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 290 of 1270 |
| PDX Collection 3612 (continued) | |
| B0870 | Yatapoxvirus infection, unspecified |
| B0871 | Tanapox virus disease |
| B0872 | Yaba pox virus disease |
| B0879 | Other yatapoxvirus infections |
| B09 | Unspecified viral infection characterized by skin and mucous membrane lesions |
| B1001 | Human herpesvirus 6 encephalitis |
| B1009 | Other human herpesvirus encephalitis |
| B262 | Mumps encephalitis |
| B2700 | Gammaherpesviral mononucleosis without complication |
| B2701 | Gammaherpesviral mononucleosis with polyneuropathy |
| B2702 | Gammaherpesviral mononucleosis with meningitis |
| B2709 | Gammaherpesviral mononucleosis with other complications |
| B2710 | Cytomegaloviral mononucleosis without complications |
| B2711 | Cytomegaloviral mononucleosis with polyneuropathy |
| B2712 | Cytomegaloviral mononucleosis with meningitis |
| B2719 | Cytomegaloviral mononucleosis with other complication |
| B2780 | Other infectious mononucleosis without complication |
| B2781 | Other infectious mononucleosis with polyneuropathy |
| B2782 | Other infectious mononucleosis with meningitis |
| B2789 | Other infectious mononucleosis with other complication |
| B2790 | Infectious mononucleosis, unspecified without complication |
| B2791 | Infectious mononucleosis, unspecified with polyneuropathy |
| B2792 | Infectious mononucleosis, unspecified with meningitis |
| B2799 | Infectious mononucleosis, unspecified with other complication |
| B331 | Ross River disease |
| B450 | Pulmonary cryptococcosis |
| B452 | Cutaneous cryptococcosis |
| B453 | Osseous cryptococcosis |
| B457 | Disseminated cryptococcosis |
| B458 | Other forms of cryptococcosis |
| B459 | Cryptococcosis, unspecified |
| B582 | Toxoplasma meningoencephalitis |
| B75 | Trichinellosis |
| B9710 | Unspecified enterovirus as the cause of diseases classified elsewhere |
| G0400 | Acute disseminated encephalitis and encephalomyelitis, unspecified |
| G0401 | Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM) |
| G0431 | Postinfectious acute necrotizing hemorrhagic encephalopathy |
| G0481 | Other encephalitis and encephalomyelitis |
| G0489 | Other myelitis |
| G0490 | Encephalitis and encephalomyelitis, unspecified |
| G0491 | Myelitis, unspecified |
| G053 | Encephalitis and encephalomyelitis in diseases classified elsewhere |
| G054 | Myelitis in diseases classified elsewhere |
| G370 | Diffuse sclerosis of central nervous system |
| G374 | Subacute necrotizing myelitis of central nervous system |
| G375 | Concentric sclerosis [Balo] of central nervous system |
| 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 |
| L444 | Infantile papular acrodermatitis [Gianotti-Crosti] |
| P352 | Congenital herpesviral [herpes simplex] infection |
| P353 | Congenital viral hepatitis |
| P354 | Congenital Zika virus disease |
| P358 | Other congenital viral diseases |
| P359 | Congenital viral disease, unspecified |
| P370 | Congenital tuberculosis |
| P371 | Congenital toxoplasmosis |
| P372 | Neonatal (disseminated) listeriosis |
| P373 | Congenital falciparum malaria |
| P374 | Other congenital malaria |
| P378 | Other specified congenital infectious and parasitic diseases |
| P379 | Congenital infectious or parasitic disease, unspecified |
| PDX Collection 3614 | |
| A1782 | Tuberculous meningoencephalitis |
| A5042 | Late congenital syphilitic encephalitis |
| A5214 | Late syphilitic encephalitis |
| A759 | Typhus fever, unspecified |
| A799 | Rickettsiosis, unspecified |
| A811 | Subacute sclerosing panencephalitis |
| A8182 | Gerstmann-Straussler-Scheinker syndrome |
| A8183 | Fatal familial insomnia |
| A8189 | Other atypical virus infections of central nervous system |
| A830 | Japanese encephalitis |
| A831 | Western equine encephalitis |
| A832 | Eastern equine encephalitis |
| A833 | St Louis encephalitis |
| A834 | Australian encephalitis |
| A835 | California encephalitis |
| A836 | Rocio virus disease |
| A838 | Other mosquito-borne viral encephalitis |
| A839 | Mosquito-borne viral encephalitis, unspecified |
| A840 | Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis] |
| A841 | Central European tick-borne encephalitis |
| A8481 | Powassan virus disease |
| A8489 | Other tick-borne viral encephalitis |
| A849 | Tick-borne viral encephalitis, unspecified |
| A850 | Enteroviral encephalitis |
| A851 | Adenoviral encephalitis |
| A852 | Arthropod-borne viral encephalitis, unspecified |
| A858 | Other specified viral encephalitis |
| A872 | Lymphocytic choriomeningitis |
| A880 | Enteroviral exanthematous fever [Boston exanthem] |
| A888 | Other specified viral infections of central nervous system |
| A91 | Dengue hemorrhagic fever |
| A920 | Chikungunya virus disease |
| A921 | O'nyong-nyong fever |
| A922 | Venezuelan equine fever |
| A9232 | West Nile virus infection with other neurologic manifestation |
| A924 | Rift Valley fever |
| A925 | Zika virus disease |
| A928 | Other specified mosquito-borne viral fevers |
| A929 | Mosquito-borne viral fever, unspecified |
| A930 | Oropouche virus disease |
| A931 | Sandfly fever |
| A932 | Colorado tick fever |
| A938 | Other specified arthropod-borne viral fevers |
| A94 | Unspecified arthropod-borne viral fever |
| A980 | Crimean-Congo hemorrhagic fever |
| A981 | Omsk hemorrhagic fever |
| A982 | Kyasanur Forest disease |
| A988 | Other specified viral hemorrhagic fevers |
| A99 | Unspecified viral hemorrhagic fever |
| B004 | Herpesviral encephalitis |
| B0082 | Herpes simplex myelitis |
| B0111 | Varicella encephalitis and encephalomyelitis |
| B0112 | Varicella myelitis |
| B04 | Monkeypox |
| B0601 | Rubella encephalitis |
| B0809 | Other orthopoxvirus infections |
| B0820 | Exanthema subitum [sixth disease], unspecified |
| B0821 | Exanthema subitum [sixth disease] due to human herpesvirus 6 |
| B0822 | Exanthema subitum [sixth disease] due to human herpesvirus 7 |
| B0860 | Parapoxvirus infection, unspecified |
| B0861 | Bovine stomatitis |
| B0862 | Sealpox |
| B0869 | Other parapoxvirus infections |
| B0870 | Yatapoxvirus infection, unspecified |
| B0871 | Tanapox virus disease |
| B0872 | Yaba pox virus disease |
| B0879 | Other yatapoxvirus infections |
| B09 | Unspecified viral infection characterized by skin and mucous membrane lesions |
| B1001 | Human herpesvirus 6 encephalitis |
| B1009 | Other human herpesvirus encephalitis |
| B262 | Mumps encephalitis |
| B2700 | Gammaherpesviral mononucleosis without complication |
| B2701 | Gammaherpesviral mononucleosis with polyneuropathy |
| B2702 | Gammaherpesviral mononucleosis with meningitis |
| B2709 | Gammaherpesviral mononucleosis with other complications |
| B2710 | Cytomegaloviral mononucleosis without complications |
| B2711 | Cytomegaloviral mononucleosis with polyneuropathy |
| B2712 | Cytomegaloviral mononucleosis with meningitis |
| B2719 | Cytomegaloviral mononucleosis with other complication |
| B2780 | Other infectious mononucleosis without complication |
| B2781 | Other infectious mononucleosis with polyneuropathy |
| B2782 | Other infectious mononucleosis with meningitis |
| B2789 | Other infectious mononucleosis with other complication |
| B2790 | Infectious mononucleosis, unspecified without complication |
| B2791 | Infectious mononucleosis, unspecified with polyneuropathy |
| B2792 | Infectious mononucleosis, unspecified with meningitis |
| B2799 | Infectious mononucleosis, unspecified with other complication |
| B331 | Ross River disease |
| B450 | Pulmonary cryptococcosis |
| B452 | Cutaneous cryptococcosis |
| B453 | Osseous cryptococcosis |
| B457 | Disseminated cryptococcosis |
| B458 | Other forms of cryptococcosis |
| B459 | Cryptococcosis, unspecified |
| B582 | Toxoplasma meningoencephalitis |
| B75 | Trichinellosis |
| B9710 | Unspecified enterovirus as the cause of diseases classified elsewhere |
| G0400 | Acute disseminated encephalitis and encephalomyelitis, unspecified |
| G0401 | Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM) |
| G0431 | Postinfectious acute necrotizing hemorrhagic encephalopathy |
| G0481 | Other encephalitis and encephalomyelitis |
| G0489 | Other myelitis |
| G0490 | Encephalitis and encephalomyelitis, unspecified |
| G0491 | Myelitis, unspecified |
| G053 | Encephalitis and encephalomyelitis in diseases classified elsewhere |
| G054 | Myelitis in diseases classified elsewhere |
| G370 | Diffuse sclerosis of central nervous system |
| G374 | Subacute necrotizing myelitis of central nervous system |
| G375 | Concentric sclerosis [Balo] of central nervous system |
| 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 |
| L444 | Infantile papular acrodermatitis [Gianotti-Crosti] |
| P352 | Congenital herpesviral [herpes simplex] infection |
| P353 | Congenital viral hepatitis |
| P354 | Congenital Zika virus disease |
| P358 | Other congenital viral diseases |
| P359 | Congenital viral disease, unspecified |
| P370 | Congenital tuberculosis |
| P371 | Congenital toxoplasmosis |
| P372 | Neonatal (disseminated) listeriosis |
| P373 | Congenital falciparum malaria |
| P374 | Other congenital malaria |
| P378 | Other specified congenital infectious and parasitic diseases |
| P379 | Congenital infectious or parasitic disease, unspecified |
| PDX Collection 3616 | |
| C965 | Multifocal and unisystemic Langerhans-cell histiocytosis |
| E71310 | Long chain/very long chain acyl CoA dehydrogenase deficiency |
| E71311 | Medium chain acyl CoA dehydrogenase deficiency |
| E71312 | Short chain acyl CoA dehydrogenase deficiency |
| E71313 | Glutaric aciduria type II |
| E71314 | Muscle carnitine palmitoyltransferase deficiency |
| E71318 | Other disorders of fatty-acid oxidation |
| E7132 | Disorders of ketone metabolism |
| E7140 | Disorder of carnitine metabolism, unspecified |
| E7141 | Primary carnitine deficiency |
| E7142 | Carnitine deficiency due to inborn errors of metabolism |
| E7143 | Iatrogenic carnitine deficiency |
| E71440 | Ruvalcaba-Myhre-Smith syndrome |
| E71448 | Other secondary carnitine deficiency |
| E7150 | Peroxisomal disorder, unspecified |
| E71510 | Zellweger syndrome |
| E71511 | Neonatal adrenoleukodystrophy |
| E71518 | Other disorders of peroxisome biogenesis |
| E71520 | Childhood cerebral X-linked adrenoleukodystrophy |
| E71521 | Adolescent X-linked adrenoleukodystrophy |
| E71522 | Adrenomyeloneuropathy |
| E71528 | Other X-linked adrenoleukodystrophy |
| E71529 | X-linked adrenoleukodystrophy, unspecified type |
| E7153 | Other group 2 peroxisomal disorders |
| E71540 | Rhizomelic chondrodysplasia punctata |
| E71541 | Zellweger-like syndrome |
| E71542 | Other group 3 peroxisomal disorders |
| E71548 | Other peroxisomal disorders |
| E804 | Gilbert syndrome |
| E805 | Crigler-Najjar syndrome |
| E806 | Other disorders of bilirubin metabolism |
| E807 | Disorder of bilirubin metabolism, unspecified |
| E8840 | Mitochondrial metabolism disorder, unspecified |
| E8841 | MELAS syndrome |
| E8842 | MERRF syndrome |
| E8849 | Other mitochondrial metabolism disorders |
| H49811 | Kearns-Sayre syndrome, right eye |
| H49812 | Kearns-Sayre syndrome, left eye |
| H49813 | Kearns-Sayre syndrome, bilateral |
| H49819 | Kearns-Sayre syndrome, unspecified eye |
| PDX Collection 3618 | |
| C966 | Unifocal Langerhans-cell histiocytosis |
| E71310 | Long chain/very long chain acyl CoA dehydrogenase deficiency |
| E71311 | Medium chain acyl CoA dehydrogenase deficiency |
| E71312 | Short chain acyl CoA dehydrogenase deficiency |
| E71313 | Glutaric aciduria type II |
| E71314 | Muscle carnitine palmitoyltransferase deficiency |
| E71318 | Other disorders of fatty-acid oxidation |
| E7132 | Disorders of ketone metabolism |
| E7140 | Disorder of carnitine metabolism, unspecified |
| E7141 | Primary carnitine deficiency |
| E7142 | Carnitine deficiency due to inborn errors of metabolism |
| E7143 | Iatrogenic carnitine deficiency |
| E71440 | Ruvalcaba-Myhre-Smith syndrome |
| E71448 | Other secondary carnitine deficiency |
| E7150 | Peroxisomal disorder, unspecified |
| E71510 | Zellweger syndrome |
| E71511 | Neonatal adrenoleukodystrophy |
| E71518 | Other disorders of peroxisome biogenesis |
| E71520 | Childhood cerebral X-linked adrenoleukodystrophy |
| E71521 | Adolescent X-linked adrenoleukodystrophy |
| E71522 | Adrenomyeloneuropathy |
| E71528 | Other X-linked adrenoleukodystrophy |
| E71529 | X-linked adrenoleukodystrophy, unspecified type |
| E7153 | Other group 2 peroxisomal disorders |
| E71540 | Rhizomelic chondrodysplasia punctata |
| E71541 | Zellweger-like syndrome |
| E71542 | Other group 3 peroxisomal disorders |
| E71548 | Other peroxisomal disorders |
| E804 | Gilbert syndrome |
| E805 | Crigler-Najjar syndrome |
| E806 | Other disorders of bilirubin metabolism |
| E807 | Disorder of bilirubin metabolism, unspecified |
| E8840 | Mitochondrial metabolism disorder, unspecified |
| E8841 | MELAS syndrome |
| E8842 | MERRF syndrome |
| E8849 | Other mitochondrial metabolism disorders |
| H49811 | Kearns-Sayre syndrome, right eye |
| H49812 | Kearns-Sayre syndrome, left eye |
| H49813 | Kearns-Sayre syndrome, bilateral |
| H49819 | Kearns-Sayre syndrome, unspecified eye |
| PDX Collection 3619 | |
| C882 | Heavy chain disease |
| C883 | Immunoproliferative small intestinal disease |
| C888 | Other malignant immunoproliferative diseases |
| C889 | Malignant immunoproliferative disease, unspecified |
| C9010 | Plasma cell leukemia not having achieved remission |
| C9011 | Plasma cell leukemia in remission |
| C9020 | Extramedullary plasmacytoma not having achieved remission |
| C9021 | Extramedullary plasmacytoma in remission |
| C9030 | Solitary plasmacytoma not having achieved remission |
| C9031 | Solitary plasmacytoma in remission |
| C9100 | Acute lymphoblastic leukemia not having achieved remission |
| C9101 | Acute lymphoblastic leukemia, in remission |
| C9102 | Acute lymphoblastic leukemia, in relapse |
| C9110 | Chronic lymphocytic leukemia of B-cell type not having achieved remission |
| C9111 | Chronic lymphocytic leukemia of B-cell type in remission |
| C9112 | Chronic lymphocytic leukemia of B-cell type in relapse |
| C9130 | Prolymphocytic leukemia of B-cell type not having achieved remission |
| C9131 | Prolymphocytic leukemia of B-cell type, in remission |
| C9132 | Prolymphocytic leukemia of B-cell type, in relapse |
| C9140 | Hairy cell leukemia not having achieved remission |
| C9141 | Hairy cell leukemia, in remission |
| C9142 | Hairy cell leukemia, in relapse |
| C9150 | Adult T-cell lymphoma/leukemia (HTLV-1-associated) not having achieved remission |
| C9151 | Adult T-cell lymphoma/leukemia (HTLV-1-associated), in remission |
| C9152 | Adult T-cell lymphoma/leukemia (HTLV-1-associated), in relapse |
| C9160 | Prolymphocytic leukemia of T-cell type not having achieved remission |
| C9161 | Prolymphocytic leukemia of T-cell type, in remission |
| C9162 | Prolymphocytic leukemia of T-cell type, in relapse |
| C9190 | Lymphoid leukemia, unspecified not having achieved remission |
| C9191 | Lymphoid leukemia, unspecified, in remission |
| C9192 | Lymphoid leukemia, unspecified, in relapse |
| C91A0 | Mature B-cell leukemia Burkitt-type not having achieved remission |
| C91A1 | Mature B-cell leukemia Burkitt-type, in remission |
| C91A2 | Mature B-cell leukemia Burkitt-type, in relapse |
| C91Z0 | Other lymphoid leukemia not having achieved remission |
| C91Z1 | Other lymphoid leukemia, in remission |
| C91Z2 | Other lymphoid leukemia, in relapse |
| C9200 | Acute myeloblastic leukemia, not having achieved remission |
| C9201 | Acute myeloblastic leukemia, in remission |
| C9202 | Acute myeloblastic leukemia, in relapse |
| C9210 | Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission |
| C9211 | Chronic myeloid leukemia, BCR/ABL-positive, in remission |
| C9212 | Chronic myeloid leukemia, BCR/ABL-positive, in relapse |
| C9220 | Atypical chronic myeloid leukemia, BCR/ABL-negative, not having achieved remission |
| C9221 | Atypical chronic myeloid leukemia, BCR/ABL-negative, in remission |
| C9222 | Atypical chronic myeloid leukemia, BCR/ABL-negative, in relapse |
| C9230 | Myeloid sarcoma, not having achieved remission |
| C9231 | Myeloid sarcoma, in remission |
| C9232 | Myeloid sarcoma, in relapse |
| C9240 | Acute promyelocytic leukemia, not having achieved remission |
| C9241 | Acute promyelocytic leukemia, in remission |
| C9242 | Acute promyelocytic leukemia, in relapse |
| C9250 | Acute myelomonocytic leukemia, not having achieved remission |
| C9251 | Acute myelomonocytic leukemia, in remission |
| C9252 | Acute myelomonocytic leukemia, in relapse |
| C9260 | Acute myeloid leukemia with 11q23-abnormality not having achieved remission |
| C9261 | Acute myeloid leukemia with 11q23-abnormality in remission |
| C9262 | Acute myeloid leukemia with 11q23-abnormality in relapse |
| C9290 | Myeloid leukemia, unspecified, not having achieved remission |
| C9291 | Myeloid leukemia, unspecified in remission |
| C9292 | Myeloid leukemia, unspecified in relapse |
| C92A0 | Acute myeloid leukemia with multilineage dysplasia, not having achieved remission |
| C92A1 | Acute myeloid leukemia with multilineage dysplasia, in remission |
| C92A2 | Acute myeloid leukemia with multilineage dysplasia, in relapse |
| C92Z0 | Other myeloid leukemia not having achieved remission |
| C92Z1 | Other myeloid leukemia, in remission |
| C92Z2 | Other myeloid leukemia, in relapse |
| C9300 | Acute monoblastic/monocytic leukemia, not having achieved remission |
| C9301 | Acute monoblastic/monocytic leukemia, in remission |
| C9302 | Acute monoblastic/monocytic leukemia, in relapse |
| C9310 | Chronic myelomonocytic leukemia not having achieved remission |
| C9311 | Chronic myelomonocytic leukemia, in remission |
| C9312 | Chronic myelomonocytic leukemia, in relapse |
| C9330 | Juvenile myelomonocytic leukemia, not having achieved remission |
| C9331 | Juvenile myelomonocytic leukemia, in remission |
| C9332 | Juvenile myelomonocytic leukemia, in relapse |
| C9390 | Monocytic leukemia, unspecified, not having achieved remission |
| C9391 | Monocytic leukemia, unspecified in remission |
| C9392 | Monocytic leukemia, unspecified in relapse |
| C93Z0 | Other monocytic leukemia, not having achieved remission |
| C93Z1 | Other monocytic leukemia, in remission |
| C93Z2 | Other monocytic leukemia, in relapse |
| C9400 | Acute erythroid leukemia, not having achieved remission |
| C9401 | Acute erythroid leukemia, in remission |
| C9402 | Acute erythroid leukemia, in relapse |
| C9420 | Acute megakaryoblastic leukemia not having achieved remission |
| C9421 | Acute megakaryoblastic leukemia, in remission |
| C9422 | Acute megakaryoblastic leukemia, in relapse |
| C9430 | Mast cell leukemia not having achieved remission |
| C9431 | Mast cell leukemia, in remission |
| C9432 | Mast cell leukemia, in relapse |
| C9440 | Acute panmyelosis with myelofibrosis not having achieved remission |
| C9441 | Acute panmyelosis with myelofibrosis, in remission |
| C9442 | Acute panmyelosis with myelofibrosis, in relapse |
| C946 | Myelodysplastic disease, not elsewhere classified |
| C9480 | Other specified leukemias not having achieved remission |
| C9481 | Other specified leukemias, in remission |
| C9482 | Other specified leukemias, in relapse |
| C9500 | Acute leukemia of unspecified cell type not having achieved remission |
| C9501 | Acute leukemia of unspecified cell type, in remission |
| C9502 | Acute leukemia of unspecified cell type, in relapse |
| C9510 | Chronic leukemia of unspecified cell type not having achieved remission |
| C9511 | Chronic leukemia of unspecified cell type, in remission |
| C9512 | Chronic leukemia of unspecified cell type, in relapse |
| C9590 | Leukemia, unspecified not having achieved remission |
| C9591 | Leukemia, unspecified, in remission |
| C9592 | Leukemia, unspecified, in relapse |
| D45 | Polycythemia vera |
| D460 | Refractory anemia without ring sideroblasts, so stated |
| D461 | Refractory anemia with ring sideroblasts |
| D4620 | Refractory anemia with excess of blasts, unspecified |
| D4621 | Refractory anemia with excess of blasts 1 |
| D4622 | Refractory anemia with excess of blasts 2 |
| D464 | Refractory anemia, unspecified |
| D469 | Myelodysplastic syndrome, unspecified |
| D46A | Refractory cytopenia with multilineage dysplasia |
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