DRAFT

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

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MDC 15 Newborns and other neonates with conditions originating in perinatal period
Normal newborn
DRG
795

DRG 795 NORMAL NEWBORN

PRINCIPAL DIAGNOSIS

P003Newborn affected by other maternal circulatory and respiratory diseases
P009Newborn affected by unspecified maternal condition
P024Newborn affected by prolapsed cord
P025Newborn affected by other compression of umbilical cord
P0260Newborn affected by unspecified conditions of umbilical cord
P0269Newborn affected by other conditions of umbilical cord
P030Newborn affected by breech delivery and extraction
P031Newborn affected by other malpresentation, malposition and disproportion during labor and delivery
P032Newborn affected by forceps delivery
P033Newborn affected by delivery by vacuum extractor [ventouse]
P035Newborn affected by precipitate delivery
P039Newborn affected by complication of labor and delivery, unspecified
P0508Newborn light for gestational age, 2000-2499 grams
P0518Newborn small for gestational age, 2000-2499 grams
P080Exceptionally large newborn baby
P081Other heavy for gestational age newborn
P0821Post-term newborn
P0822Prolonged gestation of newborn
P120Cephalhematoma due to birth injury
P121Chignon (from vacuum extraction) due to birth injury
P123Bruising of scalp due to birth injury
P124Injury of scalp of newborn due to monitoring equipment
P1281Caput succedaneum
P1289Other birth injuries to scalp
P129Birth injury to scalp, unspecified
P545Neonatal cutaneous hemorrhage
P593Neonatal jaundice from breast milk inhibitor
P598Neonatal jaundice from other specified causes
P599Neonatal jaundice, unspecified
P831Neonatal erythema toxicum
P836Umbilical polyp of newborn
P8381Umbilical granuloma
P8388Other specified conditions of integument specific to newborn
P9209Other vomiting of newborn
P921Regurgitation and rumination of newborn
P922Slow feeding of newborn
P923Underfeeding of newborn
P924Overfeeding of newborn
P925Neonatal difficulty in feeding at breast
P928Other feeding problems of newborn
P929Feeding problem of newborn, unspecified
P9682Delayed separation of umbilical cord
Z3800Single liveborn infant, delivered vaginally
Z3801Single liveborn infant, delivered by cesarean
Z381Single liveborn infant, born outside hospital
Z382Single liveborn infant, unspecified as to place of birth
Z3830Twin liveborn infant, delivered vaginally
Z3831Twin liveborn infant, delivered by cesarean
Z384Twin liveborn infant, born outside hospital
Z385Twin liveborn infant, unspecified as to place of birth
Z3861Triplet liveborn infant, delivered vaginally
Z3862Triplet liveborn infant, delivered by cesarean
Z3863Quadruplet liveborn infant, delivered vaginally
Z3864Quadruplet liveborn infant, delivered by cesarean
Z3865Quintuplet liveborn infant, delivered vaginally
Z3866Quintuplet liveborn infant, delivered by cesarean
Z3868Other multiple liveborn infant, delivered vaginally
Z3869Other multiple liveborn infant, delivered by cesarean
Z387Other multiple liveborn infant, born outside hospital
Z388Other multiple liveborn infant, unspecified as to place of birth

AND NO SECONDARY DIAGNOSES

OR ONLY SECONDARY DIAGNOSES

J340Abscess, furuncle and carbuncle of nose
J341Cyst and mucocele of nose and nasal sinus
J3481Nasal mucositis (ulcerative)
J3489Other specified disorders of nose and nasal sinuses
J349Unspecified disorder of nose and nasal sinuses
K006Disturbances in tooth eruption
K010Embedded teeth
K011Impacted teeth
L089Local infection of the skin and subcutaneous tissue, unspecified
L22Diaper dermatitis
L573Poikiloderma of Civatte
L80Vitiligo
L810Postinflammatory hyperpigmentation
L811Chloasma
L812Freckles
L813Cafe au lait spots
L814Other melanin hyperpigmentation
L815Leukoderma, not elsewhere classified
L816Other disorders of diminished melanin formation
L817Pigmented purpuric dermatosis
L818Other specified disorders of pigmentation
L819Disorder of pigmentation, unspecified
N470Adherent prepuce, newborn
N471Phimosis
N472Paraphimosis
N473Deficient foreskin
N474Benign cyst of prepuce
N475Adhesions of prepuce and glans penis
N477Other inflammatory diseases of prepuce
N478Other disorders of prepuce
N898Other specified noninflammatory disorders of vagina
P002Newborn affected by maternal infectious and parasitic diseases
P0082Newborn affected by (positive) maternal group B streptococcus (GBS) colonization
P0089Newborn affected by other maternal conditions
Q170Accessory auricle
Q5300Ectopic testis, unspecified
Q5301Ectopic testis, unilateral
Q5302Ectopic testes, bilateral
Q5310Unspecified undescended testicle, unilateral
Q53111Unilateral intraabdominal testis
Q53112Unilateral inguinal testis
Q5312Ectopic perineal testis, unilateral
Q5313Unilateral high scrotal testis
Q5320Undescended testicle, unspecified, bilateral
Q53211Bilateral intraabdominal testes
Q53212Bilateral inguinal testes
Q5322Ectopic perineal testis, bilateral
Q5323Bilateral high scrotal testes
Q539Undescended testicle, unspecified
Q5522Retractile testis
Q6650Congenital pes planus, unspecified foot
Q6651Congenital pes planus, right foot
Q6652Congenital pes planus, left foot
Q6680Congenital vertical talus deformity, unspecified foot
Q6681Congenital vertical talus deformity, right foot
Q6682Congenital vertical talus deformity, left foot
Q810Epidermolysis bullosa simplex
Q811Epidermolysis bullosa letalis
Q812Epidermolysis bullosa dystrophica
Q818Other epidermolysis bullosa
Q819Epidermolysis bullosa, unspecified
Q821Xeroderma pigmentosum
Q822Congenital cutaneous mastocytosis
Q823Incontinentia pigmenti
Q826Congenital sacral dimple
Q828Other specified congenital malformations of skin
Q829Congenital malformation of skin, unspecified
R0981Nasal congestion
R87618Other abnormal cytological findings on specimens from cervix uteri
R87619Unspecified abnormal cytological findings in specimens from cervix uteri
R87629Unspecified abnormal cytological findings in specimens from vagina
R897Abnormal histological findings in specimens from other organs, systems and tissues
R94120Abnormal auditory function study
Z00110Health examination for newborn under 8 days old
Z00111Health examination for newborn 8 to 28 days old
Z00121Encounter for routine child health examination with abnormal findings
Z00129Encounter for routine child health examination without abnormal findings
Z0110Encounter for examination of ears and hearing without abnormal findings
Z01110Encounter for hearing examination following failed hearing screening
Z01118Encounter for examination of ears and hearing with other abnormal findings
Z0112Encounter for hearing conservation and treatment
Z026Encounter for examination for insurance purposes
Z0282Encounter for adoption services
Z0289Encounter for other administrative examinations
Z050Observation and evaluation of newborn for suspected cardiac condition ruled out
Z051Observation and evaluation of newborn for suspected infectious condition ruled out
Z052Observation and evaluation of newborn for suspected neurological condition ruled out
Z053Observation and evaluation of newborn for suspected respiratory condition ruled out
Z0541Observation and evaluation of newborn for suspected genetic condition ruled out
Z0542Observation and evaluation of newborn for suspected metabolic condition ruled out
Z0543Observation and evaluation of newborn for suspected immunologic condition ruled out
Z055Observation and evaluation of newborn for suspected gastrointestinal condition ruled out
Z056Observation and evaluation of newborn for suspected genitourinary condition ruled out
Z0571Observation and evaluation of newborn for suspected skin and subcutaneous tissue condition ruled out
Z0572Observation and evaluation of newborn for suspected musculoskeletal condition ruled out
Z0573Observation and evaluation of newborn for suspected connective tissue condition ruled out
Z058Observation and evaluation of newborn for other specified suspected condition ruled out
Z059Observation and evaluation of newborn for unspecified suspected condition ruled out
Z13228Encounter for screening for other metabolic disorders
Z2001Contact with and (suspected) exposure to intestinal infectious diseases due to Escherichia coli (E. coli)
Z2009Contact with and (suspected) exposure to other intestinal infectious diseases
Z201Contact with and (suspected) exposure to tuberculosis
Z202Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
Z203Contact with and (suspected) exposure to rabies
Z204Contact with and (suspected) exposure to rubella
Z205Contact with and (suspected) exposure to viral hepatitis
Z206Contact with and (suspected) exposure to human immunodeficiency virus [HIV]
Z207Contact with and (suspected) exposure to pediculosis, acariasis and other infestations
Z20810Contact with and (suspected) exposure to anthrax
Z20811Contact with and (suspected) exposure to meningococcus
Z20818Contact with and (suspected) exposure to other bacterial communicable diseases
Z20820Contact with and (suspected) exposure to varicella
Z20821Contact with and (suspected) exposure to Zika virus
Z20822Contact with and (suspected) exposure to COVID-19
Z20828Contact with and (suspected) exposure to other viral communicable diseases
Z2089Contact with and (suspected) exposure to other communicable diseases
Z209Contact with and (suspected) exposure to unspecified communicable disease
Z23Encounter for immunization
Z2801Immunization not carried out because of acute illness of patient
Z2802Immunization not carried out because of chronic illness or condition of patient
Z2803Immunization not carried out because of immune compromised state of patient
Z2804Immunization not carried out because of patient allergy to vaccine or component
Z2809Immunization not carried out because of other contraindication
Z281Immunization not carried out because of patient decision for reasons of belief or group pressure
Z2820Immunization not carried out because of patient decision for unspecified reason
Z2821Immunization not carried out because of patient refusal
Z2829Immunization not carried out because of patient decision for other reason
Z2881Immunization not carried out due to patient having had the disease
Z2882Immunization not carried out because of caregiver refusal
Z2883Immunization not carried out due to unavailability of vaccine
Z2889Immunization not carried out for other reason
Z289Immunization not carried out for unspecified reason
Z412Encounter for routine and ritual male circumcision
Z413Encounter for ear piercing
Z5301Procedure and treatment not carried out due to patient smoking
Z5309Procedure and treatment not carried out because of other contraindication
Z531Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure
Z5320Procedure and treatment not carried out because of patient's decision for unspecified reasons
Z5321Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider
Z5329Procedure and treatment not carried out because of patient's decision for other reasons
Z538Procedure and treatment not carried out for other reasons
Z539Procedure and treatment not carried out, unspecified reason
Z762Encounter for health supervision and care of other healthy infant and child
Z818Family history of other mental and behavioral disorders
Z820Family history of epilepsy and other diseases of the nervous system
Z8249Family history of ischemic heart disease and other diseases of the circulatory system
Z831Family history of other infectious and parasitic diseases
Z833Family history of diabetes mellitus
Z8342Family history of familial hypercholesterolemia
Z83430Family history of elevated lipoprotein(a)
Z83438Family history of other disorder of lipoprotein metabolism and other lipidemia
Z8349Family history of other endocrine, nutritional and metabolic diseases



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
16 Mar 2022 17:08:13
CMS, code-revision=333, description-revision=1331