附表6.7.5 主要合併症或併發症診斷碼¬¬六部第七章...- 21 - 附表6.7.5...

- 21 -

附表6.7.5 主要合併症或併發症診斷碼使用說明：１.次診斷符合本表「次診斷」欄所列，且其主診斷非為「主診斷代碼排除組別」對應附表6.7.5.1之「主診斷」欄所列範圍，且「類別」欄為「MCC」者，該次診斷為「主要合併症或併發症」。２.次診斷符合本表「次診斷」欄所列，且其主診斷非為「主診斷代碼排除組別」對應附表6.7.5.1之「主診斷」欄所列範圍，且「類別」欄為「MCC*」，且病患出院轉歸非死亡者，該次診斷為「主要合併症或併發症」。３.次診斷符合本表「次診斷」欄所列，且其主診斷非為「主診斷代碼排除組別」對應附表6.7.5.1 之「主診斷」欄所列範圍，且「類別」欄為「MCC*」，且病患出院轉歸為死亡者，該次診斷非「主要合併症或併發症」４.次診斷符合本表「次診斷」欄所列，且「主診斷代碼排除組別」欄為「No Excl」者，該次診斷為「主要合併　症或併發症」。５.主診斷符合附表6.7.5.2所列者，不論是否有次診斷，皆為「主要合併症或併發症」。

次診斷

代碼類別

主診斷代碼排

除組別次診斷英文名稱

A021 MCC 0005 Salmonella sepsis

A0221 MCC 0006 Salmonella meningitis

A0222 MCC 0007 Salmonella pneumonia

A064 MCC 0023 Amebic liver abscess

A065 MCC 0024 Amebic lung abscess

A066 MCC 0025 Amebic brain abscess

A170 MCC 0032 Tuberculous meningitis

A171 MCC 0032 Meningeal tuberculoma

A1781 MCC 0033 Tuberculoma of brain and spinal cord

A1782 MCC 0033 Tuberculous meningoencephalitis

A1783 MCC No Excl Tuberculous neuritis

A1789 MCC 0034 Other tuberculosis of nervous system

A1831 MCC 0045 Tuberculous peritonitis

A190 MCC 0051 Acute miliary tuberculosis of a single specified site

A191 MCC 0051 Acute miliary tuberculosis of multiple sites

A192 MCC 0051 Acute miliary tuberculosis, unspecified

A198 MCC 0051 Other miliary tuberculosis

A199 MCC 0051 Miliary tuberculosis, unspecified

A200 MCC 0052 Bubonic plague

A201 MCC 0052 Cellulocutaneous plague

A202 MCC 0053 Pneumonic plague

A203 MCC 0054 Plague meningitis

A207 MCC 0055 Septicemic plague

A208 MCC 0054 Other forms of plague

A209 MCC 0056 Plague, unspecified

A221 MCC 0063 Pulmonary anthrax

A227 MCC 0005 Anthrax sepsis

A267 MCC 0071 Erysipelothrix sepsis

A2781 MCC 0073 Aseptic meningitis in leptospirosis

A327 MCC 0071 Listerial sepsis

A33 MCC 0084 Tetanus neonatorum

A35 MCC 0086 Other tetanus

A3701 MCC 0090 Whooping cough due to Bordetella pertussis with pneumonia

A3711 MCC 0090 Whooping cough due to Bordetella parapertussis with pneumonia

A3781 MCC 0090 Whooping cough due to other Bordetella species with pneumonia

A3791 MCC 0090 Whooping cough, unspecified species with pneumonia

A390 MCC 0092 Meningococcal meningitis

A391 MCC 0093 Waterhouse-Friderichsen syndrome

A392 MCC 0094 Acute meningococcemia

A393 MCC 0094 Chronic meningococcemia

A394 MCC 0094 Meningococcemia, unspecified

A3950 MCC 0095 Meningococcal carditis, unspecified

A3951 MCC 0096 Meningococcal endocarditis

A3952 MCC 0097 Meningococcal myocarditis

A3953 MCC 0098 Meningococcal pericarditis

- 22 -

次診斷

代碼類別

主診斷代碼排


A3981 MCC 0099 Meningococcal encephalitis

A400 MCC 0071 Sepsis due to streptococcus, group A

A401 MCC 0071 Sepsis due to streptococcus, group B

A403 MCC No Excl Sepsis due to Streptococcus pneumoniae

A408 MCC 0071 Other streptococcal sepsis

A409 MCC 0071 Streptococcal sepsis, unspecified

A4101 MCC 0071 Sepsis due to Methicillin susceptible Staphylococcus aureus

A4102 MCC 0071 Sepsis due to Methicillin resistant Staphylococcus aureus

A411 MCC 0071 Sepsis due to other specified staphylococcus

A412 MCC 0071 Sepsis due to unspecified staphylococcus

A413 MCC 0071 Sepsis due to Hemophilus influenzae

A414 MCC 0071 Sepsis due to anaerobes

A4150 MCC 0071 Gram-negative sepsis, unspecified

A4151 MCC 0071 Sepsis due to Escherichia coli [E. coli]

A4152 MCC 0071 Sepsis due to Pseudomonas

A4153 MCC 0071 Sepsis due to Serratia

A4159 MCC 0071 Other Gram-negative sepsis

A4181 MCC 0071 Sepsis due to Enterococcus

A4189 MCC 0071 Other specified sepsis

A419 MCC 0071 Sepsis, unspecified organism

A427 MCC 0071 Actinomycotic sepsis

A480 MCC 0109 Gas gangrene

A481 MCC 0110 Legionnaires' disease

A483 MCC 0111 Toxic shock syndrome

A5041 MCC 0115 Late congenital syphilitic meningitis

A5042 MCC 0114 Late congenital syphilitic encephalitis

A5141 MCC 0117 Secondary syphilitic meningitis

A5213 MCC 0115 Late syphilitic meningitis

A5214 MCC 0114 Late syphilitic encephalitis

A5481 MCC 0117 Gonococcal meningitis

A5486 MCC 0071 Gonococcal sepsis

A800 MCC 0130 Acute paralytic poliomyelitis, vaccine-associated

A801 MCC 0130 Acute paralytic poliomyelitis, wild virus, imported

A802 MCC 0130 Acute paralytic poliomyelitis, wild virus, indigenous

A8030 MCC 0130 Acute paralytic poliomyelitis, unspecified

A8039 MCC 0130 Other acute paralytic poliomyelitis

A830 MCC 0137 Japanese encephalitis

A831 MCC 0137 Western equine encephalitis

A832 MCC 0137 Eastern equine encephalitis

A833 MCC 0137 St Louis encephalitis

A834 MCC 0137 Australian encephalitis

A835 MCC 0137 California encephalitis

A836 MCC 0137 Rocio virus disease

A838 MCC 0137 Other mosquito-borne viral encephalitis

A839 MCC 0137 Mosquito-borne viral encephalitis, unspecified

A840 MCC 0137 Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis]

A841 MCC 0137 Central European tick-borne encephalitis

A848 MCC 0137 Other tick-borne viral encephalitis

A849 MCC 0137 Tick-borne viral encephalitis, unspecified

A852 MCC 0137 Arthropod-borne viral encephalitis, unspecified

A9230 MCC 0145 West Nile virus infection, unspecified

A9231 MCC 0145 West Nile virus infection with encephalitis

A9232 MCC 0145 West Nile virus infection with other neurologic manifestation

A9239 MCC 0145 West Nile virus infection with other complications

B003 MCC 0150 Herpesviral meningitis

- 23 -

次診斷

代碼類別

主診斷代碼排


B004 MCC 0151 Herpesviral encephalitis

B007 MCC 0153 Disseminated herpesviral disease

B0082 MCC 0155 Herpes simplex myelitis

B0111 MCC 0158 Varicella encephalitis and encephalomyelitis

B0112 MCC 0159 Varicella myelitis

B012 MCC 0160 Varicella pneumonia

B021 MCC 0162 Zoster meningitis

B0224 MCC 0163 Postherpetic myelitis

B050 MCC 0168 Measles complicated by encephalitis

B052 MCC 0170 Measles complicated by pneumonia

B0601 MCC 0172 Rubella encephalitis

B1001 MCC 0151 Human herpesvirus 6 encephalitis

B1009 MCC 0151 Other human herpesvirus encephalitis

B150 MCC 0175 Hepatitis A with hepatic coma

B160 MCC 0175 Acute hepatitis B with delta-agent with hepatic coma

B162 MCC 0175 Acute hepatitis B without delta-agent with hepatic coma

B1711 MCC 0175 Acute hepatitis C with hepatic coma

B190 MCC 0175 Unspecified viral hepatitis with hepatic coma

B1911 MCC 0175 Unspecified viral hepatitis B with hepatic coma

B1921 MCC 0175 Unspecified viral hepatitis C with hepatic coma

B20 MCC 0176 Human immunodeficiency virus [HIV] disease

B250 MCC 0110 Cytomegaloviral pneumonitis

B252 MCC 0177 Cytomegaloviral pancreatitis

B261 MCC 0180 Mumps meningitis

B262 MCC 0181 Mumps encephalitis

B371 MCC 0190 Pulmonary candidiasis

B375 MCC 0192 Candidal meningitis

B376 MCC 0190 Candidal endocarditis

B377 MCC 0193 Candidal sepsis

B384 MCC 0198 Coccidioidomycosis meningitis

B390 MCC 0200 Acute pulmonary histoplasmosis capsulati

B391 MCC 0200 Chronic pulmonary histoplasmosis capsulati

B392 MCC 0200 Pulmonary histoplasmosis capsulati, unspecified

B440 MCC 0110 Invasive pulmonary aspergillosis

B451 MCC 0207 Cerebral cryptococcosis

B460 MCC 0208 Pulmonary mucormycosis

B461 MCC 0208 Rhinocerebral mucormycosis

B462 MCC 0208 Gastrointestinal mucormycosis

B463 MCC 0208 Cutaneous mucormycosis

B464 MCC 0208 Disseminated mucormycosis

B465 MCC 0208 Mucormycosis, unspecified

B468 MCC 0208 Other zygomycoses

B469 MCC 0208 Zygomycosis, unspecified

B509 MCC 0214 Plasmodium falciparum malaria, unspecified

B582 MCC 0224 Toxoplasma meningoencephalitis

B583 MCC 0225 Pulmonary toxoplasmosis

B5881 MCC 0226 Toxoplasma myocarditis

B59 MCC 0228 Pneumocystosis

B7781 MCC 0247 Ascariasis pneumonia

D5700 MCC 0496 Hb-SS disease with crisis, unspecified

D5701 MCC 0496 Hb-SS disease with acute chest syndrome

D5702 MCC 0496 Hb-SS disease with splenic sequestration

D57211 MCC 0496 Sickle-cell/Hb-C disease with acute chest syndrome

D57212 MCC 0496 Sickle-cell/Hb-C disease with splenic sequestration

D57219 MCC 0496 Sickle-cell/Hb-C disease with crisis, unspecified

- 24 -

次診斷

代碼類別

主診斷代碼排


D57411 MCC 0496 Sickle-cell thalassemia with acute chest syndrome

D57412 MCC 0496 Sickle-cell thalassemia with splenic sequestration

D57419 MCC 0496 Sickle-cell thalassemia with crisis, unspecified

D57811 MCC 0496 Other sickle-cell disorders with acute chest syndrome

D57812 MCC 0496 Other sickle-cell disorders with splenic sequestration

D57819 MCC 0496 Other sickle-cell disorders with crisis, unspecified

D593 MCC 0496 Hemolytic-uremic syndrome

D600 MCC 0496 Chronic acquired pure red cell aplasia

D601 MCC 0496 Transient acquired pure red cell aplasia

D608 MCC 0496 Other acquired pure red cell aplasias

D609 MCC 0496 Acquired pure red cell aplasia, unspecified

D611 MCC 0496 Drug-induced aplastic anemia

D612 MCC 0496 Aplastic anemia due to other external agents

D613 MCC 0496 Idiopathic aplastic anemia

D61810 MCC 0500 Antineoplastic chemotherapy induced pancytopenia

D61811 MCC 0500 Other drug-induced pancytopenia

D6189 MCC 0496 Other specified aplastic anemias and other bone marrow failure syndromes

D65 MCC 0502 Disseminated intravascular coagulation [defibrination syndrome]

D66 MCC 0502 Hereditary factor VIII deficiency

D67 MCC 0502 Hereditary factor IX deficiency

E035 MCC 0515 Myxedema coma

E0501 MCC 0516 Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm

E0511 MCC 0516 Thyrotoxicosis with toxic single thyroid nodule with thyrotoxic crisis or storm

E0521 MCC 0516 Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm

E0531 MCC 0516 Thyrotoxicosis from ectopic thyroid tissue with thyrotoxic crisis or storm

E0541 MCC 0516 Thyrotoxicosis factitia with thyrotoxic crisis or storm

E0581 MCC 0516 Other thyrotoxicosis with thyrotoxic crisis or storm

E0591 MCC 0516 Thyrotoxicosis, unspecified with thyrotoxic crisis or storm

E0800 MCC 0518 Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic

hyperglycemic-hyperosmolar coma (NKHHC)

E0801 MCC 0518 Diabetes mellitus due to underlying condition with hyperosmolarity with coma

E0810 MCC 0518 Diabetes mellitus due to underlying condition with ketoacidosis without coma

E0811 MCC 0518 Diabetes mellitus due to underlying condition with ketoacidosis with coma

E08641 MCC 0518 Diabetes mellitus due to underlying condition with hypoglycemia with coma

E0900 MCC 0518 Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic

hyperglycemic-hyperosmolar coma (NKHHC)

E0901 MCC 0518 Drug or chemical induced diabetes mellitus with hyperosmolarity with coma

E0910 MCC 0518 Drug or chemical induced diabetes mellitus with ketoacidosis without coma

E0911 MCC 0518 Drug or chemical induced diabetes mellitus with ketoacidosis with coma

E09641 MCC 0518 Drug or chemical induced diabetes mellitus with hypoglycemia with coma

E1010 MCC 0520 Type 1 diabetes mellitus with ketoacidosis without coma

E1011 MCC 0520 Type 1 diabetes mellitus with ketoacidosis with coma

E10641 MCC 0520 Type 1 diabetes mellitus with hypoglycemia with coma

E1100 MCC 0518 Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-

hyperosmolar coma (NKHHC)

E1101 MCC 0518 Type 2 diabetes mellitus with hyperosmolarity with coma

E11641 MCC 0518 Type 2 diabetes mellitus with hypoglycemia with coma

E1300 MCC 0518 Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-

hyperosmolar coma (NKHHC)

E1301 MCC 0518 Other specified diabetes mellitus with hyperosmolarity with coma

E1310 MCC 0518 Other specified diabetes mellitus with ketoacidosis without coma

E1311 MCC 0518 Other specified diabetes mellitus with ketoacidosis with coma

E13641 MCC 0518 Other specified diabetes mellitus with hypoglycemia with coma

E40 MCC 0530 Kwashiorkor

E41 MCC 0530 Nutritional marasmus

- 25 -

次診斷

代碼類別

主診斷代碼排


E42 MCC 0530 Marasmic kwashiorkor

E43 MCC 0530 Unspecified severe protein-calorie malnutrition

E840 MCC 0541 Cystic fibrosis with pulmonary manifestations

E8411 MCC 0541 Meconium ileus in cystic fibrosis

E883 MCC 0544 Tumor lysis syndrome

G000 MCC 0207 Hemophilus meningitis

G001 MCC 0207 Pneumococcal meningitis

G002 MCC 0207 Streptococcal meningitis

G003 MCC 0207 Staphylococcal meningitis

G008 MCC 0207 Other bacterial meningitis

G009 MCC 0207 Bacterial meningitis, unspecified

G01 MCC 0207 Meningitis in bacterial diseases classified elsewhere

G02 MCC 0559 Meningitis in other infectious and parasitic diseases classified elsewhere

G030 MCC 0207 Nonpyogenic meningitis

G038 MCC 0207 Meningitis due to other specified causes

G039 MCC 0207 Meningitis, unspecified

G0400 MCC 0560 Acute disseminated encephalitis and encephalomyelitis, unspecified

G0401 MCC 0560 Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious

G0402 MCC No Excl Postimmunization acute disseminated encephalitis, myelitis and encephalomyelitis

G042 MCC 0207 Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified

G0430 MCC No Excl Acute necrotizing hemorrhagic encephalopathy, unspecified

G0431 MCC 0560 Postinfectious acute necrotizing hemorrhagic encephalopathy

G0432 MCC No Excl Postimmunization acute necrotizing hemorrhagic encephalopathy

G0439 MCC No Excl Other acute necrotizing hemorrhagic encephalopathy

G0481 MCC 0560 Other encephalitis and encephalomyelitis

G0489 MCC 0560 Other myelitis

G0490 MCC 0562 Encephalitis and encephalomyelitis, unspecified

G0491 MCC 0562 Myelitis, unspecified

G053 MCC 0560 Encephalitis and encephalomyelitis in diseases classified elsewhere

G054 MCC 0560 Myelitis in diseases classified elsewhere

G060 MCC 0563 Intracranial abscess and granuloma

G061 MCC 0564 Intraspinal abscess and granuloma

G062 MCC 0565 Extradural and subdural abscess, unspecified

G07 MCC 0565 Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere

G08 MCC 0565 Intracranial and intraspinal phlebitis and thrombophlebitis

G210 MCC 0571 Malignant neuroleptic syndrome

G374 MCC 0562 Subacute necrotizing myelitis of central nervous system

G40301 MCC 0583 Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status

G40311 MCC 0583 Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status

G40319 MCC 0583 Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status

G7001 MCC 0591 Myasthenia gravis with (acute) exacerbation

G800 MCC 0595 Spastic quadriplegic cerebral palsy

G8250 MCC 0595 Quadriplegia, unspecified

G8251 MCC 0595 Quadriplegia, C1-C4 complete

G8252 MCC 0595 Quadriplegia, C1-C4 incomplete

G8253 MCC 0595 Quadriplegia, C5-C7 complete

G8254 MCC 0595 Quadriplegia, C5-C7 incomplete

G835 MCC 0601 Locked-in state

G92 MCC 0606 Toxic encephalopathy

G9340 MCC 0608 Encephalopathy, unspecified

G9341 MCC 0609 Metabolic encephalopathy

G9349 MCC 0610 Other encephalopathy

G935 MCC 0611 Compression of brain

G936 MCC 0612 Cerebral edema

G937 MCC 0613 Reye's syndrome

- 26 -

次診斷

代碼類別

主診斷代碼排


G9382 MCC 0515 Brain death

G9511 MCC 0603 Acute infarction of spinal cord (embolic) (nonembolic)

G9519 MCC 0603 Other vascular myelopathies

I2101 MCC 0653 ST elevation (STEMI) myocardial infarction involving left main coronary artery

I2102 MCC 0653 ST elevation (STEMI) myocardial infarction involving left anterior descending coronary

I2109 MCC 0653 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior

I2111 MCC 0653 ST elevation (STEMI) myocardial infarction involving right coronary artery

I2119 MCC 0653 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior

I2121 MCC 0653 ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery

I2129 MCC 0653 ST elevation (STEMI) myocardial infarction involving other sites

I213 MCC 0653 ST elevation (STEMI) myocardial infarction of unspecified site

I214 MCC 0653 Non-ST elevation (NSTEMI) myocardial infarction

I220 MCC 0653 Subsequent ST elevation (STEMI) myocardial infarction of anterior wall

I221 MCC 0653 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall

I222 MCC 0653 Subsequent non-ST elevation (NSTEMI) myocardial infarction

I228 MCC 0653 Subsequent ST elevation (STEMI) myocardial infarction of other sites

I229 MCC 0653 Subsequent ST elevation (STEMI) myocardial infarction of unspecified site

I234 MCC 0655 Rupture of chordae tendineae as current complication following acute myocardial

I235 MCC 0656 Rupture of papillary muscle as current complication following acute myocardial infarction

I2542 MCC 0660 Coronary artery dissection

I2601 MCC 0667 Septic pulmonary embolism with acute cor pulmonale

I2602 MCC 0667 Saddle embolus of pulmonary artery with acute cor pulmonale

I2609 MCC 0667 Other pulmonary embolism with acute cor pulmonale

I2690 MCC 0668 Septic pulmonary embolism without acute cor pulmonale

I2692 MCC 0669 Saddle embolus of pulmonary artery without acute cor pulmonale

I2699 MCC 0670 Other pulmonary embolism without acute cor pulmonale

I330 MCC 0675 Acute and subacute infective endocarditis

I339 MCC 0675 Acute and subacute endocarditis, unspecified

I400 MCC 0677 Infective myocarditis

I401 MCC 0677 Isolated myocarditis

I408 MCC 0677 Other acute myocarditis

I409 MCC 0677 Acute myocarditis, unspecified

I41 MCC 0677 Myocarditis in diseases classified elsewhere

I462 MCC* 0680 Cardiac arrest due to underlying cardiac condition

I468 MCC* 0680 Cardiac arrest due to other underlying condition

I469 MCC* 0680 Cardiac arrest, cause unspecified

I4901 MCC* 0679 Ventricular fibrillation

I4902 MCC 0679 Ventricular flutter

I5021 MCC 0682 Acute systolic (congestive) heart failure

I5023 MCC 0682 Acute on chronic systolic (congestive) heart failure

I5031 MCC 0682 Acute diastolic (congestive) heart failure

I5033 MCC 0682 Acute on chronic diastolic (congestive) heart failure

I5041 MCC 0682 Acute combined systolic (congestive) and diastolic (congestive) heart failure

I5043 MCC 0682 Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

I511 MCC 0655 Rupture of chordae tendineae, not elsewhere classified

I512 MCC 0656 Rupture of papillary muscle, not elsewhere classified

I6000 MCC 0684 Nontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation

I6001 MCC 0684 Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation

I6002 MCC 0684 Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation

I6010 MCC 0684 Nontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery

I6011 MCC 0684 Nontraumatic subarachnoid hemorrhage from right middle cerebral artery

I6012 MCC 0684 Nontraumatic subarachnoid hemorrhage from left middle cerebral artery

I6020 MCC 0684 Nontraumatic subarachnoid hemorrhage from unspecified anterior communicating artery

I6021 MCC 0684 Nontraumatic subarachnoid hemorrhage from right anterior communicating artery

I6022 MCC 0684 Nontraumatic subarachnoid hemorrhage from left anterior communicating artery

- 27 -

次診斷

代碼類別

主診斷代碼排


I6030 MCC 0684 Nontraumatic subarachnoid hemorrhage from unspecified posterior communicating artery

I6031 MCC 0684 Nontraumatic subarachnoid hemorrhage from right posterior communicating artery

I6032 MCC 0684 Nontraumatic subarachnoid hemorrhage from left posterior communicating artery

I604 MCC 0684 Nontraumatic subarachnoid hemorrhage from basilar artery

I6050 MCC 0684 Nontraumatic subarachnoid hemorrhage from unspecified vertebral artery

I6051 MCC 0684 Nontraumatic subarachnoid hemorrhage from right vertebral artery

I6052 MCC 0684 Nontraumatic subarachnoid hemorrhage from left vertebral artery

I606 MCC 0684 Nontraumatic subarachnoid hemorrhage from other intracranial arteries

I607 MCC 0684 Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery

I608 MCC 0684 Other nontraumatic subarachnoid hemorrhage

I609 MCC 0684 Nontraumatic subarachnoid hemorrhage, unspecified

I610 MCC 0684 Nontraumatic intracerebral hemorrhage in hemisphere, subcortical

I611 MCC 0684 Nontraumatic intracerebral hemorrhage in hemisphere, cortical

I612 MCC 0684 Nontraumatic intracerebral hemorrhage in hemisphere, unspecified

I613 MCC 0684 Nontraumatic intracerebral hemorrhage in brain stem

I614 MCC 0684 Nontraumatic intracerebral hemorrhage in cerebellum

I615 MCC 0684 Nontraumatic intracerebral hemorrhage, intraventricular

I616 MCC 0684 Nontraumatic intracerebral hemorrhage, multiple localized

I618 MCC 0684 Other nontraumatic intracerebral hemorrhage

I619 MCC 0684 Nontraumatic intracerebral hemorrhage, unspecified

I6200 MCC 0684 Nontraumatic subdural hemorrhage, unspecified

I6201 MCC 0684 Nontraumatic acute subdural hemorrhage

I6202 MCC 0684 Nontraumatic subacute subdural hemorrhage

I6203 MCC 0684 Nontraumatic chronic subdural hemorrhage

I621 MCC 0684 Nontraumatic extradural hemorrhage

I6300 MCC 0685 Cerebral infarction due to thrombosis of unspecified precerebral artery

I63011 MCC 0686 Cerebral infarction due to thrombosis of right vertebral artery

I63012 MCC 0686 Cerebral infarction due to thrombosis of left vertebral artery

I63019 MCC 0686 Cerebral infarction due to thrombosis of unspecified vertebral artery

I6302 MCC 0685 Cerebral infarction due to thrombosis of basilar artery

I63031 MCC 0687 Cerebral infarction due to thrombosis of right carotid artery

I63032 MCC 0687 Cerebral infarction due to thrombosis of left carotid artery

I63039 MCC 0687 Cerebral infarction due to thrombosis of unspecified carotid artery

I6309 MCC 0685 Cerebral infarction due to thrombosis of other precerebral artery

I6310 MCC 0685 Cerebral infarction due to embolism of unspecified precerebral artery

I63111 MCC 0686 Cerebral infarction due to embolism of right vertebral artery

I63112 MCC 0686 Cerebral infarction due to embolism of left vertebral artery

I63119 MCC 0686 Cerebral infarction due to embolism of unspecified vertebral artery

I6312 MCC 0685 Cerebral infarction due to embolism of basilar artery

I63131 MCC 0687 Cerebral infarction due to embolism of right carotid artery

I63132 MCC 0687 Cerebral infarction due to embolism of left carotid artery

I63139 MCC 0687 Cerebral infarction due to embolism of unspecified carotid artery

I6319 MCC 0685 Cerebral infarction due to embolism of other precerebral artery

I6320 MCC 0685 Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral

I63211 MCC 0686 Cerebral infarction due to unspecified occlusion or stenosis of right vertebral arteries

I63212 MCC 0686 Cerebral infarction due to unspecified occlusion or stenosis of left vertebral arteries

I63219 MCC 0686 Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral

I6322 MCC 0685 Cerebral infarction due to unspecified occlusion or stenosis of basilar arteries

I63231 MCC 0687 Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries

I63232 MCC 0687 Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries

I63239 MCC 0687 Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid arteries

I6329 MCC 0685 Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries

I6330 MCC 0688 Cerebral infarction due to thrombosis of unspecified cerebral artery

I63311 MCC 0688 Cerebral infarction due to thrombosis of right middle cerebral artery

I63312 MCC 0688 Cerebral infarction due to thrombosis of left middle cerebral artery

- 28 -

次診斷

代碼類別

主診斷代碼排


I63319 MCC 0688 Cerebral infarction due to thrombosis of unspecified middle cerebral artery

I63321 MCC 0688 Cerebral infarction due to thrombosis of right anterior cerebral artery

I63322 MCC 0688 Cerebral infarction due to thrombosis of left anterior cerebral artery

I63329 MCC 0688 Cerebral infarction due to thrombosis of unspecified anterior cerebral artery

I63331 MCC 0688 Cerebral infarction due to thrombosis of right posterior cerebral artery

I63332 MCC 0688 Cerebral infarction due to thrombosis of left posterior cerebral artery

I63339 MCC 0688 Cerebral infarction due to thrombosis of unspecified posterior cerebral artery

I63341 MCC 0688 Cerebral infarction due to thrombosis of right cerebellar artery

I63342 MCC 0688 Cerebral infarction due to thrombosis of left cerebellar artery

I63349 MCC 0688 Cerebral infarction due to thrombosis of unspecified cerebellar artery

I6339 MCC 0688 Cerebral infarction due to thrombosis of other cerebral artery

I6340 MCC 0688 Cerebral infarction due to embolism of unspecified cerebral artery

I63411 MCC 0688 Cerebral infarction due to embolism of right middle cerebral artery

I63412 MCC 0688 Cerebral infarction due to embolism of left middle cerebral artery

I63419 MCC 0688 Cerebral infarction due to embolism of unspecified middle cerebral artery

I63421 MCC 0688 Cerebral infarction due to embolism of right anterior cerebral artery

I63422 MCC 0688 Cerebral infarction due to embolism of left anterior cerebral artery

I63429 MCC 0688 Cerebral infarction due to embolism of unspecified anterior cerebral artery

I63431 MCC 0688 Cerebral infarction due to embolism of right posterior cerebral artery

I63432 MCC 0688 Cerebral infarction due to embolism of left posterior cerebral artery

I63439 MCC 0688 Cerebral infarction due to embolism of unspecified posterior cerebral artery

I63441 MCC 0688 Cerebral infarction due to embolism of right cerebellar artery

I63442 MCC 0688 Cerebral infarction due to embolism of left cerebellar artery

I63449 MCC 0688 Cerebral infarction due to embolism of unspecified cerebellar artery

I6349 MCC 0688 Cerebral infarction due to embolism of other cerebral artery

I6350 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery

I63511 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery

I63512 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery

I63519 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral

I63521 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral

I63522 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery

I63529 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior

I63531 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral

I63532 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral

I63539 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior

I63541 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery

I63542 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery

I63549 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar

I6359 MCC 0688 Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery

I636 MCC 0688 Cerebral infarction due to cerebral venous thrombosis, nonpyogenic

I638 MCC 0688 Other cerebral infarction

I639 MCC 0688 Cerebral infarction, unspecified

I670 MCC 0689 Dissection of cerebral arteries, nonruptured

I6783 MCC 0610 Posterior reversible encephalopathy syndrome

I7100 MCC 0700 Dissection of unspecified site of aorta

I7101 MCC 0700 Dissection of thoracic aorta

I7102 MCC 0700 Dissection of abdominal aorta

I7103 MCC 0700 Dissection of thoracoabdominal aorta

I711 MCC 0700 Thoracic aortic aneurysm, ruptured

I713 MCC 0700 Abdominal aortic aneurysm, ruptured

I715 MCC 0700 Thoracoabdominal aortic aneurysm, ruptured

I718 MCC 0700 Aortic aneurysm of unspecified site, ruptured

I7401 MCC 0669 Saddle embolus of abdominal aorta

I7771 MCC 0689 Dissection of carotid artery

I7772 MCC 0689 Dissection of iliac artery

- 29 -

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I7773 MCC 0689 Dissection of renal artery

I7774 MCC 0689 Dissection of vertebral artery

I7779 MCC 0689 Dissection of other artery

I81 MCC 0714 Portal vein thrombosis

I820 MCC 0715 Budd-Chiari syndrome

I82220 MCC 0718 Acute embolism and thrombosis of inferior vena cava

I82221 MCC 0718 Chronic embolism and thrombosis of inferior vena cava

I8501 MCC 0722 Esophageal varices with bleeding

I8511 MCC 0724 Secondary esophageal varices with bleeding

J0411 MCC 0730 Acute tracheitis with obstruction

J0431 MCC 0731 Supraglottitis, unspecified, with obstruction

J0511 MCC 0730 Acute epiglottitis with obstruction

J09X1 MCC 0110 Influenza due to identified novel influenza A virus with pneumonia

J1000 MCC 0110 Influenza due to other identified influenza virus with unspecified type of pneumonia

J1001 MCC 0110 Influenza due to other identified influenza virus with the same other identified influenza

virus pneumonia

J1008 MCC 0733 Influenza due to other identified influenza virus with other specified pneumonia

J1100 MCC 0110 Influenza due to unidentified influenza virus with unspecified type of pneumonia

J1108 MCC 0110 Influenza due to unidentified influenza virus with specified pneumonia

J120 MCC 0734 Adenoviral pneumonia

J121 MCC 0734 Respiratory syncytial virus pneumonia

J122 MCC 0734 Parainfluenza virus pneumonia

J123 MCC 0734 Human metapneumovirus pneumonia

J1281 MCC 0735 Pneumonia due to SARS-associated coronavirus

J1289 MCC 0734 Other viral pneumonia

J129 MCC 0734 Viral pneumonia, unspecified

J13 MCC 0110 Pneumonia due to Streptococcus pneumoniae

J14 MCC 0110 Pneumonia due to Hemophilus influenzae

J150 MCC 0110 Pneumonia due to Klebsiella pneumoniae

J151 MCC 0110 Pneumonia due to Pseudomonas

J1520 MCC 0110 Pneumonia due to staphylococcus, unspecified

J15211 MCC 0110 Pneumonia due to Methicillin susceptible Staphylococcus aureus

J15212 MCC 0110 Pneumonia due to Methicillin resistant Staphylococcus aureus

J1529 MCC 0110 Pneumonia due to other staphylococcus

J153 MCC 0110 Pneumonia due to streptococcus, group B

J154 MCC 0110 Pneumonia due to other streptococci

J155 MCC 0110 Pneumonia due to Escherichia coli

J156 MCC 0110 Pneumonia due to other aerobic Gram-negative bacteria

J157 MCC 0110 Pneumonia due to Mycoplasma pneumoniae

J158 MCC 0110 Pneumonia due to other specified bacteria

J159 MCC 0110 Unspecified bacterial pneumonia

J160 MCC 0110 Chlamydial pneumonia

J168 MCC 0110 Pneumonia due to other specified infectious organisms

J17 MCC 0110 Pneumonia in diseases classified elsewhere

J180 MCC 0110 Bronchopneumonia, unspecified organism

J181 MCC 0110 Lobar pneumonia, unspecified organism

J188 MCC 0110 Other pneumonia, unspecified organism

J189 MCC 0110 Pneumonia, unspecified organism

J681 MCC 0110 Pulmonary edema due to chemicals, gases, fumes and vapors

J690 MCC 0110 Pneumonitis due to inhalation of food and vomit

J691 MCC 0110 Pneumonitis due to inhalation of oils and essences

J698 MCC 0110 Pneumonitis due to inhalation of other solids and liquids

J810 MCC 0745 Acute pulmonary edema

J8481 MCC 0747 Lymphangioleiomyomatosis

J8483 MCC 0748 Surfactant mutations of the lung

- 30 -

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J84841 MCC 0748 Neuroendocrine cell hyperplasia of infancy

J84842 MCC 0748 Pulmonary interstitial glycogenosis

J84843 MCC 0748 Alveolar capillary dysplasia with vein misalignment

J84848 MCC 0748 Other interstitial lung diseases of childhood

J850 MCC 0749 Gangrene and necrosis of lung

J851 MCC 0749 Abscess of lung with pneumonia

J852 MCC 0749 Abscess of lung without pneumonia

J853 MCC 0750 Abscess of mediastinum

J860 MCC 0751 Pyothorax with fistula

J869 MCC 0751 Pyothorax without fistula

J930 MCC 0754 Spontaneous tension pneumothorax

J951 MCC 0756 Acute pulmonary insufficiency following thoracic surgery

J952 MCC 0756 Acute pulmonary insufficiency following nonthoracic surgery

J953 MCC 0756 Chronic pulmonary insufficiency following surgery

J95821 MCC 0756 Acute postprocedural respiratory failure

J95822 MCC 0756 Acute and chronic postprocedural respiratory failure

J9600 MCC 0744 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia

J9601 MCC 0744 Acute respiratory failure with hypoxia

J9602 MCC 0744 Acute respiratory failure with hypercapnia

J9620 MCC 0744 Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia

J9621 MCC 0744 Acute and chronic respiratory failure with hypoxia

J9622 MCC 0744 Acute and chronic respiratory failure with hypercapnia

J9690 MCC 0744 Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia

J9691 MCC 0744 Respiratory failure, unspecified with hypoxia

J9692 MCC 0744 Respiratory failure, unspecified with hypercapnia

J985 MCC No Excl Diseases of mediastinum, not elsewhere classified

K2211 MCC 0765 Ulcer of esophagus with bleeding

K223 MCC 0766 Perforation of esophagus

K226 MCC 0767 Gastro-esophageal laceration-hemorrhage syndrome

K250 MCC 0765 Acute gastric ulcer with hemorrhage

K251 MCC 0765 Acute gastric ulcer with perforation

K252 MCC 0765 Acute gastric ulcer with both hemorrhage and perforation

K254 MCC 0765 Chronic or unspecified gastric ulcer with hemorrhage

K255 MCC 0765 Chronic or unspecified gastric ulcer with perforation

K256 MCC 0765 Chronic or unspecified gastric ulcer with both hemorrhage and perforation

K260 MCC 0768 Acute duodenal ulcer with hemorrhage

K261 MCC 0768 Acute duodenal ulcer with perforation

K262 MCC 0768 Acute duodenal ulcer with both hemorrhage and perforation

K264 MCC 0768 Chronic or unspecified duodenal ulcer with hemorrhage

K265 MCC 0768 Chronic or unspecified duodenal ulcer with perforation

K266 MCC 0768 Chronic or unspecified duodenal ulcer with both hemorrhage and perforation

K270 MCC 0768 Acute peptic ulcer, site unspecified, with hemorrhage

K271 MCC 0768 Acute peptic ulcer, site unspecified, with perforation

K272 MCC 0768 Acute peptic ulcer, site unspecified, with both hemorrhage and perforation

K274 MCC 0768 Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage

K275 MCC 0768 Chronic or unspecified peptic ulcer, site unspecified, with perforation

K276 MCC 0768 Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and

K280 MCC 0765 Acute gastrojejunal ulcer with hemorrhage

K281 MCC 0765 Acute gastrojejunal ulcer with perforation

K282 MCC 0765 Acute gastrojejunal ulcer with both hemorrhage and perforation

K284 MCC 0765 Chronic or unspecified gastrojejunal ulcer with hemorrhage

K285 MCC 0765 Chronic or unspecified gastrojejunal ulcer with perforation

K286 MCC 0765 Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation

K2901 MCC 0770 Acute gastritis with bleeding

K2921 MCC 0770 Alcoholic gastritis with bleeding

- 31 -

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K2931 MCC 0770 Chronic superficial gastritis with bleeding

K2941 MCC 0770 Chronic atrophic gastritis with bleeding

K2951 MCC 0770 Unspecified chronic gastritis with bleeding

K2961 MCC 0770 Other gastritis with bleeding

K2971 MCC 0770 Gastritis, unspecified, with bleeding

K2981 MCC 0770 Duodenitis with bleeding

K2991 MCC 0770 Gastroduodenitis, unspecified, with bleeding

K31811 MCC 0770 Angiodysplasia of stomach and duodenum with bleeding

K3182 MCC 0775 Dieulafoy lesion (hemorrhagic) of stomach and duodenum

K352 MCC 0776 Acute appendicitis with generalized peritonitis

K353 MCC 0776 Acute appendicitis with localized peritonitis

K4010 MCC 0777 Bilateral inguinal hernia, with gangrene, not specified as recurrent

K4011 MCC 0777 Bilateral inguinal hernia, with gangrene, recurrent

K4040 MCC 0777 Unilateral inguinal hernia, with gangrene, not specified as recurrent

K4041 MCC 0777 Unilateral inguinal hernia, with gangrene, recurrent

K4110 MCC 0779 Bilateral femoral hernia, with gangrene, not specified as recurrent

K4111 MCC 0779 Bilateral femoral hernia, with gangrene, recurrent

K4140 MCC 0779 Unilateral femoral hernia, with gangrene, not specified as recurrent

K4141 MCC 0779 Unilateral femoral hernia, with gangrene, recurrent

K421 MCC 0781 Umbilical hernia with gangrene

K431 MCC 0781 Incisional hernia with gangrene

K434 MCC 0781 Parastomal hernia with gangrene

K437 MCC 0781 Other and unspecified ventral hernia with gangrene

K441 MCC 0782 Diaphragmatic hernia with gangrene

K451 MCC 0784 Other specified abdominal hernia with gangrene

K461 MCC 0784 Unspecified abdominal hernia with gangrene

K550 MCC 0790 Acute vascular disorders of intestine

K5521 MCC 0770 Angiodysplasia of colon with hemorrhage

K562 MCC 0792 Volvulus

K5701 MCC 0770 Diverticulitis of small intestine with perforation and abscess with bleeding

K5711 MCC 0770 Diverticulosis of small intestine without perforation or abscess with bleeding

K5713 MCC 0770 Diverticulitis of small intestine without perforation or abscess with bleeding

K5721 MCC 0770 Diverticulitis of large intestine with perforation and abscess with bleeding

K5731 MCC 0770 Diverticulosis of large intestine without perforation or abscess with bleeding

K5733 MCC 0770 Diverticulitis of large intestine without perforation or abscess with bleeding

K5741 MCC 0770 Diverticulitis of both small and large intestine with perforation and abscess with bleeding

K5751 MCC 0770 Diverticulosis of both small and large intestine without perforation or abscess with

K5753 MCC 0770 Diverticulitis of both small and large intestine without perforation or abscess with

K5781 MCC 0770 Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding

K5791 MCC 0770 Diverticulosis of intestine, part unspecified, without perforation or abscess with bleeding

K5793 MCC 0770 Diverticulitis of intestine, part unspecified, without perforation or abscess with bleeding

K631 MCC 0799 Perforation of intestine (nontraumatic)

K6381 MCC 0802 Dieulafoy lesion of intestine

K650 MCC 0803 Generalized (acute) peritonitis

K651 MCC 0803 Peritoneal abscess

K652 MCC 0803 Spontaneous bacterial peritonitis

K653 MCC 0803 Choleperitonitis

K658 MCC 0803 Other peritonitis

K659 MCC 0803 Peritonitis, unspecified

K661 MCC 0804 Hemoperitoneum

K67 MCC 0803 Disorders of peritoneum in infectious diseases classified elsewhere

K6812 MCC 0806 Psoas muscle abscess

K6819 MCC 0803 Other retroperitoneal abscess

K689 MCC 0803 Other disorders of retroperitoneum

K7041 MCC 0807 Alcoholic hepatic failure with coma

- 32 -

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K7111 MCC 0807 Toxic liver disease with hepatic necrosis, with coma

K7200 MCC 0808 Acute and subacute hepatic failure without coma

K7201 MCC 0808 Acute and subacute hepatic failure with coma

K7211 MCC 0807 Chronic hepatic failure with coma

K7291 MCC 0807 Hepatic failure, unspecified with coma

K750 MCC 0809 Abscess of liver

K751 MCC 0809 Phlebitis of portal vein

K762 MCC 0808 Central hemorrhagic necrosis of liver

K763 MCC 0808 Infarction of liver

K767 MCC 0811 Hepatorenal syndrome

K8067 MCC 0817 Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction

K822 MCC 0820 Perforation of gallbladder

K831 MCC 0821 Obstruction of bile duct

K832 MCC 0822 Perforation of bile duct

K850 MCC 0177 Idiopathic acute pancreatitis

K851 MCC 0177 Biliary acute pancreatitis

K852 MCC 0177 Alcohol induced acute pancreatitis

K853 MCC 0177 Drug induced acute pancreatitis

K858 MCC 0177 Other acute pancreatitis

K859 MCC 0177 Acute pancreatitis, unspecified

L89003 MCC 0854 Pressure ulcer of unspecified elbow, stage 3

L89004 MCC 0854 Pressure ulcer of unspecified elbow, stage 4

L89013 MCC 0854 Pressure ulcer of right elbow, stage 3

L89014 MCC 0854 Pressure ulcer of right elbow, stage 4

L89023 MCC 0854 Pressure ulcer of left elbow, stage 3

L89024 MCC 0854 Pressure ulcer of left elbow, stage 4

L89103 MCC 0854 Pressure ulcer of unspecified part of back, stage 3

L89104 MCC 0854 Pressure ulcer of unspecified part of back, stage 4

L89113 MCC 0854 Pressure ulcer of right upper back, stage 3

L89114 MCC 0854 Pressure ulcer of right upper back, stage 4

L89123 MCC 0854 Pressure ulcer of left upper back, stage 3

L89124 MCC 0854 Pressure ulcer of left upper back, stage 4

L89133 MCC 0854 Pressure ulcer of right lower back, stage 3

L89134 MCC 0854 Pressure ulcer of right lower back, stage 4

L89143 MCC 0854 Pressure ulcer of left lower back, stage 3

L89144 MCC 0854 Pressure ulcer of left lower back, stage 4

L89153 MCC 0854 Pressure ulcer of sacral region, stage 3

L89154 MCC 0854 Pressure ulcer of sacral region, stage 4

L89203 MCC 0854 Pressure ulcer of unspecified hip, stage 3

L89204 MCC 0854 Pressure ulcer of unspecified hip, stage 4

L89213 MCC 0854 Pressure ulcer of right hip, stage 3

L89214 MCC 0854 Pressure ulcer of right hip, stage 4

L89223 MCC 0854 Pressure ulcer of left hip, stage 3

L89224 MCC 0854 Pressure ulcer of left hip, stage 4

L89303 MCC 0854 Pressure ulcer of unspecified buttock, stage 3

L89304 MCC 0854 Pressure ulcer of unspecified buttock, stage 4

L89313 MCC 0854 Pressure ulcer of right buttock, stage 3

L89314 MCC 0854 Pressure ulcer of right buttock, stage 4

L89323 MCC 0854 Pressure ulcer of left buttock, stage 3

L89324 MCC 0854 Pressure ulcer of left buttock, stage 4

L8943 MCC 0854 Pressure ulcer of contiguous site of back, buttock and hip, stage 3

L8944 MCC 0854 Pressure ulcer of contiguous site of back, buttock and hip, stage 4

L89503 MCC 0854 Pressure ulcer of unspecified ankle, stage 3

L89504 MCC 0854 Pressure ulcer of unspecified ankle, stage 4

L89513 MCC 0854 Pressure ulcer of right ankle, stage 3

- 33 -

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L89514 MCC 0854 Pressure ulcer of right ankle, stage 4

L89523 MCC 0854 Pressure ulcer of left ankle, stage 3

L89524 MCC 0854 Pressure ulcer of left ankle, stage 4

L89603 MCC 0854 Pressure ulcer of unspecified heel, stage 3

L89604 MCC 0854 Pressure ulcer of unspecified heel, stage 4

L89613 MCC 0854 Pressure ulcer of right heel, stage 3

L89614 MCC 0854 Pressure ulcer of right heel, stage 4

L89623 MCC 0854 Pressure ulcer of left heel, stage 3

L89624 MCC 0854 Pressure ulcer of left heel, stage 4

L89813 MCC 0854 Pressure ulcer of head, stage 3

L89814 MCC 0854 Pressure ulcer of head, stage 4

L89893 MCC 0854 Pressure ulcer of other site, stage 3

L89894 MCC 0854 Pressure ulcer of other site, stage 4

L8993 MCC 0854 Pressure ulcer of unspecified site, stage 3

L8994 MCC 0854 Pressure ulcer of unspecified site, stage 4

M311 MCC 0874 Thrombotic microangiopathy

M726 MCC 0806 Necrotizing fasciitis

N000 MCC 0915 Acute nephritic syndrome with minor glomerular abnormality

N001 MCC 0915 Acute nephritic syndrome with focal and segmental glomerular lesions

N002 MCC 0915 Acute nephritic syndrome with diffuse membranous glomerulonephritis

N003 MCC 0915 Acute nephritic syndrome with diffuse mesangial proliferative glomerulonephritis

N004 MCC 0915 Acute nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis

N005 MCC 0915 Acute nephritic syndrome with diffuse mesangiocapillary glomerulonephritis

N006 MCC 0915 Acute nephritic syndrome with dense deposit disease

N007 MCC 0915 Acute nephritic syndrome with diffuse crescentic glomerulonephritis

N008 MCC 0916 Acute nephritic syndrome with other morphologic changes

N009 MCC 0915 Acute nephritic syndrome with unspecified morphologic changes

N010 MCC 0915 Rapidly progressive nephritic syndrome with minor glomerular abnormality

N011 MCC 0915 Rapidly progressive nephritic syndrome with focal and segmental glomerular lesions

N012 MCC 0915 Rapidly progressive nephritic syndrome with diffuse membranous glomerulonephritis

N013 MCC 0915 Rapidly progressive nephritic syndrome with diffuse mesangial proliferative

N014 MCC 0915 Rapidly progressive nephritic syndrome with diffuse endocapillary proliferative

N015 MCC 0915 Rapidly progressive nephritic syndrome with diffuse mesangiocapillary

N016 MCC 0915 Rapidly progressive nephritic syndrome with dense deposit disease

N017 MCC 0915 Rapidly progressive nephritic syndrome with diffuse crescentic glomerulonephritis

N018 MCC 0915 Rapidly progressive nephritic syndrome with other morphologic changes

N019 MCC 0915 Rapidly progressive nephritic syndrome with unspecified morphologic changes

N151 MCC 0919 Renal and perinephric abscess

N170 MCC 0924 Acute kidney failure with tubular necrosis

N171 MCC 0924 Acute kidney failure with acute cortical necrosis

N172 MCC 0924 Acute kidney failure with medullary necrosis

N186 MCC 0927 End stage renal disease

N733 MCC 0942 Female acute pelvic peritonitis

O032 MCC 0954 Embolism following incomplete spontaneous abortion

O0331 MCC 0954 Shock following incomplete spontaneous abortion

O0332 MCC 0954 Renal failure following incomplete spontaneous abortion

O0381 MCC 0954 Shock following complete or unspecified spontaneous abortion

O0382 MCC 0954 Renal failure following complete or unspecified spontaneous abortion

O047 MCC 0954 Embolism following (induced) termination of pregnancy

O0481 MCC 0954 Shock following (induced) termination of pregnancy

O0482 MCC 0954 Renal failure following (induced) termination of pregnancy

O072 MCC 0958 Embolism following failed attempted termination of pregnancy

O0731 MCC 0959 Shock following failed attempted termination of pregnancy

O0732 MCC 0960 Renal failure following failed attempted termination of pregnancy

O082 MCC 0963 Embolism following ectopic and molar pregnancy

- 34 -

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O083 MCC 0963 Shock following ectopic and molar pregnancy

O084 MCC 0963 Renal failure following ectopic and molar pregnancy

O1042 MCC 0964 Pre-existing secondary hypertension complicating childbirth

O111 MCC 0964 Pre-existing hypertension with pre-eclampsia, first trimester

O112 MCC 0964 Pre-existing hypertension with pre-eclampsia, second trimester

O113 MCC 0964 Pre-existing hypertension with pre-eclampsia, third trimester

O1412 MCC 0964 Severe pre-eclampsia, second trimester

O1413 MCC 0964 Severe pre-eclampsia, third trimester

O1422 MCC 0964 HELLP syndrome (HELLP), second trimester

O1423 MCC 0964 HELLP syndrome (HELLP), third trimester

O1502 MCC 0964 Eclampsia in pregnancy, second trimester

O1503 MCC 0964 Eclampsia in pregnancy, third trimester

O151 MCC 0964 Eclampsia in labor

O152 MCC 0964 Eclampsia in the puerperium

O2231 MCC 0967 Deep phlebothrombosis in pregnancy, first trimester

O2232 MCC 0967 Deep phlebothrombosis in pregnancy, second trimester

O2233 MCC 0967 Deep phlebothrombosis in pregnancy, third trimester

O2402 MCC 0969 Pre-existing diabetes mellitus, type 1, in childbirth

O2412 MCC 0969 Pre-existing diabetes mellitus, type 2, in childbirth

O2432 MCC 0969 Unspecified pre-existing diabetes mellitus in childbirth

O2482 MCC 0969 Other pre-existing diabetes mellitus in childbirth

O3431 MCC 0973 Maternal care for cervical incompetence, first trimester

O3432 MCC 0973 Maternal care for cervical incompetence, second trimester

O3433 MCC 0973 Maternal care for cervical incompetence, third trimester

O411010 MCC 0983 Infection of amniotic sac and membranes, unspecified, first trimester, not applicable or

O411011 MCC 0983 Infection of amniotic sac and membranes, unspecified, first trimester, fetus 1





O411019 MCC 0983 Infection of amniotic sac and membranes, unspecified, first trimester, other fetus

O411020 MCC 0983 Infection of amniotic sac and membranes, unspecified, second trimester, not applicable or

O411021 MCC 0983 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 1





O411029 MCC 0983 Infection of amniotic sac and membranes, unspecified, second trimester, other fetus

O411030 MCC 0983 Infection of amniotic sac and membranes, unspecified, third trimester, not applicable or

O411031 MCC 0983 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 1





O411039 MCC 0983 Infection of amniotic sac and membranes, unspecified, third trimester, other fetus

O411210 MCC 0983 Chorioamnionitis, first trimester, not applicable or unspecified

O411211 MCC 0983 Chorioamnionitis, first trimester, fetus 1





O411219 MCC 0983 Chorioamnionitis, first trimester, other fetus

O411220 MCC 0983 Chorioamnionitis, second trimester, not applicable or unspecified

O411221 MCC 0983 Chorioamnionitis, second trimester, fetus 1


- 35 -

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O411229 MCC 0983 Chorioamnionitis, second trimester, other fetus

O411230 MCC 0983 Chorioamnionitis, third trimester, not applicable or unspecified

O411231 MCC 0983 Chorioamnionitis, third trimester, fetus 1





O411239 MCC 0983 Chorioamnionitis, third trimester, other fetus

O411410 MCC 0983 Placentitis, first trimester, not applicable or unspecified

O411411 MCC 0983 Placentitis, first trimester, fetus 1





O411419 MCC 0983 Placentitis, first trimester, other fetus

O411420 MCC 0983 Placentitis, second trimester, not applicable or unspecified

O411421 MCC 0983 Placentitis, second trimester, fetus 1





O411429 MCC 0983 Placentitis, second trimester, other fetus

O411430 MCC 0983 Placentitis, third trimester, not applicable or unspecified

O411431 MCC 0983 Placentitis, third trimester, fetus 1





O411439 MCC 0983 Placentitis, third trimester, other fetus

O4411 MCC 0966 Placenta previa with hemorrhage, first trimester

O4412 MCC 0966 Placenta previa with hemorrhage, second trimester

O4413 MCC 0966 Placenta previa with hemorrhage, third trimester

O45001 MCC 0985 Premature separation of placenta with coagulation defect, unspecified, first trimester

O45002 MCC 0985 Premature separation of placenta with coagulation defect, unspecified, second trimester

O45003 MCC 0985 Premature separation of placenta with coagulation defect, unspecified, third trimester

O45011 MCC 0985 Premature separation of placenta with afibrinogenemia, first trimester

O45012 MCC 0985 Premature separation of placenta with afibrinogenemia, second trimester

O45013 MCC 0985 Premature separation of placenta with afibrinogenemia, third trimester

O45021 MCC 0985 Premature separation of placenta with disseminated intravascular coagulation, first

O45022 MCC 0985 Premature separation of placenta with disseminated intravascular coagulation, second

O45023 MCC 0985 Premature separation of placenta with disseminated intravascular coagulation, third

O45091 MCC 0985 Premature separation of placenta with other coagulation defect, first trimester

O45092 MCC 0985 Premature separation of placenta with other coagulation defect, second trimester

O45093 MCC 0985 Premature separation of placenta with other coagulation defect, third trimester

O458X1 MCC 0986 Other premature separation of placenta, first trimester

O458X2 MCC 0986 Other premature separation of placenta, second trimester

O458X3 MCC 0986 Other premature separation of placenta, third trimester

O4591 MCC 0986 Premature separation of placenta, unspecified, first trimester

O4592 MCC 0986 Premature separation of placenta, unspecified, second trimester

O4593 MCC 0986 Premature separation of placenta, unspecified, third trimester

O46001 MCC 0985 Antepartum hemorrhage with coagulation defect, unspecified, first trimester

O46002 MCC 0985 Antepartum hemorrhage with coagulation defect, unspecified, second trimester

- 36 -

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O46003 MCC 0985 Antepartum hemorrhage with coagulation defect, unspecified, third trimester

O46011 MCC 0985 Antepartum hemorrhage with afibrinogenemia, first trimester

O46012 MCC 0985 Antepartum hemorrhage with afibrinogenemia, second trimester

O46013 MCC 0985 Antepartum hemorrhage with afibrinogenemia, third trimester

O46021 MCC 0985 Antepartum hemorrhage with disseminated intravascular coagulation, first trimester

O46022 MCC 0985 Antepartum hemorrhage with disseminated intravascular coagulation, second trimester

O46023 MCC 0985 Antepartum hemorrhage with disseminated intravascular coagulation, third trimester

O46091 MCC 0985 Antepartum hemorrhage with other coagulation defect, first trimester

O46092 MCC 0985 Antepartum hemorrhage with other coagulation defect, second trimester

O46093 MCC 0985 Antepartum hemorrhage with other coagulation defect, third trimester

O6002 MCC 0987 Preterm labor without delivery, second trimester

O6003 MCC 0987 Preterm labor without delivery, third trimester

O6012X0 MCC 0987 Preterm labor second trimester with preterm delivery second trimester, not applicable or

O6012X1 MCC 0987 Preterm labor second trimester with preterm delivery second trimester, fetus 1





O6012X9 MCC 0987 Preterm labor second trimester with preterm delivery second trimester, other fetus

O6013X0 MCC 0987 Preterm labor second trimester with preterm delivery third trimester, not applicable or

O6013X1 MCC 0987 Preterm labor second trimester with preterm delivery third trimester, fetus 1





O6013X9 MCC 0987 Preterm labor second trimester with preterm delivery third trimester, other fetus

O6014X0 MCC 0987 Preterm labor third trimester with preterm delivery third trimester, not applicable or

O6014X1 MCC 0987 Preterm labor third trimester with preterm delivery third trimester, fetus 1





O6014X9 MCC 0987 Preterm labor third trimester with preterm delivery third trimester, other fetus

O6022X0 MCC 0987 Term delivery with preterm labor, second trimester, not applicable or unspecified

O6022X1 MCC 0987 Term delivery with preterm labor, second trimester, fetus 1





O6022X9 MCC 0987 Term delivery with preterm labor, second trimester, other fetus

O6023X0 MCC 0987 Term delivery with preterm labor, third trimester, not applicable or unspecified

O6023X1 MCC 0987 Term delivery with preterm labor, third trimester, fetus 1





O6023X9 MCC 0987 Term delivery with preterm labor, third trimester, other fetus

O670 MCC 0985 Intrapartum hemorrhage with coagulation defect

O7102 MCC 0993 Rupture of uterus before onset of labor, second trimester

O7103 MCC 0993 Rupture of uterus before onset of labor, third trimester

O711 MCC 0993 Rupture of uterus during labor

O751 MCC 1002 Shock during or following labor and delivery

O753 MCC 1004 Other infection during labor

O85 MCC 1005 Puerperal sepsis

O8681 MCC 1005 Puerperal septic thrombophlebitis

- 37 -

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O8689 MCC 1005 Other specified puerperal infections

O871 MCC 0967 Deep phlebothrombosis in the puerperium

O88011 MCC 1007 Air embolism in pregnancy, first trimester

O88012 MCC 1007 Air embolism in pregnancy, second trimester

O88013 MCC 1007 Air embolism in pregnancy, third trimester

O8802 MCC 1007 Air embolism in childbirth

O8803 MCC 1007 Air embolism in the puerperium

O88111 MCC 1007 Amniotic fluid embolism in pregnancy, first trimester

O88112 MCC 1007 Amniotic fluid embolism in pregnancy, second trimester

O88113 MCC 1007 Amniotic fluid embolism in pregnancy, third trimester

O8812 MCC 1007 Amniotic fluid embolism in childbirth

O8813 MCC 1007 Amniotic fluid embolism in the puerperium

O88211 MCC 1007 Thromboembolism in pregnancy, first trimester

O88212 MCC 1007 Thromboembolism in pregnancy, second trimester

O88213 MCC 1007 Thromboembolism in pregnancy, third trimester

O8822 MCC 1007 Thromboembolism in childbirth

O8823 MCC 1007 Thromboembolism in the puerperium

O88311 MCC 1007 Pyemic and septic embolism in pregnancy, first trimester

O88312 MCC 1007 Pyemic and septic embolism in pregnancy, second trimester

O88313 MCC 1007 Pyemic and septic embolism in pregnancy, third trimester

O8832 MCC 1007 Pyemic and septic embolism in childbirth

O8833 MCC 1007 Pyemic and septic embolism in the puerperium

O88811 MCC 1007 Other embolism in pregnancy, first trimester

O88812 MCC 1007 Other embolism in pregnancy, second trimester

O88813 MCC 1007 Other embolism in pregnancy, third trimester

O8882 MCC 1007 Other embolism in childbirth

O8883 MCC 1007 Other embolism in the puerperium

O903 MCC 1008 Peripartum cardiomyopathy

O904 MCC 1009 Postpartum acute kidney failure

O9942 MCC 1008 Diseases of the circulatory system complicating childbirth

P100 MCC 1020 Subdural hemorrhage due to birth injury

P101 MCC 1020 Cerebral hemorrhage due to birth injury

P103 MCC 1022 Subarachnoid hemorrhage due to birth injury

P104 MCC 1020 Tentorial tear due to birth injury

P108 MCC 1020 Other intracranial lacerations and hemorrhages due to birth injury

P109 MCC 1020 Unspecified intracranial laceration and hemorrhage due to birth injury

P110 MCC 1020 Cerebral edema due to birth injury

P112 MCC 1020 Unspecified brain damage due to birth injury

P119 MCC 1020 Birth injury to central nervous system, unspecified

P220 MCC 0748 Respiratory distress syndrome of newborn

P230 MCC 0748 Congenital pneumonia due to viral agent

P231 MCC 0748 Congenital pneumonia due to Chlamydia

P232 MCC 0748 Congenital pneumonia due to staphylococcus

P233 MCC 0748 Congenital pneumonia due to streptococcus, group B

P234 MCC 0748 Congenital pneumonia due to Escherichia coli

P235 MCC 0748 Congenital pneumonia due to Pseudomonas

P236 MCC 0748 Congenital pneumonia due to other bacterial agents

P238 MCC 0748 Congenital pneumonia due to other organisms

P239 MCC 0748 Congenital pneumonia, unspecified

P2401 MCC 0748 Meconium aspiration with respiratory symptoms

P2411 MCC 0748 Neonatal aspiration of (clear) amniotic fluid and mucus with respiratory symptoms

P2421 MCC 0748 Neonatal aspiration of blood with respiratory symptoms

P2431 MCC 0748 Neonatal aspiration of milk and regurgitated food with respiratory symptoms

P2481 MCC 0748 Other neonatal aspiration with respiratory symptoms

P250 MCC 0748 Interstitial emphysema originating in the perinatal period

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P251 MCC 0748 Pneumothorax originating in the perinatal period

P252 MCC 0748 Pneumomediastinum originating in the perinatal period

P253 MCC 0748 Pneumopericardium originating in the perinatal period

P258 MCC 0748 Other conditions related to interstitial emphysema originating in the perinatal period

P260 MCC 0748 Tracheobronchial hemorrhage originating in the perinatal period

P261 MCC 0748 Massive pulmonary hemorrhage originating in the perinatal period

P268 MCC 0748 Other pulmonary hemorrhages originating in the perinatal period

P269 MCC 0748 Unspecified pulmonary hemorrhage originating in the perinatal period

P270 MCC 0748 Wilson-Mikity syndrome

P271 MCC 0748 Bronchopulmonary dysplasia originating in the perinatal period

P278 MCC 0748 Other chronic respiratory diseases originating in the perinatal period

P279 MCC 0748 Unspecified chronic respiratory disease originating in the perinatal period

P285 MCC 0748 Respiratory failure of newborn

P2881 MCC 1027 Respiratory arrest of newborn

P293 MCC 1028 Persistent fetal circulation

P2981 MCC 1029 Cardiac arrest of newborn

P351 MCC 1030 Congenital cytomegalovirus infection

P352 MCC 0562 Congenital herpesviral [herpes simplex] infection

P353 MCC 0562 Congenital viral hepatitis

P358 MCC 0562 Other congenital viral diseases

P359 MCC 0562 Congenital viral disease, unspecified

P360 MCC 1031 Sepsis of newborn due to streptococcus, group B

P3610 MCC 1031 Sepsis of newborn due to unspecified streptococci

P3619 MCC 1031 Sepsis of newborn due to other streptococci

P362 MCC 1031 Sepsis of newborn due to Staphylococcus aureus

P3630 MCC 1031 Sepsis of newborn due to unspecified staphylococci

P3639 MCC 1031 Sepsis of newborn due to other staphylococci

P364 MCC 1031 Sepsis of newborn due to Escherichia coli

P365 MCC 1031 Sepsis of newborn due to anaerobes

P368 MCC 1031 Other bacterial sepsis of newborn

P369 MCC 1031 Bacterial sepsis of newborn, unspecified

P370 MCC 0562 Congenital tuberculosis

P371 MCC 0562 Congenital toxoplasmosis

P372 MCC 0562 Neonatal (disseminated) listeriosis

P373 MCC 0562 Congenital falciparum malaria

P374 MCC 0562 Other congenital malaria

P378 MCC 0562 Other specified congenital infectious and parasitic diseases

P379 MCC 0562 Congenital infectious or parasitic disease, unspecified

P5221 MCC 1021 Intraventricular (nontraumatic) hemorrhage, grade 3, of newborn

P5222 MCC 1021 Intraventricular (nontraumatic) hemorrhage, grade 4, of newborn

P524 MCC 1020 Intracerebral (nontraumatic) hemorrhage of newborn

P525 MCC 1022 Subarachnoid (nontraumatic) hemorrhage of newborn

P526 MCC 1020 Cerebellar (nontraumatic) and posterior fossa hemorrhage of newborn

P528 MCC 1020 Other intracranial (nontraumatic) hemorrhages of newborn

P529 MCC 1020 Intracranial (nontraumatic) hemorrhage of newborn, unspecified

P541 MCC 1036 Neonatal melena

P542 MCC 1036 Neonatal rectal hemorrhage

P543 MCC 1036 Other neonatal gastrointestinal hemorrhage

P560 MCC 1037 Hydrops fetalis due to isoimmunization

P5690 MCC 1037 Hydrops fetalis due to unspecified hemolytic disease

P5699 MCC 1037 Hydrops fetalis due to other hemolytic disease

P570 MCC 1037 Kernicterus due to isoimmunization

P578 MCC 1038 Other specified kernicterus

P579 MCC 1038 Kernicterus, unspecified

P591 MCC 1038 Inspissated bile syndrome

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P5920 MCC 1038 Neonatal jaundice from unspecified hepatocellular damage

P5929 MCC 1038 Neonatal jaundice from other hepatocellular damage

P60 MCC 1035 Disseminated intravascular coagulation of newborn

P610 MCC 1035 Transient neonatal thrombocytopenia

P615 MCC 1040 Transient neonatal neutropenia

P740 MCC 1041 Late metabolic acidosis of newborn

P771 MCC 1044 Stage 1 necrotizing enterocolitis in newborn



P779 MCC 1044 Necrotizing enterocolitis in newborn, unspecified

P780 MCC 1044 Perinatal intestinal perforation

P832 MCC 1046 Hydrops fetalis not due to hemolytic disease

P90 MCC 1048 Convulsions of newborn

P910 MCC 1049 Neonatal cerebral ischemia

P911 MCC 1049 Acquired periventricular cysts of newborn

P912 MCC 1022 Neonatal cerebral leukomalacia

P913 MCC 1049 Neonatal cerebral irritability

P914 MCC 1049 Neonatal cerebral depression

P915 MCC 1049 Neonatal coma

P9163 MCC 1050 Severe hypoxic ischemic encephalopathy [HIE]

P9201 MCC 1051 Bilious vomiting of newborn

Q000 MCC 1053 Anencephaly

Q001 MCC 1053 Craniorachischisis

Q002 MCC 1053 Iniencephaly

Q040 MCC 1054 Congenital malformations of corpus callosum

Q041 MCC 1054 Arhinencephaly

Q042 MCC 1054 Holoprosencephaly

Q043 MCC 1054 Other reduction deformities of brain

Q200 MCC 1057 Common arterial trunk

Q201 MCC 1057 Double outlet right ventricle

Q202 MCC 1057 Double outlet left ventricle

Q203 MCC 1057 Discordant ventriculoarterial connection

Q204 MCC 1057 Double inlet ventricle

Q213 MCC 1057 Tetralogy of Fallot

Q220 MCC 1059 Pulmonary valve atresia

Q224 MCC 1061 Congenital tricuspid stenosis

Q225 MCC 1061 Ebstein's anomaly

Q226 MCC 1061 Hypoplastic right heart syndrome

Q228 MCC 1061 Other congenital malformations of tricuspid valve

Q229 MCC 1061 Congenital malformation of tricuspid valve, unspecified

Q234 MCC 1061 Hypoplastic left heart syndrome

Q242 MCC 1063 Cor triatriatum

Q244 MCC 1063 Congenital subaortic stenosis

Q246 MCC 1065 Congenital heart block

Q255 MCC 1070 Atresia of pulmonary artery

Q256 MCC 1070 Stenosis of pulmonary artery

Q2571 MCC 1070 Coarctation of pulmonary artery

Q2572 MCC 1070 Congenital pulmonary arteriovenous malformation

Q2579 MCC 1070 Other congenital malformations of pulmonary artery

Q282 MCC 1076 Arteriovenous malformation of cerebral vessels

Q283 MCC 1076 Other malformations of cerebral vessels

Q332 MCC 1079 Sequestration of lung

Q333 MCC 1079 Agenesis of lung

Q336 MCC 1079 Congenital hypoplasia and dysplasia of lung

Q390 MCC 1081 Atresia of esophagus without fistula

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Q391 MCC 1081 Atresia of esophagus with tracheo-esophageal fistula

Q392 MCC 1081 Congenital tracheo-esophageal fistula without atresia

Q393 MCC 1081 Congenital stenosis and stricture of esophagus

Q394 MCC 1081 Esophageal web

Q442 MCC 1089 Atresia of bile ducts

Q443 MCC 1089 Congenital stenosis and stricture of bile ducts

Q790 MCC 1105 Congenital diaphragmatic hernia

Q791 MCC 1105 Other congenital malformations of diaphragm

Q792 MCC 1106 Exomphalos

Q793 MCC 1106 Gastroschisis

Q794 MCC 1106 Prune belly syndrome

Q7951 MCC 1106 Congenital hernia of bladder

Q7959 MCC 1106 Other congenital malformations of abdominal wall

Q894 MCC 1113 Conjoined twins

Q9381 MCC 1117 Velo-cardio-facial syndrome

R092 MCC* 1121 Respiratory arrest

R4020 MCC 0515 Unspecified coma

R402110 MCC 0515 Coma scale, eyes open, never





R402120 MCC 0515 Coma scale, eyes open, to pain





R402210 MCC 0515 Coma scale, best verbal response, none





R402220 MCC 0515 Coma scale, best verbal response, incomprehensible words





R402310 MCC 0515 Coma scale, best motor response, none





R402320 MCC 0515 Coma scale, best motor response, extension





R402340 MCC 0515 Coma scale, best motor response, flexion withdrawal





R532 MCC 0595 Functional quadriplegia

R570 MCC* 1133 Cardiogenic shock

R571 MCC* 1133 Hypovolemic shock

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R578 MCC* 1133 Other shock

R6511 MCC 0071 Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute

organ dysfunction

R6520 MCC 0071 Severe sepsis without septic shock

R6521 MCC 1133 Severe sepsis with septic shock

S020XXB MCC 1140 Fracture of vault of skull, initial encounter for open fracture

S0210XB MCC 1140 Unspecified fracture of base of skull, initial encounter for open fracture

S02110B MCC 1140 Type I occipital condyle fracture, initial encounter for open fracture

S02111B MCC 1140 Type II occipital condyle fracture, initial encounter for open fracture

S02112B MCC 1140 Type III occipital condyle fracture, initial encounter for open fracture

S02113B MCC 1140 Unspecified occipital condyle fracture, initial encounter for open fracture

S02118B MCC 1140 Other fracture of occiput, initial encounter for open fracture

S02119B MCC 1140 Unspecified fracture of occiput, initial encounter for open fracture

S0219XB MCC 1140 Other fracture of base of skull, initial encounter for open fracture

S0291XB MCC 1140 Unspecified fracture of skull, initial encounter for open fracture

S060X6A MCC 1154 Concussion with loss of consciousness greater than 24 hours without return to pre-existing

conscious level with patient surviving, initial encounter

S061X0A MCC 0612 Traumatic cerebral edema without loss of consciousness, initial encounter

S061X1A MCC 1155 Traumatic cerebral edema with loss of consciousness of 30 minutes or less, initial

S061X2A MCC 1155 Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial

S061X3A MCC 1155 Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes,

S061X4A MCC 1155 Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial

S061X5A MCC 1155 Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to

pre-existing conscious level, initial encounter

S061X6A MCC 1154 Traumatic cerebral edema with loss of consciousness greater than 24 hours without return

to pre-existing conscious level with patient surviving, initial encounter

S061X7A MCC 1154 Traumatic cerebral edema with loss of consciousness of any duration with death due to

brain injury prior to regaining consciousness, initial encounter

S061X8A MCC 1154 Traumatic cerebral edema with loss of consciousness of any duration with death due to

other cause prior to regaining consciousness, initial encounter

S061X9A MCC 1155 Traumatic cerebral edema with loss of consciousness of unspecified duration, initial

S062X6A MCC 1154 Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without

return to pre-existing conscious level with patient surviving, initial encounter

S062X7A MCC 1154 Diffuse traumatic brain injury with loss of consciousness of any duration with death due

to brain injury prior to regaining consciousness, initial encounter

S062X8A MCC 1154 Diffuse traumatic brain injury with loss of consciousness of any duration with death due

to other cause prior to regaining consciousness, initial encounter

S06306A MCC 1154 Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours

without return to pre-existing conscious level with patient surviving, initial encounter

S06307A MCC 1154 Unspecified focal traumatic brain injury with loss of consciousness of any duration with

death due to brain injury prior to regaining consciousness, initial encounter

S06308A MCC 1154 Unspecified focal traumatic brain injury with loss of consciousness of any duration with

death due to other cause prior to regaining consciousness, initial encounter

S06310A MCC 1154 Contusion and laceration of right cerebrum without loss of consciousness, initial

S06311A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness of 30 minutes or

less, initial encounter

S06312A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59

minutes, initial encounter

S06313A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5

hours 59 minutes, initial encounter

S06314A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24

hours, initial encounter

S06315A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness greater than 24

hours with return to pre-existing conscious level, initial encounter

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S06316A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness greater than 24

hours without return to pre-existing conscious level with patient surviving, initial

S06317A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness of any duration

with death due to brain injury prior to regaining consciousness, initial encounter

S06318A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness of any duration

with death due to other cause prior to regaining consciousness, initial encounter

S06319A MCC 1154 Contusion and laceration of right cerebrum with loss of consciousness of unspecified

duration, initial encounter

S06320A MCC 1154 Contusion and laceration of left cerebrum without loss of consciousness, initial encounter

S06321A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness of 30 minutes or

less, initial encounter

S06322A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness of 31 minutes to 59


S06323A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness of 1 hour to 5 hours

59 minutes, initial encounter

S06324A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24


S06325A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness greater than 24

hours with return to pre-existing conscious level, initial encounter

S06326A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness greater than 24

hours without return to pre-existing conscious level with patient surviving, initial

S06327A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness of any duration with


S06328A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness of any duration with


S06329A MCC 1154 Contusion and laceration of left cerebrum with loss of consciousness of unspecified


S06330A MCC 1154 Contusion and laceration of cerebrum, unspecified, without loss of consciousness, initial

S06331A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 30

minutes or less, initial encounter

S06332A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 31

minutes to 59 minutes, initial encounter

S06333A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 1 hour

to 5 hours 59 minutes, initial encounter

S06334A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 6 hours

to 24 hours, initial encounter

S06335A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater

than 24 hours with return to pre-existing conscious level, initial encounter

S06336A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater

than 24 hours without return to pre-existing conscious level with patient surviving, initial

S06337A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness of any

duration with death due to brain injury prior to regaining consciousness, initial encounter

S06338A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness of any

duration with death due to other cause prior to regaining consciousness, initial encounter

S06339A MCC 1154 Contusion and laceration of cerebrum, unspecified, with loss of consciousness of

unspecified duration, initial encounter

S06340A MCC 1154 Traumatic hemorrhage of right cerebrum without loss of consciousness, initial encounter

S06341A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness of 30 minutes or less,

initial encounter

S06342A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness of 31 minutes to 59


S06343A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours

59 minutes, initial encounter

S06344A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24


- 43 -

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S06345A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours

with return to pre-existing conscious level, initial encounter

S06346A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours

without return to pre-existing conscious level with patient surviving, initial encounter

S06347A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness of any duration with


S06348A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness of any duration with


S06349A MCC 1154 Traumatic hemorrhage of right cerebrum with loss of consciousness of unspecified


S06350A MCC 1154 Traumatic hemorrhage of left cerebrum without loss of consciousness, initial encounter

S06351A MCC 1154 Traumatic hemorrhage of le

附表6.7.5 主要合併症或併發症診斷碼¬¬六部第七章...- 21 - 附表6.7.5...

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