DRAFT

ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual

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MDC 01 Diseases and disorders of the nervous system
Intracranial hemorrhage or cerebral infarction
MCC CC tPA in 24 hrs DRG
Yes n/a n/a 064
No Yes n/a 065
No No Yes 065
No No No 066

DRG 064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC

DRG 065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS

DRG 066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC

PRINCIPAL DIAGNOSIS

I6000Nontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation
I6001Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation
I6002Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation
I6010Nontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery
I6011Nontraumatic subarachnoid hemorrhage from right middle cerebral artery
I6012Nontraumatic subarachnoid hemorrhage from left middle cerebral artery
I602Nontraumatic subarachnoid hemorrhage from anterior communicating artery
I6030Nontraumatic subarachnoid hemorrhage from unspecified posterior communicating artery
I6031Nontraumatic subarachnoid hemorrhage from right posterior communicating artery
I6032Nontraumatic subarachnoid hemorrhage from left posterior communicating artery
I604Nontraumatic subarachnoid hemorrhage from basilar artery
I6050Nontraumatic subarachnoid hemorrhage from unspecified vertebral artery
I6051Nontraumatic subarachnoid hemorrhage from right vertebral artery
I6052Nontraumatic subarachnoid hemorrhage from left vertebral artery
I606Nontraumatic subarachnoid hemorrhage from other intracranial arteries
I607Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery
I608Other nontraumatic subarachnoid hemorrhage
I609Nontraumatic subarachnoid hemorrhage, unspecified
I610Nontraumatic intracerebral hemorrhage in hemisphere, subcortical
I611Nontraumatic intracerebral hemorrhage in hemisphere, cortical
I612Nontraumatic intracerebral hemorrhage in hemisphere, unspecified
I613Nontraumatic intracerebral hemorrhage in brain stem
I614Nontraumatic intracerebral hemorrhage in cerebellum
I615Nontraumatic intracerebral hemorrhage, intraventricular
I616Nontraumatic intracerebral hemorrhage, multiple localized
I618Other nontraumatic intracerebral hemorrhage
I619Nontraumatic intracerebral hemorrhage, unspecified
I6200Nontraumatic subdural hemorrhage, unspecified
I6201Nontraumatic acute subdural hemorrhage
I6202Nontraumatic subacute subdural hemorrhage
I6203Nontraumatic chronic subdural hemorrhage
I621Nontraumatic extradural hemorrhage
I629Nontraumatic intracranial hemorrhage, unspecified
I6300Cerebral infarction due to thrombosis of unspecified precerebral artery
I63011Cerebral infarction due to thrombosis of right vertebral artery
I63012Cerebral infarction due to thrombosis of left vertebral artery
I63013Cerebral infarction due to thrombosis of bilateral vertebral arteries
I63019Cerebral infarction due to thrombosis of unspecified vertebral artery
I6302Cerebral infarction due to thrombosis of basilar artery
I63031Cerebral infarction due to thrombosis of right carotid artery
I63032Cerebral infarction due to thrombosis of left carotid artery
I63033Cerebral infarction due to thrombosis of bilateral carotid arteries
I63039Cerebral infarction due to thrombosis of unspecified carotid artery
I6309Cerebral infarction due to thrombosis of other precerebral artery
I6310Cerebral infarction due to embolism of unspecified precerebral artery
I63111Cerebral infarction due to embolism of right vertebral artery
I63112Cerebral infarction due to embolism of left vertebral artery
I63113Cerebral infarction due to embolism of bilateral vertebral arteries
I63119Cerebral infarction due to embolism of unspecified vertebral artery
I6312Cerebral infarction due to embolism of basilar artery
I63131Cerebral infarction due to embolism of right carotid artery
I63132Cerebral infarction due to embolism of left carotid artery
I63133Cerebral infarction due to embolism of bilateral carotid arteries
I63139Cerebral infarction due to embolism of unspecified carotid artery
I6319Cerebral infarction due to embolism of other precerebral artery
I6320Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries
I63211Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery
I63212Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery
I63213Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries
I63219Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery
I6322Cerebral infarction due to unspecified occlusion or stenosis of basilar artery
I63231Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries
I63232Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries
I63233Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries
I63239Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery
I6329Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries
I6330Cerebral infarction due to thrombosis of unspecified cerebral artery
I63311Cerebral infarction due to thrombosis of right middle cerebral artery
I63312Cerebral infarction due to thrombosis of left middle cerebral artery
I63313Cerebral infarction due to thrombosis of bilateral middle cerebral arteries
I63319Cerebral infarction due to thrombosis of unspecified middle cerebral artery
I63321Cerebral infarction due to thrombosis of right anterior cerebral artery
I63322Cerebral infarction due to thrombosis of left anterior cerebral artery
I63323Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries
I63329Cerebral infarction due to thrombosis of unspecified anterior cerebral artery
I63331Cerebral infarction due to thrombosis of right posterior cerebral artery
I63332Cerebral infarction due to thrombosis of left posterior cerebral artery
I63333Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries
I63339Cerebral infarction due to thrombosis of unspecified posterior cerebral artery
I63341Cerebral infarction due to thrombosis of right cerebellar artery
I63342Cerebral infarction due to thrombosis of left cerebellar artery
I63343Cerebral infarction due to thrombosis of bilateral cerebellar arteries
I63349Cerebral infarction due to thrombosis of unspecified cerebellar artery
I6339Cerebral infarction due to thrombosis of other cerebral artery
I6340Cerebral infarction due to embolism of unspecified cerebral artery
I63411Cerebral infarction due to embolism of right middle cerebral artery
I63412Cerebral infarction due to embolism of left middle cerebral artery
I63413Cerebral infarction due to embolism of bilateral middle cerebral arteries
I63419Cerebral infarction due to embolism of unspecified middle cerebral artery
I63421Cerebral infarction due to embolism of right anterior cerebral artery
I63422Cerebral infarction due to embolism of left anterior cerebral artery
I63423Cerebral infarction due to embolism of bilateral anterior cerebral arteries
I63429Cerebral infarction due to embolism of unspecified anterior cerebral artery
I63431Cerebral infarction due to embolism of right posterior cerebral artery
I63432Cerebral infarction due to embolism of left posterior cerebral artery
I63433Cerebral infarction due to embolism of bilateral posterior cerebral arteries
I63439Cerebral infarction due to embolism of unspecified posterior cerebral artery
I63441Cerebral infarction due to embolism of right cerebellar artery
I63442Cerebral infarction due to embolism of left cerebellar artery
I63443Cerebral infarction due to embolism of bilateral cerebellar arteries
I63449Cerebral infarction due to embolism of unspecified cerebellar artery
I6349Cerebral infarction due to embolism of other cerebral artery
I6350Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery
I63511Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery
I63512Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery
I63513Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries
I63519Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery
I63521Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery
I63522Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery
I63523Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries
I63529Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery
I63531Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery
I63532Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery
I63533Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries
I63539Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery
I63541Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery
I63542Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery
I63543Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries
I63549Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery
I6359Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery
I636Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
I6381Other cerebral infarction due to occlusion or stenosis of small artery
I6389Other cerebral infarction
I639Cerebral infarction, unspecified

TPA WITHIN 24 HOURS

SECONDARY DIAGNOSIS

Z9282Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
16 Mar 2022 17:08:13
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