Patients who qualify for Other Male Reproductive System Diagnoses will be grouped into a DRG according to the logic below.
| CC or MCC | DRG | Name | Type |
|---|---|---|---|
| Yes | 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | Medical |
| No | 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | Medical |
The tables below list the codes required to qualify for this subsection according to the logic listed above. By matching the codes on a patient's account to those listed below, you can work out how a patient will be grouped by the MS-DRG grouper. However, sometimes this can be difficult to work out by hand. If you are looking for automated DRG grouping software that can be integrated into your workflow, please let us know.
| Code | Description |
|---|---|
| D17.6 |
Benign lipomatous neoplasm of spermatic cord |
| D29.0 |
Benign neoplasm of penis |
| D29.1 |
Benign neoplasm of prostate |
| D29.20 |
Benign neoplasm of unspecified testis |
| D29.21 |
Benign neoplasm of right testis |
| D29.22 |
Benign neoplasm of left testis |
| D29.30 |
Benign neoplasm of unspecified epididymis |
| D29.31 |
Benign neoplasm of right epididymis |
| D29.32 |
Benign neoplasm of left epididymis |
| D29.4 |
Benign neoplasm of scrotum |
| D29.8 |
Benign neoplasm of other specified male genital organs |
| D29.9 |
Benign neoplasm of male genital organ, unspecified |
| I86.1 |
Scrotal varices |
| I86.2 |
Pelvic varices |
| L29.1 |
Pruritus scroti |
| L29.3 |
Anogenital pruritus, unspecified |
| N42.0 |
Calculus of prostate |
| N42.1 |
Congestion and hemorrhage of prostate |
| N42.30 |
Unspecified dysplasia of prostate |
| N42.31 |
Prostatic intraepithelial neoplasia |
| N42.32 |
Atypical small acinar proliferation of prostate |
| N42.39 |
Other dysplasia of prostate |
| N42.81 |
Prostatodynia syndrome |
| N42.82 |
Prostatosis syndrome |
| N42.89 |
Other specified disorders of prostate |
| N42.9 |
Disorder of prostate, unspecified |
| N43.0 |
Encysted hydrocele |
| N43.2 |
Other hydrocele |
| N43.3 |
Hydrocele, unspecified |
| N43.40 |
Spermatocele of epididymis, unspecified |
| N43.41 |
Spermatocele of epididymis, single |
| N43.42 |
Spermatocele of epididymis, multiple |
| N44.00 |
Torsion of testis, unspecified |
| N44.01 |
Extravaginal torsion of spermatic cord |
| N44.02 |
Intravaginal torsion of spermatic cord |
| N44.03 |
Torsion of appendix testis |
| N44.04 |
Torsion of appendix epididymis |
| N44.1 |
Cyst of tunica albuginea testis |
| N44.2 |
Benign cyst of testis |
| N44.8 |
Other noninflammatory disorders of the testis |
| N46.01 |
Organic azoospermia |
| N46.021 |
Azoospermia due to drug therapy |
| N46.022 |
Azoospermia due to infection |
| N46.023 |
Azoospermia due to obstruction of efferent ducts |
| N46.024 |
Azoospermia due to radiation |
| N46.025 |
Azoospermia due to systemic disease |
| N46.029 |
Azoospermia due to other extratesticular causes |
| N46.11 |
Organic oligospermia |
| N46.121 |
Oligospermia due to drug therapy |
| N46.122 |
Oligospermia due to infection |
| N46.123 |
Oligospermia due to obstruction of efferent ducts |
| N46.124 |
Oligospermia due to radiation |
| N46.125 |
Oligospermia due to systemic disease |
| N46.129 |
Oligospermia due to other extratesticular causes |
| N46.8 |
Other male infertility |
| N46.9 |
Male infertility, unspecified |
| N48.0 |
Leukoplakia of penis |
| N48.30 |
Priapism, unspecified |
| N48.31 |
Priapism due to trauma |
| N48.32 |
Priapism due to disease classified elsewhere |
| N48.33 |
Priapism, drug-induced |
| N48.39 |
Other priapism |
| N48.5 |
Ulcer of penis |
| N48.6 |
Induration penis plastica |
| N48.81 |
Thrombosis of superficial vein of penis |
| N48.82 |
Acquired torsion of penis |
| N48.83 |
Acquired buried penis |
| N48.89 |
Other specified disorders of penis |
| N48.9 |
Disorder of penis, unspecified |
| N50.0 |
Atrophy of testis |
| N50.1 |
Vascular disorders of male genital organs |
| N50.3 |
Cyst of epididymis |
| N50.811 |
Right testicular pain |
| N50.812 |
Left testicular pain |
| N50.819 |
Testicular pain, unspecified |
| N50.82 |
Scrotal pain |
| N50.89 |
Other specified disorders of the male genital organs |
| N50.9 |
Disorder of male genital organs, unspecified |
| N51 |
Disorders of male genital organs in diseases classified elsewhere |
| N52.01 |
Erectile dysfunction due to arterial insufficiency |
| N52.02 |
Corporo-venous occlusive erectile dysfunction |
| N52.03 |
Combined arterial insufficiency and corporo-venous occlusive erectile dysfunction |
| N52.1 |
Erectile dysfunction due to diseases classified elsewhere |
| N52.2 |
Drug-induced erectile dysfunction |
| N52.31 |
Erectile dysfunction following radical prostatectomy |
| N52.32 |
Erectile dysfunction following radical cystectomy |
| N52.33 |
Erectile dysfunction following urethral surgery |
| N52.34 |
Erectile dysfunction following simple prostatectomy |
| N52.35 |
Erectile dysfunction following radiation therapy |
| N52.36 |
Erectile dysfunction following interstitial seed therapy |
| N52.37 |
Erectile dysfunction following prostate ablative therapy |
| N52.39 |
Other and unspecified postprocedural erectile dysfunction |
| N52.8 |
Other male erectile dysfunction |
| N52.9 |
Male erectile dysfunction, unspecified |
| N53.11 |
Retarded ejaculation |
| N53.12 |
Painful ejaculation |
| N53.13 |
Anejaculatory orgasm |
| N53.14 |
Retrograde ejaculation |
| N53.19 |
Other ejaculatory dysfunction |
| N53.8 |
Other male sexual dysfunction |
| N53.9 |
Unspecified male sexual dysfunction |
| Q53.00 |
Ectopic testis, unspecified |
| Q53.01 |
Ectopic testis, unilateral |
| Q53.02 |
Ectopic testes, bilateral |
| Q53.10 |
Unspecified undescended testicle, unilateral |
| Q53.111 |
Unilateral intraabdominal testis |
| Q53.112 |
Unilateral inguinal testis |
| Q53.12 |
Ectopic perineal testis, unilateral |
| Q53.13 |
Unilateral high scrotal testis |
| Q53.20 |
Undescended testicle, unspecified, bilateral |
| Q53.211 |
Bilateral intraabdominal testes |
| Q53.212 |
Bilateral inguinal testes |
| Q53.22 |
Ectopic perineal testis, bilateral |
| Q53.23 |
Bilateral high scrotal testes |
| Q53.9 |
Undescended testicle, unspecified |
| Q54.0 |
Hypospadias, balanic |
| Q54.1 |
Hypospadias, penile |
| Q54.2 |
Hypospadias, penoscrotal |
| Q54.3 |
Hypospadias, perineal |
| Q54.4 |
Congenital chordee |
| Q54.8 |
Other hypospadias |
| Q54.9 |
Hypospadias, unspecified |
| Q55.0 |
Absence and aplasia of testis |
| Q55.1 |
Hypoplasia of testis and scrotum |
| Q55.20 |
Unspecified congenital malformations of testis and scrotum |
| Q55.21 |
Polyorchism |
| Q55.22 |
Retractile testis |
| Q55.23 |
Scrotal transposition |
| Q55.29 |
Other congenital malformations of testis and scrotum |
| Q55.3 |
Atresia of vas deferens |
| Q55.4 |
Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate |
| Q55.5 |
Congenital absence and aplasia of penis |
| Q55.61 |
Curvature of penis (lateral) |
| Q55.62 |
Hypoplasia of penis |
| Q55.63 |
Congenital torsion of penis |
| Q55.64 |
Hidden penis |
| Q55.69 |
Other congenital malformation of penis |
| Q55.7 |
Congenital vasocutaneous fistula |
| Q55.8 |
Other specified congenital malformations of male genital organs |
| Q55.9 |
Congenital malformation of male genital organ, unspecified |
| Q56.0 |
Hermaphroditism, not elsewhere classified |
| Q56.1 |
Male pseudohermaphroditism, not elsewhere classified |
| Q56.3 |
Pseudohermaphroditism, unspecified |
| Q56.4 |
Indeterminate sex, unspecified |
| Q64.0 |
Epispadias |
| Q98.0 |
Klinefelter syndrome karyotype 47, XXY |
| Q98.1 |
Klinefelter syndrome, male with more than two X chromosomes |
| Q98.3 |
Other male with 46, XX karyotype |
| Q98.4 |
Klinefelter syndrome, unspecified |
| Q98.5 |
Karyotype 47, XYY |
| Q98.6 |
Male with structurally abnormal sex chromosome |
| Q98.7 |
Male with sex chromosome mosaicism |
| Q98.8 |
Other specified sex chromosome abnormalities, male phenotype |
| Q98.9 |
Sex chromosome abnormality, male phenotype, unspecified |
| Q99.0 |
Chimera 46, XX/46, XY |
| Q99.1 |
46, XX true hermaphrodite |
| Q99.8 |
Other specified chromosome abnormalities |
| R36.1 |
Hematospermia |
| R86.0 |
Abnormal level of enzymes in specimens from male genital organs |
| R86.1 |
Abnormal level of hormones in specimens from male genital organs |
| R86.2 |
Abnormal level of other drugs, medicaments and biological substances in specimens from male genital organs |
| R86.3 |
Abnormal level of substances chiefly nonmedicinal as to source in specimens from male genital organs |
| R86.4 |
Abnormal immunological findings in specimens from male genital organs |
| R86.5 |
Abnormal microbiological findings in specimens from male genital organs |
| R86.6 |
Abnormal cytological findings in specimens from male genital organs |
| R86.7 |
Abnormal histological findings in specimens from male genital organs |
| R86.8 |
Other abnormal findings in specimens from male genital organs |
| R86.9 |
Unspecified abnormal finding in specimens from male genital organs |
| R93.811 |
Abnormal radiologic findings on diagnostic imaging of right testicle |
| R93.812 |
Abnormal radiologic findings on diagnostic imaging of left testicle |
| R93.813 |
Abnormal radiologic findings on diagnostic imaging of testicles, bilateral |
| R93.819 |
Abnormal radiologic findings on diagnostic imaging of unspecified testicle |
| S30.201A |
Contusion of unspecified external genital organ, male, initial encounter |
| S30.21XA |
Contusion of penis, initial encounter |
| S30.22XA |
Contusion of scrotum and testes, initial encounter |
| S31.20XA |
Unspecified open wound of penis, initial encounter |
| S31.21XA |
Laceration without foreign body of penis, initial encounter |
| S31.22XA |
Laceration with foreign body of penis, initial encounter |
| S31.23XA |
Puncture wound without foreign body of penis, initial encounter |
| S31.24XA |
Puncture wound with foreign body of penis, initial encounter |
| S31.25XA |
Open bite of penis, initial encounter |
| S31.30XA |
Unspecified open wound of scrotum and testes, initial encounter |
| S31.31XA |
Laceration without foreign body of scrotum and testes, initial encounter |
| S31.32XA |
Laceration with foreign body of scrotum and testes, initial encounter |
| S31.33XA |
Puncture wound without foreign body of scrotum and testes, initial encounter |
| S31.34XA |
Puncture wound with foreign body of scrotum and testes, initial encounter |
| S31.35XA |
Open bite of scrotum and testes, initial encounter |
| S31.501A |
Unspecified open wound of unspecified external genital organs, male, initial encounter |
| S31.501S |
Unspecified open wound of unspecified external genital organs, male, sequela |
| S31.511A |
Laceration without foreign body of unspecified external genital organs, male, initial encounter |
| S31.511S |
Laceration without foreign body of unspecified external genital organs, male, sequela |
| S31.521A |
Laceration with foreign body of unspecified external genital organs, male, initial encounter |
| S31.521S |
Laceration with foreign body of unspecified external genital organs, male, sequela |
| S31.531A |
Puncture wound without foreign body of unspecified external genital organs, male, initial encounter |
| S31.531S |
Puncture wound without foreign body of unspecified external genital organs, male, sequela |
| S31.541A |
Puncture wound with foreign body of unspecified external genital organs, male, initial encounter |
| S31.541S |
Puncture wound with foreign body of unspecified external genital organs, male, sequela |
| S31.551A |
Open bite of unspecified external genital organs, male, initial encounter |
| S31.551S |
Open bite of unspecified external genital organs, male, sequela |
| S37.10XS |
Unspecified injury of ureter, sequela |
| S37.12XS |
Contusion of ureter, sequela |
| S37.13XS |
Laceration of ureter, sequela |
| S37.19XS |
Other injury of ureter, sequela |
| S37.20XS |
Unspecified injury of bladder, sequela |
| S37.22XS |
Contusion of bladder, sequela |
| S37.23XS |
Laceration of bladder, sequela |
| S37.29XS |
Other injury of bladder, sequela |
| S37.30XS |
Unspecified injury of urethra, sequela |
| S37.32XS |
Contusion of urethra, sequela |
| S37.33XS |
Laceration of urethra, sequela |
| S37.39XS |
Other injury of urethra, sequela |
| S37.812S |
Contusion of adrenal gland, sequela |
| S37.813S |
Laceration of adrenal gland, sequela |
| S37.818S |
Other injury of adrenal gland, sequela |
| S37.819S |
Unspecified injury of adrenal gland, sequela |
| S37.822A |
Contusion of prostate, initial encounter |
| S37.822S |
Contusion of prostate, sequela |
| S37.823A |
Laceration of prostate, initial encounter |
| S37.823S |
Laceration of prostate, sequela |
| S37.828A |
Other injury of prostate, initial encounter |
| S37.828S |
Other injury of prostate, sequela |
| S37.829A |
Unspecified injury of prostate, initial encounter |
| S37.829S |
Unspecified injury of prostate, sequela |
| S37.892A |
Contusion of other urinary and pelvic organ, initial encounter |
| S37.892S |
Contusion of other urinary and pelvic organ, sequela |
| S37.893A |
Laceration of other urinary and pelvic organ, initial encounter |
| S37.893S |
Laceration of other urinary and pelvic organ, sequela |
| S37.898A |
Other injury of other urinary and pelvic organ, initial encounter |
| S37.898S |
Other injury of other urinary and pelvic organ, sequela |
| S37.899A |
Unspecified injury of other urinary and pelvic organ, initial encounter |
| S37.899S |
Unspecified injury of other urinary and pelvic organ, sequela |
| S37.90XA |
Unspecified injury of unspecified urinary and pelvic organ, initial encounter |
| S37.90XS |
Unspecified injury of unspecified urinary and pelvic organ, sequela |
| S37.92XA |
Contusion of unspecified urinary and pelvic organ, initial encounter |
| S37.92XS |
Contusion of unspecified urinary and pelvic organ, sequela |
| S37.93XA |
Laceration of unspecified urinary and pelvic organ, initial encounter |
| S37.93XS |
Laceration of unspecified urinary and pelvic organ, sequela |
| S37.99XA |
Other injury of unspecified urinary and pelvic organ, initial encounter |
| S37.99XS |
Other injury of unspecified urinary and pelvic organ, sequela |
| S38.001A |
Crushing injury of unspecified external genital organs, male, initial encounter |
| S38.01XA |
Crushing injury of penis, initial encounter |
| S38.02XA |
Crushing injury of scrotum and testis, initial encounter |
| S38.221A |
Complete traumatic amputation of penis, initial encounter |
| S38.222A |
Partial traumatic amputation of penis, initial encounter |
| S38.231A |
Complete traumatic amputation of scrotum and testis, initial encounter |
| S38.232A |
Partial traumatic amputation of scrotum and testis, initial encounter |
| T19.4XXA |
Foreign body in penis, initial encounter |
| Z30.2 |
Encounter for sterilization |
| Z31.0 |
Encounter for reversal of previous sterilization |
| Z90.79 |
Acquired absence of other genital organ(s) |
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.