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

A3681Diphtheritic cardiomyopathy
A3950Meningococcal carditis, unspecified
A3952Meningococcal myocarditis
A3953Meningococcal pericarditis
A5200Cardiovascular syphilis, unspecified
A5204Syphilitic cerebral arteritis
A5205Other cerebrovascular syphilis
A5206Other syphilitic heart involvement
A5209Other cardiovascular syphilis
A5483Gonococcal heart infection
B3320Viral carditis, unspecified
B3322Viral myocarditis
B3323Viral pericarditis
B570Acute Chagas' disease with heart involvement
B572Chagas' disease (chronic) with heart involvement
B5881Toxoplasma myocarditis
C380Malignant neoplasm of heart
C452Mesothelioma of pericardium
D151Benign neoplasm of heart
D1800Hemangioma unspecified site
D1809Hemangioma of other sites
I010Acute rheumatic pericarditis
I012Acute rheumatic myocarditis
I018Other acute rheumatic heart disease
I019Acute rheumatic heart disease, unspecified
I020Rheumatic chorea with heart involvement
I029Rheumatic chorea without heart involvement
I090Rheumatic myocarditis
I092Chronic rheumatic pericarditis
I099Rheumatic heart disease, unspecified
I230Hemopericardium as current complication following acute myocardial infarction
I231Atrial septal defect as current complication following acute myocardial infarction
I232Ventricular septal defect as current complication following acute myocardial infarction
I233Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction
I236Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction
I237Postinfarction angina
I238Other current complications following acute myocardial infarction
I241Dressler's syndrome
I253Aneurysm of heart
I2541Coronary artery aneurysm
I2542Coronary artery dissection
I270Primary pulmonary hypertension
I271Kyphoscoliotic heart disease
I2720Pulmonary hypertension, unspecified
I2721Secondary pulmonary arterial hypertension
I2722Pulmonary hypertension due to left heart disease
I2723Pulmonary hypertension due to lung diseases and hypoxia
I2724Chronic thromboembolic pulmonary hypertension
I2729Other secondary pulmonary hypertension
I2781Cor pulmonale (chronic)
I2783Eisenmenger's syndrome
I2789Other specified pulmonary heart diseases
I279Pulmonary heart disease, unspecified
I280Arteriovenous fistula of pulmonary vessels
I281Aneurysm of pulmonary artery
I288Other diseases of pulmonary vessels
I289Disease of pulmonary vessels, unspecified
I300Acute nonspecific idiopathic pericarditis
I301Infective pericarditis
I308Other forms of acute pericarditis
I309Acute pericarditis, unspecified
I310Chronic adhesive pericarditis
I311Chronic constrictive pericarditis
I312Hemopericardium, not elsewhere classified
I313Pericardial effusion (noninflammatory)
I314Cardiac tamponade
I318Other specified diseases of pericardium
I319Disease of pericardium, unspecified
I32Pericarditis in diseases classified elsewhere
I400Infective myocarditis
I401Isolated myocarditis
I408Other acute myocarditis
I409Acute myocarditis, unspecified
I41Myocarditis in diseases classified elsewhere
I420Dilated cardiomyopathy
I421Obstructive hypertrophic cardiomyopathy
I422Other hypertrophic cardiomyopathy
I423Endomyocardial (eosinophilic) disease
I424Endocardial fibroelastosis
I425Other restrictive cardiomyopathy
I426Alcoholic cardiomyopathy
I427Cardiomyopathy due to drug and external agent
I428Other cardiomyopathies
I429Cardiomyopathy, unspecified
I43Cardiomyopathy in diseases classified elsewhere
I510Cardiac septal defect, acquired
I514Myocarditis, unspecified
I515Myocardial degeneration
I5181Takotsubo syndrome
I950Idiopathic hypotension
I9589Other hypotension
I959Hypotension, unspecified
I970Postcardiotomy syndrome
I97110Postprocedural cardiac insufficiency following cardiac surgery
I97111Postprocedural cardiac insufficiency following other surgery
I97120Postprocedural cardiac arrest following cardiac surgery
I97121Postprocedural cardiac arrest following other surgery
I97130Postprocedural heart failure following cardiac surgery
I97131Postprocedural heart failure following other surgery
I97190Other postprocedural cardiac functional disturbances following cardiac surgery
I97191Other postprocedural cardiac functional disturbances following other surgery
I97710Intraoperative cardiac arrest during cardiac surgery
I97711Intraoperative cardiac arrest during other surgery
I97790Other intraoperative cardiac functional disturbances during cardiac surgery
I97791Other intraoperative cardiac functional disturbances during other surgery
I9788Other intraoperative complications of the circulatory system, not elsewhere classified
I9789Other postprocedural complications and disorders of the circulatory system, not elsewhere classified
R008Other abnormalities of heart beat
R009Unspecified abnormalities of heart beat
R012Other cardiac sounds
R030Elevated blood-pressure reading, without diagnosis of hypertension
R031Nonspecific low blood-pressure reading
R0989Other specified symptoms and signs involving the circulatory and respiratory systems
R58Hemorrhage, not elsewhere classified
R9430Abnormal result of cardiovascular function study, unspecified
R9431Abnormal electrocardiogram [ECG] [EKG]
R9439Abnormal result of other cardiovascular function study
S2600XAUnspecified injury of heart with hemopericardium, initial encounter
S2601XAContusion of heart with hemopericardium, initial encounter
S26020AMild laceration of heart with hemopericardium, initial encounter
S26021AModerate laceration of heart with hemopericardium, initial encounter
S26022AMajor laceration of heart with hemopericardium, initial encounter
S2609XAOther injury of heart with hemopericardium, initial encounter
S2610XAUnspecified injury of heart without hemopericardium, initial encounter
S2611XAContusion of heart without hemopericardium, initial encounter
S2612XALaceration of heart without hemopericardium, initial encounter
S2619XAOther injury of heart without hemopericardium, initial encounter
S2690XAUnspecified injury of heart, unspecified with or without hemopericardium, initial encounter
S2691XAContusion of heart, unspecified with or without hemopericardium, initial encounter
S2692XALaceration of heart, unspecified with or without hemopericardium, initial encounter
S2699XAOther injury of heart, unspecified with or without hemopericardium, initial encounter
T801XXAVascular complications following infusion, transfusion and therapeutic injection, initial encounter
T80211ABloodstream infection due to central venous catheter, initial encounter
T80212ALocal infection due to central venous catheter, initial encounter
T80218AOther infection due to central venous catheter, initial encounter
T80219AUnspecified infection due to central venous catheter, initial encounter
T80810AExtravasation of vesicant antineoplastic chemotherapy, initial encounter
T80818AExtravasation of other vesicant agent, initial encounter
T8090XAUnspecified complication following infusion and therapeutic injection, initial encounter
T82118ABreakdown (mechanical) of other cardiac electronic device, initial encounter
T82119ABreakdown (mechanical) of unspecified cardiac electronic device, initial encounter
T82128ADisplacement of other cardiac electronic device, initial encounter
T82129ADisplacement of unspecified cardiac electronic device, initial encounter
T82198AOther mechanical complication of other cardiac electronic device, initial encounter
T82199AOther mechanical complication of unspecified cardiac device, initial encounter
T82211ABreakdown (mechanical) of coronary artery bypass graft, initial encounter
T82212ADisplacement of coronary artery bypass graft, initial encounter
T82213ALeakage of coronary artery bypass graft, initial encounter
T82218AOther mechanical complication of coronary artery bypass graft, initial encounter
T82221ABreakdown (mechanical) of biological heart valve graft, initial encounter
T82222ADisplacement of biological heart valve graft, initial encounter
T82223ALeakage of biological heart valve graft, initial encounter
T82228AOther mechanical complication of biological heart valve graft, initial encounter
T82310ABreakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
T82311ABreakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82312ABreakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82318ABreakdown (mechanical) of other vascular grafts, initial encounter
T82319ABreakdown (mechanical) of unspecified vascular grafts, initial encounter
T82320ADisplacement of aortic (bifurcation) graft (replacement), initial encounter
T82321ADisplacement of carotid arterial graft (bypass), initial encounter
T82322ADisplacement of femoral arterial graft (bypass), initial encounter
T82328ADisplacement of other vascular grafts, initial encounter
T82329ADisplacement of unspecified vascular grafts, initial encounter
T82330ALeakage of aortic (bifurcation) graft (replacement), initial encounter
T82331ALeakage of carotid arterial graft (bypass), initial encounter
T82332ALeakage of femoral arterial graft (bypass), initial encounter
T82338ALeakage of other vascular grafts, initial encounter
T82339ALeakage of unspecified vascular graft, initial encounter
T82390AOther mechanical complication of aortic (bifurcation) graft (replacement), initial encounter
T82391AOther mechanical complication of carotid arterial graft (bypass), initial encounter
T82392AOther mechanical complication of femoral arterial graft (bypass), initial encounter
T82398AOther mechanical complication of other vascular grafts, initial encounter
T82399AOther mechanical complication of unspecified vascular grafts, initial encounter
T82510ABreakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82511ABreakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82512ABreakdown (mechanical) of artificial heart, initial encounter
T82513ABreakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82514ABreakdown (mechanical) of infusion catheter, initial encounter
T82515ABreakdown (mechanical) of umbrella device, initial encounter
T82518ABreakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82519ABreakdown (mechanical) of unspecified cardiac and vascular devices and implants, initial encounter
T82520ADisplacement of surgically created arteriovenous fistula, initial encounter
T82521ADisplacement of surgically created arteriovenous shunt, initial encounter
T82522ADisplacement of artificial heart, initial encounter
T82523ADisplacement of balloon (counterpulsation) device, initial encounter
T82524ADisplacement of infusion catheter, initial encounter
T82525ADisplacement of umbrella device, initial encounter
T82528ADisplacement of other cardiac and vascular devices and implants, initial encounter
T82529ADisplacement of unspecified cardiac and vascular devices and implants, initial encounter
T82530ALeakage of surgically created arteriovenous fistula, initial encounter
T82531ALeakage of surgically created arteriovenous shunt, initial encounter
T82532ALeakage of artificial heart, initial encounter
T82533ALeakage of balloon (counterpulsation) device, initial encounter
T82534ALeakage of infusion catheter, initial encounter
T82535ALeakage of umbrella device, initial encounter
T82538ALeakage of other cardiac and vascular devices and implants, initial encounter
T82539ALeakage of unspecified cardiac and vascular devices and implants, initial encounter
T82590AOther mechanical complication of surgically created arteriovenous fistula, initial encounter
T82591AOther mechanical complication of surgically created arteriovenous shunt, initial encounter
T82592AOther mechanical complication of artificial heart, initial encounter
T82593AOther mechanical complication of balloon (counterpulsation) device, initial encounter
T82594AOther mechanical complication of infusion catheter, initial encounter
T82595AOther mechanical complication of umbrella device, initial encounter
T82598AOther mechanical complication of other cardiac and vascular devices and implants, initial encounter
T82599AOther mechanical complication of unspecified cardiac and vascular devices and implants, initial encounter
T826XXAInfection and inflammatory reaction due to cardiac valve prosthesis, initial encounter
T827XXAInfection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter
T82817AEmbolism due to cardiac prosthetic devices, implants and grafts, initial encounter
T82818AEmbolism due to vascular prosthetic devices, implants and grafts, initial encounter
T82827AFibrosis due to cardiac prosthetic devices, implants and grafts, initial encounter
T82828AFibrosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82837AHemorrhage due to cardiac prosthetic devices, implants and grafts, initial encounter
T82838AHemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter
T82847APain due to cardiac prosthetic devices, implants and grafts, initial encounter
T82848APain due to vascular prosthetic devices, implants and grafts, initial encounter
T82855AStenosis of coronary artery stent, initial encounter
T82856AStenosis of peripheral vascular stent, initial encounter
T82857AStenosis of other cardiac prosthetic devices, implants and grafts, initial encounter
T82858AStenosis of other vascular prosthetic devices, implants and grafts, initial encounter
T82867AThrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter
T82868AThrombosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82897AOther specified complication of cardiac prosthetic devices, implants and grafts, initial encounter
T82898AOther specified complication of vascular prosthetic devices, implants and grafts, initial encounter
T829XXAUnspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter
T8620Unspecified complication of heart transplant
T8621Heart transplant rejection
T8622Heart transplant failure
T8623Heart transplant infection
T86290Cardiac allograft vasculopathy
T86298Other complications of heart transplant
T8630Unspecified complication of heart-lung transplant
T8631Heart-lung transplant rejection
T8632Heart-lung transplant failure
T8633Heart-lung transplant infection
T8639Other complications of heart-lung transplant
Z45010Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
Z45018Encounter for adjustment and management of other part of cardiac pacemaker
Z4502Encounter for adjustment and management of automatic implantable cardiac defibrillator
Z4509Encounter for adjustment and management of other cardiac device
Z941Heart transplant status
Z943Heart and lungs transplant status
Z952Presence of prosthetic heart valve
Z953Presence of xenogenic heart valve
Z954Presence of other heart-valve replacement
Z95811Presence of heart assist device
Z95812Presence of fully implantable artificial heart
Z95820Peripheral vascular angioplasty status with implants and grafts
Z95828Presence of other vascular implants and grafts



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