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 08 Diseases and disorders of the musculoskeletal system and connective tissue |
| Signs and symptoms of musculoskeletal system and connective tissue |
| MCC | DRG |
|---|---|
| Yes | 555 |
| No | 556 |
DRG 555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
DRG 556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC
PRINCIPAL DIAGNOSIS
| M2510 | Fistula, unspecified joint |
| M25111 | Fistula, right shoulder |
| M25112 | Fistula, left shoulder |
| M25119 | Fistula, unspecified shoulder |
| M25121 | Fistula, right elbow |
| M25122 | Fistula, left elbow |
| M25129 | Fistula, unspecified elbow |
| M25131 | Fistula, right wrist |
| M25132 | Fistula, left wrist |
| M25139 | Fistula, unspecified wrist |
| M25141 | Fistula, right hand |
| M25142 | Fistula, left hand |
| M25149 | Fistula, unspecified hand |
| M25151 | Fistula, right hip |
| M25152 | Fistula, left hip |
| M25159 | Fistula, unspecified hip |
| M25161 | Fistula, right knee |
| M25162 | Fistula, left knee |
| M25169 | Fistula, unspecified knee |
| M25171 | Fistula, right ankle |
| M25172 | Fistula, left ankle |
| M25173 | Fistula, unspecified ankle |
| M25174 | Fistula, right foot |
| M25175 | Fistula, left foot |
| M25176 | Fistula, unspecified foot |
| M2518 | Fistula, other specified site |
| M2550 | Pain in unspecified joint |
| M25511 | Pain in right shoulder |
| M25512 | Pain in left shoulder |
| M25519 | Pain in unspecified shoulder |
| M25521 | Pain in right elbow |
| M25522 | Pain in left elbow |
| M25529 | Pain in unspecified elbow |
| M25531 | Pain in right wrist |
| M25532 | Pain in left wrist |
| M25539 | Pain in unspecified wrist |
| M25541 | Pain in joints of right hand |
| M25542 | Pain in joints of left hand |
| M25549 | Pain in joints of unspecified hand |
| M25551 | Pain in right hip |
| M25552 | Pain in left hip |
| M25559 | Pain in unspecified hip |
| M25561 | Pain in right knee |
| M25562 | Pain in left knee |
| M25569 | Pain in unspecified knee |
| M25571 | Pain in right ankle and joints of right foot |
| M25572 | Pain in left ankle and joints of left foot |
| M25579 | Pain in unspecified ankle and joints of unspecified foot |
| M2559 | Pain in other specified joint |
| M2560 | Stiffness of unspecified joint, not elsewhere classified |
| M25611 | Stiffness of right shoulder, not elsewhere classified |
| M25612 | Stiffness of left shoulder, not elsewhere classified |
| M25619 | Stiffness of unspecified shoulder, not elsewhere classified |
| M25621 | Stiffness of right elbow, not elsewhere classified |
| M25622 | Stiffness of left elbow, not elsewhere classified |
| M25629 | Stiffness of unspecified elbow, not elsewhere classified |
| M25631 | Stiffness of right wrist, not elsewhere classified |
| M25632 | Stiffness of left wrist, not elsewhere classified |
| M25639 | Stiffness of unspecified wrist, not elsewhere classified |
| M25641 | Stiffness of right hand, not elsewhere classified |
| M25642 | Stiffness of left hand, not elsewhere classified |
| M25649 | Stiffness of unspecified hand, not elsewhere classified |
| M25651 | Stiffness of right hip, not elsewhere classified |
| M25652 | Stiffness of left hip, not elsewhere classified |
| M25659 | Stiffness of unspecified hip, not elsewhere classified |
| M25661 | Stiffness of right knee, not elsewhere classified |
| M25662 | Stiffness of left knee, not elsewhere classified |
| M25669 | Stiffness of unspecified knee, not elsewhere classified |
| M25671 | Stiffness of right ankle, not elsewhere classified |
| M25672 | Stiffness of left ankle, not elsewhere classified |
| M25673 | Stiffness of unspecified ankle, not elsewhere classified |
| M25674 | Stiffness of right foot, not elsewhere classified |
| M25675 | Stiffness of left foot, not elsewhere classified |
| M25676 | Stiffness of unspecified foot, not elsewhere classified |
| M2569 | Stiffness of other specified joint, not elsewhere classified |
| M2580 | Other specified joint disorders, unspecified joint |
| M25811 | Other specified joint disorders, right shoulder |
| M25812 | Other specified joint disorders, left shoulder |
| M25819 | Other specified joint disorders, unspecified shoulder |
| M25821 | Other specified joint disorders, right elbow |
| M25822 | Other specified joint disorders, left elbow |
| M25829 | Other specified joint disorders, unspecified elbow |
| M25831 | Other specified joint disorders, right wrist |
| M25832 | Other specified joint disorders, left wrist |
| M25839 | Other specified joint disorders, unspecified wrist |
| M25841 | Other specified joint disorders, right hand |
| M25842 | Other specified joint disorders, left hand |
| M25849 | Other specified joint disorders, unspecified hand |
| M25851 | Other specified joint disorders, right hip |
| M25852 | Other specified joint disorders, left hip |
| M25859 | Other specified joint disorders, unspecified hip |
| M25861 | Other specified joint disorders, right knee |
| M25862 | Other specified joint disorders, left knee |
| M25869 | Other specified joint disorders, unspecified knee |
| M25871 | Other specified joint disorders, right ankle and foot |
| M25872 | Other specified joint disorders, left ankle and foot |
| M25879 | Other specified joint disorders, unspecified ankle and foot |
| M259 | Joint disorder, unspecified |
| M6080 | Other myositis, unspecified site |
| M60811 | Other myositis, right shoulder |
| M60812 | Other myositis, left shoulder |
| M60819 | Other myositis, unspecified shoulder |
| M60821 | Other myositis, right upper arm |
| M60822 | Other myositis, left upper arm |
| M60829 | Other myositis, unspecified upper arm |
| M60831 | Other myositis, right forearm |
| M60832 | Other myositis, left forearm |
| M60839 | Other myositis, unspecified forearm |
| M60841 | Other myositis, right hand |
| M60842 | Other myositis, left hand |
| M60849 | Other myositis, unspecified hand |
| M60851 | Other myositis, right thigh |
| M60852 | Other myositis, left thigh |
| M60859 | Other myositis, unspecified thigh |
| M60861 | Other myositis, right lower leg |
| M60862 | Other myositis, left lower leg |
| M60869 | Other myositis, unspecified lower leg |
| M60871 | Other myositis, right ankle and foot |
| M60872 | Other myositis, left ankle and foot |
| M60879 | Other myositis, unspecified ankle and foot |
| M6088 | Other myositis, other site |
| M6089 | Other myositis, multiple sites |
| M609 | Myositis, unspecified |
| M6240 | Contracture of muscle, unspecified site |
| M62411 | Contracture of muscle, right shoulder |
| M62412 | Contracture of muscle, left shoulder |
| M62419 | Contracture of muscle, unspecified shoulder |
| M62421 | Contracture of muscle, right upper arm |
| M62422 | Contracture of muscle, left upper arm |
| M62429 | Contracture of muscle, unspecified upper arm |
| M62431 | Contracture of muscle, right forearm |
| M62432 | Contracture of muscle, left forearm |
| M62439 | Contracture of muscle, unspecified forearm |
| M62441 | Contracture of muscle, right hand |
| M62442 | Contracture of muscle, left hand |
| M62449 | Contracture of muscle, unspecified hand |
| M62451 | Contracture of muscle, right thigh |
| M62452 | Contracture of muscle, left thigh |
| M62459 | Contracture of muscle, unspecified thigh |
| M62461 | Contracture of muscle, right lower leg |
| M62462 | Contracture of muscle, left lower leg |
| M62469 | Contracture of muscle, unspecified lower leg |
| M62471 | Contracture of muscle, right ankle and foot |
| M62472 | Contracture of muscle, left ankle and foot |
| M62479 | Contracture of muscle, unspecified ankle and foot |
| M6248 | Contracture of muscle, other site |
| M6249 | Contracture of muscle, multiple sites |
| M6281 | Muscle weakness (generalized) |
| M62831 | Muscle spasm of calf |
| M62838 | Other muscle spasm |
| M7080 | Other soft tissue disorders related to use, overuse and pressure of unspecified site |
| M70811 | Other soft tissue disorders related to use, overuse and pressure, right shoulder |
| M70812 | Other soft tissue disorders related to use, overuse and pressure, left shoulder |
| M70819 | Other soft tissue disorders related to use, overuse and pressure, unspecified shoulder |
| M70821 | Other soft tissue disorders related to use, overuse and pressure, right upper arm |
| M70822 | Other soft tissue disorders related to use, overuse and pressure, left upper arm |
| M70829 | Other soft tissue disorders related to use, overuse and pressure, unspecified upper arms |
| M70831 | Other soft tissue disorders related to use, overuse and pressure, right forearm |
| M70832 | Other soft tissue disorders related to use, overuse and pressure, left forearm |
| M70839 | Other soft tissue disorders related to use, overuse and pressure, unspecified forearm |
| M70841 | Other soft tissue disorders related to use, overuse and pressure, right hand |
| M70842 | Other soft tissue disorders related to use, overuse and pressure, left hand |
| M70849 | Other soft tissue disorders related to use, overuse and pressure, unspecified hand |
| M70851 | Other soft tissue disorders related to use, overuse and pressure, right thigh |
| M70852 | Other soft tissue disorders related to use, overuse and pressure, left thigh |
| M70859 | Other soft tissue disorders related to use, overuse and pressure, unspecified thigh |
| M70861 | Other soft tissue disorders related to use, overuse and pressure, right lower leg |
| M70862 | Other soft tissue disorders related to use, overuse and pressure, left lower leg |
| M70869 | Other soft tissue disorders related to use, overuse and pressure, unspecified leg |
| M70871 | Other soft tissue disorders related to use, overuse and pressure, right ankle and foot |
| M70872 | Other soft tissue disorders related to use, overuse and pressure, left ankle and foot |
| M70879 | Other soft tissue disorders related to use, overuse and pressure, unspecified ankle and foot |
| M7088 | Other soft tissue disorders related to use, overuse and pressure other site |
| M7089 | Other soft tissue disorders related to use, overuse and pressure multiple sites |
| M7090 | Unspecified soft tissue disorder related to use, overuse and pressure of unspecified site |
| M70911 | Unspecified soft tissue disorder related to use, overuse and pressure, right shoulder |
| M70912 | Unspecified soft tissue disorder related to use, overuse and pressure, left shoulder |
| M70919 | Unspecified soft tissue disorder related to use, overuse and pressure, unspecified shoulder |
| M70921 | Unspecified soft tissue disorder related to use, overuse and pressure, right upper arm |
| M70922 | Unspecified soft tissue disorder related to use, overuse and pressure, left upper arm |
| M70929 | Unspecified soft tissue disorder related to use, overuse and pressure, unspecified upper arm |
| M70931 | Unspecified soft tissue disorder related to use, overuse and pressure, right forearm |
| M70932 | Unspecified soft tissue disorder related to use, overuse and pressure, left forearm |
| M70939 | Unspecified soft tissue disorder related to use, overuse and pressure, unspecified forearm |
| M70941 | Unspecified soft tissue disorder related to use, overuse and pressure, right hand |
| M70942 | Unspecified soft tissue disorder related to use, overuse and pressure, left hand |
| M70949 | Unspecified soft tissue disorder related to use, overuse and pressure, unspecified hand |
| M70951 | Unspecified soft tissue disorder related to use, overuse and pressure, right thigh |
| M70952 | Unspecified soft tissue disorder related to use, overuse and pressure, left thigh |
| M70959 | Unspecified soft tissue disorder related to use, overuse and pressure, unspecified thigh |
| M70961 | Unspecified soft tissue disorder related to use, overuse and pressure, right lower leg |
| M70962 | Unspecified soft tissue disorder related to use, overuse and pressure, left lower leg |
| M70969 | Unspecified soft tissue disorder related to use, overuse and pressure, unspecified lower leg |
| M70971 | Unspecified soft tissue disorder related to use, overuse and pressure, right ankle and foot |
| M70972 | Unspecified soft tissue disorder related to use, overuse and pressure, left ankle and foot |
| M70979 | Unspecified soft tissue disorder related to use, overuse and pressure, unspecified ankle and foot |
| M7098 | Unspecified soft tissue disorder related to use, overuse and pressure other |
| M7099 | Unspecified soft tissue disorder related to use, overuse and pressure multiple sites |
| M790 | Rheumatism, unspecified |
| M7910 | Myalgia, unspecified site |
| M7911 | Myalgia of mastication muscle |
| M7912 | Myalgia of auxiliary muscles, head and neck |
| M7918 | Myalgia, other site |
| M79601 | Pain in right arm |
| M79602 | Pain in left arm |
| M79603 | Pain in arm, unspecified |
| M79604 | Pain in right leg |
| M79605 | Pain in left leg |
| M79606 | Pain in leg, unspecified |
| M79609 | Pain in unspecified limb |
| M79621 | Pain in right upper arm |
| M79622 | Pain in left upper arm |
| M79629 | Pain in unspecified upper arm |
| M79631 | Pain in right forearm |
| M79632 | Pain in left forearm |
| M79639 | Pain in unspecified forearm |
| M79641 | Pain in right hand |
| M79642 | Pain in left hand |
| M79643 | Pain in unspecified hand |
| M79644 | Pain in right finger(s) |
| M79645 | Pain in left finger(s) |
| M79646 | Pain in unspecified finger(s) |
| M79651 | Pain in right thigh |
| M79652 | Pain in left thigh |
| M79659 | Pain in unspecified thigh |
| M79661 | Pain in right lower leg |
| M79662 | Pain in left lower leg |
| M79669 | Pain in unspecified lower leg |
| M79671 | Pain in right foot |
| M79672 | Pain in left foot |
| M79673 | Pain in unspecified foot |
| M79674 | Pain in right toe(s) |
| M79675 | Pain in left toe(s) |
| M79676 | Pain in unspecified toe(s) |
| M797 | Fibromyalgia |
| M7981 | Nontraumatic hematoma of soft tissue |
| M7989 | Other specified soft tissue disorders |
| M799 | Soft tissue disorder, unspecified |
| M9900 | Segmental and somatic dysfunction of head region |
| M9905 | Segmental and somatic dysfunction of pelvic region |
| M9906 | Segmental and somatic dysfunction of lower extremity |
| M9907 | Segmental and somatic dysfunction of upper extremity |
| M9908 | Segmental and somatic dysfunction of rib cage |
| M9909 | Segmental and somatic dysfunction of abdomen and other regions |
| R262 | Difficulty in walking, not elsewhere classified |
| R294 | Clicking hip |
| R29898 | Other symptoms and signs involving the musculoskeletal system |
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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 |