of balloon (counterpulsation) device, initial encounter |
| T82524A | Displacement of infusion catheter, initial encounter |
| T82525A | Displacement of umbrella device, initial encounter |
| T82528A | Displacement of other cardiac and vascular devices and implants, initial encounter |
| T82529A | Displacement of unspecified cardiac and vascular devices and implants, initial encounter |
| T82530A | Leakage of surgically created arteriovenous fistula, initial encounter |
| T82531A | Leakage of surgically created arteriovenous shunt, initial encounter |
| T82532A | Leakage of artificial heart, initial encounter |
| T82533A | Leakage of balloon (counterpulsation) device, initial encounter |
| T82534A | Leakage of infusion catheter, initial encounter |
| T82535A | Leakage of umbrella device, initial encounter |
| T82538A | Leakage of other cardiac and vascular devices and implants, initial encounter |
| T82539A | Leakage of unspecified cardiac and vascular devices and implants, initial encounter |
| T82590A | Other mechanical complication of surgically created arteriovenous fistula, initial encounter |
| T82591A | Other mechanical complication of surgically created arteriovenous shunt, initial encounter |
| T82592A | Other mechanical complication of artificial heart, initial encounter |
| T82593A | Other mechanical complication of balloon (counterpulsation) device, initial encounter |
| T82594A | Other mechanical complication of infusion catheter, initial encounter |
| T82595A | Other mechanical complication of umbrella device, initial encounter |
| T82598A | Other mechanical complication of other cardiac and vascular devices and implants, initial encounter |
| T82599A | Other mechanical complication of unspecified cardiac and vascular devices and implants, initial encounter |
| T826XXA | Infection and inflammatory reaction due to cardiac valve prosthesis, initial encounter |
| T827XXA | Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter |
| T82817A | Embolism due to cardiac prosthetic devices, implants and grafts, initial encounter |
| T82818A | Embolism due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82827A | Fibrosis due to cardiac prosthetic devices, implants and grafts, initial encounter |
| T82828A | Fibrosis due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82837A | Hemorrhage due to cardiac prosthetic devices, implants and grafts, initial encounter |
| T82838A | Hemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82847A | Pain due to cardiac prosthetic devices, implants and grafts, initial encounter |
| T82848A | Pain due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82855A | Stenosis of coronary artery stent, initial encounter |
| T82856A | Stenosis of peripheral vascular stent, initial encounter |
| T82857A | Stenosis of other cardiac prosthetic devices, implants and grafts, initial encounter |
| T82858A | Stenosis of other vascular prosthetic devices, implants and grafts, initial encounter |
| T82867A | Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter |
| T82868A | Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82897A | Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter |
| T82898A | Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter |
| T829XXA | Unspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter |
| T8620 | Unspecified complication of heart transplant |
| T8621 | Heart transplant rejection |
| T8622 | Heart transplant failure |
| T8623 | Heart transplant infection |
| T86290 | Cardiac allograft vasculopathy |
| T86298 | Other complications of heart transplant |
| T8630 | Unspecified complication of heart-lung transplant |
| T8631 | Heart-lung transplant rejection |
| T8632 | Heart-lung transplant failure |
| T8633 | Heart-lung transplant infection |
| T8639 | Other complications of heart-lung transplant |
| Z45010 | Encounter for checking and testing of cardiac pacemaker pulse generator [battery] |
| Z45018 | Encounter for adjustment and management of other part of cardiac pacemaker |
| Z4502 | Encounter for adjustment and management of automatic implantable cardiac defibrillator |
| Z4509 | Encounter for adjustment and management of other cardiac device |
| Z941 | Heart transplant status |
| Z943 | Heart and lungs transplant status |
| Z952 | Presence of prosthetic heart valve |
| Z953 | Presence of xenogenic heart valve |
| Z954 | Presence of other heart-valve replacement |
| Z95811 | Presence of heart assist device |
| Z95812 | Presence of fully implantable artificial heart |
| Z95820 | Peripheral vascular angioplasty status with implants and grafts |
| Z95828 | Presence of other vascular implants and grafts |
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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 |