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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| MDC 07 Diseases and disorders of the hepatobiliary system and pancreas |
| Assignment of Diagnosis Codes |
| A064 | Amebic liver abscess |
| A5145 | Secondary syphilitic hepatitis |
| A5274 | Syphilis of liver and other viscera |
| B150 | Hepatitis A with hepatic coma |
| B159 | Hepatitis A without hepatic coma |
| B160 | Acute hepatitis B with delta-agent with hepatic coma |
| B161 | Acute hepatitis B with delta-agent without hepatic coma |
| B162 | Acute hepatitis B without delta-agent with hepatic coma |
| B169 | Acute hepatitis B without delta-agent and without hepatic coma |
| B170 | Acute delta-(super) infection of hepatitis B carrier |
| B1710 | Acute hepatitis C without hepatic coma |
| B1711 | Acute hepatitis C with hepatic coma |
| B172 | Acute hepatitis E |
| B178 | Other specified acute viral hepatitis |
| B179 | Acute viral hepatitis, unspecified |
| B180 | Chronic viral hepatitis B with delta-agent |
| B181 | Chronic viral hepatitis B without delta-agent |
| B182 | Chronic viral hepatitis C |
| B188 | Other chronic viral hepatitis |
| B189 | Chronic viral hepatitis, unspecified |
| B190 | Unspecified viral hepatitis with hepatic coma |
| B1910 | Unspecified viral hepatitis B without hepatic coma |
| B1911 | Unspecified viral hepatitis B with hepatic coma |
| B1920 | Unspecified viral hepatitis C without hepatic coma |
| B1921 | Unspecified viral hepatitis C with hepatic coma |
| B199 | Unspecified viral hepatitis without hepatic coma |
| B251 | Cytomegaloviral hepatitis |
| B252 | Cytomegaloviral pancreatitis |
| B263 | Mumps pancreatitis |
| B2681 | Mumps hepatitis |
| B581 | Toxoplasma hepatitis |
| B651 | Schistosomiasis due to Schistosoma mansoni [intestinal schistosomiasis] |
| B660 | Opisthorchiasis |
| B661 | Clonorchiasis |
| B663 | Fascioliasis |
| B665 | Fasciolopsiasis |
| B670 | Echinococcus granulosus infection of liver |
| B675 | Echinococcus multilocularis infection of liver |
| B678 | Echinococcosis, unspecified, of liver |
| C220 | Liver cell carcinoma |
| C221 | Intrahepatic bile duct carcinoma |
| C222 | Hepatoblastoma |
| C223 | Angiosarcoma of liver |
| C224 | Other sarcomas of liver |
| C227 | Other specified carcinomas of liver |
| C228 | Malignant neoplasm of liver, primary, unspecified as to type |
| C229 | Malignant neoplasm of liver, not specified as primary or secondary |
| C23 | Malignant neoplasm of gallbladder |
| C240 | Malignant neoplasm of extrahepatic bile duct |
| C241 | Malignant neoplasm of ampulla of Vater |
| C248 | Malignant neoplasm of overlapping sites of biliary tract |
| C249 | Malignant neoplasm of biliary tract, unspecified |
| C250 | Malignant neoplasm of head of pancreas |
| C251 | Malignant neoplasm of body of pancreas |
| C252 | Malignant neoplasm of tail of pancreas |
| C253 | Malignant neoplasm of pancreatic duct |
| C254 | Malignant neoplasm of endocrine pancreas |
| C257 | Malignant neoplasm of other parts of pancreas |
| C258 | Malignant neoplasm of overlapping sites of pancreas |
| C259 | Malignant neoplasm of pancreas, unspecified |
| C787 | Secondary malignant neoplasm of liver and intrahepatic bile duct |
| C7B02 | Secondary carcinoid tumors of liver |
| D015 | Carcinoma in situ of liver, gallbladder and bile ducts |
| D134 | Benign neoplasm of liver |
| D135 | Benign neoplasm of extrahepatic bile ducts |
| D136 | Benign neoplasm of pancreas |
| D376 | Neoplasm of uncertain behavior of liver, gallbladder and bile ducts |
| E804 | Gilbert syndrome |
| E805 | Crigler-Najjar syndrome |
| E806 | Other disorders of bilirubin metabolism |
| E807 | Disorder of bilirubin metabolism, unspecified |
| I81 | Portal vein thrombosis |
| I820 | Budd-Chiari syndrome |
| K700 | Alcoholic fatty liver |
| K7010 | Alcoholic hepatitis without ascites |
| K7011 | Alcoholic hepatitis with ascites |
| K702 | Alcoholic fibrosis and sclerosis of liver |
| K7030 | Alcoholic cirrhosis of liver without ascites |
| K7031 | Alcoholic cirrhosis of liver with ascites |
| K7040 | Alcoholic hepatic failure without coma |
| K7041 | Alcoholic hepatic failure with coma |
| K709 | Alcoholic liver disease, unspecified |
| K710 | Toxic liver disease with cholestasis |
| K7110 | Toxic liver disease with hepatic necrosis, without coma |
| K7111 | Toxic liver disease with hepatic necrosis, with coma |
| K712 | Toxic liver disease with acute hepatitis |
| K713 | Toxic liver disease with chronic persistent hepatitis |
| K714 | Toxic liver disease with chronic lobular hepatitis |
| K7150 | Toxic liver disease with chronic active hepatitis without ascites |
| K7151 | Toxic liver disease with chronic active hepatitis with ascites |
| K716 | Toxic liver disease with hepatitis, not elsewhere classified |
| K717 | Toxic liver disease with fibrosis and cirrhosis of liver |
| K718 | Toxic liver disease with other disorders of liver |
| K719 | Toxic liver disease, unspecified |
| K7200 | Acute and subacute hepatic failure without coma |
| K7201 | Acute and subacute hepatic failure with coma |
| K7210 | Chronic hepatic failure without coma |
| K7211 | Chronic hepatic failure with coma |
| K7290 | Hepatic failure, unspecified without coma |
| K7291 | Hepatic failure, unspecified with coma |
| K730 | Chronic persistent hepatitis, not elsewhere classified |
| K731 | Chronic lobular hepatitis, not elsewhere classified |
| K732 | Chronic active hepatitis, not elsewhere classified |
| K738 | Other chronic hepatitis, not elsewhere classified |
| K739 | Chronic hepatitis, unspecified |
| K7400 | Hepatic fibrosis, unspecified |
| K7401 | Hepatic fibrosis, early fibrosis |
| K7402 | Hepatic fibrosis, advanced fibrosis |
| K741 | Hepatic sclerosis |
| K742 | Hepatic fibrosis with hepatic sclerosis |
| K743 | Primary biliary cirrhosis |
| K744 | Secondary biliary cirrhosis |
| K745 | Biliary cirrhosis, unspecified |
| K7460 | Unspecified cirrhosis of liver |
| K7469 | Other cirrhosis of liver |
| K750 | Abscess of liver |
| K751 | Phlebitis of portal vein |
| K752 | Nonspecific reactive hepatitis |
| K753 | Granulomatous hepatitis, not elsewhere classified |
| K754 | Autoimmune hepatitis |
| K7581 | Nonalcoholic steatohepatitis (NASH) |
| K7589 | Other specified inflammatory liver diseases |
| K759 | Inflammatory liver disease, unspecified |
| K760 | Fatty (change of) liver, not elsewhere classified |
| K761 | Chronic passive congestion of liver |
| K762 | Central hemorrhagic necrosis of liver |
| K763 | Infarction of liver |
| K764 | Peliosis hepatis |
| K765 | Hepatic veno-occlusive disease |
| K766 | Portal hypertension |
| K767 | Hepatorenal syndrome |
| K7682 | Hepatic encephalopathy |
| K7689 | Other specified diseases of liver |
| K769 | Liver disease, unspecified |
| K77 | Liver disorders in diseases classified elsewhere |
| K8000 | Calculus of gallbladder with acute cholecystitis without obstruction |
| K8001 | Calculus of gallbladder with acute cholecystitis with obstruction |
| K8010 | Calculus of gallbladder with chronic cholecystitis without obstruction |
| K8011 | Calculus of gallbladder with chronic cholecystitis with obstruction |
| K8012 | Calculus of gallbladder with acute and chronic cholecystitis without obstruction |
| K8013 | Calculus of gallbladder with acute and chronic cholecystitis with obstruction |
| K8018 | Calculus of gallbladder with other cholecystitis without obstruction |
| K8019 | Calculus of gallbladder with other cholecystitis with obstruction |
| K8020 | Calculus of gallbladder without cholecystitis without obstruction |
| K8021 | Calculus of gallbladder without cholecystitis with obstruction |
| K8030 | Calculus of bile duct with cholangitis, unspecified, without obstruction |
| K8031 | Calculus of bile duct with cholangitis, unspecified, with obstruction |
| K8032 | Calculus of bile duct with acute cholangitis without obstruction |
| K8033 | Calculus of bile duct with acute cholangitis with obstruction |
| K8034 | Calculus of bile duct with chronic cholangitis without obstruction |
| K8035 | Calculus of bile duct with chronic cholangitis with obstruction |
| K8036 | Calculus of bile duct with acute and chronic cholangitis without obstruction |
| K8037 | Calculus of bile duct with acute and chronic cholangitis with obstruction |
| K8040 | Calculus of bile duct with cholecystitis, unspecified, without obstruction |
| K8041 | Calculus of bile duct with cholecystitis, unspecified, with obstruction |
| K8042 | Calculus of bile duct with acute cholecystitis without obstruction |
| K8043 | Calculus of bile duct with acute cholecystitis with obstruction |
| K8044 | Calculus of bile duct with chronic cholecystitis without obstruction |
| K8045 | Calculus of bile duct with chronic cholecystitis with obstruction |
| K8046 | Calculus of bile duct with acute and chronic cholecystitis without obstruction |
| K8047 | Calculus of bile duct with acute and chronic cholecystitis with obstruction |
| K8050 | Calculus of bile duct without cholangitis or cholecystitis without obstruction |
| K8051 | Calculus of bile duct without cholangitis or cholecystitis with obstruction |
| K8060 | Calculus of gallbladder and bile duct with cholecystitis, unspecified, without obstruction |
| K8061 | Calculus of gallbladder and bile duct with cholecystitis, unspecified, with obstruction |
| K8062 | Calculus of gallbladder and bile duct with acute cholecystitis without obstruction |
| K8063 | Calculus of gallbladder and bile duct with acute cholecystitis with obstruction |
| K8064 | Calculus of gallbladder and bile duct with chronic cholecystitis without obstruction |
| K8065 | Calculus of gallbladder and bile duct with chronic cholecystitis with obstruction |
| K8066 | Calculus of gallbladder and bile duct with acute and chronic cholecystitis without obstruction |
| K8067 | Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction |
| K8070 | Calculus of gallbladder and bile duct without cholecystitis without obstruction |
| K8071 | Calculus of gallbladder and bile duct without cholecystitis with obstruction |
| K8080 | Other cholelithiasis without obstruction |
| K8081 | Other cholelithiasis with obstruction |
| K810 | Acute cholecystitis |
| K811 | Chronic cholecystitis |
| K812 | Acute cholecystitis with chronic cholecystitis |
| K819 | Cholecystitis, unspecified |
| K820 | Obstruction of gallbladder |
| K821 | Hydrops of gallbladder |
| K822 | Perforation of gallbladder |
| K823 | Fistula of gallbladder |
| K824 | Cholesterolosis of gallbladder |
| K828 | Other specified diseases of gallbladder |
| K829 | Disease of gallbladder, unspecified |
| K82A1 | Gangrene of gallbladder in cholecystitis |
| K82A2 | Perforation of gallbladder in cholecystitis |
| K8301 | Primary sclerosing cholangitis |
| K8309 | Other cholangitis |
| K831 | Obstruction of bile duct |
| K832 | Perforation of bile duct |
| K833 | Fistula of bile duct |
| K834 | Spasm of sphincter of Oddi |
| K835 | Biliary cyst |
| K838 | Other specified diseases of biliary tract |
| K839 | Disease of biliary tract, unspecified |
| K8500 | Idiopathic acute pancreatitis without necrosis or infection |
| K8501 | Idiopathic acute pancreatitis with uninfected necrosis |
| K8502 | Idiopathic acute pancreatitis with infected necrosis |
| K8510 | Biliary acute pancreatitis without necrosis or infection |
| K8511 | Biliary acute pancreatitis with uninfected necrosis |
| K8512 | Biliary acute pancreatitis with infected necrosis |
| K8520 | Alcohol induced acute pancreatitis without necrosis or infection |
| K8521 | Alcohol induced acute pancreatitis with uninfected necrosis |
| K8522 | Alcohol induced acute pancreatitis with infected necrosis |
| K8530 | Drug induced acute pancreatitis without necrosis or infection |
| K8531 | Drug induced acute pancreatitis with uninfected necrosis |
| K8532 | Drug induced acute pancreatitis with infected necrosis |
| K8580 | Other acute pancreatitis without necrosis or infection |
| K8581 | Other acute pancreatitis with uninfected necrosis |
| K8582 | Other acute pancreatitis with infected necrosis |
| K8590 | Acute pancreatitis without necrosis or infection, unspecified |
| K8591 | Acute pancreatitis with uninfected necrosis, unspecified |
| K8592 | Acute pancreatitis with infected necrosis, unspecified |
| K860 | Alcohol-induced chronic pancreatitis |
| K861 | Other chronic pancreatitis |
| K862 | Cyst of pancreas |
| K863 | Pseudocyst of pancreas |
| K8681 | Exocrine pancreatic insufficiency |
| K8689 | Other specified diseases of pancreas |
| K869 | Disease of pancreas, unspecified |
| K87 | Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere |
| K915 | Postcholecystectomy syndrome |
| Q440 | Agenesis, aplasia and hypoplasia of gallbladder |
| Q441 | Other congenital malformations of gallbladder |
| Q442 | Atresia of bile ducts |
| Q443 | Congenital stenosis and stricture of bile ducts |
| Q444 | Choledochal cyst |
| Q445 | Other congenital malformations of bile ducts |
| Q446 | Cystic disease of liver |
| Q447 | Other congenital malformations of liver |
| Q450 | Agenesis, aplasia and hypoplasia of pancreas |
| Q451 | Annular pancreas |
| Q452 | Congenital pancreatic cyst |
| Q453 | Other congenital malformations of pancreas and pancreatic duct |
| R160 | Hepatomegaly, not elsewhere classified |
| R162 | Hepatomegaly with splenomegaly, not elsewhere classified |
| R17 | Unspecified jaundice |
| R822 | Biliuria |
| R932 | Abnormal findings on diagnostic imaging of liver and biliary tract |
| R945 | Abnormal results of liver function studies |
| S36112A | Contusion of liver, initial encounter |
| S36113A | Laceration of liver, unspecified degree, initial encounter |
| S36114A | Minor laceration of liver, initial encounter |
| S36115A | Moderate laceration of liver, initial encounter |
| S36116A | Major laceration of liver, initial encounter |
| S36118A | Other injury of liver, initial encounter |
| S36119A | Unspecified injury of liver, initial encounter |
| S36122A | Contusion of gallbladder, initial encounter |
| S36123A | Laceration of gallbladder, initial encounter |
| S36128A | Other injury of gallbladder, initial encounter |
| S36129A | Unspecified injury of gallbladder, initial encounter |
| S3613XA | Injury of bile duct, initial encounter |
| S36200A | Unspecified injury of head of pancreas, initial encounter |
| S36201A | Unspecified injury of body of pancreas, initial encounter |
| S36202A | Unspecified injury of tail of pancreas, initial encounter |
| S36209A | Unspecified injury of unspecified part of pancreas, initial encounter |
| S36220A | Contusion of head of pancreas, initial encounter |
| S36221A | Contusion of body of pancreas, initial encounter |
| S36222A | Contusion of tail of pancreas, initial encounter |
| S36229A | Contusion of unspecified part of pancreas, initial encounter |
| S36230A | Laceration of head of pancreas, unspecified degree, initial encounter |
| S36231A | Laceration of body of pancreas, unspecified degree, initial encounter |
| S36232A | Laceration of tail of pancreas, unspecified degree, initial encounter |
| S36239A | Laceration of unspecified part of pancreas, unspecified degree, initial encounter |
| S36240A | Minor laceration of head of pancreas, initial encounter |
| S36241A | Minor laceration of body of pancreas, initial encounter |
| S36242A | Minor laceration of tail of pancreas, initial encounter |
| S36249A | Minor laceration of unspecified part of pancreas, initial encounter |
| S36250A | Moderate laceration of head of pancreas, initial encounter |
| S36251A | Moderate laceration of body of pancreas, initial encounter |
| S36252A | Moderate laceration of tail of pancreas, initial encounter |
| S36259A | Moderate laceration of unspecified part of pancreas, initial encounter |
| S36260A | Major laceration of head of pancreas, initial encounter |
| S36261A | Major laceration of body of pancreas, initial encounter |
| S36262A | Major laceration of tail of pancreas, initial encounter |
| S36269A | Major laceration of unspecified part of pancreas, initial encounter |
| S36290A | Other injury of head of pancreas, initial encounter |
| S36291A | Other injury of body of pancreas, initial encounter |
| S36292A | Other injury of tail of pancreas, initial encounter |
| S36299A | Other injury of unspecified part of pancreas, initial encounter |
| T8640 | Unspecified complication of liver transplant |
| T8641 | Liver transplant rejection |
| T8642 | Liver transplant failure |
| T8643 | Liver transplant infection |
| T8649 | Other complications of liver transplant |
| T86890 | Other transplanted tissue rejection |
| T86891 | Other transplanted tissue failure |
| T86892 | Other transplanted tissue infection |
| T86898 | Other complications of other transplanted tissue |
| T86899 | Unspecified complication of other transplanted tissue |
| Z526 | Liver donor |
| Z944 | Liver transplant status |
| Z9483 | Pancreas transplant status |
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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 |