MS-DRG - 865 VIRAL ILLNESS 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 - 865 viral illness with mcc diseases in version MS-DRG V38.0 applicable from 10/01/2020 through 09/30/2021.

CC stands for Complication Comorbidity while MCC stands for Major Complication or Comorbidity

  • A70 - Chlamydia psittaci infections BILLABLE CODE
  • A74.81 - Chlamydial peritonitis BILLABLE CODE
  • A74.89 - Other chlamydial diseases BILLABLE CODE
  • A74.9 - Chlamydial infection, unspecified BILLABLE CODE
  • A80.4 - Acute nonparalytic poliomyelitis BILLABLE CODE
  • A90 - Dengue fever [classical dengue] BILLABLE CODE
  • A91 - Dengue hemorrhagic fever BILLABLE CODE
  • A92.0 - Chikungunya virus disease BILLABLE CODE
  • A92.1 - O'nyong-nyong fever BILLABLE CODE
  • A92.30 - West Nile virus infection, unspecified BILLABLE CODE
  • A92.31 - West Nile virus infection with encephalitis BILLABLE CODE
  • A92.32 - West Nile virus infection with other neurologic manifestation BILLABLE CODE
  • A92.39 - West Nile virus infection with other complications BILLABLE CODE
  • A92.4 - Rift Valley fever BILLABLE CODE
  • A92.5 - Zika virus disease BILLABLE CODE
  • A92.8 - Other specified mosquito-borne viral fevers BILLABLE CODE
  • A92.9 - Mosquito-borne viral fever, unspecified BILLABLE CODE
  • A93.0 - Oropouche virus disease BILLABLE CODE
  • A93.1 - Sandfly fever BILLABLE CODE
  • A93.2 - Colorado tick fever BILLABLE CODE
  • A93.8 - Other specified arthropod-borne viral fevers BILLABLE CODE
  • A94 - Unspecified arthropod-borne viral fever BILLABLE CODE
  • A95.0 - Sylvatic yellow fever BILLABLE CODE
  • A95.1 - Urban yellow fever BILLABLE CODE
  • A95.9 - Yellow fever, unspecified BILLABLE CODE
  • A96.0 - Junin hemorrhagic fever BILLABLE CODE
  • A96.1 - Machupo hemorrhagic fever BILLABLE CODE
  • A96.2 - Lassa fever BILLABLE CODE
  • A96.8 - Other arenaviral hemorrhagic fevers BILLABLE CODE
  • A96.9 - Arenaviral hemorrhagic fever, unspecified BILLABLE CODE
  • A98.0 - Crimean-Congo hemorrhagic fever BILLABLE CODE
  • A98.1 - Omsk hemorrhagic fever BILLABLE CODE
  • A98.2 - Kyasanur Forest disease BILLABLE CODE
  • A98.3 - Marburg virus disease BILLABLE CODE
  • A98.4 - Ebola virus disease BILLABLE CODE
  • A98.8 - Other specified viral hemorrhagic fevers BILLABLE CODE
  • A99 - Unspecified viral hemorrhagic fever BILLABLE CODE
  • B03 - Smallpox BILLABLE CODE
  • B04 - Monkeypox BILLABLE CODE
  • B05.9 - Measles without complication BILLABLE CODE
  • B06.9 - Rubella without complication BILLABLE CODE
  • B08.010 - Cowpox BILLABLE CODE
  • B08.011 - Vaccinia not from vaccine BILLABLE CODE
  • B08.04 - Paravaccinia, unspecified BILLABLE CODE
  • B08.09 - Other orthopoxvirus infections BILLABLE CODE
  • B08.3 - Erythema infectiosum [fifth disease] BILLABLE CODE
  • B08.4 - Enteroviral vesicular stomatitis with exanthem BILLABLE CODE
  • B08.60 - Parapoxvirus infection, unspecified BILLABLE CODE
  • B08.61 - Bovine stomatitis BILLABLE CODE
  • B08.62 - Sealpox BILLABLE CODE
  • B08.69 - Other parapoxvirus infections BILLABLE CODE
  • B08.70 - Yatapoxvirus infection, unspecified BILLABLE CODE
  • B08.71 - Tanapox virus disease BILLABLE CODE
  • B08.72 - Yaba pox virus disease BILLABLE CODE
  • B08.79 - Other yatapoxvirus infections BILLABLE CODE
  • B08.8 - Other specified viral infections characterized by skin and mucous membrane lesions BILLABLE CODE
  • B09 - Unspecified viral infection characterized by skin and mucous membrane lesions BILLABLE CODE
  • B25.8 - Other cytomegaloviral diseases BILLABLE CODE
  • B25.9 - Cytomegaloviral disease, unspecified BILLABLE CODE
  • B26.9 - Mumps without complication BILLABLE CODE
  • B27.00 - Gammaherpesviral mononucleosis without complication BILLABLE CODE
  • B27.01 - Gammaherpesviral mononucleosis with polyneuropathy BILLABLE CODE
  • B27.02 - Gammaherpesviral mononucleosis with meningitis BILLABLE CODE
  • B27.09 - Gammaherpesviral mononucleosis with other complications BILLABLE CODE
  • B27.10 - Cytomegaloviral mononucleosis without complications BILLABLE CODE
  • B27.11 - Cytomegaloviral mononucleosis with polyneuropathy BILLABLE CODE
  • B27.12 - Cytomegaloviral mononucleosis with meningitis BILLABLE CODE
  • B27.19 - Cytomegaloviral mononucleosis with other complication BILLABLE CODE
  • B27.80 - Other infectious mononucleosis without complication BILLABLE CODE
  • B27.81 - Other infectious mononucleosis with polyneuropathy BILLABLE CODE
  • B27.82 - Other infectious mononucleosis with meningitis BILLABLE CODE
  • B27.89 - Other infectious mononucleosis with other complication BILLABLE CODE
  • B27.90 - Infectious mononucleosis, unspecified without complication BILLABLE CODE
  • B27.91 - Infectious mononucleosis, unspecified with polyneuropathy BILLABLE CODE
  • B27.92 - Infectious mononucleosis, unspecified with meningitis BILLABLE CODE
  • B27.99 - Infectious mononucleosis, unspecified with other complication BILLABLE CODE
  • B33.1 - Ross River disease BILLABLE CODE
  • B33.24 - Viral cardiomyopathy BILLABLE CODE
  • B33.3 - Retrovirus infections, not elsewhere classified BILLABLE CODE
  • B33.4 - Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS] BILLABLE CODE
  • B33.8 - Other specified viral diseases BILLABLE CODE
  • B34.0 - Adenovirus infection, unspecified BILLABLE CODE
  • B34.1 - Enterovirus infection, unspecified BILLABLE CODE
  • B34.2 - Coronavirus infection, unspecified BILLABLE CODE
  • B34.3 - Parvovirus infection, unspecified BILLABLE CODE
  • B34.4 - Papovavirus infection, unspecified BILLABLE CODE
  • B34.8 - Other viral infections of unspecified site BILLABLE CODE
  • B34.9 - Viral infection, unspecified BILLABLE CODE
  • B97.0 - Adenovirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.10 - Unspecified enterovirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.11 - Coxsackievirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.12 - Echovirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.19 - Other enterovirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.21 - SARS-associated coronavirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.29 - Other coronavirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.30 - Unspecified retrovirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.31 - Lentivirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.32 - Oncovirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.33 - Human T-cell lymphotrophic virus, type I [HTLV-I] as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.34 - Human T-cell lymphotrophic virus, type II [HTLV-II] as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.35 - Human immunodeficiency virus, type 2 [HIV 2] as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.39 - Other retrovirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.5 - Reovirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.6 - Parvovirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.7 - Papillomavirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.81 - Human metapneumovirus as the cause of diseases classified elsewhere BILLABLE CODE
  • B97.89 - Other viral agents as the cause of diseases classified elsewhere BILLABLE CODE
  • J09.X3 - Influenza due to identified novel influenza A virus with gastrointestinal manifestations BILLABLE CODE
  • J09.X9 - Influenza due to identified novel influenza A virus with other manifestations BILLABLE CODE
  • J10.2 - Influenza due to other identified influenza virus with gastrointestinal manifestations BILLABLE CODE
  • J10.81 - Influenza due to other identified influenza virus with encephalopathy BILLABLE CODE
  • J10.82 - Influenza due to other identified influenza virus with myocarditis BILLABLE CODE
  • J10.83 - Influenza due to other identified influenza virus with otitis media BILLABLE CODE
  • J10.89 - Influenza due to other identified influenza virus with other manifestations BILLABLE CODE
  • J11.2 - Influenza due to unidentified influenza virus with gastrointestinal manifestations BILLABLE CODE
  • J11.81 - Influenza due to unidentified influenza virus with encephalopathy BILLABLE CODE
  • J11.82 - Influenza due to unidentified influenza virus with myocarditis BILLABLE CODE
  • J11.83 - Influenza due to unidentified influenza virus with otitis media BILLABLE CODE
  • J11.89 - Influenza due to unidentified influenza virus with other manifestations BILLABLE CODE
  • L44.4 - Infantile papular acrodermatitis [Gianotti-Crosti] BILLABLE CODE
  • T88.1XXA - Other complications following immunization, not elsewhere classified, initial encounter BILLABLE CODE
  • Z21 - Asymptomatic human immunodeficiency virus [HIV] infection status BILLABLE CODE