MS-DRG - 314 OTHER CIRCULATORY SYSTEM DIAGNOSES 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 - 314 OTHER CIRCULATORY SYSTEM DIAGNOSES 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

  • A36.81 - Diphtheritic cardiomyopathy BILLABLE CODE
  • A39.50 - Meningococcal carditis, unspecified BILLABLE CODE
  • A39.52 - Meningococcal myocarditis BILLABLE CODE
  • A39.53 - Meningococcal pericarditis BILLABLE CODE
  • A52.00 - Cardiovascular syphilis, unspecified BILLABLE CODE
  • A52.04 - Syphilitic cerebral arteritis BILLABLE CODE
  • A52.05 - Other cerebrovascular syphilis BILLABLE CODE
  • A52.06 - Other syphilitic heart involvement BILLABLE CODE
  • A52.09 - Other cardiovascular syphilis BILLABLE CODE
  • A54.83 - Gonococcal heart infection BILLABLE CODE
  • B33.20 - Viral carditis, unspecified BILLABLE CODE
  • B33.22 - Viral myocarditis BILLABLE CODE
  • B33.23 - Viral pericarditis BILLABLE CODE
  • B57.0 - Acute Chagas' disease with heart involvement BILLABLE CODE
  • B57.2 - Chagas' disease (chronic) with heart involvement BILLABLE CODE
  • B58.81 - Toxoplasma myocarditis BILLABLE CODE
  • C38.0 - Malignant neoplasm of heart BILLABLE CODE
  • C45.2 - Mesothelioma of pericardium BILLABLE CODE
  • D15.1 - Benign neoplasm of heart BILLABLE CODE
  • I01.0 - Acute rheumatic pericarditis BILLABLE CODE
  • I01.2 - Acute rheumatic myocarditis BILLABLE CODE
  • I01.8 - Other acute rheumatic heart disease BILLABLE CODE
  • I01.9 - Acute rheumatic heart disease, unspecified BILLABLE CODE
  • I02.0 - Rheumatic chorea with heart involvement BILLABLE CODE
  • I02.9 - Rheumatic chorea without heart involvement BILLABLE CODE
  • I09.0 - Rheumatic myocarditis BILLABLE CODE
  • I09.2 - Chronic rheumatic pericarditis BILLABLE CODE
  • I09.9 - Rheumatic heart disease, unspecified BILLABLE CODE
  • I23.0 - Hemopericardium as current complication following acute myocardial infarction BILLABLE CODE
  • I23.1 - Atrial septal defect as current complication following acute myocardial infarction BILLABLE CODE
  • I23.2 - Ventricular septal defect as current complication following acute myocardial infarction BILLABLE CODE
  • I23.3 - Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction BILLABLE CODE
  • I23.6 - Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction BILLABLE CODE
  • I23.7 - Postinfarction angina BILLABLE CODE
  • I23.8 - Other current complications following acute myocardial infarction BILLABLE CODE
  • I24.1 - Dressler's syndrome BILLABLE CODE
  • I25.3 - Aneurysm of heart BILLABLE CODE
  • I25.41 - Coronary artery aneurysm BILLABLE CODE
  • I25.42 - Coronary artery dissection BILLABLE CODE
  • I27.0 - Primary pulmonary hypertension BILLABLE CODE
  • I27.1 - Kyphoscoliotic heart disease BILLABLE CODE
  • I27.20 - Pulmonary hypertension, unspecified BILLABLE CODE
  • I27.21 - Secondary pulmonary arterial hypertension BILLABLE CODE
  • I27.22 - Pulmonary hypertension due to left heart disease BILLABLE CODE
  • I27.23 - Pulmonary hypertension due to lung diseases and hypoxia BILLABLE CODE
  • I27.24 - Chronic thromboembolic pulmonary hypertension BILLABLE CODE
  • I27.29 - Other secondary pulmonary hypertension BILLABLE CODE
  • I27.81 - Cor pulmonale (chronic) BILLABLE CODE
  • I27.83 - Eisenmenger's syndrome BILLABLE CODE
  • I27.89 - Other specified pulmonary heart diseases BILLABLE CODE
  • I27.9 - Pulmonary heart disease, unspecified BILLABLE CODE
  • I28.0 - Arteriovenous fistula of pulmonary vessels BILLABLE CODE
  • I28.1 - Aneurysm of pulmonary artery BILLABLE CODE
  • I28.8 - Other diseases of pulmonary vessels BILLABLE CODE
  • I28.9 - Disease of pulmonary vessels, unspecified BILLABLE CODE
  • I30.0 - Acute nonspecific idiopathic pericarditis BILLABLE CODE
  • I30.1 - Infective pericarditis BILLABLE CODE
  • I30.8 - Other forms of acute pericarditis BILLABLE CODE
  • I30.9 - Acute pericarditis, unspecified BILLABLE CODE
  • I31.0 - Chronic adhesive pericarditis BILLABLE CODE
  • I31.1 - Chronic constrictive pericarditis BILLABLE CODE
  • I31.2 - Hemopericardium, not elsewhere classified BILLABLE CODE
  • I31.3 - Pericardial effusion (noninflammatory) BILLABLE CODE
  • I31.4 - Cardiac tamponade BILLABLE CODE
  • I31.8 - Other specified diseases of pericardium BILLABLE CODE
  • I31.9 - Disease of pericardium, unspecified BILLABLE CODE
  • I32 - Pericarditis in diseases classified elsewhere BILLABLE CODE
  • I40.0 - Infective myocarditis BILLABLE CODE
  • I40.1 - Isolated myocarditis BILLABLE CODE
  • I40.8 - Other acute myocarditis BILLABLE CODE
  • I40.9 - Acute myocarditis, unspecified BILLABLE CODE
  • I41 - Myocarditis in diseases classified elsewhere BILLABLE CODE
  • I42.0 - Dilated cardiomyopathy BILLABLE CODE
  • I42.1 - Obstructive hypertrophic cardiomyopathy BILLABLE CODE
  • I42.2 - Other hypertrophic cardiomyopathy BILLABLE CODE
  • I42.3 - Endomyocardial (eosinophilic) disease BILLABLE CODE
  • I42.4 - Endocardial fibroelastosis BILLABLE CODE
  • I42.5 - Other restrictive cardiomyopathy BILLABLE CODE
  • I42.6 - Alcoholic cardiomyopathy BILLABLE CODE
  • I42.7 - Cardiomyopathy due to drug and external agent BILLABLE CODE
  • I42.8 - Other cardiomyopathies BILLABLE CODE
  • I42.9 - Cardiomyopathy, unspecified BILLABLE CODE
  • I43 - Cardiomyopathy in diseases classified elsewhere BILLABLE CODE
  • I51.0 - Cardiac septal defect, acquired BILLABLE CODE
  • I51.4 - Myocarditis, unspecified BILLABLE CODE
  • I51.5 - Myocardial degeneration BILLABLE CODE
  • I51.81 - Takotsubo syndrome BILLABLE CODE
  • I95.0 - Idiopathic hypotension BILLABLE CODE
  • I95.89 - Other hypotension BILLABLE CODE
  • I95.9 - Hypotension, unspecified BILLABLE CODE
  • I97.0 - Postcardiotomy syndrome BILLABLE CODE
  • I97.110 - Postprocedural cardiac insufficiency following cardiac surgery BILLABLE CODE
  • I97.111 - Postprocedural cardiac insufficiency following other surgery BILLABLE CODE
  • I97.120 - Postprocedural cardiac arrest following cardiac surgery BILLABLE CODE
  • I97.121 - Postprocedural cardiac arrest following other surgery BILLABLE CODE
  • I97.130 - Postprocedural heart failure following cardiac surgery BILLABLE CODE
  • I97.131 - Postprocedural heart failure following other surgery BILLABLE CODE
  • I97.190 - Other postprocedural cardiac functional disturbances following cardiac surgery BILLABLE CODE
  • I97.191 - Other postprocedural cardiac functional disturbances following other surgery BILLABLE CODE
  • I97.710 - Intraoperative cardiac arrest during cardiac surgery BILLABLE CODE
  • I97.711 - Intraoperative cardiac arrest during other surgery BILLABLE CODE
  • I97.790 - Other intraoperative cardiac functional disturbances during cardiac surgery BILLABLE CODE
  • I97.791 - Other intraoperative cardiac functional disturbances during other surgery BILLABLE CODE
  • I97.88 - Other intraoperative complications of the circulatory system, not elsewhere classified BILLABLE CODE
  • I97.89 - Other postprocedural complications and disorders of the circulatory system, not elsewhere classified BILLABLE CODE
  • R00.8 - Other abnormalities of heart beat BILLABLE CODE
  • R00.9 - Unspecified abnormalities of heart beat BILLABLE CODE
  • R01.2 - Other cardiac sounds BILLABLE CODE
  • R03.0 - Elevated blood-pressure reading, without diagnosis of hypertension BILLABLE CODE
  • R03.1 - Nonspecific low blood-pressure reading BILLABLE CODE
  • R09.89 - Other specified symptoms and signs involving the circulatory and respiratory systems BILLABLE CODE
  • R58 - Hemorrhage, not elsewhere classified BILLABLE CODE
  • R94.30 - Abnormal result of cardiovascular function study, unspecified BILLABLE CODE
  • R94.31 - Abnormal electrocardiogram [ECG] [EKG] BILLABLE CODE
  • R94.39 - Abnormal result of other cardiovascular function study BILLABLE CODE
  • S26.00XA - Unspecified injury of heart with hemopericardium, initial encounter BILLABLE CODE
  • S26.01XA - Contusion of heart with hemopericardium, initial encounter BILLABLE CODE
  • S26.020A - Mild laceration of heart with hemopericardium, initial encounter BILLABLE CODE
  • S26.021A - Moderate laceration of heart with hemopericardium, initial encounter BILLABLE CODE
  • S26.022A - Major laceration of heart with hemopericardium, initial encounter BILLABLE CODE
  • S26.09XA - Other injury of heart with hemopericardium, initial encounter BILLABLE CODE
  • S26.10XA - Unspecified injury of heart without hemopericardium, initial encounter BILLABLE CODE
  • S26.11XA - Contusion of heart without hemopericardium, initial encounter BILLABLE CODE
  • S26.12XA - Laceration of heart without hemopericardium, initial encounter BILLABLE CODE
  • S26.19XA - Other injury of heart without hemopericardium, initial encounter BILLABLE CODE
  • S26.90XA - Unspecified injury of heart, unspecified with or without hemopericardium, initial encounter BILLABLE CODE
  • S26.91XA - Contusion of heart, unspecified with or without hemopericardium, initial encounter BILLABLE CODE
  • S26.92XA - Laceration of heart, unspecified with or without hemopericardium, initial encounter BILLABLE CODE
  • S26.99XA - Other injury of heart, unspecified with or without hemopericardium, initial encounter BILLABLE CODE
  • T80.1XXA - Vascular complications following infusion, transfusion and therapeutic injection, initial encounter BILLABLE CODE
  • T80.211A - Bloodstream infection due to central venous catheter, initial encounter BILLABLE CODE
  • T80.212A - Local infection due to central venous catheter, initial encounter BILLABLE CODE
  • T80.218A - Other infection due to central venous catheter, initial encounter BILLABLE CODE
  • T80.219A - Unspecified infection due to central venous catheter, initial encounter BILLABLE CODE
  • T80.810A - Extravasation of vesicant antineoplastic chemotherapy, initial encounter BILLABLE CODE
  • T80.818A - Extravasation of other vesicant agent, initial encounter BILLABLE CODE
  • T80.90XA - Unspecified complication following infusion and therapeutic injection, initial encounter BILLABLE CODE
  • T82.118A - Breakdown (mechanical) of other cardiac electronic device, initial encounter BILLABLE CODE
  • T82.119A - Breakdown (mechanical) of unspecified cardiac electronic device, initial encounter BILLABLE CODE
  • T82.128A - Displacement of other cardiac electronic device, initial encounter BILLABLE CODE
  • T82.129A - Displacement of unspecified cardiac electronic device, initial encounter BILLABLE CODE
  • T82.198A - Other mechanical complication of other cardiac electronic device, initial encounter BILLABLE CODE
  • T82.199A - Other mechanical complication of unspecified cardiac device, initial encounter BILLABLE CODE
  • T82.211A - Breakdown (mechanical) of coronary artery bypass graft, initial encounter BILLABLE CODE
  • T82.212A - Displacement of coronary artery bypass graft, initial encounter BILLABLE CODE
  • T82.213A - Leakage of coronary artery bypass graft, initial encounter BILLABLE CODE
  • T82.218A - Other mechanical complication of coronary artery bypass graft, initial encounter BILLABLE CODE
  • T82.221A - Breakdown (mechanical) of biological heart valve graft, initial encounter BILLABLE CODE
  • T82.222A - Displacement of biological heart valve graft, initial encounter BILLABLE CODE
  • T82.223A - Leakage of biological heart valve graft, initial encounter BILLABLE CODE
  • T82.228A - Other mechanical complication of biological heart valve graft, initial encounter BILLABLE CODE
  • T82.310A - Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter BILLABLE CODE
  • T82.311A - Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter BILLABLE CODE
  • T82.312A - Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter BILLABLE CODE
  • T82.318A - Breakdown (mechanical) of other vascular grafts, initial encounter BILLABLE CODE
  • T82.319A - Breakdown (mechanical) of unspecified vascular grafts, initial encounter BILLABLE CODE
  • T82.320A - Displacement of aortic (bifurcation) graft (replacement), initial encounter BILLABLE CODE
  • T82.321A - Displacement of carotid arterial graft (bypass), initial encounter BILLABLE CODE
  • T82.322A - Displacement of femoral arterial graft (bypass), initial encounter BILLABLE CODE
  • T82.328A - Displacement of other vascular grafts, initial encounter BILLABLE CODE
  • T82.329A - Displacement of unspecified vascular grafts, initial encounter BILLABLE CODE
  • T82.330A - Leakage of aortic (bifurcation) graft (replacement), initial encounter BILLABLE CODE
  • T82.331A - Leakage of carotid arterial graft (bypass), initial encounter BILLABLE CODE
  • T82.332A - Leakage of femoral arterial graft (bypass), initial encounter BILLABLE CODE
  • T82.338A - Leakage of other vascular grafts, initial encounter BILLABLE CODE
  • T82.339A - Leakage of unspecified vascular graft, initial encounter BILLABLE CODE
  • T82.390A - Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter BILLABLE CODE
  • T82.391A - Other mechanical complication of carotid arterial graft (bypass), initial encounter BILLABLE CODE
  • T82.392A - Other mechanical complication of femoral arterial graft (bypass), initial encounter BILLABLE CODE
  • T82.398A - Other mechanical complication of other vascular grafts, initial encounter BILLABLE CODE
  • T82.399A - Other mechanical complication of unspecified vascular grafts, initial encounter BILLABLE CODE
  • T82.510A - Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter BILLABLE CODE
  • T82.511A - Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter BILLABLE CODE
  • T82.512A - Breakdown (mechanical) of artificial heart, initial encounter BILLABLE CODE
  • T82.513A - Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter BILLABLE CODE
  • T82.514A - Breakdown (mechanical) of infusion catheter, initial encounter BILLABLE CODE
  • T82.515A - Breakdown (mechanical) of umbrella device, initial encounter BILLABLE CODE
  • T82.518A - Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter BILLABLE CODE
  • T82.519A - Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, initial encounter BILLABLE CODE
  • T82.520A - Displacement of surgically created arteriovenous fistula, initial encounter BILLABLE CODE
  • T82.521A - Displacement of surgically created arteriovenous shunt, initial encounter BILLABLE CODE
  • T82.522A - Displacement of artificial heart, initial encounter BILLABLE CODE
  • T82.523A - Displacement of balloon (counterpulsation) device, initial encounter BILLABLE CODE
  • T82.524A - Displacement of infusion catheter, initial encounter BILLABLE CODE
  • T82.525A - Displacement of umbrella device, initial encounter BILLABLE CODE
  • T82.528A - Displacement of other cardiac and vascular devices and implants, initial encounter BILLABLE CODE
  • T82.529A - Displacement of unspecified cardiac and vascular devices and implants, initial encounter BILLABLE CODE
  • T82.530A - Leakage of surgically created arteriovenous fistula, initial encounter BILLABLE CODE
  • T82.531A - Leakage of surgically created arteriovenous shunt, initial encounter BILLABLE CODE
  • T82.532A - Leakage of artificial heart, initial encounter BILLABLE CODE
  • T82.533A - Leakage of balloon (counterpulsation) device, initial encounter BILLABLE CODE
  • T82.534A - Leakage of infusion catheter, initial encounter BILLABLE CODE
  • T82.535A - Leakage of umbrella device, initial encounter BILLABLE CODE
  • T82.538A - Leakage of other cardiac and vascular devices and implants, initial encounter BILLABLE CODE
  • T82.539A - Leakage of unspecified cardiac and vascular devices and implants, initial encounter BILLABLE CODE
  • T82.590A - Other mechanical complication of surgically created arteriovenous fistula, initial encounter BILLABLE CODE
  • T82.591A - Other mechanical complication of surgically created arteriovenous shunt, initial encounter BILLABLE CODE
  • T82.592A - Other mechanical complication of artificial heart, initial encounter BILLABLE CODE
  • T82.593A - Other mechanical complication of balloon (counterpulsation) device, initial encounter BILLABLE CODE
  • T82.594A - Other mechanical complication of infusion catheter, initial encounter BILLABLE CODE
  • T82.595A - Other mechanical complication of umbrella device, initial encounter BILLABLE CODE
  • T82.598A - Other mechanical complication of other cardiac and vascular devices and implants, initial encounter BILLABLE CODE
  • T82.599A - Other mechanical complication of unspecified cardiac and vascular devices and implants, initial encounter BILLABLE CODE
  • T82.6XXA - Infection and inflammatory reaction due to cardiac valve prosthesis, initial encounter BILLABLE CODE
  • T82.7XXA - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.817A - Embolism due to cardiac prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.818A - Embolism due to vascular prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.827A - Fibrosis due to cardiac prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.828A - Fibrosis due to vascular prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.837A - Hemorrhage due to cardiac prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.838A - Hemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.847A - Pain due to cardiac prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.848A - Pain due to vascular prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.855A - Stenosis of coronary artery stent, initial encounter BILLABLE CODE
  • T82.856A - Stenosis of peripheral vascular stent, initial encounter BILLABLE CODE
  • T82.857A - Stenosis of other cardiac prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.858A - Stenosis of other vascular prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.868A - Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.898A - Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
  • T82.9XXA - Unspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter BILLABLE CODE
  • T86.20 - Unspecified complication of heart transplant BILLABLE CODE
  • T86.21 - Heart transplant rejection BILLABLE CODE
  • T86.22 - Heart transplant failure BILLABLE CODE
  • T86.23 - Heart transplant infection BILLABLE CODE
  • T86.290 - Cardiac allograft vasculopathy BILLABLE CODE
  • T86.298 - Other complications of heart transplant BILLABLE CODE
  • T86.30 - Unspecified complication of heart-lung transplant BILLABLE CODE
  • T86.31 - Heart-lung transplant rejection BILLABLE CODE
  • T86.32 - Heart-lung transplant failure BILLABLE CODE
  • T86.33 - Heart-lung transplant infection BILLABLE CODE
  • T86.39 - Other complications of heart-lung transplant BILLABLE CODE
  • Z45.010 - Encounter for checking and testing of cardiac pacemaker pulse generator [battery] BILLABLE CODE
  • Z45.018 - Encounter for adjustment and management of other part of cardiac pacemaker BILLABLE CODE
  • Z45.02 - Encounter for adjustment and management of automatic implantable cardiac defibrillator BILLABLE CODE
  • Z45.09 - Encounter for adjustment and management of other cardiac device BILLABLE CODE
  • Z94.1 - Heart transplant status BILLABLE CODE
  • Z94.3 - Heart and lungs transplant status BILLABLE CODE
  • Z95.2 - Presence of prosthetic heart valve BILLABLE CODE
  • Z95.3 - Presence of xenogenic heart valve BILLABLE CODE
  • Z95.4 - Presence of other heart-valve replacement BILLABLE CODE
  • Z95.811 - Presence of heart assist device BILLABLE CODE
  • Z95.812 - Presence of fully implantable artificial heart BILLABLE CODE
  • Z95.820 - Peripheral vascular angioplasty status with implants and grafts BILLABLE CODE
  • Z95.828 - Presence of other vascular implants and grafts BILLABLE CODE