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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| Appendix C: Principal diagnoses which convert CC/MCC to non-CC |
| Page 7 of 1270 |
| PDX Collection 0021 (continued) | |
| K55061 | Focal (segmental) acute infarction of intestine, part unspecified |
| K55062 | Diffuse acute infarction of intestine, part unspecified |
| K55069 | Acute infarction of intestine, part and extent unspecified |
| K551 | Chronic vascular disorders of intestine |
| K5530 | Necrotizing enterocolitis, unspecified |
| K5531 | Stage 1 necrotizing enterocolitis |
| K5532 | Stage 2 necrotizing enterocolitis |
| K5533 | Stage 3 necrotizing enterocolitis |
| K558 | Other vascular disorders of intestine |
| K559 | Vascular disorder of intestine, unspecified |
| K580 | Irritable bowel syndrome with diarrhea |
| K581 | Irritable bowel syndrome with constipation |
| K582 | Mixed irritable bowel syndrome |
| K588 | Other irritable bowel syndrome |
| K589 | Irritable bowel syndrome without diarrhea |
| P768 | Other specified intestinal obstruction of newborn |
| P769 | Intestinal obstruction of newborn, unspecified |
| P771 | Stage 1 necrotizing enterocolitis in newborn |
| P772 | Stage 2 necrotizing enterocolitis in newborn |
| P773 | Stage 3 necrotizing enterocolitis in newborn |
| P779 | Necrotizing enterocolitis in newborn, unspecified |
| P781 | Other neonatal peritonitis |
| P783 | Noninfective neonatal diarrhea |
| P7881 | Congenital cirrhosis (of liver) |
| P7882 | Peptic ulcer of newborn |
| P7883 | Newborn esophageal reflux |
| P7884 | Gestational alloimmune liver disease |
| P7889 | Other specified perinatal digestive system disorders |
| PDX Collection 0022 | |
| A060 | Acute amebic dysentery |
| A061 | Chronic intestinal amebiasis |
| A062 | Amebic nondysenteric colitis |
| A063 | Ameboma of intestine |
| A064 | Amebic liver abscess |
| A065 | Amebic lung abscess |
| A066 | Amebic brain abscess |
| A0681 | Amebic cystitis |
| A0682 | Other amebic genitourinary infections |
| A0689 | Other amebic infections |
| PDX Collection 0023 | |
| A064 | Amebic liver abscess |
| K750 | Abscess of liver |
| PDX Collection 0024 | |
| A065 | Amebic lung abscess |
| J850 | Gangrene and necrosis of lung |
| J851 | Abscess of lung with pneumonia |
| J852 | Abscess of lung without pneumonia |
| PDX Collection 0025 | |
| A066 | Amebic brain abscess |
| G060 | Intracranial abscess and granuloma |
| PDX Collection 0026 | |
| A020 | Salmonella enteritis |
| A039 | Shigellosis, unspecified |
| A040 | Enteropathogenic Escherichia coli infection |
| A041 | Enterotoxigenic Escherichia coli infection |
| A042 | Enteroinvasive Escherichia coli infection |
| A043 | Enterohemorrhagic Escherichia coli infection |
| A044 | Other intestinal Escherichia coli infections |
| A045 | Campylobacter enteritis |
| A046 | Enteritis due to Yersinia enterocolitica |
| A0471 | Enterocolitis due to Clostridium difficile, recurrent |
| A0472 | Enterocolitis due to Clostridium difficile, not specified as recurrent |
| A048 | Other specified bacterial intestinal infections |
| A049 | Bacterial intestinal infection, unspecified |
| A050 | Foodborne staphylococcal intoxication |
| A052 | Foodborne Clostridium perfringens [Clostridium welchii] intoxication |
| A060 | Acute amebic dysentery |
| A061 | Chronic intestinal amebiasis |
| A062 | Amebic nondysenteric colitis |
| A069 | Amebiasis, unspecified |
| A071 | Giardiasis [lambliasis] |
| A072 | Cryptosporidiosis |
| A073 | Isosporiasis |
| A074 | Cyclosporiasis |
| A078 | Other specified protozoal intestinal diseases |
| A079 | Protozoal intestinal disease, unspecified |
| A080 | Rotaviral enteritis |
| A0811 | Acute gastroenteropathy due to Norwalk agent |
| A0819 | Acute gastroenteropathy due to other small round viruses |
| A082 | Adenoviral enteritis |
| A0831 | Calicivirus enteritis |
| A0832 | Astrovirus enteritis |
| A0839 | Other viral enteritis |
| A084 | Viral intestinal infection, unspecified |
| A088 | Other specified intestinal infections |
| A09 | Infectious gastroenteritis and colitis, unspecified |
| B829 | Intestinal parasitism, unspecified |
| J09X3 | Influenza due to identified novel influenza A virus with gastrointestinal manifestations |
| J09X9 | Influenza due to identified novel influenza A virus with other manifestations |
| J102 | Influenza due to other identified influenza virus with gastrointestinal manifestations |
| J1081 | Influenza due to other identified influenza virus with encephalopathy |
| J1082 | Influenza due to other identified influenza virus with myocarditis |
| J1083 | Influenza due to other identified influenza virus with otitis media |
| J1089 | Influenza due to other identified influenza virus with other manifestations |
| J112 | Influenza due to unidentified influenza virus with gastrointestinal manifestations |
| J1181 | Influenza due to unidentified influenza virus with encephalopathy |
| J1182 | Influenza due to unidentified influenza virus with myocarditis |
| J1183 | Influenza due to unidentified influenza virus with otitis media |
| J1189 | Influenza due to unidentified influenza virus with other manifestations |
| K30 | Functional dyspepsia |
| K3184 | Gastroparesis |
| K521 | Toxic gastroenteritis and colitis |
| K5221 | Food protein-induced enterocolitis syndrome |
| K5222 | Food protein-induced enteropathy |
| K5229 | Other allergic and dietetic gastroenteritis and colitis |
| K523 | Indeterminate colitis |
| 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 |
| K580 | Irritable bowel syndrome with diarrhea |
| K581 | Irritable bowel syndrome with constipation |
| K582 | Mixed irritable bowel syndrome |
| K588 | Other irritable bowel syndrome |
| K589 | Irritable bowel syndrome without diarrhea |
| PDX Collection 0027 | |
| A020 | Salmonella enteritis |
| A039 | Shigellosis, unspecified |
| A040 | Enteropathogenic Escherichia coli infection |
| A041 | Enterotoxigenic Escherichia coli infection |
| A042 | Enteroinvasive Escherichia coli infection |
| A043 | Enterohemorrhagic Escherichia coli infection |
| A044 | Other intestinal Escherichia coli infections |
| A045 | Campylobacter enteritis |
| A046 | Enteritis due to Yersinia enterocolitica |
| A0471 | Enterocolitis due to Clostridium difficile, recurrent |
| A0472 | Enterocolitis due to Clostridium difficile, not specified as recurrent |
| A048 | Other specified bacterial intestinal infections |
| A049 | Bacterial intestinal infection, unspecified |
| A050 | Foodborne staphylococcal intoxication |
| A052 | Foodborne Clostridium perfringens [Clostridium welchii] intoxication |
| A060 | Acute amebic dysentery |
| A061 | Chronic intestinal amebiasis |
| A062 | Amebic nondysenteric colitis |
| A069 | Amebiasis, unspecified |
| A071 | Giardiasis [lambliasis] |
| A072 | Cryptosporidiosis |
| A073 | Isosporiasis |
| A074 | Cyclosporiasis |
| A078 | Other specified protozoal intestinal diseases |
| A079 | Protozoal intestinal disease, unspecified |
| A080 | Rotaviral enteritis |
| A0811 | Acute gastroenteropathy due to Norwalk agent |
| A0819 | Acute gastroenteropathy due to other small round viruses |
| A082 | Adenoviral enteritis |
| A0831 | Calicivirus enteritis |
| A0832 | Astrovirus enteritis |
| A0839 | Other viral enteritis |
| A084 | Viral intestinal infection, unspecified |
| A088 | Other specified intestinal infections |
| A09 | Infectious gastroenteritis and colitis, unspecified |
| B829 | Intestinal parasitism, unspecified |
| J09X3 | Influenza due to identified novel influenza A virus with gastrointestinal manifestations |
| J09X9 | Influenza due to identified novel influenza A virus with other manifestations |
| J102 | Influenza due to other identified influenza virus with gastrointestinal manifestations |
| J1081 | Influenza due to other identified influenza virus with encephalopathy |
| J1082 | Influenza due to other identified influenza virus with myocarditis |
| J1083 | Influenza due to other identified influenza virus with otitis media |
| J1089 | Influenza due to other identified influenza virus with other manifestations |
| J112 | Influenza due to unidentified influenza virus with gastrointestinal manifestations |
| J1181 | Influenza due to unidentified influenza virus with encephalopathy |
| J1182 | Influenza due to unidentified influenza virus with myocarditis |
| J1183 | Influenza due to unidentified influenza virus with otitis media |
| J1189 | Influenza due to unidentified influenza virus with other manifestations |
| K30 | Functional dyspepsia |
| K3184 | Gastroparesis |
| K521 | Toxic gastroenteritis and colitis |
| K5221 | Food protein-induced enterocolitis syndrome |
| K5222 | Food protein-induced enteropathy |
| K5229 | Other allergic and dietetic gastroenteritis and colitis |
| K523 | Indeterminate colitis |
| 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 |
| K580 | Irritable bowel syndrome with diarrhea |
| K581 | Irritable bowel syndrome with constipation |
| K582 | Mixed irritable bowel syndrome |
| K588 | Other irritable bowel syndrome |
| K589 | Irritable bowel syndrome without diarrhea |
| K650 | Generalized (acute) peritonitis |
| K652 | Spontaneous bacterial peritonitis |
| K658 | Other peritonitis |
| K6812 | Psoas muscle abscess |
| K6819 | Other retroperitoneal abscess |
| K689 | Other disorders of retroperitoneum |
| PDX Collection 0028 | |
| A020 | Salmonella enteritis |
| A039 | Shigellosis, unspecified |
| A040 | Enteropathogenic Escherichia coli infection |
| A041 | Enterotoxigenic Escherichia coli infection |
| A042 | Enteroinvasive Escherichia coli infection |
| A043 | Enterohemorrhagic Escherichia coli infection |
| A044 | Other intestinal Escherichia coli infections |
| A045 | Campylobacter enteritis |
| A046 | Enteritis due to Yersinia enterocolitica |
| A0471 | Enterocolitis due to Clostridium difficile, recurrent |
| A0472 | Enterocolitis due to Clostridium difficile, not specified as recurrent |
| A048 | Other specified bacterial intestinal infections |
| A049 | Bacterial intestinal infection, unspecified |
| A050 | Foodborne staphylococcal intoxication |
| A052 | Foodborne Clostridium perfringens [Clostridium welchii] intoxication |
| A060 | Acute amebic dysentery |
| A061 | Chronic intestinal amebiasis |
| A062 | Amebic nondysenteric colitis |
| A069 | Amebiasis, unspecified |
| A071 | Giardiasis [lambliasis] |
| A072 | Cryptosporidiosis |
| A073 | Isosporiasis |
| A074 | Cyclosporiasis |
| A078 | Other specified protozoal intestinal diseases |
| A079 | Protozoal intestinal disease, unspecified |
| A080 | Rotaviral enteritis |
| A0811 | Acute gastroenteropathy due to Norwalk agent |
| A0819 | Acute gastroenteropathy due to other small round viruses |
| A082 | Adenoviral enteritis |
| A0831 | Calicivirus enteritis |
| A0832 | Astrovirus enteritis |
| A0839 | Other viral enteritis |
| A084 | Viral intestinal infection, unspecified |
| A088 | Other specified intestinal infections |
| A09 | Infectious gastroenteritis and colitis, unspecified |
| A1832 | Tuberculous enteritis |
| A1839 | Retroperitoneal tuberculosis |
| A1883 | Tuberculosis of digestive tract organs, not elsewhere classified |
| B3782 | Candidal enteritis |
| B829 | Intestinal parasitism, unspecified |
| J09X3 | Influenza due to identified novel influenza A virus with gastrointestinal manifestations |
| J09X9 | Influenza due to identified novel influenza A virus with other manifestations |
| J102 | Influenza due to other identified influenza virus with gastrointestinal manifestations |
| J1081 | Influenza due to other identified influenza virus with encephalopathy |
| J1082 | Influenza due to other identified influenza virus with myocarditis |
| J1083 | Influenza due to other identified influenza virus with otitis media |
| J1089 | Influenza due to other identified influenza virus with other manifestations |
| J112 | Influenza due to unidentified influenza virus with gastrointestinal manifestations |
| J1181 | Influenza due to unidentified influenza virus with encephalopathy |
| J1182 | Influenza due to unidentified influenza virus with myocarditis |
| J1183 | Influenza due to unidentified influenza virus with otitis media |
| J1189 | Influenza due to unidentified influenza virus with other manifestations |
| K30 | Functional dyspepsia |
| K3184 | Gastroparesis |
| K521 | Toxic gastroenteritis and colitis |
| K5221 | Food protein-induced enterocolitis syndrome |
| K5222 | Food protein-induced enteropathy |
| K5229 | Other allergic and dietetic gastroenteritis and colitis |
| K523 | Indeterminate colitis |
| 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 |
| K580 | Irritable bowel syndrome with diarrhea |
| K581 | Irritable bowel syndrome with constipation |
| K582 | Mixed irritable bowel syndrome |
| K588 | Other irritable bowel syndrome |
| K589 | Irritable bowel syndrome without diarrhea |
| K650 | Generalized (acute) peritonitis |
| K652 | Spontaneous bacterial peritonitis |
| K658 | Other peritonitis |
| K6812 | Psoas muscle abscess |
| K6819 | Other retroperitoneal abscess |
| K689 | Other disorders of retroperitoneum |
| P768 | Other specified intestinal obstruction of newborn |
| P769 | Intestinal obstruction of newborn, unspecified |
| P771 | Stage 1 necrotizing enterocolitis in newborn |
| P772 | Stage 2 necrotizing enterocolitis in newborn |
| P773 | Stage 3 necrotizing enterocolitis in newborn |
| P779 | Necrotizing enterocolitis in newborn, unspecified |
| P781 | Other neonatal peritonitis |
| P783 | Noninfective neonatal diarrhea |
| P7881 | Congenital cirrhosis (of liver) |
| P7882 | Peptic ulcer of newborn |
| P7883 | Newborn esophageal reflux |
| P7884 | Gestational alloimmune liver disease |
| P7889 | Other specified perinatal digestive system disorders |
| PDX Collection 0029 | |
| A150 | Tuberculosis of lung |
| A154 | Tuberculosis of intrathoracic lymph nodes |
| A155 | Tuberculosis of larynx, trachea and bronchus |
| A156 | Tuberculous pleurisy |
| A158 | Other respiratory tuberculosis |
| A159 | Respiratory tuberculosis unspecified |
| A179 | Tuberculosis of nervous system, unspecified |
| A1882 | Tuberculosis of other endocrine glands |
| A1884 | Tuberculosis of heart |
| A1889 | Tuberculosis of other sites |
| A190 | Acute miliary tuberculosis of a single specified site |
| A191 | Acute miliary tuberculosis of multiple sites |
| A192 | Acute miliary tuberculosis, unspecified |
| A198 | Other miliary tuberculosis |
| A199 | Miliary tuberculosis, unspecified |
| A221 | Pulmonary anthrax |
| A310 | Pulmonary mycobacterial infection |
| A312 | Disseminated mycobacterium avium-intracellulare complex (DMAC) |
| A318 | Other mycobacterial infections |
| A319 | Mycobacterial infection, unspecified |
| A3701 | Whooping cough due to Bordetella pertussis with pneumonia |
| A3711 | Whooping cough due to Bordetella parapertussis with pneumonia |
| A3781 | Whooping cough due to other Bordetella species with pneumonia |
| A3791 | Whooping cough, unspecified species with pneumonia |
| A481 | Legionnaires' disease |
| A493 | Mycoplasma infection, unspecified site |
| A498 | Other bacterial infections of unspecified site |
| A499 | Bacterial infection, unspecified |
| B250 | Cytomegaloviral pneumonitis |
| B440 | Invasive pulmonary aspergillosis |
| B909 | Sequelae of respiratory and unspecified tuberculosis |
| B92 | Sequelae of leprosy |
| B942 | Sequelae of viral hepatitis |
| B948 | Sequelae of other specified infectious and parasitic diseases |
| B949 | Sequelae of unspecified infectious and parasitic disease |
| B960 | Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere |
| B966 | Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere |
| B967 | Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere |
| B9681 | Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere |
| B9682 | Vibrio vulnificus as the cause of diseases classified elsewhere |
| B9689 | Other specified bacterial agents as the cause of diseases classified elsewhere |
| J09X1 | Influenza due to identified novel influenza A virus with pneumonia |
| J09X2 | Influenza due to identified novel influenza A virus with other respiratory manifestations |
| J1000 | Influenza due to other identified influenza virus with unspecified type of pneumonia |
| J1001 | Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia |
| J1008 | Influenza due to other identified influenza virus with other specified pneumonia |
| J101 | Influenza due to other identified influenza virus with other respiratory manifestations |
| J1100 | Influenza due to unidentified influenza virus with unspecified type of pneumonia |
| J1108 | Influenza due to unidentified influenza virus with specified pneumonia |
| J111 | Influenza due to unidentified influenza virus with other respiratory manifestations |
| J120 | Adenoviral pneumonia |
| J121 | Respiratory syncytial virus pneumonia |
| J122 | Parainfluenza virus pneumonia |
| J123 | Human metapneumovirus pneumonia |
| 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 |
| J157 | Pneumonia due to Mycoplasma pneumoniae |
| J158 | Pneumonia due to other specified bacteria |
| J159 | Unspecified bacterial pneumonia |
| J160 | Chlamydial pneumonia |
| J168 | Pneumonia due to other specified infectious organisms |
| J17 | Pneumonia in diseases classified elsewhere |
| J180 | Bronchopneumonia, unspecified organism |
| J181 | Lobar pneumonia, unspecified organism |
| J188 | Other pneumonia, unspecified organism |
| J189 | Pneumonia, unspecified organism |
| J449 | Chronic obstructive pulmonary disease, unspecified |
| J470 | Bronchiectasis with acute lower respiratory infection |
| J471 | Bronchiectasis with (acute) exacerbation |
| J479 | Bronchiectasis, uncomplicated |
| J60 | Coalworker's pneumoconiosis |
| J61 | Pneumoconiosis due to asbestos and other mineral fibers |
| J620 | Pneumoconiosis due to talc dust |
| J628 | Pneumoconiosis due to other dust containing silica |
| J630 | Aluminosis (of lung) |
| J631 | Bauxite fibrosis (of lung) |
| J632 | Berylliosis |
| J633 | Graphite fibrosis (of lung) |
| J634 | Siderosis |
| J635 | Stannosis |
| J636 | Pneumoconiosis due to other specified inorganic dusts |
| J64 | Unspecified pneumoconiosis |
| J65 | Pneumoconiosis associated with tuberculosis |
| J660 | Byssinosis |
| J661 | Flax-dressers' disease |
| J662 | Cannabinosis |
| J668 | Airway disease due to other specific organic dusts |
| J670 | Farmer's lung |
| J671 | Bagassosis |
| J672 | Bird fancier's lung |
| J673 | Suberosis |
| J674 | Maltworker's lung |
| J675 | Mushroom-worker's lung |
| J676 | Maple-bark-stripper's lung |
| J677 | Air conditioner and humidifier lung |
| J678 | Hypersensitivity pneumonitis due to other organic dusts |
| J679 | Hypersensitivity pneumonitis due to unspecified organic dust |
| J680 | Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors |
| J681 | Pulmonary edema due to chemicals, gases, fumes and vapors |
| J682 | Upper respiratory inflammation due to chemicals, gases, fumes and vapors, not elsewhere classified |
| J683 | Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors |
| J684 | Chronic respiratory conditions due to chemicals, gases, fumes and vapors |
| J688 | Other respiratory conditions due to chemicals, gases, fumes and vapors |
| J689 | Unspecified respiratory condition due to chemicals, gases, fumes and vapors |
| J690 | Pneumonitis due to inhalation of food and vomit |
| J691 | Pneumonitis due to inhalation of oils and essences |
| J698 | Pneumonitis due to inhalation of other solids and liquids |
| J700 | Acute pulmonary manifestations due to radiation |
| J701 | Chronic and other pulmonary manifestations due to radiation |
| J702 | Acute drug-induced interstitial lung disorders |
| J703 | Chronic drug-induced interstitial lung disorders |
| J704 | Drug-induced interstitial lung disorders, unspecified |
| J708 | Respiratory conditions due to other specified external agents |
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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 |