ICD-9-CM Codes, DRG Assignments for 2003

Diagnosis Code Description CC MDC DRG

040.82 Toxic shock syndrome Y 18 423

066.4 West Nile fever N 18 421, 422

277.02 Cystic fibrosis with pulmonary manifestations Y 4 79, 80, 81

277.03 Cystic fibrosis with gastrointestinal manifestations Y 6 188, 189, 190

277.09 Cystic fibrosis with other manifestations Y 10 296, 297, 298

357.81 Chronic inflammatory demyelinating polyneuritis N 1 18, 19

357.82 Critical illness polyneuropathy N 1 18, 19

357.89 Other inflammatory and toxic neuropathy N 1 18, 19

359.81 Critical illness myopathy N 1 34, 35

359.89 Other myopathies N 1 34, 35

365.83 Aqueous misdirection N 2 46, 47, 48

414.06 Coronary atherosclerosis of coronary artery of transplanted heart N 5 132, 133

414.12 Dissection of coronary artery N 5 121, 144, 145

428.20 Unspecified systolic heart failure Y 5 115, 121, 124, 127

428.21 Acute systolic heart failure Y 5 115, 121, 124, 127

428.22 Chronic systolic heart failure Y 5 115, 121, 124, 127

428.23 Acute on chronic systolic heart failure Y 5 115, 121, 124, 127

428.30 Unspecified diastolic heart failure Y 5 115, 121, 124, 127

428.31 Acute diastolic heart failure Y 5 115, 121, 124, 127

428.32 Chronic diastolic heart failure Y 5 115, 121, 124, 127

428.33 Acute on chronic diastolic heart failure Y 5 115, 121, 124, 127

428.40 Unspecified combined systolic and diastolic heart failure Y 5 115, 121, 124, 127

428.41 Acute combined systolic and diastolic heart failure Y 5 115, 121, 124, 127

428.42 Chronic combined systolic and diastolic heart failure Y 5 115, 121, 124, 127

428.43 Acute on chronic combined systolic and diastolic heart failure Y 5 115, 121, 124, 127

438.6 Alterations of sensations N 1 12

438.7 Disturbances of vision N 1 12

438.83 Facial weakness N 1 12

438.84 Ataxia N 1 12

438.85 Vertigo N 1 12

443.21 Dissection of carotid artery N 5 130, 131

443.22 Dissection of iliac artery N 5 130, 131

443.23 Dissection of renal artery N 11 331, 332, 333

443.24 Dissection of vertebral artery N 5 130, 131

443.29 Dissection of other artery N 5 130, 131

445.01
Atheroembolism, upper extremity Y 5 130, 131

445.02
Atheroembolism, lower extremity Y 5 130, 131

445.81
Atheroembolism, kidney Y 11 331, 332, 333

445.89 Atheroembolism, other site Y 5 130, 131

454.8
Varicose veins of the lower extremities, with other complications N 5 130, 131

459.10
Postphlebetic syndrome without complications N 5 130, 131

459.11
Postphlebetic syndrome with ulcer N 5 130, 131

459.12 Postphlebetic syndrome with inflammation N 5 130, 131

459.13
Postphlebetic syndrome with ulcer and inflammation N 5 130, 131

459.19
Postphlebetic syndrome with other complications N 5 130, 131

459.30
Chronic venous hypertension without complications N 5 130, 131

459.31 Chronic venous hypertension with ulcer N
5 130, 131

459.32
Chronic venous hypertension with inflammation N 5 130, 131

459.33
Chronic venous hypertension with ulcer and inflammation N 5 130, 131

459.39
Chronic venous hypertension with other complications N 5 130, 131

537.84
Dieulafoy lesions (hemorrhagic) of stomach and duodenum Y 6 174, 175

569.86
Dieulafoy lesions (hemorrhagic) of intestine Y 6 188, 189, 190

633.00
Abdominal pregnancy without intrauterine pregnancy N 14 378

633.01
Abdominal pregnancy with intrauterine pregnancy N 14 378

633.10 Tubal pregnancy without intrauterine pregnancy
N 14 378

633.11 Tubal pregnancy with intrauterine pregnancy
N 14 378

633.20
Ovarian pregnancy without intrauterine pregnancy N 14 378

633.21
Ovarian pregnancy with intrauterine pregnancy N 14 378

633.80
Other ectopic pregnancy without intrauterine pregnancy N 14 378

633.81
Other ectopic pregnancy with intrauterine pregnancy N 14 378

633.90
Unspecified ectopic pregnancy without intrauterine pregnancy N 14 378

633.91
Unspecified ectopic pregnancy with intrauterine pregnancy N 14 378

747.83
Persistent fetal circulation N 15 387, 389

765.20
Unspecified weeks of gestation N 15 391

765.21 Less than 24 completed weeks of gestation N 15
386

765.22
24 completed weeks of gestation N 15 386

765.23
25-26 completed weeks of gestation N 15 386

765.24
27-28 completed weeks of gestation N 15 387, 388

765.25
29-30 completed weeks of gestation N 15 387, 388

765.26
31-32 completed weeks of gestation N 15 387, 388

765.27
33-34 completed weeks of gestation N 15 387, 388

765.28
35-36 completed weeks of gestation N 15 387, 388

765.29 37 or more completed weeks of gestation N 15 391

770.81
Primary apnea of newborn N 15 390

770.82
Other apnea of newborn N 15 390

770.83
Cyanotic attacks of newborn N 15 390

770.84
Respiratory failure of newborn Y 15 387, 389

770.89
Other respiratory problems after birth N 15 390

771.81 Septicemia [sepsis] of newborn
Y 15 387, 389

771.82
Urinary tract infection of newborn N 15 387, 389

771.83
Bacteremia of newborn Y 15 387, 389

771.89
Other infections specific to the perinatal period N 15 387, 389

779.81
Neonatal bradycardia N 15 390

779.82
Neonatal tachycardia N 15 390

779.89 Other specified conditions originating in the perinatal period
N 15 390

780.91 Fussy infant (baby) N
23 463, 464

780.92
Excessive crying of infant (baby) N 23 463, 464

780.99
Other general symptoms N 23 463, 464

781.93
Ocular torticollis N 8 243

795.00
Nonspecific abnormal Papanicolaou smear of cervix, unspecified N 13 358, 359, 369

795.01
Atypical squamous cell changes of undetermined significance favor benign (ASCUS favor benign) N 13 358, 359, 369

795.02
Atypical squamous cell changes of undetermined significance
favor dysplasia (ASCUS favor dysplasia)
N 13 358, 359, 369

795.09
Other nonspecific abnormal Papanicolaou smear of cervix N 13 358, 359, 369

795.31 Nonspecific positive findings for anthrax
N 18 423

795.39
Other nonspecific positive culture findings N 18 423

813.45 Torus fracture of radius
N 8, 24 250, 251, 252, 487

823.40 Torus fracture, tibia alone N 8, 24 253, 254, 255, 487

823.41 Torus fracture, fibula alone N
8, 24 253, 254, 255, 487

823.42
Torus fracture, fibula with tibia N 8, 24 253, 254, 255, 487

995.90
Systemic inflammatory response syndrome, unspecified Y 18 416, 417

995.91
Systemic inflammatory response syndrome, due to infectious
process without organ dysfunction
Y 18 416, 417

995.92
Systemic inflammatory response syndrome, due to infectious
process with organ dysfunction
Y 18 416, 417

995.93
Systemic inflammatory response syndrome, due to non-infectious
process without organ dysfunction
Y 18 416, 417

995.94
Systemic inflammatory response syndrome, due to non-infectious
process with organ dysfunction
Y 18 416, 417

998.31 Disruption of internal operation wound Y 21 452, 453

998.32 Disruption of external operation wound
Y 21 452, 453

V01.81
Contact with or exposure to communicable diseases, anthrax N 15
23
391 1
467

V01.89
Contact with or exposure to communicable diseases,
other communicable diseases
N 15
23
391 1
467

V13.21 Personal history of pre-term labor
N 23 467

V13.29
Personal history of other genital system and obstetric disorders N 23 467

V23.41 Pregnancy with history of pre-term labor
N 14 469

V23.49 Pregnancy with other poor obstetric history
N 14 469

V46.2 Other dependence on machines, supplemental O2
N 23 467

V54.10
Aftercare for healing traumatic fracture of arm, unspecified N 8 249

V54.11
Aftercare for healing traumatic fracture of upper arm N 8 249

V54.12
Aftercare for healing traumatic fracture of lower arm N 8 249

V54.13
Aftercare for healing traumatic fracture of hip N 8 249

V54.14
Aftercare for healing traumatic fracture of leg, unspecified N 8 249

V54.15
Aftercare for healing traumatic fracture of upper leg N 8 249

V54.16 Aftercare for healing traumatic fracture of lower leg N
8 249

V54.17
Aftercare for healing traumatic fracture of vertebrae N 8 249

V54.19 Aftercare for healing traumatic fracture of other bone N 8 249

V54.20
Aftercare for healing pathologic fracture of arm, unspecified N 8 249

V54.21
Aftercare for healing pathologic fracture of upper arm N 8 249

V54.22
Aftercare for healing pathologic fracture of lower arm N 8 249

V54.23 Aftercare for healing pathologic fracture of hip
N 8 249

V54.24 Aftercare for healing pathologic fracture of leg, unspecified
N 8 249

V54.25 Aftercare for healing pathologic fracture of upper leg N 8
249

V54.26
Aftercare for healing pathologic fracture of lower leg N 8 249

V54.27
Aftercare for healing pathologic fracture of vertebrae N 8 249

V54.29
Aftercare for healing pathologic fracture of other bone N 8 249

V54.81
Aftercare following joint replacement N 8 249

V54.89
Other orthopedic aftercare N 8 249

V58.42
Aftercare following surgery for neoplasm N 23 465, 466

V58.43
Aftercare following surgery for injury and trauma N 23 465, 466

V58.71
Aftercare following surgery of the sense organs, NEC N 23 465, 466

V58.72 Aftercare following surgery of the nervous system, NEC
N 23 465, 466

V58.73 Aftercare following surgery of the circulatory system, NEC
N 23 465, 466

V58.74 Aftercare following surgery of the respiratory system, NEC N 23 465, 466

V58.75
Aftercare following surgery of the teeth, oral cavity, and digestive system, NEC N 23 465, 466

V58.76
Aftercare following surgery of the genitourinary system, NEC N 23 465, 466

V58.77
Aftercare following surgery of the skin and subcutaneous tissue, NEC N 23 465, 466

V58.78
Aftercare following surgery of the musculoskeletal system, NEC N 23 465, 466

V71.82
Observation and evaluation for suspected exposure to anthrax N 23 467

V71.83
Observation and evaluation for suspected exposure to other biological agent N 23 467

V83.81
Cystic fibrosis gene carrier N 23 467

V83.89
Other genetic carriers status N 23 467

1 Classified as an "only secondary diagnosis" in this DRG

Procedure
Code
Description OR MDC DRG


00.01
Therapeutic ultrasound of vessels of head and neck N    

00.02 Therapeutic ultrasound of heart N    

00.03 Therapeutic ultrasound of peripheral vascular vessels N    


00.09
Other therapeutic ultrasound N    


00.10
Implantation of chemotherapeutic agent N    

00.11 Infusion of drotrecogin alfa (activated) N    


00.12
Administration of inhaled nitric oxide N    


00.13
Injection or infusion of nesiritide N    


00.14
Injection or infusion of oxazolidinone class of antibiotics N    


00.50
Implantation of cardiac resynchronization pacemaker without mention of defibrillation, total system [CRT-P] Y 5 115 1,
116 1

00.51 Implantation of cardiac resynchronization defibrillator,
total system [CRT-D]
Y 5 514 1,
515 1

00.52 Implantation or replacement of transvenous lead (electrode) into left ventricular coronary venous system Y 5 115 2,
116 3,
514 4,
515 4

00.53
Implantation or replacement of cardiac resynchronization pacemaker pulse operator only [CRT-P] Y 5 115 2,
116 3,
118

00.54
Implantation or replacement of cardiac resynchronization
defibrillator pulse generator only [CRT-D]
Y 5 115 1,
514 4,
515 4

00.55
Insertion of drug-eluting non-coronary artery stent(s) N    

36.07 Insertion of drug-eluting coronary artery stents(s) N 5 526, 527

39.72
Endovascular repair or occlusion of head and neck vessels Y 1
5
11
21
24
1,2,3
110, 111
315
442, 443
486

49.75
Implantation or revision of artificial anal sphincter Y 6
9
21
24
157, 158
267
442, 443
486

49.76 Removal of artificial anal sphincter Y 6
9
21
24
157, 158
267
442, 443
486

81.61 360-degree spinal fusion, single incision approach
Y
1
8
21
24
4
496
442, 443
486

84.51
Insertion of interbody spinal fusion device N    

84.52
Insertion of recombinant bone morphogenetic protein N    

88.96
Other intraoperative magnetic resonance imaging N    

89.60 5
Continuous intra-arterial blood gas monitoring N    

99.76
Extracorporeal immunoadsorption N    

99.77 Application or administration of an adhesion barrier substance N    

1. Classified under "operating room procedures"
2. Classified under "operating room procedure" and under "as any of the following procedure combinations" as 00.52 and 00.53
3. Classified under "any of the following procedure combinations" as 00.52 and 00.53
4. Classified under "any of the following procedure combinations" as 00.52 and 00.54
5. This code was discussed at the April 18, 2002, meeting of the ICD-9-CM Coordination and Maintenance Committee and included in the final addendum for ICD-9-CM
* Nonoperating room procedure, but affects DRG

Source: "Coding Notes" (Web-only Journal of AHIMA feature, November 2002).