Hospital Inpatient Psychiatric Rate, Comorbidity Categories
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Psych PPS Comorbidity Category Description
Cancers
Protein-Calorie Malnutrition
Disorders of Fluid/Electrolyte/Acid-Base Balance
Other Endocrine/Metabolic/Nutritional Disorders
Other Hepatitis and Liver Disease
Peptic Ulcer, Hemorrhage, Other Specified Gastrointestinal Disorders
Other Musculoskeletal and Connective Tissue Disorders
Blood Disorders
Other Developmental Disability
Brain/Head Injury
Cardio-Respiratory Failure and Shock
Acute Coronary Syndrome
Stroke/Occlusion/Cerebral Ischemia
Respiratory Illness
Other Eye Disorders
Renal Disease
Complications of Medical Care and Trauma
Major Organ Transplant Status
Adjustment
Factor
1.0942
1.0848
1.063
1.1405
1.0856
1.1032
1.0638
1.1056
1.2014
1.1361
1.1608
1.4046
1.2109
1.0662
1.1224
1.0954
1.1297
1.1762
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
1 Cancers
C153
Malignant neoplasm of upper third of esophagus
1 Cancers
C154
Malignant neoplasm of middle third of esophagus
1 Cancers
C155
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
C158
C159
C160
C161
C162
C163
C164
1 Cancers
C165
1 Cancers
C166
Malignant neoplasm of lower third of esophagus
Malignant neoplasm of overlapping sites of
esophagus
Malignant neoplasm of esophagus, unspecified
Malignant neoplasm of cardia
Malignant neoplasm of fundus of stomach
Malignant neoplasm of body of stomach
Malignant neoplasm of pyloric antrum
Malignant neoplasm of pylorus
Malignant neoplasm of lesser curvature of stomach,
unspecified
Malignant neoplasm of greater curvature of
stomach, unspecified
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
C168
C169
C170
C171
C172
C173
1 Cancers
C178
Malignant neoplasm of overlapping sites of stomach
Malignant neoplasm of stomach, unspecified
Malignant neoplasm of duodenum
Malignant neoplasm of jejunum
Malignant neoplasm of ileum
Meckel's diverticulum, malignant
Malignant neoplasm of overlapping sites of small
intestine
1
1
1
1
1
1
1
1
1
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
C179
C180
C181
C182
C183
C184
C185
C186
C187
Malignant neoplasm of small intestine, unspecified
Malignant neoplasm of cecum
Malignant neoplasm of appendix
Malignant neoplasm of ascending colon
Malignant neoplasm of hepatic flexure
Malignant neoplasm of transverse colon
Malignant neoplasm of splenic flexure
Malignant neoplasm of descending colon
Malignant neoplasm of sigmoid colon
1
1
1
1
1
1
1
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
C188
C189
C19
C20
C210
C211
C212
1 Cancers
1 Cancers
C218
C220
Malignant neoplasm of overlapping sites of colon
Malignant neoplasm of colon, unspecified
Malignant neoplasm of rectosigmoid junction
Malignant neoplasm of rectum
Malignant neoplasm of anus, unspecified
Malignant neoplasm of anal canal
Malignant neoplasm of cloacogenic zone
Malignant neoplasm of overlapping sites of rectum,
anus and anal canal
Liver cell carcinoma
1
1
1
1
1
1
1
1
1
1
1
1
1
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
Cancers
Cancers
Cancers
Cancers
Cancers
C221
C222
C223
C224
C227
1 Cancers
C228
1
1
1
1
Cancers
Cancers
Cancers
Cancers
C229
C23
C240
C241
1
1
1
1
1
1
1
1
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
C248
C249
C250
C251
C252
C253
C254
C257
Intrahepatic bile duct carcinoma
Hepatoblastoma
Angiosarcoma of liver
Other sarcomas of liver
Other specified carcinomas of liver
Malignant neoplasm of liver, primary, unspecified as
to type
Malignant neoplasm of liver, not specified as
primary or secondary
Malignant neoplasm of gallbladder
Malignant neoplasm of extrahepatic bile duct
Malignant neoplasm of ampulla of Vater
Malignant neoplasm of overlapping sites of biliary
tract
Malignant neoplasm of biliary tract, unspecified
Malignant neoplasm of head of pancreas
Malignant neoplasm of body of pancreas
Malignant neoplasm of tail of pancreas
Malignant neoplasm of pancreatic duct
Malignant neoplasm of endocrine pancreas
Malignant neoplasm of other parts of pancreas
1 Cancers
1 Cancers
1 Cancers
C258
C259
C33
Malignant neoplasm of overlapping sites of pancreas
Malignant neoplasm of pancreas, unspecified
Malignant neoplasm of trachea
1 Cancers
1 Cancers
1 Cancers
C3400
C3401
C3402
1 Cancers
C3410
1 Cancers
C3411
1 Cancers
C3412
1 Cancers
C342
1 Cancers
C3430
1 Cancers
C3431
1 Cancers
C3432
1 Cancers
C3480
1 Cancers
C3481
Malignant neoplasm of unspecified main bronchus
Malignant neoplasm of right main bronchus
Malignant neoplasm of left main bronchus
Malignant neoplasm of upper lobe, unspecified
bronchus or lung
Malignant neoplasm of upper lobe, right bronchus
or lung
Malignant neoplasm of upper lobe, left bronchus or
lung
Malignant neoplasm of middle lobe, bronchus or
lung
Malignant neoplasm of lower lobe, unspecified
bronchus or lung
Malignant neoplasm of lower lobe, right bronchus or
lung
Malignant neoplasm of lower lobe, left bronchus or
lung
Malignant neoplasm of overlapping sites of
unspecified bronchus and lung
Malignant neoplasm of overlapping sites of right
bronchus and lung
1
1
1
1
1
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
1 Cancers
C3482
1 Cancers
C3490
1 Cancers
C3491
Cancers
Cancers
Cancers
Cancers
Cancers
C3492
C37
C380
C381
C382
1
1
1
1
1
1 Cancers
1 Cancers
C383
C384
1 Cancers
C388
1 Cancers
C4000
1 Cancers
C4001
1 Cancers
C4002
1 Cancers
C4010
1 Cancers
C4011
1 Cancers
C4012
1 Cancers
C4020
1 Cancers
C4021
1 Cancers
C4022
1 Cancers
C4030
1 Cancers
C4031
1 Cancers
C4032
1 Cancers
C4080
1 Cancers
C4081
1 Cancers
C4082
ICD-10 Dx Description
Malignant neoplasm of overlapping sites of left
bronchus and lung
Malignant neoplasm of unspecified part of
unspecified bronchus or lung
Malignant neoplasm of unspecified part of right
bronchus or lung
Malignant neoplasm of unspecified part of left
bronchus or lung
Malignant neoplasm of thymus
Malignant neoplasm of heart
Malignant neoplasm of anterior mediastinum
Malignant neoplasm of posterior mediastinum
Malignant neoplasm of mediastinum, part
unspecified
Malignant neoplasm of pleura
Malignant neoplasm of overlapping sites of heart,
mediastinum and pleura
Malignant neoplasm of scapula and long bones of
unspecified upper limb
Malignant neoplasm of scapula and long bones of
right upper limb
Malignant neoplasm of scapula and long bones of
left upper limb
Malignant neoplasm of short bones of unspecified
upper limb
Malignant neoplasm of short bones of right upper
limb
Malignant neoplasm of short bones of left upper
limb
Malignant neoplasm of long bones of unspecified
lower limb
Malignant neoplasm of long bones of right lower
limb
Malignant neoplasm of long bones of left lower limb
Malignant neoplasm of short bones of unspecified
lower limb
Malignant neoplasm of short bones of right lower
limb
Malignant neoplasm of short bones of left lower
limb
Malignant neoplasm of overlapping sites of bone
and articular cartilage of unspecified limb
Malignant neoplasm of overlapping sites of bone
and articular cartilage of right limb
Malignant neoplasm of overlapping sites of bone
and articular cartilage of left limb
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
1 Cancers
C4090
1 Cancers
C4091
Cancers
Cancers
Cancers
Cancers
C4092
C410
C411
C412
1
1
1
1
1 Cancers
C413
1 Cancers
C414
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
C419
C450
C451
C452
C460
C461
C462
C463
C464
C4650
C4651
C4652
C467
C469
ICD-10 Dx Description
Malignant neoplasm of unspecified bones and
articular cartilage of unspecified limb
Malignant neoplasm of unspecified bones and
articular cartilage of right limb
Malignant neoplasm of unspecified bones and
articular cartilage of left limb
Malignant neoplasm of bones of skull and face
Malignant neoplasm of mandible
Malignant neoplasm of vertebral column
Malignant neoplasm of ribs, sternum and clavicle
Malignant neoplasm of pelvic bones, sacrum and
coccyx
Malignant neoplasm of bone and articular cartilage,
unspecified
Mesothelioma of pleura
Mesothelioma of peritoneum
Mesothelioma of pericardium
Kaposi's sarcoma of skin
Kaposi's sarcoma of soft tissue
Kaposi's sarcoma of palate
Kaposi's sarcoma of lymph nodes
Kaposi's sarcoma of gastrointestinal sites
Kaposi's sarcoma of unspecified lung
Kaposi's sarcoma of right lung
Kaposi's sarcoma of left lung
Kaposi's sarcoma of other sites
Kaposi's sarcoma, unspecified
Malignant neoplasm of peripheral nerves of head,
face and neck
Malignant neoplasm of peripheral nerves of
unspecified upper limb, including shoulder
Malignant neoplasm of peripheral nerves of right
upper limb, including shoulder
Malignant neoplasm of peripheral nerves of left
upper limb, including shoulder
Malignant neoplasm of peripheral nerves of
unspecified lower limb, including hip
Malignant neoplasm of peripheral nerves of right
lower limb, including hip
Malignant neoplasm of peripheral nerves of left
lower limb, including hip
1 Cancers
C470
1 Cancers
C4710
1 Cancers
C4711
1 Cancers
C4712
1 Cancers
C4720
1 Cancers
C4721
1 Cancers
C4722
1 Cancers
C473
1 Cancers
C474
Malignant neoplasm of peripheral nerves of thorax
Malignant neoplasm of peripheral nerves of
abdomen
1 Cancers
C475
Malignant neoplasm of peripheral nerves of pelvis
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
1 Cancers
C476
1 Cancers
C478
1 Cancers
1 Cancers
C479
C480
1 Cancers
1 Cancers
C481
C482
1 Cancers
C488
1 Cancers
C490
1 Cancers
C4910
1 Cancers
C4911
1 Cancers
C4912
1 Cancers
C4920
1 Cancers
C4921
1 Cancers
C4922
1 Cancers
C493
1 Cancers
C494
1 Cancers
C495
1 Cancers
C496
1 Cancers
C498
Cancers
Cancers
Cancers
Cancers
C499
C561
C562
C569
1 Cancers
C641
1 Cancers
C642
1
1
1
1
ICD-10 Dx Description
Malignant neoplasm of peripheral nerves of trunk,
unspecified
Malignant neoplasm of overlapping sites of
peripheral nerves and autonomic nervous system
Malignant neoplasm of peripheral nerves and
autonomic nervous system, unspecified
Malignant neoplasm of retroperitoneum
Malignant neoplasm of specified parts of
peritoneum
Malignant neoplasm of peritoneum, unspecified
Malignant neoplasm of overlapping sites of
retroperitoneum and peritoneum
Malignant neoplasm of connective and soft tissue of
head, face and neck
Malignant neoplasm of connective and soft tissue of
unspecified upper limb, including shoulder
Malignant neoplasm of connective and soft tissue of
right upper limb, including shoulder
Malignant neoplasm of connective and soft tissue of
left upper limb, including shoulder
Malignant neoplasm of connective and soft tissue of
unspecified lower limb, including hip
Malignant neoplasm of connective and soft tissue of
right lower limb, including hip
Malignant neoplasm of connective and soft tissue of
left lower limb, including hip
Malignant neoplasm of connective and soft tissue of
thorax
Malignant neoplasm of connective and soft tissue of
abdomen
Malignant neoplasm of connective and soft tissue of
pelvis
Malignant neoplasm of connective and soft tissue of
trunk, unspecified
Malignant neoplasm of overlapping sites of
connective and soft tissue
Malignant neoplasm of connective and soft tissue,
unspecified
Malignant neoplasm of right ovary
Malignant neoplasm of left ovary
Malignant neoplasm of unspecified ovary
Malignant neoplasm of right kidney, except renal
pelvis
Malignant neoplasm of left kidney, except renal
pelvis
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
Malignant neoplasm of unspecified kidney, except
renal pelvis
Malignant neoplasm of right renal pelvis
Malignant neoplasm of left renal pelvis
Malignant neoplasm of unspecified renal pelvis
Malignant neoplasm of right ureter
Malignant neoplasm of left ureter
Malignant neoplasm of unspecified ureter
Malignant neoplasm of urethra
Malignant neoplasm of paraurethral glands
Malignant neoplasm of overlapping sites of urinary
organs
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
C649
C651
C652
C659
C661
C662
C669
C680
C681
1 Cancers
C688
1
1
1
1
Cancers
Cancers
Cancers
Cancers
C689
C700
C701
C709
1
1
1
1
1
1
1
1
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
C710
C711
C712
C713
C714
C715
C716
C717
Malignant neoplasm of urinary organ, unspecified
Malignant neoplasm of cerebral meninges
Malignant neoplasm of spinal meninges
Malignant neoplasm of meninges, unspecified
Malignant neoplasm of cerebrum, except lobes and
ventricles
Malignant neoplasm of frontal lobe
Malignant neoplasm of temporal lobe
Malignant neoplasm of parietal lobe
Malignant neoplasm of occipital lobe
Malignant neoplasm of cerebral ventricle
Malignant neoplasm of cerebellum
Malignant neoplasm of brain stem
1
1
1
1
Cancers
Cancers
Cancers
Cancers
C718
C719
C720
C721
Malignant neoplasm of overlapping sites of brain
Malignant neoplasm of brain, unspecified
Malignant neoplasm of spinal cord
Malignant neoplasm of cauda equina
1
1
1
1
1
1
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
C7220
C7221
C7222
C7230
C7231
C7232
Malignant neoplasm of unspecified olfactory nerve
Malignant neoplasm of right olfactory nerve
Malignant neoplasm of left olfactory nerve
Malignant neoplasm of unspecified optic nerve
Malignant neoplasm of right optic nerve
Malignant neoplasm of left optic nerve
1
1
1
1
1
Cancers
Cancers
Cancers
Cancers
Cancers
C7240
C7241
C7242
C7250
C7259
Malignant neoplasm of unspecified acoustic nerve
Malignant neoplasm of right acoustic nerve
Malignant neoplasm of left acoustic nerve
Malignant neoplasm of unspecified cranial nerve
Malignant neoplasm of other cranial nerves
Malignant neoplasm of central nervous system,
unspecified
Malignant neoplasm of cortex of unspecified adrenal
gland
1
1
1
1
1
1
1
1
1
1 Cancers
C729
1 Cancers
C7400
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
1 Cancers
C7401
Malignant neoplasm of cortex of right adrenal gland
1 Cancers
C7402
1 Cancers
C7410
1 Cancers
C7411
Malignant neoplasm of cortex of left adrenal gland
Malignant neoplasm of medulla of unspecified
adrenal gland
Malignant neoplasm of medulla of right adrenal
gland
1 Cancers
C7412
1 Cancers
C7490
1 Cancers
C7491
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
C7492
C750
C751
C752
C753
C754
1
1
1
1
1
1
Malignant neoplasm of medulla of left adrenal gland
Malignant neoplasm of unspecified part of
unspecified adrenal gland
Malignant neoplasm of unspecified part of right
adrenal gland
Malignant neoplasm of unspecified part of left
adrenal gland
Malignant neoplasm of parathyroid gland
Malignant neoplasm of pituitary gland
Malignant neoplasm of craniopharyngeal duct
Malignant neoplasm of pineal gland
Malignant neoplasm of carotid body
Malignant neoplasm of aortic body and other
paraganglia
Malignant neoplasm with pluriglandular
involvement, unspecified
1 Cancers
C755
1 Cancers
C758
1 Cancers
C759
1 Cancers
C770
1 Cancers
C771
1 Cancers
C772
1 Cancers
C773
1 Cancers
C774
1 Cancers
C775
1 Cancers
C778
1 Cancers
C779
Malignant neoplasm of endocrine gland, unspecified
Secondary and unspecified malignant neoplasm of
lymph nodes of head, face and neck
Secondary and unspecified malignant neoplasm of
intrathoracic lymph nodes
Secondary and unspecified malignant neoplasm of
intra-abdominal lymph nodes
Secondary and unspecified malignant neoplasm of
axilla and upper limb lymph nodes
Secondary and unspecified malignant neoplasm of
inguinal and lower limb lymph nodes
Secondary and unspecified malignant neoplasm of
intrapelvic lymph nodes
Secondary and unspecified malignant neoplasm of
lymph nodes of multiple regions
Secondary and unspecified malignant neoplasm of
lymph node, unspecified
C7800
C7801
C7802
C781
Secondary malignant neoplasm of unspecified lung
Secondary malignant neoplasm of right lung
Secondary malignant neoplasm of left lung
Secondary malignant neoplasm of mediastinum
1
1
1
1
Cancers
Cancers
Cancers
Cancers
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
1 Cancers
C782
Secondary malignant neoplasm of pleura
Secondary malignant neoplasm of unspecified
respiratory organ
Secondary malignant neoplasm of other respiratory
organs
1 Cancers
C7830
1 Cancers
C7839
1 Cancers
C784
1 Cancers
C785
1 Cancers
C786
1 Cancers
C787
1 Cancers
C7880
1 Cancers
C7889
1 Cancers
C7900
1 Cancers
C7901
1 Cancers
C7902
1 Cancers
1 Cancers
C7910
C7911
1 Cancers
1 Cancers
1 Cancers
C7919
C792
C7931
1 Cancers
C7932
1 Cancers
C7940
1 Cancers
1 Cancers
1 Cancers
C7949
C7951
C7952
1 Cancers
1 Cancers
1 Cancers
C7960
C7961
C7962
1 Cancers
C7970
1 Cancers
C7971
Secondary malignant neoplasm of unspecified ovary
Secondary malignant neoplasm of right ovary
Secondary malignant neoplasm of left ovary
Secondary malignant neoplasm of unspecified
adrenal gland
Secondary malignant neoplasm of right adrenal
gland
1 Cancers
C7972
Secondary malignant neoplasm of left adrenal gland
Secondary malignant neoplasm of small intestine
Secondary malignant neoplasm of large intestine
and rectum
Secondary malignant neoplasm of retroperitoneum
and peritoneum
Secondary malignant neoplasm of liver and
intrahepatic bile duct
Secondary malignant neoplasm of unspecified
digestive organ
Secondary malignant neoplasm of other digestive
organs
Secondary malignant neoplasm of unspecified
kidney and renal pelvis
Secondary malignant neoplasm of right kidney and
renal pelvis
Secondary malignant neoplasm of left kidney and
renal pelvis
Secondary malignant neoplasm of unspecified
urinary organs
Secondary malignant neoplasm of bladder
Secondary malignant neoplasm of other urinary
organs
Secondary malignant neoplasm of skin
Secondary malignant neoplasm of brain
Secondary malignant neoplasm of cerebral
meninges
Secondary malignant neoplasm of unspecified part
of nervous system
Secondary malignant neoplasm of other parts of
nervous system
Secondary malignant neoplasm of bone
Secondary malignant neoplasm of bone marrow
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
1 Cancers
C7981
Secondary malignant neoplasm of breast
1 Cancers
C7982
1 Cancers
C7989
Secondary malignant neoplasm of genital organs
Secondary malignant neoplasm of other specified
sites
Cancers
Cancers
Cancers
Cancers
Cancers
C799
C7A00
C7A010
C7A011
C7A012
1 Cancers
1 Cancers
1 Cancers
C7A019
C7A020
C7A021
Secondary malignant neoplasm of unspecified site
Malignant carcinoid tumor of unspecified site
Malignant carcinoid tumor of the duodenum
Malignant carcinoid tumor of the jejunum
Malignant carcinoid tumor of the ileum
Malignant carcinoid tumor of the small intestine,
unspecified portion
Malignant carcinoid tumor of the appendix
Malignant carcinoid tumor of the cecum
1 Cancers
C7A022
Malignant carcinoid tumor of the ascending colon
1 Cancers
C7A023
Malignant carcinoid tumor of the transverse colon
1 Cancers
1 Cancers
1 Cancers
C7A024
C7A025
C7A026
1 Cancers
C7A029
Malignant carcinoid tumor of the descending colon
Malignant carcinoid tumor of the sigmoid colon
Malignant carcinoid tumor of the rectum
Malignant carcinoid tumor of the large intestine,
unspecified portion
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
C7A090
C7A091
C7A092
C7A093
C7A094
C7A095
C7A096
C7A098
1
1
1
1
1
1
1
1
1
1
1
1
1
1 Cancers
1 Cancers
1
1
1
1
1
1
1
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
1 Cancers
C7A1
C7A8
C7B01
C7B02
C7B03
C7B04
C7B09
C7B8
C800
C802
Malignant carcinoid tumor of the bronchus and lung
Malignant carcinoid tumor of the thymus
Malignant carcinoid tumor of the stomach
Malignant carcinoid tumor of the kidney
Malignant carcinoid tumor of the foregut NOS
Malignant carcinoid tumor of the midgut NOS
Malignant carcinoid tumor of the hindgut NOS
Malignant carcinoid tumors of other sites
Malignant poorly differentiated neuroendocrine
tumors
Other malignant neuroendocrine tumors
Secondary carcinoid tumors of distant lymph nodes
Secondary carcinoid tumors of liver
Secondary carcinoid tumors of bone
Secondary carcinoid tumors of peritoneum
Secondary carcinoid tumors of other sites
Other secondary neuroendocrine tumors
Disseminated malignant neoplasm, unspecified
Malignant neoplasm associated with transplanted
organ
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
1 Cancers
C8100
1 Cancers
C8101
1 Cancers
C8102
1 Cancers
C8103
Nodular lymphocyte predominant Hodgkin
lymphoma, unspecified site
Nodular lymphocyte predominant Hodgkin
lymphoma, lymph nodes of head, face, and neck
Nodular lymphocyte predominant Hodgkin
lymphoma, intrathoracic lymph nodes
Nodular lymphocyte predominant Hodgkin
lymphoma, intra-abdominal lymph nodes
1 Cancers
C8104
Nodular lymphocyte predominant Hodgkin
lymphoma, lymph nodes of axilla and upper limb
1 Cancers
C8105
1 Cancers
C8106
1 Cancers
C8107
1 Cancers
C8108
1 Cancers
C8109
1 Cancers
C8110
1 Cancers
C8111
1 Cancers
C8112
1 Cancers
C8113
1 Cancers
C8114
1 Cancers
C8115
1 Cancers
C8116
1 Cancers
C8117
1 Cancers
C8118
1 Cancers
C8119
1 Cancers
C8120
1 Cancers
C8121
1 Cancers
C8122
Nodular lymphocyte predominant Hodgkin
lymphoma, lymph nodes of inguinal region and
lower limb
Nodular lymphocyte predominant Hodgkin
lymphoma, intrapelvic lymph nodes
Nodular lymphocyte predominant Hodgkin
lymphoma, spleen
Nodular lymphocyte predominant Hodgkin
lymphoma, lymph nodes of multiple sites
Nodular lymphocyte predominant Hodgkin
lymphoma, extranodal and solid organ sites
Nodular sclerosis classical Hodgkin lymphoma,
unspecified site
Nodular sclerosis classical Hodgkin lymphoma,
lymph nodes of head, face, and neck
Nodular sclerosis classical Hodgkin lymphoma,
intrathoracic lymph nodes
Nodular sclerosis classical Hodgkin lymphoma, intraabdominal lymph nodes
Nodular sclerosis classical Hodgkin lymphoma,
lymph nodes of axilla and upper limb
Nodular sclerosis classical Hodgkin lymphoma,
lymph nodes of inguinal region and lower limb
Nodular sclerosis classical Hodgkin lymphoma,
intrapelvic lymph nodes
Nodular sclerosis classical Hodgkin lymphoma,
spleen
Nodular sclerosis classical Hodgkin lymphoma,
lymph nodes of multiple sites
Nodular sclerosis classical Hodgkin lymphoma,
extranodal and solid organ sites
Mixed cellularity classical Hodgkin lymphoma,
unspecified site
Mixed cellularity classical Hodgkin lymphoma, lymph
nodes of head, face, and neck
Mixed cellularity classical Hodgkin lymphoma,
intrathoracic lymph nodes
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
1 Cancers
C8123
1 Cancers
C8124
1 Cancers
C8125
1 Cancers
C8126
1 Cancers
C8127
1 Cancers
C8128
1 Cancers
C8129
1 Cancers
C8130
1 Cancers
C8131
1 Cancers
C8132
1 Cancers
C8133
Mixed cellularity classical Hodgkin lymphoma, intraabdominal lymph nodes
Mixed cellularity classical Hodgkin lymphoma, lymph
nodes of axilla and upper limb
Mixed cellularity classical Hodgkin lymphoma, lymph
nodes of inguinal region and lower limb
Mixed cellularity classical Hodgkin lymphoma,
intrapelvic lymph nodes
Mixed cellularity classical Hodgkin lymphoma,
spleen
Mixed cellularity classical Hodgkin lymphoma, lymph
nodes of multiple sites
Mixed cellularity classical Hodgkin lymphoma,
extranodal and solid organ sites
Lymphocyte depleted classical Hodgkin lymphoma,
unspecified site
Lymphocyte depleted classical Hodgkin lymphoma,
lymph nodes of head, face, and neck
Lymphocyte depleted classical Hodgkin lymphoma,
intrathoracic lymph nodes
Lymphocyte depleted classical Hodgkin lymphoma,
intra-abdominal lymph nodes
1 Cancers
C8134
Lymphocyte depleted classical Hodgkin lymphoma,
lymph nodes of axilla and upper limb
1 Cancers
C8135
1 Cancers
C8136
1 Cancers
C8137
1 Cancers
C8138
1 Cancers
C8139
1 Cancers
C8140
1 Cancers
C8141
1 Cancers
C8142
1 Cancers
C8143
1 Cancers
C8144
1 Cancers
C8145
Lymphocyte depleted classical Hodgkin lymphoma,
lymph nodes of inguinal region and lower limb
Lymphocyte depleted classical Hodgkin lymphoma,
intrapelvic lymph nodes
Lymphocyte depleted classical Hodgkin lymphoma,
spleen
Lymphocyte depleted classical Hodgkin lymphoma,
lymph nodes of multiple sites
Lymphocyte depleted classical Hodgkin lymphoma,
extranodal and solid organ sites
Lymphocyte-rich classical Hodgkin lymphoma,
unspecified site
Lymphocyte-rich classical Hodgkin lymphoma, lymph
nodes of head, face, and neck
Lymphocyte-rich classical Hodgkin lymphoma,
intrathoracic lymph nodes
Lymphocyte-rich classical Hodgkin lymphoma, intraabdominal lymph nodes
Lymphocyte-rich classical Hodgkin lymphoma, lymph
nodes of axilla and upper limb
Lymphocyte-rich classical Hodgkin lymphoma, lymph
nodes of inguinal region and lower limb
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
1 Cancers
C8146
1 Cancers
C8147
1 Cancers
C8148
1 Cancers
C8149
1 Cancers
C8170
1 Cancers
C8171
1 Cancers
C8172
1 Cancers
C8173
1 Cancers
C8174
1 Cancers
C8175
1 Cancers
1 Cancers
C8176
C8177
1 Cancers
C8178
1 Cancers
C8179
1 Cancers
C8190
1 Cancers
C8191
1 Cancers
C8192
1 Cancers
C8193
1 Cancers
C8194
1 Cancers
C8195
1 Cancers
1 Cancers
C8196
C8197
1 Cancers
C8198
1 Cancers
1 Cancers
C8199
C8200
ICD-10 Dx Description
Lymphocyte-rich classical Hodgkin lymphoma,
intrapelvic lymph nodes
Lymphocyte-rich classical Hodgkin lymphoma,
spleen
Lymphocyte-rich classical Hodgkin lymphoma, lymph
nodes of multiple sites
Lymphocyte-rich classical Hodgkin lymphoma,
extranodal and solid organ sites
Other classical Hodgkin lymphoma, unspecified site
Other classical Hodgkin lymphoma, lymph nodes of
head, face, and neck
Other classical Hodgkin lymphoma, intrathoracic
lymph nodes
Other classical Hodgkin lymphoma, intra-abdominal
lymph nodes
Other classical Hodgkin lymphoma, lymph nodes of
axilla and upper limb
Other classical Hodgkin lymphoma, lymph nodes of
inguinal region and lower limb
Other classical Hodgkin lymphoma, intrapelvic
lymph nodes
Other classical Hodgkin lymphoma, spleen
Other classical Hodgkin lymphoma, lymph nodes of
multiple sites
Other classical Hodgkin lymphoma, extranodal and
solid organ sites
Hodgkin lymphoma, unspecified, unspecified site
Hodgkin lymphoma, unspecified, lymph nodes of
head, face, and neck
Hodgkin lymphoma, unspecified, intrathoracic
lymph nodes
Hodgkin lymphoma, unspecified, intra-abdominal
lymph nodes
Hodgkin lymphoma, unspecified, lymph nodes of
axilla and upper limb
Hodgkin lymphoma, unspecified, lymph nodes of
inguinal region and lower limb
Hodgkin lymphoma, unspecified, intrapelvic lymph
nodes
Hodgkin lymphoma, unspecified, spleen
Hodgkin lymphoma, unspecified, lymph nodes of
multiple sites
Hodgkin lymphoma, unspecified, extranodal and
solid organ sites
Follicular lymphoma grade I, unspecified site
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
1 Cancers
C8201
1 Cancers
C8202
1 Cancers
C8203
1 Cancers
C8204
1 Cancers
C8205
1 Cancers
1 Cancers
C8206
C8207
1 Cancers
C8208
1 Cancers
1 Cancers
C8209
C8210
1 Cancers
C8211
1 Cancers
C8212
1 Cancers
C8213
1 Cancers
C8214
1 Cancers
C8215
1 Cancers
1 Cancers
C8216
C8217
1 Cancers
C8218
1 Cancers
C8219
1 Cancers
C8220
1 Cancers
C8221
1 Cancers
C8222
1 Cancers
C8223
1 Cancers
C8224
1 Cancers
C8225
ICD-10 Dx Description
Follicular lymphoma grade I, lymph nodes of head,
face, and neck
Follicular lymphoma grade I, intrathoracic lymph
nodes
Follicular lymphoma grade I, intra-abdominal lymph
nodes
Follicular lymphoma grade I, lymph nodes of axilla
and upper limb
Follicular lymphoma grade I, lymph nodes of
inguinal region and lower limb
Follicular lymphoma grade I, intrapelvic lymph
nodes
Follicular lymphoma grade I, spleen
Follicular lymphoma grade I, lymph nodes of
multiple sites
Follicular lymphoma grade I, extranodal and solid
organ sites
Follicular lymphoma grade II, unspecified site
Follicular lymphoma grade II, lymph nodes of head,
face, and neck
Follicular lymphoma grade II, intrathoracic lymph
nodes
Follicular lymphoma grade II, intra-abdominal lymph
nodes
Follicular lymphoma grade II, lymph nodes of axilla
and upper limb
Follicular lymphoma grade II, lymph nodes of
inguinal region and lower limb
Follicular lymphoma grade II, intrapelvic lymph
nodes
Follicular lymphoma grade II, spleen
Follicular lymphoma grade II, lymph nodes of
multiple sites
Follicular lymphoma grade II, extranodal and solid
organ sites
Follicular lymphoma grade III, unspecified,
unspecified site
Follicular lymphoma grade III, unspecified, lymph
nodes of head, face, and neck
Follicular lymphoma grade III, unspecified,
intrathoracic lymph nodes
Follicular lymphoma grade III, unspecified, intraabdominal lymph nodes
Follicular lymphoma grade III, unspecified, lymph
nodes of axilla and upper limb
Follicular lymphoma grade III, unspecified, lymph
nodes of inguinal region and lower limb
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
1 Cancers
C8226
1 Cancers
C8227
1 Cancers
C8228
1 Cancers
1 Cancers
C8229
C8230
1 Cancers
C8231
1 Cancers
C8232
1 Cancers
C8233
1 Cancers
C8234
1 Cancers
C8235
1 Cancers
1 Cancers
C8236
C8237
1 Cancers
C8238
1 Cancers
1 Cancers
C8239
C8240
1 Cancers
C8241
1 Cancers
C8242
1 Cancers
C8243
1 Cancers
C8244
1 Cancers
C8245
1 Cancers
1 Cancers
C8246
C8247
1 Cancers
C8248
1 Cancers
C8249
1 Cancers
C8250
1 Cancers
C8251
ICD-10 Dx Description
Follicular lymphoma grade III, unspecified,
intrapelvic lymph nodes
Follicular lymphoma grade III, unspecified, spleen
Follicular lymphoma grade III, unspecified, lymph
nodes of multiple sites
Follicular lymphoma grade III, unspecified,
extranodal and solid organ sites
Follicular lymphoma grade IIIa, unspecified site
Follicular lymphoma grade IIIa, lymph nodes of
head, face, and neck
Follicular lymphoma grade IIIa, intrathoracic lymph
nodes
Follicular lymphoma grade IIIa, intra-abdominal
lymph nodes
Follicular lymphoma grade IIIa, lymph nodes of axilla
and upper limb
Follicular lymphoma grade IIIa, lymph nodes of
inguinal region and lower limb
Follicular lymphoma grade IIIa, intrapelvic lymph
nodes
Follicular lymphoma grade IIIa, spleen
Follicular lymphoma grade IIIa, lymph nodes of
multiple sites
Follicular lymphoma grade IIIa, extranodal and solid
organ sites
Follicular lymphoma grade IIIb, unspecified site
Follicular lymphoma grade IIIb, lymph nodes of
head, face, and neck
Follicular lymphoma grade IIIb, intrathoracic lymph
nodes
Follicular lymphoma grade IIIb, intra-abdominal
lymph nodes
Follicular lymphoma grade IIIb, lymph nodes of axilla
and upper limb
Follicular lymphoma grade IIIb, lymph nodes of
inguinal region and lower limb
Follicular lymphoma grade IIIb, intrapelvic lymph
nodes
Follicular lymphoma grade IIIb, spleen
Follicular lymphoma grade IIIb, lymph nodes of
multiple sites
Follicular lymphoma grade IIIb, extranodal and solid
organ sites
Diffuse follicle center lymphoma, unspecified site
Diffuse follicle center lymphoma, lymph nodes of
head, face, and neck
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
1 Cancers
C8252
1 Cancers
C8253
1 Cancers
C8254
1 Cancers
C8255
1 Cancers
1 Cancers
C8256
C8257
1 Cancers
C8258
1 Cancers
C8259
1 Cancers
C8260
1 Cancers
C8261
1 Cancers
C8262
1 Cancers
C8263
1 Cancers
C8264
1 Cancers
C8265
1 Cancers
1 Cancers
C8266
C8267
1 Cancers
C8268
1 Cancers
C8269
1 Cancers
C8280
1 Cancers
C8281
1 Cancers
C8282
1 Cancers
C8283
1 Cancers
C8284
1 Cancers
C8285
1 Cancers
C8286
ICD-10 Dx Description
Diffuse follicle center lymphoma, intrathoracic
lymph nodes
Diffuse follicle center lymphoma, intra-abdominal
lymph nodes
Diffuse follicle center lymphoma, lymph nodes of
axilla and upper limb
Diffuse follicle center lymphoma, lymph nodes of
inguinal region and lower limb
Diffuse follicle center lymphoma, intrapelvic lymph
nodes
Diffuse follicle center lymphoma, spleen
Diffuse follicle center lymphoma, lymph nodes of
multiple sites
Diffuse follicle center lymphoma, extranodal and
solid organ sites
Cutaneous follicle center lymphoma, unspecified site
Cutaneous follicle center lymphoma, lymph nodes of
head, face, and neck
Cutaneous follicle center lymphoma, intrathoracic
lymph nodes
Cutaneous follicle center lymphoma, intraabdominal lymph nodes
Cutaneous follicle center lymphoma, lymph nodes of
axilla and upper limb
Cutaneous follicle center lymphoma, lymph nodes of
inguinal region and lower limb
Cutaneous follicle center lymphoma, intrapelvic
lymph nodes
Cutaneous follicle center lymphoma, spleen
Cutaneous follicle center lymphoma, lymph nodes of
multiple sites
Cutaneous follicle center lymphoma, extranodal and
solid organ sites
Other types of follicular lymphoma, unspecified site
Other types of follicular lymphoma, lymph nodes of
head, face, and neck
Other types of follicular lymphoma, intrathoracic
lymph nodes
Other types of follicular lymphoma, intra-abdominal
lymph nodes
Other types of follicular lymphoma, lymph nodes of
axilla and upper limb
Other types of follicular lymphoma, lymph nodes of
inguinal region and lower limb
Other types of follicular lymphoma, intrapelvic
lymph nodes
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
1 Cancers
C8287
Other types of follicular lymphoma, spleen
Other types of follicular lymphoma, lymph nodes of
multiple sites
Other types of follicular lymphoma, extranodal and
solid organ sites
1 Cancers
C8288
1 Cancers
C8289
1 Cancers
C8290
1 Cancers
C8291
1 Cancers
C8292
1 Cancers
C8293
1 Cancers
C8294
1 Cancers
C8295
1 Cancers
1 Cancers
C8296
C8297
1 Cancers
C8298
1 Cancers
1 Cancers
C8299
C8300
1 Cancers
C8301
1 Cancers
C8302
1 Cancers
C8303
1 Cancers
C8304
1 Cancers
C8305
1 Cancers
1 Cancers
C8306
C8307
1 Cancers
C8308
1 Cancers
1 Cancers
C8309
C8310
1 Cancers
C8311
Small cell B-cell lymphoma, intrapelvic lymph nodes
Small cell B-cell lymphoma, spleen
Small cell B-cell lymphoma, lymph nodes of multiple
sites
Small cell B-cell lymphoma, extranodal and solid
organ sites
Mantle cell lymphoma, unspecified site
Mantle cell lymphoma, lymph nodes of head, face,
and neck
1 Cancers
C8312
Mantle cell lymphoma, intrathoracic lymph nodes
Follicular lymphoma, unspecified, unspecified site
Follicular lymphoma, unspecified, lymph nodes of
head, face, and neck
Follicular lymphoma, unspecified, intrathoracic
lymph nodes
Follicular lymphoma, unspecified, intra-abdominal
lymph nodes
Follicular lymphoma, unspecified, lymph nodes of
axilla and upper limb
Follicular lymphoma, unspecified, lymph nodes of
inguinal region and lower limb
Follicular lymphoma, unspecified, intrapelvic lymph
nodes
Follicular lymphoma, unspecified, spleen
Follicular lymphoma, unspecified, lymph nodes of
multiple sites
Follicular lymphoma, unspecified, extranodal and
solid organ sites
Small cell B-cell lymphoma, unspecified site
Small cell B-cell lymphoma, lymph nodes of head,
face, and neck
Small cell B-cell lymphoma, intrathoracic lymph
nodes
Small cell B-cell lymphoma, intra-abdominal lymph
nodes
Small cell B-cell lymphoma, lymph nodes of axilla
and upper limb
Small cell B-cell lymphoma, lymph nodes of inguinal
region and lower limb
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
1 Cancers
C8313
1 Cancers
C8314
1 Cancers
1 Cancers
1 Cancers
C8315
C8316
C8317
1 Cancers
C8318
1 Cancers
1 Cancers
C8319
C8330
1 Cancers
C8331
1 Cancers
C8332
1 Cancers
C8333
1 Cancers
C8334
1 Cancers
C8335
1 Cancers
1 Cancers
C8336
C8337
1 Cancers
C8338
1 Cancers
C8339
1 Cancers
C8350
1 Cancers
C8351
1 Cancers
C8352
1 Cancers
C8353
1 Cancers
C8354
1 Cancers
C8355
1 Cancers
1 Cancers
C8356
C8357
1 Cancers
C8358
ICD-10 Dx Description
Mantle cell lymphoma, intra-abdominal lymph
nodes
Mantle cell lymphoma, lymph nodes of axilla and
upper limb
Mantle cell lymphoma, lymph nodes of inguinal
region and lower limb
Mantle cell lymphoma, intrapelvic lymph nodes
Mantle cell lymphoma, spleen
Mantle cell lymphoma, lymph nodes of multiple
sites
Mantle cell lymphoma, extranodal and solid organ
sites
Diffuse large B-cell lymphoma, unspecified site
Diffuse large B-cell lymphoma, lymph nodes of head,
face, and neck
Diffuse large B-cell lymphoma, intrathoracic lymph
nodes
Diffuse large B-cell lymphoma, intra-abdominal
lymph nodes
Diffuse large B-cell lymphoma, lymph nodes of axilla
and upper limb
Diffuse large B-cell lymphoma, lymph nodes of
inguinal region and lower limb
Diffuse large B-cell lymphoma, intrapelvic lymph
nodes
Diffuse large B-cell lymphoma, spleen
Diffuse large B-cell lymphoma, lymph nodes of
multiple sites
Diffuse large B-cell lymphoma, extranodal and solid
organ sites
Lymphoblastic (diffuse) lymphoma, unspecified site
Lymphoblastic (diffuse) lymphoma, lymph nodes of
head, face, and neck
Lymphoblastic (diffuse) lymphoma, intrathoracic
lymph nodes
Lymphoblastic (diffuse) lymphoma, intra-abdominal
lymph nodes
Lymphoblastic (diffuse) lymphoma, lymph nodes of
axilla and upper limb
Lymphoblastic (diffuse) lymphoma, lymph nodes of
inguinal region and lower limb
Lymphoblastic (diffuse) lymphoma, intrapelvic
lymph nodes
Lymphoblastic (diffuse) lymphoma, spleen
Lymphoblastic (diffuse) lymphoma, lymph nodes of
multiple sites
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
Lymphoblastic (diffuse) lymphoma, extranodal and
solid organ sites
Burkitt lymphoma, unspecified site
Burkitt lymphoma, lymph nodes of head, face, and
neck
Burkitt lymphoma, intrathoracic lymph nodes
1 Cancers
1 Cancers
C8359
C8370
1 Cancers
1 Cancers
C8371
C8372
1 Cancers
C8373
1 Cancers
C8374
1 Cancers
1 Cancers
1 Cancers
C8375
C8376
C8377
Burkitt lymphoma, intra-abdominal lymph nodes
Burkitt lymphoma, lymph nodes of axilla and upper
limb
Burkitt lymphoma, lymph nodes of inguinal region
and lower limb
Burkitt lymphoma, intrapelvic lymph nodes
Burkitt lymphoma, spleen
1 Cancers
C8378
Burkitt lymphoma, lymph nodes of multiple sites
1 Cancers
1 Cancers
C8379
C8380
1 Cancers
C8381
1 Cancers
C8382
1 Cancers
C8383
1 Cancers
C8384
1 Cancers
C8385
1 Cancers
1 Cancers
C8386
C8387
1 Cancers
C8388
1 Cancers
C8389
1 Cancers
C8390
1 Cancers
C8391
1 Cancers
C8392
1 Cancers
C8393
1 Cancers
C8394
1 Cancers
C8395
Burkitt lymphoma, extranodal and solid organ sites
Other non-follicular lymphoma, unspecified site
Other non-follicular lymphoma, lymph nodes of
head, face, and neck
Other non-follicular lymphoma, intrathoracic lymph
nodes
Other non-follicular lymphoma, intra-abdominal
lymph nodes
Other non-follicular lymphoma, lymph nodes of
axilla and upper limb
Other non-follicular lymphoma, lymph nodes of
inguinal region and lower limb
Other non-follicular lymphoma, intrapelvic lymph
nodes
Other non-follicular lymphoma, spleen
Other non-follicular lymphoma, lymph nodes of
multiple sites
Other non-follicular lymphoma, extranodal and solid
organ sites
Non-follicular (diffuse) lymphoma, unspecified,
unspecified site
Non-follicular (diffuse) lymphoma, unspecified,
lymph nodes of head, face, and neck
Non-follicular (diffuse) lymphoma, unspecified,
intrathoracic lymph nodes
Non-follicular (diffuse) lymphoma, unspecified, intraabdominal lymph nodes
Non-follicular (diffuse) lymphoma, unspecified,
lymph nodes of axilla and upper limb
Non-follicular (diffuse) lymphoma, unspecified,
lymph nodes of inguinal region and lower limb
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
Non-follicular (diffuse) lymphoma, unspecified,
intrapelvic lymph nodes
Non-follicular (diffuse) lymphoma, unspecified,
spleen
Non-follicular (diffuse) lymphoma, unspecified,
lymph nodes of multiple sites
Non-follicular (diffuse) lymphoma, unspecified,
extranodal and solid organ sites
Mycosis fungoides, unspecified site
Mycosis fungoides, lymph nodes of head, face, and
neck
Mycosis fungoides, intrathoracic lymph nodes
1 Cancers
C8396
1 Cancers
C8397
1 Cancers
C8398
1 Cancers
1 Cancers
C8399
C8400
1 Cancers
1 Cancers
C8401
C8402
1 Cancers
C8403
1 Cancers
C8404
1 Cancers
1 Cancers
1 Cancers
C8405
C8406
C8407
Mycosis fungoides, intra-abdominal lymph nodes
Mycosis fungoides, lymph nodes of axilla and upper
limb
Mycosis fungoides, lymph nodes of inguinal region
and lower limb
Mycosis fungoides, intrapelvic lymph nodes
Mycosis fungoides, spleen
1 Cancers
C8408
Mycosis fungoides, lymph nodes of multiple sites
1 Cancers
1 Cancers
C8409
C8410
Mycosis fungoides, extranodal and solid organ sites
Sezary disease, unspecified site
1 Cancers
1 Cancers
1 Cancers
C8411
C8412
C8413
Sezary disease, lymph nodes of head, face, and neck
Sezary disease, intrathoracic lymph nodes
Sezary disease, intra-abdominal lymph nodes
1 Cancers
C8414
Cancers
Cancers
Cancers
Cancers
Cancers
C8415
C8416
C8417
C8418
C8419
1 Cancers
C8440
1 Cancers
C8441
1 Cancers
C8442
1 Cancers
C8443
1 Cancers
C8444
Sezary disease, lymph nodes of axilla and upper limb
Sezary disease, lymph nodes of inguinal region and
lower limb
Sezary disease, intrapelvic lymph nodes
Sezary disease, spleen
Sezary disease, lymph nodes of multiple sites
Sezary disease, extranodal and solid organ sites
Peripheral T-cell lymphoma, not classified,
unspecified site
Peripheral T-cell lymphoma, not classified, lymph
nodes of head, face, and neck
Peripheral T-cell lymphoma, not classified,
intrathoracic lymph nodes
Peripheral T-cell lymphoma, not classified, intraabdominal lymph nodes
Peripheral T-cell lymphoma, not classified, lymph
nodes of axilla and upper limb
1
1
1
1
1
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
1 Cancers
C8445
1 Cancers
C8446
1 Cancers
C8447
1 Cancers
C8448
1 Cancers
C8449
1 Cancers
C8460
1 Cancers
C8461
1 Cancers
C8462
1 Cancers
C8463
1 Cancers
C8464
1 Cancers
C8465
1 Cancers
C8466
1 Cancers
C8467
1 Cancers
C8468
1 Cancers
C8469
1 Cancers
C8470
1 Cancers
C8471
1 Cancers
C8472
1 Cancers
C8473
1 Cancers
C8474
1 Cancers
C8475
1 Cancers
C8476
1 Cancers
C8477
1 Cancers
C8478
ICD-10 Dx Description
Peripheral T-cell lymphoma, not classified, lymph
nodes of inguinal region and lower limb
Peripheral T-cell lymphoma, not classified,
intrapelvic lymph nodes
Peripheral T-cell lymphoma, not classified, spleen
Peripheral T-cell lymphoma, not classified, lymph
nodes of multiple sites
Peripheral T-cell lymphoma, not classified,
extranodal and solid organ sites
Anaplastic large cell lymphoma, ALK-positive,
unspecified site
Anaplastic large cell lymphoma, ALK-positive, lymph
nodes of head, face, and neck
Anaplastic large cell lymphoma, ALK-positive,
intrathoracic lymph nodes
Anaplastic large cell lymphoma, ALK-positive, intraabdominal lymph nodes
Anaplastic large cell lymphoma, ALK-positive, lymph
nodes of axilla and upper limb
Anaplastic large cell lymphoma, ALK-positive, lymph
nodes of inguinal region and lower limb
Anaplastic large cell lymphoma, ALK-positive,
intrapelvic lymph nodes
Anaplastic large cell lymphoma, ALK-positive, spleen
Anaplastic large cell lymphoma, ALK-positive, lymph
nodes of multiple sites
Anaplastic large cell lymphoma, ALK-positive,
extranodal and solid organ sites
Anaplastic large cell lymphoma, ALK-negative,
unspecified site
Anaplastic large cell lymphoma, ALK-negative, lymph
nodes of head, face, and neck
Anaplastic large cell lymphoma, ALK-negative,
intrathoracic lymph nodes
Anaplastic large cell lymphoma, ALK-negative, intraabdominal lymph nodes
Anaplastic large cell lymphoma, ALK-negative, lymph
nodes of axilla and upper limb
Anaplastic large cell lymphoma, ALK-negative, lymph
nodes of inguinal region and lower limb
Anaplastic large cell lymphoma, ALK-negative,
intrapelvic lymph nodes
Anaplastic large cell lymphoma, ALK-negative,
spleen
Anaplastic large cell lymphoma, ALK-negative, lymph
nodes of multiple sites
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
1 Cancers
C8479
1 Cancers
C8490
1 Cancers
C8491
1 Cancers
C8492
1 Cancers
C8493
1 Cancers
C8494
1 Cancers
C8495
1 Cancers
C8496
1 Cancers
C8497
1 Cancers
C8498
1 Cancers
C8499
1 Cancers
C84A0
1 Cancers
C84A1
1 Cancers
C84A2
1 Cancers
C84A3
1 Cancers
C84A4
1 Cancers
C84A5
1 Cancers
1 Cancers
C84A6
C84A7
1 Cancers
C84A8
1 Cancers
C84A9
1 Cancers
C84Z0
1 Cancers
C84Z1
1 Cancers
C84Z2
ICD-10 Dx Description
Anaplastic large cell lymphoma, ALK-negative,
extranodal and solid organ sites
Mature T/NK-cell lymphomas, unspecified,
unspecified site
Mature T/NK-cell lymphomas, unspecified, lymph
nodes of head, face, and neck
Mature T/NK-cell lymphomas, unspecified,
intrathoracic lymph nodes
Mature T/NK-cell lymphomas, unspecified, intraabdominal lymph nodes
Mature T/NK-cell lymphomas, unspecified, lymph
nodes of axilla and upper limb
Mature T/NK-cell lymphomas, unspecified, lymph
nodes of inguinal region and lower limb
Mature T/NK-cell lymphomas, unspecified,
intrapelvic lymph nodes
Mature T/NK-cell lymphomas, unspecified, spleen
Mature T/NK-cell lymphomas, unspecified, lymph
nodes of multiple sites
Mature T/NK-cell lymphomas, unspecified,
extranodal and solid organ sites
Cutaneous T-cell lymphoma, unspecified,
unspecified site
Cutaneous T-cell lymphoma, unspecified lymph
nodes of head, face, and neck
Cutaneous T-cell lymphoma, unspecified,
intrathoracic lymph nodes
Cutaneous T-cell lymphoma, unspecified, intraabdominal lymph nodes
Cutaneous T-cell lymphoma, unspecified, lymph
nodes of axilla and upper limb
Cutaneous T-cell lymphoma, unspecified, lymph
nodes of inguinal region and lower limb
Cutaneous T-cell lymphoma, unspecified, intrapelvic
lymph nodes
Cutaneous T-cell lymphoma, unspecified, spleen
Cutaneous T-cell lymphoma, unspecified, lymph
nodes of multiple sites
Cutaneous T-cell lymphoma, unspecified, extranodal
and solid organ sites
Other mature T/NK-cell lymphomas, unspecified site
Other mature T/NK-cell lymphomas, lymph nodes of
head, face, and neck
Other mature T/NK-cell lymphomas, intrathoracic
lymph nodes
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
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Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
1 Cancers
C84Z3
1 Cancers
C84Z4
1 Cancers
C84Z5
1 Cancers
1 Cancers
C84Z6
C84Z7
1 Cancers
C84Z8
1 Cancers
1 Cancers
C84Z9
C8510
1 Cancers
C8511
1 Cancers
C8512
1 Cancers
C8513
1 Cancers
C8514
1 Cancers
C8515
1 Cancers
1 Cancers
C8516
C8517
1 Cancers
C8518
1 Cancers
C8519
1 Cancers
C8520
1 Cancers
C8521
1 Cancers
C8522
1 Cancers
C8523
1 Cancers
C8524
1 Cancers
C8525
1 Cancers
C8526
Other mature T/NK-cell lymphomas, intraabdominal lymph nodes
Other mature T/NK-cell lymphomas, lymph nodes of
axilla and upper limb
Other mature T/NK-cell lymphomas, lymph nodes of
inguinal region and lower limb
Other mature T/NK-cell lymphomas, intrapelvic
lymph nodes
Other mature T/NK-cell lymphomas, spleen
Other mature T/NK-cell lymphomas, lymph nodes of
multiple sites
Other mature T/NK-cell lymphomas, extranodal and
solid organ sites
Unspecified B-cell lymphoma, unspecified site
Unspecified B-cell lymphoma, lymph nodes of head,
face, and neck
Unspecified B-cell lymphoma, intrathoracic lymph
nodes
Unspecified B-cell lymphoma, intra-abdominal
lymph nodes
Unspecified B-cell lymphoma, lymph nodes of axilla
and upper limb
Unspecified B-cell lymphoma, lymph nodes of
inguinal region and lower limb
Unspecified B-cell lymphoma, intrapelvic lymph
nodes
Unspecified B-cell lymphoma, spleen
Unspecified B-cell lymphoma, lymph nodes of
multiple sites
Unspecified B-cell lymphoma, extranodal and solid
organ sites
Mediastinal (thymic) large B-cell lymphoma,
unspecified site
Mediastinal (thymic) large B-cell lymphoma, lymph
nodes of head, face, and neck
Mediastinal (thymic) large B-cell lymphoma,
intrathoracic lymph nodes
Mediastinal (thymic) large B-cell lymphoma, intraabdominal lymph nodes
Mediastinal (thymic) large B-cell lymphoma, lymph
nodes of axilla and upper limb
Mediastinal (thymic) large B-cell lymphoma, lymph
nodes of inguinal region and lower limb
Mediastinal (thymic) large B-cell lymphoma,
intrapelvic lymph nodes
1 Cancers
C8527
Mediastinal (thymic) large B-cell lymphoma, spleen
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
1 Cancers
C8528
1 Cancers
C8529
1 Cancers
C8580
1 Cancers
C8581
1 Cancers
C8582
1 Cancers
C8583
Mediastinal (thymic) large B-cell lymphoma, lymph
nodes of multiple sites
Mediastinal (thymic) large B-cell lymphoma,
extranodal and solid organ sites
Other specified types of non-Hodgkin lymphoma,
unspecified site
Other specified types of non-Hodgkin lymphoma,
lymph nodes of head, face, and neck
Other specified types of non-Hodgkin lymphoma,
intrathoracic lymph nodes
Other specified types of non-Hodgkin lymphoma,
intra-abdominal lymph nodes
1 Cancers
C8584
Other specified types of non-Hodgkin lymphoma,
lymph nodes of axilla and upper limb
1 Cancers
C8585
1 Cancers
C8586
1 Cancers
C8587
1 Cancers
C8588
1 Cancers
C8589
1 Cancers
C8590
1 Cancers
C8591
1 Cancers
C8592
1 Cancers
C8593
1 Cancers
C8594
1 Cancers
C8595
1 Cancers
1 Cancers
C8596
C8597
1 Cancers
C8598
Cancers
Cancers
Cancers
Cancers
C8599
C860
C861
C862
1
1
1
1
Other specified types of non-Hodgkin lymphoma,
lymph nodes of inguinal region and lower limb
Other specified types of non-Hodgkin lymphoma,
intrapelvic lymph nodes
Other specified types of non-Hodgkin lymphoma,
spleen
Other specified types of non-Hodgkin lymphoma,
lymph nodes of multiple sites
Other specified types of non-Hodgkin lymphoma,
extranodal and solid organ sites
Non-Hodgkin lymphoma, unspecified, unspecified
site
Non-Hodgkin lymphoma, unspecified, lymph nodes
of head, face, and neck
Non-Hodgkin lymphoma, unspecified, intrathoracic
lymph nodes
Non-Hodgkin lymphoma, unspecified, intraabdominal lymph nodes
Non-Hodgkin lymphoma, unspecified, lymph nodes
of axilla and upper limb
Non-Hodgkin lymphoma, unspecified, lymph nodes
of inguinal region and lower limb
Non-Hodgkin lymphoma, unspecified, intrapelvic
lymph nodes
Non-Hodgkin lymphoma, unspecified, spleen
Non-Hodgkin lymphoma, unspecified, lymph nodes
of multiple sites
Non-Hodgkin lymphoma, unspecified, extranodal
and solid organ sites
Extranodal NK/T-cell lymphoma, nasal type
Hepatosplenic T-cell lymphoma
Enteropathy-type (intestinal) T-cell lymphoma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
1 Cancers
1 Cancers
1 Cancers
C863
C864
C865
1 Cancers
1 Cancers
1 Cancers
C866
C882
C883
Subcutaneous panniculitis-like T-cell lymphoma
Blastic NK-cell lymphoma
Angioimmunoblastic T-cell lymphoma
Primary cutaneous CD30-positive T-cell
proliferations
Heavy chain disease
Immunoproliferative small intestinal disease
1 Cancers
1 Cancers
C884
C888
Extranodal marginal zone B-cell lymphoma of
mucosa-associated lymphoid tissue MALTlymphoma
Other malignant immunoproliferative diseases
1 Cancers
C889
Malignant immunoproliferative disease, unspecified
1 Cancers
1 Cancers
1 Cancers
C9000
C9001
C9002
Multiple myeloma not having achieved remission
Multiple myeloma in remission
Multiple myeloma in relapse
1 Cancers
1 Cancers
1 Cancers
C9010
C9011
C9012
1 Cancers
1 Cancers
1 Cancers
C9020
C9021
C9022
1 Cancers
1 Cancers
1 Cancers
C9030
C9031
C9032
1 Cancers
1 Cancers
1 Cancers
C9100
C9101
C9102
1 Cancers
C9110
1 Cancers
C9111
1 Cancers
C9112
1 Cancers
C9130
Plasma cell leukemia not having achieved remission
Plasma cell leukemia in remission
Plasma cell leukemia in relapse
Extramedullary plasmacytoma not having achieved
remission
Extramedullary plasmacytoma in remission
Extramedullary plasmacytoma in relapse
Solitary plasmacytoma not having achieved
remission
Solitary plasmacytoma in remission
Solitary plasmacytoma in relapse
Acute lymphoblastic leukemia not having achieved
remission
Acute lymphoblastic leukemia, in remission
Acute lymphoblastic leukemia, in relapse
Chronic lymphocytic leukemia of B-cell type not
having achieved remission
Chronic lymphocytic leukemia of B-cell type in
remission
Chronic lymphocytic leukemia of B-cell type in
relapse
Prolymphocytic leukemia of B-cell type not having
achieved remission
1 Cancers
C9131
Prolymphocytic leukemia of B-cell type, in remission
1 Cancers
C9132
Prolymphocytic leukemia of B-cell type, in relapse
1 Cancers
1 Cancers
1 Cancers
C9140
C9141
C9142
Hairy cell leukemia not having achieved remission
Hairy cell leukemia, in remission
Hairy cell leukemia, in relapse
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
1 Cancers
C9150
1 Cancers
C9151
1 Cancers
C9152
1 Cancers
C9160
Adult T-cell lymphoma/leukemia (HTLV-1Adult T-cell lymphoma/leukemia (HTLV-1associated), in remission
Adult T-cell lymphoma/leukemia (HTLV-1associated), in relapse
Prolymphocytic leukemia of T-cell type not having
achieved remission
1 Cancers
C9161
Prolymphocytic leukemia of T-cell type, in remission
1 Cancers
C9162
1 Cancers
1 Cancers
1 Cancers
C9190
C9191
C9192
1 Cancers
C91A0
Prolymphocytic leukemia of T-cell type, in relapse
Lymphoid leukemia, unspecified not having achieved
remission
Lymphoid leukemia, unspecified, in remission
Lymphoid leukemia, unspecified, in relapse
Mature B-cell leukemia Burkitt-type not having
achieved remission
1 Cancers
1 Cancers
C91A1
C91A2
1 Cancers
1 Cancers
1 Cancers
C91Z0
C91Z1
C91Z2
1 Cancers
1 Cancers
1 Cancers
C9200
C9201
C9202
1 Cancers
C9210
1 Cancers
C9211
1 Cancers
C9212
1 Cancers
C9220
1 Cancers
C9221
1 Cancers
C9222
1 Cancers
1 Cancers
1 Cancers
C9230
C9231
C9232
1 Cancers
1 Cancers
1 Cancers
C9240
C9241
C9242
Mature B-cell leukemia Burkitt-type, in remission
Mature B-cell leukemia Burkitt-type, in relapse
Other lymphoid leukemia not having achieved
remission
Other lymphoid leukemia, in remission
Other lymphoid leukemia, in relapse
Acute myeloblastic leukemia, not having achieved
remission
Acute myeloblastic leukemia, in remission
Acute myeloblastic leukemia, in relapse
Chronic myeloid leukemia, BCR/ABL-positive, not
having achieved remission
Chronic myeloid leukemia, BCR/ABL-positive, in
remission
Chronic myeloid leukemia, BCR/ABL-positive, in
relapse
Atypical chronic myeloid leukemia, BCR/ABLnegative, not having achieved remission
Atypical chronic myeloid leukemia, BCR/ABLnegative, in remission
Atypical chronic myeloid leukemia, BCR/ABLnegative, in relapse
Myeloid sarcoma, not having achieved remission
Myeloid sarcoma, in remission
Myeloid sarcoma, in relapse
Acute promyelocytic leukemia, not having achieved
remission
Acute promyelocytic leukemia, in remission
Acute promyelocytic leukemia, in relapse
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
1 Cancers
1 Cancers
1 Cancers
C9250
C9251
C9252
1 Cancers
1 Cancers
C9260
C9261
1 Cancers
C9262
1 Cancers
1 Cancers
1 Cancers
C9290
C9291
C9292
1 Cancers
C92A0
1 Cancers
C92A1
1 Cancers
C92A2
1 Cancers
1 Cancers
1 Cancers
C92Z0
C92Z1
C92Z2
1 Cancers
C9300
1 Cancers
C9301
1 Cancers
C9302
1 Cancers
1 Cancers
1 Cancers
C9310
C9311
C9312
1 Cancers
1 Cancers
1 Cancers
C9330
C9331
C9332
1 Cancers
1 Cancers
1 Cancers
C9390
C9391
C9392
1 Cancers
1 Cancers
1 Cancers
C93Z0
C93Z1
C93Z2
1 Cancers
1 Cancers
C9400
C9401
ICD-10 Dx Description
Acute myelomonocytic leukemia, not having
achieved remission
Acute myelomonocytic leukemia, in remission
Acute myelomonocytic leukemia, in relapse
Acute myeloid leukemia with 11q23-abnormality not
having achieved remission
Acute myeloid leukemia with 11q23-abnormality in
Acute myeloid leukemia with 11q23-abnormality in
relapse
Myeloid leukemia, unspecified, not having achieved
remission
Myeloid leukemia, unspecified in remission
Myeloid leukemia, unspecified in relapse
Acute myeloid leukemia with multilineage dysplasia,
not having achieved remission
Acute myeloid leukemia with multilineage dysplasia,
in remission
Acute myeloid leukemia with multilineage dysplasia,
in relapse
Other myeloid leukemia not having achieved
remission
Other myeloid leukemia, in remission
Other myeloid leukemia, in relapse
Acute monoblastic/monocytic leukemia, not having
achieved remission
Acute monoblastic/monocytic leukemia, in
remission
Acute monoblastic/monocytic leukemia, in relapse
Chronic myelomonocytic leukemia not having
achieved remission
Chronic myelomonocytic leukemia, in remission
Chronic myelomonocytic leukemia, in relapse
Juvenile myelomonocytic leukemia, not having
achieved remission
Juvenile myelomonocytic leukemia, in remission
Juvenile myelomonocytic leukemia, in relapse
Monocytic leukemia, unspecified, not having
achieved remission
Monocytic leukemia, unspecified in remission
Monocytic leukemia, unspecified in relapse
Other monocytic leukemia, not having achieved
remission
Other monocytic leukemia, in remission
Other monocytic leukemia, in relapse
Acute erythroid leukemia, not having achieved
remission
Acute erythroid leukemia, in remission
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
1 Cancers
C9402
1 Cancers
1 Cancers
1 Cancers
C9420
C9421
C9422
1 Cancers
1 Cancers
1 Cancers
C9430
C9431
C9432
1 Cancers
1 Cancers
1 Cancers
C9480
C9481
C9482
1 Cancers
C9500
Mast cell leukemia not having achieved remission
Mast cell leukemia, in remission
Mast cell leukemia, in relapse
Other specified leukemias not having achieved
remission
Other specified leukemias, in remission
Other specified leukemias, in relapse
Acute leukemia of unspecified cell type not having
achieved remission
1 Cancers
C9501
Acute leukemia of unspecified cell type, in remission
1 Cancers
C9502
1 Cancers
C9510
1 Cancers
C9511
Acute leukemia of unspecified cell type, in relapse
Chronic leukemia of unspecified cell type not having
achieved remission
Chronic leukemia of unspecified cell type, in
remission
1 Cancers
C9512
1 Cancers
1 Cancers
1 Cancers
C9590
C9591
C9592
1 Cancers
1 Cancers
1 Cancers
C960
C962
C964
1 Cancers
1 Cancers
C969
C96A
1
1
1
1
1
1
2
2
2
2
Cancers
Cancers
Cancers
Cancers
Cancers
Cancers
Protein-Calorie Malnutrition
Protein-Calorie Malnutrition
Protein-Calorie Malnutrition
Protein-Calorie Malnutrition
C96Z
D45
E340
Q851
Q858
Q859
E40
E41
E42
E43
Acute erythroid leukemia, in relapse
Acute megakaryoblastic leukemia not having
achieved remission
Acute megakaryoblastic leukemia, in remission
Acute megakaryoblastic leukemia, in relapse
Chronic leukemia of unspecified cell type, in relapse
Leukemia, unspecified not having achieved
remission
Leukemia, unspecified, in remission
Leukemia, unspecified, in relapse
Multifocal and multisystemic (disseminated)
Langerhans-cell histiocytosis
Malignant mast cell tumor
Sarcoma of dendritic cells (accessory cells)
Malignant neoplasm of lymphoid, hematopoietic
and related tissue, unspecified
Histiocytic sarcoma
Other specified malignant neoplasms of lymphoid,
hematopoietic and related tissue
Polycythemia vera
Carcinoid syndrome
Tuberous sclerosis
Other phakomatoses, not elsewhere classified
Phakomatosis, unspecified
Kwashiorkor
Nutritional marasmus
Marasmic kwashiorkor
Unspecified severe protein-calorie malnutrition
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
Protein-Calorie Malnutrition
2
2 Protein-Calorie Malnutrition
2 Protein-Calorie Malnutrition
2 Protein-Calorie Malnutrition
E45
E46
E640
R64
Retarded development following protein-calorie
malnutrition
Unspecified protein-calorie malnutrition
Sequelae of protein-calorie malnutrition
Cachexia
3 Disorders of Fluid/Electrolyte/Acid-Base Balance
E870
Hyperosmolality and hypernatremia
3 Disorders of Fluid/Electrolyte/Acid-Base Balance
E871
Hypo-osmolality and hyponatremia
3 Disorders of Fluid/Electrolyte/Acid-Base Balance
E872
Acidosis
3 Disorders of Fluid/Electrolyte/Acid-Base Balance
E873
Alkalosis
3 Disorders of Fluid/Electrolyte/Acid-Base Balance
E874
Mixed disorder of acid-base balance
3 Disorders of Fluid/Electrolyte/Acid-Base Balance
E883
4 Other Endocrine/Metabolic/Nutritional Disorders
E0501
4 Other Endocrine/Metabolic/Nutritional Disorders
E0511
4 Other Endocrine/Metabolic/Nutritional Disorders
E0521
4 Other Endocrine/Metabolic/Nutritional Disorders
E0531
Tumor lysis syndrome
Thyrotoxicosis with diffuse goiter with thyrotoxic
crisis or storm
Thyrotoxicosis with toxic single thyroid nodule with
thyrotoxic crisis or storm
Thyrotoxicosis with toxic multinodular goiter with
thyrotoxic crisis or storm
Thyrotoxicosis from ectopic thyroid tissue with
thyrotoxic crisis or storm
4 Other Endocrine/Metabolic/Nutritional Disorders
E0541
Thyrotoxicosis factitia with thyrotoxic crisis or storm
4 Other Endocrine/Metabolic/Nutritional Disorders
E0581
4 Other Endocrine/Metabolic/Nutritional Disorders
E0591
Other thyrotoxicosis with thyrotoxic crisis or storm
Thyrotoxicosis, unspecified with thyrotoxic crisis or
storm
4 Other Endocrine/Metabolic/Nutritional Disorders
E060
Acute thyroiditis
4 Other Endocrine/Metabolic/Nutritional Disorders
E0789
Other specified disorders of thyroid
4 Other Endocrine/Metabolic/Nutritional Disorders
E5111
Dry beriberi
4 Other Endocrine/Metabolic/Nutritional Disorders
E5112
Wet beriberi
4 Other Endocrine/Metabolic/Nutritional Disorders
E512
Wernicke's encephalopathy
4 Other Endocrine/Metabolic/Nutritional Disorders
E518
Other manifestations of thiamine deficiency
4 Other Endocrine/Metabolic/Nutritional Disorders
E519
Thiamine deficiency, unspecified
4 Other Endocrine/Metabolic/Nutritional Disorders
E530
Riboflavin deficiency
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
4 Other Endocrine/Metabolic/Nutritional Disorders
E662
Morbid (severe) obesity with alveolar
hypoventilation
4 Other Endocrine/Metabolic/Nutritional Disorders
E891
Postprocedural hypoinsulinemia
4 Other Endocrine/Metabolic/Nutritional Disorders
Z6841
Body mass index (BMI) 40.0-44.9, adult
4 Other Endocrine/Metabolic/Nutritional Disorders
Z6842
Body mass index (BMI) 45.0-49.9, adult
4 Other Endocrine/Metabolic/Nutritional Disorders
Z6843
Body mass index (BMI) 50-59.9 , adult
4 Other Endocrine/Metabolic/Nutritional Disorders
Z6844
Body mass index (BMI) 60.0-69.9, adult
4 Other Endocrine/Metabolic/Nutritional Disorders
5 Other Hepatitis and Liver Disease
5 Other Hepatitis and Liver Disease
Z6845
A5145
A5274
5 Other Hepatitis and Liver Disease
B161
5 Other Hepatitis and Liver Disease
B169
Body mass index (BMI) 70 or greater, adult
Secondary syphilitic hepatitis
Syphilis of liver and other viscera
Acute hepatitis B with delta-agent without hepatic
coma
Acute hepatitis B without delta-agent and without
hepatic coma
5
5
5
5
5
5
Other Hepatitis and Liver Disease
Other Hepatitis and Liver Disease
Other Hepatitis and Liver Disease
Other Hepatitis and Liver Disease
Other Hepatitis and Liver Disease
Other Hepatitis and Liver Disease
B170
B1710
B172
B178
B188
B189
Acute delta-(super) infection of hepatitis B carrier
Acute hepatitis C without hepatic coma
Acute hepatitis E
Other specified acute viral hepatitis
Other chronic viral hepatitis
Chronic viral hepatitis, unspecified
5
5
5
5
5
5
5
Other Hepatitis and Liver Disease
Other Hepatitis and Liver Disease
Other Hepatitis and Liver Disease
Other Hepatitis and Liver Disease
Other Hepatitis and Liver Disease
Other Hepatitis and Liver Disease
Other Hepatitis and Liver Disease
Peptic Ulcer, Hemorrhage, Other Specified
Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
Gastrointestinal Disorders
B1910
B581
B670
B675
B678
I81
K77
Unspecified viral hepatitis B without hepatic coma
Toxoplasma hepatitis
Echinococcus granulosus infection of liver
Echinococcus multilocularis infection of liver
Echinococcosis, unspecified, of liver
Portal vein thrombosis
Liver disorders in diseases classified elsewhere
A020
Salmonella enteritis
A0225
Salmonella pyelonephritis
A0229
Salmonella with other localized infection
A028
Other specified salmonella infections
A029
Salmonella infection, unspecified
A030
Shigellosis due to Shigella dysenteriae
6
6
6
6
6
6
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
ICD-10 Dx Cd
ICD-10 Dx Description
A040
Enteropathogenic Escherichia coli infection
A041
Enterotoxigenic Escherichia coli infection
A042
Enteroinvasive Escherichia coli infection
A043
Enterohemorrhagic Escherichia coli infection
A044
Other intestinal Escherichia coli infections
A045
Campylobacter enteritis
A046
Enteritis due to Yersinia enterocolitica
A047
Enterocolitis due to Clostridium difficile
A048
Other specified bacterial intestinal infections
A049
Bacterial intestinal infection, unspecified
K2210
Ulcer of esophagus without bleeding
K2211
K226
Ulcer of esophagus with bleeding
Gastro-esophageal laceration-hemorrhage
syndrome
K228
Other specified diseases of esophagus
K250
Acute gastric ulcer with hemorrhage
Acute gastric ulcer without hemorrhage or
perforation
Chronic or unspecified gastric ulcer with
hemorrhage
Chronic gastric ulcer without hemorrhage or
perforation
Gastric ulcer, unspecified as acute or chronic,
without hemorrhage or perforation
K253
K254
K257
K259
K260
K263
K264
K267
K269
Acute duodenal ulcer with hemorrhage
Acute duodenal ulcer without hemorrhage or
perforation
Chronic or unspecified duodenal ulcer with
hemorrhage
Chronic duodenal ulcer without hemorrhage or
perforation
Duodenal ulcer, unspecified as acute or chronic,
without hemorrhage or perforation
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
ICD-10 Dx Cd
ICD-10 Dx Description
K277
Acute peptic ulcer, site unspecified, with
hemorrhage
Acute peptic ulcer, site unspecified, without
hemorrhage or perforation
Chronic or unspecified peptic ulcer, site unspecified,
with hemorrhage
Chronic peptic ulcer, site unspecified, without
hemorrhage or perforation
K279
Peptic ulcer, site unspecified, unspecified as acute or
chronic, without hemorrhage or perforation
K270
K273
K274
K280
K289
Acute gastrojejunal ulcer with hemorrhage
Acute gastrojejunal ulcer without hemorrhage or
perforation
Chronic or unspecified gastrojejunal ulcer with
hemorrhage
Chronic gastrojejunal ulcer without hemorrhage or
perforation
Gastrojejunal ulcer, unspecified as acute or chronic,
without hemorrhage or perforation
K2901
Acute gastritis with bleeding
K2921
Alcoholic gastritis with bleeding
K2931
Chronic superficial gastritis with bleeding
K2941
Chronic atrophic gastritis with bleeding
K2951
Unspecified chronic gastritis with bleeding
K2961
Other gastritis with bleeding
K2971
Gastritis, unspecified, with bleeding
K2981
Duodenitis with bleeding
K2991
Gastroduodenitis, unspecified, with bleeding
K311
Adult hypertrophic pyloric stenosis
K315
Obstruction of duodenum
K316
Fistula of stomach and duodenum
Angiodysplasia of stomach and duodenum with
bleeding
K283
K284
K287
K31811
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
ICD-10 Dx Cd
K3182
K4100
K4101
K4110
K4111
ICD-10 Dx Description
Dieulafoy lesion (hemorrhagic) of stomach and
duodenum
Bilateral femoral hernia, with obstruction, without
gangrene, not specified as recurrent
Bilateral femoral hernia, with obstruction, without
gangrene, recurrent
Bilateral femoral hernia, with gangrene, not
specified as recurrent
K4140
Bilateral femoral hernia, with gangrene, recurrent
Unilateral femoral hernia, with obstruction, without
gangrene, not specified as recurrent
Unilateral femoral hernia, with obstruction, without
gangrene, recurrent
Unilateral femoral hernia, with gangrene, not
specified as recurrent
K4141
Unilateral femoral hernia, with gangrene, recurrent
K420
Umbilical hernia with obstruction, without gangrene
K421
Umbilical hernia with gangrene
K430
Incisional hernia with obstruction, without gangrene
K431
Incisional hernia with gangrene
Parastomal hernia with obstruction, without
gangrene
K4130
K4131
K433
K434
K436
K437
K440
K441
K450
K451
Parastomal hernia with gangrene
Other and unspecified ventral hernia with
obstruction, without gangrene
Other and unspecified ventral hernia with gangrene
Diaphragmatic hernia with obstruction, without
gangrene
Diaphragmatic hernia with gangrene
Other specified abdominal hernia with obstruction,
without gangrene
K460
Other specified abdominal hernia with gangrene
Unspecified abdominal hernia with obstruction,
without gangrene
K461
Unspecified abdominal hernia with gangrene
K50013
Crohn's disease of small intestine with fistula
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
ICD-10 Dx Cd
ICD-10 Dx Description
K50014
Crohn's disease of small intestine with abscess
K50113
Crohn's disease of large intestine with fistula
K50114
K50814
Crohn's disease of large intestine with abscess
Crohn's disease of both small and large intestine
with fistula
Crohn's disease of both small and large intestine
with abscess
K50913
Crohn's disease, unspecified, with fistula
K50914
Crohn's disease, unspecified, with abscess
K51013
Ulcerative (chronic) pancolitis with fistula
K51014
Ulcerative (chronic) pancolitis with abscess
K51213
Ulcerative (chronic) proctitis with fistula
K51214
Ulcerative (chronic) proctitis with abscess
K51313
Ulcerative (chronic) rectosigmoiditis with fistula
K51314
Ulcerative (chronic) rectosigmoiditis with abscess
K51413
Inflammatory polyps of colon with fistula
K51414
Inflammatory polyps of colon with abscess
K51513
Left sided colitis with fistula
K51514
Left sided colitis with abscess
K51813
Other ulcerative colitis with fistula
K51814
Other ulcerative colitis with abscess
K51913
Ulcerative colitis, unspecified with fistula
K51914
Ulcerative colitis, unspecified with abscess
K5281
Eosinophilic gastritis or gastroenteritis
K5521
Angiodysplasia of colon with hemorrhage
K5660
Unspecified intestinal obstruction
K50813
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
ICD-10 Dx Cd
ICD-10 Dx Description
K5793
Diverticulitis of small intestine with perforation and
abscess without bleeding
Diverticulitis of small intestine with perforation and
abscess with bleeding
Diverticulosis of small intestine without perforation
or abscess with bleeding
Diverticulitis of small intestine without perforation
or abscess with bleeding
Diverticulitis of large intestine with perforation and
abscess without bleeding
Diverticulitis of large intestine with perforation and
abscess with bleeding
Diverticulosis of large intestine without perforation
or abscess with bleeding
Diverticulitis of large intestine without perforation
or abscess with bleeding
Diverticulitis of both small and large intestine with
perforation and abscess without bleeding
Diverticulitis of both small and large intestine with
perforation and abscess with bleeding
Diverticulosis of both small and large intestine
without perforation or abscess with bleeding
Diverticulitis of both small and large intestine
without perforation or abscess with bleeding
Diverticulitis of intestine, part unspecified, with
perforation and abscess without bleeding
Diverticulitis of intestine, part unspecified, with
perforation and abscess with bleeding
Diverticulosis of intestine, part unspecified, without
perforation or abscess with bleeding
Diverticulitis of intestine, part unspecified, without
perforation or abscess with bleeding
K630
Abscess of intestine
K632
Fistula of intestine
K633
Ulcer of intestine
K6381
Dieulafoy lesion of intestine
K661
Hemoperitoneum
K920
Hematemesis
K921
Melena
K922
Gastrointestinal hemorrhage, unspecified
K5700
K5701
K5711
K5713
K5720
K5721
K5731
K5733
K5740
K5741
K5751
K5753
K5780
K5781
K5791
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Peptic Ulcer, Hemorrhage, Other Specified
6 Gastrointestinal Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
ICD-10 Dx Cd
ICD-10 Dx Description
K9281
Gastrointestinal mucositis (ulcerative)
R188
Other ascites
M2500
Hemarthrosis, unspecified joint
M25011
Hemarthrosis, right shoulder
M25012
Hemarthrosis, left shoulder
M25019
Hemarthrosis, unspecified shoulder
M25021
Hemarthrosis, right elbow
M25022
Hemarthrosis, left elbow
M25029
Hemarthrosis, unspecified elbow
M25031
Hemarthrosis, right wrist
M25032
Hemarthrosis, left wrist
M25039
Hemarthrosis, unspecified wrist
M25041
Hemarthrosis, right hand
M25042
Hemarthrosis, left hand
M25049
Hemarthrosis, unspecified hand
M25051
Hemarthrosis, right hip
M25052
Hemarthrosis, left hip
M25059
Hemarthrosis, unspecified hip
M25061
Hemarthrosis, right knee
M25062
Hemarthrosis, left knee
M25069
Hemarthrosis, unspecified knee
M25071
Hemarthrosis, right ankle
M25072
Hemarthrosis, left ankle
M25073
Hemarthrosis, unspecified ankle
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
ICD-10 Dx Cd
ICD-10 Dx Description
M25074
Hemarthrosis, right foot
M25075
Hemarthrosis, left foot
M25076
Hemarthrosis, unspecified foot
M2508
Hemarthrosis, other specified site
M60000
Infective myositis, unspecified right arm
M60001
Infective myositis, unspecified left arm
M60002
Infective myositis, unspecified arm
M60003
Infective myositis, unspecified right leg
M60004
Infective myositis, unspecified left leg
M60005
Infective myositis, unspecified leg
M60009
Infective myositis, unspecified site
M60011
Infective myositis, right shoulder
M60012
Infective myositis, left shoulder
M60019
Infective myositis, unspecified shoulder
M60021
Infective myositis, right upper arm
M60022
Infective myositis, left upper arm
M60029
Infective myositis, unspecified upper arm
M60031
Infective myositis, right forearm
M60032
Infective myositis, left forearm
M60039
Infective myositis, unspecified forearm
M60041
Infective myositis, right hand
M60042
Infective myositis, left hand
M60043
Infective myositis, unspecified hand
M60044
Infective myositis, right finger(s)
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
ICD-10 Dx Cd
ICD-10 Dx Description
M60045
Infective myositis, left finger(s)
M60046
Infective myositis, unspecified finger(s)
M60051
Infective myositis, right thigh
M60052
Infective myositis, left thigh
M60059
Infective myositis, unspecified thigh
M60061
Infective myositis, right lower leg
M60062
Infective myositis, left lower leg
M60069
Infective myositis, unspecified lower leg
M60070
Infective myositis, right ankle
M60071
Infective myositis, left ankle
M60072
Infective myositis, unspecified ankle
M60073
Infective myositis, right foot
M60074
Infective myositis, left foot
M60075
Infective myositis, unspecified foot
M60076
Infective myositis, right toe(s)
M60077
Infective myositis, left toe(s)
M60078
Infective myositis, unspecified toe(s)
M6008
Infective myositis, other site
M6009
Infective myositis, multiple sites
M6282
Rhabdomyolysis
Nontraumatic compartment syndrome of right
upper extremity
Nontraumatic compartment syndrome of left upper
extremity
Nontraumatic compartment syndrome of
unspecified upper extremity
Nontraumatic compartment syndrome of right
lower extremity
M79A11
M79A12
M79A19
M79A21
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
ICD-10 Dx Cd
ICD-10 Dx Description
M79A29
Nontraumatic compartment syndrome of left lower
extremity
Nontraumatic compartment syndrome of
unspecified lower extremity
M79A3
Nontraumatic compartment syndrome of abdomen
M79A9
Nontraumatic compartment syndrome of other sites
M9910
Subluxation complex (vertebral) of head region
M9911
Subluxation complex (vertebral) of cervical region
N200
Calculus of kidney
Q678
Other congenital deformities of chest
Q681
Congenital deformity of finger(s) and hand
Q743
Arthrogryposis multiplex congenita
Q766
Other congenital malformations of ribs
Q767
Congenital malformation of sternum
Q768
Q769
Other congenital malformations of bony thorax
Congenital malformation of bony thorax,
unspecified
Q772
Short rib syndrome
Q794
Prune belly syndrome
Q7951
Congenital hernia of bladder
Q7959
Other congenital malformations of abdominal wall
Congenital malformation syndromes predominantly
affecting facial appearance
Unspecified open wound of unspecified part of neck,
initial encounter
Traumatic rupture of cervical intervertebral disc,
initial encounter
Subluxation of unspecified cervical vertebrae, initial
encounter
Dislocation of unspecified cervical vertebrae, initial
encounter
Subluxation of C0/C1 cervical vertebrae, initial
encounter
M79A22
Q870
S1190XA
S130XXA
S13100A
S13101A
S13110A
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
Other Musculoskeletal and Connective Tissue
7 Disorders
ICD-10 Dx Cd
S13111A
S13120A
S13121A
S13130A
S13131A
S13140A
S13141A
S13150A
S13151A
S13160A
S13161A
S13170A
S13171A
S13180A
S13181A
S1320XA
S1329XA
S21209A
S23101A
S2320XA
S31000A
S33101A
S332XXA
ICD-10 Dx Description
Dislocation of C0/C1 cervical vertebrae, initial
encounter
Subluxation of C1/C2 cervical vertebrae, initial
encounter
Dislocation of C1/C2 cervical vertebrae, initial
encounter
Subluxation of C2/C3 cervical vertebrae, initial
encounter
Dislocation of C2/C3 cervical vertebrae, initial
encounter
Subluxation of C3/C4 cervical vertebrae, initial
encounter
Dislocation of C3/C4 cervical vertebrae, initial
encounter
Subluxation of C4/C5 cervical vertebrae, initial
encounter
Dislocation of C4/C5 cervical vertebrae, initial
encounter
Subluxation of C5/C6 cervical vertebrae, initial
encounter
Dislocation of C5/C6 cervical vertebrae, initial
encounter
Subluxation of C6/C7 cervical vertebrae, initial
encounter
Dislocation of C6/C7 cervical vertebrae, initial
encounter
Subluxation of C7/T1 cervical vertebrae, initial
encounter
Dislocation of C7/T1 cervical vertebrae, initial
encounter
Dislocation of unspecified parts of neck, initial
encounter
Dislocation of other parts of neck, initial encounter
Unspecified open wound of unspecified back wall of
thorax without penetration into thoracic cavity,
initial encounter
Dislocation of unspecified thoracic vertebra, initial
encounter
Dislocation of unspecified part of thorax, initial
encounter
Unspecified open wound of lower back and pelvis
without penetration into retroperitoneum, initial
encounter
Dislocation of unspecified lumbar vertebra, initial
encounter
Dislocation of sacroiliac and sacrococcygeal joint,
initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
Other Musculoskeletal and Connective Tissue
7 Disorders
S3339XA
8 Blood Disorders
C9440
Dislocation of other parts of lumbar spine and
pelvis, initial encounter
Acute panmyelosis with myelofibrosis not having
achieved remission
8 Blood Disorders
C9441
Acute panmyelosis with myelofibrosis, in remission
8 Blood Disorders
8 Blood Disorders
8 Blood Disorders
C9442
C946
D4622
8 Blood Disorders
8 Blood Disorders
D46C
D471
8 Blood Disorders
D479
Acute panmyelosis with myelofibrosis, in relapse
Myelodysplastic disease, not classified
Refractory anemia with excess of blasts 2
Myelodysplastic syndrome with isolated del(5q)
chromosomal abnormality
Chronic myeloproliferative disease
Neoplasm of uncertain behavior of lymphoid,
hematopoietic and related tissue, unspecified
8 Blood Disorders
D47Z1
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
D47Z9
D5700
D5701
D5702
Post-transplant lymphoproliferative disorder (PTLD)
Other specified neoplasms of uncertain behavior of
lymphoid, hematopoietic and related tissue
Hb-SS disease with crisis, unspecified
Hb-SS disease with acute chest syndrome
Hb-SS disease with splenic sequestration
8 Blood Disorders
D57211
Sickle-cell/Hb-C disease with acute chest syndrome
8 Blood Disorders
8 Blood Disorders
D57212
D57219
Sickle-cell/Hb-C disease with splenic sequestration
Sickle-cell/Hb-C disease with crisis, unspecified
8 Blood Disorders
D57411
Sickle-cell thalassemia with acute chest syndrome
8 Blood Disorders
8 Blood Disorders
D57412
D57419
8 Blood Disorders
D57811
Sickle-cell thalassemia with splenic sequestration
Sickle-cell thalassemia with crisis, unspecified
Other sickle-cell disorders with acute chest
syndrome
8 Blood Disorders
D57812
Other sickle-cell disorders with splenic sequestration
8
8
8
8
8
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
D57819
D588
D589
D590
D591
Other sickle-cell disorders with crisis, unspecified
Other specified hereditary hemolytic anemias
Hereditary hemolytic anemia, unspecified
Drug-induced autoimmune hemolytic anemia
Other autoimmune hemolytic anemias
8
8
8
8
8
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
D592
D593
D594
D599
D600
Drug-induced nonautoimmune hemolytic anemia
Hemolytic-uremic syndrome
Other nonautoimmune hemolytic anemias
Acquired hemolytic anemia, unspecified
Chronic acquired pure red cell aplasia
8
8
8
8
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
D601
D608
D609
D6101
D6109
D611
D612
D613
D6182
8 Blood Disorders
8 Blood Disorders
D6189
D619
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
D65
D66
D67
D680
D681
D682
8
8
8
8
8
8
8
8
8
8
8
8
8
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
Blood Disorders
D6832
D684
D6851
D6852
D6859
D6861
D6862
D6869
D688
D689
D690
D693
D6941
8 Blood Disorders
8 Blood Disorders
D6942
D7581
8 Blood Disorders
9 Other Developmental Disability
9 Other Developmental Disability
J99
E7871
E7872
9 Other Developmental Disability
Q872
9 Other Developmental Disability
Q873
9 Other Developmental Disability
9 Other Developmental Disability
Q875
Q8781
ICD-10 Dx Description
Transient acquired pure red cell aplasia
Other acquired pure red cell aplasias
Acquired pure red cell aplasia, unspecified
Constitutional (pure) red blood cell aplasia
Other constitutional aplastic anemia
Drug-induced aplastic anemia
Aplastic anemia due to other external agents
Idiopathic aplastic anemia
Myelophthisis
Other specified aplastic anemias and other bone
marrow failure syndromes
Aplastic anemia, unspecified
Disseminated intravascular coagulation defibrination
syndrome
Hereditary factor VIII deficiency
Hereditary factor IX deficiency
Von Willebrand's disease
Hereditary factor XI deficiency
Hereditary deficiency of other clotting factors
Hemorrhagic disorder due to extrinsic circulating
anticoagulants
Acquired coagulation factor deficiency
Activated protein C resistance
Prothrombin gene mutation
Other primary thrombophilia
Antiphospholipid syndrome
Lupus anticoagulant syndrome
Other thrombophilia
Other specified coagulation defects
Coagulation defect, unspecified
Allergic purpura
Immune thrombocytopenic purpura
Evans syndrome
Congenital and hereditary thrombocytopenia
purpura
Myelofibrosis
Respiratory disorders in diseases classified
elsewhere
Barth syndrome
Smith-Lemli-Opitz syndrome
Congenital malformation syndromes predominantly
involving limbs
Congenital malformation syndromes involving early
overgrowth
Other congenital malformation syndromes with
other skeletal changes
Alport syndrome
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
9
9
9
10
10
10
10
10
10
Psych PPS Comorbidity Category Description
Other Developmental Disability
Other Developmental Disability
Other Developmental Disability
Brain/Head Injury
Brain/Head Injury
Brain/Head Injury
Brain/Head Injury
Brain/Head Injury
Brain/Head Injury
ICD-10 Dx Cd
Q8789
Q894
Q898
E035
G931
G935
G936
R4020
R402110
ICD-10 Dx Description
Other specified congenital malformation syndromes,
not elsewhere classified
Conjoined twins
Other specified congenital malformations
Myxedema coma
Anoxic brain damage, not elsewhere classified
Compression of brain
Cerebral edema
Unspecified coma
Coma scale, eyes open, never, unspecified time
Coma scale, eyes open, never, in the field EMT or
ambulance
Coma scale, eyes open, never, at arrival to
emergency department
10 Brain/Head Injury
R402111
10 Brain/Head Injury
R402112
10 Brain/Head Injury
R402113
10 Brain/Head Injury
10 Brain/Head Injury
R402114
R402120
10 Brain/Head Injury
R402121
10 Brain/Head Injury
R402122
10 Brain/Head Injury
R402123
10 Brain/Head Injury
R402124
10 Brain/Head Injury
R402210
10 Brain/Head Injury
R402211
10 Brain/Head Injury
R402212
10 Brain/Head Injury
R402213
10 Brain/Head Injury
R402214
10 Brain/Head Injury
R402220
Coma scale, eyes open, never, at hospital admission
Coma scale, eyes open, never, 24 hours or more
after hospital admission
Coma scale, eyes open, to pain, unspecified time
Coma scale, eyes open, to pain, in the field EMT or
ambulance
Coma scale, eyes open, to pain, at arrival to
emergency department
Coma scale, eyes open, to pain, at hospital
admission
Coma scale, eyes open, to pain, 24 hours or more
after hospital admission
Coma scale, best verbal response, none, unspecified
time
Coma scale, best verbal response, none, in the field
EMT or ambulance
Coma scale, best verbal response, none, at arrival to
emergency department
Coma scale, best verbal response, none, at hospital
admission
Coma scale, best verbal response, none, 24 hours or
more after hospital admission
Coma scale, best verbal response, incomprehensible
words, unspecified time
10 Brain/Head Injury
R402221
Coma scale, best verbal response, incomprehensible
words, in the field EMT or ambulance
10 Brain/Head Injury
R402222
10 Brain/Head Injury
R402223
Coma scale, best verbal response, incomprehensible
words, at arrival to emergency department
Coma scale, best verbal response, incomprehensible
words, at hospital admission
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
10 Brain/Head Injury
R402224
10 Brain/Head Injury
R402310
10 Brain/Head Injury
R402311
10 Brain/Head Injury
R402312
10 Brain/Head Injury
R402313
10 Brain/Head Injury
R402314
10 Brain/Head Injury
R402320
10 Brain/Head Injury
R402321
10 Brain/Head Injury
R402322
10 Brain/Head Injury
R402323
10 Brain/Head Injury
R402324
10 Brain/Head Injury
R402340
10 Brain/Head Injury
R402341
10 Brain/Head Injury
R402342
10 Brain/Head Injury
R402343
10 Brain/Head Injury
10 Brain/Head Injury
R402344
R403
10 Brain/Head Injury
S0190XA
10 Brain/Head Injury
S020XXA
10 Brain/Head Injury
S020XXB
10 Brain/Head Injury
S0210XA
10 Brain/Head Injury
S0210XB
10 Brain/Head Injury
S02110A
ICD-10 Dx Description
Coma scale, best verbal response, incomprehensible
words, 24 hours or more after hospital admission
Coma scale, best motor response, none, unspecified
time
Coma scale, best motor response, none, in the field
EMT or ambulance
Coma scale, best motor response, none, at arrival to
emergency department
Coma scale, best motor response, none, at hospital
admission
Coma scale, best motor response, none, 24 hours or
more after hospital admission
Coma scale, best motor response, extension,
unspecified time
Coma scale, best motor response, extension, in the
field EMT or ambulance
Coma scale, best motor response, extension, at
arrival to emergency department
Coma scale, best motor response, extension, at
hospital admission
Coma scale, best motor response, extension, 24
hours or more after hospital admission
Coma scale, best motor response, flexion
withdrawal, unspecified time
Coma scale, best motor response, flexion
withdrawal, in the field EMT or ambulance
Coma scale, best motor response, flexion
withdrawal, at arrival to emergency department
Coma scale, best motor response, flexion
withdrawal, at hospital admission
Coma scale, best motor response, flexion
withdrawal, 24 hours or more after hospital
admission
Persistent vegetative state
Unspecified open wound of unspecified part of
head, initial encounter
Fracture of vault of skull, initial encounter for closed
fracture
Fracture of vault of skull, initial encounter for open
fracture
Unspecified fracture of base of skull, initial
encounter for closed fracture
Unspecified fracture of base of skull, initial
encounter for open fracture
Type I occipital condyle fracture, initial encounter
for closed fracture
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
10 Brain/Head Injury
S02110B
10 Brain/Head Injury
S02111A
10 Brain/Head Injury
S02111B
10 Brain/Head Injury
S02112A
10 Brain/Head Injury
S02112B
10 Brain/Head Injury
S02113A
10 Brain/Head Injury
S02113B
10 Brain/Head Injury
S02118A
10 Brain/Head Injury
S02118B
10 Brain/Head Injury
S02119A
10 Brain/Head Injury
S02119B
10 Brain/Head Injury
S0219XA
10 Brain/Head Injury
S0219XB
10 Brain/Head Injury
S023XXA
10 Brain/Head Injury
S023XXB
10 Brain/Head Injury
S02400A
10 Brain/Head Injury
S02400B
10 Brain/Head Injury
S02401A
10 Brain/Head Injury
S02401B
10 Brain/Head Injury
S02402A
10 Brain/Head Injury
S02402B
Type I occipital condyle fracture, initial encounter
for open fracture
Type II occipital condyle fracture, initial encounter
for closed fracture
Type II occipital condyle fracture, initial encounter
for open fracture
Type III occipital condyle fracture, initial encounter
for closed fracture
Type III occipital condyle fracture, initial encounter
for open fracture
Unspecified occipital condyle fracture, initial
encounter for closed fracture
Unspecified occipital condyle fracture, initial
encounter for open fracture
Other fracture of occiput, initial encounter for
closed fracture
Other fracture of occiput, initial encounter for open
fracture
Unspecified fracture of occiput, initial encounter for
closed fracture
Unspecified fracture of occiput, initial encounter for
open fracture
Other fracture of base of skull, initial encounter for
closed fracture
Other fracture of base of skull, initial encounter for
open fracture
Fracture of orbital floor, initial encounter for closed
fracture
Fracture of orbital floor, initial encounter for open
fracture
Malar fracture unspecified, initial encounter for
closed fracture
Malar fracture unspecified, initial encounter for
open fracture
Maxillary fracture, unspecified, initial encounter for
closed fracture
Maxillary fracture, unspecified, initial encounter for
open fracture
Zygomatic fracture, unspecified, initial encounter for
closed fracture
Zygomatic fracture, unspecified, initial encounter for
open fracture
10 Brain/Head Injury
S02411A
LeFort I fracture, initial encounter for closed fracture
10 Brain/Head Injury
S02411B
10 Brain/Head Injury
S02412A
LeFort I fracture, initial encounter for open fracture
LeFort II fracture, initial encounter for closed
fracture
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
10 Brain/Head Injury
S02412B
10 Brain/Head Injury
S02413A
10 Brain/Head Injury
S02413B
10 Brain/Head Injury
S0242XA
10 Brain/Head Injury
S0242XB
10 Brain/Head Injury
S02600A
10 Brain/Head Injury
S02600B
10 Brain/Head Injury
S02609A
10 Brain/Head Injury
S02609B
10 Brain/Head Injury
S0261XA
10 Brain/Head Injury
S0261XB
10 Brain/Head Injury
S0262XA
10 Brain/Head Injury
S0262XB
10 Brain/Head Injury
S0263XA
10 Brain/Head Injury
S0263XB
10 Brain/Head Injury
S0264XA
10 Brain/Head Injury
S0264XB
10 Brain/Head Injury
S0265XA
10 Brain/Head Injury
S0265XB
10 Brain/Head Injury
S0266XA
10 Brain/Head Injury
S0266XB
10 Brain/Head Injury
S0267XA
10 Brain/Head Injury
S0267XB
10 Brain/Head Injury
S0269XA
ICD-10 Dx Description
LeFort II fracture, initial encounter for open fracture
LeFort III fracture, initial encounter for closed
fracture
LeFort III fracture, initial encounter for open fracture
Fracture of alveolus of maxilla, initial encounter for
closed fracture
Fracture of alveolus of maxilla, initial encounter for
open fracture
Fracture of unspecified part of body of mandible,
initial encounter for closed fracture
Fracture of unspecified part of body of mandible,
initial encounter for open fracture
Fracture of mandible, unspecified, initial encounter
for closed fracture
Fracture of mandible, unspecified, initial encounter
for open fracture
Fracture of condylar process of mandible, initial
encounter for closed fracture
Fracture of condylar process of mandible, initial
encounter for open fracture
Fracture of subcondylar process of mandible, initial
encounter for closed fracture
Fracture of subcondylar process of mandible, initial
encounter for open fracture
Fracture of coronoid process of mandible, initial
encounter for closed fracture
Fracture of coronoid process of mandible, initial
encounter for open fracture
Fracture of ramus of mandible, initial encounter for
closed fracture
Fracture of ramus of mandible, initial encounter for
open fracture
Fracture of angle of mandible, initial encounter for
closed fracture
Fracture of angle of mandible, initial encounter for
open fracture
Fracture of symphysis of mandible, initial encounter
for closed fracture
Fracture of symphysis of mandible, initial encounter
for open fracture
Fracture of alveolus of mandible, initial encounter
for closed fracture
Fracture of alveolus of mandible, initial encounter
for open fracture
Fracture of mandible of other specified site, initial
encounter for closed fracture
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
10 Brain/Head Injury
S0269XB
10 Brain/Head Injury
S028XXA
10 Brain/Head Injury
S028XXB
10 Brain/Head Injury
S0291XA
10 Brain/Head Injury
S0291XB
10 Brain/Head Injury
S0292XA
10 Brain/Head Injury
S0292XB
10 Brain/Head Injury
S060X3A
10 Brain/Head Injury
S060X4A
Fracture of mandible of other specified site, initial
encounter for open fracture
Fractures of other specified skull and facial bones,
initial encounter for closed fracture
Fractures of other specified skull and facial bones,
initial encounter for open fracture
Unspecified fracture of skull, initial encounter for
closed fracture
Unspecified fracture of skull, initial encounter for
open fracture
Unspecified fracture of facial bones, initial
encounter for closed fracture
Unspecified fracture of facial bones, initial
encounter for open fracture
Concussion with loss of consciousness of 1 hour to 5
hours 59 minutes, initial encounter
Concussion with loss of consciousness of 6 hours to
24 hours, initial encounter
S060X5A
Concussion with loss of consciousness greater than
24 hours with return to pre-existing conscious level,
initial encounter
10 Brain/Head Injury
10 Brain/Head Injury
S060X6A
10 Brain/Head Injury
S061X0A
Concussion with loss of consciousness greater than
24 hours without return to pre-existing conscious
level with patient surviving, initial encounter
Traumatic cerebral edema without loss of
consciousness, initial encounter
S061X1A
Traumatic cerebral edema with loss of
consciousness of 30 minutes or less, initial
encounter
S061X2A
Traumatic cerebral edema with loss of
consciousness of 31 minutes to 59 minutes, initial
encounter
S061X3A
Traumatic cerebral edema with loss of
consciousness of 1 hour to 5 hours 59 minutes,
initial encounter
S061X4A
Traumatic cerebral edema with loss of
consciousness of 6 hours to 24 hours, initial
encounter
S061X5A
Traumatic cerebral edema with loss of
consciousness greater than 24 hours with return to
pre-existing conscious level, initial encounter
S061X6A
Traumatic cerebral edema with loss of
consciousness greater than 24 hours without return
to pre-existing conscious level with patient surviving,
initial encounter
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
ICD-10 Dx Cd
ICD-10 Dx Description
S061X7A
Traumatic cerebral edema with loss of
consciousness of any duration with death due to
brain injury prior to regaining consciousness, initial
encounter
S061X8A
Traumatic cerebral edema with loss of
consciousness of any duration with death due to
other cause prior to regaining consciousness, initial
encounter
S061X9A
Traumatic cerebral edema with loss of
consciousness of unspecified duration, initial
encounter
S062X1A
Diffuse traumatic brain injury with loss of
consciousness of 30 minutes or less, initial
encounter
S062X2A
Diffuse traumatic brain injury with loss of
consciousness of 31 minutes to 59 minutes, initial
encounter
S062X9A
Diffuse traumatic brain injury with loss of
consciousness of unspecified duration, initial
encounter
S06301A
Unspecified focal traumatic brain injury with loss of
consciousness of 30 minutes or less, initial
encounter
S06302A
Unspecified focal traumatic brain injury with loss of
consciousness of 31 minutes to 59 minutes, initial
encounter
10 Brain/Head Injury
S06309A
10 Brain/Head Injury
S06310A
Unspecified focal traumatic brain injury with loss of
consciousness of unspecified duration, initial
encounter
Contusion and laceration of right cerebrum without
loss of consciousness, initial encounter
S06311A
Contusion and laceration of right cerebrum with loss
of consciousness of 30 minutes or less, initial
encounter
S06312A
Contusion and laceration of right cerebrum with loss
of consciousness of 31 minutes to 59 minutes, initial
encounter
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
S06319A
10 Brain/Head Injury
S06320A
Contusion and laceration of right cerebrum with loss
of consciousness of unspecified duration, initial
encounter
Contusion and laceration of left cerebrum without
loss of consciousness, initial encounter
S06321A
Contusion and laceration of left cerebrum with loss
of consciousness of 30 minutes or less, initial
encounter
S06322A
Contusion and laceration of left cerebrum with loss
of consciousness of 31 minutes to 59 minutes, initial
encounter
10 Brain/Head Injury
10 Brain/Head Injury
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
10 Brain/Head Injury
S06329A
Contusion and laceration of left cerebrum with loss
of consciousness of unspecified duration, initial
encounter
10 Brain/Head Injury
S06330A
Contusion and laceration of cerebrum, unspecified,
without loss of consciousness, initial encounter
S06331A
Contusion and laceration of cerebrum, unspecified,
with loss of consciousness of 30 minutes or less,
initial encounter
S06332A
Contusion and laceration of cerebrum, unspecified,
with loss of consciousness of 31 minutes to 59
minutes, initial encounter
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
S06339A
10 Brain/Head Injury
S06340A
Contusion and laceration of cerebrum, unspecified,
with loss of consciousness of unspecified duration,
initial encounter
Traumatic hemorrhage of right cerebrum without
loss of consciousness, initial encounter
S06341A
Traumatic hemorrhage of right cerebrum with loss
of consciousness of 30 minutes or less, initial
encounter
S06342A
Traumatic hemorrhage of right cerebrum with loss
of consciousness of 31 minutes to 59 minutes, initial
encounter
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
S06349A
10 Brain/Head Injury
S06350A
Traumatic hemorrhage of right cerebrum with loss
of consciousness of unspecified duration, initial
encounter
Traumatic hemorrhage of left cerebrum without loss
of consciousness, initial encounter
S06351A
Traumatic hemorrhage of left cerebrum with loss of
consciousness of 30 minutes or less, initial
encounter
S06352A
Traumatic hemorrhage of left cerebrum with loss of
consciousness of 31 minutes to 59 minutes, initial
encounter
10 Brain/Head Injury
S06359A
Traumatic hemorrhage of left cerebrum with loss of
consciousness of unspecified duration, initial
encounter
10 Brain/Head Injury
S06360A
Traumatic hemorrhage of cerebrum, unspecified,
without loss of consciousness, initial encounter
S06361A
Traumatic hemorrhage of cerebrum, unspecified,
with loss of consciousness of 30 minutes or less,
initial encounter
S06362A
Traumatic hemorrhage of cerebrum, unspecified,
with loss of consciousness of 31 minutes to 59
minutes, initial encounter
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
S06369A
Traumatic hemorrhage of cerebrum, unspecified,
with loss of consciousness of unspecified duration,
initial encounter
S06370A
Contusion, laceration, and hemorrhage of
cerebellum without loss of consciousness, initial
encounter
S06371A
Contusion, laceration, and hemorrhage of
cerebellum with loss of consciousness of 30 minutes
or less, initial encounter
S06372A
Contusion, laceration, and hemorrhage of
cerebellum with loss of consciousness of 31 minutes
to 59 minutes, initial encounter
10 Brain/Head Injury
S06379A
Contusion, laceration, and hemorrhage of
cerebellum with loss of consciousness of unspecified
duration, initial encounter
10 Brain/Head Injury
S06380A
Contusion, laceration, and hemorrhage of brainstem
without loss of consciousness, initial encounter
S06381A
Contusion, laceration, and hemorrhage of brainstem
with loss of consciousness of 30 minutes or less,
initial encounter
S06382A
Contusion, laceration, and hemorrhage of brainstem
with loss of consciousness of 31 minutes to 59
minutes, initial encounter
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
S06389A
10 Brain/Head Injury
S064X0A
10 Brain/Head Injury
S064X1A
10 Brain/Head Injury
S064X2A
10 Brain/Head Injury
S064X9A
10 Brain/Head Injury
S065X0A
Contusion, laceration, and hemorrhage of brainstem
with loss of consciousness of unspecified duration,
initial encounter
Epidural hemorrhage without loss of consciousness,
initial encounter
Epidural hemorrhage with loss of consciousness of
30 minutes or less, initial encounter
Epidural hemorrhage with loss of consciousness of
31 minutes to 59 minutes, initial encounter
Epidural hemorrhage with loss of consciousness of
unspecified duration, initial encounter
Traumatic subdural hemorrhage without loss of
consciousness, initial encounter
S065X1A
Traumatic subdural hemorrhage with loss of
consciousness of 30 minutes or less, initial
encounter
S065X2A
Traumatic subdural hemorrhage with loss of
consciousness of 31 minutes to 59 minutes, initial
encounter
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
S065X9A
10 Brain/Head Injury
S066X0A
Traumatic subdural hemorrhage with loss of
consciousness of unspecified duration, initial
encounter
Traumatic subarachnoid hemorrhage without loss of
consciousness, initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
ICD-10 Dx Cd
ICD-10 Dx Description
S066X1A
Traumatic subarachnoid hemorrhage with loss of
consciousness of 30 minutes or less, initial
encounter
S066X2A
Traumatic subarachnoid hemorrhage with loss of
consciousness of 31 minutes to 59 minutes, initial
encounter
S066X9A
Traumatic subarachnoid hemorrhage with loss of
consciousness of unspecified duration, initial
encounter
S06811A
Injury of right internal carotid artery, intracranial
portion, not elsewhere classified with loss of
consciousness of 30 minutes or less, initial
encounter
S06812A
Injury of right internal carotid artery, intracranial
portion, not elsewhere classified with loss of
consciousness of 31 minutes to 59 minutes, initial
encounter
S06819A
Injury of right internal carotid artery, intracranial
portion, not elsewhere classified with loss of
consciousness of unspecified duration, initial
encounter
S06821A
Injury of left internal carotid artery, intracranial
portion, not elsewhere classified with loss of
consciousness of 30 minutes or less, initial
encounter
10 Brain/Head Injury
S06822A
10 Brain/Head Injury
S06829A
10 Brain/Head Injury
S06890A
Injury of left internal carotid artery, intracranial
portion, not elsewhere classified with loss of
consciousness of 31 minutes to 59 minutes, initial
encounter
Injury of left internal carotid artery, intracranial
portion, not elsewhere classified with loss of
Other specified intracranial injury without loss of
consciousness, initial encounter
S06891A
Other specified intracranial injury with loss of
consciousness of 30 minutes or less, initial
encounter
S06892A
Other specified intracranial injury with loss of
consciousness of 31 minutes to 59 minutes, initial
encounter
10 Brain/Head Injury
10 Brain/Head Injury
10 Brain/Head Injury
S06899A
10 Brain/Head Injury
10 Brain/Head Injury
S069X0A
S069X1A
Other specified intracranial injury with loss of
consciousness of unspecified duration, initial
encounter
Unspecified intracranial injury without loss of
consciousness, initial encounter
Unspecified intracranial injury with loss of
S069X2A
Unspecified intracranial injury with loss of
consciousness of 31 minutes to 59 minutes, initial
encounter
10 Brain/Head Injury
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
10 Brain/Head Injury
ICD-10 Dx Cd
S069X9A
ICD-10 Dx Description
Unspecified intracranial injury with loss of
consciousness of unspecified duration, initial
encounter
Cardio-Respiratory Failure and Shock
Cardio-Respiratory Failure and Shock
Cardio-Respiratory Failure and Shock
Cardio-Respiratory Failure and Shock
Cardio-Respiratory Failure and Shock
Cardio-Respiratory Failure and Shock
Cardio-Respiratory Failure and Shock
I462
I468
I469
I4901
I4902
J80
J810
11 Cardio-Respiratory Failure and Shock
11 Cardio-Respiratory Failure and Shock
11 Cardio-Respiratory Failure and Shock
J9600
J9601
J9602
11 Cardio-Respiratory Failure and Shock
11 Cardio-Respiratory Failure and Shock
11 Cardio-Respiratory Failure and Shock
J9610
J9611
J9612
Cardiac arrest due to underlying cardiac condition
Cardiac arrest due to other underlying condition
Cardiac arrest, cause unspecified
Ventricular fibrillation
Ventricular flutter
Acute respiratory distress syndrome
Acute pulmonary edema
Acute respiratory failure, unspecified whether with
hypoxia or hypercapnia
Acute respiratory failure with hypoxia
Acute respiratory failure with hypercapnia
Chronic respiratory failure, unspecified whether
with hypoxia or hypercapnia
Chronic respiratory failure with hypoxia
Chronic respiratory failure with hypercapnia
11 Cardio-Respiratory Failure and Shock
J9620
Acute and chronic respiratory failure, unspecified
whether with hypoxia or hypercapnia
11 Cardio-Respiratory Failure and Shock
J9621
11 Cardio-Respiratory Failure and Shock
J9622
11 Cardio-Respiratory Failure and Shock
11 Cardio-Respiratory Failure and Shock
J9690
J9691
Cardio-Respiratory Failure and Shock
Cardio-Respiratory Failure and Shock
Cardio-Respiratory Failure and Shock
Cardio-Respiratory Failure and Shock
Acute Coronary Syndrome
J9692
R0901
R570
R579
I200
11
11
11
11
11
11
11
11
11
11
11
12
12 Acute Coronary Syndrome
I2101
12 Acute Coronary Syndrome
I2102
12 Acute Coronary Syndrome
I2109
12 Acute Coronary Syndrome
I2111
12 Acute Coronary Syndrome
I2119
12 Acute Coronary Syndrome
I2121
Acute and chronic respiratory failure with hypoxia
Acute and chronic respiratory failure with
hypercapnia
Respiratory failure, unspecified, unspecified
whether with hypoxia or hypercapnia
Respiratory failure, unspecified with hypoxia
Respiratory failure, unspecified with hypercapnia
Asphyxia
Cardiogenic shock
Shock, unspecified
Unstable angina
ST elevation (STEMI) myocardial infarction involving
left main coronary artery
ST elevation (STEMI) myocardial infarction involving
left anterior descending coronary artery
ST elevation (STEMI) myocardial infarction involving
other coronary artery of anterior wall
ST elevation (STEMI) myocardial infarction involving
right coronary artery
ST elevation (STEMI) myocardial infarction involving
other coronary artery of inferior wall
ST elevation (STEMI) myocardial infarction involving
left circumflex coronary artery
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
ST elevation (STEMI) myocardial infarction involving
other sites
ST elevation (STEMI) myocardial infarction of
unspecified site
12 Acute Coronary Syndrome
I2129
12 Acute Coronary Syndrome
I213
12 Acute Coronary Syndrome
I214
12 Acute Coronary Syndrome
I220
12 Acute Coronary Syndrome
I221
12 Acute Coronary Syndrome
I222
12 Acute Coronary Syndrome
I228
12 Acute Coronary Syndrome
I229
Non-ST elevation (NSTEMI) myocardial infarction
Subsequent ST elevation (STEMI) myocardial
infarction of anterior wall
Subsequent ST elevation (STEMI) myocardial
infarction of inferior wall
Subsequent non-ST elevation (NSTEMI) myocardial
infarction
Subsequent ST elevation (STEMI) myocardial
infarction of other sites
Subsequent ST elevation (STEMI) myocardial
infarction of unspecified site
12 Acute Coronary Syndrome
I234
Rupture of chordae tendineae as current
complication following acute myocardial infarction
12 Acute Coronary Syndrome
I235
Acute Coronary Syndrome
Acute Coronary Syndrome
Acute Coronary Syndrome
Acute Coronary Syndrome
I240
I241
I248
I249
12 Acute Coronary Syndrome
I25110
Rupture of papillary muscle as current complication
following acute myocardial infarction
Acute coronary thrombosis not resulting in
myocardial infarction
Dressler's syndrome
Other forms of acute ischemic heart disease
Acute ischemic heart disease, unspecified
Atherosclerotic heart disease of native coronary
artery with unstable angina pectoris
12 Acute Coronary Syndrome
I25700
Atherosclerosis of coronary artery bypass graft(s),
unspecified, with unstable angina pectoris
12 Acute Coronary Syndrome
I25710
Atherosclerosis of autologous vein coronary artery
bypass graft(s) with unstable angina pectoris
12 Acute Coronary Syndrome
I25720
Atherosclerosis of autologous artery coronary artery
bypass graft(s) with unstable angina pectoris
12
12
12
12
12 Acute Coronary Syndrome
I25730
12 Acute Coronary Syndrome
I25750
12 Acute Coronary Syndrome
I25760
12 Acute Coronary Syndrome
I25790
Atherosclerosis of nonautologous biological
coronary artery bypass graft(s) with unstable angina
pectoris
Atherosclerosis of native coronary artery of
transplanted heart with unstable angina
Atherosclerosis of bypass graft of coronary artery of
transplanted heart with unstable angina
Atherosclerosis of other coronary artery bypass
graft(s) with unstable angina pectoris
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
I511
Rupture of chordae tendineae, not elsewhere
classified
I512
A5219
G450
G451
Rupture of papillary muscle, not elsewhere classified
Other symptomatic neurosyphilis
Vertebro-basilar artery syndrome
Carotid artery syndrome (hemispheric)
13 Stroke/Occlusion/Cerebral Ischemia
G452
Stroke/Occlusion/Cerebral Ischemia
Stroke/Occlusion/Cerebral Ischemia
Stroke/Occlusion/Cerebral Ischemia
Stroke/Occlusion/Cerebral Ischemia
Stroke/Occlusion/Cerebral Ischemia
G458
G459
G460
G461
G462
13 Stroke/Occlusion/Cerebral Ischemia
I6000
13 Stroke/Occlusion/Cerebral Ischemia
I6001
13 Stroke/Occlusion/Cerebral Ischemia
I6002
13 Stroke/Occlusion/Cerebral Ischemia
I6010
13 Stroke/Occlusion/Cerebral Ischemia
I6011
13 Stroke/Occlusion/Cerebral Ischemia
I6012
13 Stroke/Occlusion/Cerebral Ischemia
I6020
13 Stroke/Occlusion/Cerebral Ischemia
I6021
13 Stroke/Occlusion/Cerebral Ischemia
I6022
13 Stroke/Occlusion/Cerebral Ischemia
I6030
13 Stroke/Occlusion/Cerebral Ischemia
I6031
13 Stroke/Occlusion/Cerebral Ischemia
I6032
13 Stroke/Occlusion/Cerebral Ischemia
I604
13 Stroke/Occlusion/Cerebral Ischemia
I6050
13 Stroke/Occlusion/Cerebral Ischemia
I6051
13 Stroke/Occlusion/Cerebral Ischemia
I6052
Multiple and bilateral precerebral artery syndromes
Other transient cerebral ischemic attacks and
related syndromes
Transient cerebral ischemic attack, unspecified
Middle cerebral artery syndrome
Anterior cerebral artery syndrome
Posterior cerebral artery syndrome
Nontraumatic subarachnoid hemorrhage from
unspecified carotid siphon and bifurcation
Nontraumatic subarachnoid hemorrhage from right
carotid siphon and bifurcation
Nontraumatic subarachnoid hemorrhage from left
carotid siphon and bifurcation
Nontraumatic subarachnoid hemorrhage from
unspecified middle cerebral artery
Nontraumatic subarachnoid hemorrhage from right
middle cerebral artery
Nontraumatic subarachnoid hemorrhage from left
middle cerebral artery
Nontraumatic subarachnoid hemorrhage from
unspecified anterior communicating artery
Nontraumatic subarachnoid hemorrhage from right
anterior communicating artery
Nontraumatic subarachnoid hemorrhage from left
anterior communicating artery
Nontraumatic subarachnoid hemorrhage from
unspecified posterior communicating artery
Nontraumatic subarachnoid hemorrhage from right
posterior communicating artery
Nontraumatic subarachnoid hemorrhage from left
posterior communicating artery
Nontraumatic subarachnoid hemorrhage from
basilar artery
Nontraumatic subarachnoid hemorrhage from
unspecified vertebral artery
Nontraumatic subarachnoid hemorrhage from right
vertebral artery
Nontraumatic subarachnoid hemorrhage from left
vertebral artery
12 Acute Coronary Syndrome
12
13
13
13
13
13
13
13
13
Acute Coronary Syndrome
Stroke/Occlusion/Cerebral Ischemia
Stroke/Occlusion/Cerebral Ischemia
Stroke/Occlusion/Cerebral Ischemia
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
13 Stroke/Occlusion/Cerebral Ischemia
I606
13 Stroke/Occlusion/Cerebral Ischemia
13 Stroke/Occlusion/Cerebral Ischemia
I607
I608
13 Stroke/Occlusion/Cerebral Ischemia
I609
13 Stroke/Occlusion/Cerebral Ischemia
I610
13 Stroke/Occlusion/Cerebral Ischemia
I611
13 Stroke/Occlusion/Cerebral Ischemia
I612
13 Stroke/Occlusion/Cerebral Ischemia
I613
13 Stroke/Occlusion/Cerebral Ischemia
I614
13 Stroke/Occlusion/Cerebral Ischemia
I615
13 Stroke/Occlusion/Cerebral Ischemia
13 Stroke/Occlusion/Cerebral Ischemia
I616
I618
13 Stroke/Occlusion/Cerebral Ischemia
I619
Nontraumatic subarachnoid hemorrhage from other
intracranial arteries
Nontraumatic subarachnoid hemorrhage from
unspecified intracranial artery
Other nontraumatic subarachnoid hemorrhage
Nontraumatic subarachnoid hemorrhage,
unspecified
Nontraumatic intracerebral hemorrhage in
hemisphere, subcortical
Nontraumatic intracerebral hemorrhage in
hemisphere, cortical
Nontraumatic intracerebral hemorrhage in
hemisphere, unspecified
Nontraumatic intracerebral hemorrhage in brain
stem
Nontraumatic intracerebral hemorrhage in
cerebellum
Nontraumatic intracerebral hemorrhage,
intraventricular
Nontraumatic intracerebral hemorrhage, multiple
localized
Other nontraumatic intracerebral hemorrhage
Nontraumatic intracerebral hemorrhage,
unspecified
I6200
I6201
I6202
I6203
I621
Nontraumatic subdural hemorrhage, unspecified
Nontraumatic acute subdural hemorrhage
Nontraumatic subacute subdural hemorrhage
Nontraumatic chronic subdural hemorrhage
Nontraumatic extradural hemorrhage
13 Stroke/Occlusion/Cerebral Ischemia
I629
13 Stroke/Occlusion/Cerebral Ischemia
I6300
13 Stroke/Occlusion/Cerebral Ischemia
I63011
13 Stroke/Occlusion/Cerebral Ischemia
I63012
13 Stroke/Occlusion/Cerebral Ischemia
I63019
13 Stroke/Occlusion/Cerebral Ischemia
I6302
13 Stroke/Occlusion/Cerebral Ischemia
I63031
13 Stroke/Occlusion/Cerebral Ischemia
I63032
13 Stroke/Occlusion/Cerebral Ischemia
I63039
Nontraumatic intracranial hemorrhage, unspecified
Cerebral infarction due to thrombosis of unspecified
precerebral artery
Cerebral infarction due to thrombosis of right
vertebral artery
Cerebral infarction due to thrombosis of left
vertebral artery
Cerebral infarction due to thrombosis of unspecified
vertebral artery
Cerebral infarction due to thrombosis of basilar
artery
Cerebral infarction due to thrombosis of right
carotid artery
Cerebral infarction due to thrombosis of left carotid
artery
Cerebral infarction due to thrombosis of unspecified
carotid artery
13
13
13
13
13
Stroke/Occlusion/Cerebral Ischemia
Stroke/Occlusion/Cerebral Ischemia
Stroke/Occlusion/Cerebral Ischemia
Stroke/Occlusion/Cerebral Ischemia
Stroke/Occlusion/Cerebral Ischemia
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
13 Stroke/Occlusion/Cerebral Ischemia
I6309
13 Stroke/Occlusion/Cerebral Ischemia
I6310
13 Stroke/Occlusion/Cerebral Ischemia
I63111
13 Stroke/Occlusion/Cerebral Ischemia
I63112
13 Stroke/Occlusion/Cerebral Ischemia
I63119
13 Stroke/Occlusion/Cerebral Ischemia
I6312
13 Stroke/Occlusion/Cerebral Ischemia
I63131
13 Stroke/Occlusion/Cerebral Ischemia
I63132
13 Stroke/Occlusion/Cerebral Ischemia
I63139
13 Stroke/Occlusion/Cerebral Ischemia
I6319
13 Stroke/Occlusion/Cerebral Ischemia
I6320
13 Stroke/Occlusion/Cerebral Ischemia
I63211
13 Stroke/Occlusion/Cerebral Ischemia
I63212
13 Stroke/Occlusion/Cerebral Ischemia
I63219
13 Stroke/Occlusion/Cerebral Ischemia
I6322
13 Stroke/Occlusion/Cerebral Ischemia
I63231
13 Stroke/Occlusion/Cerebral Ischemia
I63232
13 Stroke/Occlusion/Cerebral Ischemia
I63239
13 Stroke/Occlusion/Cerebral Ischemia
I6329
13 Stroke/Occlusion/Cerebral Ischemia
I6330
13 Stroke/Occlusion/Cerebral Ischemia
I63311
13 Stroke/Occlusion/Cerebral Ischemia
I63312
13 Stroke/Occlusion/Cerebral Ischemia
I63319
13 Stroke/Occlusion/Cerebral Ischemia
I63321
ICD-10 Dx Description
Cerebral infarction due to thrombosis of other
precerebral artery
Cerebral infarction due to embolism of unspecified
precerebral artery
Cerebral infarction due to embolism of right
vertebral artery
Cerebral infarction due to embolism of left vertebral
artery
Cerebral infarction due to embolism of unspecified
vertebral artery
Cerebral infarction due to embolism of basilar artery
Cerebral infarction due to embolism of right carotid
artery
Cerebral infarction due to embolism of left carotid
artery
Cerebral infarction due to embolism of unspecified
carotid artery
Cerebral infarction due to embolism of other
precerebral artery
Cerebral infarction due to unspecified occlusion or
stenosis of unspecified precerebral arteries
Cerebral infarction due to unspecified occlusion or
stenosis of right vertebral arteries
Cerebral infarction due to unspecified occlusion or
stenosis of left vertebral arteries
Cerebral infarction due to unspecified occlusion or
stenosis of unspecified vertebral arteries
Cerebral infarction due to unspecified occlusion or
stenosis of basilar arteries
Cerebral infarction due to unspecified occlusion or
stenosis of right carotid arteries
Cerebral infarction due to unspecified occlusion or
stenosis of left carotid arteries
Cerebral infarction due to unspecified occlusion or
stenosis of unspecified carotid arteries
Cerebral infarction due to unspecified occlusion or
stenosis of other precerebral arteries
Cerebral infarction due to thrombosis of unspecified
cerebral artery
Cerebral infarction due to thrombosis of right
middle cerebral artery
Cerebral infarction due to thrombosis of left middle
cerebral artery
Cerebral infarction due to thrombosis of unspecified
middle cerebral artery
Cerebral infarction due to thrombosis of right
anterior cerebral artery
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
13 Stroke/Occlusion/Cerebral Ischemia
I63322
13 Stroke/Occlusion/Cerebral Ischemia
I63329
13 Stroke/Occlusion/Cerebral Ischemia
I63331
13 Stroke/Occlusion/Cerebral Ischemia
I63332
13 Stroke/Occlusion/Cerebral Ischemia
I63339
13 Stroke/Occlusion/Cerebral Ischemia
I63341
13 Stroke/Occlusion/Cerebral Ischemia
I63342
13 Stroke/Occlusion/Cerebral Ischemia
I63349
13 Stroke/Occlusion/Cerebral Ischemia
I6339
13 Stroke/Occlusion/Cerebral Ischemia
I6340
13 Stroke/Occlusion/Cerebral Ischemia
I63411
13 Stroke/Occlusion/Cerebral Ischemia
I63412
13 Stroke/Occlusion/Cerebral Ischemia
I63419
13 Stroke/Occlusion/Cerebral Ischemia
I63421
13 Stroke/Occlusion/Cerebral Ischemia
I63422
13 Stroke/Occlusion/Cerebral Ischemia
I63429
13 Stroke/Occlusion/Cerebral Ischemia
I63431
13 Stroke/Occlusion/Cerebral Ischemia
I63432
13 Stroke/Occlusion/Cerebral Ischemia
I63439
13 Stroke/Occlusion/Cerebral Ischemia
I63441
13 Stroke/Occlusion/Cerebral Ischemia
I63442
13 Stroke/Occlusion/Cerebral Ischemia
I63449
13 Stroke/Occlusion/Cerebral Ischemia
I6349
13 Stroke/Occlusion/Cerebral Ischemia
I6350
ICD-10 Dx Description
Cerebral infarction due to thrombosis of left anterior
cerebral artery
Cerebral infarction due to thrombosis of unspecified
anterior cerebral artery
Cerebral infarction due to thrombosis of right
posterior cerebral artery
Cerebral infarction due to thrombosis of left
posterior cerebral artery
Cerebral infarction due to thrombosis of unspecified
posterior cerebral artery
Cerebral infarction due to thrombosis of right
cerebellar artery
Cerebral infarction due to thrombosis of left
cerebellar artery
Cerebral infarction due to thrombosis of unspecified
cerebellar artery
Cerebral infarction due to thrombosis of other
cerebral artery
Cerebral infarction due to embolism of unspecified
cerebral artery
Cerebral infarction due to embolism of right middle
cerebral artery
Cerebral infarction due to embolism of left middle
cerebral artery
Cerebral infarction due to embolism of unspecified
middle cerebral artery
Cerebral infarction due to embolism of right anterior
cerebral artery
Cerebral infarction due to embolism of left anterior
cerebral artery
Cerebral infarction due to embolism of unspecified
anterior cerebral artery
Cerebral infarction due to embolism of right
posterior cerebral artery
Cerebral infarction due to embolism of left posterior
cerebral artery
Cerebral infarction due to embolism of unspecified
posterior cerebral artery
Cerebral infarction due to embolism of right
cerebellar artery
Cerebral infarction due to embolism of left
cerebellar artery
Cerebral infarction due to embolism of unspecified
cerebellar artery
Cerebral infarction due to embolism of other
cerebral artery
Cerebral infarction due to unspecified occlusion or
stenosis of unspecified cerebral artery
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
13 Stroke/Occlusion/Cerebral Ischemia
I63511
13 Stroke/Occlusion/Cerebral Ischemia
I63512
13 Stroke/Occlusion/Cerebral Ischemia
I63519
13 Stroke/Occlusion/Cerebral Ischemia
I63521
13 Stroke/Occlusion/Cerebral Ischemia
I63522
13 Stroke/Occlusion/Cerebral Ischemia
I63529
13 Stroke/Occlusion/Cerebral Ischemia
I63531
13 Stroke/Occlusion/Cerebral Ischemia
I63532
ICD-10 Dx Description
Cerebral infarction due to unspecified occlusion or
stenosis of right middle cerebral artery
Cerebral infarction due to unspecified occlusion or
stenosis of left middle cerebral artery
Cerebral infarction due to unspecified occlusion or
stenosis of unspecified middle cerebral artery
Cerebral infarction due to unspecified occlusion or
stenosis of right anterior cerebral artery
Cerebral infarction due to unspecified occlusion or
stenosis of left anterior cerebral artery
Cerebral infarction due to unspecified occlusion or
stenosis of unspecified anterior cerebral artery
Cerebral infarction due to unspecified occlusion or
stenosis of right posterior cerebral artery
Cerebral infarction due to unspecified occlusion or
stenosis of left posterior cerebral artery
13 Stroke/Occlusion/Cerebral Ischemia
I63539
13 Stroke/Occlusion/Cerebral Ischemia
I63541
13 Stroke/Occlusion/Cerebral Ischemia
I63542
13 Stroke/Occlusion/Cerebral Ischemia
I63549
13 Stroke/Occlusion/Cerebral Ischemia
I6359
13 Stroke/Occlusion/Cerebral Ischemia
13 Stroke/Occlusion/Cerebral Ischemia
13 Stroke/Occlusion/Cerebral Ischemia
I636
I638
I639
13 Stroke/Occlusion/Cerebral Ischemia
I67841
13 Stroke/Occlusion/Cerebral Ischemia
13 Stroke/Occlusion/Cerebral Ischemia
I67848
I6789
14 Respiratory Illness
J440
14 Respiratory Illness
J441
Cerebral infarction due to unspecified occlusion or
stenosis of unspecified posterior cerebral artery
Cerebral infarction due to unspecified occlusion or
stenosis of right cerebellar artery
Cerebral infarction due to unspecified occlusion or
stenosis of left cerebellar artery
Cerebral infarction due to unspecified occlusion or
stenosis of unspecified cerebellar artery
Cerebral infarction due to unspecified occlusion or
stenosis of other cerebral artery
Cerebral infarction due to cerebral venous
thrombosis, nonpyogenic
Other cerebral infarction
Cerebral infarction, unspecified
Reversible cerebrovascular vasoconstriction
syndrome
Other cerebrovascular vasospasm and
vasoconstriction
Other cerebrovascular disease
Chronic obstructive pulmonary disease with acute
lower respiratory infection
Chronic obstructive pulmonary disease with (acute)
exacerbation
14 Respiratory Illness
J4521
Mild intermittent asthma with (acute) exacerbation
14 Respiratory Illness
J4522
Mild intermittent asthma with status asthmaticus
14 Respiratory Illness
14 Respiratory Illness
J4531
J4532
Mild persistent asthma with (acute) exacerbation
Mild persistent asthma with status asthmaticus
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
14 Respiratory Illness
J4541
Moderate persistent asthma with (acute)
exacerbation
14 Respiratory Illness
J4542
Moderate persistent asthma with status asthmaticus
14 Respiratory Illness
J4551
Severe persistent asthma with (acute) exacerbation
Respiratory Illness
Respiratory Illness
Respiratory Illness
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
J4552
J45901
J45902
A1853
A3982
A5432
B0051
B0232
B5801
H2000
H20011
H20012
H20013
H20019
H20021
H20022
H20023
H20029
H20031
H20032
H20033
Severe persistent asthma with status asthmaticus
Unspecified asthma with (acute) exacerbation
Unspecified asthma with status asthmaticus
Tuberculous chorioretinitis
Meningococcal retrobulbar neuritis
Gonococcal iridocyclitis
Herpesviral iridocyclitis
Zoster iridocyclitis
Toxoplasma chorioretinitis
Unspecified acute and subacute iridocyclitis
Primary iridocyclitis, right eye
Primary iridocyclitis, left eye
Primary iridocyclitis, bilateral
Primary iridocyclitis, unspecified eye
Recurrent acute iridocyclitis, right eye
Recurrent acute iridocyclitis, left eye
Recurrent acute iridocyclitis, bilateral
Recurrent acute iridocyclitis, unspecified eye
Secondary infectious iridocyclitis, right eye
Secondary infectious iridocyclitis, left eye
Secondary infectious iridocyclitis, bilateral
15 Other Eye Disorders
15 Other Eye Disorders
H20039
H209
15 Other Eye Disorders
H30101
15 Other Eye Disorders
H30102
15 Other Eye Disorders
H30103
15 Other Eye Disorders
H30109
15 Other Eye Disorders
H30111
15 Other Eye Disorders
H30112
15 Other Eye Disorders
H30113
15 Other Eye Disorders
H30119
Secondary infectious iridocyclitis, unspecified eye
Unspecified iridocyclitis
Unspecified disseminated chorioretinal
inflammation, right eye
Unspecified disseminated chorioretinal
inflammation, left eye
Unspecified disseminated chorioretinal
inflammation, bilateral
Unspecified disseminated chorioretinal
inflammation, unspecified eye
Disseminated chorioretinal inflammation of
posterior pole, right eye
Disseminated chorioretinal inflammation of
posterior pole, left eye
Disseminated chorioretinal inflammation of
posterior pole, bilateral
Disseminated chorioretinal inflammation of
posterior pole, unspecified eye
14
14
14
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
Disseminated chorioretinal inflammation, peripheral
right eye
Disseminated chorioretinal inflammation,
peripheral, left eye
Disseminated chorioretinal inflammation,
peripheral, bilateral
Disseminated chorioretinal inflammation,
peripheral, unspecified eye
Disseminated chorioretinal inflammation,
generalized, right eye
Disseminated chorioretinal inflammation,
generalized, left eye
Disseminated chorioretinal inflammation,
generalized, bilateral
Disseminated chorioretinal inflammation,
generalized, unspecified eye
Acute posterior multifocal placoid pigment
epitheliopathy, right eye
Acute posterior multifocal placoid pigment
epitheliopathy, left eye
Acute posterior multifocal placoid pigment
epitheliopathy, bilateral
Acute posterior multifocal placoid pigment
epitheliopathy, unspecified eye
Other chorioretinal inflammations, right eye
Other chorioretinal inflammations, left eye
Other chorioretinal inflammations, bilateral
15 Other Eye Disorders
H30121
15 Other Eye Disorders
H30122
15 Other Eye Disorders
H30123
15 Other Eye Disorders
H30129
15 Other Eye Disorders
H30131
15 Other Eye Disorders
H30132
15 Other Eye Disorders
H30133
15 Other Eye Disorders
H30139
15 Other Eye Disorders
H30141
15 Other Eye Disorders
H30142
15 Other Eye Disorders
H30143
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
H30149
H30891
H30892
H30893
15 Other Eye Disorders
H30899
15 Other Eye Disorders
H3090
Other chorioretinal inflammations, unspecified eye
Unspecified chorioretinal inflammation, unspecified
eye
15
15
15
15
15
15
15
15
15
15
15
15
15
15
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
H3091
H3092
H3093
H31321
H31322
H31323
H31329
H31401
H31402
H31403
Unspecified chorioretinal inflammation, right eye
Unspecified chorioretinal inflammation, left eye
Unspecified chorioretinal inflammation, bilateral
Choroidal rupture, right eye
Choroidal rupture, left eye
Choroidal rupture, bilateral
Choroidal rupture, unspecified eye
Unspecified choroidal detachment, right eye
Unspecified choroidal detachment, left eye
Unspecified choroidal detachment, bilateral
15
15
15
15
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
H31409
H31411
H31412
H31413
Unspecified choroidal detachment, unspecified eye
Hemorrhagic choroidal detachment, right eye
Hemorrhagic choroidal detachment, left eye
Hemorrhagic choroidal detachment, bilateral
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
15
15
15
15
15
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
H31419
H31421
H31422
H31423
H31429
15
15
15
15
15
15
15
15
15
15
15
15
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
H4040X0
H4600
H4601
H4602
H4603
H4610
H4611
H4612
H4613
H468
H469
H4710
15 Other Eye Disorders
H4711
15 Other Eye Disorders
15 Other Eye Disorders
H4741
H4742
15 Other Eye Disorders
H4743
15 Other Eye Disorders
H4749
15 Other Eye Disorders
H47511
15 Other Eye Disorders
H47512
15 Other Eye Disorders
H47519
15 Other Eye Disorders
H47521
15 Other Eye Disorders
H47522
15 Other Eye Disorders
H47529
15 Other Eye Disorders
H47531
15 Other Eye Disorders
H47532
15 Other Eye Disorders
H47539
15 Other Eye Disorders
H47621
ICD-10 Dx Description
Hemorrhagic choroidal detachment, unspecified eye
Serous choroidal detachment, right eye
Serous choroidal detachment, left eye
Serous choroidal detachment, bilateral
Serous choroidal detachment, unspecified eye
Glaucoma secondary to eye inflammation,
unspecified eye, stage unspecified
Optic papillitis, unspecified eye
Optic papillitis, right eye
Optic papillitis, left eye
Optic papillitis, bilateral
Retrobulbar neuritis, unspecified eye
Retrobulbar neuritis, right eye
Retrobulbar neuritis, left eye
Retrobulbar neuritis, bilateral
Other optic neuritis
Unspecified optic neuritis
Unspecified papilledema
Papilledema associated with increased intracranial
pressure
Disorders of optic chiasm in (due to) inflammatory
disorders
Disorders of optic chiasm in (due to) neoplasm
Disorders of optic chiasm in (due to) vascular
disorders
Disorders of optic chiasm in (due to) other disorders
Disorders of visual pathways in (due to)
inflammatory disorders, right side
Disorders of visual pathways in (due to)
inflammatory disorders, left side
Disorders of visual pathways in (due to)
inflammatory disorders, unspecified side
Disorders of visual pathways in (due to) neoplasm,
right side
Disorders of visual pathways in (due to) neoplasm,
left side
Disorders of visual pathways in (due to) neoplasm,
unspecified side
Disorders of visual pathways in (due to) vascular
disorders, right side
Disorders of visual pathways in (due to) vascular
disorders, left side
Disorders of visual pathways in (due to) vascular
disorders, unspecified side
Disorders of visual cortex in (due to) inflammatory
disorders, right side of brain
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
15 Other Eye Disorders
H47622
15 Other Eye Disorders
H47629
15 Other Eye Disorders
H47631
15 Other Eye Disorders
H47632
15 Other Eye Disorders
H47639
15 Other Eye Disorders
H47641
15 Other Eye Disorders
H47642
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
H47649
H53121
H53122
H53123
H53129
H53131
H53132
H53133
H53139
15
15
15
15
15
15
15
15
15
15 Other Eye Disorders
S01101A
15 Other Eye Disorders
S01102A
15 Other Eye Disorders
S01109A
15 Other Eye Disorders
S01111A
15 Other Eye Disorders
S01112A
15 Other Eye Disorders
S01119A
15 Other Eye Disorders
S01121A
15 Other Eye Disorders
S01122A
15 Other Eye Disorders
S01129A
15 Other Eye Disorders
S01131A
15 Other Eye Disorders
S01132A
ICD-10 Dx Description
Disorders of visual cortex in (due to) inflammatory
disorders, left side of brain
Disorders of visual cortex in (due to) inflammatory
disorders, unspecified side of brain
Disorders of visual cortex in (due to) neoplasm, right
side of brain
Disorders of visual cortex in (due to) neoplasm, left
side of brain
Disorders of visual cortex in (due to) neoplasm,
unspecified side of brain
Disorders of visual cortex in (due to) vascular
disorders, right side of brain
Disorders of visual cortex in (due to) vascular
disorders, left side of brain
Disorders of visual cortex in (due to) vascular
disorders, unspecified side of brain
Transient visual loss, right eye
Transient visual loss, left eye
Transient visual loss, bilateral
Transient visual loss, unspecified eye
Sudden visual loss, right eye
Sudden visual loss, left eye
Sudden visual loss, bilateral
Sudden visual loss, unspecified eye
Unspecified open wound of right eyelid and
periocular area, initial encounter
Unspecified open wound of left eyelid and
periocular area, initial encounter
Unspecified open wound of unspecified eyelid and
periocular area, initial encounter
Laceration without foreign body of right eyelid and
periocular area, initial encounter
Laceration without foreign body of left eyelid and
periocular area, initial encounter
Laceration without foreign body of unspecified
eyelid and periocular area, initial encounter
Laceration with foreign body of right eyelid and
periocular area, initial encounter
Laceration with foreign body of left eyelid and
periocular area, initial encounter
Laceration with foreign body of unspecified eyelid
and periocular area, initial encounter
Puncture wound without foreign body of right eyelid
and periocular area, initial encounter
Puncture wound without foreign body of left eyelid
and periocular area, initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
Puncture wound without foreign body of
unspecified eyelid and periocular area, initial
encounter
Puncture wound with foreign body of right eyelid
and periocular area, initial encounter
Puncture wound with foreign body of left eyelid and
periocular area, initial encounter
15 Other Eye Disorders
S01139A
15 Other Eye Disorders
S01141A
15 Other Eye Disorders
S01142A
15 Other Eye Disorders
S01149A
15 Other Eye Disorders
S01151A
15 Other Eye Disorders
S01152A
15 Other Eye Disorders
S01159A
Puncture wound with foreign body of unspecified
eyelid and periocular area, initial encounter
Open bite of right eyelid and periocular area, initial
encounter
Open bite of left eyelid and periocular area, initial
encounter
Open bite of unspecified eyelid and periocular area,
initial encounter
15 Other Eye Disorders
S0520XA
Ocular laceration and rupture with prolapse or loss
of intraocular tissue, unspecified eye, initial
encounter
15 Other Eye Disorders
S0521XA
Ocular laceration and rupture with prolapse or loss
of intraocular tissue, right eye, initial encounter
15 Other Eye Disorders
S0522XA
Ocular laceration and rupture with prolapse or loss
of intraocular tissue, left eye, initial encounter
15 Other Eye Disorders
S0530XA
15 Other Eye Disorders
S0531XA
15 Other Eye Disorders
S0532XA
15 Other Eye Disorders
S0540XA
15 Other Eye Disorders
S0541XA
15 Other Eye Disorders
S0542XA
15 Other Eye Disorders
S0550XA
15 Other Eye Disorders
S0551XA
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
Other Eye Disorders
S0552XA
S0570XA
S0571XA
S0572XA
15
15
15
15
Ocular laceration without prolapse or loss of
intraocular tissue, unspecified eye, initial encounter
Ocular laceration without prolapse or loss of
intraocular tissue, right eye, initial encounter
Ocular laceration without prolapse or loss of
intraocular tissue, left eye, initial encounter
Penetrating wound of orbit with or without foreign
body, unspecified eye, initial encounter
Penetrating wound of orbit with or without foreign
body, right eye, initial encounter
Penetrating wound of orbit with or without foreign
body, left eye, initial encounter
Penetrating wound with foreign body of unspecified
eyeball, initial encounter
Penetrating wound with foreign body of right
eyeball, initial encounter
Penetrating wound with foreign body of left eyeball,
initial encounter
Avulsion of unspecified eye, initial encounter
Avulsion of right eye, initial encounter
Avulsion of left eye, initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
Other injuries of right eye and orbit, initial
encounter
15 Other Eye Disorders
S058X1A
15 Other Eye Disorders
S058X2A
15 Other Eye Disorders
S058X9A
15 Other Eye Disorders
S0590XA
15 Other Eye Disorders
S0591XA
15 Other Eye Disorders
S0592XA
15 Other Eye Disorders
T2620XA
15 Other Eye Disorders
T2621XA
15 Other Eye Disorders
T2622XA
15 Other Eye Disorders
T2670XA
15 Other Eye Disorders
T2671XA
15 Other Eye Disorders
16 Renal Disease
16 Renal Disease
T2672XA
A985
B520
16 Renal Disease
E0821
16 Renal Disease
E0822
16 Renal Disease
E0829
16 Renal Disease
E0921
16 Renal Disease
E0922
16 Renal Disease
E0929
Corrosion with resulting rupture and destruction of
unspecified eyeball, initial encounter
Corrosion with resulting rupture and destruction of
right eyeball, initial encounter
Corrosion with resulting rupture and destruction of
left eyeball, initial encounter
Hemorrhagic fever with renal syndrome
Plasmodium malariae malaria with nephropathy
Diabetes mellitus due to underlying condition with
diabetic nephropathy
Diabetes mellitus due to underlying condition with
diabetic chronic kidney disease
Diabetes mellitus due to underlying condition with
other diabetic kidney complication
Drug or chemical induced diabetes mellitus with
diabetic nephropathy
Drug or chemical induced diabetes mellitus with
diabetic chronic kidney disease
Drug or chemical induced diabetes mellitus with
other diabetic kidney complication
16 Renal Disease
I120
Hypertensive chronic kidney disease with stage 5
chronic kidney disease or end stage renal disease
I1311
Hypertensive heart and chronic kidney disease
without heart failure, with stage 5 chronic kidney
disease, or end stage renal disease
I132
Hypertensive heart and chronic kidney disease with
heart failure and with stage 5 chronic kidney
disease, or end stage renal disease
16 Renal Disease
16 Renal Disease
Other injuries of left eye and orbit, initial encounter
Other injuries of unspecified eye and orbit, initial
encounter
Unspecified injury of unspecified eye and orbit,
initial encounter
Unspecified injury of right eye and orbit, initial
encounter
Unspecified injury of left eye and orbit, initial
encounter
Burn with resulting rupture and destruction of
unspecified eyeball, initial encounter
Burn with resulting rupture and destruction of right
eyeball, initial encounter
Burn with resulting rupture and destruction of left
eyeball, initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
16 Renal Disease
N000
16 Renal Disease
N001
16 Renal Disease
N002
16 Renal Disease
N003
16 Renal Disease
N004
16 Renal Disease
N005
16 Renal Disease
N006
16 Renal Disease
N007
16 Renal Disease
N008
16 Renal Disease
N009
16 Renal Disease
N010
16 Renal Disease
N011
16 Renal Disease
N012
Acute nephritic syndrome with minor glomerular
abnormality
Acute nephritic syndrome with focal and segmental
glomerular lesions
Acute nephritic syndrome with diffuse membranous
glomerulonephritis
Acute nephritic syndrome with diffuse mesangial
proliferative glomerulonephritis
Acute nephritic syndrome with diffuse endocapillary
proliferative glomerulonephritis
Acute nephritic syndrome with diffuse
mesangiocapillary glomerulonephritis
Acute nephritic syndrome with dense deposit
disease
Acute nephritic syndrome with diffuse crescentic
glomerulonephritis
Acute nephritic syndrome with other morphologic
changes
Acute nephritic syndrome with unspecified
morphologic changes
Rapidly progressive nephritic syndrome with minor
glomerular abnormality
Rapidly progressive nephritic syndrome with focal
and segmental glomerular lesions
Rapidly progressive nephritic syndrome with diffuse
membranous glomerulonephritis
16 Renal Disease
N013
Rapidly progressive nephritic syndrome with diffuse
mesangial proliferative glomerulonephritis
16 Renal Disease
N014
16 Renal Disease
N015
16 Renal Disease
N016
16 Renal Disease
N017
16 Renal Disease
N018
16 Renal Disease
N019
16 Renal Disease
N020
16 Renal Disease
N021
16 Renal Disease
N022
Rapidly progressive nephritic syndrome with diffuse
endocapillary proliferative glomerulonephritis
Rapidly progressive nephritic syndrome with diffuse
mesangiocapillary glomerulonephritis
Rapidly progressive nephritic syndrome with dense
deposit disease
Rapidly progressive nephritic syndrome with diffuse
crescentic glomerulonephritis
Rapidly progressive nephritic syndrome with other
morphologic changes
Rapidly progressive nephritic syndrome with
unspecified morphologic changes
Recurrent and persistent hematuria with minor
glomerular abnormality
Recurrent and persistent hematuria with focal and
segmental glomerular lesions
Recurrent and persistent hematuria with diffuse
membranous glomerulonephritis
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
16 Renal Disease
N023
16 Renal Disease
N024
16 Renal Disease
N025
16 Renal Disease
N026
16 Renal Disease
N027
16 Renal Disease
N028
16 Renal Disease
N029
16 Renal Disease
N030
16 Renal Disease
N031
16 Renal Disease
N032
16 Renal Disease
N033
16 Renal Disease
N034
16 Renal Disease
N035
16 Renal Disease
N036
16 Renal Disease
N037
16 Renal Disease
N038
16 Renal Disease
N039
16 Renal Disease
N040
16 Renal Disease
N041
16 Renal Disease
N042
16 Renal Disease
N043
16 Renal Disease
N044
16 Renal Disease
16 Renal Disease
N045
N046
ICD-10 Dx Description
Recurrent and persistent hematuria with diffuse
mesangial proliferative glomerulonephritis
Recurrent and persistent hematuria with diffuse
endocapillary proliferative glomerulonephritis
Recurrent and persistent hematuria with diffuse
mesangiocapillary glomerulonephritis
Recurrent and persistent hematuria with dense
deposit disease
Recurrent and persistent hematuria with diffuse
crescentic glomerulonephritis
Recurrent and persistent hematuria with other
morphologic changes
Recurrent and persistent hematuria with unspecified
morphologic changes
Chronic nephritic syndrome with minor glomerular
abnormality
Chronic nephritic syndrome with focal and
segmental glomerular lesions
Chronic nephritic syndrome with diffuse
membranous glomerulonephritis
Chronic nephritic syndrome with diffuse mesangial
proliferative glomerulonephritis
Chronic nephritic syndrome with diffuse
endocapillary proliferative glomerulonephritis
Chronic nephritic syndrome with diffuse
mesangiocapillary glomerulonephritis
Chronic nephritic syndrome with dense deposit
disease
Chronic nephritic syndrome with diffuse crescentic
glomerulonephritis
Chronic nephritic syndrome with other morphologic
changes
Chronic nephritic syndrome with unspecified
morphologic changes
Nephrotic syndrome with minor glomerular
abnormality
Nephrotic syndrome with focal and segmental
glomerular lesions
Nephrotic syndrome with diffuse membranous
glomerulonephritis
Nephrotic syndrome with diffuse mesangial
proliferative glomerulonephritis
Nephrotic syndrome with diffuse endocapillary
proliferative glomerulonephritis
Nephrotic syndrome with diffuse mesangiocapillary
glomerulonephritis
Nephrotic syndrome with dense deposit disease
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
16 Renal Disease
N047
16 Renal Disease
N048
16 Renal Disease
N049
16 Renal Disease
N052
16 Renal Disease
N053
16 Renal Disease
N054
16 Renal Disease
N055
16 Renal Disease
N059
16 Renal Disease
N062
16 Renal Disease
N063
16 Renal Disease
N064
16 Renal Disease
N065
Nephrotic syndrome with diffuse crescentic
glomerulonephritis
Nephrotic syndrome with other morphologic
changes
Nephrotic syndrome with unspecified morphologic
changes
Unspecified nephritic syndrome with diffuse
membranous glomerulonephritis
Unspecified nephritic syndrome with diffuse
mesangial proliferative glomerulonephritis
Unspecified nephritic syndrome with diffuse
endocapillary proliferative glomerulonephritis
Unspecified nephritic syndrome with diffuse
mesangiocapillary glomerulonephritis
Unspecified nephritic syndrome with unspecified
morphologic changes
Isolated proteinuria with diffuse membranous
glomerulonephritis
Isolated proteinuria with diffuse mesangial
proliferative glomerulonephritis
Isolated proteinuria with diffuse endocapillary
proliferative glomerulonephritis
Isolated proteinuria with diffuse mesangiocapillary
glomerulonephritis
16 Renal Disease
N072
Hereditary nephropathy, not elsewhere classified
with diffuse membranous glomerulonephritis
N073
Hereditary nephropathy, not elsewhere classified
with diffuse mesangial proliferative
glomerulonephritis
16 Renal Disease
N074
Hereditary nephropathy, not elsewhere classified
with diffuse endocapillary proliferative
glomerulonephritis
16 Renal Disease
N075
16 Renal Disease
16
16
16
16
16
16
16
16
16
16
16
Renal Disease
Renal Disease
Renal Disease
Renal Disease
Renal Disease
Renal Disease
Renal Disease
Renal Disease
Renal Disease
Renal Disease
Renal Disease
N08
N170
N171
N172
N178
N179
N184
N185
N186
Q6111
Q6119
Hereditary nephropathy, not elsewhere classified
with diffuse mesangiocapillary glomerulonephritis
Glomerular disorders in diseases classified
elsewhere
Acute kidney failure with tubular necrosis
Acute kidney failure with acute cortical necrosis
Acute kidney failure with medullary necrosis
Other acute kidney failure
Acute kidney failure, unspecified
Chronic kidney disease, stage 4 (severe)
Chronic kidney disease, stage 5
End stage renal disease
Cystic dilatation of collecting ducts
Other polycystic kidney, infantile type
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
17 Complications of Medical Care and Trauma
D7801
17 Complications of Medical Care and Trauma
D7802
17 Complications of Medical Care and Trauma
D7811
17 Complications of Medical Care and Trauma
D7812
17 Complications of Medical Care and Trauma
D7821
17 Complications of Medical Care and Trauma
D7822
Intraoperative hemorrhage and hematoma of the
spleen complicating a procedure on the spleen
Intraoperative hemorrhage and hematoma of the
spleen complicating other procedure
Accidental puncture and laceration of the spleen
during a procedure on the spleen
Accidental puncture and laceration of the spleen
during other procedure
Postprocedural hemorrhage and hematoma of the
spleen following a procedure on the spleen
Postprocedural hemorrhage and hematoma of the
spleen following other procedure
17 Complications of Medical Care and Trauma
D7881
Other intraoperative complications of the spleen
17 Complications of Medical Care and Trauma
D7889
Other postprocedural complications of the spleen
E3601
Intraoperative hemorrhage and hematoma of an
endocrine system organ or structure complicating an
endocrine system procedure
E3602
Intraoperative hemorrhage and hematoma of an
endocrine system organ or structure complicating
other procedure
17 Complications of Medical Care and Trauma
E3611
Accidental puncture and laceration of an endocrine
system organ or structure during an endocrine
system procedure
17 Complications of Medical Care and Trauma
E3612
Accidental puncture and laceration of an endocrine
system organ or structure during other procedure
E89810
Postprocedural hemorrhage and hematoma of an
endocrine system organ or structure following an
endocrine system procedure
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
E89811
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
E8989
G038
G970
17 Complications of Medical Care and Trauma
G972
Postprocedural hemorrhage and hematoma of an
endocrine system organ or structure following other
procedure
Other postprocedural endocrine and metabolic
complications and disorders
Meningitis due to other specified causes
Cerebrospinal fluid leak from spinal puncture
Intracranial hypotension following ventricular
shunting
G9731
Intraoperative hemorrhage and hematoma of a
nervous system organ or structure complicating a
nervous system procedure
G9732
Intraoperative hemorrhage and hematoma of a
nervous system organ or structure complicating
other procedure
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
G9741
Accidental puncture or laceration of dura during a
procedure
17 Complications of Medical Care and Trauma
G9748
Accidental puncture and laceration of other nervous
system organ or structure during a nervous system
procedure
17 Complications of Medical Care and Trauma
G9749
Accidental puncture and laceration of other nervous
system organ or structure during other procedure
G9751
Postprocedural hemorrhage and hematoma of a
nervous system organ or structure following a
nervous system procedure
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
G9752
17 Complications of Medical Care and Trauma
G9781
17 Complications of Medical Care and Trauma
G9782
17 Complications of Medical Care and Trauma
H59011
17 Complications of Medical Care and Trauma
H59012
17 Complications of Medical Care and Trauma
H59013
17 Complications of Medical Care and Trauma
H59019
17 Complications of Medical Care and Trauma
H59031
17 Complications of Medical Care and Trauma
H59032
17 Complications of Medical Care and Trauma
H59033
17 Complications of Medical Care and Trauma
H59039
17 Complications of Medical Care and Trauma
H59091
17 Complications of Medical Care and Trauma
H59092
17 Complications of Medical Care and Trauma
H59093
17 Complications of Medical Care and Trauma
H59099
Postprocedural hemorrhage and hematoma of a
nervous system organ or structure following other
procedure
Other intraoperative complications of nervous
system
Other postprocedural complications and disorders
of nervous system
Keratopathy (bullous aphakic) following cataract
surgery, right eye
Keratopathy (bullous aphakic) following cataract
surgery, left eye
Keratopathy (bullous aphakic) following cataract
surgery, bilateral
Keratopathy (bullous aphakic) following cataract
surgery, unspecified eye
Cystoid macular edema following cataract surgery,
right eye
Cystoid macular edema following cataract surgery,
left eye
Cystoid macular edema following cataract surgery,
bilateral
Cystoid macular edema following cataract surgery,
unspecified eye
Other disorders of the right eye following cataract
surgery
Other disorders of the left eye following cataract
surgery
Other disorders of the eye following cataract
surgery, bilateral
Other disorders of unspecified eye following
cataract surgery
H59111
Intraoperative hemorrhage and hematoma of right
eye and adnexa complicating an ophthalmic
procedure
H59112
Intraoperative hemorrhage and hematoma of left
eye and adnexa complicating an ophthalmic
procedure
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
H59113
Intraoperative hemorrhage and hematoma of eye
and adnexa complicating an ophthalmic procedure,
bilateral
17 Complications of Medical Care and Trauma
H59119
Intraoperative hemorrhage and hematoma of
unspecified eye and adnexa complicating an
ophthalmic procedure
17 Complications of Medical Care and Trauma
H59121
Intraoperative hemorrhage and hematoma of right
eye and adnexa complicating other procedure
17 Complications of Medical Care and Trauma
H59122
Intraoperative hemorrhage and hematoma of left
eye and adnexa complicating other procedure
17 Complications of Medical Care and Trauma
H59123
Intraoperative hemorrhage and hematoma of eye
and adnexa complicating other procedure, bilateral
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
H59129
17 Complications of Medical Care and Trauma
H59211
17 Complications of Medical Care and Trauma
H59212
Intraoperative hemorrhage and hematoma of
unspecified eye and adnexa complicating other
procedure
Accidental puncture and laceration of right eye and
adnexa during an ophthalmic procedure
Accidental puncture and laceration of left eye and
adnexa during an ophthalmic procedure
17 Complications of Medical Care and Trauma
H59213
Accidental puncture and laceration of eye and
adnexa during an ophthalmic procedure, bilateral
17 Complications of Medical Care and Trauma
H59219
17 Complications of Medical Care and Trauma
H59221
17 Complications of Medical Care and Trauma
H59222
17 Complications of Medical Care and Trauma
H59223
Accidental puncture and laceration of unspecified
eye and adnexa during an ophthalmic procedure
Accidental puncture and laceration of right eye and
adnexa during other procedure
Accidental puncture and laceration of left eye and
adnexa during other procedure
Accidental puncture and laceration of eye and
adnexa during other procedure, bilateral
17 Complications of Medical Care and Trauma
H59229
Accidental puncture and laceration of unspecified
eye and adnexa during other procedure
17 Complications of Medical Care and Trauma
H59311
Postprocedural hemorrhage and hematoma of right
eye and adnexa following an ophthalmic procedure
17 Complications of Medical Care and Trauma
H59312
Postprocedural hemorrhage and hematoma of left
eye and adnexa following an ophthalmic procedure
H59313
Postprocedural hemorrhage and hematoma of eye
and adnexa following an ophthalmic procedure,
bilateral
17 Complications of Medical Care and Trauma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
17 Complications of Medical Care and Trauma
H59319
17 Complications of Medical Care and Trauma
H59321
17 Complications of Medical Care and Trauma
H59322
Postprocedural hemorrhage and hematoma of
unspecified eye and adnexa following an ophthalmic
procedure
Postprocedural hemorrhage and hematoma of right
eye and adnexa following other procedure
Postprocedural hemorrhage and hematoma of left
eye and adnexa following other procedure
17 Complications of Medical Care and Trauma
H59323
Postprocedural hemorrhage and hematoma of eye
and adnexa following other procedure, bilateral
17 Complications of Medical Care and Trauma
H59329
17 Complications of Medical Care and Trauma
H59811
17 Complications of Medical Care and Trauma
H59812
17 Complications of Medical Care and Trauma
H59813
17 Complications of Medical Care and Trauma
H59819
17 Complications of Medical Care and Trauma
H5988
Postprocedural hemorrhage and hematoma of
unspecified eye and adnexa following other
procedure
Chorioretinal scars after surgery for detachment,
right eye
Chorioretinal scars after surgery for detachment, left
eye
Chorioretinal scars after surgery for detachment,
bilateral
Chorioretinal scars after surgery for detachment,
unspecified eye
Other intraoperative complications of eye and
adnexa, not elsewhere classified
17 Complications of Medical Care and Trauma
H5989
Other postprocedural complications and disorders
of eye and adnexa, not elsewhere classified
H9521
Intraoperative hemorrhage and hematoma of ear
and mastoid process complicating a procedure on
the ear and mastoid process
H9522
Intraoperative hemorrhage and hematoma of ear
and mastoid process complicating other procedure
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
H9531
17 Complications of Medical Care and Trauma
H9532
Accidental puncture and laceration of the ear and
mastoid process during a procedure on the ear and
mastoid process
Accidental puncture and laceration of the ear and
mastoid process during other procedure
17 Complications of Medical Care and Trauma
H9541
Postprocedural hemorrhage and hematoma of ear
and mastoid process following a procedure on the
ear and mastoid process
17 Complications of Medical Care and Trauma
H9542
Postprocedural hemorrhage and hematoma of ear
and mastoid process following other procedure
17 Complications of Medical Care and Trauma
H95811
Postprocedural stenosis of right external ear canal
17 Complications of Medical Care and Trauma
H95812
Postprocedural stenosis of left external ear canal
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
17 Complications of Medical Care and Trauma
H95813
17 Complications of Medical Care and Trauma
H95819
Postprocedural stenosis of external ear canal,
bilateral
Postprocedural stenosis of unspecified external ear
canal
H9588
Other intraoperative complications and disorders of
the ear and mastoid process, not elsewhere
classified
17 Complications of Medical Care and Trauma
Other postprocedural complications and disorders
of the ear and mastoid process, not elsewhere
classified
Postprocedural cardiac insufficiency following
cardiac surgery
Postprocedural cardiac insufficiency following other
surgery
Postprocedural cardiac arrest following cardiac
surgery
Postprocedural cardiac arrest following other
surgery
Postprocedural heart failure following cardiac
surgery
17 Complications of Medical Care and Trauma
H9589
17 Complications of Medical Care and Trauma
I97110
17 Complications of Medical Care and Trauma
I97111
17 Complications of Medical Care and Trauma
I97120
17 Complications of Medical Care and Trauma
I97121
17 Complications of Medical Care and Trauma
I97130
17 Complications of Medical Care and Trauma
I97131
17 Complications of Medical Care and Trauma
I97190
17 Complications of Medical Care and Trauma
I97191
Postprocedural heart failure following other surgery
Other postprocedural cardiac functional
disturbances following cardiac surgery
Other postprocedural cardiac functional
disturbances following other surgery
I97410
Intraoperative hemorrhage and hematoma of a
circulatory system organ or structure complicating a
cardiac catheterization
I97411
Intraoperative hemorrhage and hematoma of a
circulatory system organ or structure complicating a
cardiac bypass
I97418
Intraoperative hemorrhage and hematoma of a
circulatory system organ or structure complicating
other circulatory system procedure
I9742
Intraoperative hemorrhage and hematoma of a
circulatory system organ or structure complicating
other procedure
17 Complications of Medical Care and Trauma
I9751
Accidental puncture and laceration of a circulatory
system organ or structure during a circulatory
system procedure
17 Complications of Medical Care and Trauma
I9752
Accidental puncture and laceration of a circulatory
system organ or structure during other procedure
I97610
Postprocedural hemorrhage and hematoma of a
circulatory system organ or structure following a
cardiac catheterization
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
I97611
Postprocedural hemorrhage and hematoma of a
circulatory system organ or structure following
cardiac bypass
I97618
Postprocedural hemorrhage and hematoma of a
circulatory system organ or structure following
other circulatory system procedure
17 Complications of Medical Care and Trauma
I9762
Postprocedural hemorrhage and hematoma of a
circulatory system organ or structure following
other procedure
17 Complications of Medical Care and Trauma
I97710
Intraoperative cardiac arrest during cardiac surgery
17 Complications of Medical Care and Trauma
I97711
17 Complications of Medical Care and Trauma
I97790
17 Complications of Medical Care and Trauma
I97791
17 Complications of Medical Care and Trauma
I97810
17 Complications of Medical Care and Trauma
I97811
17 Complications of Medical Care and Trauma
I97820
17 Complications of Medical Care and Trauma
I97821
17 Complications of Medical Care and Trauma
I9788
Intraoperative cardiac arrest during other surgery
Other intraoperative cardiac functional disturbances
during cardiac surgery
Other intraoperative cardiac functional disturbances
during other surgery
Intraoperative cerebrovascular infarction during
cardiac surgery
Intraoperative cerebrovascular infarction during
other surgery
Postprocedural cerebrovascular infarction during
cardiac surgery
Postprocedural cerebrovascular infarction during
other surgery
Other intraoperative complications of the circulatory
system, not elsewhere classified
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
I9789
J954
J955
Other postprocedural complications and disorders
of the circulatory system, not elsewhere classified
Chemical pneumonitis due to anesthesia
Postprocedural subglottic stenosis
J9561
Intraoperative hemorrhage and hematoma of a
respiratory system organ or structure complicating a
respiratory system procedure
J9562
Intraoperative hemorrhage and hematoma of a
respiratory system organ or structure complicating
other procedure
17 Complications of Medical Care and Trauma
J9571
Accidental puncture and laceration of a respiratory
system organ or structure during a respiratory
system procedure
17 Complications of Medical Care and Trauma
J9572
Accidental puncture and laceration of a respiratory
system organ or structure during other procedure
J95830
Postprocedural hemorrhage and hematoma of a
respiratory system organ or structure following a
respiratory system procedure
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
J95831
J95851
J95859
17 Complications of Medical Care and Trauma
J9588
Postprocedural hemorrhage and hematoma of a
respiratory system organ or structure following
other procedure
Ventilator associated pneumonia
Other complication of respirator ventilator
Other intraoperative complications of respiratory
system, not elsewhere classified
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
J9589
K6811
Other postprocedural complications and disorders
of respiratory system, not elsewhere classified
Postprocedural retroperitoneal abscess
K9161
Intraoperative hemorrhage and hematoma of a
digestive system organ or structure complicating a
digestive sytem procedure
K9162
Intraoperative hemorrhage and hematoma of a
digestive system organ or structure complicating
other procedure
17 Complications of Medical Care and Trauma
K9171
Accidental puncture and laceration of a digestive
system organ or structure during a digestive system
procedure
17 Complications of Medical Care and Trauma
K9172
Accidental puncture and laceration of a digestive
system organ or structure during other procedure
K91840
Postprocedural hemorrhage and hematoma of a
digestive system organ or structure following a
digestive system procedure
K91841
Postprocedural hemorrhage and hematoma of a
digestive system organ or structure following other
procedure
L7601
Intraoperative hemorrhage and hematoma of skin
and subcutaneous tissue complicating a
dermatologic procedure
L7602
Intraoperative hemorrhage and hematoma of skin
and subcutaneous tissue complicating other
procedure
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
L7611
17 Complications of Medical Care and Trauma
L7612
Accidental puncture and laceration of skin and
subcutaneous tissue during a dermatologic
procedure
Accidental puncture and laceration of skin and
subcutaneous tissue during other procedure
17 Complications of Medical Care and Trauma
L7621
Postprocedural hemorrhage and hematoma of skin
and subcutaneous tissue following a dermatologic
procedure
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
L7622
M960
Postprocedural hemorrhage and hematoma of skin
and subcutaneous tissue following other procedure
Pseudarthrosis after fusion or arthrodesis
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
M96621
Fracture of humerus following insertion of
orthopedic implant, joint prosthesis, or bone plate,
right arm
M96622
Fracture of humerus following insertion of
orthopedic implant, joint prosthesis, or bone plate,
left arm
M96629
Fracture of humerus following insertion of
orthopedic implant, joint prosthesis, or bone plate,
unspecified arm
M96631
Fracture of radius or ulna following insertion of
orthopedic implant, joint prosthesis, or bone plate,
right arm
M96632
Fracture of radius or ulna following insertion of
orthopedic implant, joint prosthesis, or bone plate,
left arm
17 Complications of Medical Care and Trauma
M96639
Fracture of radius or ulna following insertion of
orthopedic implant, joint prosthesis, or bone plate,
unspecified arm
17 Complications of Medical Care and Trauma
M9665
Fracture of pelvis following insertion of orthopedic
implant, joint prosthesis, or bone plate
17 Complications of Medical Care and Trauma
M96661
Fracture of femur following insertion of orthopedic
implant, joint prosthesis, or bone plate, right leg
17 Complications of Medical Care and Trauma
M96662
Fracture of femur following insertion of orthopedic
implant, joint prosthesis, or bone plate, left leg
M96669
Fracture of femur following insertion of orthopedic
implant, joint prosthesis, or bone plate, unspecified
leg
M96671
Fracture of tibia or fibula following insertion of
orthopedic implant, joint prosthesis, or bone plate,
right leg
M96672
Fracture of tibia or fibula following insertion of
orthopedic implant, joint prosthesis, or bone plate,
left leg
17 Complications of Medical Care and Trauma
M96679
Fracture of tibia or fibula following insertion of
orthopedic implant, joint prosthesis, or bone plate,
unspecified leg
17 Complications of Medical Care and Trauma
M9669
Fracture of other bone following insertion of
orthopedic implant, joint prosthesis, or bone plate
M96810
Intraoperative hemorrhage and hematoma of a
musculoskeletal structure complicating a
musculoskeletal system procedure
M96811
Intraoperative hemorrhage and hematoma of a
musculoskeletal structure complicating other
procedure
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
17 Complications of Medical Care and Trauma
M96820
Accidental puncture and laceration of a
musculoskeletal structure during a musculoskeletal
system procedure
17 Complications of Medical Care and Trauma
M96821
Accidental puncture and laceration of a
musculoskeletal structure during other procedure
17 Complications of Medical Care and Trauma
M96830
Postprocedural hemorrhage and hematoma of a
musculoskeletal structure following a
musculoskeletal system procedure
17 Complications of Medical Care and Trauma
M96831
Postprocedural hemorrhage and hematoma of a
musculoskeletal structure following other procedure
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
M9689
N980
N981
17 Complications of Medical Care and Trauma
N982
17 Complications of Medical Care and Trauma
N983
17 Complications of Medical Care and Trauma
N988
17 Complications of Medical Care and Trauma
N989
Other intraoperative and postprocedural
complications and disorders of the musculoskeletal
system
Infection associated with artificial insemination
Hyperstimulation of ovaries
Complications of attempted introduction of
fertilized ovum following in vitro fertilization
Complications of attempted introduction of embryo
in embryo transfer
Other complications associated with artificial
fertilization
Complication associated with artificial fertilization,
unspecified
N9961
Intraoperative hemorrhage and hematoma of a
genitourinary system organ or structure
complicating a genitourinary system procedure
N9962
Intraoperative hemorrhage and hematoma of a
genitourinary system organ or structure
complicating other procedure
N9971
Accidental puncture and laceration of a
genitourinary system organ or structure during a
genitourinary system procedure
N9972
Accidental puncture and laceration of a
genitourinary system organ or structure during
other procedure
N99820
Postprocedural hemorrhage and hematoma of a
genitourinary system organ or structure following a
genitourinary system procedure
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
N99821
T790XXA
T791XXA
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
T792XXA
T794XXA
Postprocedural hemorrhage and hematoma of a
genitourinary system organ or structure following
other procedure
Air embolism (traumatic), initial encounter
Fat embolism (traumatic), initial encounter
Traumatic secondary and recurrent hemorrhage and
seroma, initial encounter
Traumatic shock, initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
17 Complications of Medical Care and Trauma
T795XXA
17 Complications of Medical Care and Trauma
T797XXA
17 Complications of Medical Care and Trauma
T798XXA
17 Complications of Medical Care and Trauma
T79A0XA
17 Complications of Medical Care and Trauma
T79A11A
17 Complications of Medical Care and Trauma
T79A12A
17 Complications of Medical Care and Trauma
T79A19A
17 Complications of Medical Care and Trauma
T79A21A
17 Complications of Medical Care and Trauma
T79A22A
17 Complications of Medical Care and Trauma
T79A29A
17 Complications of Medical Care and Trauma
T79A3XA
17 Complications of Medical Care and Trauma
T79A9XA
17 Complications of Medical Care and Trauma
T800XXA
17 Complications of Medical Care and Trauma
T801XXA
17 Complications of Medical Care and Trauma
T80218A
17 Complications of Medical Care and Trauma
T80219A
17 Complications of Medical Care and Trauma
T8029XA
ICD-10 Dx Description
Traumatic anuria, initial encounter
Traumatic subcutaneous emphysema, initial
encounter
Other early complications of trauma, initial
encounter
Compartment syndrome, unspecified, initial
encounter
Traumatic compartment syndrome of right upper
extremity, initial encounter
Traumatic compartment syndrome of left upper
extremity, initial encounter
Traumatic compartment syndrome of unspecified
upper extremity, initial encounter
Traumatic compartment syndrome of right lower
extremity, initial encounter
Traumatic compartment syndrome of left lower
extremity, initial encounter
Traumatic compartment syndrome of unspecified
lower extremity, initial encounter
Traumatic compartment syndrome of abdomen,
initial encounter
Traumatic compartment syndrome of other sites,
initial encounter
Air embolism following infusion, transfusion and
therapeutic injection, initial encounter
Vascular complications following infusion,
transfusion and therapeutic injection, initial
encounter
Other infection due to central venous catheter,
initial encounter
Unspecified infection due to central venous
catheter, initial encounter
Infection following other infusion, transfusion and
therapeutic injection, initial encounter
17 Complications of Medical Care and Trauma
T8030XA
17 Complications of Medical Care and Trauma
T80310A
17 Complications of Medical Care and Trauma
T80311A
17 Complications of Medical Care and Trauma
T80319A
ABO incompatibility reaction due to transfusion of
blood or blood products, unspecified, initial
encounter
ABO incompatibility with acute hemolytic
transfusion reaction, initial encounter
ABO incompatibility with delayed hemolytic
transfusion reaction, initial encounter
ABO incompatibility with hemolytic transfusion
reaction, unspecified, initial encounter
T8039XA
Other ABO incompatibility reaction due to
transfusion of blood or blood products, initial
encounter
17 Complications of Medical Care and Trauma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
17 Complications of Medical Care and Trauma
T8040XA
17 Complications of Medical Care and Trauma
T80410A
17 Complications of Medical Care and Trauma
T80411A
17 Complications of Medical Care and Trauma
T80419A
ICD-10 Dx Description
Rh incompatibility reaction due to transfusion of
blood or blood products, unspecified, initial
encounter
Rh incompatibility with acute hemolytic transfusion
reaction, initial encounter
Rh incompatibility with delayed hemolytic
transfusion reaction, initial encounter
Rh incompatibility with hemolytic transfusion
reaction, unspecified, initial encounter
17 Complications of Medical Care and Trauma
T8049XA
17 Complications of Medical Care and Trauma
T80810A
17 Complications of Medical Care and Trauma
T80818A
17 Complications of Medical Care and Trauma
T80910A
17 Complications of Medical Care and Trauma
T80911A
Other Rh incompatibility reaction due to transfusion
of blood or blood products, initial encounter
Extravasation of vesicant antineoplastic
chemotherapy, initial encounter
Extravasation of other vesicant agent, initial
encounter
Acute hemolytic transfusion reaction, unspecified
incompatibility, initial encounter
Delayed hemolytic transfusion reaction, unspecified
incompatibility, initial encounter
T80919A
Hemolytic transfusion reaction, unspecified
incompatibility, unspecified as acute or delayed,
initial encounter
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
T80A0XA
17 Complications of Medical Care and Trauma
T80A10A
17 Complications of Medical Care and Trauma
T80A11A
Non-ABO incompatibility reaction due to transfusion
of blood or blood products, unspecified, initial
encounter
Non-ABO incompatibility with acute hemolytic
transfusion reaction, initial encounter
Non-ABO incompatibility with delayed hemolytic
transfusion reaction, initial encounter
17 Complications of Medical Care and Trauma
T80A19A
Non-ABO incompatibility with hemolytic transfusion
reaction, unspecified, initial encounter
17 Complications of Medical Care and Trauma
T80A9XA
Other non-ABO incompatibility reaction due to
transfusion of blood or blood products, initial
encounter
17 Complications of Medical Care and Trauma
T8130XA
Disruption of wound, unspecified, initial encounter
17 Complications of Medical Care and Trauma
T8131XA
Disruption of external operation (surgical) wound,
not elsewhere classified, initial encounter
17 Complications of Medical Care and Trauma
T8132XA
17 Complications of Medical Care and Trauma
T8133XA
Disruption of internal operation (surgical) wound,
not elsewhere classified, initial encounter
Disruption of traumatic injury wound repair, initial
encounter
17 Complications of Medical Care and Trauma
T814XXA
Infection following a procedure, initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
T81500A
Unspecified complication of foreign body
accidentally left in body following surgical operation,
initial encounter
T81501A
Unspecified complication of foreign body
accidentally left in body following infusion or
transfusion, initial encounter
T81502A
Unspecified complication of foreign body
accidentally left in body following kidney dialysis,
initial encounter
T81503A
Unspecified complication of foreign body
accidentally left in body following injection or
immunization, initial encounter
T81504A
Unspecified complication of foreign body
accidentally left in body following endoscopic
examination, initial encounter
T81505A
Unspecified complication of foreign body
accidentally left in body following heart
catheterization, initial encounter
T81506A
Unspecified complication of foreign body
accidentally left in body following aspiration,
puncture or other catheterization, initial encounter
T81507A
Unspecified complication of foreign body
accidentally left in body following removal of
catheter or packing, initial encounter
T81508A
Unspecified complication of foreign body
accidentally left in body following other procedure,
initial encounter
17 Complications of Medical Care and Trauma
T81509A
Unspecified complication of foreign body
accidentally left in body following unspecified
procedure, initial encounter
17 Complications of Medical Care and Trauma
T81510A
Adhesions due to foreign body accidentally left in
body following surgical operation, initial encounter
17 Complications of Medical Care and Trauma
T81511A
Adhesions due to foreign body accidentally left in
body following infusion or transfusion, initial
encounter
17 Complications of Medical Care and Trauma
T81512A
Adhesions due to foreign body accidentally left in
body following kidney dialysis, initial encounter
T81513A
Adhesions due to foreign body accidentally left in
body following injection or immunization, initial
encounter
T81514A
Adhesions due to foreign body accidentally left in
body following endoscopic examination, initial
encounter
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
T81515A
Adhesions due to foreign body accidentally left in
body following heart catheterization, initial
encounter
T81516A
Adhesions due to foreign body accidentally left in
body following aspiration, puncture or other
catheterization, initial encounter
17 Complications of Medical Care and Trauma
T81517A
Adhesions due to foreign body accidentally left in
body following removal of catheter or packing, initial
encounter
17 Complications of Medical Care and Trauma
T81518A
Adhesions due to foreign body accidentally left in
body following other procedure, initial encounter
17 Complications of Medical Care and Trauma
T81519A
Adhesions due to foreign body accidentally left in
body following unspecified procedure, initial
encounter
17 Complications of Medical Care and Trauma
T81520A
Obstruction due to foreign body accidentally left in
body following surgical operation, initial encounter
17 Complications of Medical Care and Trauma
T81521A
Obstruction due to foreign body accidentally left in
body following infusion or transfusion, initial
encounter
17 Complications of Medical Care and Trauma
T81522A
Obstruction due to foreign body accidentally left in
body following kidney dialysis, initial encounter
T81523A
Obstruction due to foreign body accidentally left in
body following injection or immunization, initial
encounter
T81524A
Obstruction due to foreign body accidentally left in
body following endoscopic examination, initial
encounter
T81525A
Obstruction due to foreign body accidentally left in
body following heart catheterization, initial
encounter
T81526A
Obstruction due to foreign body accidentally left in
body following aspiration, puncture or other
catheterization, initial encounter
17 Complications of Medical Care and Trauma
T81527A
Obstruction due to foreign body accidentally left in
body following removal of catheter or packing, initial
encounter
17 Complications of Medical Care and Trauma
T81528A
Obstruction due to foreign body accidentally left in
body following other procedure, initial encounter
17 Complications of Medical Care and Trauma
T81529A
Obstruction due to foreign body accidentally left in
body following unspecified procedure, initial
encounter
17 Complications of Medical Care and Trauma
T81530A
Perforation due to foreign body accidentally left in
body following surgical operation, initial encounter
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
17 Complications of Medical Care and Trauma
T81531A
Perforation due to foreign body accidentally left in
body following infusion or transfusion, initial
encounter
17 Complications of Medical Care and Trauma
T81532A
Perforation due to foreign body accidentally left in
body following kidney dialysis, initial encounter
T81533A
Perforation due to foreign body accidentally left in
body following injection or immunization, initial
encounter
T81534A
Perforation due to foreign body accidentally left in
body following endoscopic examination, initial
encounter
T81535A
Perforation due to foreign body accidentally left in
body following heart catheterization, initial
encounter
T81536A
Perforation due to foreign body accidentally left in
body following aspiration, puncture or other
catheterization, initial encounter
17 Complications of Medical Care and Trauma
T81537A
Perforation due to foreign body accidentally left in
body following removal of catheter or packing, initial
encounter
17 Complications of Medical Care and Trauma
T81538A
Perforation due to foreign body accidentally left in
body following other procedure, initial encounter
T81539A
Perforation due to foreign body accidentally left in
body following unspecified procedure, initial
encounter
T81590A
Other complications of foreign body accidentally left
in body following surgical operation, initial
encounter
17 Complications of Medical Care and Trauma
T81591A
Other complications of foreign body accidentally left
in body following infusion or transfusion, initial
encounter
17 Complications of Medical Care and Trauma
T81592A
Other complications of foreign body accidentally left
in body following kidney dialysis, initial encounter
T81593A
Other complications of foreign body accidentally left
in body following injection or immunization, initial
encounter
T81594A
Other complications of foreign body accidentally left
in body following endoscopic examination, initial
encounter
T81595A
Other complications of foreign body accidentally left
in body following heart catheterization, initial
encounter
T81596A
Other complications of foreign body accidentally left
in body following aspiration, puncture or other
catheterization, initial encounter
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
17 Complications of Medical Care and Trauma
T81597A
Other complications of foreign body accidentally left
in body following removal of catheter or packing,
initial encounter
17 Complications of Medical Care and Trauma
T81598A
Other complications of foreign body accidentally left
in body following other procedure, initial encounter
T81599A
Other complications of foreign body accidentally left
in body following unspecified procedure, initial
encounter
T8160XA
Unspecified acute reaction to foreign substance
accidentally left during a procedure, initial
encounter
T8161XA
Aseptic peritonitis due to foreign substance
accidentally left during a procedure, initial
encounter
T8169XA
Other acute reaction to foreign substance
accidentally left during a procedure, initial
encounter
17 Complications of Medical Care and Trauma
T81710A
Complication of mesenteric artery following a
procedure, not elsewhere classified, initial
encounter
17 Complications of Medical Care and Trauma
T81711A
Complication of renal artery following a procedure,
not elsewhere classified, initial encounter
17 Complications of Medical Care and Trauma
T81718A
Complication of other artery following a procedure,
not elsewhere classified, initial encounter
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
T81719A
17 Complications of Medical Care and Trauma
T8172XA
17 Complications of Medical Care and Trauma
T8183XA
17 Complications of Medical Care and Trauma
T8189XA
17 Complications of Medical Care and Trauma
T8201XA
17 Complications of Medical Care and Trauma
T8202XA
17 Complications of Medical Care and Trauma
T8203XA
17 Complications of Medical Care and Trauma
T8209XA
17 Complications of Medical Care and Trauma
T82110A
17 Complications of Medical Care and Trauma
T82111A
Complication of unspecified artery following a
procedure, not elsewhere classified, initial
encounter
Complication of vein following a procedure, not
elsewhere classified, initial encounter
Persistent postprocedural fistula, initial encounter
Other complications of procedures, not elsewhere
classified, initial encounter
Breakdown (mechanical) of heart valve prosthesis,
initial encounter
Displacement of heart valve prosthesis, initial
encounter
Leakage of heart valve prosthesis, initial encounter
Other mechanical complication of heart valve
prosthesis, initial encounter
Breakdown (mechanical) of cardiac electrode, initial
encounter
Breakdown (mechanical) of cardiac pulse generator
(battery), initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
17 Complications of Medical Care and Trauma
T82118A
17 Complications of Medical Care and Trauma
T82119A
17 Complications of Medical Care and Trauma
T82120A
17 Complications of Medical Care and Trauma
T82121A
17 Complications of Medical Care and Trauma
T82128A
17 Complications of Medical Care and Trauma
T82129A
17 Complications of Medical Care and Trauma
T82190A
17 Complications of Medical Care and Trauma
T82191A
17 Complications of Medical Care and Trauma
T82198A
17 Complications of Medical Care and Trauma
T82199A
17 Complications of Medical Care and Trauma
T82211A
17 Complications of Medical Care and Trauma
T82212A
17 Complications of Medical Care and Trauma
T82213A
17 Complications of Medical Care and Trauma
T82218A
17 Complications of Medical Care and Trauma
T82221A
17 Complications of Medical Care and Trauma
T82222A
17 Complications of Medical Care and Trauma
T82223A
17 Complications of Medical Care and Trauma
T82228A
17 Complications of Medical Care and Trauma
T82310A
17 Complications of Medical Care and Trauma
T82311A
17 Complications of Medical Care and Trauma
T82312A
17 Complications of Medical Care and Trauma
T82318A
17 Complications of Medical Care and Trauma
T82319A
17 Complications of Medical Care and Trauma
T82320A
ICD-10 Dx Description
Breakdown (mechanical) of other cardiac electronic
device, initial encounter
Breakdown (mechanical) of unspecified cardiac
electronic device, initial encounter
Displacement of cardiac electrode, initial encounter
Displacement of cardiac pulse generator (battery),
initial encounter
Displacement of other cardiac electronic device,
initial encounter
Displacement of unspecified cardiac electronic
device, initial encounter
Other mechanical complication of cardiac electrode,
initial encounter
Other mechanical complication of cardiac pulse
generator (battery), initial encounter
Other mechanical complication of other cardiac
electronic device, initial encounter
Other mechanical complication of unspecified
cardiac device, initial encounter
Breakdown (mechanical) of coronary artery bypass
graft, initial encounter
Displacement of coronary artery bypass graft, initial
encounter
Leakage of coronary artery bypass graft, initial
encounter
Other mechanical complication of coronary artery
bypass graft, initial encounter
Breakdown (mechanical) of biological heart valve
graft, initial encounter
Displacement of biological heart valve graft, initial
encounter
Leakage of biological heart valve graft, initial
encounter
Other mechanical complication of biological heart
valve graft, initial encounter
Breakdown (mechanical) of aortic (bifurcation) graft
(replacement), initial encounter
Breakdown (mechanical) of carotid arterial graft
(bypass), initial encounter
Breakdown (mechanical) of femoral arterial graft
(bypass), initial encounter
Breakdown (mechanical) of other vascular grafts,
initial encounter
Breakdown (mechanical) of unspecified vascular
grafts, initial encounter
Displacement of aortic (bifurcation) graft
(replacement), initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
17 Complications of Medical Care and Trauma
T82321A
17 Complications of Medical Care and Trauma
T82322A
17 Complications of Medical Care and Trauma
T82328A
17 Complications of Medical Care and Trauma
T82329A
17 Complications of Medical Care and Trauma
T82330A
17 Complications of Medical Care and Trauma
T82331A
17 Complications of Medical Care and Trauma
T82332A
17 Complications of Medical Care and Trauma
T82338A
17 Complications of Medical Care and Trauma
T82339A
17 Complications of Medical Care and Trauma
T82390A
17 Complications of Medical Care and Trauma
T82391A
17 Complications of Medical Care and Trauma
T82392A
17 Complications of Medical Care and Trauma
T82398A
17 Complications of Medical Care and Trauma
T82399A
17 Complications of Medical Care and Trauma
T8241XA
17 Complications of Medical Care and Trauma
T8242XA
17 Complications of Medical Care and Trauma
T8243XA
17 Complications of Medical Care and Trauma
T8249XA
17 Complications of Medical Care and Trauma
T82510A
17 Complications of Medical Care and Trauma
T82511A
17 Complications of Medical Care and Trauma
T82512A
17 Complications of Medical Care and Trauma
T82513A
17 Complications of Medical Care and Trauma
T82514A
ICD-10 Dx Description
Displacement of carotid arterial graft (bypass), initial
encounter
Displacement of femoral arterial graft (bypass),
initial encounter
Displacement of other vascular grafts, initial
encounter
Displacement of unspecified vascular grafts, initial
encounter
Leakage of aortic (bifurcation) graft (replacement),
initial encounter
Leakage of carotid arterial graft (bypass), initial
encounter
Leakage of femoral arterial graft (bypass), initial
encounter
Leakage of other vascular grafts, initial encounter
Leakage of unspecified vascular graft, initial
encounter
Other mechanical complication of aortic
(bifurcation) graft (replacement), initial encounter
Other mechanical complication of carotid arterial
graft (bypass), initial encounter
Other mechanical complication of femoral arterial
graft (bypass), initial encounter
Other mechanical complication of other vascular
grafts, initial encounter
Other mechanical complication of unspecified
vascular grafts, initial encounter
Breakdown (mechanical) of vascular dialysis
catheter, initial encounter
Displacement of vascular dialysis catheter, initial
encounter
Leakage of vascular dialysis catheter, initial
encounter
Other complication of vascular dialysis catheter,
initial encounter
Breakdown (mechanical) of surgically created
arteriovenous fistula, initial encounter
Breakdown (mechanical) of surgically created
arteriovenous shunt, initial encounter
Breakdown (mechanical) of artificial heart, initial
encounter
Breakdown (mechanical) of balloon
(counterpulsation) device, initial encounter
Breakdown (mechanical) of infusion catheter, initial
encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
Breakdown (mechanical) of umbrella device, initial
encounter
Breakdown (mechanical) of other cardiac and
vascular devices and implants, initial encounter
17 Complications of Medical Care and Trauma
T82515A
17 Complications of Medical Care and Trauma
T82518A
17 Complications of Medical Care and Trauma
T82519A
17 Complications of Medical Care and Trauma
T82520A
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
T82521A
T82522A
17 Complications of Medical Care and Trauma
T82523A
Breakdown (mechanical) of unspecified cardiac and
vascular devices and implants, initial encounter
Displacement of surgically created arteriovenous
fistula, initial encounter
Displacement of surgically created arteriovenous
shunt, initial encounter
Displacement of artificial heart, initial encounter
Displacement of balloon (counterpulsation) device,
initial encounter
17 Complications of Medical Care and Trauma
T82524A
Displacement of infusion catheter, initial encounter
17 Complications of Medical Care and Trauma
T82525A
17 Complications of Medical Care and Trauma
T82528A
17 Complications of Medical Care and Trauma
T82529A
17 Complications of Medical Care and Trauma
T82530A
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
T82531A
T82532A
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
T82533A
T82534A
T82535A
17 Complications of Medical Care and Trauma
T82538A
17 Complications of Medical Care and Trauma
T82539A
17 Complications of Medical Care and Trauma
T82590A
17 Complications of Medical Care and Trauma
T82591A
17 Complications of Medical Care and Trauma
T82592A
17 Complications of Medical Care and Trauma
T82593A
17 Complications of Medical Care and Trauma
T82594A
17 Complications of Medical Care and Trauma
T82595A
Displacement of umbrella device, initial encounter
Displacement of other cardiac and vascular devices
and implants, initial encounter
Displacement of unspecified cardiac and vascular
devices and implants, initial encounter
Leakage of surgically created arteriovenous fistula,
initial encounter
Leakage of surgically created arteriovenous shunt,
initial encounter
Leakage of artificial heart, initial encounter
Leakage of balloon (counterpulsation) device, initial
encounter
Leakage of infusion catheter, initial encounter
Leakage of umbrella device, initial encounter
Leakage of other cardiac and vascular devices and
implants, initial encounter
Leakage of unspecified cardiac and vascular devices
and implants, initial encounter
Other mechanical complication of surgically created
arteriovenous fistula, initial encounter
Other mechanical complication of surgically created
arteriovenous shunt, initial encounter
Other mechanical complication of artificial heart,
initial encounter
Other mechanical complication of balloon
(counterpulsation) device, initial encounter
Other mechanical complication of infusion catheter,
initial encounter
Other mechanical complication of umbrella device,
initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
17 Complications of Medical Care and Trauma
ICD-10 Dx Cd
T82598A
17 Complications of Medical Care and Trauma
T82599A
17 Complications of Medical Care and Trauma
T826XXA
ICD-10 Dx Description
Other mechanical complication of other cardiac and
vascular devices and implants, initial encounter
Other mechanical complication of unspecified
cardiac and vascular devices and implants, initial
encounter
Infection and inflammatory reaction due to cardiac
valve prosthesis, initial encounter
17 Complications of Medical Care and Trauma
T827XXA
17 Complications of Medical Care and Trauma
T82817A
17 Complications of Medical Care and Trauma
T82818A
17 Complications of Medical Care and Trauma
T82827A
17 Complications of Medical Care and Trauma
T82828A
17 Complications of Medical Care and Trauma
T82837A
17 Complications of Medical Care and Trauma
T82838A
17 Complications of Medical Care and Trauma
T82847A
17 Complications of Medical Care and Trauma
T82848A
17 Complications of Medical Care and Trauma
T82857A
17 Complications of Medical Care and Trauma
T82858A
17 Complications of Medical Care and Trauma
T82867A
17 Complications of Medical Care and Trauma
T82868A
Infection and inflammatory reaction due to other
cardiac and vascular devices, implants and grafts,
initial encounter
Embolism of cardiac prosthetic devices, implants
and grafts, initial encounter
Embolism of vascular prosthetic devices, implants
and grafts, initial encounter
Fibrosis of cardiac prosthetic devices, implants and
grafts, initial encounter
Fibrosis of vascular prosthetic devices, implants and
grafts, initial encounter
Hemorrhage of cardiac prosthetic devices, implants
and grafts, initial encounter
Hemorrhage of vascular prosthetic devices, implants
and grafts, initial encounter
Pain from cardiac prosthetic devices, implants and
grafts, initial encounter
Pain from vascular prosthetic devices, implants and
grafts, initial encounter
Stenosis of cardiac prosthetic devices, implants and
grafts, initial encounter
Stenosis of vascular prosthetic devices, implants and
grafts, initial encounter
Thrombosis of cardiac prosthetic devices, implants
and grafts, initial encounter
Thrombosis of vascular prosthetic devices, implants
and grafts, initial encounter
17 Complications of Medical Care and Trauma
T82897A
Other specified complication of cardiac prosthetic
devices, implants and grafts, initial encounter
17 Complications of Medical Care and Trauma
T82898A
Other specified complication of vascular prosthetic
devices, implants and grafts, initial encounter
17 Complications of Medical Care and Trauma
T829XXA
17 Complications of Medical Care and Trauma
T83010A
17 Complications of Medical Care and Trauma
T83020A
Unspecified complication of cardiac and vascular
prosthetic device, implant and graft, initial
encounter
Breakdown (mechanical) of cystostomy catheter,
initial encounter
Displacement of cystostomy catheter, initial
encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
17 Complications of Medical Care and Trauma
T83030A
17 Complications of Medical Care and Trauma
T83090A
17 Complications of Medical Care and Trauma
T83110A
17 Complications of Medical Care and Trauma
T83111A
17 Complications of Medical Care and Trauma
T83112A
17 Complications of Medical Care and Trauma
T83118A
17 Complications of Medical Care and Trauma
T83120A
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
T83121A
T83122A
17 Complications of Medical Care and Trauma
T83128A
17 Complications of Medical Care and Trauma
T83190A
17 Complications of Medical Care and Trauma
T83191A
17 Complications of Medical Care and Trauma
T83192A
17 Complications of Medical Care and Trauma
T83198A
17 Complications of Medical Care and Trauma
T8321XA
17 Complications of Medical Care and Trauma
T8322XA
17 Complications of Medical Care and Trauma
T8323XA
17 Complications of Medical Care and Trauma
T8329XA
17 Complications of Medical Care and Trauma
T83410A
17 Complications of Medical Care and Trauma
T83418A
17 Complications of Medical Care and Trauma
T83420A
17 Complications of Medical Care and Trauma
T83428A
17 Complications of Medical Care and Trauma
T83490A
ICD-10 Dx Description
Leakage of cystostomy catheter, initial encounter
Other mechanical complication of cystostomy
catheter, initial encounter
Breakdown (mechanical) of urinary electronic
stimulator device, initial encounter
Breakdown (mechanical) of urinary sphincter
implant, initial encounter
Breakdown (mechanical) of urinary stent, initial
encounter
Breakdown (mechanical) of other urinary devices
and implants, initial encounter
Displacement of urinary electronic stimulator
device, initial encounter
Displacement of urinary sphincter implant, initial
encounter
Displacement of urinary stent, initial encounter
Displacement of other urinary devices and implants,
initial encounter
Other mechanical complication of urinary electronic
stimulator device, initial encounter
Other mechanical complication of urinary sphincter
implant, initial encounter
Other mechanical complication of urinary stent,
initial encounter
Other mechanical complication of other urinary
devices and implants, initial encounter
Breakdown (mechanical) of graft of urinary organ,
initial encounter
Displacement of graft of urinary organ, initial
encounter
Leakage of graft of urinary organ, initial encounter
Other mechanical complication of graft of urinary
organ, initial encounter
Breakdown (mechanical) of penile (implanted)
prosthesis, initial encounter
Breakdown (mechanical) of other prosthetic devices,
implants and grafts of genital tract, initial encounter
Displacement of penile (implanted) prosthesis, initial
encounter
Displacement of other prosthetic devices, implants
and grafts of genital tract, initial encounter
Other mechanical complication of penile (implanted)
prosthesis, initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
17 Complications of Medical Care and Trauma
T83498A
17 Complications of Medical Care and Trauma
T8351XA
Other mechanical complication of other prosthetic
devices, implants and grafts of genital tract, initial
encounter
Infection and inflammatory reaction due to
indwelling urinary catheter, initial encounter
T8359XA
Infection and inflammatory reaction due to
prosthetic device, implant and graft in urinary
system, initial encounter
T836XXA
Infection and inflammatory reaction due to
prosthetic device, implant and graft in genital tract,
initial encounter
T83718A
Erosion of other implanted mesh and other
prosthetic materials to surrounding organ or tissue,
initial encounter
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
T83728A
17 Complications of Medical Care and Trauma
T8381XA
17 Complications of Medical Care and Trauma
T8382XA
17 Complications of Medical Care and Trauma
T8383XA
17 Complications of Medical Care and Trauma
T8384XA
17 Complications of Medical Care and Trauma
T8385XA
17 Complications of Medical Care and Trauma
T8386XA
Exposure of other implanted mesh and other
prosthetic materials to surrounding organ or tissue,
initial encounter
Embolism of genitourinary prosthetic devices,
implants and grafts, initial encounter
Fibrosis of genitourinary prosthetic devices, implants
and grafts, initial encounter
Hemorrhage of genitourinary prosthetic devices,
implants and grafts, initial encounter
Pain from genitourinary prosthetic devices, implants
and grafts, initial encounter
Stenosis of genitourinary prosthetic devices,
implants and grafts, initial encounter
Thrombosis of genitourinary prosthetic devices,
implants and grafts, initial encounter
17 Complications of Medical Care and Trauma
T8389XA
Other specified complication of genitourinary
prosthetic devices, implants and grafts, initial
encounter
17 Complications of Medical Care and Trauma
T839XXA
17 Complications of Medical Care and Trauma
T84010A
17 Complications of Medical Care and Trauma
T84011A
17 Complications of Medical Care and Trauma
T84012A
17 Complications of Medical Care and Trauma
T84013A
17 Complications of Medical Care and Trauma
T84018A
17 Complications of Medical Care and Trauma
T84019A
Unspecified complication of genitourinary prosthetic
device, implant and graft, initial encounter
Broken internal right hip prosthesis, initial
encounter
Broken internal left hip prosthesis, initial encounter
Broken internal right knee prosthesis, initial
encounter
Broken internal left knee prosthesis, initial
encounter
Broken internal joint prosthesis, other site, initial
encounter
Broken internal joint prosthesis, unspecified site,
initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
17 Complications of Medical Care and Trauma
T84020A
17 Complications of Medical Care and Trauma
T84021A
17 Complications of Medical Care and Trauma
T84022A
17 Complications of Medical Care and Trauma
T84023A
17 Complications of Medical Care and Trauma
T84028A
17 Complications of Medical Care and Trauma
T84029A
17 Complications of Medical Care and Trauma
T84030A
17 Complications of Medical Care and Trauma
T84031A
17 Complications of Medical Care and Trauma
T84032A
17 Complications of Medical Care and Trauma
T84033A
17 Complications of Medical Care and Trauma
T84038A
17 Complications of Medical Care and Trauma
T84039A
17 Complications of Medical Care and Trauma
T84040A
17 Complications of Medical Care and Trauma
T84041A
17 Complications of Medical Care and Trauma
T84042A
17 Complications of Medical Care and Trauma
T84043A
17 Complications of Medical Care and Trauma
T84048A
17 Complications of Medical Care and Trauma
T84049A
17 Complications of Medical Care and Trauma
T84050A
17 Complications of Medical Care and Trauma
T84051A
17 Complications of Medical Care and Trauma
T84052A
17 Complications of Medical Care and Trauma
T84053A
17 Complications of Medical Care and Trauma
T84058A
17 Complications of Medical Care and Trauma
T84059A
ICD-10 Dx Description
Dislocation of internal right hip prosthesis, initial
encounter
Dislocation of internal left hip prosthesis, initial
encounter
Instability of internal right knee prosthesis, initial
encounter
Instability of internal left knee prosthesis, initial
encounter
Dislocation of other internal joint prosthesis, initial
encounter
Dislocation of unspecified internal joint prosthesis,
initial encounter
Mechanical loosening of internal right hip prosthetic
joint, initial encounter
Mechanical loosening of internal left hip prosthetic
joint, initial encounter
Mechanical loosening of internal right knee
prosthetic joint, initial encounter
Mechanical loosening of internal left knee prosthetic
joint, initial encounter
Mechanical loosening of other internal prosthetic
joint, initial encounter
Mechanical loosening of unspecified internal
prosthetic joint, initial encounter
Periprosthetic fracture around internal prosthetic
right hip joint, initial encounter
Periprosthetic fracture around internal prosthetic
left hip joint, initial encounter
Periprosthetic fracture around internal prosthetic
right knee joint, initial encounter
Periprosthetic fracture around internal prosthetic
left knee joint, initial encounter
Periprosthetic fracture around other internal
prosthetic joint, initial encounter
Periprosthetic fracture around unspecified internal
prosthetic joint, initial encounter
Periprosthetic osteolysis of internal prosthetic right
hip joint, initial encounter
Periprosthetic osteolysis of internal prosthetic left
hip joint, initial encounter
Periprosthetic osteolysis of internal prosthetic right
knee joint, initial encounter
Periprosthetic osteolysis of internal prosthetic left
knee joint, initial encounter
Periprosthetic osteolysis of other internal prosthetic
joint, initial encounter
Periprosthetic osteolysis of unspecified internal
prosthetic joint, initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
17 Complications of Medical Care and Trauma
T84060A
17 Complications of Medical Care and Trauma
T84061A
17 Complications of Medical Care and Trauma
T84062A
17 Complications of Medical Care and Trauma
T84063A
17 Complications of Medical Care and Trauma
T84068A
17 Complications of Medical Care and Trauma
T84069A
17 Complications of Medical Care and Trauma
T84090A
17 Complications of Medical Care and Trauma
T84091A
17 Complications of Medical Care and Trauma
T84092A
17 Complications of Medical Care and Trauma
T84093A
17 Complications of Medical Care and Trauma
T84098A
17 Complications of Medical Care and Trauma
T84099A
17 Complications of Medical Care and Trauma
T84110A
17 Complications of Medical Care and Trauma
T84111A
17 Complications of Medical Care and Trauma
T84112A
17 Complications of Medical Care and Trauma
T84113A
17 Complications of Medical Care and Trauma
T84114A
17 Complications of Medical Care and Trauma
T84115A
17 Complications of Medical Care and Trauma
T84116A
17 Complications of Medical Care and Trauma
T84117A
17 Complications of Medical Care and Trauma
T84119A
17 Complications of Medical Care and Trauma
T84120A
ICD-10 Dx Description
Wear of articular bearing surface of internal
prosthetic right hip joint, initial encounter
Wear of articular bearing surface of internal
prosthetic left hip joint, initial encounter
Wear of articular bearing surface of internal
prosthetic right knee joint, initial encounter
Wear of articular bearing surface of internal
prosthetic left knee joint, initial encounter
Wear of articular bearing surface of other internal
prosthetic joint, initial encounter
Wear of articular bearing surface of unspecified
internal prosthetic joint, initial encounter
Other mechanical complication of internal right hip
prosthesis, initial encounter
Other mechanical complication of internal left hip
prosthesis, initial encounter
Other mechanical complication of internal right knee
prosthesis, initial encounter
Other mechanical complication of internal left knee
prosthesis, initial encounter
Other mechanical complication of other internal
joint prosthesis, initial encounter
Other mechanical complication of unspecified
internal joint prosthesis, initial encounter
Breakdown (mechanical) of internal fixation device
of right humerus, initial encounter
Breakdown (mechanical) of internal fixation device
of left humerus, initial encounter
Breakdown (mechanical) of internal fixation device
of bone of right forearm, initial encounter
Breakdown (mechanical) of internal fixation device
of bone of left forearm, initial encounter
Breakdown (mechanical) of internal fixation device
of right femur, initial encounter
Breakdown (mechanical) of internal fixation device
of left femur, initial encounter
Breakdown (mechanical) of internal fixation device
of bone of right lower leg, initial encounter
Breakdown (mechanical) of internal fixation device
of bone of left lower leg, initial encounter
Breakdown (mechanical) of internal fixation device
of unspecified bone of limb, initial encounter
Displacement of internal fixation device of right
humerus, initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
Displacement of internal fixation device of left
humerus, initial encounter
Displacement of internal fixation device of bone of
right forearm, initial encounter
Displacement of internal fixation device of bone of
left forearm, initial encounter
Displacement of internal fixation device of right
femur, initial encounter
Displacement of internal fixation device of left
femur, initial encounter
Displacement of internal fixation device of bone of
right lower leg, initial encounter
Displacement of internal fixation device of bone of
left lower leg, initial encounter
Displacement of internal fixation device of
unspecified bone of limb, initial encounter
17 Complications of Medical Care and Trauma
T84121A
17 Complications of Medical Care and Trauma
T84122A
17 Complications of Medical Care and Trauma
T84123A
17 Complications of Medical Care and Trauma
T84124A
17 Complications of Medical Care and Trauma
T84125A
17 Complications of Medical Care and Trauma
T84126A
17 Complications of Medical Care and Trauma
T84127A
17 Complications of Medical Care and Trauma
T84129A
17 Complications of Medical Care and Trauma
T84190A
17 Complications of Medical Care and Trauma
T84191A
Other mechanical complication of internal fixation
device of right humerus, initial encounter
Other mechanical complication of internal fixation
device of left humerus, initial encounter
17 Complications of Medical Care and Trauma
T84192A
Other mechanical complication of internal fixation
device of bone of right forearm, initial encounter
17 Complications of Medical Care and Trauma
T84193A
17 Complications of Medical Care and Trauma
T84194A
17 Complications of Medical Care and Trauma
T84195A
Other mechanical complication of internal fixation
device of bone of left forearm, initial encounter
Other mechanical complication of internal fixation
device of right femur, initial encounter
Other mechanical complication of internal fixation
device of left femur, initial encounter
17 Complications of Medical Care and Trauma
T84196A
Other mechanical complication of internal fixation
device of bone of right lower leg, initial encounter
17 Complications of Medical Care and Trauma
T84197A
Other mechanical complication of internal fixation
device of bone of left lower leg, initial encounter
17 Complications of Medical Care and Trauma
T84199A
Other mechanical complication of internal fixation
device of unspecified bone of limb, initial encounter
17 Complications of Medical Care and Trauma
T84210A
Breakdown (mechanical) of internal fixation device
of bones of hand and fingers, initial encounter
17 Complications of Medical Care and Trauma
T84213A
17 Complications of Medical Care and Trauma
T84216A
Breakdown (mechanical) of internal fixation device
of bones of foot and toes, initial encounter
Breakdown (mechanical) of internal fixation device
of vertebrae, initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
17 Complications of Medical Care and Trauma
T84218A
17 Complications of Medical Care and Trauma
T84220A
17 Complications of Medical Care and Trauma
T84223A
17 Complications of Medical Care and Trauma
T84226A
17 Complications of Medical Care and Trauma
T84228A
Breakdown (mechanical) of internal fixation device
of other bones, initial encounter
Displacement of internal fixation device of bones of
hand and fingers, initial encounter
Displacement of internal fixation device of bones of
foot and toes, initial encounter
Displacement of internal fixation device of
vertebrae, initial encounter
Displacement of internal fixation device of other
bones, initial encounter
T84290A
Other mechanical complication of internal fixation
device of bones of hand and fingers, initial
encounter
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
T84293A
17 Complications of Medical Care and Trauma
T84296A
17 Complications of Medical Care and Trauma
T84298A
17 Complications of Medical Care and Trauma
T84310A
17 Complications of Medical Care and Trauma
T84318A
17 Complications of Medical Care and Trauma
T84320A
17 Complications of Medical Care and Trauma
T84328A
17 Complications of Medical Care and Trauma
T84390A
17 Complications of Medical Care and Trauma
T84398A
17 Complications of Medical Care and Trauma
T84410A
Other mechanical complication of internal fixation
device of bones of foot and toes, initial encounter
Other mechanical complication of internal fixation
device of vertebrae, initial encounter
Other mechanical complication of internal fixation
device of other bones, initial encounter
Breakdown (mechanical) of electronic bone
stimulator, initial encounter
Breakdown (mechanical) of other bone devices,
implants and grafts, initial encounter
Displacement of electronic bone stimulator, initial
encounter
Displacement of other bone devices, implants and
grafts, initial encounter
Other mechanical complication of electronic bone
stimulator, initial encounter
Other mechanical complication of other bone
devices, implants and grafts, initial encounter
Breakdown (mechanical) of muscle and tendon
graft, initial encounter
17 Complications of Medical Care and Trauma
T84418A
17 Complications of Medical Care and Trauma
T84420A
17 Complications of Medical Care and Trauma
T84428A
17 Complications of Medical Care and Trauma
T84490A
Breakdown (mechanical) of other internal
orthopedic devices, implants and grafts, initial
encounter
Displacement of muscle and tendon graft, initial
encounter
Displacement of other internal orthopedic devices,
implants and grafts, initial encounter
Other mechanical complication of muscle and
tendon graft, initial encounter
T84498A
Other mechanical complication of other internal
orthopedic devices, implants and grafts, initial
encounter
17 Complications of Medical Care and Trauma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
17 Complications of Medical Care and Trauma
T8450XA
17 Complications of Medical Care and Trauma
T8451XA
17 Complications of Medical Care and Trauma
T8452XA
17 Complications of Medical Care and Trauma
T8453XA
17 Complications of Medical Care and Trauma
T8454XA
17 Complications of Medical Care and Trauma
T8459XA
Infection and inflammatory reaction due to
unspecified internal joint prosthesis, initial
encounter
Infection and inflammatory reaction due to internal
right hip prosthesis, initial encounter
Infection and inflammatory reaction due to internal
left hip prosthesis, initial encounter
Infection and inflammatory reaction due to internal
right knee prosthesis, initial encounter
Infection and inflammatory reaction due to internal
left knee prosthesis, initial encounter
Infection and inflammatory reaction due to other
internal joint prosthesis, initial encounter
17 Complications of Medical Care and Trauma
T8460XA
Infection and inflammatory reaction due to internal
fixation device of unspecified site, initial encounter
17 Complications of Medical Care and Trauma
T84610A
Infection and inflammatory reaction due to internal
fixation device of right humerus, initial encounter
17 Complications of Medical Care and Trauma
T84611A
Infection and inflammatory reaction due to internal
fixation device of left humerus, initial encounter
17 Complications of Medical Care and Trauma
T84612A
Infection and inflammatory reaction due to internal
fixation device of right radius, initial encounter
17 Complications of Medical Care and Trauma
T84613A
Infection and inflammatory reaction due to internal
fixation device of left radius, initial encounter
17 Complications of Medical Care and Trauma
T84614A
Infection and inflammatory reaction due to internal
fixation device of right ulna, initial encounter
17 Complications of Medical Care and Trauma
T84615A
Infection and inflammatory reaction due to internal
fixation device of left ulna, initial encounter
T84619A
Infection and inflammatory reaction due to internal
fixation device of unspecified bone of arm, initial
encounter
17 Complications of Medical Care and Trauma
T84620A
Infection and inflammatory reaction due to internal
fixation device of right femur, initial encounter
17 Complications of Medical Care and Trauma
T84621A
Infection and inflammatory reaction due to internal
fixation device of left femur, initial encounter
17 Complications of Medical Care and Trauma
T84622A
Infection and inflammatory reaction due to internal
fixation device of right tibia, initial encounter
17 Complications of Medical Care and Trauma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
17 Complications of Medical Care and Trauma
T84623A
Infection and inflammatory reaction due to internal
fixation device of left tibia, initial encounter
17 Complications of Medical Care and Trauma
T84624A
Infection and inflammatory reaction due to internal
fixation device of right fibula, initial encounter
17 Complications of Medical Care and Trauma
T84625A
Infection and inflammatory reaction due to internal
fixation device of left fibula, initial encounter
17 Complications of Medical Care and Trauma
T84629A
Infection and inflammatory reaction due to internal
fixation device of unspecified bone of leg, initial
encounter
17 Complications of Medical Care and Trauma
T8463XA
Infection and inflammatory reaction due to internal
fixation device of spine, initial encounter
17 Complications of Medical Care and Trauma
T8469XA
Infection and inflammatory reaction due to internal
fixation device of other site, initial encounter
Infection and inflammatory reaction due to other
internal orthopedic prosthetic devices, implants and
grafts, initial encounter
Embolism due to internal orthopedic prosthetic
devices, implants and grafts, initial encounter
Fibrosis due to internal orthopedic prosthetic
devices, implants and grafts, initial encounter
17 Complications of Medical Care and Trauma
T847XXA
17 Complications of Medical Care and Trauma
T8481XA
17 Complications of Medical Care and Trauma
T8482XA
17 Complications of Medical Care and Trauma
T8483XA
17 Complications of Medical Care and Trauma
T8484XA
17 Complications of Medical Care and Trauma
T8485XA
Hemorrhage due to internal orthopedic prosthetic
devices, implants and grafts, initial encounter
Pain due to internal orthopedic prosthetic devices,
implants and grafts, initial encounter
Stenosis due to internal orthopedic prosthetic
devices, implants and grafts, initial encounter
17 Complications of Medical Care and Trauma
T8486XA
Thrombosis due to internal orthopedic prosthetic
devices, implants and grafts, initial encounter
T8489XA
Other specified complication of internal orthopedic
prosthetic devices, implants and grafts, initial
encounter
T849XXA
Unspecified complication of internal orthopedic
prosthetic device, implant and graft, initial
encounter
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
T8501XA
17 Complications of Medical Care and Trauma
T8502XA
17 Complications of Medical Care and Trauma
T8503XA
Breakdown (mechanical) of ventricular intracranial
(communicating) shunt, initial encounter
Displacement of ventricular intracranial
(communicating) shunt, initial encounter
Leakage of ventricular intracranial (communicating)
shunt, initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
ICD-10 Dx Cd
ICD-10 Dx Description
T8509XA
Other mechanical complication of ventricular
intracranial (communicating) shunt, initial encounter
T85110A
Breakdown (mechanical) of implanted electronic
neurostimulator (electrode) of brain, initial
encounter
T85111A
Breakdown (mechanical) of implanted electronic
neurostimulator (electrode) of peripheral nerve,
initial encounter
T85112A
Breakdown (mechanical) of implanted electronic
neurostimulator (electrode) of spinal cord, initial
encounter
T85118A
Breakdown (mechanical) of other implanted
electronic stimulator of nervous system, initial
encounter
T85120A
Displacement of implanted electronic
neurostimulator (electrode) of brain, initial
encounter
T85121A
Displacement of implanted electronic
neurostimulator (electrode) of peripheral nerve,
initial encounter
17 Complications of Medical Care and Trauma
T85122A
17 Complications of Medical Care and Trauma
T85128A
Displacement of implanted electronic
neurostimulator (electrode) of spinal cord, initial
encounter
Displacement of other implanted electronic
stimulator of nervous system, initial encounter
T85190A
Other mechanical complication of implanted
electronic neurostimulator (electrode) of brain,
initial encounter
T85191A
Other mechanical complication of implanted
electronic neurostimulator (electrode) of peripheral
nerve, initial encounter
T85192A
Other mechanical complication of implanted
electronic neurostimulator (electrode) of spinal
cord, initial encounter
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
T85199A
17 Complications of Medical Care and Trauma
T8521XA
17 Complications of Medical Care and Trauma
T8522XA
17 Complications of Medical Care and Trauma
T8529XA
17 Complications of Medical Care and Trauma
T85310A
17 Complications of Medical Care and Trauma
T85311A
Other mechanical complication of other implanted
electronic stimulator of nervous system, initial
encounter
Breakdown (mechanical) of intraocular lens, initial
encounter
Displacement of intraocular lens, initial encounter
Other mechanical complication of intraocular lens,
initial encounter
Breakdown (mechanical) of prosthetic orbit of right
eye, initial encounter
Breakdown (mechanical) of prosthetic orbit of left
eye, initial encounter
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
17 Complications of Medical Care and Trauma
T85318A
17 Complications of Medical Care and Trauma
T85320A
17 Complications of Medical Care and Trauma
T85321A
17 Complications of Medical Care and Trauma
T85328A
17 Complications of Medical Care and Trauma
T85390A
17 Complications of Medical Care and Trauma
T85391A
17 Complications of Medical Care and Trauma
T85398A
17 Complications of Medical Care and Trauma
T8541XA
17 Complications of Medical Care and Trauma
T8542XA
17 Complications of Medical Care and Trauma
T8543XA
17 Complications of Medical Care and Trauma
T8544XA
17 Complications of Medical Care and Trauma
T8549XA
17 Complications of Medical Care and Trauma
T85510A
17 Complications of Medical Care and Trauma
T85511A
ICD-10 Dx Description
Breakdown (mechanical) of other ocular prosthetic
devices, implants and grafts, initial encounter
Displacement of prosthetic orbit of right eye, initial
encounter
Displacement of prosthetic orbit of left eye, initial
encounter
Displacement of other ocular prosthetic devices,
implants and grafts, initial encounter
Other mechanical complication of prosthetic orbit of
right eye, initial encounter
Other mechanical complication of prosthetic orbit of
left eye, initial encounter
Other mechanical complication of other ocular
prosthetic devices, implants and grafts, initial
encounter
Breakdown (mechanical) of breast prosthesis and
implant, initial encounter
Displacement of breast prosthesis and implant,
initial encounter
Leakage of breast prosthesis and implant, initial
encounter
Capsular contracture of breast implant, initial
encounter
Other mechanical complication of breast prosthesis
and implant, initial encounter
Breakdown (mechanical) of bile duct prosthesis,
initial encounter
Breakdown (mechanical) of esophageal anti-reflux
device, initial encounter
Breakdown (mechanical) of other gastrointestinal
prosthetic devices, implants and grafts, initial
encounter
Displacement of bile duct prosthesis, initial
encounter
Displacement of esophageal anti-reflux device, initial
encounter
17 Complications of Medical Care and Trauma
T85518A
17 Complications of Medical Care and Trauma
T85520A
17 Complications of Medical Care and Trauma
T85521A
17 Complications of Medical Care and Trauma
T85528A
17 Complications of Medical Care and Trauma
T85590A
17 Complications of Medical Care and Trauma
T85591A
Displacement of other gastrointestinal prosthetic
devices, implants and grafts, initial encounter
Other mechanical complication of bile duct
prosthesis, initial encounter
Other mechanical complication of esophageal antireflux device, initial encounter
T85598A
Other mechanical complication of other
gastrointestinal prosthetic devices, implants and
grafts, initial encounter
17 Complications of Medical Care and Trauma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
17 Complications of Medical Care and Trauma
T85610A
17 Complications of Medical Care and Trauma
T85612A
17 Complications of Medical Care and Trauma
T85613A
17 Complications of Medical Care and Trauma
T85614A
17 Complications of Medical Care and Trauma
T85618A
17 Complications of Medical Care and Trauma
T85620A
17 Complications of Medical Care and Trauma
T85622A
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
T85623A
T85624A
17 Complications of Medical Care and Trauma
T85628A
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
T85630A
T85633A
17 Complications of Medical Care and Trauma
T85638A
17 Complications of Medical Care and Trauma
T85690A
17 Complications of Medical Care and Trauma
T85692A
17 Complications of Medical Care and Trauma
T85693A
17 Complications of Medical Care and Trauma
T85694A
ICD-10 Dx Description
Breakdown (mechanical) of epidural and subdural
infusion catheter, initial encounter
Breakdown (mechanical) of permanent sutures,
initial encounter
Breakdown (mechanical) of artificial skin graft and
decellularized allodermis, initial encounter
Breakdown (mechanical) of insulin pump, initial
encounter
Breakdown (mechanical) of other specified internal
prosthetic devices, implants and grafts, initial
encounter
Displacement of epidural and subdural infusion
catheter, initial encounter
Displacement of permanent sutures, initial
encounter
Displacement of artificial skin graft and
decellularized allodermis, initial encounter
Displacement of insulin pump, initial encounter
Displacement of other specified internal prosthetic
devices, implants and grafts, initial encounter
Leakage of epidural and subdural infusion catheter,
initial encounter
Leakage of insulin pump, initial encounter
Leakage of other specified internal prosthetic
devices, implants and grafts, initial encounter
Other mechanical complication of epidural and
subdural infusion catheter, initial encounter
Other mechanical complication of permanent
sutures, initial encounter
Other mechanical complication of artificial skin graft
and decellularized allodermis, initial encounter
Other mechanical complication of insulin pump,
initial encounter
17 Complications of Medical Care and Trauma
T85698A
17 Complications of Medical Care and Trauma
T8572XA
Other mechanical complication of other specified
internal prosthetic devices, implants and grafts,
initial encounter
Infection and inflammatory reaction due to insulin
pump, initial encounter
T8579XA
Infection and inflammatory reaction due to other
internal prosthetic devices, implants and grafts,
initial encounter
T8581XA
Embolism due to internal prosthetic devices,
implants and grafts, not elsewhere classified, initial
encounter
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
T8582XA
Fibrosis due to internal prosthetic devices, implants
and grafts, not elsewhere classified, initial encounter
17 Complications of Medical Care and Trauma
T8583XA
Hemorrhage due to internal prosthetic devices,
implants and grafts, not elsewhere classified, initial
encounter
17 Complications of Medical Care and Trauma
T8584XA
Pain due to internal prosthetic devices, implants and
grafts, not elsewhere classified, initial encounter
17 Complications of Medical Care and Trauma
T8585XA
Stenosis due to internal prosthetic devices, implants
and grafts, not elsewhere classified, initial encounter
T8586XA
Thrombosis due to internal prosthetic devices,
implants and grafts, not elsewhere classified, initial
encounter
17 Complications of Medical Care and Trauma
17 Complications of Medical Care and Trauma
17
17
17
17
Complications of Medical Care and Trauma
Complications of Medical Care and Trauma
Complications of Medical Care and Trauma
Complications of Medical Care and Trauma
T8589XA
T86820
T86821
T86822
17 Complications of Medical Care and Trauma
T86828
Complications of Medical Care and Trauma
Complications of Medical Care and Trauma
Complications of Medical Care and Trauma
Complications of Medical Care and Trauma
Complications of Medical Care and Trauma
Complications of Medical Care and Trauma
T86829
T86840
T86841
T86842
T86848
T86849
17
17
17
17
17
17
Other specified complication of internal prosthetic
devices, implants and grafts, not elsewhere
classified, initial encounter
Skin graft (allograft) rejection
Skin graft (allograft) (autograft) failure
Skin graft (allograft) (autograft) infection
Other complications of skin graft (allograft)
(autograft)
Unspecified complication of skin graft (allograft)
(autograft)
Corneal transplant rejection
Corneal transplant failure
Corneal transplant infection
Other complications of corneal transplant
Unspecified complication of corneal transplant
17 Complications of Medical Care and Trauma
T880XXA
17 Complications of Medical Care and Trauma
T881XXA
17 Complications of Medical Care and Trauma
T883XXA
Infection following immunization, initial encounter
Other complications following immunization, not
elsewhere classified, initial encounter
Malignant hyperthermia due to anesthesia, initial
encounter
T888XXA
Other specified complications of surgical and
medical care, not elsewhere classified, initial
encounter
T8600
T8601
T8602
T8603
T8609
T8620
T8621
T8622
Unspecified complication of bone marrow transplant
Bone marrow transplant rejection
Bone marrow transplant failure
Bone marrow transplant infection
Other complications of bone marrow transplant
Unspecified complication of heart transplant
Heart transplant rejection
Heart transplant failure
17 Complications of Medical Care and Trauma
18
18
18
18
18
18
18
18
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
ICD-10 Dx Cd
ICD-10 Dx Description
18 Major Organ Transplant Status
18 Major Organ Transplant Status
18 Major Organ Transplant Status
T8623
T86290
T86298
Heart transplant infection
Cardiac allograft vasculopathy
Other complications of heart transplant
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
T8630
T8631
T8632
T8633
T8639
T8640
T8641
T8642
T8643
T8649
T86810
T86811
T86812
T86818
T86819
T86850
T86851
T86852
T86858
T86859
T86890
T86891
T86892
Unspecified complication of heart-lung transplant
Heart-lung transplant rejection
Heart-lung transplant failure
Heart-lung transplant infection
Other complications of heart-lung transplant
Unspecified complication of liver transplant
Liver transplant rejection
Liver transplant failure
Liver transplant infection
Other complications of liver transplant
Lung transplant rejection
Lung transplant failure
Lung transplant infection
Other complications of lung transplant
Unspecified complication of lung transplant
Intestine transplant rejection
Intestine transplant failure
Intestine transplant infection
Other complications of intestine transplant
Unspecified complication of intestine transplant
Other transplanted tissue rejection
Other transplanted tissue failure
Other transplanted tissue infection
18 Major Organ Transplant Status
T86898
18 Major Organ Transplant Status
T86899
Other complications of other transplanted tissue
Unspecified complication of other transplanted
tissue
18 Major Organ Transplant Status
Z4821
Encounter for aftercare following heart transplant
18 Major Organ Transplant Status
Z4823
Encounter for aftercare following liver transplant
18 Major Organ Transplant Status
Z4824
18 Major Organ Transplant Status
Z48280
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Major Organ Transplant Status
Z48290
Z941
Z942
Z943
Z944
Z9481
Z9482
Z9483
Encounter for aftercare following lung transplant
Encounter for aftercare following heart-lung
transplant
Encounter for aftercare following bone marrow
transplant
Heart transplant status
Lung transplant status
Heart and lungs transplant status
Liver transplant status
Bone marrow transplant status
Intestine transplant status
Pancreas transplant status
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
Hospital Inpatient Psychiatric Rate, Comorbidity Codes
�
Effective Beginning October 1, 2015
�
Comorbidity
Category Code
Psych PPS Comorbidity Category Description
18 Major Organ Transplant Status
18 Major Organ Transplant Status
18 Major Organ Transplant Status
ICD-10 Dx Cd
Z9484
Z95811
Z95812
ICD-10 Dx Description
Stem cells transplant status
Presence of heart assist device
Presence of fully implantable artificial heart
Hospital Inpatient Psychiatric Rate, Mental Retardation Diagnosis Codes
�
Adjustment Factor = 1.0599
�
Effective Beginning October 1, 2015
�
ICD-10 Dx Cd
F72
F73
F840
F843
F845
F848
F849
Q871
Q910
Q911
Q912
Q913
Q914
Q915
Q916
Q917
Q933
Q934
Q935
Q937
Q9381
Q9388
Q9389
Q939
ICD-10 Dx Description
Severe intellectual disabilities
Profound intellectual disabilities
Autistic disorder
Other childhood disintegrative disorder
Asperger's syndrome
Other pervasive developmental disorders
Pervasive developmental disorder, unspecified
Congenital malformation syndromes predominantly associated with short stature
Trisomy 18, nonmosaicism (meiotic nondisjunction)
Trisomy 18, mosaicism (mitotic nondisjunction)
Trisomy 18, translocation
Trisomy 18, unspecified
Trisomy 13, nonmosaicism (meiotic nondisjunction)
Trisomy 13, mosaicism (mitotic nondisjunction)
Trisomy 13, translocation
Trisomy 13, unspecified
Deletion of short arm of chromosome 4
Deletion of short arm of chromosome 5
Other deletions of part of a chromosome
Deletions with other complex rearrangements
Velo-cardio-facial syndrome
Other microdeletions
Other deletions from the autosomes
Deletion from autosomes, unspecified