Source: Federal Register Friday, August 18,
2006
[[Page 48204]
TABLE
6A.-NEW DIAGNOSIS CODES
|
Diagnosis |
Description |
CC |
MDC |
DRG |
|
Code |
|
|
|
|
|
052.2 |
Postvaricella myelitis |
Y |
1 |
543, 561 |
|
053.14 |
Herpes zoster myelitis |
Y |
1 |
543, 561 |
|
054.74 |
Herpes simplex myelitis |
Y |
1 |
543, 561 |
|
238.71 |
Essential thrombocythemia |
N |
16 |
398, 399 |
|
238.72 |
Low grade myelodysplastic
syndrome lesions |
N |
16 |
395, 396 |
|
238.73 |
High grade myelodysplastic
syndrome lesions |
N |
16 |
395, 396 |
|
238.74 |
Myelodysplastic syndrome with 5q deletion |
N |
16 |
395, 396 |
|
238.75 |
Myelodysplastic syndrome, unspecified |
N |
16 |
395, 396 |
|
238.76 |
Myelofibrosis with myeloid metaplasia |
N |
17 |
401, 402, 403, |
|
|
|
|
|
404, 539, 540 |
|
238.79 |
Other lymphatic and hematopoietic
tissues |
N |
17 |
401, 402, 403, |
|
|
|
|
|
404, 539, 540 |
|
277.30 |
Amyloidosis, unspecified |
N |
8 |
240, 241 |
|
277.31 |
Familial Mediterranean fever |
N |
8 |
240, 241 |
|
277.39 |
Other amyloidosis |
N |
8 |
240, 241 |
|
284.01 |
Constitutional red blood cell aplasia
|
N |
16 |
574 |
|
284.09 |
Other constitutional aplastic
anemia |
N |
16 |
574 |
|
284.1 |
Pancytopenia |
N |
16 |
395, 396 |
|
284.2 |
Myelophthisis |
N |
17 |
401, 402, 403, |
|
|
|
|
|
404, 539, 540 |
|
288.00 |
Neutropenia, unspecified |
N |
16 |
574 |
|
|
|
|
25 |
490 |
|
288.01 |
Congenital neutropenia |
N |
16 |
574 |
|
|
|
|
25 |
490 |
|
288.02 |
Cyclic neutropenia |
N |
16 |
574 |
|
|
|
|
25 |
490 |
|
288.03 |
Drug induced neutropenia |
N |
16 |
574 |
|
|
|
|
25 |
490 |
|
288.04 |
Neutropenia due to infection |
N |
16 |
574 |
|
|
|
|
25 |
490 |
|
288.09 |
Other neutropenia |
N |
16 |
574 |
|
|
|
|
25 |
490 |
|
288.4 |
Hemophagocytic syndromes |
N |
16 |
398, 399 |
|
288.50 |
Leukocytopenia, unspecified |
N |
16 |
398, 399 |
|
288.51 |
Lymphocytopenia |
N |
16 |
398, 399 |
|
288.59 |
Other decreased white blood cell count |
N |
16 |
398, 399 |
|
288.60 |
Leukocytosis, unspecified |
N |
16 |
398, 399 |
|
288.61 |
Lymphocytosis (symptomatic) |
N |
16 |
398, 399 |
|
288.62 |
Leukemoid reaction |
N |
16 |
398, 399 |
|
288.63 |
Monocytosis (symptomatic) |
N |
16 |
398, 399 |
|
288.64 |
Plasmacytosis |
N |
16 |
398, 399 |
|
288.65 |
Basophilia |
N |
16 |
398, 399 |
|
288.69 |
Other elevated white blood cell count |
N |
16 |
398, 399 |
|
289.53 |
Neutropenic splenomegaly |
N |
16 |
398, 399 |
|
289.83 |
Myelofibrosis |
N |
17 |
401, 402, 403, |
|
|
|
|
|
404, 539, 540 |
|
323.01 |
Encephalitis and encephalomyelitis in viral |
N |
1 |
543, 561 |
|
|
diseases classified elsewhere |
|
|
|
|
323.02 |
Myelitis in viral diseases classified elsewhere |
N |
1 |
543, 561 |
|
323.41 |
Other encephalitis and encephalomyelitis due |
N |
1 |
543, 561 |
|
|
to infection classified elsewhere |
|
|
|
|
323.42 |
Other myelitis due to infection
classified |
N |
1 |
543, 561 |
|
|
elsewhere |
|
|
|
|
323.51 |
Encephalitis and encephalomyelitis following |
N |
1 |
543, 561 |
|
|
immunization procedures |
|
|
|
|
323.52 |
Myelitis following immunization procedures |
N |
1 |
543, 561 |
|
323.61 |
Infectious acute disseminated |
N |
1 |
543, 561 |
|
|
encephalomyelitis (ADEM) |
|
|
|
|
323.62 |
Other postinfectious
encephalitis and |
N |
1 |
543, 561 |
|
|
encephalomyelitis |
|
|
|
|
323.63 |
Postinfectious myelitis |
N |
1 |
543, 561 |
|
323.71 |
Toxic encephalitis and encephalomyelitis |
N |
1 |
34, 35, 543 |
|
323.72 |
Toxic myelitis |
N |
1 |
34, 35, 543 |
|
323.81 |
Other causes of encephalitis and |
N |
1 |
543, 561 |
|
|
encephalomyelitis |
|
25 |
489 |
|
323.82 |
Other causes of myelitis |
N |
1 |
543, 561 |
|
|
|
|
25 |
489 |
|
331.83 |
Mild cognitive impairment, so stated |
N |
1 |
12 |
|
333.71 |
Athetoid cerebral palsy |
N |
1 |
12 |
|
333.72 |
Acute dystonia due to drugs |
N |
1 |
34, 35 |
|
333.79 |
Other acquired torsion dystonia
|
N |
1 |
34, 35 |
|
333.85 |
Subacute dyskinesia due to drugs |
N |
1 |
34, 35 |
|
333.94* |
Restless Legs Syndrome |
N |
1 |
12 |
|
338.0 |
Central pain syndrome |
N |
23 |
463, 464 |
|
338.11 |
Acute pain due to trauma |
N |
23 |
463, 464 |
|
338.12 |
Acute post-thoracotomy pain |
N |
23 |
463, 464 |
|
338.18 |
Other acute postoperative pain |
N |
23 |
463, 464 |
|
338.19 |
Other acute pain |
N |
23 |
463, 464 |
|
338.21 |
Chronic pain due to trauma |
N |
23 |
463, 464 |
|
338.22 |
Chronic post-thoracotomy pain |
N |
23 |
463, 464 |
|
338.28 |
Other chronic postoperative pain |
N |
23 |
463, 464 |
|
338.29 |
Other chronic pain |
N |
23 |
463, 464 |
|
338.3 |
Neoplasm related pain (acute) (chronic) |
N |
23 |
463, 464 |
|
338.4 |
Chronic pain syndrome |
N |
23 |
463, 464 |
|
341.20 |
Acute (transverse) myelitis NOS
|
N |
1 |
543, 561 |
|
341.21 |
Acute (transverse) myelitis in
conditions |
N |
1 |
543, 561 |
|
|
classified elsewhere |
|
|
|
|
341.22 |
Idiopathic transverse myelitis |
N |
1 |
543, 561 |
|
377.43 |
Optic nerve hypoplasia |
N |
2 |
45 |
|
379.60 |
Inflammation (infection) of postprocedural
|
N |
2 |
46, 47, 48 |
|
|
bleb, unspecified |
|
|
|
|
379.61 |
Inflammation (infection) of postprocedural
|
N |
2 |
46, 47, 48 |
|
|
bleb, stage 1 |
|
|
|
|
379.62 |
Inflammation (infection) of postprocedural
|
N |
2 |
46, 47, 48 |
|
|
bleb, stage 2 |
|
|
|
|
379.63 |
Inflammation (infection) of postprocedural
|
N |
2 |
46, 47, 48 |
|
|
bleb, stage 3 |
|
|
|
|
389.15 |
Sensorineural hearing loss, unilateral |
N |
3 |
73, 74 |
|
389.16 |
Sensorineural hearing loss, asymmetrical |
N |
3 |
73, 74 |
|
429.83 |
Takotsubo syndrome |
N |
5 |
144, 145 |
|
478.11 |
Nasal mucositis (ulcerative) |
N |
3 |
73, 74 |
|
|
|
|
15 |
3911 |
|
478.19 |
Other disease of nasal cavity and sinuses |
N |
3 15 |
73, 74 3911
|
|
518.7 |
Transfusion related acute lung injury (TRALI) |
Y |
4 |
101, 102 |
|
519.11 |
Acute bronchospasm |
N |
PRE 4 |
482 96, 97, 98 |
|
519.19 |
Other diseases of trachea and bronchus |
N |
PRE |
482 |
|
|
|
|
4 |
96, 97, 98 |
|
521.81 |
Cracked tooth |
N |
PRE |
482 |
|
|
|
|
3 |
185, 186, 187 |
|
521.89 |
Other specific diseases of hard tissues of teeth |
N |
PRE 3 |
482 185, 186, 187 |
|
523.00 |
Acute gingivitis, plaque induced |
N |
PRE 3 |
482 185, 186, 187 |
|
523.01 |
Acute gingivitis, non-plaque induced |
N |
PRE 3 |
482 185, 186, 187 |
|
523.10 |
Chronic gingivitis, plaque induced |
N |
PRE 3 |
482 185, 186, 187 |
|
523.11 |
Chronic gingivitis, non-plaque induced |
N |
PRE 3 |
482 185, 186, 187 |
|
523.30 |
Aggressive periodontitis,
unspecified |
N |
PRE 3 |
482 185, 186, 187 |
|
523.31 |
Aggressive periodontitis,
localized |
N |
PRE 3 |
482 185, 186, 187 |
|
523.32 |
Aggressive periodontitis,
generalized |
N |
PRE 3 |
482 185, 186, 187 |
|
523.33 |
Acute periodontitis |
N |
PRE 3 |
482 185, 186, 187 |
|
523.40 |
Chronic periodontitis,
unspecified |
N |
PRE 3 |
482 185, 186, 187 |
|
523.41 |
Chronic periodontitis,
localized |
N |
PRE 3 |
482 185, 186, 187 |
|
523.42 |
Chronic periodontitis,generalized
|
N |
PRE 3 |
482 185, 186, 187 |
|
525.60 |
Unspecified unsatisfactory restoration of tooth |
N |
PRE 3 |
482 185, 186, 187 |
|
525.61 |
Open restoration margins |
N |
PRE 3 |
482 185, 186, 187 |
|
525.62 |
Unrepairable overhanging of dental restorative materials |
N |
PRE 3 |
482 185, 186, 187 |
|
525.63 |
Fractured dental restorative material without loss of
material |
N |
PRE 3 |
482 185, 186, 187 |
|
525.64 |
Fractured dental restorative material with loss of
material |
N |
PRE 3 |
482 185, 186, 187 |
|
525.65 |
Contour of existing restoration of tooth biologically
incompatible with oral health |
N |
PRE 3 |
482 185, 186, 187 |
|
525.66 |
Allergy to existing dental restorative material |
N |
PRE 3 |
482 185, 186, 187 |
|
525.67 |
Poor aesthetics of existing restoration |
N |
PRE 3 |
482 185, 186, 187 |
|
525.69 |
Other unsatisfactory restoration of existing tooth |
N |
PRE 3 |
482 185, 186, 187 |
|
526.61 |
Perforation of root canal space |
N |
PRE 3 |
482 185, 186, 187 |
|
526.62 |
Endodontic overfill |
N |
PRE |
482 |
|
|
|
|
3 |
185, 186, 187 |
|
526.63 |
Endodontic underfill |
N |
PRE |
482 |
|
|
|
|
3 |
185, 186, 187 |
|
526.69 |
Other periradicular pathology
associated with previous endodontic treatment |
N |
PRE 3 |
482 185, 186, 187 |
|
528.00 |
Stomatitis and mucositis, unspecified |
N |
PRE 3 |
482 185, 186, 187 |
|
528.01 |
Mucositis (ulcerative) due to antineoplastic
therapy |
N |
PRE 3 |
482 185, 186, 187 |
|
528.02 |
Mucositis (ulcerative) due to other drugs |
N |
PRE 3 |
482 185, 186, 187 |
|
528.09 |
Other stomatitis and mucositis (ulcerative) |
N |
PRE 3 |
482 185, 186, 187 |
|
538 |
Gastrointestinal mucositis
(ulcerative) |
N |
6 |
182, 183, 184 |
|
608.20 |
Torsion of testis, unspecified |
N |
12 |
352 |
|
608.21 |
Extravaginal torsion of spermatic cord |
N |
12 |
352 |
|
608.22 |
Intravaginal torsion of spermatic cord |
N |
12 |
352 |
|
608.23 |
Torsion of appendix testis |
N |
12 |
352 |
|
608.24 |
Torsion of appendix epididymis |
N |
12 |
352 |
|
616.81 |
Mucositis (ulcerative) of cervix, vagina, and |
N |
13 |
358, 359, 368 |
|
|
vulva |
|
|
|
|
616.89 |
Other inflammatory disease of cervix, vagina |
N |
13 |
358, 359, 368 |
|
|
and vulva |
|
|
|
|
618.84 |
Cervical stump prolapse |
N |
13 |
358, 359, 369 |
|
629.29 |
Other female genital mutilation status |
N |
13 |
358, 359, 369 |
|
629.81 |
Habitual aborter without
current pregnancy |
N |
13 |
358, 359, 369 |
|
629.89 |
Other specified disorders of female genital |
N |
13 |
358, 359, 369 |
|
|
organs |
|
|
|
|
649.00 |
Tobacco use disorder complicating |
N |
14 |
469 |
|
|
pregnancy, childbirth, or the puerperium,
|
|
|
|
|
|
unspecified as to episode of care or not |
|
|
|
|
|
applicable |
|
|
|
|
649.01 |
Tobacco use disorder complicating |
N |
14 |
370, 371, 372, |
|
|
pregnancy, childbirth, or the puerperium,
delivered, with or without mention of |
|
|
373, 374, 375 |
|
|
antepartum condition |
|
|
|
|
649.02 |
Tobacco use disorder complicating |
N |
14 |
370, 371, 372, |
|
|
pregnancy, childbirth, or the puerperium,
|
|
|
373, 374, 375 |
|
|
delivered, with mention of postpartum |
|
|
|
|
|
complication |
|
|
|
|
649.03 |
Tobacco use disorder complicating pregnancy, childbirth,
or the puerperium, antepartum
condition or complication |
N |
14 |
383, 384 |
|
649.04 |
Tobacco use disorder complicating pregnancy, childbirth,
or the puerperium, postpartum condition or complication
|
N |
14 |
376, 377 |
|
649.10 |
Obesity complicating pregnancy, childbirth, or the puerperium, unspecified as to episode of care or not
applicable |
N |
14 |
469 |
|
649.11 |
Obesity complicating pregnancy, childbirth, |
N |
14 |
370, 371, 372, |
|
|
or the puerperium, delivered,
with or without mention of antepartum condition |
|
|
373, 374, 375 |
|
649.12 |
Obesity complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum
complication |
N |
14 |
370, 371, 372, 373, 374, 375 |
|
649.13 |
Obesity complicating pregnancy, childbirth, or the puerperium, antepartum
condition or complication |
N |
14 |
383, 384 |
|
649.14 |
Obesity complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication |
N |
14 |
376, 377 |
|
649.20 |
Bariatric surgery status complicating pregnancy, childbirth, or
the puerperium, unspecified as to episode of care
or not applicable |
N |
14 |
469 |
|
649.21 |
Bariatric surgery status complicating pregnancy, childbirth, or
the puerperium, delivered, with or without mention
of |
N |
14 |
370, 371, 372, 373, 374, 375 |
|
|
antepartum condition |
|
|
|
|
649.22 |
Bariatric surgery status complicating pregnancy, childbirth, or
the puerperium, delivered, with mention of
postpartum complication |
N |
14 |
370, 371, 372, 373, 374, 375 |
|
649.23 |
Bariatric surgery status complicating pregnancy, childbirth, or
the puerperium, antepartum
condition or complication |
N |
14 |
383, 384 |
|
649.24 |
Bariatric surgery status complicating pregnancy, childbirth, or
the puerperium, postpartum condition or
complication |
N |
14 |
376, 377 |
|
649.30 |
Coagulation defects complicating pregnancy, childbirth,
or the puerperium, unspecified as to episode of
care or not applicable |
N |
14 |
469 |
|
649.31 |
Coagulation defects complicating pregnancy, childbirth,
or the puerperium, delivered, with or without
mention of antepartum condition |
N |
14 |
370, 371, 372, 373, 374, 375 |
|
649.32 |
Coagulation defects complicating pregnancy, childbirth,
or the puerperium, delivered, with mention of
postpartum complication |
N |
14 |
370, 371, 372, 373, 374, 375 |
|
649.33 |
Coagulation defects complicating pregnancy, childbirth,
or the puerperium, antepartum
condition or complication |
N |
14 |
383, 384 |
|
|
|
|
|
|
|
649.34 |
Coagulation defects complicating pregnancy, childbirth,
or the puerperium, postpartum condition or
complication |
N |
14 |
376, 377 |
|
649.40 |
Epilepsy complicating pregnancy, childbirth, or the puerperium, unspecified as to episode of care or not applicable
|
N |
14 |
469 |
|
649.41 |
Epilepsy complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition |
N |
14 |
370, 371, 372, 373, 374, 375 |
|
649.42 |
Epilepsy complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum
complication |
N |
14 |
370, 371, 372, 373, 374, 375 |
|
649.43 |
Epilepsy complicating pregnancy, childbirth, or the puerperium, antepartum condition
or complication |
N |
14 |
383, 384 |
|
649.44 |
Epilepsy complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication |
N |
14 |
376, 377 |
|
649.50 |
Spotting complicating pregnancy, unspecified as to episode
of care or not applicable |
N |
14 |
469 |
|
649.51 |
Spotting complicating pregnancy, delivered, with or
without mention of antepartum condition |
N |
14 |
370, 371, 372, 373, 374, 375 |
|
649.53 |
Spotting complicating pregnancy, antepartum
condition or complication |
N |
14 |
383, 384 |
|
649.60 |
Uterine size date discrepancy, unspecified as to episode
of care or not applicable |
N |
14 |
469 |
|
649.61 |
Uterine size date discrepancy, delivered, with or without
mention of antepartum condition |
N |
14 |
370, 371, 372, 373, 374, 375 |
|
649.62 |
Uterine size date discrepancy, delivered, with mention of
postpartum complication |
N |
14 |
370, 371, 372, 373, 374, 375 |
|
649.63 |
Uterine size date discrepancy, antepartum
condition or complication |
N |
14 |
383, 384 |
|
649.64 |
Uterine size date discrepancy, postpartum condition or
complication |
N |
14 |
376, 377 |
|
729.71 |
Nontraumatic compartment syndrome of upper extremity |
N |
8 |
248 |
|
729.72 |
Nontraumatic compartment syndrome of lower extremity |
N |
8 |
248 |
|
729.73 |
Nontraumatic compartment syndrome of abdomen |
N |
8 |
248 |
|
|
|
|
|
|
|
|
|
|
|
|
|
729.79 |
Nontraumatic compartment syndrome of other |
N |
8 |
248 |
|
|
sites |
|
|
|
|
731.3 |
Major osseous defects |
N |
8 |
244, 245 |
|
768.7* |
Hypoxic-ischemic encephalopathy (HIE) |
N |
15 |
390 |
|
770.87* |
Respiratory arrest of newborn |
N |
15 |
390 |
|
770.88* |
Hypoxemia of newborn |
N |
15 |
390 |
|
775.81* |
Other acidosis of newborn |
N |
15 |
390 |
|
775.89* |
Other neonatal endocrine and metabolic |
N |
15 |
390 |
|
|
disturbances |
|
|
|
|
779.85* |
Cardiac arrest of newborn |
Y |
15 |
3872, 3892 |
|
780.32 |
Complex febrile convulsions |
Y |
1 |
26, 562, 563 |
|
780.96 |
Generalized pain |
N |
23 |
463, 464 |
|
780.97 |
Altered mental status |
N |
23 |
463, 464 |
|
784.91 |
Postnasal drip |
N |
3 |
73, 74 |
|
784.99 |
Other symptoms involving head and neck |
N |
3 |
73, 74 |
|
788.64 |
Urinary hesitancy |
N |
11 |
325, 326, 327 |
|
788.65 |
Straining on urination |
N |
11 |
325, 326, 327 |
|
793.91 |
Image test inconclusive due to excess body fat |
N |
23 |
463, 464 |
|
793.99 |
Other nonspecific abnormal findings on |
N |
23 |
463, 464 |
|
|
radiological and other examinations of body |
|
|
|
|
|
structure |
|
|
|
|
795.06 |
Papanicolaou smear of cervix with cytologic
|
N |
13 |
358, 359, 369 |
|
|
evidence of malignancy |
|
|
|
|
795.81 |
Elevated carcinoembryonic
antigen [CEA] |
N |
23 |
463, 464 |
|
795.82 |
Elevated cancer antigen 125 [CA 125] |
N |
23 |
463, 464 |
|
795.89 |
Other abnormal tumor markers |
N |
23 |
463, 464 |