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

Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
MDC 25 Human immunodeficiency virus infections
HIV with major related condition
Page 1 of 2
MCC CC DRG
Yes n/a 974
No Yes 975
No No 976

DRG 974 HIV WITH MAJOR RELATED CONDITION WITH MCC

DRG 975 HIV WITH MAJOR RELATED CONDITION WITH CC

DRG 976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC

PRINCIPAL OR SECONDARY DIAGNOSIS OF HIV INFECTION

B20Human immunodeficiency virus [HIV] disease

AND

PRINCIPAL OR SECONDARY DIAGNOSIS OF MAJOR RELATED CONDITION

A021Salmonella sepsis
A0220Localized salmonella infection, unspecified
A0221Salmonella meningitis
A0222Salmonella pneumonia
A0223Salmonella arthritis
A0224Salmonella osteomyelitis
A0225Salmonella pyelonephritis
A0229Salmonella with other localized infection
A028Other specified salmonella infections
A029Salmonella infection, unspecified
A073Isosporiasis
A150Tuberculosis of lung
A154Tuberculosis of intrathoracic lymph nodes
A155Tuberculosis of larynx, trachea and bronchus
A156Tuberculous pleurisy
A157Primary respiratory tuberculosis
A158Other respiratory tuberculosis
A159Respiratory tuberculosis unspecified
A170Tuberculous meningitis
A171Meningeal tuberculoma
A1781Tuberculoma of brain and spinal cord
A1782Tuberculous meningoencephalitis
A1783Tuberculous neuritis
A1789Other tuberculosis of nervous system
A179Tuberculosis of nervous system, unspecified
A1801Tuberculosis of spine
A1802Tuberculous arthritis of other joints
A1803Tuberculosis of other bones
A1809Other musculoskeletal tuberculosis
A1810Tuberculosis of genitourinary system, unspecified
A1811Tuberculosis of kidney and ureter
A1812Tuberculosis of bladder
A1813Tuberculosis of other urinary organs
A1814Tuberculosis of prostate
A1815Tuberculosis of other male genital organs
A1816Tuberculosis of cervix
A1817Tuberculous female pelvic inflammatory disease
A1818Tuberculosis of other female genital organs
A182Tuberculous peripheral lymphadenopathy
A1831Tuberculous peritonitis
A1832Tuberculous enteritis
A1839Retroperitoneal tuberculosis
A184Tuberculosis of skin and subcutaneous tissue
A1850Tuberculosis of eye, unspecified
A1851Tuberculous episcleritis
A1852Tuberculous keratitis
A1853Tuberculous chorioretinitis
A1854Tuberculous iridocyclitis
A1859Other tuberculosis of eye
A186Tuberculosis of (inner) (middle) ear
A187Tuberculosis of adrenal glands
A1881Tuberculosis of thyroid gland
A1882Tuberculosis of other endocrine glands
A1883Tuberculosis of digestive tract organs, not elsewhere classified
A1884Tuberculosis of heart
A1885Tuberculosis of spleen
A1889Tuberculosis of other sites
A190Acute miliary tuberculosis of a single specified site
A191Acute miliary tuberculosis of multiple sites
A192Acute miliary tuberculosis, unspecified
A198Other miliary tuberculosis
A199Miliary tuberculosis, unspecified
A312Disseminated mycobacterium avium-intracellulare complex (DMAC)
A318Other mycobacterial infections
A319Mycobacterial infection, unspecified
A409Streptococcal sepsis, unspecified
A4101Sepsis due to Methicillin susceptible Staphylococcus aureus
A4102Sepsis due to Methicillin resistant Staphylococcus aureus
A411Sepsis due to other specified staphylococcus
A412Sepsis due to unspecified staphylococcus
A413Sepsis due to Hemophilus influenzae
A414Sepsis due to anaerobes
A4150Gram-negative sepsis, unspecified
A4151Sepsis due to Escherichia coli [E. coli]
A4152Sepsis due to Pseudomonas
A4153Sepsis due to Serratia
A4159Other Gram-negative sepsis
A4181Sepsis due to Enterococcus
A4189Other specified sepsis
A419Sepsis, unspecified organism
A420Pulmonary actinomycosis
A421Abdominal actinomycosis
A422Cervicofacial actinomycosis
A427Actinomycotic sepsis
A4281Actinomycotic meningitis
A4282Actinomycotic encephalitis
A4289Other forms of actinomycosis
A429Actinomycosis, unspecified
A430Pulmonary nocardiosis
A431Cutaneous nocardiosis
A438Other forms of nocardiosis
A439Nocardiosis, unspecified
A481Legionnaires' disease
A6000Herpesviral infection of urogenital system, unspecified
A6001Herpesviral infection of penis
A6004Herpesviral vulvovaginitis
A6009Herpesviral infection of other urogenital tract
A601Herpesviral infection of perianal skin and rectum
A609Anogenital herpesviral infection, unspecified
A812Progressive multifocal leukoencephalopathy
A8182Gerstmann-Straussler-Scheinker syndrome
A8183Fatal familial insomnia
A8189Other atypical virus infections of central nervous system
A819Atypical virus infection of central nervous system, unspecified
A850Enteroviral encephalitis
A851Adenoviral encephalitis
A858Other specified viral encephalitis
A86Unspecified viral encephalitis
A888Other specified viral infections of central nervous system
A89Unspecified viral infection of central nervous system
B000Eczema herpeticum
B001Herpesviral vesicular dermatitis
B002Herpesviral gingivostomatitis and pharyngotonsillitis
B003Herpesviral meningitis
B004Herpesviral encephalitis
B0050Herpesviral ocular disease, unspecified
B0051Herpesviral iridocyclitis
B0052Herpesviral keratitis
B0053Herpesviral conjunctivitis
B0059Other herpesviral disease of eye
B007Disseminated herpesviral disease
B0081Herpesviral hepatitis
B0089Other herpesviral infection
B009Herpesviral infection, unspecified
B020Zoster encephalitis
B021Zoster meningitis
B0221Postherpetic geniculate ganglionitis
B0222Postherpetic trigeminal neuralgia
B0223Postherpetic polyneuropathy
B0229Other postherpetic nervous system involvement
B0230Zoster ocular disease, unspecified
B0231Zoster conjunctivitis
B0232Zoster iridocyclitis
B0233Zoster keratitis
B0234Zoster scleritis
B0239Other herpes zoster eye disease
B027Disseminated zoster
B028Zoster with other complications
B029Zoster without complications
B1001Human herpesvirus 6 encephalitis
B1009Other human herpesvirus encephalitis
B258Other cytomegaloviral diseases
B259Cytomegaloviral disease, unspecified
B370Candidal stomatitis
B371Pulmonary candidiasis
B372Candidiasis of skin and nail
B375Candidal meningitis
B376Candidal endocarditis
B3781Candidal esophagitis
B3782Candidal enteritis
B3783Candidal cheilitis
B3784Candidal otitis externa
B3789Other sites of candidiasis
B379Candidiasis, unspecified
B380Acute pulmonary coccidioidomycosis
B381Chronic pulmonary coccidioidomycosis
B382Pulmonary coccidioidomycosis, unspecified
B383Cutaneous coccidioidomycosis
B384Coccidioidomycosis meningitis
B387Disseminated coccidioidomycosis
B3881Prostatic coccidioidomycosis
B3889Other forms of coccidioidomycosis
B389Coccidioidomycosis, unspecified
B390Acute pulmonary histoplasmosis capsulati
B391Chronic pulmonary histoplasmosis capsulati
B392Pulmonary histoplasmosis capsulati, unspecified
B393Disseminated histoplasmosis capsulati
B394Histoplasmosis capsulati, unspecified
B395Histoplasmosis duboisii
B399Histoplasmosis, unspecified
B450Pulmonary cryptococcosis
B452Cutaneous cryptococcosis
B453Osseous cryptococcosis
B457Disseminated cryptococcosis
B458Other forms of cryptococcosis
B459Cryptococcosis, unspecified
B471Actinomycetoma
B479Mycetoma, unspecified
B488Other specified mycoses
B5800Toxoplasma oculopathy, unspecified
B5801Toxoplasma chorioretinitis
B5809Other toxoplasma oculopathy
B581Toxoplasma hepatitis
B582Toxoplasma meningoencephalitis
B583Pulmonary toxoplasmosis
B5881Toxoplasma myocarditis
B5882Toxoplasma myositis
B5883Toxoplasma tubulo-interstitial nephropathy
B5889Toxoplasmosis with other organ involvement
B589Toxoplasmosis, unspecified
B59Pneumocystosis
B608Other specified protozoal diseases
B780Intestinal strongyloidiasis
B787Disseminated strongyloidiasis
B789Strongyloidiasis, unspecified
B998Other infectious disease
C460Kaposi's sarcoma of skin
C461Kaposi's sarcoma of soft tissue
C462Kaposi's sarcoma of palate
C463Kaposi's sarcoma of lymph nodes
C464Kaposi's sarcoma of gastrointestinal sites
C4650Kaposi's sarcoma of unspecified lung
C4651Kaposi's sarcoma of right lung
C4652Kaposi's sarcoma of left lung
C467Kaposi's sarcoma of other sites
C469Kaposi's sarcoma, unspecified
C8250Diffuse follicle center lymphoma, unspecified site
C8251Diffuse follicle center lymphoma, lymph nodes of head, face, and neck
C8252Diffuse follicle center lymphoma, intrathoracic lymph nodes
C8253Diffuse follicle center lymphoma, intra-abdominal lymph nodes
C8254Diffuse follicle center lymphoma, lymph nodes of axilla and upper limb
C8255Diffuse follicle center lymphoma, lymph nodes of inguinal region and lower limb
C8256Diffuse follicle center lymphoma, intrapelvic lymph nodes
C8257Diffuse follicle center lymphoma, spleen
C8258Diffuse follicle center lymphoma, lymph nodes of multiple sites
C8259Diffuse follicle center lymphoma, extranodal and solid organ sites
C8300Small cell B-cell lymphoma, unspecified site
C8301Small cell B-cell lymphoma, lymph nodes of head, face, and neck
C8302Small cell B-cell lymphoma, intrathoracic lymph nodes
C8303Small cell B-cell lymphoma, intra-abdominal lymph nodes
C8304Small cell B-cell lymphoma, lymph nodes of axilla and upper limb
C8305Small cell B-cell lymphoma, lymph nodes of inguinal region and lower limb
C8306Small cell B-cell lymphoma, intrapelvic lymph nodes
C8307Small cell B-cell lymphoma, spleen
C8308Small cell B-cell lymphoma, lymph nodes of multiple sites
C8309Small cell B-cell lymphoma, extranodal and solid organ sites
C8310Mantle cell lymphoma, unspecified site
C8311Mantle cell lymphoma, lymph nodes of head, face, and neck
C8312Mantle cell lymphoma, intrathoracic lymph nodes
C8313Mantle cell lymphoma, intra-abdominal lymph nodes
C8314Mantle cell lymphoma, lymph nodes of axilla and upper limb
C8315Mantle cell lymphoma, lymph nodes of inguinal region and lower limb
C8316Mantle cell lymphoma, intrapelvic lymph nodes
C8317Mantle cell lymphoma, spleen
C8318Mantle cell lymphoma, lymph nodes of multiple sites
C8319Mantle cell lymphoma, extranodal and solid organ sites
C8330Diffuse large B-cell lymphoma, unspecified site
C8331Diffuse large B-cell lymphoma, lymph nodes of head, face, and neck
C8332Diffuse large B-cell lymphoma, intrathoracic lymph nodes
C8333Diffuse large B-cell lymphoma, intra-abdominal lymph nodes
C8334Diffuse large B-cell lymphoma, lymph nodes of axilla and upper limb
C8335Diffuse large B-cell lymphoma, lymph nodes of inguinal region and lower limb
C8336Diffuse large B-cell lymphoma, intrapelvic lymph nodes
C8337Diffuse large B-cell lymphoma, spleen
C8338Diffuse large B-cell lymphoma, lymph nodes of multiple sites
C8339Diffuse large B-cell lymphoma, extranodal and solid organ sites
C8370Burkitt lymphoma, unspecified site
C8371Burkitt lymphoma, lymph nodes of head, face, and neck
C8372Burkitt lymphoma, intrathoracic lymph nodes
C8373Burkitt lymphoma, intra-abdominal lymph nodes
C8374Burkitt lymphoma, lymph nodes of axilla and upper limb
C8375Burkitt lymphoma, lymph nodes of inguinal region and lower limb
C8376Burkitt lymphoma, intrapelvic lymph nodes
C8377Burkitt lymphoma, spleen
C8378Burkitt lymphoma, lymph nodes of multiple sites
C8379Burkitt lymphoma, extranodal and solid organ sites
C8380Other non-follicular lymphoma, unspecified site
C8381Other non-follicular lymphoma, lymph nodes of head, face, and neck
C8382Other non-follicular lymphoma, intrathoracic lymph nodes
C8383Other non-follicular lymphoma, intra-abdominal lymph nodes
C8384Other non-follicular lymphoma, lymph nodes of axilla and upper limb
C8385Other non-follicular lymphoma, lymph nodes of inguinal region and lower limb
C8386Other non-follicular lymphoma, intrapelvic lymph nodes
C8387Other non-follicular lymphoma, spleen
C8388Other non-follicular lymphoma, lymph nodes of multiple sites
C8389Other non-follicular lymphoma, extranodal and solid organ sites
C8390Non-follicular (diffuse) lymphoma, unspecified, unspecified site
C8391Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of head, face, and neck
C8392Non-follicular (diffuse) lymphoma, unspecified, intrathoracic lymph nodes
C8393Non-follicular (diffuse) lymphoma, unspecified, intra-abdominal lymph nodes
C8394Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of axilla and upper limb
C8395Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of inguinal region and lower limb
C8396Non-follicular (diffuse) lymphoma, unspecified, intrapelvic lymph nodes
C8397Non-follicular (diffuse) lymphoma, unspecified, spleen
C8398Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of multiple sites
C8399Non-follicular (diffuse) lymphoma, unspecified, extranodal and solid organ sites
C8440Peripheral T-cell lymphoma, not classified, unspecified site
C8441Peripheral T-cell lymphoma, not classified, lymph nodes of head, face, and neck
C8442Peripheral T-cell lymphoma, not classified, intrathoracic lymph nodes
C8443Peripheral T-cell lymphoma, not classified, intra-abdominal lymph nodes
C8444Peripheral T-cell lymphoma, not classified, lymph nodes of axilla and upper limb
C8445Peripheral T-cell lymphoma, not classified, lymph nodes of inguinal region and lower limb
C8446Peripheral T-cell lymphoma, not classified, intrapelvic lymph nodes
C8447Peripheral T-cell lymphoma, not classified, spleen
C8448Peripheral T-cell lymphoma, not classified, lymph nodes of multiple sites
C8449Peripheral T-cell lymphoma, not classified, extranodal and solid organ sites
C8460Anaplastic large cell lymphoma, ALK-positive, unspecified site
C8461Anaplastic large cell lymphoma, ALK-positive, lymph nodes of head, face, and neck
C8462Anaplastic large cell lymphoma, ALK-positive, intrathoracic lymph nodes
C8463Anaplastic large cell lymphoma, ALK-positive, intra-abdominal lymph nodes
C8464Anaplastic large cell lymphoma, ALK-positive, lymph nodes of axilla and upper limb
C8465Anaplastic large cell lymphoma, ALK-positive, lymph nodes of inguinal region and lower limb
C8466Anaplastic large cell lymphoma, ALK-positive, intrapelvic lymph nodes
C8467Anaplastic large cell lymphoma, ALK-positive, spleen
C8468Anaplastic large cell lymphoma, ALK-positive, lymph nodes of multiple sites
C8469Anaplastic large cell lymphoma, ALK-positive, extranodal and solid organ sites
C8470Anaplastic large cell lymphoma, ALK-negative, unspecified site
C8471Anaplastic large cell lymphoma, ALK-negative, lymph nodes of head, face, and neck
C8472Anaplastic large cell lymphoma, ALK-negative, intrathoracic lymph nodes
C8473Anaplastic large cell lymphoma, ALK-negative, intra-abdominal lymph nodes
C8474Anaplastic large cell lymphoma, ALK-negative, lymph nodes of axilla and upper limb
C8475Anaplastic large cell lymphoma, ALK-negative, lymph nodes of inguinal region and lower limb
C8476Anaplastic large cell lymphoma, ALK-negative, intrapelvic lymph nodes
C8477Anaplastic large cell lymphoma, ALK-negative, spleen
C8478Anaplastic large cell lymphoma, ALK-negative, lymph nodes of multiple sites
C8479Anaplastic large cell lymphoma, ALK-negative, extranodal and solid organ sites
C8490Mature T/NK-cell lymphomas, unspecified, unspecified site
C8491Mature T/NK-cell lymphomas, unspecified, lymph nodes of head, face, and neck
C8492Mature T/NK-cell lymphomas, unspecified, intrathoracic lymph nodes
C8493Mature T/NK-cell lymphomas, unspecified, intra-abdominal lymph nodes
C8494Mature T/NK-cell lymphomas, unspecified, lymph nodes of axilla and upper limb
C8495Mature T/NK-cell lymphomas, unspecified, lymph nodes of inguinal region and lower limb
C8496Mature T/NK-cell lymphomas, unspecified, intrapelvic lymph nodes
C8497Mature T/NK-cell lymphomas, unspecified, spleen
C8498Mature T/NK-cell lymphomas, unspecified, lymph nodes of multiple sites
C8499Mature T/NK-cell lymphomas, unspecified, extranodal and solid organ sites
C84A0Cutaneous T-cell lymphoma, unspecified, unspecified site
C84A1Cutaneous T-cell lymphoma, unspecified lymph nodes of head, face, and neck
C84A2Cutaneous T-cell lymphoma, unspecified, intrathoracic lymph nodes
C84A3Cutaneous T-cell lymphoma, unspecified, intra-abdominal lymph nodes
C84A4Cutaneous T-cell lymphoma, unspecified, lymph nodes of axilla and upper limb
C84A5Cutaneous T-cell lymphoma, unspecified, lymph nodes of inguinal region and lower limb
C84A6Cutaneous T-cell lymphoma, unspecified, intrapelvic lymph nodes
C84A7Cutaneous T-cell lymphoma, unspecified, spleen
C84A8Cutaneous T-cell lymphoma, unspecified, lymph nodes of multiple sites
C84A9Cutaneous T-cell lymphoma, unspecified, extranodal and solid organ sites
C84Z0Other mature T/NK-cell lymphomas, unspecified site
C84Z1Other mature T/NK-cell lymphomas, lymph nodes of head, face, and neck
C84Z2Other mature T/NK-cell lymphomas, intrathoracic lymph nodes
C84Z3Other mature T/NK-cell lymphomas, intra-abdominal lymph nodes
C84Z4Other mature T/NK-cell lymphomas, lymph nodes of axilla and upper limb
C84Z5Other mature T/NK-cell lymphomas, lymph nodes of inguinal region and lower limb
C84Z6Other mature T/NK-cell lymphomas, intrapelvic lymph nodes
C84Z7Other mature T/NK-cell lymphomas, spleen
C84Z8Other mature T/NK-cell lymphomas, lymph nodes of multiple sites
C84Z9Other mature T/NK-cell lymphomas, extranodal and solid organ sites
C8510Unspecified B-cell lymphoma, unspecified site
C8511Unspecified B-cell lymphoma, lymph nodes of head, face, and neck
C8512Unspecified B-cell lymphoma, intrathoracic lymph nodes
C8513Unspecified B-cell lymphoma, intra-abdominal lymph nodes
C8514Unspecified B-cell lymphoma, lymph nodes of axilla and upper limb
C8515Unspecified B-cell lymphoma, lymph nodes of inguinal region and lower limb
C8516Unspecified B-cell lymphoma, intrapelvic lymph nodes
C8517Unspecified B-cell lymphoma, spleen
C8518Unspecified B-cell lymphoma, lymph nodes of multiple sites
C8519Unspecified B-cell lymphoma, extranodal and solid organ sites
C8520Mediastinal (thymic) large B-cell lymphoma, unspecified site
C8521Mediastinal (thymic) large B-cell lymphoma, lymph nodes of head, face, and neck
C8522Mediastinal (thymic) large B-cell lymphoma, intrathoracic lymph nodes
C8523Mediastinal (thymic) large B-cell lymphoma, intra-abdominal lymph nodes
C8524Mediastinal (thymic) large B-cell lymphoma, lymph nodes of axilla and upper limb
C8525Mediastinal (thymic) large B-cell lymphoma, lymph nodes of inguinal region and lower limb
C8526Mediastinal (thymic) large B-cell lymphoma, intrapelvic lymph nodes
C8527Mediastinal (thymic) large B-cell lymphoma, spleen
C8528Mediastinal (thymic) large B-cell lymphoma, lymph nodes of multiple sites
C8529Mediastinal (thymic) large B-cell lymphoma, extranodal and solid organ sites
C8580Other specified types of non-Hodgkin lymphoma, unspecified site
C8581Other specified types of non-Hodgkin lymphoma, lymph nodes of head, face, and neck
C8582Other specified types of non-Hodgkin lymphoma, intrathoracic lymph nodes
C8583Other specified types of non-Hodgkin lymphoma, intra-abdominal lymph nodes
C8584Other specified types of non-Hodgkin lymphoma, lymph nodes of axilla and upper limb
C8585Other specified types of non-Hodgkin lymphoma, lymph nodes of inguinal region and lower limb
C8586Other specified types of non-Hodgkin lymphoma, intrapelvic lymph nodes
C8587Other specified types of non-Hodgkin lymphoma, spleen
C8588Other specified types of non-Hodgkin lymphoma, lymph nodes of multiple sites
C8589Other specified types of non-Hodgkin lymphoma, extranodal and solid organ sites
C8590Non-Hodgkin lymphoma, unspecified, unspecified site
C8591Non-Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck
C8592Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes
C8593Non-Hodgkin lymphoma, unspecified, intra-abdominal lymph nodes
C8594Non-Hodgkin lymphoma, unspecified, lymph nodes of axilla and upper limb
C8595Non-Hodgkin lymphoma, unspecified, lymph nodes of inguinal region and lower limb
C8596Non-Hodgkin lymphoma, unspecified, intrapelvic lymph nodes
C8597Non-Hodgkin lymphoma, unspecified, spleen
C8598Non-Hodgkin lymphoma, unspecified, lymph nodes of multiple sites
C8599Non-Hodgkin lymphoma, unspecified, extranodal and solid organ sites
C860Extranodal NK/T-cell lymphoma, nasal type
C861Hepatosplenic T-cell lymphoma
C862Enteropathy-type (intestinal) T-cell lymphoma
C863Subcutaneous panniculitis-like T-cell lymphoma
C864Blastic NK-cell lymphoma
C865Angioimmunoblastic T-cell lymphoma
C866Primary cutaneous CD30-positive T-cell proliferations
C884Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-lymphoma]
F0390Unspecified dementia without behavioral disturbance
F068Other specified mental disorders due to known physiological condition
F079Unspecified personality and behavioral disorder due to known physiological condition
F09Unspecified mental disorder due to known physiological condition
F28Other psychotic disorder not due to a substance or known physiological condition
F29Unspecified psychosis not due to a substance or known physiological condition



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