MS-DRG - 306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC

The Medicare Severity Diagnosis-Related Group or MS-DRG is a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). This is the group for MS-DRG - 306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH Major Complication or Comorbidity diseases in version MS-DRG V38.0 applicable from 10/01/2020 through 09/30/2021.

ICD-10 Codes in Diagnostic Related Group

  • A52.01 - Syphilitic aneurysm of aorta BILLABLE CODE
  • A52.02 - Syphilitic aortitis BILLABLE CODE
  • B33.21 - Viral endocarditis BILLABLE CODE
  • I01.1 - Acute rheumatic endocarditis BILLABLE CODE
  • I05.0 - Rheumatic mitral stenosis BILLABLE CODE
  • I05.1 - Rheumatic mitral insufficiency BILLABLE CODE
  • I05.2 - Rheumatic mitral stenosis with insufficiency BILLABLE CODE
  • I05.8 - Other rheumatic mitral valve diseases BILLABLE CODE
  • I05.9 - Rheumatic mitral valve disease, unspecified BILLABLE CODE
  • I06.0 - Rheumatic aortic stenosis BILLABLE CODE
  • I06.1 - Rheumatic aortic insufficiency BILLABLE CODE
  • I06.2 - Rheumatic aortic stenosis with insufficiency BILLABLE CODE
  • I06.8 - Other rheumatic aortic valve diseases BILLABLE CODE
  • I06.9 - Rheumatic aortic valve disease, unspecified BILLABLE CODE
  • I07.0 - Rheumatic tricuspid stenosis BILLABLE CODE
  • I07.1 - Rheumatic tricuspid insufficiency BILLABLE CODE
  • I07.2 - Rheumatic tricuspid stenosis and insufficiency BILLABLE CODE
  • I07.8 - Other rheumatic tricuspid valve diseases BILLABLE CODE
  • I07.9 - Rheumatic tricuspid valve disease, unspecified BILLABLE CODE
  • I08.0 - Rheumatic disorders of both mitral and aortic valves BILLABLE CODE
  • I08.1 - Rheumatic disorders of both mitral and tricuspid valves BILLABLE CODE
  • I08.2 - Rheumatic disorders of both aortic and tricuspid valves BILLABLE CODE
  • I08.3 - Combined rheumatic disorders of mitral, aortic and tricuspid valves BILLABLE CODE
  • I08.8 - Other rheumatic multiple valve diseases BILLABLE CODE
  • I08.9 - Rheumatic multiple valve disease, unspecified BILLABLE CODE
  • I09.1 - Rheumatic diseases of endocardium, valve unspecified BILLABLE CODE
  • I09.89 - Other specified rheumatic heart diseases BILLABLE CODE
  • I23.4 - Rupture of chordae tendineae as current complication following acute myocardial infarction BILLABLE CODE
  • I23.5 - Rupture of papillary muscle as current complication following acute myocardial infarction BILLABLE CODE
  • I34.0 - Nonrheumatic mitral (valve) insufficiency BILLABLE CODE
  • I34.1 - Nonrheumatic mitral (valve) prolapse BILLABLE CODE
  • I34.2 - Nonrheumatic mitral (valve) stenosis BILLABLE CODE
  • I34.8 - Other nonrheumatic mitral valve disorders BILLABLE CODE
  • I34.9 - Nonrheumatic mitral valve disorder, unspecified BILLABLE CODE
  • I35.0 - Nonrheumatic aortic (valve) stenosis BILLABLE CODE
  • I35.1 - Nonrheumatic aortic (valve) insufficiency BILLABLE CODE
  • I35.2 - Nonrheumatic aortic (valve) stenosis with insufficiency BILLABLE CODE
  • I35.8 - Other nonrheumatic aortic valve disorders BILLABLE CODE
  • I35.9 - Nonrheumatic aortic valve disorder, unspecified BILLABLE CODE
  • I36.0 - Nonrheumatic tricuspid (valve) stenosis BILLABLE CODE
  • I36.1 - Nonrheumatic tricuspid (valve) insufficiency BILLABLE CODE
  • I36.2 - Nonrheumatic tricuspid (valve) stenosis with insufficiency BILLABLE CODE
  • I36.8 - Other nonrheumatic tricuspid valve disorders BILLABLE CODE
  • I36.9 - Nonrheumatic tricuspid valve disorder, unspecified BILLABLE CODE
  • I37.0 - Nonrheumatic pulmonary valve stenosis BILLABLE CODE
  • I37.1 - Nonrheumatic pulmonary valve insufficiency BILLABLE CODE
  • I37.2 - Nonrheumatic pulmonary valve stenosis with insufficiency BILLABLE CODE
  • I37.8 - Other nonrheumatic pulmonary valve disorders BILLABLE CODE
  • I37.9 - Nonrheumatic pulmonary valve disorder, unspecified BILLABLE CODE
  • I38 - Endocarditis, valve unspecified BILLABLE CODE
  • I39 - Endocarditis and heart valve disorders in diseases classified elsewhere BILLABLE CODE
  • I51.1 - Rupture of chordae tendineae, not elsewhere classified BILLABLE CODE
  • I51.2 - Rupture of papillary muscle, not elsewhere classified BILLABLE CODE
  • Q20.0 - Common arterial trunk BILLABLE CODE
  • Q20.1 - Double outlet right ventricle BILLABLE CODE
  • Q20.2 - Double outlet left ventricle BILLABLE CODE
  • Q20.3 - Discordant ventriculoarterial connection BILLABLE CODE
  • Q20.4 - Double inlet ventricle BILLABLE CODE
  • Q20.5 - Discordant atrioventricular connection BILLABLE CODE
  • Q20.6 - Isomerism of atrial appendages BILLABLE CODE
  • Q20.8 - Other congenital malformations of cardiac chambers and connections BILLABLE CODE
  • Q20.9 - Congenital malformation of cardiac chambers and connections, unspecified BILLABLE CODE
  • Q21.0 - Ventricular septal defect BILLABLE CODE
  • Q21.1 - Atrial septal defect BILLABLE CODE
  • Q21.2 - Atrioventricular septal defect BILLABLE CODE
  • Q21.3 - Tetralogy of Fallot BILLABLE CODE
  • Q21.4 - Aortopulmonary septal defect BILLABLE CODE
  • Q21.8 - Other congenital malformations of cardiac septa BILLABLE CODE
  • Q21.9 - Congenital malformation of cardiac septum, unspecified BILLABLE CODE
  • Q22.0 - Pulmonary valve atresia BILLABLE CODE
  • Q22.1 - Congenital pulmonary valve stenosis BILLABLE CODE
  • Q22.2 - Congenital pulmonary valve insufficiency BILLABLE CODE
  • Q22.3 - Other congenital malformations of pulmonary valve BILLABLE CODE
  • Q22.4 - Congenital tricuspid stenosis BILLABLE CODE
  • Q22.5 - Ebstein's anomaly BILLABLE CODE
  • Q22.6 - Hypoplastic right heart syndrome BILLABLE CODE
  • Q22.8 - Other congenital malformations of tricuspid valve BILLABLE CODE
  • Q22.9 - Congenital malformation of tricuspid valve, unspecified BILLABLE CODE
  • Q23.0 - Congenital stenosis of aortic valve BILLABLE CODE
  • Q23.1 - Congenital insufficiency of aortic valve BILLABLE CODE
  • Q23.2 - Congenital mitral stenosis BILLABLE CODE
  • Q23.3 - Congenital mitral insufficiency BILLABLE CODE
  • Q23.4 - Hypoplastic left heart syndrome BILLABLE CODE
  • Q23.8 - Other congenital malformations of aortic and mitral valves BILLABLE CODE
  • Q23.9 - Congenital malformation of aortic and mitral valves, unspecified BILLABLE CODE
  • Q24.0 - Dextrocardia BILLABLE CODE
  • Q24.1 - Levocardia BILLABLE CODE
  • Q24.2 - Cor triatriatum BILLABLE CODE
  • Q24.3 - Pulmonary infundibular stenosis BILLABLE CODE
  • Q24.4 - Congenital subaortic stenosis BILLABLE CODE
  • Q24.5 - Malformation of coronary vessels BILLABLE CODE
  • Q24.8 - Other specified congenital malformations of heart BILLABLE CODE
  • Q24.9 - Congenital malformation of heart, unspecified BILLABLE CODE
  • Q25.0 - Patent ductus arteriosus BILLABLE CODE
  • Q25.1 - Coarctation of aorta BILLABLE CODE
  • Q25.21 - Interruption of aortic arch BILLABLE CODE
  • Q25.29 - Other atresia of aorta BILLABLE CODE
  • Q25.3 - Supravalvular aortic stenosis BILLABLE CODE
  • Q25.40 - Congenital malformation of aorta unspecified BILLABLE CODE
  • Q25.41 - Absence and aplasia of aorta BILLABLE CODE
  • Q25.42 - Hypoplasia of aorta BILLABLE CODE
  • Q25.43 - Congenital aneurysm of aorta BILLABLE CODE
  • Q25.44 - Congenital dilation of aorta BILLABLE CODE
  • Q25.45 - Double aortic arch BILLABLE CODE
  • Q25.46 - Tortuous aortic arch BILLABLE CODE
  • Q25.47 - Right aortic arch BILLABLE CODE
  • Q25.48 - Anomalous origin of subclavian artery BILLABLE CODE
  • Q25.49 - Other congenital malformations of aorta BILLABLE CODE
  • Q25.5 - Atresia of pulmonary artery BILLABLE CODE
  • Q25.6 - Stenosis of pulmonary artery BILLABLE CODE
  • Q25.71 - Coarctation of pulmonary artery BILLABLE CODE
  • Q25.72 - Congenital pulmonary arteriovenous malformation BILLABLE CODE
  • Q25.79 - Other congenital malformations of pulmonary artery BILLABLE CODE
  • Q25.8 - Other congenital malformations of other great arteries BILLABLE CODE
  • Q25.9 - Congenital malformation of great arteries, unspecified BILLABLE CODE
  • Q26.0 - Congenital stenosis of vena cava BILLABLE CODE
  • Q26.1 - Persistent left superior vena cava BILLABLE CODE
  • Q26.2 - Total anomalous pulmonary venous connection BILLABLE CODE
  • Q26.3 - Partial anomalous pulmonary venous connection BILLABLE CODE
  • Q26.4 - Anomalous pulmonary venous connection, unspecified BILLABLE CODE
  • Q26.8 - Other congenital malformations of great veins BILLABLE CODE
  • Q26.9 - Congenital malformation of great vein, unspecified BILLABLE CODE
  • Q87.40 - Marfan's syndrome, unspecified BILLABLE CODE
  • Q87.410 - Marfan's syndrome with aortic dilation BILLABLE CODE
  • Q87.418 - Marfan's syndrome with other cardiovascular manifestations BILLABLE CODE
  • Q87.42 - Marfan's syndrome with ocular manifestations BILLABLE CODE
  • Q87.43 - Marfan's syndrome with skeletal manifestation BILLABLE CODE
  • R01.0 - Benign and innocent cardiac murmurs BILLABLE CODE
  • R01.1 - Cardiac murmur, unspecified BILLABLE CODE
  • T82.01XA - Breakdown (mechanical) of heart valve prosthesis, initial encounter BILLABLE CODE
  • T82.02XA - Displacement of heart valve prosthesis, initial encounter BILLABLE CODE
  • T82.03XA - Leakage of heart valve prosthesis, initial encounter BILLABLE CODE
  • T82.09XA - Other mechanical complication of heart valve prosthesis, initial encounter BILLABLE CODE