[[Page 40063]]
Table 6A.--New Diagnosis Codes
----------------------------------------------------------------------------------------------------------------
Diagnosis
Code Description CC MDC DRG
----------------------------------------------------------------------------------------------------------------
256.31 Premature menopause.......... N 13 358, 359, 369
256.39 Other ovarian failure........ N 13 358, 359, 369
277.7 Dysmetabolic Syndrome X...... N 10 299
464.00 Acute laryngitis, without N 3 68, 69, 70
mention of obstruction. pre 482
464.01 Acute laryngitis, with N 3 68, 69, 70
obstruction. pre 482
[[Page 40064]]
464.50 Unspecified supraglottis, N 3 68, 69, 70
without mention of pre 482
obstruction.
464.51 Unspecified supraglottis, N 3 68, 69, 70
with obstruction. pre 482
521.00 Unspecified dental caries.... N 3 185, 186, 187
pre 482
521.01 Dental caries limited to N 3 185, 186, 187
enamel. pre 482
521.02 Dental caries extending into N 3 185, 186, 187
dentine. pre 482
521.03 Dental caries extending into N 3 185, 186, 187
pulp. pre 482
521.04 Arrested dental caries....... N 3 185, 186, 187
pre 482
521.05 Odontoclasia................. N 3 185, 186, 187
pre 482
521.09 Other dental caries.......... N 3 185, 186, 187
pre 482
525.10 Unspecified acquired absence N 3 185, 186, 187
of teeth. pre 482
525.11 Loss of teeth due to trauma.. N 3 185, 186, 187
pre 482
525.12 Loss of teeth due to N 3 185, 186, 187
periodontal disease. pre 482
525.13 Loss of teeth due to caries.. N 3 185, 186, 187
pre 482
525.19 Other loss of teeth.......... N 3 185, 186, 187
pre 482
530.12 Acute esophagitis............ N 6 182, 183, 184
564.00 Unspecified constipation..... N 6 182, 183, 184
564.01 Slow transit constipation.... N 6 182, 183, 184
564.02 Outlet dysfunction N 6 182, 183, 184
constipation.
564.09 Other constipation........... N 6 182, 183, 184
602.3 Dysplasia of prostate........ N 12 352
608.82 Hematospermia................ N 12 352
608.87 Retrograde ejaculation....... N 12 352
692.76 Sunburn of second degree..... N 9 283, 284
692.77 Sunburn of third degree...... N 9 283, 284
718.70 Developmental dislocation of N 8 256
joint, site unspecified.
718.71 Developmental dislocation of N 8 256
joint, shoulder region.
718.72 Developmental dislocation of N 8 256
joint, upper arm.
718.73 Developmental dislocation of N 8 256
joint, forearm.
718.74 Developmental dislocation of N 8 256
joint, hand.
718.75 Developmental dislocation of N 8 256
joint, pelvic region and
thigh.
718.76 Developmental dislocation of N 8 256
joint, lower leg.
718.77 Developmental dislocation of N 8 256
joint, ankle and foot.
718.78 Developmental dislocation of N 8 256
joint, other specified sites.
718.79 Developmental dislocation of N 8 256
joint, multiple sites.
733.93 Stress fracture of tibia or Y 8 239
fibula.
733.94 Stress fracture of the Y 8 239
metatarsals.
733.95 Stress fracture of other bone Y 8 239
772.10 Intraventricular hemorrhage, Y 15 387, 389
unspecified grade.
772.11 Intraventricular hemorrhage, Y 15 387, 389
Grade I.
772.12 Intraventricular hemorrhage, Y 15 387, 389
Grade II.
772.13 Intraventricular hemorrhage, Y 15 387, 389
Grade III.
772.14 Intraventricular hemorrhage, Y 15 387, 389
Grade IV.
779.7 Perventricular leukomalacia.. Y 15 387, 389
793.80 Unspecified abnormal N 9 276
mammogram.
793.81 Mammographic N 9 276
microcalcification.
793.89 Other abnormal findings on N 9 276
radiological examination
breast.
840.7 Superior glenoid labrum N 8 253, 254, 255
lesions (SLAP). 24 487
997.71 Vascular complications of Y 6 188, 189, 190
mesenteric artery. 15 387, 389
997.72 Vascular complications of Y 11 331, 332, 333
renal artery. 15 387, 389
997.79 Vascular complications of Y 5 130, 131
other vessels. 15 387, 389
V10.53 Personal history of malignant N 17 411, 412
neoplasm, renal pelvis.
V45.84 Dental restoration status.... N 23 467
V49.82 Dental sealant status........ N 23 467
[[Page 40065]]
V83.01 Asymptomatic hemophilia A N 23 467
carrier.
V83.02 Symptomatic hemophilia A N 23 467
carrier.
----------------------------------------------------------------------------------------------------------------
Table 6B.--New Procedure Codes
----------------------------------------------------------------------------------------------------------------
Procedure
Code Description OR MDC DRG
----------------------------------------------------------------------------------------------------------------
37.28 Intracardiac echocardiography N
44.32 Percutaneous [endoscopic] Y 6 154-156
gastrojejunostomy. 7 201
10 288
17 400, 406, 407
67.51 Transabdominal cerclage of Y 13 360
cervix. 14 372, 373
21 442, 443
24 486
67.59 Other repair of internal Y 13 360
cervical os. 14 372, 373
21 442, 443
24 486
75.38 Fetal pulse oximetry......... N
81.30 Refusion of spine, not Y 1 4
otherwise specified. 8 497, 498
21 442, 443
24 486
81.31 Refusion of Atlas-axis spine. Y 1 4
8 497, 498
21 442, 443
24 486
81.32 Refusion of other cervical Y 1 4
spine, anterior technique. 8 496, 519, 520
21 442, 443
24 486
81.33 Refusion of other cervical Y 1 4
spine, posterior technique. 8 496, 519, 520
21 442, 443
24 486
81.34 Refusion of dorsal and Y 1 4
dorsolumbar spine, anterior 8 496, 497, 498
technique. 21 442, 443
24 486
81.35 Refusion of dorsal and Y 1 4
dorsolumbar spine, posterior 8 496, 497, 498
technique. 21 442, 443
24 486
81.36 Refusion of lumbar and Y 1 4
lumbosacral spine, anterior 8 496, 497, 498
technique. 21 442, 443
24 486
81.37 Refusion of lumbar and Y 1 4
lumbosacral spine, lateral 8 496, 497, 498
transverse process technique. 21 442, 443
24 486
81.38 Refusion of lumbar and Y 1 4
lumbosacral spine, posterior 8 496, 497, 498
technique. 21 442, 443
24 486
81.39 Refusion of spine, not Y 1 4
elsewhere classified. 8 497, 498
21 442, 443
24 486
97.44 Nonoperative removal of heart N
assist system.
----------------------------------------------------------------------------------------------------------------
[[Page 40066]]
Table 6C.--Invalid Diagnosis Codes
----------------------------------------------------------------------------------------------------------------
Diagnosis
Code Description CC MDC DRG
----------------------------------------------------------------------------------------------------------------
256.3 Other ovarian failure........ N 13 358, 359, 369
464.0 Acute laryngitis............. N 3 68, 69, 70
pre 482
521.0 Dental caries................ N 3 185, 186, 187
pre 482
525.1 Loss of teeth due to N 3 185, 186, 187
accident, extraction, or pre 482
local periodontal disease.
564.0 Constipation................. N 6 182, 183, 184
772.1 Intraventricular hemorrhage.. Y 15 387, 389
793.8 Nonspecific abnormal findings N 9 276
on radiological and other
examinations of body
structure, breast.
----------------------------------------------------------------------------------------------------------------
Table 6D.--Invalid Procedure Codes
----------------------------------------------------------------------------------------------------------------
Procedure
Code Description OR MDC DRG
----------------------------------------------------------------------------------------------------------------
67.5 Repair of internal cervical Y 13 360
os. 14 372, 373
21 442, 443
24 486
81.09 Refusion of spine, any level Y 1 4
or technique. 8 497, 498
21 442, 443
24 486
----------------------------------------------------------------------------------------------------------------
Table 6E.--Revised Diagnosis Code Titles
----------------------------------------------------------------------------------------------------------------
Diagnosis
Code Description CC MDC DRG
----------------------------------------------------------------------------------------------------------------
411.81 Acute coronary occlusion Y 5 124, 140
without myocardial
infarction.
493.00 Extrinsic asthma without N 4 96, 97, 98
mention of status
asthmaticus or acute
exacerbation or unspecified.
493.10 Intrinsic asthma without N 4 96, 97, 98
mention of status
asthmaticus or acute
exacerbation or unspecified.
493.20 Chronic obstructive asthma Y 4 88
without mention of status
asthmaticus or acute
exacerbation or unspecified.
493.90 Asthma, unspecified without N 4 96, 97, 98
mention of status
asthmaticus or acute
exacerbation or unspecified.
V70.7 Examination of participant in N 23 467
clinical trial.
----------------------------------------------------------------------------------------------------------------
Table 6F.--Revised Procedure Code Titles
----------------------------------------------------------------------------------------------------------------
Procedure
Code Description OR MDC DRG
----------------------------------------------------------------------------------------------------------------
75.34 Other fetal monitoring....... N
----------------------------------------------------------------------------------------------------------------
 |