DRG 158 - List of Diagnostic Related Groups (MS-DRG v38.1)

  • DRG 158 Dental and oral diseases with cc
    • A69.0 Necrotizing ulcerative stomatitis
    • B00.2 Herpesviral gingivostomatitis and pharyngotonsillitis
    • B37.0 Candidal stomatitis
    • B37.83 Candidal cheilitis
    • D10.0 Benign neoplasm of lip
    • D10.1 Benign neoplasm of tongue
    • D10.2 Benign neoplasm of floor of mouth
    • D10.30 Benign neoplasm of unspecified part of mouth
    • D10.39 Benign neoplasm of other parts of mouth
    • D16.5 Benign neoplasm of lower jaw bone
    • K00.0 Anodontia
    • K00.1 Supernumerary teeth
    • K00.2 Abnormalities of size and form of teeth
    • K00.3 Mottled teeth
    • K00.4 Disturbances in tooth formation
    • K00.5 Hereditary disturbances in tooth structure, NEC
    • K00.6 Disturbances in tooth eruption
    • K00.7 Teething syndrome
    • K00.8 Other disorders of tooth development
    • K00.9 Disorder of tooth development, unspecified
    • K01.0 Embedded teeth
    • K01.1 Impacted teeth
    • K02.3 Arrested dental caries
    • K02.51 Dental caries on pit and fissure surface limited to enamel
    • K02.52 Dental caries on pit and fissure surfc penetrat into dentin
    • K02.53 Dental caries on pit and fissure surface penetrat into pulp
    • K02.61 Dental caries on smooth surface limited to enamel
    • K02.62 Dental caries on smooth surface penetrating into dentin
    • K02.63 Dental caries on smooth surface penetrating into pulp
    • K02.7 Dental root caries
    • K02.9 Dental caries, unspecified
    • K03.0 Excessive attrition of teeth
    • K03.1 Abrasion of teeth
    • K03.2 Erosion of teeth
    • K03.3 Pathological resorption of teeth
    • K03.4 Hypercementosis
    • K03.5 Ankylosis of teeth
    • K03.6 Deposits [accretions] on teeth
    • K03.7 Posteruptive color changes of dental hard tissues
    • K03.81 Cracked tooth
    • K03.89 Other specified diseases of hard tissues of teeth
    • K03.9 Disease of hard tissues of teeth, unspecified
    • K04.01 Reversible pulpitis
    • K04.02 Irreversible pulpitis
    • K04.1 Necrosis of pulp
    • K04.2 Pulp degeneration
    • K04.3 Abnormal hard tissue formation in pulp
    • K04.4 Acute apical periodontitis of pulpal origin
    • K04.5 Chronic apical periodontitis
    • K04.6 Periapical abscess with sinus
    • K04.7 Periapical abscess without sinus
    • K04.8 Radicular cyst
    • K04.90 Unspecified diseases of pulp and periapical tissues
    • K04.99 Other diseases of pulp and periapical tissues
    • K05.00 Acute gingivitis, plaque induced
    • K05.01 Acute gingivitis, non-plaque induced
    • K05.10 Chronic gingivitis, plaque induced
    • K05.11 Chronic gingivitis, non-plaque induced
    • K05.20 Aggressive periodontitis, unspecified
    • K05.211 Aggressive periodontitis, localized, slight
    • K05.212 Aggressive periodontitis, localized, moderate
    • K05.213 Aggressive periodontitis, localized, severe
    • K05.219 Aggressive periodontitis, localized, unspecified severity
    • K05.221 Aggressive periodontitis, generalized, slight
    • K05.222 Aggressive periodontitis, generalized, moderate
    • K05.223 Aggressive periodontitis, generalized, severe
    • K05.229 Aggressive periodontitis, generalized, unspecified severity
    • K05.30 Chronic periodontitis, unspecified
    • K05.311 Chronic periodontitis, localized, slight
    • K05.312 Chronic periodontitis, localized, moderate
    • K05.313 Chronic periodontitis, localized, severe
    • K05.319 Chronic periodontitis, localized, unspecified severity
    • K05.321 Chronic periodontitis, generalized, slight
    • K05.322 Chronic periodontitis, generalized, moderate
    • K05.323 Chronic periodontitis, generalized, severe
    • K05.329 Chronic periodontitis, generalized, unspecified severity
    • K05.4 Periodontosis
    • K05.5 Other periodontal diseases
    • K05.6 Periodontal disease, unspecified
    • K06.010 Localized gingival recession, unspecified
    • K06.011 Localized gingival recession, minimal
    • K06.012 Localized gingival recession, moderate
    • K06.013 Localized gingival recession, severe
    • K06.020 Generalized gingival recession, unspecified
    • K06.021 Generalized gingival recession, minimal
    • K06.022 Generalized gingival recession, moderate
    • K06.023 Generalized gingival recession, severe
    • K06.1 Gingival enlargement
    • K06.2 Gingival & edentulous alveolar ridge lesions assoc w trauma
    • K06.3 Horizontal alveolar bone loss
    • K06.8 Oth disrd of gingiva and edentulous alveolar ridge
    • K06.9 Disorder of gingiva and edentulous alveolar ridge, unsp
    • K08.0 Exfoliation of teeth due to systemic causes
    • K08.101 Complete loss of teeth, unspecified cause, class I
    • K08.102 Complete loss of teeth, unspecified cause, class II
    • K08.103 Complete loss of teeth, unspecified cause, class III
    • K08.104 Complete loss of teeth, unspecified cause, class IV
    • K08.109 Complete loss of teeth, unspecified cause, unspecified class
    • K08.111 Complete loss of teeth due to trauma, class I
    • K08.112 Complete loss of teeth due to trauma, class II
    • K08.113 Complete loss of teeth due to trauma, class III
    • K08.114 Complete loss of teeth due to trauma, class IV
    • K08.119 Complete loss of teeth due to trauma, unspecified class
    • K08.121 Complete loss of teeth due to periodontal diseases, class I
    • K08.122 Complete loss of teeth due to periodontal diseases, class II
    • K08.123 Complete loss of teeth due to periodontal dis, class III
    • K08.124 Complete loss of teeth due to periodontal diseases, class IV
    • K08.129 Complete loss of teeth due to periodontal dis, unsp class
    • K08.131 Complete loss of teeth due to caries, class I
    • K08.132 Complete loss of teeth due to caries, class II
    • K08.133 Complete loss of teeth due to caries, class III
    • K08.134 Complete loss of teeth due to caries, class IV
    • K08.139 Complete loss of teeth due to caries, unspecified class
    • K08.191 Complete loss of teeth due to other specified cause, class I
    • K08.192 Complete loss of teeth due to oth cause, class II
    • K08.193 Complete loss of teeth due to oth cause, class III
    • K08.194 Complete loss of teeth due to oth cause, class IV
    • K08.199 Complete loss of teeth due to oth cause, unspecified class
    • K08.20 Unspecified atrophy of edentulous alveolar ridge
    • K08.21 Minimal atrophy of the mandible
    • K08.22 Moderate atrophy of the mandible
    • K08.23 Severe atrophy of the mandible
    • K08.24 Minimal atrophy of maxilla
    • K08.25 Moderate atrophy of the maxilla
    • K08.26 Severe atrophy of the maxilla
    • K08.3 Retained dental root
    • K08.401 Partial loss of teeth, unspecified cause, class I
    • K08.402 Partial loss of teeth, unspecified cause, class II
    • K08.403 Partial loss of teeth, unspecified cause, class III
    • K08.404 Partial loss of teeth, unspecified cause, class IV
    • K08.409 Partial loss of teeth, unspecified cause, unspecified class
    • K08.411 Partial loss of teeth due to trauma, class I
    • K08.412 Partial loss of teeth due to trauma, class II
    • K08.413 Partial loss of teeth due to trauma, class III
    • K08.414 Partial loss of teeth due to trauma, class IV
    • K08.419 Partial loss of teeth due to trauma, unspecified class
    • K08.421 Partial loss of teeth due to periodontal diseases, class I
    • K08.422 Partial loss of teeth due to periodontal diseases, class II
    • K08.423 Partial loss of teeth due to periodontal diseases, class III
    • K08.424 Partial loss of teeth due to periodontal diseases, class IV
    • K08.429 Partial loss of teeth due to periodontal dis, unsp class
    • K08.431 Partial loss of teeth due to caries, class I
    • K08.432 Partial loss of teeth due to caries, class II
    • K08.433 Partial loss of teeth due to caries, class III
    • K08.434 Partial loss of teeth due to caries, class IV
    • K08.439 Partial loss of teeth due to caries, unspecified class
    • K08.491 Partial loss of teeth due to other specified cause, class I
    • K08.492 Partial loss of teeth due to other specified cause, class II
    • K08.493 Partial loss of teeth due to oth cause, class III
    • K08.494 Partial loss of teeth due to other specified cause, class IV
    • K08.499 Partial loss of teeth due to oth cause, unspecified class
    • K08.50 Unsatisfactory restoration of tooth, unspecified
    • K08.51 Open restoration margins of tooth
    • K08.52 Unrepairable overhanging of dental restorative materials
    • K08.530 Fractured dental restorative material w/o loss of material
    • K08.531 Fractured dental restorative material with loss of material
    • K08.539 Fractured dental restorative material, unspecified
    • K08.54 Contour of exist restor of tooth biolog incompat w oral hlth
    • K08.55 Allergy to existing dental restorative material
    • K08.56 Poor aesthetic of existing restoration of tooth
    • K08.59 Other unsatisfactory restoration of tooth
    • K08.81 Primary occlusal trauma
    • K08.82 Secondary occlusal trauma
    • K08.89 Other specified disorders of teeth and supporting structures
    • K08.9 Disorder of teeth and supporting structures, unspecified
    • K09.0 Developmental odontogenic cysts
    • K09.1 Developmental (nonodontogenic) cysts of oral region
    • K09.8 Other cysts of oral region, not elsewhere classified
    • K09.9 Cyst of oral region, unspecified
    • K12.0 Recurrent oral aphthae
    • K12.1 Other forms of stomatitis
    • K12.2 Cellulitis and abscess of mouth
    • K12.30 Oral mucositis (ulcerative), unspecified
    • K12.31 Oral mucositis (ulcerative) due to antineoplastic therapy
    • K12.32 Oral mucositis (ulcerative) due to other drugs
    • K12.33 Oral mucositis (ulcerative) due to radiation
    • K12.39 Other oral mucositis (ulcerative)
    • K13.0 Diseases of lips
    • K13.1 Cheek and lip biting
    • K13.21 Leukoplakia of oral mucosa, including tongue
    • K13.22 Minimal keratinized residual ridge mucosa
    • K13.23 Excessive keratinized residual ridge mucosa
    • K13.24 Leukokeratosis nicotina palati
    • K13.29 Other disturbances of oral epithelium, including tongue
    • K13.3 Hairy leukoplakia
    • K13.4 Granuloma and granuloma-like lesions of oral mucosa
    • K13.5 Oral submucous fibrosis
    • K13.6 Irritative hyperplasia of oral mucosa
    • K13.70 Unspecified lesions of oral mucosa
    • K13.79 Other lesions of oral mucosa
    • K14.0 Glossitis
    • K14.1 Geographic tongue
    • K14.2 Median rhomboid glossitis
    • K14.3 Hypertrophy of tongue papillae
    • K14.4 Atrophy of tongue papillae
    • K14.5 Plicated tongue
    • K14.6 Glossodynia
    • K14.8 Other diseases of tongue
    • K14.9 Disease of tongue, unspecified
    • M26.00 Unspecified anomaly of jaw size
    • M26.01 Maxillary hyperplasia
    • M26.02 Maxillary hypoplasia
    • M26.03 Mandibular hyperplasia
    • M26.04 Mandibular hypoplasia
    • M26.05 Macrogenia
    • M26.06 Microgenia
    • M26.07 Excessive tuberosity of jaw
    • M26.09 Other specified anomalies of jaw size
    • M26.10 Unspecified anomaly of jaw-cranial base relationship
    • M26.11 Maxillary asymmetry
    • M26.12 Other jaw asymmetry
    • M26.19 Other specified anomalies of jaw-cranial base relationship
    • M26.20 Unspecified anomaly of dental arch relationship
    • M26.211 Malocclusion, Angle's class I
    • M26.212 Malocclusion, Angle's class II
    • M26.213 Malocclusion, Angle's class III
    • M26.219 Malocclusion, Angle's class, unspecified
    • M26.220 Open anterior occlusal relationship
    • M26.221 Open posterior occlusal relationship
    • M26.23 Excessive horizontal overlap
    • M26.24 Reverse articulation
    • M26.25 Anomalies of interarch distance
    • M26.29 Other anomalies of dental arch relationship
    • M26.30 Unsp anomaly of tooth position of fully erupted tooth/teeth
    • M26.31 Crowding of fully erupted teeth
    • M26.32 Excessive spacing of fully erupted teeth
    • M26.33 Horizontal displacement of fully erupted tooth or teeth
    • M26.34 Vertical displacement of fully erupted tooth or teeth
    • M26.35 Rotation of fully erupted tooth or teeth
    • M26.36 Insufficient interocclusal distance of fully erupted teeth
    • M26.37 Excessive interocclusal distance of fully erupted teeth
    • M26.39 Oth anomalies of tooth position of fully erupted tooth/teeth
    • M26.4 Malocclusion, unspecified
    • M26.50 Dentofacial functional abnormalities, unspecified
    • M26.51 Abnormal jaw closure
    • M26.52 Limited mandibular range of motion
    • M26.53 Deviation in opening and closing of the mandible
    • M26.54 Insufficient anterior guidance
    • M26.55 Centric occlusion maximum intercuspation discrepancy
    • M26.56 Non-working side interference
    • M26.57 Lack of posterior occlusal support
    • M26.59 Other dentofacial functional abnormalities
    • M26.601 Right temporomandibular joint disorder, unspecified
    • M26.602 Left temporomandibular joint disorder, unspecified
    • M26.603 Bilateral temporomandibular joint disorder, unspecified
    • M26.609 Unspecified TMJ joint disorder, unspecified side
    • M26.611 Adhesions and ankylosis of right temporomandibular joint
    • M26.612 Adhesions and ankylosis of left temporomandibular joint
    • M26.613 Adhesions and ankylosis of bilateral temporomandibular joint
    • M26.619 Adhesions and ankylosis of TMJ joint, unspecified side
    • M26.621 Arthralgia of right temporomandibular joint
    • M26.622 Arthralgia of left temporomandibular joint
    • M26.623 Arthralgia of bilateral temporomandibular joint
    • M26.629 Arthralgia of temporomandibular joint, unspecified side
    • M26.631 Articular disc disorder of right temporomandibular joint
    • M26.632 Articular disc disorder of left temporomandibular joint
    • M26.633 Articular disc disorder of bilateral temporomandibular joint
    • M26.639 Articular disc disorder of TMJ joint, unspecified side
    • M26.641 Arthritis of right temporomandibular joint
    • M26.642 Arthritis of left temporomandibular joint
    • M26.643 Arthritis of bilateral temporomandibular joint
    • M26.649 Arthritis of unspecified temporomandibular joint
    • M26.651 Arthropathy of right temporomandibular joint
    • M26.652 Arthropathy of left temporomandibular joint
    • M26.653 Arthropathy of bilateral temporomandibular joint
    • M26.659 Arthropathy of unspecified temporomandibular joint
    • M26.69 Other specified disorders of temporomandibular joint
    • M26.70 Unspecified alveolar anomaly
    • M26.71 Alveolar maxillary hyperplasia
    • M26.72 Alveolar mandibular hyperplasia
    • M26.73 Alveolar maxillary hypoplasia
    • M26.74 Alveolar mandibular hypoplasia
    • M26.79 Other specified alveolar anomalies
    • M26.81 Anterior soft tissue impingement
    • M26.82 Posterior soft tissue impingement
    • M26.89 Other dentofacial anomalies
    • M26.9 Dentofacial anomaly, unspecified
    • M27.0 Developmental disorders of jaws
    • M27.1 Giant cell granuloma, central
    • M27.2 Inflammatory conditions of jaws
    • M27.3 Alveolitis of jaws
    • M27.40 Unspecified cyst of jaw
    • M27.49 Other cysts of jaw
    • M27.51 Perforation of root canal space due to endodontic treatment
    • M27.52 Endodontic overfill
    • M27.53 Endodontic underfill
    • M27.59 Oth periradicular pathology assoc w prev endodontic trtmt
    • M27.61 Osseointegration failure of dental implant
    • M27.62 Post-osseointegration biological failure of dental implant
    • M27.63 Post-osseointegration mechanical failure of dental implant
    • M27.69 Other endosseous dental implant failure
    • M27.8 Other specified diseases of jaws
    • M27.9 Disease of jaws, unspecified
    • Q18.4 Macrostomia
    • Q18.5 Microstomia
    • Q18.6 Macrocheilia
    • Q18.7 Microcheilia
    • Q35.1 Cleft hard palate
    • Q35.3 Cleft soft palate
    • Q35.5 Cleft hard palate with cleft soft palate
    • Q35.7 Cleft uvula
    • Q35.9 Cleft palate, unspecified
    • Q36.0 Cleft lip, bilateral
    • Q36.1 Cleft lip, median
    • Q36.9 Cleft lip, unilateral
    • Q37.0 Cleft hard palate with bilateral cleft lip
    • Q37.1 Cleft hard palate with unilateral cleft lip
    • Q37.2 Cleft soft palate with bilateral cleft lip
    • Q37.3 Cleft soft palate with unilateral cleft lip
    • Q37.4 Cleft hard and soft palate with bilateral cleft lip
    • Q37.5 Cleft hard and soft palate with unilateral cleft lip
    • Q37.8 Unspecified cleft palate with bilateral cleft lip
    • Q37.9 Unspecified cleft palate with unilateral cleft lip
    • Q38.0 Congenital malformations of lips, not elsewhere classified
    • Q38.1 Ankyloglossia
    • Q38.2 Macroglossia
    • Q38.3 Other congenital malformations of tongue
    • Q38.6 Other congenital malformations of mouth
    • R68.84 Jaw pain
    • S01.501A Unspecified open wound of lip, initial encounter
    • S01.502A Unspecified open wound of oral cavity, initial encounter
    • S01.511A Laceration without foreign body of lip, initial encounter
    • S01.512A Laceration without foreign body of oral cavity, init encntr
    • S01.521A Laceration with foreign body of lip, initial encounter
    • S01.522A Laceration with foreign body of oral cavity, init encntr
    • S01.531A Puncture wound without foreign body of lip, init encntr
    • S01.532A Puncture wound w/o foreign body of oral cavity, init encntr
    • S01.541A Puncture wound with foreign body of lip, initial encounter
    • S01.542A Puncture wound with foreign body of oral cavity, init encntr
    • S01.551A Open bite of lip, initial encounter
    • S01.552A Open bite of oral cavity, initial encounter
    • S02.400A Malar fracture, unspecified side, init
    • S02.400B Malar fracture, unspecified side, 7thB
    • S02.401A Maxillary fracture, unspecified side, init
    • S02.401B Maxillary fracture, unspecified side, 7thB
    • S02.402A Zygomatic fracture, unspecified side, init
    • S02.402B Zygomatic fracture, unspecified side, 7thB
    • S02.40AA Malar fracture, right side, init
    • S02.40AB Malar fracture, right side, 7thB
    • S02.40BA Malar fracture, left side, init
    • S02.40BB Malar fracture, left side, 7thB
    • S02.40CA Maxillary fracture, right side, init
    • S02.40CB Maxillary fracture, right side, 7thB
    • S02.40DA Maxillary fracture, left side, init
    • S02.40DB Maxillary fracture, left side, 7thB
    • S02.40EA Zygomatic fracture, right side, init
    • S02.40EB Zygomatic fracture, right side, 7thB
    • S02.40FA Zygomatic fracture, left side, init
    • S02.40FB Zygomatic fracture, left side, 7thB
    • S02.411A LeFort I fracture, initial encounter for closed fracture
    • S02.411B LeFort I fracture, initial encounter for open fracture
    • S02.412A LeFort II fracture, initial encounter for closed fracture
    • S02.412B LeFort II fracture, initial encounter for open fracture
    • S02.413A LeFort III fracture, initial encounter for closed fracture
    • S02.413B LeFort III fracture, initial encounter for open fracture
    • S02.5XXA Fracture of tooth (traumatic), init for clos fx
    • S02.5XXB Fracture of tooth (traumatic), init encntr for open fracture
    • S02.600A Fx unsp part of body of mandible, unspecified side, init
    • S02.600B Fx unsp part of body of mandible, unspecified side, 7thB
    • S02.601A Fracture of unspecified part of body of right mandible, init
    • S02.601B Fracture of unspecified part of body of right mandible, 7thB
    • S02.602A Fracture of unspecified part of body of left mandible, init
    • S02.602B Fracture of unspecified part of body of left mandible, 7thB
    • S02.609A Fracture of mandible, unsp, init encntr for closed fracture
    • S02.609B Fracture of mandible, unsp, init encntr for open fracture
    • S02.610A Fx condylar process of mandible, unspecified side, init
    • S02.610B Fx condylar process of mandible, unspecified side, 7thB
    • S02.611A Fracture of condylar process of right mandible, init
    • S02.611B Fracture of condylar process of right mandible, 7thB
    • S02.612A Fracture of condylar process of left mandible, init
    • S02.612B Fracture of condylar process of left mandible, 7thB
    • S02.620A Fx subcondylar process of mandible, unspecified side, init
    • S02.620B Fx subcondylar process of mandible, unspecified side, 7thB
    • S02.621A Fracture of subcondylar process of right mandible, init
    • S02.621B Fracture of subcondylar process of right mandible, 7thB
    • S02.622A Fracture of subcondylar process of left mandible, init
    • S02.622B Fracture of subcondylar process of left mandible, 7thB
    • S02.630A Fx coronoid process of mandible, unspecified side, init
    • S02.630B Fx coronoid process of mandible, unspecified side, 7thB
    • S02.631A Fracture of coronoid process of right mandible, init
    • S02.631B Fracture of coronoid process of right mandible, 7thB
    • S02.632A Fracture of coronoid process of left mandible, init
    • S02.632B Fracture of coronoid process of left mandible, 7thB
    • S02.640A Fracture of ramus of mandible, unspecified side, init
    • S02.640B Fracture of ramus of mandible, unspecified side, 7thB
    • S02.641A Fracture of ramus of right mandible, init
    • S02.641B Fracture of ramus of right mandible, 7thB
    • S02.642A Fracture of ramus of left mandible, init
    • S02.642B Fracture of ramus of left mandible, 7thB
    • S02.650A Fracture of angle of mandible, unspecified side, init
    • S02.650B Fracture of angle of mandible, unspecified side, 7thB
    • S02.651A Fracture of angle of right mandible, init
    • S02.651B Fracture of angle of right mandible, 7thB
    • S02.652A Fracture of angle of left mandible, init
    • S02.652B Fracture of angle of left mandible, 7thB
    • S02.66XA Fracture of symphysis of mandible, init for clos fx
    • S02.66XB Fracture of symphysis of mandible, init for opn fx
    • S02.670A Fracture of alveolus of mandible, unspecified side, init
    • S02.670B Fracture of alveolus of mandible, unspecified side, 7thB
    • S02.671A Fracture of alveolus of right mandible, init
    • S02.671B Fracture of alveolus of right mandible, 7thB
    • S02.672A Fracture of alveolus of left mandible, init
    • S02.672B Fracture of alveolus of left mandible, 7thB
    • S02.69XA Fracture of mandible of oth site, init for clos fx
    • S02.69XB Fracture of mandible of oth site, init for opn fx
    • S03.00XA Dislocation of jaw, unspecified side, initial encounter
    • S03.01XA Dislocation of jaw, right side, initial encounter
    • S03.02XA Dislocation of jaw, left side, initial encounter
    • S03.03XA Dislocation of jaw, bilateral, initial encounter
    • S03.2XXA Dislocation of tooth, initial encounter
    • S03.40XA Sprain of jaw, unspecified side, initial encounter
    • S03.41XA Sprain of jaw, right side, initial encounter
    • S03.42XA Sprain of jaw, left side, initial encounter
    • S03.43XA Sprain of jaw, bilateral, initial encounter
    • T18.0XXA Foreign body in mouth, initial encounter