ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual |
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| MDC 25 Human Immunodeficiency Virus Infections |
| Principal Diagnosis of HIV infection |
| Page 2 of 3 |
AND PRINCIPAL DIAGNOSIS OF SIGNIFICANT HIV RELATED CONDITION (continued)
| C861 | Hepatosplenic T-cell lymphoma |
| C862 | Enteropathy-type (intestinal) T-cell lymphoma |
| C863 | Subcutaneous panniculitis-like T-cell lymphoma |
| C864 | Blastic NK-cell lymphoma |
| C865 | Angioimmunoblastic T-cell lymphoma |
| C866 | Primary cutaneous CD30-positive T-cell proliferations |
| C884 | Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-lymphoma] |
| D500 | Iron deficiency anemia secondary to blood loss (chronic) |
| D501 | Sideropenic dysphagia |
| D508 | Other iron deficiency anemias |
| D509 | Iron deficiency anemia, unspecified |
| D510 | Vitamin B12 deficiency anemia due to intrinsic factor deficiency |
| D511 | Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria |
| D512 | Transcobalamin II deficiency |
| D513 | Other dietary vitamin B12 deficiency anemia |
| D518 | Other vitamin B12 deficiency anemias |
| D519 | Vitamin B12 deficiency anemia, unspecified |
| D520 | Dietary folate deficiency anemia |
| D521 | Drug-induced folate deficiency anemia |
| D528 | Other folate deficiency anemias |
| D529 | Folate deficiency anemia, unspecified |
| D530 | Protein deficiency anemia |
| D531 | Other megaloblastic anemias, not elsewhere classified |
| D532 | Scorbutic anemia |
| D538 | Other specified nutritional anemias |
| D539 | Nutritional anemia, unspecified |
| D590 | Drug-induced autoimmune hemolytic anemia |
| D5910 | Autoimmune hemolytic anemia, unspecified |
| D5911 | Warm autoimmune hemolytic anemia |
| D5912 | Cold autoimmune hemolytic anemia |
| D5913 | Mixed type autoimmune hemolytic anemia |
| D5919 | Other autoimmune hemolytic anemia |
| D592 | Drug-induced nonautoimmune hemolytic anemia |
| D593 | Hemolytic-uremic syndrome |
| D594 | Other nonautoimmune hemolytic anemias |
| D595 | Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli] |
| D596 | Hemoglobinuria due to hemolysis from other external causes |
| D598 | Other acquired hemolytic anemias |
| D599 | Acquired hemolytic anemia, unspecified |
| D600 | Chronic acquired pure red cell aplasia |
| D601 | Transient acquired pure red cell aplasia |
| D608 | Other acquired pure red cell aplasias |
| D609 | Acquired pure red cell aplasia, unspecified |
| D611 | Drug-induced aplastic anemia |
| D612 | Aplastic anemia due to other external agents |
| D613 | Idiopathic aplastic anemia |
| D6189 | Other specified aplastic anemias and other bone marrow failure syndromes |
| D619 | Aplastic anemia, unspecified |
| D649 | Anemia, unspecified |
| D6951 | Posttransfusion purpura |
| D6959 | Other secondary thrombocytopenia |
| D696 | Thrombocytopenia, unspecified |
| D700 | Congenital agranulocytosis |
| D701 | Agranulocytosis secondary to cancer chemotherapy |
| D702 | Other drug-induced agranulocytosis |
| D703 | Neutropenia due to infection |
| D704 | Cyclic neutropenia |
| D708 | Other neutropenia |
| D709 | Neutropenia, unspecified |
| D731 | Hypersplenism |
| D7582 | Heparin induced thrombocytopenia (HIT) |
| D759 | Disease of blood and blood-forming organs, unspecified |
| D800 | Hereditary hypogammaglobulinemia |
| D801 | Nonfamilial hypogammaglobulinemia |
| D802 | Selective deficiency of immunoglobulin A [IgA] |
| D803 | Selective deficiency of immunoglobulin G [IgG] subclasses |
| D804 | Selective deficiency of immunoglobulin M [IgM] |
| D805 | Immunodeficiency with increased immunoglobulin M [IgM] |
| D806 | Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia |
| D807 | Transient hypogammaglobulinemia of infancy |
| D808 | Other immunodeficiencies with predominantly antibody defects |
| D809 | Immunodeficiency with predominantly antibody defects, unspecified |
| D810 | Severe combined immunodeficiency [SCID] with reticular dysgenesis |
| D811 | Severe combined immunodeficiency [SCID] with low T- and B-cell numbers |
| D812 | Severe combined immunodeficiency [SCID] with low or normal B-cell numbers |
| D814 | Nezelof's syndrome |
| D816 | Major histocompatibility complex class I deficiency |
| D817 | Major histocompatibility complex class II deficiency |
| D81818 | Other biotin-dependent carboxylase deficiency |
| D81819 | Biotin-dependent carboxylase deficiency, unspecified |
| D8189 | Other combined immunodeficiencies |
| D819 | Combined immunodeficiency, unspecified |
| D820 | Wiskott-Aldrich syndrome |
| D821 | Di George's syndrome |
| D822 | Immunodeficiency with short-limbed stature |
| D823 | Immunodeficiency following hereditary defective response to Epstein-Barr virus |
| D824 | Hyperimmunoglobulin E [IgE] syndrome |
| D828 | Immunodeficiency associated with other specified major defects |
| D829 | Immunodeficiency associated with major defect, unspecified |
| D830 | Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function |
| D831 | Common variable immunodeficiency with predominant immunoregulatory T-cell disorders |
| D832 | Common variable immunodeficiency with autoantibodies to B- or T-cells |
| D838 | Other common variable immunodeficiencies |
| D839 | Common variable immunodeficiency, unspecified |
| D840 | Lymphocyte function antigen-1 [LFA-1] defect |
| D8481 | Immunodeficiency due to conditions classified elsewhere |
| D84821 | Immunodeficiency due to drugs |
| D84822 | Immunodeficiency due to external causes |
| D8489 | Other immunodeficiencies |
| D849 | Immunodeficiency, unspecified |
| D893 | Immune reconstitution syndrome |
| D8940 | Mast cell activation, unspecified |
| D8941 | Monoclonal mast cell activation syndrome |
| D8942 | Idiopathic mast cell activation syndrome |
| D8943 | Secondary mast cell activation |
| D8949 | Other mast cell activation disorder |
| D8982 | Autoimmune lymphoproliferative syndrome [ALPS] |
| D89831 | Cytokine release syndrome, grade 1 |
| D89832 | Cytokine release syndrome, grade 2 |
| D89833 | Cytokine release syndrome, grade 3 |
| D89834 | Cytokine release syndrome, grade 4 |
| D89835 | Cytokine release syndrome, grade 5 |
| D89839 | Cytokine release syndrome, grade unspecified |
| D8989 | Other specified disorders involving the immune mechanism, not elsewhere classified |
| D899 | Disorder involving the immune mechanism, unspecified |
| E40 | Kwashiorkor |
| E41 | Nutritional marasmus |
| E42 | Marasmic kwashiorkor |
| E43 | Unspecified severe protein-calorie malnutrition |
| E440 | Moderate protein-calorie malnutrition |
| E441 | Mild protein-calorie malnutrition |
| E45 | Retarded development following protein-calorie malnutrition |
| E46 | Unspecified protein-calorie malnutrition |
| E500 | Vitamin A deficiency with conjunctival xerosis |
| E501 | Vitamin A deficiency with Bitot's spot and conjunctival xerosis |
| E502 | Vitamin A deficiency with corneal xerosis |
| E503 | Vitamin A deficiency with corneal ulceration and xerosis |
| E504 | Vitamin A deficiency with keratomalacia |
| E505 | Vitamin A deficiency with night blindness |
| E506 | Vitamin A deficiency with xerophthalmic scars of cornea |
| E507 | Other ocular manifestations of vitamin A deficiency |
| E508 | Other manifestations of vitamin A deficiency |
| E509 | Vitamin A deficiency, unspecified |
| E5111 | Dry beriberi |
| E5112 | Wet beriberi |
| E512 | Wernicke's encephalopathy |
| E518 | Other manifestations of thiamine deficiency |
| E519 | Thiamine deficiency, unspecified |
| E52 | Niacin deficiency [pellagra] |
| E530 | Riboflavin deficiency |
| E531 | Pyridoxine deficiency |
| E538 | Deficiency of other specified B group vitamins |
| E539 | Vitamin B deficiency, unspecified |
| E54 | Ascorbic acid deficiency |
| E550 | Rickets, active |
| E559 | Vitamin D deficiency, unspecified |
| E560 | Deficiency of vitamin E |
| E561 | Deficiency of vitamin K |
| E568 | Deficiency of other vitamins |
| E569 | Vitamin deficiency, unspecified |
| E58 | Dietary calcium deficiency |
| E59 | Dietary selenium deficiency |
| E60 | Dietary zinc deficiency |
| E610 | Copper deficiency |
| E611 | Iron deficiency |
| E612 | Magnesium deficiency |
| E613 | Manganese deficiency |
| E614 | Chromium deficiency |
| E615 | Molybdenum deficiency |
| E616 | Vanadium deficiency |
| E617 | Deficiency of multiple nutrient elements |
| E618 | Deficiency of other specified nutrient elements |
| E619 | Deficiency of nutrient element, unspecified |
| E630 | Essential fatty acid [EFA] deficiency |
| E631 | Imbalance of constituents of food intake |
| E638 | Other specified nutritional deficiencies |
| E639 | Nutritional deficiency, unspecified |
| E640 | Sequelae of protein-calorie malnutrition |
| E641 | Sequelae of vitamin A deficiency |
| E642 | Sequelae of vitamin C deficiency |
| E643 | Sequelae of rickets |
| E648 | Sequelae of other nutritional deficiencies |
| E649 | Sequelae of unspecified nutritional deficiency |
| E860 | Dehydration |
| E861 | Hypovolemia |
| E869 | Volume depletion, unspecified |
| F0390 | Unspecified dementia without behavioral disturbance |
| F068 | Other specified mental disorders due to known physiological condition |
| F079 | Unspecified personality and behavioral disorder due to known physiological condition |
| F09 | Unspecified mental disorder due to known physiological condition |
| F28 | Other psychotic disorder not due to a substance or known physiological condition |
| F29 | Unspecified psychosis not due to a substance or known physiological condition |
| G032 | Benign recurrent meningitis [Mollaret] |
| G0481 | Other encephalitis and encephalomyelitis |
| G0489 | Other myelitis |
| G0490 | Encephalitis and encephalomyelitis, unspecified |
| G0491 | Myelitis, unspecified |
| G369 | Acute disseminated demyelination, unspecified |
| G374 | Subacute necrotizing myelitis of central nervous system |
| G379 | Demyelinating disease of central nervous system, unspecified |
| G610 | Guillain-Barre syndrome |
| G619 | Inflammatory polyneuropathy, unspecified |
| G629 | Polyneuropathy, unspecified |
| G933 | Postviral fatigue syndrome |
| G9340 | Encephalopathy, unspecified |
| G9341 | Metabolic encephalopathy |
| G9349 | Other encephalopathy |
| G939 | Disorder of brain, unspecified |
| G9520 | Unspecified cord compression |
| G9529 | Other cord compression |
| G959 | Disease of spinal cord, unspecified |
| G969 | Disorder of central nervous system, unspecified |
| G988 | Other disorders of nervous system |
| H3500 | Unspecified background retinopathy |
| H35011 | Changes in retinal vascular appearance, right eye |
| H35012 | Changes in retinal vascular appearance, left eye |
| H35013 | Changes in retinal vascular appearance, bilateral |
| H35019 | Changes in retinal vascular appearance, unspecified eye |
| H35021 | Exudative retinopathy, right eye |
| H35022 | Exudative retinopathy, left eye |
| H35023 | Exudative retinopathy, bilateral |
| H35029 | Exudative retinopathy, unspecified eye |
| H35031 | Hypertensive retinopathy, right eye |
| H35032 | Hypertensive retinopathy, left eye |
| H35033 | Hypertensive retinopathy, bilateral |
| H35039 | Hypertensive retinopathy, unspecified eye |
| H35041 | Retinal micro-aneurysms, unspecified, right eye |
| H35042 | Retinal micro-aneurysms, unspecified, left eye |
| H35043 | Retinal micro-aneurysms, unspecified, bilateral |
| H35049 | Retinal micro-aneurysms, unspecified, unspecified eye |
| H35051 | Retinal neovascularization, unspecified, right eye |
| H35052 | Retinal neovascularization, unspecified, left eye |
| H35053 | Retinal neovascularization, unspecified, bilateral |
| H35059 | Retinal neovascularization, unspecified, unspecified eye |
| H35061 | Retinal vasculitis, right eye |
| H35062 | Retinal vasculitis, left eye |
| H35063 | Retinal vasculitis, bilateral |
| H35069 | Retinal vasculitis, unspecified eye |
| H35071 | Retinal telangiectasis, right eye |
| H35072 | Retinal telangiectasis, left eye |
| H35073 | Retinal telangiectasis, bilateral |
| H35079 | Retinal telangiectasis, unspecified eye |
| H3509 | Other intraretinal microvascular abnormalities |
| H540X33 | Blindness right eye category 3, blindness left eye category 3 |
| H540X34 | Blindness right eye category 3, blindness left eye category 4 |
| H540X35 | Blindness right eye category 3, blindness left eye category 5 |
| H540X43 | Blindness right eye category 4, blindness left eye category 3 |
| H540X44 | Blindness right eye category 4, blindness left eye category 4 |
| H540X45 | Blindness right eye category 4, blindness left eye category 5 |
| H540X53 | Blindness right eye category 5, blindness left eye category 3 |
| H540X54 | Blindness right eye category 5, blindness left eye category 4 |
| H540X55 | Blindness right eye category 5, blindness left eye category 5 |
| H5410 | Blindness, one eye, low vision other eye, unspecified eyes |
| H541131 | Blindness right eye category 3, low vision left eye category 1 |
| H541132 | Blindness right eye category 3, low vision left eye category 2 |
| H541141 | Blindness right eye category 4, low vision left eye category 1 |
| H541142 | Blindness right eye category 4, low vision left eye category 2 |
| H541151 | Blindness right eye category 5, low vision left eye category 1 |
| H541152 | Blindness right eye category 5, low vision left eye category 2 |
| H541213 | Low vision right eye category 1, blindness left eye category 3 |
| H541214 | Low vision right eye category 1, blindness left eye category 4 |
| H541215 | Low vision right eye category 1, blindness left eye category 5 |
| H541223 | Low vision right eye category 2, blindness left eye category 3 |
| H541224 | Low vision right eye category 2, blindness left eye category 4 |
| H541225 | Low vision right eye category 2, blindness left eye category 5 |
| H542X11 | Low vision right eye category 1, low vision left eye category 1 |
| H542X12 | Low vision right eye category 1, low vision left eye category 2 |
| H542X21 | Low vision right eye category 2, low vision left eye category 1 |
| H542X22 | Low vision right eye category 2, low vision left eye category 2 |
| H543 | Unqualified visual loss, both eyes |
| H5440 | Blindness, one eye, unspecified eye |
| H54413A | Blindness right eye category 3, normal vision left eye |
| H54414A | Blindness right eye category 4, normal vision left eye |
| H54415A | Blindness right eye category 5, normal vision left eye |
| H5442A3 | Blindness left eye category 3, normal vision right eye |
| H5442A4 | Blindness left eye category 4, normal vision right eye |
| H5442A5 | Blindness left eye category 5, normal vision right eye |
| H5450 | Low vision, one eye, unspecified eye |
| H54511A | Low vision right eye category 1, normal vision left eye |
| H54512A | Low vision right eye category 2, normal vision left eye |
| H5452A1 | Low vision left eye category 1, normal vision right eye |
| H5452A2 | Low vision left eye category 2, normal vision right eye |
| H5460 | Unqualified visual loss, one eye, unspecified |
| H5461 | Unqualified visual loss, right eye, normal vision left eye |
| H5462 | Unqualified visual loss, left eye, normal vision right eye |
| H547 | Unspecified visual loss |
| H548 | Legal blindness, as defined in USA |
| I330 | Acute and subacute infective endocarditis |
| I339 | Acute and subacute endocarditis, unspecified |
| I400 | Infective myocarditis |
| I401 | Isolated myocarditis |
| I408 | Other acute myocarditis |
| I409 | Acute myocarditis, unspecified |
| I427 | Cardiomyopathy due to drug and external agent |
| I429 | Cardiomyopathy, unspecified |
| I673 | Progressive vascular leukoencephalopathy |
| I6783 | Posterior reversible encephalopathy syndrome |
| J09X1 | Influenza due to identified novel influenza A virus with pneumonia |
| J1008 | Influenza due to other identified influenza virus with other specified pneumonia |
| J123 | Human metapneumovirus pneumonia |
| J1281 | Pneumonia due to SARS-associated coronavirus |
| J1289 | Other viral pneumonia |
| J129 | Viral pneumonia, unspecified |
| J13 | Pneumonia due to Streptococcus pneumoniae |
| J14 | Pneumonia due to Hemophilus influenzae |
| J150 | Pneumonia due to Klebsiella pneumoniae |
| J151 | Pneumonia due to Pseudomonas |
| J1520 | Pneumonia due to staphylococcus, unspecified |
| J15211 | Pneumonia due to Methicillin susceptible Staphylococcus aureus |
| J15212 | Pneumonia due to Methicillin resistant Staphylococcus aureus |
| J1529 | Pneumonia due to other staphylococcus |
| J153 | Pneumonia due to streptococcus, group B |
| J154 | Pneumonia due to other streptococci |
| J155 | Pneumonia due to Escherichia coli |
| J156 | Pneumonia due to other Gram-negative bacteria |
| J158 | Pneumonia due to other specified bacteria |
| J159 | Unspecified bacterial pneumonia |
| J181 | Lobar pneumonia, unspecified organism |
| J188 | Other pneumonia, unspecified organism |
| J189 | Pneumonia, unspecified organism |
| J8409 | Other alveolar and parieto-alveolar conditions |
| J84111 | Idiopathic interstitial pneumonia, not otherwise specified |
| J84116 | Cryptogenic organizing pneumonia |
| J84117 | Desquamative interstitial pneumonia |
| J842 | Lymphoid interstitial pneumonia |
| K119 | Disease of salivary gland, unspecified |
| K1321 | Leukoplakia of oral mucosa, including tongue |
| K133 | Hairy leukoplakia |
| K520 | Gastroenteritis and colitis due to radiation |
| K521 | Toxic gastroenteritis and colitis |
| K523 | Indeterminate colitis |
| K5281 | Eosinophilic gastritis or gastroenteritis |
| K5282 | Eosinophilic colitis |
| K52831 | Collagenous colitis |
| K52832 | Lymphocytic colitis |
| K52838 | Other microscopic colitis |
| K52839 | Microscopic colitis, unspecified |
| K5289 | Other specified noninfective gastroenteritis and colitis |
| K529 | Noninfective gastroenteritis and colitis, unspecified |
| K909 | Intestinal malabsorption, unspecified |
| L040 | Acute lymphadenitis of face, head and neck |
| L041 | Acute lymphadenitis of trunk |
| L042 | Acute lymphadenitis of upper limb |
| L043 | Acute lymphadenitis of lower limb |
| L048 | Acute lymphadenitis of other sites |
| L049 | Acute lymphadenitis, unspecified |
| L081 | Erythrasma |
| L989 | Disorder of the skin and subcutaneous tissue, unspecified |
| M0000 | Staphylococcal arthritis, unspecified joint |
| M00011 | Staphylococcal arthritis, right shoulder |
| M00012 | Staphylococcal arthritis, left shoulder |
| M00019 | Staphylococcal arthritis, unspecified shoulder |
| M00021 | Staphylococcal arthritis, right elbow |
| M00022 | Staphylococcal arthritis, left elbow |
| M00029 | Staphylococcal arthritis, unspecified elbow |
| M00031 | Staphylococcal arthritis, right wrist |
| M00032 | Staphylococcal arthritis, left wrist |
| M00039 | Staphylococcal arthritis, unspecified wrist |
| M00041 | Staphylococcal arthritis, right hand |
| M00042 | Staphylococcal arthritis, left hand |
| M00049 | Staphylococcal arthritis, unspecified hand |
| M00051 | Staphylococcal arthritis, right hip |
| M00052 | Staphylococcal arthritis, left hip |
| M00059 | Staphylococcal arthritis, unspecified hip |
| M00061 | Staphylococcal arthritis, right knee |
| M00062 | Staphylococcal arthritis, left knee |
| M00069 | Staphylococcal arthritis, unspecified knee |
| M00071 | Staphylococcal arthritis, right ankle and foot |
| M00072 | Staphylococcal arthritis, left ankle and foot |
| M00079 | Staphylococcal arthritis, unspecified ankle and foot |
| M0008 | Staphylococcal arthritis, vertebrae |
| M0009 | Staphylococcal polyarthritis |
| M0010 | Pneumococcal arthritis, unspecified joint |
| M00111 | Pneumococcal arthritis, right shoulder |
| M00112 | Pneumococcal arthritis, left shoulder |
| M00119 | Pneumococcal arthritis, unspecified shoulder |
| M00121 | Pneumococcal arthritis, right elbow |
| M00122 | Pneumococcal arthritis, left elbow |
| M00129 | Pneumococcal arthritis, unspecified elbow |
| M00131 | Pneumococcal arthritis, right wrist |
| M00132 | Pneumococcal arthritis, left wrist |
| M00139 | Pneumococcal arthritis, unspecified wrist |
| M00141 | Pneumococcal arthritis, right hand |
| M00142 | Pneumococcal arthritis, left hand |
| M00149 | Pneumococcal arthritis, unspecified hand |
| M00151 | Pneumococcal arthritis, right hip |
| M00152 | Pneumococcal arthritis, left hip |
| M00159 | Pneumococcal arthritis, unspecified hip |
| M00161 | Pneumococcal arthritis, right knee |
| M00162 | Pneumococcal arthritis, left knee |
| M00169 | Pneumococcal arthritis, unspecified knee |
| M00171 | Pneumococcal arthritis, right ankle and foot |
| M00172 | Pneumococcal arthritis, left ankle and foot |
| M00179 | Pneumococcal arthritis, unspecified ankle and foot |
| M0018 | Pneumococcal arthritis, vertebrae |
| M0019 | Pneumococcal polyarthritis |
| M0020 | Other streptococcal arthritis, unspecified joint |
| M00211 | Other streptococcal arthritis, right shoulder |
| M00212 | Other streptococcal arthritis, left shoulder |
| M00219 | Other streptococcal arthritis, unspecified shoulder |
| M00221 | Other streptococcal arthritis, right elbow |
| M00222 | Other streptococcal arthritis, left elbow |
| M00229 | Other streptococcal arthritis, unspecified elbow |
| M00231 | Other streptococcal arthritis, right wrist |
| M00232 | Other streptococcal arthritis, left wrist |
| M00239 | Other streptococcal arthritis, unspecified wrist |
| M00241 | Other streptococcal arthritis, right hand |
| M00242 | Other streptococcal arthritis, left hand |
| M00249 | Other streptococcal arthritis, unspecified hand |
| M00251 | Other streptococcal arthritis, right hip |
| M00252 | Other streptococcal arthritis, left hip |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 14 Apr 2020 14:43:32 CMS, code-revision=250, description-revision=1275 |