MS-DRG · FY 2026 v43.0
MS-DRG 13 – Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC
A Surgical DRG in Pre-MDC (Pre-MDC). Inpatient cases group to DRG 13 when one of the 10 ICD-10-PCS operating-room procedures listed below is reported with a qualifying principal diagnosis. Its FY 2026 relative weight is 2.8818 with a geometric mean length of stay of 6.5 days.
Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
2.8818
Relative Weight
6.5
Geometric Mean LOS (days)
7.1
Arithmetic Mean LOS (days)
890
Diagnosis Codes
10
Procedure Codes
Severity family
DRG 11with MCCWeight 5.4541 · GMLOS 11.4 daysDRG 12with CCWeight 4.2160 · GMLOS 8.6 daysDRG 13without CC/MCCWeight 2.8818 · GMLOS 6.5 days
How a case is assigned to DRG 13
The grouper first assigns the case to Pre-MDC from the principal diagnosis, then matches a qualifying operating-room procedure from the ICD-10-PCS list below (this is a Surgical DRG), then applies the severity split from secondary diagnoses: with MCC → 11; with CC → 12; without CC/MCC → 13.
ICD-10-PCS
Procedure Codes 10 codes · 2 categories
0B11 Respiratory System, Bypass6 codes
- 0B110F4 Bypass Trachea to Cutaneous with Tracheostomy Device, Open Approach
- 0B110Z4 Bypass Trachea to Cutaneous, Open Approach
- 0B113F4 Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Approach
- 0B113Z4 Bypass Trachea to Cutaneous, Percutaneous Approach
- 0B114F4 Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Endoscopic Approach
- 0B114Z4 Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach
ICD-10-CM
Qualifying Diagnosis Codes 890 codes · 115 categories
890 of 890 shown
A36 Diphtheria3 codes
A54 Gonococcal infection1 code
- A54.5 Gonococcal pharyngitis
A56 Other sexually transmitted chlamydial diseases1 code
- A56.4 Chlamydial infection of pharynx
A66 Yaws1 code
- A66.5 Gangosa
A69 Other spirochetal infections2 codes
B00 Herpesviral [herpes simplex] infections1 code
- B00.2 Herpesviral gingivostomatitis and pharyngotonsillitis
B08 Other viral infections characterized by skin and mucous membrane lesions, not elsewhere classified1 code
- B08.5 Enteroviral vesicular pharyngitis
C00 Malignant neoplasm of lip9 codes
- C00.0 Malignant neoplasm of external upper lip
- C00.1 Malignant neoplasm of external lower lip
- C00.2 Malignant neoplasm of external lip, unspecified
- C00.3 Malignant neoplasm of upper lip, inner aspect
- C00.4 Malignant neoplasm of lower lip, inner aspect
- C00.5 Malignant neoplasm of lip, unspecified, inner aspect
- C00.6 Malignant neoplasm of commissure of lip, unspecified
- C00.8 Malignant neoplasm of overlapping sites of lip
- C00.9 Malignant neoplasm of lip, unspecified
C01 Malignant neoplasm of base of tongue1 code
- C01 Malignant neoplasm of base of tongue
C02 Malignant neoplasm of other and unspecified parts of tongue7 codes
- C02.0 Malignant neoplasm of dorsal surface of tongue
- C02.1 Malignant neoplasm of border of tongue
- C02.2 Malignant neoplasm of ventral surface of tongue
- C02.3 Malignant neoplasm of anterior two-thirds of tongue, part unspecified
- C02.4 Malignant neoplasm of lingual tonsil
- C02.8 Malignant neoplasm of overlapping sites of tongue
- C02.9 Malignant neoplasm of tongue, unspecified
C03 Malignant neoplasm of gum3 codes
C04 Malignant neoplasm of floor of mouth4 codes
C05 Malignant neoplasm of palate5 codes
C06 Malignant neoplasm of other and unspecified parts of mouth6 codes
- C06.0 Malignant neoplasm of cheek mucosa
- C06.1 Malignant neoplasm of vestibule of mouth
- C06.2 Malignant neoplasm of retromolar area
- C06.80 Malignant neoplasm of overlapping sites of unspecified parts of mouth
- C06.89 Malignant neoplasm of overlapping sites of other parts of mouth
- C06.9 Malignant neoplasm of mouth, unspecified
C07 Malignant neoplasm of parotid gland1 code
- C07 Malignant neoplasm of parotid gland
C08 Malignant neoplasm of other and unspecified major salivary glands3 codes
C09 Malignant neoplasm of tonsil4 codes
C10 Malignant neoplasm of oropharynx7 codes
- C10.0 Malignant neoplasm of vallecula
- C10.1 Malignant neoplasm of anterior surface of epiglottis
- C10.2 Malignant neoplasm of lateral wall of oropharynx
- C10.3 Malignant neoplasm of posterior wall of oropharynx
- C10.4 Malignant neoplasm of branchial cleft
- C10.8 Malignant neoplasm of overlapping sites of oropharynx
- C10.9 Malignant neoplasm of oropharynx, unspecified
C11 Malignant neoplasm of nasopharynx6 codes
- C11.0 Malignant neoplasm of superior wall of nasopharynx
- C11.1 Malignant neoplasm of posterior wall of nasopharynx
- C11.2 Malignant neoplasm of lateral wall of nasopharynx
- C11.3 Malignant neoplasm of anterior wall of nasopharynx
- C11.8 Malignant neoplasm of overlapping sites of nasopharynx
- C11.9 Malignant neoplasm of nasopharynx, unspecified
C12 Malignant neoplasm of pyriform sinus1 code
- C12 Malignant neoplasm of pyriform sinus
C13 Malignant neoplasm of hypopharynx5 codes
C14 Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx3 codes
C30 Malignant neoplasm of nasal cavity and middle ear2 codes
C31 Malignant neoplasm of accessory sinuses6 codes
C32 Malignant neoplasm of larynx6 codes
C39 Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs1 code
- C39.0 Malignant neoplasm of upper respiratory tract, part unspecified
C41 Malignant neoplasm of bone and articular cartilage of other and unspecified sites1 code
- C41.1 Malignant neoplasm of mandible
C44 Other and unspecified malignant neoplasm of skin4 codes
C46 Kaposi's sarcoma1 code
- C46.2 Kaposi's sarcoma of palate
C73 Malignant neoplasm of thyroid gland1 code
- C73 Malignant neoplasm of thyroid gland
C76 Malignant neoplasm of other and ill-defined sites1 code
- C76.0 Malignant neoplasm of head, face and neck
C77 Secondary and unspecified malignant neoplasm of lymph nodes1 code
- C77.0 Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck
C81 Hodgkin lymphoma7 codes
- C81.01 Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of head, face, and neck
- C81.11 Nodular sclerosis Hodgkin lymphoma, lymph nodes of head, face, and neck
- C81.21 Mixed cellularity Hodgkin lymphoma, lymph nodes of head, face, and neck
- C81.31 Lymphocyte depleted Hodgkin lymphoma, lymph nodes of head, face, and neck
- C81.41 Lymphocyte-rich Hodgkin lymphoma, lymph nodes of head, face, and neck
- C81.71 Other Hodgkin lymphoma, lymph nodes of head, face, and neck
- C81.91 Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck
C82 Follicular lymphoma9 codes
- C82.01 Follicular lymphoma grade I, lymph nodes of head, face, and neck
- C82.11 Follicular lymphoma grade II, lymph nodes of head, face, and neck
- C82.21 Follicular lymphoma grade III, unspecified, lymph nodes of head, face, and neck
- C82.31 Follicular lymphoma grade IIIa, lymph nodes of head, face, and neck
- C82.41 Follicular lymphoma grade IIIb, lymph nodes of head, face, and neck
- C82.51 Diffuse follicle center lymphoma, lymph nodes of head, face, and neck
- C82.61 Cutaneous follicle center lymphoma, lymph nodes of head, face, and neck
- C82.81 Other types of follicular lymphoma, lymph nodes of head, face, and neck
- C82.91 Follicular lymphoma, unspecified, lymph nodes of head, face, and neck
C83 Non-follicular lymphoma6 codes
- C83.01 Small cell B-cell lymphoma, lymph nodes of head, face, and neck
- C83.31 Diffuse large B-cell lymphoma, lymph nodes of head, face, and neck
- C83.51 Lymphoblastic (diffuse) lymphoma, lymph nodes of head, face, and neck
- C83.71 Burkitt lymphoma, lymph nodes of head, face, and neck
- C83.81 Other non-follicular lymphoma, lymph nodes of head, face, and neck
- C83.91 Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of head, face, and neck
C84 Mature T/NK-cell lymphomas5 codes
- C84.01 Mycosis fungoides, lymph nodes of head, face, and neck
- C84.11 Sezary disease, lymph nodes of head, face, and neck
- C84.91 Mature T/NK-cell lymphomas, unspecified, lymph nodes of head, face, and neck
- C84.A1 Cutaneous T-cell lymphoma, unspecified lymph nodes of head, face, and neck
- C84.Z1 Other mature T/NK-cell lymphomas, lymph nodes of head, face, and neck
C85 Other specified and unspecified types of non-Hodgkin lymphoma4 codes
- C85.11 Unspecified B-cell lymphoma, lymph nodes of head, face, and neck
- C85.21 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of head, face, and neck
- C85.81 Other specified types of non-Hodgkin lymphoma, lymph nodes of head, face, and neck
- C85.91 Non-Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck
C86 Other specified types of T/NK-cell lymphoma2 codes
C91 Lymphoid leukemia1 code
- C91.40 Hairy cell leukemia not having achieved remission
C96 Other and unspecified malignant neoplasms of lymphoid, hematopoietic and related tissue7 codes
- C96.0 Multifocal and multisystemic (disseminated) Langerhans-cell histiocytosis
- C96.20 Malignant mast cell neoplasm, unspecified
- C96.21 Aggressive systemic mastocytosis
- C96.22 Mast cell sarcoma
- C96.29 Other malignant mast cell neoplasm
- C96.9 Malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified
- C96.A Histiocytic sarcoma
D00 Carcinoma in situ of oral cavity, esophagus and stomach9 codes
- D00.00 Carcinoma in situ of oral cavity, unspecified site
- D00.01 Carcinoma in situ of labial mucosa and vermilion border
- D00.02 Carcinoma in situ of buccal mucosa
- D00.03 Carcinoma in situ of gingiva and edentulous alveolar ridge
- D00.04 Carcinoma in situ of soft palate
- D00.05 Carcinoma in situ of hard palate
- D00.06 Carcinoma in situ of floor of mouth
- D00.07 Carcinoma in situ of tongue
- D00.08 Carcinoma in situ of pharynx
D02 Carcinoma in situ of middle ear and respiratory system1 code
- D02.0 Carcinoma in situ of larynx
D10 Benign neoplasm of mouth and pharynx10 codes
- D10.0 Benign neoplasm of lip
- D10.1 Benign neoplasm of tongue
- D10.2 Benign neoplasm of floor of mouth
- D10.30 Benign neoplasm of unspecified part of mouth
- D10.39 Benign neoplasm of other parts of mouth
- D10.4 Benign neoplasm of tonsil
- D10.5 Benign neoplasm of other parts of oropharynx
- D10.6 Benign neoplasm of nasopharynx
- D10.7 Benign neoplasm of hypopharynx
- D10.9 Benign neoplasm of pharynx, unspecified
D11 Benign neoplasm of major salivary glands3 codes
D14 Benign neoplasm of middle ear and respiratory system2 codes
D16 Benign neoplasm of bone and articular cartilage2 codes
D18 Hemangioma and lymphangioma, any site3 codes
D34 Benign neoplasm of thyroid gland1 code
- D34 Benign neoplasm of thyroid gland
D37 Neoplasm of uncertain behavior of oral cavity and digestive organs9 codes
- D37.01 Neoplasm of uncertain behavior of lip
- D37.02 Neoplasm of uncertain behavior of tongue
- D37.030 Neoplasm of uncertain behavior of the parotid salivary glands
- D37.031 Neoplasm of uncertain behavior of the sublingual salivary glands
- D37.032 Neoplasm of uncertain behavior of the submandibular salivary glands
- D37.039 Neoplasm of uncertain behavior of the major salivary glands, unspecified
- D37.04 Neoplasm of uncertain behavior of the minor salivary glands
- D37.05 Neoplasm of uncertain behavior of pharynx
- D37.09 Neoplasm of uncertain behavior of other specified sites of the oral cavity
D38 Neoplasm of uncertain behavior of middle ear and respiratory and intrathoracic organs1 code
- D38.0 Neoplasm of uncertain behavior of larynx
E03 Other hypothyroidism1 code
- E03.4 Atrophy of thyroid (acquired)
E04 Other nontoxic goiter1 code
- E04.1 Nontoxic single thyroid nodule
E05 Thyrotoxicosis [hyperthyroidism]14 codes
- E05.00 Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm
- E05.01 Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm
- E05.10 Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm
- E05.11 Thyrotoxicosis with toxic single thyroid nodule with thyrotoxic crisis or storm
- E05.20 Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm
- E05.21 Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm
- E05.30 Thyrotoxicosis from ectopic thyroid tissue without thyrotoxic crisis or storm
- E05.31 Thyrotoxicosis from ectopic thyroid tissue with thyrotoxic crisis or storm
- E05.40 Thyrotoxicosis factitia without thyrotoxic crisis or storm
- E05.41 Thyrotoxicosis factitia with thyrotoxic crisis or storm
- E05.80 Other thyrotoxicosis without thyrotoxic crisis or storm
- E05.81 Other thyrotoxicosis with thyrotoxic crisis or storm
- E05.90 Thyrotoxicosis, unspecified without thyrotoxic crisis or storm
- E05.91 Thyrotoxicosis, unspecified with thyrotoxic crisis or storm
E06 Thyroiditis7 codes
E07 Other disorders of thyroid2 codes
E35 Disorders of endocrine glands in diseases classified elsewhere1 code
- E35 Disorders of endocrine glands in diseases classified elsewhere
G47 Sleep disorders29 codes
- G47.20 Circadian rhythm sleep disorder, unspecified type
- G47.21 Circadian rhythm sleep disorder, delayed sleep phase type
- G47.22 Circadian rhythm sleep disorder, advanced sleep phase type
- G47.23 Circadian rhythm sleep disorder, irregular sleep wake type
- G47.24 Circadian rhythm sleep disorder, free running type
- G47.25 Circadian rhythm sleep disorder, jet lag type
- G47.26 Circadian rhythm sleep disorder, shift work type
- G47.27 Circadian rhythm sleep disorder in conditions classified elsewhere
- G47.29 Other circadian rhythm sleep disorder
- G47.30 Sleep apnea, unspecified
- G47.31 Primary central sleep apnea
- G47.32 High altitude periodic breathing
- G47.33 Obstructive sleep apnea (adult) (pediatric)
- G47.34 Idiopathic sleep related nonobstructive alveolar hypoventilation
- G47.35 Congenital central alveolar hypoventilation syndrome
- G47.36 Sleep related hypoventilation in conditions classified elsewhere
- G47.37 Central sleep apnea in conditions classified elsewhere
- G47.39 Other sleep apnea
- G47.50 Parasomnia, unspecified
- G47.51 Confusional arousals
- G47.52 REM sleep behavior disorder
- G47.53 Recurrent isolated sleep paralysis
- G47.54 Parasomnia in conditions classified elsewhere
- G47.59 Other parasomnia
- G47.61 Periodic limb movement disorder
- G47.62 Sleep related leg cramps
- G47.63 Sleep related bruxism
- G47.69 Other sleep related movement disorders
- G47.8 Other sleep disorders
J00 Acute nasopharyngitis [common cold]1 code
- J00 Acute nasopharyngitis [common cold]
J02 Acute pharyngitis3 codes
J03 Acute tonsillitis6 codes
- J03.00 Acute streptococcal tonsillitis, unspecified
- J03.01 Acute recurrent streptococcal tonsillitis
- J03.80 Acute tonsillitis due to other specified organisms
- J03.81 Acute recurrent tonsillitis due to other specified organisms
- J03.90 Acute tonsillitis, unspecified
- J03.91 Acute recurrent tonsillitis, unspecified
J04 Acute laryngitis and tracheitis4 codes
J05 Acute obstructive laryngitis [croup] and epiglottitis3 codes
J06 Acute upper respiratory infections of multiple and unspecified sites2 codes
J31 Chronic rhinitis, nasopharyngitis and pharyngitis2 codes
J34 Other and unspecified disorders of nose and nasal sinuses1 code
- J34.2 Deviated nasal septum
J35 Chronic diseases of tonsils and adenoids8 codes
- J35.01 Chronic tonsillitis
- J35.02 Chronic adenoiditis
- J35.03 Chronic tonsillitis and adenoiditis
- J35.1 Hypertrophy of tonsils
- J35.2 Hypertrophy of adenoids
- J35.3 Hypertrophy of tonsils with hypertrophy of adenoids
- J35.8 Other chronic diseases of tonsils and adenoids
- J35.9 Chronic disease of tonsils and adenoids, unspecified
J36 Peritonsillar abscess1 code
- J36 Peritonsillar abscess
J37 Chronic laryngitis and laryngotracheitis2 codes
J38 Diseases of vocal cords and larynx, not elsewhere classified10 codes
- J38.00 Paralysis of vocal cords and larynx, unspecified
- J38.01 Paralysis of vocal cords and larynx, unilateral
- J38.02 Paralysis of vocal cords and larynx, bilateral
- J38.1 Polyp of vocal cord and larynx
- J38.2 Nodules of vocal cords
- J38.3 Other diseases of vocal cords
- J38.4 Edema of larynx
- J38.5 Laryngeal spasm
- J38.6 Stenosis of larynx
- J38.7 Other diseases of larynx
J39 Other diseases of upper respiratory tract6 codes
J95 Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified6 codes
J98 Other respiratory disorders2 codes
K00 Disorders of tooth development and eruption10 codes
- K00.0 Anodontia
- K00.1 Supernumerary teeth
- K00.2 Abnormalities of size and form of teeth
- K00.3 Mottled teeth
- K00.4 Disturbances in tooth formation
- K00.5 Hereditary disturbances in tooth structure, not elsewhere classified
- K00.6 Disturbances in tooth eruption
- K00.7 Teething syndrome
- K00.8 Other disorders of tooth development
- K00.9 Disorder of tooth development, unspecified
K02 Dental caries9 codes
- K02.3 Arrested dental caries
- K02.51 Dental caries on pit and fissure surface limited to enamel
- K02.52 Dental caries on pit and fissure surface penetrating into dentin
- K02.53 Dental caries on pit and fissure surface penetrating into pulp
- K02.61 Dental caries on smooth surface limited to enamel
- K02.62 Dental caries on smooth surface penetrating into dentin
- K02.63 Dental caries on smooth surface penetrating into pulp
- K02.7 Dental root caries
- K02.9 Dental caries, unspecified
K03 Other diseases of hard tissues of teeth11 codes
- K03.0 Excessive attrition of teeth
- K03.1 Abrasion of teeth
- K03.2 Erosion of teeth
- K03.3 Pathological resorption of teeth
- K03.4 Hypercementosis
- K03.5 Ankylosis of teeth
- K03.6 Deposits [accretions] on teeth
- K03.7 Posteruptive color changes of dental hard tissues
- K03.81 Cracked tooth
- K03.89 Other specified diseases of hard tissues of teeth
- K03.9 Disease of hard tissues of teeth, unspecified
K04 Diseases of pulp and periapical tissues12 codes
- K04.01 Reversible pulpitis
- K04.02 Irreversible pulpitis
- K04.1 Necrosis of pulp
- K04.2 Pulp degeneration
- K04.3 Abnormal hard tissue formation in pulp
- K04.4 Acute apical periodontitis of pulpal origin
- K04.5 Chronic apical periodontitis
- K04.6 Periapical abscess with sinus
- K04.7 Periapical abscess without sinus
- K04.8 Radicular cyst
- K04.90 Unspecified diseases of pulp and periapical tissues
- K04.99 Other diseases of pulp and periapical tissues
K05 Gingivitis and periodontal diseases25 codes
- K05.00 Acute gingivitis, plaque induced
- K05.01 Acute gingivitis, non-plaque induced
- K05.10 Chronic gingivitis, plaque induced
- K05.11 Chronic gingivitis, non-plaque induced
- K05.20 Aggressive periodontitis, unspecified
- K05.211 Aggressive periodontitis, localized, slight
- K05.212 Aggressive periodontitis, localized, moderate
- K05.213 Aggressive periodontitis, localized, severe
- K05.219 Aggressive periodontitis, localized, unspecified severity
- K05.221 Aggressive periodontitis, generalized, slight
- K05.222 Aggressive periodontitis, generalized, moderate
- K05.223 Aggressive periodontitis, generalized, severe
- K05.229 Aggressive periodontitis, generalized, unspecified severity
- K05.30 Chronic periodontitis, unspecified
- K05.311 Chronic periodontitis, localized, slight
- K05.312 Chronic periodontitis, localized, moderate
- K05.313 Chronic periodontitis, localized, severe
- K05.319 Chronic periodontitis, localized, unspecified severity
- K05.321 Chronic periodontitis, generalized, slight
- K05.322 Chronic periodontitis, generalized, moderate
- K05.323 Chronic periodontitis, generalized, severe
- K05.329 Chronic periodontitis, generalized, unspecified severity
- K05.4 Periodontosis
- K05.5 Other periodontal diseases
- K05.6 Periodontal disease, unspecified
K06 Other disorders of gingiva and edentulous alveolar ridge13 codes
- K06.010 Localized gingival recession, unspecified
- K06.011 Localized gingival recession, minimal
- K06.012 Localized gingival recession, moderate
- K06.013 Localized gingival recession, severe
- K06.020 Generalized gingival recession, unspecified
- K06.021 Generalized gingival recession, minimal
- K06.022 Generalized gingival recession, moderate
- K06.023 Generalized gingival recession, severe
- K06.1 Gingival enlargement
- K06.2 Gingival and edentulous alveolar ridge lesions associated with trauma
- K06.3 Horizontal alveolar bone loss
- K06.8 Other specified disorders of gingiva and edentulous alveolar ridge
- K06.9 Disorder of gingiva and edentulous alveolar ridge, unspecified
K08 Other disorders of teeth and supporting structures73 codes
- K08.0 Exfoliation of teeth due to systemic causes
- K08.101 Complete loss of teeth, unspecified cause, class I
- K08.102 Complete loss of teeth, unspecified cause, class II
- K08.103 Complete loss of teeth, unspecified cause, class III
- K08.104 Complete loss of teeth, unspecified cause, class IV
- K08.109 Complete loss of teeth, unspecified cause, unspecified class
- K08.111 Complete loss of teeth due to trauma, class I
- K08.112 Complete loss of teeth due to trauma, class II
- K08.113 Complete loss of teeth due to trauma, class III
- K08.114 Complete loss of teeth due to trauma, class IV
- K08.119 Complete loss of teeth due to trauma, unspecified class
- K08.121 Complete loss of teeth due to periodontal diseases, class I
- K08.122 Complete loss of teeth due to periodontal diseases, class II
- K08.123 Complete loss of teeth due to periodontal diseases, class III
- K08.124 Complete loss of teeth due to periodontal diseases, class IV
- K08.129 Complete loss of teeth due to periodontal diseases, unspecified class
- K08.131 Complete loss of teeth due to caries, class I
- K08.132 Complete loss of teeth due to caries, class II
- K08.133 Complete loss of teeth due to caries, class III
- K08.134 Complete loss of teeth due to caries, class IV
- K08.139 Complete loss of teeth due to caries, unspecified class
- K08.191 Complete loss of teeth due to other specified cause, class I
- K08.192 Complete loss of teeth due to other specified cause, class II
- K08.193 Complete loss of teeth due to other specified cause, class III
- K08.194 Complete loss of teeth due to other specified cause, class IV
- K08.199 Complete loss of teeth due to other specified cause, unspecified class
- K08.20 Unspecified atrophy of edentulous alveolar ridge
- K08.21 Minimal atrophy of the mandible
- K08.22 Moderate atrophy of the mandible
- K08.23 Severe atrophy of the mandible
- K08.24 Minimal atrophy of maxilla
- K08.25 Moderate atrophy of the maxilla
- K08.26 Severe atrophy of the maxilla
- K08.3 Retained dental root
- K08.401 Partial loss of teeth, unspecified cause, class I
- K08.402 Partial loss of teeth, unspecified cause, class II
- K08.403 Partial loss of teeth, unspecified cause, class III
- K08.404 Partial loss of teeth, unspecified cause, class IV
- K08.409 Partial loss of teeth, unspecified cause, unspecified class
- K08.411 Partial loss of teeth due to trauma, class I
- K08.412 Partial loss of teeth due to trauma, class II
- K08.413 Partial loss of teeth due to trauma, class III
- K08.414 Partial loss of teeth due to trauma, class IV
- K08.419 Partial loss of teeth due to trauma, unspecified class
- K08.421 Partial loss of teeth due to periodontal diseases, class I
- K08.422 Partial loss of teeth due to periodontal diseases, class II
- K08.423 Partial loss of teeth due to periodontal diseases, class III
- K08.424 Partial loss of teeth due to periodontal diseases, class IV
- K08.429 Partial loss of teeth due to periodontal diseases, unspecified class
- K08.431 Partial loss of teeth due to caries, class I
- K08.432 Partial loss of teeth due to caries, class II
- K08.433 Partial loss of teeth due to caries, class III
- K08.434 Partial loss of teeth due to caries, class IV
- K08.439 Partial loss of teeth due to caries, unspecified class
- K08.491 Partial loss of teeth due to other specified cause, class I
- K08.492 Partial loss of teeth due to other specified cause, class II
- K08.493 Partial loss of teeth due to other specified cause, class III
- K08.494 Partial loss of teeth due to other specified cause, class IV
- K08.499 Partial loss of teeth due to other specified cause, unspecified class
- K08.50 Unsatisfactory restoration of tooth, unspecified
- K08.51 Open restoration margins of tooth
- K08.52 Unrepairable overhanging of dental restorative materials
- K08.530 Fractured dental restorative material without loss of material
- K08.531 Fractured dental restorative material with loss of material
- K08.539 Fractured dental restorative material, unspecified
- K08.54 Contour of existing restoration of tooth biologically incompatible with oral health
- K08.55 Allergy to existing dental restorative material
- K08.56 Poor aesthetic of existing restoration of tooth
- K08.59 Other unsatisfactory restoration of tooth
- K08.81 Primary occlusal trauma
- K08.82 Secondary occlusal trauma
- K08.89 Other specified disorders of teeth and supporting structures
- K08.9 Disorder of teeth and supporting structures, unspecified
K09 Cysts of oral region, not elsewhere classified4 codes
K11 Diseases of salivary glands13 codes
- K11.0 Atrophy of salivary gland
- K11.1 Hypertrophy of salivary gland
- K11.20 Sialoadenitis, unspecified
- K11.21 Acute sialoadenitis
- K11.22 Acute recurrent sialoadenitis
- K11.23 Chronic sialoadenitis
- K11.3 Abscess of salivary gland
- K11.4 Fistula of salivary gland
- K11.5 Sialolithiasis
- K11.6 Mucocele of salivary gland
- K11.7 Disturbances of salivary secretion
- K11.8 Other diseases of salivary glands
- K11.9 Disease of salivary gland, unspecified
K12 Stomatitis and related lesions8 codes
- K12.0 Recurrent oral aphthae
- K12.1 Other forms of stomatitis
- K12.2 Cellulitis and abscess of mouth
- K12.30 Oral mucositis (ulcerative), unspecified
- K12.31 Oral mucositis (ulcerative) due to antineoplastic therapy
- K12.32 Oral mucositis (ulcerative) due to other drugs
- K12.33 Oral mucositis (ulcerative) due to radiation
- K12.39 Other oral mucositis (ulcerative)
K13 Other diseases of lip and oral mucosa13 codes
- K13.0 Diseases of lips
- K13.1 Cheek and lip biting
- K13.21 Leukoplakia of oral mucosa, including tongue
- K13.22 Minimal keratinized residual ridge mucosa
- K13.23 Excessive keratinized residual ridge mucosa
- K13.24 Leukokeratosis nicotina palati
- K13.29 Other disturbances of oral epithelium, including tongue
- K13.3 Hairy leukoplakia
- K13.4 Granuloma and granuloma-like lesions of oral mucosa
- K13.5 Oral submucous fibrosis
- K13.6 Irritative hyperplasia of oral mucosa
- K13.70 Unspecified lesions of oral mucosa
- K13.79 Other lesions of oral mucosa
K14 Diseases of tongue9 codes
L02 Cutaneous abscess, furuncle and carbuncle2 codes
L03 Cellulitis and acute lymphangitis5 codes
M26 Dentofacial anomalies [including malocclusion]78 codes
- M26.00 Unspecified anomaly of jaw size
- M26.01 Maxillary hyperplasia
- M26.02 Maxillary hypoplasia
- M26.03 Mandibular hyperplasia
- M26.04 Mandibular hypoplasia
- M26.05 Macrogenia
- M26.06 Microgenia
- M26.07 Excessive tuberosity of jaw
- M26.09 Other specified anomalies of jaw size
- M26.10 Unspecified anomaly of jaw-cranial base relationship
- M26.11 Maxillary asymmetry
- M26.12 Other jaw asymmetry
- M26.19 Other specified anomalies of jaw-cranial base relationship
- M26.20 Unspecified anomaly of dental arch relationship
- M26.211 Malocclusion, Angle's class I
- M26.212 Malocclusion, Angle's class II
- M26.213 Malocclusion, Angle's class III
- M26.219 Malocclusion, Angle's class, unspecified
- M26.220 Open anterior occlusal relationship
- M26.221 Open posterior occlusal relationship
- M26.23 Excessive horizontal overlap
- M26.24 Reverse articulation
- M26.25 Anomalies of interarch distance
- M26.29 Other anomalies of dental arch relationship
- M26.30 Unspecified anomaly of tooth position of fully erupted tooth or teeth
- M26.31 Crowding of fully erupted teeth
- M26.32 Excessive spacing of fully erupted teeth
- M26.33 Horizontal displacement of fully erupted tooth or teeth
- M26.34 Vertical displacement of fully erupted tooth or teeth
- M26.35 Rotation of fully erupted tooth or teeth
- M26.36 Insufficient interocclusal distance of fully erupted teeth (ridge)
- M26.37 Excessive interocclusal distance of fully erupted teeth
- M26.39 Other anomalies of tooth position of fully erupted tooth or teeth
- M26.4 Malocclusion, unspecified
- M26.50 Dentofacial functional abnormalities, unspecified
- M26.51 Abnormal jaw closure
- M26.52 Limited mandibular range of motion
- M26.53 Deviation in opening and closing of the mandible
- M26.54 Insufficient anterior guidance
- M26.55 Centric occlusion maximum intercuspation discrepancy
- M26.56 Non-working side interference
- M26.57 Lack of posterior occlusal support
- M26.59 Other dentofacial functional abnormalities
- M26.601 Right temporomandibular joint disorder, unspecified
- M26.602 Left temporomandibular joint disorder, unspecified
- M26.603 Bilateral temporomandibular joint disorder, unspecified
- M26.609 Unspecified temporomandibular joint disorder, unspecified side
- M26.611 Adhesions and ankylosis of right temporomandibular joint
- M26.612 Adhesions and ankylosis of left temporomandibular joint
- M26.613 Adhesions and ankylosis of bilateral temporomandibular joint
- M26.619 Adhesions and ankylosis of temporomandibular joint, unspecified side
- M26.621 Arthralgia of right temporomandibular joint
- M26.622 Arthralgia of left temporomandibular joint
- M26.623 Arthralgia of bilateral temporomandibular joint
- M26.629 Arthralgia of temporomandibular joint, unspecified side
- M26.631 Articular disc disorder of right temporomandibular joint
- M26.632 Articular disc disorder of left temporomandibular joint
- M26.633 Articular disc disorder of bilateral temporomandibular joint
- M26.639 Articular disc disorder of temporomandibular joint, unspecified side
- M26.641 Arthritis of right temporomandibular joint
- M26.642 Arthritis of left temporomandibular joint
- M26.643 Arthritis of bilateral temporomandibular joint
- M26.649 Arthritis of unspecified temporomandibular joint
- M26.651 Arthropathy of right temporomandibular joint
- M26.652 Arthropathy of left temporomandibular joint
- M26.653 Arthropathy of bilateral temporomandibular joint
- M26.659 Arthropathy of unspecified temporomandibular joint
- M26.69 Other specified disorders of temporomandibular joint
- M26.70 Unspecified alveolar anomaly
- M26.71 Alveolar maxillary hyperplasia
- M26.72 Alveolar mandibular hyperplasia
- M26.73 Alveolar maxillary hypoplasia
- M26.74 Alveolar mandibular hypoplasia
- M26.79 Other specified alveolar anomalies
- M26.81 Anterior soft tissue impingement
- M26.82 Posterior soft tissue impingement
- M26.89 Other dentofacial anomalies
- M26.9 Dentofacial anomaly, unspecified
M27 Other diseases of jaws16 codes
- M27.0 Developmental disorders of jaws
- M27.1 Giant cell granuloma, central
- M27.2 Inflammatory conditions of jaws
- M27.3 Alveolitis of jaws
- M27.40 Unspecified cyst of jaw
- M27.49 Other cysts of jaw
- M27.51 Perforation of root canal space due to endodontic treatment
- M27.52 Endodontic overfill
- M27.53 Endodontic underfill
- M27.59 Other periradicular pathology associated with previous endodontic treatment
- M27.61 Osseointegration failure of dental implant
- M27.62 Post-osseointegration biological failure of dental implant
- M27.63 Post-osseointegration mechanical failure of dental implant
- M27.69 Other endosseous dental implant failure
- M27.8 Other specified diseases of jaws
- M27.9 Disease of jaws, unspecified
Q31 Congenital malformations of larynx7 codes
Q32 Congenital malformations of trachea and bronchus5 codes
Q35 Cleft palate5 codes
Q37 Cleft palate with cleft lip8 codes
- Q37.0 Cleft hard palate with bilateral cleft lip
- Q37.1 Cleft hard palate with unilateral cleft lip
- Q37.2 Cleft soft palate with bilateral cleft lip
- Q37.3 Cleft soft palate with unilateral cleft lip
- Q37.4 Cleft hard and soft palate with bilateral cleft lip
- Q37.5 Cleft hard and soft palate with unilateral cleft lip
- Q37.8 Unspecified cleft palate with bilateral cleft lip
- Q37.9 Unspecified cleft palate with unilateral cleft lip
Q38 Other congenital malformations of tongue, mouth and pharynx8 codes
- Q38.0 Congenital malformations of lips, not elsewhere classified
- Q38.1 Ankyloglossia
- Q38.2 Macroglossia
- Q38.3 Other congenital malformations of tongue
- Q38.4 Congenital malformations of salivary glands and ducts
- Q38.6 Other congenital malformations of mouth
- Q38.7 Congenital pharyngeal pouch
- Q38.8 Other congenital malformations of pharynx
R04 Hemorrhage from respiratory passages1 code
- R04.1 Hemorrhage from throat
S01 Open wound of head36 codes
- S01.20XA Unspecified open wound of nose, initial encounter
- S01.21XA Laceration without foreign body of nose, initial encounter
- S01.22XA Laceration with foreign body of nose, initial encounter
- S01.23XA Puncture wound without foreign body of nose, initial encounter
- S01.24XA Puncture wound with foreign body of nose, initial encounter
- S01.25XA Open bite of nose, initial encounter
- S01.401A Unspecified open wound of right cheek and temporomandibular area, initial encounter
- S01.402A Unspecified open wound of left cheek and temporomandibular area, initial encounter
- S01.409A Unspecified open wound of unspecified cheek and temporomandibular area, initial encounter
- S01.411A Laceration without foreign body of right cheek and temporomandibular area, initial encounter
- S01.412A Laceration without foreign body of left cheek and temporomandibular area, initial encounter
- S01.419A Laceration without foreign body of unspecified cheek and temporomandibular area, initial encounter
- S01.421A Laceration with foreign body of right cheek and temporomandibular area, initial encounter
- S01.422A Laceration with foreign body of left cheek and temporomandibular area, initial encounter
- S01.429A Laceration with foreign body of unspecified cheek and temporomandibular area, initial encounter
- S01.431A Puncture wound without foreign body of right cheek and temporomandibular area, initial encounter
- S01.432A Puncture wound without foreign body of left cheek and temporomandibular area, initial encounter
- S01.439A Puncture wound without foreign body of unspecified cheek and temporomandibular area, initial encounter
- S01.441A Puncture wound with foreign body of right cheek and temporomandibular area, initial encounter
- S01.442A Puncture wound with foreign body of left cheek and temporomandibular area, initial encounter
- S01.449A Puncture wound with foreign body of unspecified cheek and temporomandibular area, initial encounter
- S01.451A Open bite of right cheek and temporomandibular area, initial encounter
- S01.452A Open bite of left cheek and temporomandibular area, initial encounter
- S01.459A Open bite of unspecified cheek and temporomandibular area, initial encounter
- S01.501A Unspecified open wound of lip, initial encounter
- S01.502A Unspecified open wound of oral cavity, initial encounter
- S01.511A Laceration without foreign body of lip, initial encounter
- S01.512A Laceration without foreign body of oral cavity, initial encounter
- S01.521A Laceration with foreign body of lip, initial encounter
- S01.522A Laceration with foreign body of oral cavity, initial encounter
- S01.531A Puncture wound without foreign body of lip, initial encounter
- S01.532A Puncture wound without foreign body of oral cavity, initial encounter
- S01.541A Puncture wound with foreign body of lip, initial encounter
- S01.542A Puncture wound with foreign body of oral cavity, initial encounter
- S01.551A Open bite of lip, initial encounter
- S01.552A Open bite of oral cavity, initial encounter
S02 Fracture of skull and facial bones102 codes
- S02.30XA Fracture of orbital floor, unspecified side, initial encounter for closed fracture
- S02.30XB Fracture of orbital floor, unspecified side, initial encounter for open fracture
- S02.31XA Fracture of orbital floor, right side, initial encounter for closed fracture
- S02.31XB Fracture of orbital floor, right side, initial encounter for open fracture
- S02.32XA Fracture of orbital floor, left side, initial encounter for closed fracture
- S02.32XB Fracture of orbital floor, left side, initial encounter for open fracture
- S02.400A Malar fracture, unspecified side, initial encounter for closed fracture
- S02.400B Malar fracture, unspecified side, initial encounter for open fracture
- S02.401A Maxillary fracture, unspecified side, initial encounter for closed fracture
- S02.401B Maxillary fracture, unspecified side, initial encounter for open fracture
- S02.402A Zygomatic fracture, unspecified side, initial encounter for closed fracture
- S02.402B Zygomatic fracture, unspecified side, initial encounter for open fracture
- S02.40AA Malar fracture, right side, initial encounter for closed fracture
- S02.40AB Malar fracture, right side, initial encounter for open fracture
- S02.40BA Malar fracture, left side, initial encounter for closed fracture
- S02.40BB Malar fracture, left side, initial encounter for open fracture
- S02.40CA Maxillary fracture, right side, initial encounter for closed fracture
- S02.40CB Maxillary fracture, right side, initial encounter for open fracture
- S02.40DA Maxillary fracture, left side, initial encounter for closed fracture
- S02.40DB Maxillary fracture, left side, initial encounter for open fracture
- S02.40EA Zygomatic fracture, right side, initial encounter for closed fracture
- S02.40EB Zygomatic fracture, right side, initial encounter for open fracture
- S02.40FA Zygomatic fracture, left side, initial encounter for closed fracture
- S02.40FB Zygomatic fracture, left side, initial encounter for open fracture
- S02.411A LeFort I fracture, initial encounter for closed fracture
- S02.411B LeFort I fracture, initial encounter for open fracture
- S02.412A LeFort II fracture, initial encounter for closed fracture
- S02.412B LeFort II fracture, initial encounter for open fracture
- S02.413A LeFort III fracture, initial encounter for closed fracture
- S02.413B LeFort III fracture, initial encounter for open fracture
- S02.42XA Fracture of alveolus of maxilla, initial encounter for closed fracture
- S02.42XB Fracture of alveolus of maxilla, initial encounter for open fracture
- S02.600A Fracture of unspecified part of body of mandible, unspecified side, initial encounter for closed fracture
- S02.600B Fracture of unspecified part of body of mandible, unspecified side, initial encounter for open fracture
- S02.601A Fracture of unspecified part of body of right mandible, initial encounter for closed fracture
- S02.601B Fracture of unspecified part of body of right mandible, initial encounter for open fracture
- S02.602A Fracture of unspecified part of body of left mandible, initial encounter for closed fracture
- S02.602B Fracture of unspecified part of body of left mandible, initial encounter for open fracture
- S02.609A Fracture of mandible, unspecified, initial encounter for closed fracture
- S02.609B Fracture of mandible, unspecified, initial encounter for open fracture
- S02.610A Fracture of condylar process of mandible, unspecified side, initial encounter for closed fracture
- S02.610B Fracture of condylar process of mandible, unspecified side, initial encounter for open fracture
- S02.611A Fracture of condylar process of right mandible, initial encounter for closed fracture
- S02.611B Fracture of condylar process of right mandible, initial encounter for open fracture
- S02.612A Fracture of condylar process of left mandible, initial encounter for closed fracture
- S02.612B Fracture of condylar process of left mandible, initial encounter for open fracture
- S02.620A Fracture of subcondylar process of mandible, unspecified side, initial encounter for closed fracture
- S02.620B Fracture of subcondylar process of mandible, unspecified side, initial encounter for open fracture
- S02.621A Fracture of subcondylar process of right mandible, initial encounter for closed fracture
- S02.621B Fracture of subcondylar process of right mandible, initial encounter for open fracture
- S02.622A Fracture of subcondylar process of left mandible, initial encounter for closed fracture
- S02.622B Fracture of subcondylar process of left mandible, initial encounter for open fracture
- S02.630A Fracture of coronoid process of mandible, unspecified side, initial encounter for closed fracture
- S02.630B Fracture of coronoid process of mandible, unspecified side, initial encounter for open fracture
- S02.631A Fracture of coronoid process of right mandible, initial encounter for closed fracture
- S02.631B Fracture of coronoid process of right mandible, initial encounter for open fracture
- S02.632A Fracture of coronoid process of left mandible, initial encounter for closed fracture
- S02.632B Fracture of coronoid process of left mandible, initial encounter for open fracture
- S02.640A Fracture of ramus of mandible, unspecified side, initial encounter for closed fracture
- S02.640B Fracture of ramus of mandible, unspecified side, initial encounter for open fracture
- S02.641A Fracture of ramus of right mandible, initial encounter for closed fracture
- S02.641B Fracture of ramus of right mandible, initial encounter for open fracture
- S02.642A Fracture of ramus of left mandible, initial encounter for closed fracture
- S02.642B Fracture of ramus of left mandible, initial encounter for open fracture
- S02.650A Fracture of angle of mandible, unspecified side, initial encounter for closed fracture
- S02.650B Fracture of angle of mandible, unspecified side, initial encounter for open fracture
- S02.651A Fracture of angle of right mandible, initial encounter for closed fracture
- S02.651B Fracture of angle of right mandible, initial encounter for open fracture
- S02.652A Fracture of angle of left mandible, initial encounter for closed fracture
- S02.652B Fracture of angle of left mandible, initial encounter for open fracture
- S02.66XA Fracture of symphysis of mandible, initial encounter for closed fracture
- S02.66XB Fracture of symphysis of mandible, initial encounter for open fracture
- S02.670A Fracture of alveolus of mandible, unspecified side, initial encounter for closed fracture
- S02.670B Fracture of alveolus of mandible, unspecified side, initial encounter for open fracture
- S02.671A Fracture of alveolus of right mandible, initial encounter for closed fracture
- S02.671B Fracture of alveolus of right mandible, initial encounter for open fracture
- S02.672A Fracture of alveolus of left mandible, initial encounter for closed fracture
- S02.672B Fracture of alveolus of left mandible, initial encounter for open fracture
- S02.69XA Fracture of mandible of other specified site, initial encounter for closed fracture
- S02.69XB Fracture of mandible of other specified site, initial encounter for open fracture
- S02.80XA Fracture of other specified skull and facial bones, unspecified side, initial encounter for closed fracture
- S02.80XB Fracture of other specified skull and facial bones, unspecified side, initial encounter for open fracture
- S02.81XA Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture
- S02.81XB Fracture of other specified skull and facial bones, right side, initial encounter for open fracture
- S02.82XA Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture
- S02.82XB Fracture of other specified skull and facial bones, left side, initial encounter for open fracture
- S02.831A Fracture of medial orbital wall, right side, initial encounter for closed fracture
- S02.831B Fracture of medial orbital wall, right side, initial encounter for open fracture
- S02.832A Fracture of medial orbital wall, left side, initial encounter for closed fracture
- S02.832B Fracture of medial orbital wall, left side, initial encounter for open fracture
- S02.839A Fracture of medial orbital wall, unspecified side, initial encounter for closed fracture
- S02.839B Fracture of medial orbital wall, unspecified side, initial encounter for open fracture
- S02.841A Fracture of lateral orbital wall, right side, initial encounter for closed fracture
- S02.841B Fracture of lateral orbital wall, right side, initial encounter for open fracture
- S02.842A Fracture of lateral orbital wall, left side, initial encounter for closed fracture
- S02.842B Fracture of lateral orbital wall, left side, initial encounter for open fracture
- S02.849A Fracture of lateral orbital wall, unspecified side, initial encounter for closed fracture
- S02.849B Fracture of lateral orbital wall, unspecified side, initial encounter for open fracture
- S02.85XA Fracture of orbit, unspecified, initial encounter for closed fracture
- S02.85XB Fracture of orbit, unspecified, initial encounter for open fracture
- S02.92XA Unspecified fracture of facial bones, initial encounter for closed fracture
- S02.92XB Unspecified fracture of facial bones, initial encounter for open fracture
S03 Dislocation and sprain of joints and ligaments of head4 codes
S06 Intracranial injury2 codes
S07 Crushing injury of head4 codes
S08 Avulsion and traumatic amputation of part of head2 codes
S09 Other and unspecified injuries of head8 codes
- S09.0XXA Injury of blood vessels of head, not elsewhere classified, initial encounter
- S09.10XA Unspecified injury of muscle and tendon of head, initial encounter
- S09.11XA Strain of muscle and tendon of head, initial encounter
- S09.19XA Other specified injury of muscle and tendon of head, initial encounter
- S09.8XXA Other specified injuries of head, initial encounter
- S09.90XA Unspecified injury of head, initial encounter
- S09.92XA Unspecified injury of nose, initial encounter
- S09.93XA Unspecified injury of face, initial encounter
S11 Open wound of neck43 codes
- S11.011A Laceration without foreign body of larynx, initial encounter
- S11.012A Laceration with foreign body of larynx, initial encounter
- S11.013A Puncture wound without foreign body of larynx, initial encounter
- S11.014A Puncture wound with foreign body of larynx, initial encounter
- S11.015A Open bite of larynx, initial encounter
- S11.019A Unspecified open wound of larynx, initial encounter
- S11.021A Laceration without foreign body of trachea, initial encounter
- S11.022A Laceration with foreign body of trachea, initial encounter
- S11.023A Puncture wound without foreign body of trachea, initial encounter
- S11.024A Puncture wound with foreign body of trachea, initial encounter
- S11.025A Open bite of trachea, initial encounter
- S11.029A Unspecified open wound of trachea, initial encounter
- S11.031A Laceration without foreign body of vocal cord, initial encounter
- S11.032A Laceration with foreign body of vocal cord, initial encounter
- S11.033A Puncture wound without foreign body of vocal cord, initial encounter
- S11.034A Puncture wound with foreign body of vocal cord, initial encounter
- S11.035A Open bite of vocal cord, initial encounter
- S11.039A Unspecified open wound of vocal cord, initial encounter
- S11.10XA Unspecified open wound of thyroid gland, initial encounter
- S11.11XA Laceration without foreign body of thyroid gland, initial encounter
- S11.12XA Laceration with foreign body of thyroid gland, initial encounter
- S11.13XA Puncture wound without foreign body of thyroid gland, initial encounter
- S11.14XA Puncture wound with foreign body of thyroid gland, initial encounter
- S11.15XA Open bite of thyroid gland, initial encounter
- S11.20XA Unspecified open wound of pharynx and cervical esophagus, initial encounter
- S11.21XA Laceration without foreign body of pharynx and cervical esophagus, initial encounter
- S11.22XA Laceration with foreign body of pharynx and cervical esophagus, initial encounter
- S11.23XA Puncture wound without foreign body of pharynx and cervical esophagus, initial encounter
- S11.24XA Puncture wound with foreign body of pharynx and cervical esophagus, initial encounter
- S11.25XA Open bite of pharynx and cervical esophagus, initial encounter
- S11.80XA Unspecified open wound of other specified part of neck, initial encounter
- S11.81XA Laceration without foreign body of other specified part of neck, initial encounter
- S11.82XA Laceration with foreign body of other specified part of neck, initial encounter
- S11.83XA Puncture wound without foreign body of other specified part of neck, initial encounter
- S11.84XA Puncture wound with foreign body of other specified part of neck, initial encounter
- S11.85XA Open bite of other specified part of neck, initial encounter
- S11.89XA Other open wound of other specified part of neck, initial encounter
- S11.90XA Unspecified open wound of unspecified part of neck, initial encounter
- S11.91XA Laceration without foreign body of unspecified part of neck, initial encounter
- S11.92XA Laceration with foreign body of unspecified part of neck, initial encounter
- S11.93XA Puncture wound without foreign body of unspecified part of neck, initial encounter
- S11.94XA Puncture wound with foreign body of unspecified part of neck, initial encounter
- S11.95XA Open bite of unspecified part of neck, initial encounter
S12 Fracture of cervical vertebra and other parts of neck1 code
- S12.8XXA Fracture of other parts of neck, initial encounter
S15 Injury of blood vessels at neck level14 codes
- S15.101A Unspecified injury of right vertebral artery, initial encounter
- S15.102A Unspecified injury of left vertebral artery, initial encounter
- S15.109A Unspecified injury of unspecified vertebral artery, initial encounter
- S15.111A Minor laceration of right vertebral artery, initial encounter
- S15.112A Minor laceration of left vertebral artery, initial encounter
- S15.119A Minor laceration of unspecified vertebral artery, initial encounter
- S15.121A Major laceration of right vertebral artery, initial encounter
- S15.122A Major laceration of left vertebral artery, initial encounter
- S15.129A Major laceration of unspecified vertebral artery, initial encounter
- S15.191A Other specified injury of right vertebral artery, initial encounter
- S15.192A Other specified injury of left vertebral artery, initial encounter
- S15.199A Other specified injury of unspecified vertebral artery, initial encounter
- S15.8XXA Injury of other specified blood vessels at neck level, initial encounter
- S15.9XXA Injury of unspecified blood vessel at neck level, initial encounter
S16 Injury of muscle, fascia and tendon at neck level3 codes
S17 Crushing injury of neck3 codes
S19 Other specified and unspecified injuries of neck8 codes
- S19.80XA Other specified injuries of unspecified part of neck, initial encounter
- S19.81XA Other specified injuries of larynx, initial encounter
- S19.82XA Other specified injuries of cervical trachea, initial encounter
- S19.83XA Other specified injuries of vocal cord, initial encounter
- S19.84XA Other specified injuries of thyroid gland, initial encounter
- S19.85XA Other specified injuries of pharynx and cervical esophagus, initial encounter
- S19.89XA Other specified injuries of other specified part of neck, initial encounter
- S19.9XXA Unspecified injury of neck, initial encounter
T17 Foreign body in respiratory tract16 codes
- T17.200A Unspecified foreign body in pharynx causing asphyxiation, initial encounter
- T17.208A Unspecified foreign body in pharynx causing other injury, initial encounter
- T17.210A Gastric contents in pharynx causing asphyxiation, initial encounter
- T17.218A Gastric contents in pharynx causing other injury, initial encounter
- T17.220A Food in pharynx causing asphyxiation, initial encounter
- T17.228A Food in pharynx causing other injury, initial encounter
- T17.290A Other foreign object in pharynx causing asphyxiation, initial encounter
- T17.298A Other foreign object in pharynx causing other injury, initial encounter
- T17.300A Unspecified foreign body in larynx causing asphyxiation, initial encounter
- T17.308A Unspecified foreign body in larynx causing other injury, initial encounter
- T17.310A Gastric contents in larynx causing asphyxiation, initial encounter
- T17.318A Gastric contents in larynx causing other injury, initial encounter
- T17.320A Food in larynx causing asphyxiation, initial encounter
- T17.328A Food in larynx causing other injury, initial encounter
- T17.390A Other foreign object in larynx causing asphyxiation, initial encounter
- T17.398A Other foreign object in larynx causing other injury, initial encounter
T18 Foreign body in alimentary tract1 code
- T18.0XXA Foreign body in mouth, initial encounter
T28 Burn and corrosion of other internal organs2 codes
Z85 Personal history of malignant neoplasm4 codes
- Z85.21 Personal history of malignant neoplasm of larynx
- Z85.810 Personal history of malignant neoplasm of tongue
- Z85.818 Personal history of malignant neoplasm of other sites of lip, oral cavity, and pharynx
- Z85.819 Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynx
Frequently Asked Questions
What is MS-DRG 13?
MS-DRG 13 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC) is a surgical DRG in Pre-MDC (Pre-MDC). Its FY 2026 relative weight is 2.8818 with a geometric mean length of stay of 6.5 days.
What is the difference between DRG 11, 12, 13?
All 3 share the same base category; the severity of secondary diagnoses separates them: 11 (with MCC), 12 (with CC), 13 (without CC/MCC). A major complication or comorbidity (MCC) places the case in the highest-weighted DRG of the family; a CC in the middle; neither in the lowest.
How many procedure codes group to DRG 13?
10 ICD-10-PCS operating-room procedure codes group to this DRG.
What is the relative weight of DRG 13?
The FY 2026 relative weight of this DRG is 2.8818, meaning reimbursement of roughly 2.88 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.
← PreviousDRG 12 – Tracheostomy for Face, Mouth and Neck Diagnoses orNext →DRG 14 – Allogeneic Bone Marrow Transplant
Source: CMS ICD-10 MS-DRG v43.0 Definitions Manual and the FY 2026 IPPS Final Rule (Table 5), effective October 1, 2025 through September 30, 2026. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.
