ICD-10-CM/PCS MS-DRG v38.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v38.1 Definitions Manual |
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| MDC 01 Diseases and disorders of the nervous system |
| Other disorders of nervous system |
| Page 1 of 2 |
| MCC | CC | DRG |
|---|---|---|
| Yes | n/a | 091 |
| No | Yes | 092 |
| No | No | 093 |
DRG 091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
DRG 092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
DRG 093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
PRINCIPAL DIAGNOSIS
| A881 | Epidemic vertigo |
| B900 | Sequelae of central nervous system tuberculosis |
| B91 | Sequelae of poliomyelitis |
| B941 | Sequelae of viral encephalitis |
| D1802 | Hemangioma of intracranial structures |
| F8081 | Childhood onset fluency disorder |
| F950 | Transient tic disorder |
| F951 | Chronic motor or vocal tic disorder |
| F952 | Tourette's disorder |
| F958 | Other tic disorders |
| F959 | Tic disorder, unspecified |
| G08 | Intracranial and intraspinal phlebitis and thrombophlebitis |
| G09 | Sequelae of inflammatory diseases of central nervous system |
| G14 | Postpolio syndrome |
| G210 | Malignant neuroleptic syndrome |
| G2401 | Drug induced subacute dyskinesia |
| G2402 | Drug induced acute dystonia |
| G2409 | Other drug induced dystonia |
| G242 | Idiopathic nonfamilial dystonia |
| G243 | Spasmodic torticollis |
| G244 | Idiopathic orofacial dystonia |
| G248 | Other dystonia |
| G249 | Dystonia, unspecified |
| G250 | Essential tremor |
| G251 | Drug-induced tremor |
| G252 | Other specified forms of tremor |
| G253 | Myoclonus |
| G2561 | Drug induced tics |
| G2569 | Other tics of organic origin |
| G2582 | Stiff-man syndrome |
| G2583 | Benign shuddering attacks |
| G320 | Subacute combined degeneration of spinal cord in diseases classified elsewhere |
| G4720 | Circadian rhythm sleep disorder, unspecified type |
| G4721 | Circadian rhythm sleep disorder, delayed sleep phase type |
| G4722 | Circadian rhythm sleep disorder, advanced sleep phase type |
| G4723 | Circadian rhythm sleep disorder, irregular sleep wake type |
| G4724 | Circadian rhythm sleep disorder, free running type |
| G4725 | Circadian rhythm sleep disorder, jet lag type |
| G4726 | Circadian rhythm sleep disorder, shift work type |
| G4727 | Circadian rhythm sleep disorder in conditions classified elsewhere |
| G4729 | Other circadian rhythm sleep disorder |
| G4731 | Primary central sleep apnea |
| G4735 | Congenital central alveolar hypoventilation syndrome |
| G4737 | Central sleep apnea in conditions classified elsewhere |
| G47411 | Narcolepsy with cataplexy |
| G47419 | Narcolepsy without cataplexy |
| G47421 | Narcolepsy in conditions classified elsewhere with cataplexy |
| G47429 | Narcolepsy in conditions classified elsewhere without cataplexy |
| G4751 | Confusional arousals |
| G4753 | Recurrent isolated sleep paralysis |
| G4761 | Periodic limb movement disorder |
| G4762 | Sleep related leg cramps |
| G601 | Refsum's disease |
| G7100 | Muscular dystrophy, unspecified |
| G7101 | Duchenne or Becker muscular dystrophy |
| G7102 | Facioscapulohumeral muscular dystrophy |
| G7109 | Other specified muscular dystrophies |
| G7111 | Myotonic muscular dystrophy |
| G7112 | Myotonia congenita |
| G7113 | Myotonic chondrodystrophy |
| G7114 | Drug induced myotonia |
| G7119 | Other specified myotonic disorders |
| G7120 | Congenital myopathy, unspecifed |
| G7121 | Nemaline myopathy |
| G71220 | X-linked myotubular myopathy |
| G71228 | Other centronuclear myopathy |
| G7129 | Other congenital myopathy |
| G713 | Mitochondrial myopathy, not elsewhere classified |
| G718 | Other primary disorders of muscles |
| G719 | Primary disorder of muscle, unspecified |
| G720 | Drug-induced myopathy |
| G721 | Alcoholic myopathy |
| G722 | Myopathy due to other toxic agents |
| G723 | Periodic paralysis |
| G7281 | Critical illness myopathy |
| G7289 | Other specified myopathies |
| G729 | Myopathy, unspecified |
| G737 | Myopathy in diseases classified elsewhere |
| G804 | Ataxic cerebral palsy |
| G808 | Other cerebral palsy |
| G809 | Cerebral palsy, unspecified |
| G8310 | Monoplegia of lower limb affecting unspecified side |
| G8311 | Monoplegia of lower limb affecting right dominant side |
| G8312 | Monoplegia of lower limb affecting left dominant side |
| G8313 | Monoplegia of lower limb affecting right nondominant side |
| G8314 | Monoplegia of lower limb affecting left nondominant side |
| G8320 | Monoplegia of upper limb affecting unspecified side |
| G8321 | Monoplegia of upper limb affecting right dominant side |
| G8322 | Monoplegia of upper limb affecting left dominant side |
| G8323 | Monoplegia of upper limb affecting right nondominant side |
| G8324 | Monoplegia of upper limb affecting left nondominant side |
| G8330 | Monoplegia, unspecified affecting unspecified side |
| G8331 | Monoplegia, unspecified affecting right dominant side |
| G8332 | Monoplegia, unspecified affecting left dominant side |
| G8333 | Monoplegia, unspecified affecting right nondominant side |
| G8334 | Monoplegia, unspecified affecting left nondominant side |
| G835 | Locked-in state |
| G8381 | Brown-Sequard syndrome |
| G8382 | Anterior cord syndrome |
| G8383 | Posterior cord syndrome |
| G8384 | Todd's paralysis (postepileptic) |
| G8389 | Other specified paralytic syndromes |
| G839 | Paralytic syndrome, unspecified |
| G890 | Central pain syndrome |
| G8921 | Chronic pain due to trauma |
| G8922 | Chronic post-thoracotomy pain |
| G8928 | Other chronic postprocedural pain |
| G8929 | Other chronic pain |
| G894 | Chronic pain syndrome |
| G901 | Familial dysautonomia [Riley-Day] |
| G92 | Toxic encephalopathy |
| G930 | Cerebral cysts |
| G931 | Anoxic brain damage, not elsewhere classified |
| G937 | Reye's syndrome |
| G9511 | Acute infarction of spinal cord (embolic) (nonembolic) |
| G9519 | Other vascular myelopathies |
| G9520 | Unspecified cord compression |
| G9529 | Other cord compression |
| G9581 | Conus medullaris syndrome |
| G9589 | Other specified diseases of spinal cord |
| G959 | Disease of spinal cord, unspecified |
| G9600 | Cerebrospinal fluid leak, unspecified |
| G9601 | Cranial cerebrospinal fluid leak, spontaneous |
| G9602 | Spinal cerebrospinal fluid leak, spontaneous |
| G9608 | Other cranial cerebrospinal fluid leak |
| G9609 | Other spinal cerebrospinal fluid leak |
| G9612 | Meningeal adhesions (cerebral) (spinal) |
| G96191 | Perineural cyst |
| G96198 | Other disorders of meninges, not elsewhere classified |
| G970 | Cerebrospinal fluid leak from spinal puncture |
| G972 | Intracranial hypotension following ventricular shunting |
| G9731 | Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a nervous system procedure |
| G9732 | Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating other procedure |
| G9781 | Other intraoperative complications of nervous system |
| G9782 | Other postprocedural complications and disorders of nervous system |
| G9783 | Intracranial hypotension following lumbar cerebrospinal fluid shunting |
| G9784 | Intracranial hypotension following other procedure |
| G992 | Myelopathy in diseases classified elsewhere |
| H4710 | Unspecified papilledema |
| H4711 | Papilledema associated with increased intracranial pressure |
| H47141 | Foster-Kennedy syndrome, right eye |
| H47142 | Foster-Kennedy syndrome, left eye |
| H47143 | Foster-Kennedy syndrome, bilateral |
| H47149 | Foster-Kennedy syndrome, unspecified eye |
| H4741 | Disorders of optic chiasm in (due to) inflammatory disorders |
| H4742 | Disorders of optic chiasm in (due to) neoplasm |
| H4743 | Disorders of optic chiasm in (due to) vascular disorders |
| H4749 | Disorders of optic chiasm in (due to) other disorders |
| H47511 | Disorders of visual pathways in (due to) inflammatory disorders, right side |
| H47512 | Disorders of visual pathways in (due to) inflammatory disorders, left side |
| H47519 | Disorders of visual pathways in (due to) inflammatory disorders, unspecified side |
| H47521 | Disorders of visual pathways in (due to) neoplasm, right side |
| H47522 | Disorders of visual pathways in (due to) neoplasm, left side |
| H47529 | Disorders of visual pathways in (due to) neoplasm, unspecified side |
| H47531 | Disorders of visual pathways in (due to) vascular disorders, right side |
| H47532 | Disorders of visual pathways in (due to) vascular disorders, left side |
| H47539 | Disorders of visual pathways in (due to) vascular disorders, unspecified side |
| H47611 | Cortical blindness, right side of brain |
| H47612 | Cortical blindness, left side of brain |
| H47619 | Cortical blindness, unspecified side of brain |
| H47621 | Disorders of visual cortex in (due to) inflammatory disorders, right side of brain |
| H47622 | Disorders of visual cortex in (due to) inflammatory disorders, left side of brain |
| H47629 | Disorders of visual cortex in (due to) inflammatory disorders, unspecified side of brain |
| H47631 | Disorders of visual cortex in (due to) neoplasm, right side of brain |
| H47632 | Disorders of visual cortex in (due to) neoplasm, left side of brain |
| H47639 | Disorders of visual cortex in (due to) neoplasm, unspecified side of brain |
| H47641 | Disorders of visual cortex in (due to) vascular disorders, right side of brain |
| H47642 | Disorders of visual cortex in (due to) vascular disorders, left side of brain |
| H47649 | Disorders of visual cortex in (due to) vascular disorders, unspecified side of brain |
| H479 | Unspecified disorder of visual pathways |
| H5120 | Internuclear ophthalmoplegia, unspecified eye |
| H5121 | Internuclear ophthalmoplegia, right eye |
| H5122 | Internuclear ophthalmoplegia, left eye |
| H5123 | Internuclear ophthalmoplegia, bilateral |
| I671 | Cerebral aneurysm, nonruptured |
| I675 | Moyamoya disease |
| I676 | Nonpyogenic thrombosis of intracranial venous system |
| I97810 | Intraoperative cerebrovascular infarction during cardiac surgery |
| I97811 | Intraoperative cerebrovascular infarction during other surgery |
| I97820 | Postprocedural cerebrovascular infarction following cardiac surgery |
| I97821 | Postprocedural cerebrovascular infarction following other surgery |
| P912 | Neonatal cerebral leukomalacia |
| Q000 | Anencephaly |
| Q001 | Craniorachischisis |
| Q002 | Iniencephaly |
| Q010 | Frontal encephalocele |
| Q011 | Nasofrontal encephalocele |
| Q012 | Occipital encephalocele |
| Q018 | Encephalocele of other sites |
| Q019 | Encephalocele, unspecified |
| Q02 | Microcephaly |
| Q030 | Malformations of aqueduct of Sylvius |
| Q031 | Atresia of foramina of Magendie and Luschka |
| Q038 | Other congenital hydrocephalus |
| Q039 | Congenital hydrocephalus, unspecified |
| Q040 | Congenital malformations of corpus callosum |
| Q041 | Arhinencephaly |
| Q042 | Holoprosencephaly |
| Q043 | Other reduction deformities of brain |
| Q044 | Septo-optic dysplasia of brain |
| Q045 | Megalencephaly |
| Q046 | Congenital cerebral cysts |
| Q048 | Other specified congenital malformations of brain |
| Q049 | Congenital malformation of brain, unspecified |
| Q050 | Cervical spina bifida with hydrocephalus |
| Q051 | Thoracic spina bifida with hydrocephalus |
| Q052 | Lumbar spina bifida with hydrocephalus |
| Q053 | Sacral spina bifida with hydrocephalus |
| Q054 | Unspecified spina bifida with hydrocephalus |
| Q055 | Cervical spina bifida without hydrocephalus |
| Q056 | Thoracic spina bifida without hydrocephalus |
| Q057 | Lumbar spina bifida without hydrocephalus |
| Q058 | Sacral spina bifida without hydrocephalus |
| Q059 | Spina bifida, unspecified |
| Q060 | Amyelia |
| Q061 | Hypoplasia and dysplasia of spinal cord |
| Q062 | Diastematomyelia |
| Q063 | Other congenital cauda equina malformations |
| Q064 | Hydromyelia |
| Q068 | Other specified congenital malformations of spinal cord |
| Q069 | Congenital malformation of spinal cord, unspecified |
| Q0700 | Arnold-Chiari syndrome without spina bifida or hydrocephalus |
| Q0701 | Arnold-Chiari syndrome with spina bifida |
| Q0702 | Arnold-Chiari syndrome with hydrocephalus |
| Q0703 | Arnold-Chiari syndrome with spina bifida and hydrocephalus |
| Q078 | Other specified congenital malformations of nervous system |
| Q079 | Congenital malformation of nervous system, unspecified |
| Q282 | Arteriovenous malformation of cerebral vessels |
| Q283 | Other malformations of cerebral vessels |
| Q760 | Spina bifida occulta |
| Q8500 | Neurofibromatosis, unspecified |
| Q8501 | Neurofibromatosis, type 1 |
| Q8502 | Neurofibromatosis, type 2 |
| Q8503 | Schwannomatosis |
| Q8509 | Other neurofibromatosis |
| Q851 | Tuberous sclerosis |
| R200 | Anesthesia of skin |
| R201 | Hypoesthesia of skin |
| R202 | Paresthesia of skin |
| R203 | Hyperesthesia |
| R208 | Other disturbances of skin sensation |
| R209 | Unspecified disturbances of skin sensation |
| R250 | Abnormal head movements |
| R251 | Tremor, unspecified |
| R252 | Cramp and spasm |
| R253 | Fasciculation |
| R258 | Other abnormal involuntary movements |
| R259 | Unspecified abnormal involuntary movements |
| R260 | Ataxic gait |
| R261 | Paralytic gait |
| R2681 | Unsteadiness on feet |
| R2689 | Other abnormalities of gait and mobility |
| R269 | Unspecified abnormalities of gait and mobility |
| R270 | Ataxia, unspecified |
| R278 | Other lack of coordination |
| R279 | Unspecified lack of coordination |
| R291 | Meningismus |
| R292 | Abnormal reflex |
| R293 | Abnormal posture |
| R295 | Transient paralysis |
| R296 | Repeated falls |
| R29810 | Facial weakness |
| R29818 | Other symptoms and signs involving the nervous system |
| R29890 | Loss of height |
| R2990 | Unspecified symptoms and signs involving the nervous system |
| R2991 | Unspecified symptoms and signs involving the musculoskeletal system |
| R414 | Neurologic neglect syndrome |
| R41842 | Visuospatial deficit |
| R430 | Anosmia |
| R431 | Parosmia |
| R432 | Parageusia |
| R438 | Other disturbances of smell and taste |
| R439 | Unspecified disturbances of smell and taste |
| R4701 | Aphasia |
| R4702 | Dysphasia |
| R471 | Dysarthria and anarthria |
| R4781 | Slurred speech |
| R4782 | Fluency disorder in conditions classified elsewhere |
| R4789 | Other speech disturbances |
| R479 | Unspecified speech disturbances |
| R830 | Abnormal level of enzymes in cerebrospinal fluid |
| R831 | Abnormal level of hormones in cerebrospinal fluid |
| R832 | Abnormal level of other drugs, medicaments and biological substances in cerebrospinal fluid |
| R833 | Abnormal level of substances chiefly nonmedicinal as to source in cerebrospinal fluid |
| R834 | Abnormal immunological findings in cerebrospinal fluid |
| R835 | Abnormal microbiological findings in cerebrospinal fluid |
| R836 | Abnormal cytological findings in cerebrospinal fluid |
| R838 | Other abnormal findings in cerebrospinal fluid |
| R839 | Unspecified abnormal finding in cerebrospinal fluid |
| R9081 | Abnormal echoencephalogram |
| R9082 | White matter disease, unspecified |
| R930 | Abnormal findings on diagnostic imaging of skull and head, not elsewhere classified |
| R9401 | Abnormal electroencephalogram [EEG] |
| R9402 | Abnormal brain scan |
| R9409 | Abnormal results of other function studies of central nervous system |
| R94118 | Abnormal results of other function studies of eye |
| R94128 | Abnormal results of other function studies of ear and other special senses |
| R94130 | Abnormal response to nerve stimulation, unspecified |
| R94138 | Abnormal results of other function studies of peripheral nervous system |
| S020XXS | Fracture of vault of skull, sequela |
| S02101S | Fracture of base of skull, right side, sequela |
| S02102S | Fracture of base of skull, left side, sequela |
| S02109S | Fracture of base of skull, unspecified side, sequela |
| S02110S | Type I occipital condyle fracture, unspecified side, sequela |
| S02111S | Type II occipital condyle fracture, unspecified side, sequela |
| S02112S | Type III occipital condyle fracture, unspecified side, sequela |
| S02113S | Unspecified occipital condyle fracture, sequela |
| S02118S | Other fracture of occiput, unspecified side, sequela |
| S02119S | Unspecified fracture of occiput, sequela |
| S0211AS | Type I occipital condyle fracture, right side, sequela |
| S0211BS | Type I occipital condyle fracture, left side, sequela |
| S0211CS | Type II occipital condyle fracture, right side, sequela |
| S0211DS | Type II occipital condyle fracture, left side, sequela |
| S0211ES | Type III occipital condyle fracture, right side, sequela |
| S0211FS | Type III occipital condyle fracture, left side, sequela |
| S0211GS | Other fracture of occiput, right side, sequela |
| S0211HS | Other fracture of occiput, left side, sequela |
| S0219XS | Other fracture of base of skull, sequela |
| S022XXS | Fracture of nasal bones, sequela |
| S0230XS | Fracture of orbital floor, unspecified side, sequela |
| S0231XS | Fracture of orbital floor, right side, sequela |
| S0232XS | Fracture of orbital floor, left side, sequela |
| S02400S | Malar fracture, unspecified side, sequela |
| S02401S | Maxillary fracture, unspecified side, sequela |
| S02402S | Zygomatic fracture, unspecified side, sequela |
| S0240AS | Malar fracture, right side, sequela |
| S0240BS | Malar fracture, left side, sequela |
| S0240CS | Maxillary fracture, right side, sequela |
| S0240DS | Maxillary fracture, left side, sequela |
| S0240ES | Zygomatic fracture, right side, sequela |
| S0240FS | Zygomatic fracture, left side, sequela |
| S02411S | LeFort I fracture, sequela |
| S02412S | LeFort II fracture, sequela |
| S02413S | LeFort III fracture, sequela |
| S0242XS | Fracture of alveolus of maxilla, sequela |
| S025XXS | Fracture of tooth (traumatic), sequela |
| S02600S | Fracture of unspecified part of body of mandible, unspecified side, sequela |
| S02601S | Fracture of unspecified part of body of right mandible, sequela |
| S02602S | Fracture of unspecified part of body of left mandible, sequela |
| S02609S | Fracture of mandible, unspecified, sequela |
| S02610S | Fracture of condylar process of mandible, unspecified side, sequela |
| S02611S | Fracture of condylar process of right mandible, sequela |
| S02612S | Fracture of condylar process of left mandible, sequela |
| S02620S | Fracture of subcondylar process of mandible, unspecified side, sequela |
| S02621S | Fracture of subcondylar process of right mandible, sequela |
| S02622S | Fracture of subcondylar process of left mandible, sequela |
| S02630S | Fracture of coronoid process of mandible, unspecified side, sequela |
| S02631S | Fracture of coronoid process of right mandible, sequela |
| S02632S | Fracture of coronoid process of left mandible, sequela |
| S02640S | Fracture of ramus of mandible, unspecified side, sequela |
| S02641S | Fracture of ramus of right mandible, sequela |
| S02642S | Fracture of ramus of left mandible, sequela |
| S02650S | Fracture of angle of mandible, unspecified side, sequela |
| S02651S | Fracture of angle of right mandible, sequela |
| S02652S | Fracture of angle of left mandible, sequela |
| S0266XS | Fracture of symphysis of mandible, sequela |
| S02670S | Fracture of alveolus of mandible, unspecified side, sequela |
| S02671S | Fracture of alveolus of right mandible, sequela |
| S02672S | Fracture of alveolus of left mandible, sequela |
| S0269XS | Fracture of mandible of other specified site, sequela |
| S0280XS | Fracture of other specified skull and facial bones, unspecified side, sequela |
| S0281XS | Fracture of other specified skull and facial bones, right side, sequela |
| S0282XS | Fracture of other specified skull and facial bones, left side, sequela |
| S0291XS | Unspecified fracture of skull, sequela |
| S0292XS | Unspecified fracture of facial bones, sequela |
| S04011S | Injury of optic nerve, right eye, sequela |
| S04012S | Injury of optic nerve, left eye, sequela |
| S04019S | Injury of optic nerve, unspecified eye, sequela |
| S0402XA | Injury of optic chiasm, initial encounter |
| S0402XS | Injury of optic chiasm, sequela |
| S04031A | Injury of optic tract and pathways, right side, initial encounter |
| S04031S | Injury of optic tract and pathways, right side, sequela |
| S04032A | Injury of optic tract and pathways, left side, initial encounter |
| S04032S | Injury of optic tract and pathways, left side, sequela |
| S04039A | Injury of optic tract and pathways, unspecified side, initial encounter |
| S04039S | Injury of optic tract and pathways, unspecified side, sequela |
| S04041A | Injury of visual cortex, right side, initial encounter |
| S04041S | Injury of visual cortex, right side, sequela |
| S04042A | Injury of visual cortex, left side, initial encounter |
| S04042S | Injury of visual cortex, left side, sequela |
| S04049A | Injury of visual cortex, unspecified side, initial encounter |
| S04049S | Injury of visual cortex, unspecified side, sequela |
| S0410XS | Injury of oculomotor nerve, unspecified side, sequela |
| S0411XS | Injury of oculomotor nerve, right side, sequela |
| S0412XS | Injury of oculomotor nerve, left side, sequela |
| S0420XS | Injury of trochlear nerve, unspecified side, sequela |
| S0421XS | Injury of trochlear nerve, right side, sequela |
| S0422XS | Injury of trochlear nerve, left side, sequela |
| S0430XS | Injury of trigeminal nerve, unspecified side, sequela |
| S0431XS | Injury of trigeminal nerve, right side, sequela |
| S0432XS | Injury of trigeminal nerve, left side, sequela |
| S0440XS | Injury of abducent nerve, unspecified side, sequela |
| S0441XS | Injury of abducent nerve, right side, sequela |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 20 Nov 2020 15:32:59 CMS, code-revision=283, description-revision=1293 |