DRAFT

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

Appendix H Part 1: Diagnoses Defined as Major Complications or Comorbidities

Page 3 of 9

A021 I63311 O0731 R578 S225XXB S35403A S52363B S72362A S85099A

O0731	Shock following failed attempted termination of pregnancy
O0732	Renal failure following failed attempted termination of pregnancy
O082	Embolism following ectopic and molar pregnancy
O083	Shock following ectopic and molar pregnancy
O084	Renal failure following ectopic and molar pregnancy
O1042	Pre-existing secondary hypertension complicating childbirth
O111	Pre-existing hypertension with pre-eclampsia, first trimester
O112	Pre-existing hypertension with pre-eclampsia, second trimester
O113	Pre-existing hypertension with pre-eclampsia, third trimester
O1412	Severe pre-eclampsia, second trimester
O1413	Severe pre-eclampsia, third trimester
O1422	HELLP syndrome (HELLP), second trimester
O1423	HELLP syndrome (HELLP), third trimester
O1502	Eclampsia complicating pregnancy, second trimester
O1503	Eclampsia complicating pregnancy, third trimester
O151	Eclampsia complicating labor
O152	Eclampsia complicating the puerperium
O2231	Deep phlebothrombosis in pregnancy, first trimester
O2232	Deep phlebothrombosis in pregnancy, second trimester
O2233	Deep phlebothrombosis in pregnancy, third trimester
O2402	Pre-existing type 1 diabetes mellitus, in childbirth
O2412	Pre-existing type 2 diabetes mellitus, in childbirth
O2432	Unspecified pre-existing diabetes mellitus in childbirth
O2482	Other pre-existing diabetes mellitus in childbirth
O3431	Maternal care for cervical incompetence, first trimester
O3432	Maternal care for cervical incompetence, second trimester
O3433	Maternal care for cervical incompetence, third trimester
O411010	Infection of amniotic sac and membranes, unspecified, first trimester, not applicable or unspecified
O411011	Infection of amniotic sac and membranes, unspecified, first trimester, fetus 1
O411012	Infection of amniotic sac and membranes, unspecified, first trimester, fetus 2
O411013	Infection of amniotic sac and membranes, unspecified, first trimester, fetus 3
O411014	Infection of amniotic sac and membranes, unspecified, first trimester, fetus 4
O411015	Infection of amniotic sac and membranes, unspecified, first trimester, fetus 5
O411019	Infection of amniotic sac and membranes, unspecified, first trimester, other fetus
O411020	Infection of amniotic sac and membranes, unspecified, second trimester, not applicable or unspecified
O411021	Infection of amniotic sac and membranes, unspecified, second trimester, fetus 1
O411022	Infection of amniotic sac and membranes, unspecified, second trimester, fetus 2
O411023	Infection of amniotic sac and membranes, unspecified, second trimester, fetus 3
O411024	Infection of amniotic sac and membranes, unspecified, second trimester, fetus 4
O411025	Infection of amniotic sac and membranes, unspecified, second trimester, fetus 5
O411029	Infection of amniotic sac and membranes, unspecified, second trimester, other fetus
O411030	Infection of amniotic sac and membranes, unspecified, third trimester, not applicable or unspecified
O411031	Infection of amniotic sac and membranes, unspecified, third trimester, fetus 1
O411032	Infection of amniotic sac and membranes, unspecified, third trimester, fetus 2
O411033	Infection of amniotic sac and membranes, unspecified, third trimester, fetus 3
O411034	Infection of amniotic sac and membranes, unspecified, third trimester, fetus 4
O411035	Infection of amniotic sac and membranes, unspecified, third trimester, fetus 5
O411039	Infection of amniotic sac and membranes, unspecified, third trimester, other fetus
O411210	Chorioamnionitis, first trimester, not applicable or unspecified
O411211	Chorioamnionitis, first trimester, fetus 1
O411212	Chorioamnionitis, first trimester, fetus 2
O411213	Chorioamnionitis, first trimester, fetus 3
O411214	Chorioamnionitis, first trimester, fetus 4
O411215	Chorioamnionitis, first trimester, fetus 5
O411219	Chorioamnionitis, first trimester, other fetus
O411220	Chorioamnionitis, second trimester, not applicable or unspecified
O411221	Chorioamnionitis, second trimester, fetus 1
O411222	Chorioamnionitis, second trimester, fetus 2
O411223	Chorioamnionitis, second trimester, fetus 3
O411224	Chorioamnionitis, second trimester, fetus 4
O411225	Chorioamnionitis, second trimester, fetus 5
O411229	Chorioamnionitis, second trimester, other fetus
O411230	Chorioamnionitis, third trimester, not applicable or unspecified
O411231	Chorioamnionitis, third trimester, fetus 1
O411232	Chorioamnionitis, third trimester, fetus 2
O411233	Chorioamnionitis, third trimester, fetus 3
O411234	Chorioamnionitis, third trimester, fetus 4
O411235	Chorioamnionitis, third trimester, fetus 5
O411239	Chorioamnionitis, third trimester, other fetus
O411410	Placentitis, first trimester, not applicable or unspecified
O411411	Placentitis, first trimester, fetus 1
O411412	Placentitis, first trimester, fetus 2
O411413	Placentitis, first trimester, fetus 3
O411414	Placentitis, first trimester, fetus 4
O411415	Placentitis, first trimester, fetus 5
O411419	Placentitis, first trimester, other fetus
O411420	Placentitis, second trimester, not applicable or unspecified
O411421	Placentitis, second trimester, fetus 1
O411422	Placentitis, second trimester, fetus 2
O411423	Placentitis, second trimester, fetus 3
O411424	Placentitis, second trimester, fetus 4
O411425	Placentitis, second trimester, fetus 5
O411429	Placentitis, second trimester, other fetus
O411430	Placentitis, third trimester, not applicable or unspecified
O411431	Placentitis, third trimester, fetus 1
O411432	Placentitis, third trimester, fetus 2
O411433	Placentitis, third trimester, fetus 3
O411434	Placentitis, third trimester, fetus 4
O411435	Placentitis, third trimester, fetus 5
O411439	Placentitis, third trimester, other fetus
O4411	Complete placenta previa with hemorrhage, first trimester
O4412	Complete placenta previa with hemorrhage, second trimester
O4413	Complete placenta previa with hemorrhage, third trimester
O4431	Partial placenta previa with hemorrhage, first trimester
O4432	Partial placenta previa with hemorrhage, second trimester
O4433	Partial placenta previa with hemorrhage, third trimester
O4451	Low lying placenta with hemorrhage, first trimester
O4452	Low lying placenta with hemorrhage, second trimester
O4453	Low lying placenta with hemorrhage, third trimester
O45001	Premature separation of placenta with coagulation defect, unspecified, first trimester
O45002	Premature separation of placenta with coagulation defect, unspecified, second trimester
O45003	Premature separation of placenta with coagulation defect, unspecified, third trimester
O45011	Premature separation of placenta with afibrinogenemia, first trimester
O45012	Premature separation of placenta with afibrinogenemia, second trimester
O45013	Premature separation of placenta with afibrinogenemia, third trimester
O45021	Premature separation of placenta with disseminated intravascular coagulation, first trimester
O45022	Premature separation of placenta with disseminated intravascular coagulation, second trimester
O45023	Premature separation of placenta with disseminated intravascular coagulation, third trimester
O45091	Premature separation of placenta with other coagulation defect, first trimester
O45092	Premature separation of placenta with other coagulation defect, second trimester
O45093	Premature separation of placenta with other coagulation defect, third trimester
O458X1	Other premature separation of placenta, first trimester
O458X2	Other premature separation of placenta, second trimester
O458X3	Other premature separation of placenta, third trimester
O4591	Premature separation of placenta, unspecified, first trimester
O4592	Premature separation of placenta, unspecified, second trimester
O4593	Premature separation of placenta, unspecified, third trimester
O46001	Antepartum hemorrhage with coagulation defect, unspecified, first trimester
O46002	Antepartum hemorrhage with coagulation defect, unspecified, second trimester
O46003	Antepartum hemorrhage with coagulation defect, unspecified, third trimester
O46011	Antepartum hemorrhage with afibrinogenemia, first trimester
O46012	Antepartum hemorrhage with afibrinogenemia, second trimester
O46013	Antepartum hemorrhage with afibrinogenemia, third trimester
O46021	Antepartum hemorrhage with disseminated intravascular coagulation, first trimester
O46022	Antepartum hemorrhage with disseminated intravascular coagulation, second trimester
O46023	Antepartum hemorrhage with disseminated intravascular coagulation, third trimester
O46091	Antepartum hemorrhage with other coagulation defect, first trimester
O46092	Antepartum hemorrhage with other coagulation defect, second trimester
O46093	Antepartum hemorrhage with other coagulation defect, third trimester
O6002	Preterm labor without delivery, second trimester
O6003	Preterm labor without delivery, third trimester
O6012X0	Preterm labor second trimester with preterm delivery second trimester, not applicable or unspecified
O6012X1	Preterm labor second trimester with preterm delivery second trimester, fetus 1
O6012X2	Preterm labor second trimester with preterm delivery second trimester, fetus 2
O6012X3	Preterm labor second trimester with preterm delivery second trimester, fetus 3
O6012X4	Preterm labor second trimester with preterm delivery second trimester, fetus 4
O6012X5	Preterm labor second trimester with preterm delivery second trimester, fetus 5
O6012X9	Preterm labor second trimester with preterm delivery second trimester, other fetus
O6013X0	Preterm labor second trimester with preterm delivery third trimester, not applicable or unspecified
O6013X1	Preterm labor second trimester with preterm delivery third trimester, fetus 1
O6013X2	Preterm labor second trimester with preterm delivery third trimester, fetus 2
O6013X3	Preterm labor second trimester with preterm delivery third trimester, fetus 3
O6013X4	Preterm labor second trimester with preterm delivery third trimester, fetus 4
O6013X5	Preterm labor second trimester with preterm delivery third trimester, fetus 5
O6013X9	Preterm labor second trimester with preterm delivery third trimester, other fetus
O6014X0	Preterm labor third trimester with preterm delivery third trimester, not applicable or unspecified
O6014X1	Preterm labor third trimester with preterm delivery third trimester, fetus 1
O6014X2	Preterm labor third trimester with preterm delivery third trimester, fetus 2
O6014X3	Preterm labor third trimester with preterm delivery third trimester, fetus 3
O6014X4	Preterm labor third trimester with preterm delivery third trimester, fetus 4
O6014X5	Preterm labor third trimester with preterm delivery third trimester, fetus 5
O6014X9	Preterm labor third trimester with preterm delivery third trimester, other fetus
O6022X0	Term delivery with preterm labor, second trimester, not applicable or unspecified
O6022X1	Term delivery with preterm labor, second trimester, fetus 1
O6022X2	Term delivery with preterm labor, second trimester, fetus 2
O6022X3	Term delivery with preterm labor, second trimester, fetus 3
O6022X4	Term delivery with preterm labor, second trimester, fetus 4
O6022X5	Term delivery with preterm labor, second trimester, fetus 5
O6022X9	Term delivery with preterm labor, second trimester, other fetus
O6023X0	Term delivery with preterm labor, third trimester, not applicable or unspecified
O6023X1	Term delivery with preterm labor, third trimester, fetus 1
O6023X2	Term delivery with preterm labor, third trimester, fetus 2
O6023X3	Term delivery with preterm labor, third trimester, fetus 3
O6023X4	Term delivery with preterm labor, third trimester, fetus 4
O6023X5	Term delivery with preterm labor, third trimester, fetus 5
O6023X9	Term delivery with preterm labor, third trimester, other fetus
O670	Intrapartum hemorrhage with coagulation defect
O7102	Rupture of uterus before onset of labor, second trimester
O7103	Rupture of uterus before onset of labor, third trimester
O711	Rupture of uterus during labor
O751	Shock during or following labor and delivery
O753	Other infection during labor
O85	Puerperal sepsis
O8604	Sepsis following an obstetrical procedure
O8681	Puerperal septic thrombophlebitis
O8689	Other specified puerperal infections
O871	Deep phlebothrombosis in the puerperium
O88011	Air embolism in pregnancy, first trimester
O88012	Air embolism in pregnancy, second trimester
O88013	Air embolism in pregnancy, third trimester
O8802	Air embolism in childbirth
O8803	Air embolism in the puerperium
O88111	Amniotic fluid embolism in pregnancy, first trimester
O88112	Amniotic fluid embolism in pregnancy, second trimester
O88113	Amniotic fluid embolism in pregnancy, third trimester
O8812	Amniotic fluid embolism in childbirth
O8813	Amniotic fluid embolism in the puerperium
O88211	Thromboembolism in pregnancy, first trimester
O88212	Thromboembolism in pregnancy, second trimester
O88213	Thromboembolism in pregnancy, third trimester
O8822	Thromboembolism in childbirth
O8823	Thromboembolism in the puerperium
O88311	Pyemic and septic embolism in pregnancy, first trimester
O88312	Pyemic and septic embolism in pregnancy, second trimester
O88313	Pyemic and septic embolism in pregnancy, third trimester
O8832	Pyemic and septic embolism in childbirth
O8833	Pyemic and septic embolism in the puerperium
O88811	Other embolism in pregnancy, first trimester
O88812	Other embolism in pregnancy, second trimester
O88813	Other embolism in pregnancy, third trimester
O8882	Other embolism in childbirth
O8883	Other embolism in the puerperium
O903	Peripartum cardiomyopathy
O904	Postpartum acute kidney failure
O9942	Diseases of the circulatory system complicating childbirth
P100	Subdural hemorrhage due to birth injury
P101	Cerebral hemorrhage due to birth injury
P103	Subarachnoid hemorrhage due to birth injury
P104	Tentorial tear due to birth injury
P108	Other intracranial lacerations and hemorrhages due to birth injury
P109	Unspecified intracranial laceration and hemorrhage due to birth injury
P110	Cerebral edema due to birth injury
P112	Unspecified brain damage due to birth injury
P119	Birth injury to central nervous system, unspecified
P220	Respiratory distress syndrome of newborn
P230	Congenital pneumonia due to viral agent
P231	Congenital pneumonia due to Chlamydia
P232	Congenital pneumonia due to staphylococcus
P233	Congenital pneumonia due to streptococcus, group B
P234	Congenital pneumonia due to Escherichia coli
P235	Congenital pneumonia due to Pseudomonas
P236	Congenital pneumonia due to other bacterial agents
P238	Congenital pneumonia due to other organisms
P239	Congenital pneumonia, unspecified
P2401	Meconium aspiration with respiratory symptoms
P2411	Neonatal aspiration of (clear) amniotic fluid and mucus with respiratory symptoms
P2421	Neonatal aspiration of blood with respiratory symptoms
P2431	Neonatal aspiration of milk and regurgitated food with respiratory symptoms
P2481	Other neonatal aspiration with respiratory symptoms
P250	Interstitial emphysema originating in the perinatal period
P251	Pneumothorax originating in the perinatal period
P252	Pneumomediastinum originating in the perinatal period
P253	Pneumopericardium originating in the perinatal period
P258	Other conditions related to interstitial emphysema originating in the perinatal period
P260	Tracheobronchial hemorrhage originating in the perinatal period
P261	Massive pulmonary hemorrhage originating in the perinatal period
P268	Other pulmonary hemorrhages originating in the perinatal period
P269	Unspecified pulmonary hemorrhage originating in the perinatal period
P270	Wilson-Mikity syndrome
P271	Bronchopulmonary dysplasia originating in the perinatal period
P278	Other chronic respiratory diseases originating in the perinatal period
P279	Unspecified chronic respiratory disease originating in the perinatal period
P285	Respiratory failure of newborn
P2881	Respiratory arrest of newborn
P2930	Pulmonary hypertension of newborn
P2938	Other persistent fetal circulation
P2981	Cardiac arrest of newborn
P351	Congenital cytomegalovirus infection
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
P360	Sepsis of newborn due to streptococcus, group B
P3610	Sepsis of newborn due to unspecified streptococci
P3619	Sepsis of newborn due to other streptococci
P362	Sepsis of newborn due to Staphylococcus aureus
P3630	Sepsis of newborn due to unspecified staphylococci
P3639	Sepsis of newborn due to other staphylococci
P364	Sepsis of newborn due to Escherichia coli
P365	Sepsis of newborn due to anaerobes
P368	Other bacterial sepsis of newborn
P369	Bacterial sepsis of newborn, 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
P5221	Intraventricular (nontraumatic) hemorrhage, grade 3, of newborn
P5222	Intraventricular (nontraumatic) hemorrhage, grade 4, of newborn
P524	Intracerebral (nontraumatic) hemorrhage of newborn
P525	Subarachnoid (nontraumatic) hemorrhage of newborn
P526	Cerebellar (nontraumatic) and posterior fossa hemorrhage of newborn
P528	Other intracranial (nontraumatic) hemorrhages of newborn
P529	Intracranial (nontraumatic) hemorrhage of newborn, unspecified
P541	Neonatal melena
P542	Neonatal rectal hemorrhage
P543	Other neonatal gastrointestinal hemorrhage
P560	Hydrops fetalis due to isoimmunization
P5690	Hydrops fetalis due to unspecified hemolytic disease
P5699	Hydrops fetalis due to other hemolytic disease
P570	Kernicterus due to isoimmunization
P578	Other specified kernicterus
P579	Kernicterus, unspecified
P591	Inspissated bile syndrome
P5920	Neonatal jaundice from unspecified hepatocellular damage
P5929	Neonatal jaundice from other hepatocellular damage
P60	Disseminated intravascular coagulation of newborn
P610	Transient neonatal thrombocytopenia
P615	Transient neonatal neutropenia
P740	Late metabolic acidosis of newborn
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
P780	Perinatal intestinal perforation
P832	Hydrops fetalis not due to hemolytic disease
P90	Convulsions of newborn
P910	Neonatal cerebral ischemia
P911	Acquired periventricular cysts of newborn
P912	Neonatal cerebral leukomalacia
P913	Neonatal cerebral irritability
P914	Neonatal cerebral depression
P915	Neonatal coma
P9163	Severe hypoxic ischemic encephalopathy [HIE]
P91821	Neonatal cerebral infarction, right side of brain
P91822	Neonatal cerebral infarction, left side of brain
P91823	Neonatal cerebral infarction, bilateral
P91829	Neonatal cerebral infarction, unspecified side
P9201	Bilious vomiting of newborn
Q000	Anencephaly
Q001	Craniorachischisis
Q002	Iniencephaly
Q040	Congenital malformations of corpus callosum
Q041	Arhinencephaly
Q042	Holoprosencephaly
Q043	Other reduction deformities of brain
Q200	Common arterial trunk
Q201	Double outlet right ventricle
Q202	Double outlet left ventricle
Q203	Discordant ventriculoarterial connection
Q204	Double inlet ventricle
Q213	Tetralogy of Fallot
Q220	Pulmonary valve atresia
Q224	Congenital tricuspid stenosis
Q225	Ebstein's anomaly
Q226	Hypoplastic right heart syndrome
Q228	Other congenital malformations of tricuspid valve
Q229	Congenital malformation of tricuspid valve, unspecified
Q234	Hypoplastic left heart syndrome
Q242	Cor triatriatum
Q244	Congenital subaortic stenosis
Q246	Congenital heart block
Q255	Atresia of pulmonary artery
Q256	Stenosis of pulmonary artery
Q2571	Coarctation of pulmonary artery
Q2572	Congenital pulmonary arteriovenous malformation
Q2579	Other congenital malformations of pulmonary artery
Q282	Arteriovenous malformation of cerebral vessels
Q283	Other malformations of cerebral vessels
Q332	Sequestration of lung
Q333	Agenesis of lung
Q336	Congenital hypoplasia and dysplasia of lung
Q390	Atresia of esophagus without fistula
Q391	Atresia of esophagus with tracheo-esophageal fistula
Q392	Congenital tracheo-esophageal fistula without atresia
Q393	Congenital stenosis and stricture of esophagus
Q394	Esophageal web
Q442	Atresia of bile ducts
Q443	Congenital stenosis and stricture of bile ducts
Q790	Congenital diaphragmatic hernia
Q791	Other congenital malformations of diaphragm
Q792	Exomphalos
Q793	Gastroschisis
Q794	Prune belly syndrome
Q7951	Congenital hernia of bladder
Q7959	Other congenital malformations of abdominal wall
Q894	Conjoined twins
Q9381	Velo-cardio-facial syndrome
R092	Respiratory arrest
R4020	Unspecified coma
R402110	Coma scale, eyes open, never, unspecified time
R402111	Coma scale, eyes open, never, in the field [EMT or ambulance]
R402112	Coma scale, eyes open, never, at arrival to emergency department
R402113	Coma scale, eyes open, never, at hospital admission
R402114	Coma scale, eyes open, never, 24 hours or more after hospital admission
R402120	Coma scale, eyes open, to pain, unspecified time
R402121	Coma scale, eyes open, to pain, in the field [EMT or ambulance]
R402122	Coma scale, eyes open, to pain, at arrival to emergency department
R402123	Coma scale, eyes open, to pain, at hospital admission
R402124	Coma scale, eyes open, to pain, 24 hours or more after hospital admission
R402210	Coma scale, best verbal response, none, unspecified time
R402211	Coma scale, best verbal response, none, in the field [EMT or ambulance]
R402212	Coma scale, best verbal response, none, at arrival to emergency department
R402213	Coma scale, best verbal response, none, at hospital admission
R402214	Coma scale, best verbal response, none, 24 hours or more after hospital admission
R402220	Coma scale, best verbal response, incomprehensible words, unspecified time
R402221	Coma scale, best verbal response, incomprehensible words, in the field [EMT or ambulance]
R402222	Coma scale, best verbal response, incomprehensible words, at arrival to emergency department
R402223	Coma scale, best verbal response, incomprehensible words, at hospital admission
R402224	Coma scale, best verbal response, incomprehensible words, 24 hours or more after hospital admission
R402310	Coma scale, best motor response, none, unspecified time
R402311	Coma scale, best motor response, none, in the field [EMT or ambulance]
R402312	Coma scale, best motor response, none, at arrival to emergency department
R402313	Coma scale, best motor response, none, at hospital admission
R402314	Coma scale, best motor response, none, 24 hours or more after hospital admission
R402320	Coma scale, best motor response, extension, unspecified time
R402321	Coma scale, best motor response, extension, in the field [EMT or ambulance]
R402322	Coma scale, best motor response, extension, at arrival to emergency department
R402323	Coma scale, best motor response, extension, at hospital admission
R402324	Coma scale, best motor response, extension, 24 hours or more after hospital admission
R402340	Coma scale, best motor response, flexion withdrawal, unspecified time
R402341	Coma scale, best motor response, flexion withdrawal, in the field [EMT or ambulance]
R402342	Coma scale, best motor response, flexion withdrawal, at arrival to emergency department
R402343	Coma scale, best motor response, flexion withdrawal, at hospital admission
R402344	Coma scale, best motor response, flexion withdrawal, 24 hours or more after hospital admission
R532	Functional quadriplegia
R570	Cardiogenic shock
R571	Hypovolemic shock

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