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2023
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›
2023 Diagnostic Related Groups List (MS-DRG
v
40.0)
2023 Diagnostic Related Groups List (MS-DRG
v
40.0)
008
Simultaneous pancreas and kidney transplant
010
Pancreas transplant
011
Tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc
012
Tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc
013
Tracheostomy for face, mouth and neck diagnoses or laryngectomy without cc/mcc
019
Simultaneous pancreas and kidney transplant with hemodialysis
020
Intracranial vascular procedures with principal diagnosis hemorrhage with mcc
021
Intracranial vascular procedures with principal diagnosis hemorrhage with cc
022
Intracranial vascular procedures with principal diagnosis hemorrhage without cc/mcc
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc or chemotherapy implant or epilepsy with neurostimulator
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mcc
052
Spinal disorders and injuries with cc/mcc
053
Spinal disorders and injuries without cc/mcc
054
Nervous system neoplasms with mcc
055
Nervous system neoplasms without mcc
056
Degenerative nervous system disorders with mcc
057
Degenerative nervous system disorders without mcc
058
Multiple sclerosis and cerebellar ataxia with mcc
059
Multiple sclerosis and cerebellar ataxia with cc
060
Multiple sclerosis and cerebellar ataxia without cc/mcc
061
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with mcc
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc
063
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent without cc/mcc
064
Intracranial hemorrhage or cerebral infarction with mcc
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
067
Nonspecific cva and precerebral occlusion without infarction with mcc
068
Nonspecific cva and precerebral occlusion without infarction without mcc
069
Transient ischemia without thrombolytic
070
Nonspecific cerebrovascular disorders with mcc
071
Nonspecific cerebrovascular disorders with cc
072
Nonspecific cerebrovascular disorders without cc/mcc
073
Cranial and peripheral nerve disorders with mcc
074
Cranial and peripheral nerve disorders without mcc
075
Viral meningitis with cc/mcc
076
Viral meningitis without cc/mcc
077
Hypertensive encephalopathy with mcc
078
Hypertensive encephalopathy with cc
079
Hypertensive encephalopathy without cc/mcc
080
Nontraumatic stupor and coma with mcc
081
Nontraumatic stupor and coma without mcc
082
Traumatic stupor and coma >1 hour with mcc
083
Traumatic stupor and coma >1 hour with cc
084
Traumatic stupor and coma >1 hour without cc/mcc
085
Traumatic stupor and coma <1 hour with mcc
086
Traumatic stupor and coma <1 hour with cc
087
Traumatic stupor and coma <1 hour without cc/mcc
088
Concussion with mcc
089
Concussion with cc
090
Concussion without cc/mcc
091
Other disorders of nervous system with mcc
092
Other disorders of nervous system with cc
093
Other disorders of nervous system without cc/mcc
094
Bacterial and tuberculous infections of nervous system with mcc
095
Bacterial and tuberculous infections of nervous system with cc
096
Bacterial and tuberculous infections of nervous system without cc/mcc
097
Non-bacterial infection of nervous system except viral meningitis with mcc
098
Non-bacterial infection of nervous system except viral meningitis with cc
099
Non-bacterial infection of nervous system except viral meningitis without cc/mcc
100
Seizures with mcc
101
Seizures without mcc
102
Headaches with mcc
103
Headaches without mcc
121
Acute major eye infections with cc/mcc
122
Acute major eye infections without cc/mcc
123
Neurological eye disorders
124
Other disorders of the eye with mcc
125
Other disorders of the eye without mcc
146
Ear, nose, mouth and throat malignancy with mcc
147
Ear, nose, mouth and throat malignancy with cc
148
Ear, nose, mouth and throat malignancy without cc/mcc
149
Dysequilibrium
150
Epistaxis with mcc
151
Epistaxis without mcc
152
Otitis media and uri with mcc
153
Otitis media and uri without mcc
154
Other ear, nose, mouth and throat diagnoses with mcc
155
Other ear, nose, mouth and throat diagnoses with cc
156
Other ear, nose, mouth and throat diagnoses without cc/mcc
157
Dental and oral diseases with mcc
158
Dental and oral diseases with cc
159
Dental and oral diseases without cc/mcc
175
Pulmonary embolism with mcc or acute cor pulmonale
176
Pulmonary embolism without mcc
177
Respiratory infections and inflammations with mcc
178
Respiratory infections and inflammations with cc
179
Respiratory infections and inflammations without cc/mcc
180
Respiratory neoplasms with mcc
181
Respiratory neoplasms with cc
182
Respiratory neoplasms without cc/mcc
183
Major chest trauma with mcc
184
Major chest trauma with cc
185
Major chest trauma without cc/mcc
186
Pleural effusion with mcc
187
Pleural effusion with cc
188
Pleural effusion without cc/mcc
189
Pulmonary edema and respiratory failure
190
Chronic obstructive pulmonary disease with mcc
191
Chronic obstructive pulmonary disease with cc
192
Chronic obstructive pulmonary disease without cc/mcc
193
Simple pneumonia and pleurisy with mcc
194
Simple pneumonia and pleurisy with cc
195
Simple pneumonia and pleurisy without cc/mcc
196
Interstitial lung disease with mcc
197
Interstitial lung disease with cc
198
Interstitial lung disease without cc/mcc
199
Pneumothorax with mcc
200
Pneumothorax with cc
201
Pneumothorax without cc/mcc
202
Bronchitis and asthma with cc/mcc
203
Bronchitis and asthma without cc/mcc
204
Respiratory signs and symptoms
205
Other respiratory system diagnoses with mcc
206
Other respiratory system diagnoses without mcc
222
Cardiac defibrillator implant with cardiac catheterization with ami, hf or shock with mcc
223
Cardiac defibrillator implant with cardiac catheterization with ami, hf or shock without mcc
280
Acute myocardial infarction, discharged alive with mcc
281
Acute myocardial infarction, discharged alive with cc
282
Acute myocardial infarction, discharged alive without cc/mcc
283
Acute myocardial infarction, expired with mcc
284
Acute myocardial infarction, expired with cc
285
Acute myocardial infarction, expired without cc/mcc
288
Acute and subacute endocarditis with mcc
289
Acute and subacute endocarditis with cc
290
Acute and subacute endocarditis without cc/mcc
291
Heart failure and shock with mcc
292
Heart failure and shock with cc
293
Heart failure and shock without cc/mcc
294
Deep vein thrombophlebitis with cc/mcc
295
Deep vein thrombophlebitis without cc/mcc
296
Cardiac arrest, unexplained with mcc
297
Cardiac arrest, unexplained with cc
298
Cardiac arrest, unexplained without cc/mcc
299
Peripheral vascular disorders with mcc
300
Peripheral vascular disorders with cc
301
Peripheral vascular disorders without cc/mcc
302
Atherosclerosis with mcc
303
Atherosclerosis without mcc
304
Hypertension with mcc
305
Hypertension without mcc
306
Cardiac congenital and valvular disorders with mcc
307
Cardiac congenital and valvular disorders without mcc
308
Cardiac arrhythmia and conduction disorders with mcc
309
Cardiac arrhythmia and conduction disorders with cc
310
Cardiac arrhythmia and conduction disorders without cc/mcc
311
Angina pectoris
312
Syncope and collapse
313
Chest pain
314
Other circulatory system diagnoses with mcc
315
Other circulatory system diagnoses with cc
316
Other circulatory system diagnoses without cc/mcc
338
Appendectomy with complicated principal diagnosis with mcc
339
Appendectomy with complicated principal diagnosis with cc
340
Appendectomy with complicated principal diagnosis without cc/mcc
368
Major esophageal disorders with mcc
369
Major esophageal disorders with cc
370
Major esophageal disorders without cc/mcc
371
Major gastrointestinal disorders and peritoneal infections with mcc
372
Major gastrointestinal disorders and peritoneal infections with cc
373
Major gastrointestinal disorders and peritoneal infections without cc/mcc
374
Digestive malignancy with mcc
375
Digestive malignancy with cc
376
Digestive malignancy without cc/mcc
377
Gastrointestinal hemorrhage with mcc
378
Gastrointestinal hemorrhage with cc
379
Gastrointestinal hemorrhage without cc/mcc
380
Complicated peptic ulcer with mcc
381
Complicated peptic ulcer with cc
382
Complicated peptic ulcer without cc/mcc
383
Uncomplicated peptic ulcer with mcc
384
Uncomplicated peptic ulcer without mcc
385
Inflammatory bowel disease with mcc
386
Inflammatory bowel disease with cc
387
Inflammatory bowel disease without cc/mcc
388
Gastrointestinal obstruction with mcc
389
Gastrointestinal obstruction with cc
390
Gastrointestinal obstruction without cc/mcc
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
393
Other digestive system diagnoses with mcc
394
Other digestive system diagnoses with cc
395
Other digestive system diagnoses without cc/mcc
432
Cirrhosis and alcoholic hepatitis with mcc
433
Cirrhosis and alcoholic hepatitis with cc
434
Cirrhosis and alcoholic hepatitis without cc/mcc
435
Malignancy of hepatobiliary system or pancreas with mcc
436
Malignancy of hepatobiliary system or pancreas with cc
437
Malignancy of hepatobiliary system or pancreas without cc/mcc
438
Disorders of pancreas except malignancy with mcc
439
Disorders of pancreas except malignancy with cc
440
Disorders of pancreas except malignancy without cc/mcc
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
443
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis without cc/mcc
444
Disorders of the biliary tract with mcc
445
Disorders of the biliary tract with cc
446
Disorders of the biliary tract without cc/mcc
456
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with mcc
457
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with cc
458
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions without cc/mcc
485
Knee procedures with principal diagnosis of infection with mcc
486
Knee procedures with principal diagnosis of infection with cc
487
Knee procedures with principal diagnosis of infection without cc/mcc
521
Hip replacement with principal diagnosis of hip fracture with mcc
522
Hip replacement with principal diagnosis of hip fracture without mcc
533
Fractures of femur with mcc
534
Fractures of femur without mcc
535
Fractures of hip and pelvis with mcc
536
Fractures of hip and pelvis without mcc
537
Sprains, strains, and dislocations of hip, pelvis and thigh with cc/mcc
538
Sprains, strains, and dislocations of hip, pelvis and thigh without cc/mcc
539
Osteomyelitis with mcc
540
Osteomyelitis with cc
541
Osteomyelitis without cc/mcc
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
544
Pathological fractures and musculoskeletal and connective tissue malignancy without cc/mcc
545
Connective tissue disorders with mcc
546
Connective tissue disorders with cc
547
Connective tissue disorders without cc/mcc
548
Septic arthritis with mcc
549
Septic arthritis with cc
550
Septic arthritis without cc/mcc
551
Medical back problems with mcc
552
Medical back problems without mcc
553
Bone diseases and arthropathies with mcc
554
Bone diseases and arthropathies without mcc
555
Signs and symptoms of musculoskeletal system and connective tissue with mcc
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
557
Tendonitis, myositis and bursitis with mcc
558
Tendonitis, myositis and bursitis without mcc
559
Aftercare, musculoskeletal system and connective tissue with mcc
560
Aftercare, musculoskeletal system and connective tissue with cc
561
Aftercare, musculoskeletal system and connective tissue without cc/mcc
562
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
564
Other musculoskeletal system and connective tissue diagnoses with mcc
565
Other musculoskeletal system and connective tissue diagnoses with cc
566
Other musculoskeletal system and connective tissue diagnoses without cc/mcc
573
Skin graft for skin ulcer or cellulitis with mcc
574
Skin graft for skin ulcer or cellulitis with cc
575
Skin graft for skin ulcer or cellulitis without cc/mcc
582
Mastectomy for malignancy with cc/mcc
583
Mastectomy for malignancy without cc/mcc
592
Skin ulcers with mcc
593
Skin ulcers with cc
594
Skin ulcers without cc/mcc
595
Major skin disorders with mcc
596
Major skin disorders without mcc
597
Malignant breast disorders with mcc
598
Malignant breast disorders with cc
599
Malignant breast disorders without cc/mcc
600
Non-malignant breast disorders with cc/mcc
601
Non-malignant breast disorders without cc/mcc
602
Cellulitis with mcc
603
Cellulitis without mcc
604
Trauma to the skin, subcutaneous tissue and breast with mcc
605
Trauma to the skin, subcutaneous tissue and breast without mcc
606
Minor skin disorders with mcc
607
Minor skin disorders without mcc
637
Diabetes with mcc
638
Diabetes with cc
639
Diabetes without cc/mcc
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
642
Inborn and other disorders of metabolism
643
Endocrine disorders with mcc
644
Endocrine disorders with cc
645
Endocrine disorders without cc/mcc
656
Kidney and ureter procedures for neoplasm with mcc
657
Kidney and ureter procedures for neoplasm with cc
658
Kidney and ureter procedures for neoplasm without cc/mcc
673
Other kidney and urinary tract procedures with mcc
674
Other kidney and urinary tract procedures with cc
675
Other kidney and urinary tract procedures without cc/mcc
682
Renal failure with mcc
683
Renal failure with cc
684
Renal failure without cc/mcc
686
Kidney and urinary tract neoplasms with mcc
687
Kidney and urinary tract neoplasms with cc
688
Kidney and urinary tract neoplasms without cc/mcc
689
Kidney and urinary tract infections with mcc
690
Kidney and urinary tract infections without mcc
693
Urinary stones with mcc
694
Urinary stones without mcc
695
Kidney and urinary tract signs and symptoms with mcc
696
Kidney and urinary tract signs and symptoms without mcc
697
Urethral stricture
698
Other kidney and urinary tract diagnoses with mcc
699
Other kidney and urinary tract diagnoses with cc
700
Other kidney and urinary tract diagnoses without cc/mcc
715
Other male reproductive system o.r. Procedures for malignancy with cc/mcc
716
Other male reproductive system o.r. Procedures for malignancy without cc/mcc
722
Malignancy, male reproductive system with mcc
723
Malignancy, male reproductive system with cc
724
Malignancy, male reproductive system without cc/mcc
725
Benign prostatic hypertrophy with mcc
726
Benign prostatic hypertrophy without mcc
727
Inflammation of the male reproductive system with mcc
728
Inflammation of the male reproductive system without mcc
729
Other male reproductive system diagnoses with cc/mcc
730
Other male reproductive system diagnoses without cc/mcc
736
Uterine and adnexa procedures for ovarian or adnexal malignancy with mcc
737
Uterine and adnexa procedures for ovarian or adnexal malignancy with cc
738
Uterine and adnexa procedures for ovarian or adnexal malignancy without cc/mcc
739
Uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with mcc
740
Uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with cc
741
Uterine and adnexa procedures for non-ovarian and non-adnexal malignancy without cc/mcc
742
Uterine and adnexa procedures for non-malignancy with cc/mcc
743
Uterine and adnexa procedures for non-malignancy without cc/mcc
754
Malignancy, female reproductive system with mcc
755
Malignancy, female reproductive system with cc
756
Malignancy, female reproductive system without cc/mcc
757
Infections, female reproductive system with mcc
758
Infections, female reproductive system with cc
759
Infections, female reproductive system without cc/mcc
760
Menstrual and other female reproductive system disorders with cc/mcc
761
Menstrual and other female reproductive system disorders without cc/mcc
768
Vaginal delivery with o.r. Procedures except sterilization and/or d&c
769
Postpartum and post abortion diagnoses with o.r. Procedures
770
Abortion with d&c, aspiration curettage or hysterotomy
776
Postpartum and post abortion diagnoses without o.r. Procedures
779
Abortion without d&c
790
Extreme immaturity or respiratory distress syndrome, neonate
791
Prematurity with major problems
792
Prematurity without major problems
793
Full term neonate with major problems
794
Neonate with other significant problems
795
Normal newborn
796
Vaginal delivery with sterilization and/or d&c with mcc
797
Vaginal delivery with sterilization and/or d&c with cc
798
Vaginal delivery with sterilization and/or d&c without cc/mcc
805
Vaginal delivery without sterilization or d&c with mcc
806
Vaginal delivery without sterilization or d&c with cc
807
Vaginal delivery without sterilization or d&c without cc/mcc
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc
810
Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders without cc/mcc
811
Red blood cell disorders with mcc
812
Red blood cell disorders without mcc
813
Coagulation disorders
814
Reticuloendothelial and immunity disorders with mcc
815
Reticuloendothelial and immunity disorders with cc
816
Reticuloendothelial and immunity disorders without cc/mcc
817
Other antepartum diagnoses with o.r. Procedures with mcc
818
Other antepartum diagnoses with o.r. Procedures with cc
819
Other antepartum diagnoses with o.r. Procedures without cc/mcc
820
Lymphoma and leukemia with major o.r. Procedures with mcc
821
Lymphoma and leukemia with major o.r. Procedures with cc
822
Lymphoma and leukemia with major o.r. Procedures without cc/mcc
823
Lymphoma and non-acute leukemia with other procedures with mcc
824
Lymphoma and non-acute leukemia with other procedures with cc
825
Lymphoma and non-acute leukemia with other procedures without cc/mcc
826
Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedures with mcc
827
Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedures with cc
828
Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedures without cc/mcc
829
Myeloproliferative disorders or poorly differentiated neoplasms with other procedures with cc/mcc
830
Myeloproliferative disorders or poorly differentiated neoplasms with other procedures without cc/mcc
831
Other antepartum diagnoses without o.r. Procedures with mcc
832
Other antepartum diagnoses without o.r. Procedures with cc
833
Other antepartum diagnoses without o.r. Procedures without cc/mcc
834
Acute leukemia without major o.r. Procedures with mcc
835
Acute leukemia without major o.r. Procedures with cc
836
Acute leukemia without major o.r. Procedures without cc/mcc
837
Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy agent with mcc
838
Chemotherapy with acute leukemia as secondary diagnosis with cc or high dose chemotherapy agent
839
Chemotherapy with acute leukemia as secondary diagnosis without cc/mcc
840
Lymphoma and non-acute leukemia with mcc
841
Lymphoma and non-acute leukemia with cc
842
Lymphoma and non-acute leukemia without cc/mcc
843
Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc
844
Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with cc
845
Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses without cc/mcc
846
Chemotherapy without acute leukemia as secondary diagnosis with mcc
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
848
Chemotherapy without acute leukemia as secondary diagnosis without cc/mcc
849
Radiotherapy
856
Postoperative or post-traumatic infections with o.r. Procedures with mcc
857
Postoperative or post-traumatic infections with o.r. Procedures with cc
858
Postoperative or post-traumatic infections with o.r. Procedures without cc/mcc
862
Postoperative and post-traumatic infections with mcc
863
Postoperative and post-traumatic infections without mcc
864
Fever and inflammatory conditions
865
Viral illness with mcc
866
Viral illness without mcc
867
Other infectious and parasitic diseases diagnoses with mcc
868
Other infectious and parasitic diseases diagnoses with cc
869
Other infectious and parasitic diseases diagnoses without cc/mcc
870
Septicemia or severe sepsis with mv >96 hours
871
Septicemia or severe sepsis without mv >96 hours with mcc
872
Septicemia or severe sepsis without mv >96 hours without mcc
880
Acute adjustment reaction and psychosocial dysfunction
881
Depressive neuroses
882
Neuroses except depressive
883
Disorders of personality and impulse control
884
Organic disturbances and intellectual disability
885
Psychoses
886
Behavioral and developmental disorders
887
Other mental disorder diagnoses
894
Alcohol, drug abuse or dependence, left ama
895
Alcohol, drug abuse or dependence with rehabilitation therapy
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
913
Traumatic injury with mcc
914
Traumatic injury without mcc
915
Allergic reactions with mcc
916
Allergic reactions without mcc
917
Poisoning and toxic effects of drugs with mcc
918
Poisoning and toxic effects of drugs without mcc
919
Complications of treatment with mcc
920
Complications of treatment with cc
921
Complications of treatment without cc/mcc
922
Other injury, poisoning and toxic effect diagnoses with mcc
923
Other injury, poisoning and toxic effect diagnoses without mcc
927
Extensive burns or full thickness burns with mv >96 hours with skin graft
928
Full thickness burn with skin graft or inhalation injury with cc/mcc
929
Full thickness burn with skin graft or inhalation injury without cc/mcc
933
Extensive burns or full thickness burns with mv >96 hours without skin graft
935
Non-extensive burns
945
Rehabilitation with cc/mcc
946
Rehabilitation without cc/mcc
947
Signs and symptoms with mcc
948
Signs and symptoms without mcc
949
Aftercare with cc/mcc
950
Aftercare without cc/mcc
951
Other factors influencing health status
963
Other multiple significant trauma with mcc
964
Other multiple significant trauma with cc
965
Other multiple significant trauma without cc/mcc
969
Hiv with extensive o.r. Procedures with mcc
970
Hiv with extensive o.r. Procedures without mcc
974
Hiv with major related condition with mcc
975
Hiv with major related condition with cc
976
Hiv with major related condition without cc/mcc
977
Hiv with or without other related condition
998
Principal diagnosis invalid as discharge diagnosis