If the patient's primary diagnostic code is one of the codes listed below, the CCs/MCCs affected by this exclusion list would not apply.
Code | Description |
---|---|
A74.81 | Chlamydial peritonitis |
A74.89 | Other chlamydial diseases |
A74.9 | Chlamydial infection, unspecified |
A96.2 | Lassa fever |
A98.3 | Marburg virus disease |
A98.4 | Ebola virus disease |
B00.3 | Herpesviral meningitis |
B00.82 | Herpes simplex myelitis |
B00.89 | Other herpesviral infection |
B00.9 | Herpesviral infection, unspecified |
B02.0 | Zoster encephalitis |
B02.1 | Zoster meningitis |
B02.21 | Postherpetic geniculate ganglionitis |
B02.22 | Postherpetic trigeminal neuralgia |
B02.23 | Postherpetic polyneuropathy |
B02.24 | Postherpetic myelitis |
B02.29 | Other postherpetic nervous system involvement |
B02.7 | Disseminated zoster |
B02.8 | Zoster with other complications |
B02.9 | Zoster without complications |
B10.81 | Human herpesvirus 6 infection |
B10.82 | Human herpesvirus 7 infection |
B10.89 | Other human herpesvirus infection |
B33.24 | Viral cardiomyopathy |
B33.4 | Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS] |
B33.8 | Other specified viral diseases |
B34.1 | Enterovirus infection, unspecified |
B34.2 | Coronavirus infection, unspecified |
B34.4 | Papovavirus infection, unspecified |
B34.8 | Other viral infections of unspecified site |
B92 | Sequelae of leprosy |
B94.2 | Sequelae of viral hepatitis |
B94.8 | Sequelae of other specified infectious and parasitic diseases |
B94.9 | Sequelae of unspecified infectious and parasitic disease |
B97.10 | Unspecified enterovirus as the cause of diseases classified elsewhere |
B97.19 | Other enterovirus as the cause of diseases classified elsewhere |
B97.29 | Other coronavirus as the cause of diseases classified elsewhere |
B97.5 | Reovirus as the cause of diseases classified elsewhere |
B97.6 | Parvovirus as the cause of diseases classified elsewhere |
B97.81 | Human metapneumovirus as the cause of diseases classified elsewhere |
B97.89 | Other viral agents as the cause of diseases classified elsewhere |
The following CCs/MCCs are affected by this exclusion list.
We build tools and machine learning systems that simplify healthcare revenue cycle operations. We were frustrated with the formatting of the MS-DRG rules, so we built our own solution.
MS-DRG rules and ICD-10 CM/PCS codes are automatically parsed from CMS's MS-DRG data files. All content is provided strictly “AS IS” and may contain parsing errors. If you spot an error, please let us know.
We have converted the MS-DRG logic into fully structured, machine-readable data. If you need structured data versions of the MS-DRG manuals, we would love to talk with you.