ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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| Pre-MDC |
| Tracheostomy for face, mouth and neck diagnoses or laryngectomy |
| Page 1 of 3 |
| MCC | CC | DRG |
|---|---|---|
| Yes | n/a | 011 |
| No | Yes | 012 |
| No | No | 013 |
DRG 011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
DRG 012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
DRG 013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
PRINCIPAL DIAGNOSIS
| A360 | Pharyngeal diphtheria |
| A361 | Nasopharyngeal diphtheria |
| A362 | Laryngeal diphtheria |
| A545 | Gonococcal pharyngitis |
| A564 | Chlamydial infection of pharynx |
| A665 | Gangosa |
| A690 | Necrotizing ulcerative stomatitis |
| A691 | Other Vincent's infections |
| B002 | Herpesviral gingivostomatitis and pharyngotonsillitis |
| B085 | Enteroviral vesicular pharyngitis |
| B370 | Candidal stomatitis |
| B3783 | Candidal cheilitis |
| C000 | Malignant neoplasm of external upper lip |
| C001 | Malignant neoplasm of external lower lip |
| C002 | Malignant neoplasm of external lip, unspecified |
| C003 | Malignant neoplasm of upper lip, inner aspect |
| C004 | Malignant neoplasm of lower lip, inner aspect |
| C005 | Malignant neoplasm of lip, unspecified, inner aspect |
| C006 | Malignant neoplasm of commissure of lip, unspecified |
| C008 | Malignant neoplasm of overlapping sites of lip |
| C009 | Malignant neoplasm of lip, unspecified |
| C01 | Malignant neoplasm of base of tongue |
| C020 | Malignant neoplasm of dorsal surface of tongue |
| C021 | Malignant neoplasm of border of tongue |
| C022 | Malignant neoplasm of ventral surface of tongue |
| C023 | Malignant neoplasm of anterior two-thirds of tongue, part unspecified |
| C024 | Malignant neoplasm of lingual tonsil |
| C028 | Malignant neoplasm of overlapping sites of tongue |
| C029 | Malignant neoplasm of tongue, unspecified |
| C030 | Malignant neoplasm of upper gum |
| C031 | Malignant neoplasm of lower gum |
| C039 | Malignant neoplasm of gum, unspecified |
| C040 | Malignant neoplasm of anterior floor of mouth |
| C041 | Malignant neoplasm of lateral floor of mouth |
| C048 | Malignant neoplasm of overlapping sites of floor of mouth |
| C049 | Malignant neoplasm of floor of mouth, unspecified |
| C050 | Malignant neoplasm of hard palate |
| C051 | Malignant neoplasm of soft palate |
| C052 | Malignant neoplasm of uvula |
| C058 | Malignant neoplasm of overlapping sites of palate |
| C059 | Malignant neoplasm of palate, unspecified |
| C060 | Malignant neoplasm of cheek mucosa |
| C061 | Malignant neoplasm of vestibule of mouth |
| C062 | Malignant neoplasm of retromolar area |
| C0680 | Malignant neoplasm of overlapping sites of unspecified parts of mouth |
| C0689 | Malignant neoplasm of overlapping sites of other parts of mouth |
| C069 | Malignant neoplasm of mouth, unspecified |
| C07 | Malignant neoplasm of parotid gland |
| C080 | Malignant neoplasm of submandibular gland |
| C081 | Malignant neoplasm of sublingual gland |
| C089 | Malignant neoplasm of major salivary gland, unspecified |
| C090 | Malignant neoplasm of tonsillar fossa |
| C091 | Malignant neoplasm of tonsillar pillar (anterior) (posterior) |
| C098 | Malignant neoplasm of overlapping sites of tonsil |
| C099 | Malignant neoplasm of tonsil, unspecified |
| C100 | Malignant neoplasm of vallecula |
| C101 | Malignant neoplasm of anterior surface of epiglottis |
| C102 | Malignant neoplasm of lateral wall of oropharynx |
| C103 | Malignant neoplasm of posterior wall of oropharynx |
| C104 | Malignant neoplasm of branchial cleft |
| C108 | Malignant neoplasm of overlapping sites of oropharynx |
| C109 | Malignant neoplasm of oropharynx, unspecified |
| C110 | Malignant neoplasm of superior wall of nasopharynx |
| C111 | Malignant neoplasm of posterior wall of nasopharynx |
| C112 | Malignant neoplasm of lateral wall of nasopharynx |
| C113 | Malignant neoplasm of anterior wall of nasopharynx |
| C118 | Malignant neoplasm of overlapping sites of nasopharynx |
| C119 | Malignant neoplasm of nasopharynx, unspecified |
| C12 | Malignant neoplasm of pyriform sinus |
| C130 | Malignant neoplasm of postcricoid region |
| C131 | Malignant neoplasm of aryepiglottic fold, hypopharyngeal aspect |
| C132 | Malignant neoplasm of posterior wall of hypopharynx |
| C138 | Malignant neoplasm of overlapping sites of hypopharynx |
| C139 | Malignant neoplasm of hypopharynx, unspecified |
| C140 | Malignant neoplasm of pharynx, unspecified |
| C142 | Malignant neoplasm of Waldeyer's ring |
| C148 | Malignant neoplasm of overlapping sites of lip, oral cavity and pharynx |
| C300 | Malignant neoplasm of nasal cavity |
| C301 | Malignant neoplasm of middle ear |
| C310 | Malignant neoplasm of maxillary sinus |
| C311 | Malignant neoplasm of ethmoidal sinus |
| C312 | Malignant neoplasm of frontal sinus |
| C313 | Malignant neoplasm of sphenoid sinus |
| C318 | Malignant neoplasm of overlapping sites of accessory sinuses |
| C319 | Malignant neoplasm of accessory sinus, unspecified |
| C320 | Malignant neoplasm of glottis |
| C321 | Malignant neoplasm of supraglottis |
| C322 | Malignant neoplasm of subglottis |
| C323 | Malignant neoplasm of laryngeal cartilage |
| C328 | Malignant neoplasm of overlapping sites of larynx |
| C329 | Malignant neoplasm of larynx, unspecified |
| C390 | Malignant neoplasm of upper respiratory tract, part unspecified |
| C411 | Malignant neoplasm of mandible |
| C4400 | Unspecified malignant neoplasm of skin of lip |
| C4401 | Basal cell carcinoma of skin of lip |
| C4402 | Squamous cell carcinoma of skin of lip |
| C4409 | Other specified malignant neoplasm of skin of lip |
| C462 | Kaposi's sarcoma of palate |
| C73 | Malignant neoplasm of thyroid gland |
| C760 | Malignant neoplasm of head, face and neck |
| C770 | Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck |
| C8101 | Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of head, face, and neck |
| C8111 | Nodular sclerosis Hodgkin lymphoma, lymph nodes of head, face, and neck |
| C8121 | Mixed cellularity Hodgkin lymphoma, lymph nodes of head, face, and neck |
| C8131 | Lymphocyte depleted Hodgkin lymphoma, lymph nodes of head, face, and neck |
| C8141 | Lymphocyte-rich Hodgkin lymphoma, lymph nodes of head, face, and neck |
| C8171 | Other Hodgkin lymphoma, lymph nodes of head, face, and neck |
| C8191 | Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck |
| C8201 | Follicular lymphoma grade I, lymph nodes of head, face, and neck |
| C8211 | Follicular lymphoma grade II, lymph nodes of head, face, and neck |
| C8221 | Follicular lymphoma grade III, unspecified, lymph nodes of head, face, and neck |
| C8231 | Follicular lymphoma grade IIIa, lymph nodes of head, face, and neck |
| C8241 | Follicular lymphoma grade IIIb, lymph nodes of head, face, and neck |
| C8251 | Diffuse follicle center lymphoma, lymph nodes of head, face, and neck |
| C8261 | Cutaneous follicle center lymphoma, lymph nodes of head, face, and neck |
| C8281 | Other types of follicular lymphoma, lymph nodes of head, face, and neck |
| C8291 | Follicular lymphoma, unspecified, lymph nodes of head, face, and neck |
| C8301 | Small cell B-cell lymphoma, lymph nodes of head, face, and neck |
| C8331 | Diffuse large B-cell lymphoma, lymph nodes of head, face, and neck |
| C8351 | Lymphoblastic (diffuse) lymphoma, lymph nodes of head, face, and neck |
| C8371 | Burkitt lymphoma, lymph nodes of head, face, and neck |
| C8381 | Other non-follicular lymphoma, lymph nodes of head, face, and neck |
| C8391 | Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of head, face, and neck |
| C8401 | Mycosis fungoides, lymph nodes of head, face, and neck |
| C8411 | Sezary disease, lymph nodes of head, face, and neck |
| C8491 | Mature T/NK-cell lymphomas, unspecified, lymph nodes of head, face, and neck |
| C84A1 | Cutaneous T-cell lymphoma, unspecified lymph nodes of head, face, and neck |
| C84Z1 | Other mature T/NK-cell lymphomas, lymph nodes of head, face, and neck |
| C8511 | Unspecified B-cell lymphoma, lymph nodes of head, face, and neck |
| C8521 | Mediastinal (thymic) large B-cell lymphoma, lymph nodes of head, face, and neck |
| C8581 | Other specified types of non-Hodgkin lymphoma, lymph nodes of head, face, and neck |
| C8591 | Non-Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck |
| C860 | Extranodal NK/T-cell lymphoma, nasal type |
| C9140 | Hairy cell leukemia not having achieved remission |
| C960 | Multifocal and multisystemic (disseminated) Langerhans-cell histiocytosis |
| C9620 | Malignant mast cell neoplasm, unspecified |
| C9621 | Aggressive systemic mastocytosis |
| C9622 | Mast cell sarcoma |
| C9629 | Other malignant mast cell neoplasm |
| C969 | Malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified |
| C96A | Histiocytic sarcoma |
| D0000 | Carcinoma in situ of oral cavity, unspecified site |
| D0001 | Carcinoma in situ of labial mucosa and vermilion border |
| D0002 | Carcinoma in situ of buccal mucosa |
| D0003 | Carcinoma in situ of gingiva and edentulous alveolar ridge |
| D0004 | Carcinoma in situ of soft palate |
| D0005 | Carcinoma in situ of hard palate |
| D0006 | Carcinoma in situ of floor of mouth |
| D0007 | Carcinoma in situ of tongue |
| D0008 | Carcinoma in situ of pharynx |
| D020 | Carcinoma in situ of larynx |
| D100 | Benign neoplasm of lip |
| D101 | Benign neoplasm of tongue |
| D102 | Benign neoplasm of floor of mouth |
| D1030 | Benign neoplasm of unspecified part of mouth |
| D1039 | Benign neoplasm of other parts of mouth |
| D104 | Benign neoplasm of tonsil |
| D105 | Benign neoplasm of other parts of oropharynx |
| D106 | Benign neoplasm of nasopharynx |
| D107 | Benign neoplasm of hypopharynx |
| D109 | Benign neoplasm of pharynx, unspecified |
| D110 | Benign neoplasm of parotid gland |
| D117 | Benign neoplasm of other major salivary glands |
| D119 | Benign neoplasm of major salivary gland, unspecified |
| D140 | Benign neoplasm of middle ear, nasal cavity and accessory sinuses |
| D141 | Benign neoplasm of larynx |
| D164 | Benign neoplasm of bones of skull and face |
| D165 | Benign neoplasm of lower jaw bone |
| D1800 | Hemangioma unspecified site |
| D1801 | Hemangioma of skin and subcutaneous tissue |
| D1809 | Hemangioma of other sites |
| D34 | Benign neoplasm of thyroid gland |
| D3701 | Neoplasm of uncertain behavior of lip |
| D3702 | Neoplasm of uncertain behavior of tongue |
| D37030 | Neoplasm of uncertain behavior of the parotid salivary glands |
| D37031 | Neoplasm of uncertain behavior of the sublingual salivary glands |
| D37032 | Neoplasm of uncertain behavior of the submandibular salivary glands |
| D37039 | Neoplasm of uncertain behavior of the major salivary glands, unspecified |
| D3704 | Neoplasm of uncertain behavior of the minor salivary glands |
| D3705 | Neoplasm of uncertain behavior of pharynx |
| D3709 | Neoplasm of uncertain behavior of other specified sites of the oral cavity |
| D380 | Neoplasm of uncertain behavior of larynx |
| E034 | Atrophy of thyroid (acquired) |
| E041 | Nontoxic single thyroid nodule |
| E0500 | Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm |
| E0501 | Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm |
| E0510 | Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm |
| E0511 | Thyrotoxicosis with toxic single thyroid nodule with thyrotoxic crisis or storm |
| E0520 | Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm |
| E0521 | Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm |
| E0530 | Thyrotoxicosis from ectopic thyroid tissue without thyrotoxic crisis or storm |
| E0531 | Thyrotoxicosis from ectopic thyroid tissue with thyrotoxic crisis or storm |
| E0540 | Thyrotoxicosis factitia without thyrotoxic crisis or storm |
| E0541 | Thyrotoxicosis factitia with thyrotoxic crisis or storm |
| E0580 | Other thyrotoxicosis without thyrotoxic crisis or storm |
| E0581 | Other thyrotoxicosis with thyrotoxic crisis or storm |
| E0590 | Thyrotoxicosis, unspecified without thyrotoxic crisis or storm |
| E0591 | Thyrotoxicosis, unspecified with thyrotoxic crisis or storm |
| E060 | Acute thyroiditis |
| E061 | Subacute thyroiditis |
| E062 | Chronic thyroiditis with transient thyrotoxicosis |
| E063 | Autoimmune thyroiditis |
| E064 | Drug-induced thyroiditis |
| E065 | Other chronic thyroiditis |
| E069 | Thyroiditis, unspecified |
| E0789 | Other specified disorders of thyroid |
| E079 | Disorder of thyroid, unspecified |
| E35 | Disorders of endocrine glands 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 |
| G4730 | Sleep apnea, unspecified |
| G4731 | Primary central sleep apnea |
| G4732 | High altitude periodic breathing |
| G4733 | Obstructive sleep apnea (adult) (pediatric) |
| G4734 | Idiopathic sleep related nonobstructive alveolar hypoventilation |
| G4735 | Congenital central alveolar hypoventilation syndrome |
| G4736 | Sleep related hypoventilation in conditions classified elsewhere |
| G4737 | Central sleep apnea in conditions classified elsewhere |
| G4739 | Other sleep apnea |
| G4750 | Parasomnia, unspecified |
| G4751 | Confusional arousals |
| G4752 | REM sleep behavior disorder |
| G4753 | Recurrent isolated sleep paralysis |
| G4754 | Parasomnia in conditions classified elsewhere |
| G4759 | Other parasomnia |
| G4761 | Periodic limb movement disorder |
| G4762 | Sleep related leg cramps |
| G4763 | Sleep related bruxism |
| G4769 | Other sleep related movement disorders |
| G478 | Other sleep disorders |
| J00 | Acute nasopharyngitis [common cold] |
| J020 | Streptococcal pharyngitis |
| J028 | Acute pharyngitis due to other specified organisms |
| J029 | Acute pharyngitis, unspecified |
| J0300 | Acute streptococcal tonsillitis, unspecified |
| J0301 | Acute recurrent streptococcal tonsillitis |
| J0380 | Acute tonsillitis due to other specified organisms |
| J0381 | Acute recurrent tonsillitis due to other specified organisms |
| J0390 | Acute tonsillitis, unspecified |
| J0391 | Acute recurrent tonsillitis, unspecified |
| J040 | Acute laryngitis |
| J042 | Acute laryngotracheitis |
| J0430 | Supraglottitis, unspecified, without obstruction |
| J0431 | Supraglottitis, unspecified, with obstruction |
| J050 | Acute obstructive laryngitis [croup] |
| J0510 | Acute epiglottitis without obstruction |
| J0511 | Acute epiglottitis with obstruction |
| J060 | Acute laryngopharyngitis |
| J069 | Acute upper respiratory infection, unspecified |
| J311 | Chronic nasopharyngitis |
| J312 | Chronic pharyngitis |
| J342 | Deviated nasal septum |
| J3501 | Chronic tonsillitis |
| J3502 | Chronic adenoiditis |
| J3503 | Chronic tonsillitis and adenoiditis |
| J351 | Hypertrophy of tonsils |
| J352 | Hypertrophy of adenoids |
| J353 | Hypertrophy of tonsils with hypertrophy of adenoids |
| J358 | Other chronic diseases of tonsils and adenoids |
| J359 | Chronic disease of tonsils and adenoids, unspecified |
| J36 | Peritonsillar abscess |
| J370 | Chronic laryngitis |
| J371 | Chronic laryngotracheitis |
| J3800 | Paralysis of vocal cords and larynx, unspecified |
| J3801 | Paralysis of vocal cords and larynx, unilateral |
| J3802 | Paralysis of vocal cords and larynx, bilateral |
| J381 | Polyp of vocal cord and larynx |
| J382 | Nodules of vocal cords |
| J383 | Other diseases of vocal cords |
| J384 | Edema of larynx |
| J385 | Laryngeal spasm |
| J386 | Stenosis of larynx |
| J387 | Other diseases of larynx |
| J390 | Retropharyngeal and parapharyngeal abscess |
| J391 | Other abscess of pharynx |
| J392 | Other diseases of pharynx |
| J393 | Upper respiratory tract hypersensitivity reaction, site unspecified |
| J398 | Other specified diseases of upper respiratory tract |
| J399 | Disease of upper respiratory tract, unspecified |
| J9500 | Unspecified tracheostomy complication |
| J9501 | Hemorrhage from tracheostomy stoma |
| J9502 | Infection of tracheostomy stoma |
| J9503 | Malfunction of tracheostomy stoma |
| J9504 | Tracheo-esophageal fistula following tracheostomy |
| J9509 | Other tracheostomy complication |
| J9801 | Acute bronchospasm |
| J9809 | Other diseases of bronchus, not elsewhere classified |
| K000 | Anodontia |
| K001 | Supernumerary teeth |
| K002 | Abnormalities of size and form of teeth |
| K003 | Mottled teeth |
| K004 | Disturbances in tooth formation |
| K005 | Hereditary disturbances in tooth structure, not elsewhere classified |
| K006 | Disturbances in tooth eruption |
| K007 | Teething syndrome |
| K008 | Other disorders of tooth development |
| K009 | Disorder of tooth development, unspecified |
| K010 | Embedded teeth |
| K011 | Impacted teeth |
| K023 | Arrested dental caries |
| K0251 | Dental caries on pit and fissure surface limited to enamel |
| K0252 | Dental caries on pit and fissure surface penetrating into dentin |
| K0253 | Dental caries on pit and fissure surface penetrating into pulp |
| K0261 | Dental caries on smooth surface limited to enamel |
| K0262 | Dental caries on smooth surface penetrating into dentin |
| K0263 | Dental caries on smooth surface penetrating into pulp |
| K027 | Dental root caries |
| K029 | Dental caries, unspecified |
| K030 | Excessive attrition of teeth |
| K031 | Abrasion of teeth |
| K032 | Erosion of teeth |
| K033 | Pathological resorption of teeth |
| K034 | Hypercementosis |
| K035 | Ankylosis of teeth |
| K036 | Deposits [accretions] on teeth |
| K037 | Posteruptive color changes of dental hard tissues |
| K0381 | Cracked tooth |
| K0389 | Other specified diseases of hard tissues of teeth |
| K039 | Disease of hard tissues of teeth, unspecified |
| K0401 | Reversible pulpitis |
| K0402 | Irreversible pulpitis |
| K041 | Necrosis of pulp |
| K042 | Pulp degeneration |
| K043 | Abnormal hard tissue formation in pulp |
| K044 | Acute apical periodontitis of pulpal origin |
| K045 | Chronic apical periodontitis |
| K046 | Periapical abscess with sinus |
| K047 | Periapical abscess without sinus |
| K048 | Radicular cyst |
| K0490 | Unspecified diseases of pulp and periapical tissues |
| K0499 | Other diseases of pulp and periapical tissues |
| K0500 | Acute gingivitis, plaque induced |
| K0501 | Acute gingivitis, non-plaque induced |
| K0510 | Chronic gingivitis, plaque induced |
| K0511 | Chronic gingivitis, non-plaque induced |
| K0520 | Aggressive periodontitis, unspecified |
| K05211 | Aggressive periodontitis, localized, slight |
| K05212 | Aggressive periodontitis, localized, moderate |
| K05213 | Aggressive periodontitis, localized, severe |
| K05219 | Aggressive periodontitis, localized, unspecified severity |
| K05221 | Aggressive periodontitis, generalized, slight |
| K05222 | Aggressive periodontitis, generalized, moderate |
| K05223 | Aggressive periodontitis, generalized, severe |
| K05229 | Aggressive periodontitis, generalized, unspecified severity |
| K0530 | Chronic periodontitis, unspecified |
| K05311 | Chronic periodontitis, localized, slight |
| K05312 | Chronic periodontitis, localized, moderate |
| K05313 | Chronic periodontitis, localized, severe |
| K05319 | Chronic periodontitis, localized, unspecified severity |
| K05321 | Chronic periodontitis, generalized, slight |
| K05322 | Chronic periodontitis, generalized, moderate |
| K05323 | Chronic periodontitis, generalized, severe |
| K05329 | Chronic periodontitis, generalized, unspecified severity |
| K054 | Periodontosis |
| K055 | Other periodontal diseases |
| K056 | Periodontal disease, unspecified |
| K06010 | Localized gingival recession, unspecified |
| K06011 | Localized gingival recession, minimal |
| K06012 | Localized gingival recession, moderate |
| K06013 | Localized gingival recession, severe |
| K06020 | Generalized gingival recession, unspecified |
| K06021 | Generalized gingival recession, minimal |
| K06022 | Generalized gingival recession, moderate |
| K06023 | Generalized gingival recession, severe |
| K061 | Gingival enlargement |
| K062 | Gingival and edentulous alveolar ridge lesions associated with trauma |
| K063 | Horizontal alveolar bone loss |
| K068 | Other specified disorders of gingiva and edentulous alveolar ridge |
| K069 | Disorder of gingiva and edentulous alveolar ridge, unspecified |
| K080 | Exfoliation of teeth due to systemic causes |
| K08101 | Complete loss of teeth, unspecified cause, class I |
| K08102 | Complete loss of teeth, unspecified cause, class II |
| K08103 | Complete loss of teeth, unspecified cause, class III |
| K08104 | Complete loss of teeth, unspecified cause, class IV |
| K08109 | Complete loss of teeth, unspecified cause, unspecified class |
| K08111 | Complete loss of teeth due to trauma, class I |
| K08112 | Complete loss of teeth due to trauma, class II |
| K08113 | Complete loss of teeth due to trauma, class III |
| K08114 | Complete loss of teeth due to trauma, class IV |
| K08119 | Complete loss of teeth due to trauma, unspecified class |
| K08121 | Complete loss of teeth due to periodontal diseases, class I |
| K08122 | Complete loss of teeth due to periodontal diseases, class II |
| K08123 | Complete loss of teeth due to periodontal diseases, class III |
| K08124 | Complete loss of teeth due to periodontal diseases, class IV |
| K08129 | Complete loss of teeth due to periodontal diseases, unspecified class |
| K08131 | Complete loss of teeth due to caries, class I |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |