Dental and oral diseases

DRG MCC CC
157 Yes n/a
158 No Yes
159 No No

Details

DRG 157 DENTAL AND ORAL DISEASES WITH MCC
DRG 158 DENTAL AND ORAL DISEASES WITH CC
DRG 159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC
PRINCIPAL DIAGNOSIS
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, not elsewhere classified
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 surface penetrating into dentin
K02.53 Dental caries on pit and fissure surface penetrating 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 and edentulous alveolar ridge lesions associated with trauma
K06.3 Horizontal alveolar bone loss
K06.8 Other specified disorders of gingiva and edentulous alveolar ridge
K06.9 Disorder of gingiva and edentulous alveolar ridge, unspecified
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 diseases, class III
K08.124 Complete loss of teeth due to periodontal diseases, class IV
K08.129 Complete loss of teeth due to periodontal diseases, unspecified 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 other specified cause, class II
K08.193 Complete loss of teeth due to other specified cause, class III
K08.194 Complete loss of teeth due to other specified cause, class IV
K08.199 Complete loss of teeth due to other specified 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 diseases, unspecified 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 other specified cause, class III
K08.494 Partial loss of teeth due to other specified cause, class IV
K08.499 Partial loss of teeth due to other specified 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 without loss of material
K08.531 Fractured dental restorative material with loss of material
K08.539 Fractured dental restorative material, unspecified
K08.54 Contour of existing restoration of tooth biologically incompatible with oral health
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 Unspecified anomaly of tooth position of fully erupted tooth or 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 (ridge)
M26.37 Excessive interocclusal distance of fully erupted teeth
M26.39 Other anomalies of tooth position of fully erupted tooth or 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 temporomandibular 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 temporomandibular 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 temporomandibular 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 Other periradicular pathology associated with previous endodontic treatment
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, initial encounter
S01.521A Laceration with foreign body of lip, initial encounter
S01.522A Laceration with foreign body of oral cavity, initial encounter
S01.531A Puncture wound without foreign body of lip, initial encounter
S01.532A Puncture wound without foreign body of oral cavity, initial encounter
S01.541A Puncture wound with foreign body of lip, initial encounter
S01.542A Puncture wound with foreign body of oral cavity, initial encounter
S01.551A Open bite of lip, initial encounter
S01.552A Open bite of oral cavity, initial encounter
S02.400A Malar fracture, unspecified side, initial encounter for closed fracture
S02.400B Malar fracture, unspecified side, initial encounter for open fracture
S02.401A Maxillary fracture, unspecified side, initial encounter for closed fracture
S02.401B Maxillary fracture, unspecified side, initial encounter for open fracture
S02.402A Zygomatic fracture, unspecified side, initial encounter for closed fracture
S02.402B Zygomatic fracture, unspecified side, initial encounter for open fracture
S02.40AA Malar fracture, right side, initial encounter for closed fracture
S02.40AB Malar fracture, right side, initial encounter for open fracture
S02.40BA Malar fracture, left side, initial encounter for closed fracture
S02.40BB Malar fracture, left side, initial encounter for open fracture
S02.40CA Maxillary fracture, right side, initial encounter for closed fracture
S02.40CB Maxillary fracture, right side, initial encounter for open fracture
S02.40DA Maxillary fracture, left side, initial encounter for closed fracture
S02.40DB Maxillary fracture, left side, initial encounter for open fracture
S02.40EA Zygomatic fracture, right side, initial encounter for closed fracture
S02.40EB Zygomatic fracture, right side, initial encounter for open fracture
S02.40FA Zygomatic fracture, left side, initial encounter for closed fracture
S02.40FB Zygomatic fracture, left side, initial encounter for open fracture
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), initial encounter for closed fracture
S02.5XXB Fracture of tooth (traumatic), initial encounter for open fracture
S02.600A Fracture of unspecified part of body of mandible, unspecified side, initial encounter for closed fracture
S02.600B Fracture of unspecified part of body of mandible, unspecified side, initial encounter for open fracture
S02.601A Fracture of unspecified part of body of right mandible, initial encounter for closed fracture
S02.601B Fracture of unspecified part of body of right mandible, initial encounter for open fracture
S02.602A Fracture of unspecified part of body of left mandible, initial encounter for closed fracture
S02.602B Fracture of unspecified part of body of left mandible, initial encounter for open fracture
S02.609A Fracture of mandible, unspecified, initial encounter for closed fracture
S02.609B Fracture of mandible, unspecified, initial encounter for open fracture
S02.610A Fracture of condylar process of mandible, unspecified side, initial encounter for closed fracture
S02.610B Fracture of condylar process of mandible, unspecified side, initial encounter for open fracture
S02.611A Fracture of condylar process of right mandible, initial encounter for closed fracture
S02.611B Fracture of condylar process of right mandible, initial encounter for open fracture
S02.612A Fracture of condylar process of left mandible, initial encounter for closed fracture
S02.612B Fracture of condylar process of left mandible, initial encounter for open fracture
S02.620A Fracture of subcondylar process of mandible, unspecified side, initial encounter for closed fracture
S02.620B Fracture of subcondylar process of mandible, unspecified side, initial encounter for open fracture
S02.621A Fracture of subcondylar process of right mandible, initial encounter for closed fracture
S02.621B Fracture of subcondylar process of right mandible, initial encounter for open fracture
S02.622A Fracture of subcondylar process of left mandible, initial encounter for closed fracture
S02.622B Fracture of subcondylar process of left mandible, initial encounter for open fracture
S02.630A Fracture of coronoid process of mandible, unspecified side, initial encounter for closed fracture
S02.630B Fracture of coronoid process of mandible, unspecified side, initial encounter for open fracture
S02.631A Fracture of coronoid process of right mandible, initial encounter for closed fracture
S02.631B Fracture of coronoid process of right mandible, initial encounter for open fracture
S02.632A Fracture of coronoid process of left mandible, initial encounter for closed fracture
S02.632B Fracture of coronoid process of left mandible, initial encounter for open fracture
S02.640A Fracture of ramus of mandible, unspecified side, initial encounter for closed fracture
S02.640B Fracture of ramus of mandible, unspecified side, initial encounter for open fracture
S02.641A Fracture of ramus of right mandible, initial encounter for closed fracture
S02.641B Fracture of ramus of right mandible, initial encounter for open fracture
S02.642A Fracture of ramus of left mandible, initial encounter for closed fracture
S02.642B Fracture of ramus of left mandible, initial encounter for open fracture
S02.650A Fracture of angle of mandible, unspecified side, initial encounter for closed fracture
S02.650B Fracture of angle of mandible, unspecified side, initial encounter for open fracture
S02.651A Fracture of angle of right mandible, initial encounter for closed fracture
S02.651B Fracture of angle of right mandible, initial encounter for open fracture
S02.652A Fracture of angle of left mandible, initial encounter for closed fracture
S02.652B Fracture of angle of left mandible, initial encounter for open fracture
S02.66XA Fracture of symphysis of mandible, initial encounter for closed fracture
S02.66XB Fracture of symphysis of mandible, initial encounter for open fracture
S02.670A Fracture of alveolus of mandible, unspecified side, initial encounter for closed fracture
S02.670B Fracture of alveolus of mandible, unspecified side, initial encounter for open fracture
S02.671A Fracture of alveolus of right mandible, initial encounter for closed fracture
S02.671B Fracture of alveolus of right mandible, initial encounter for open fracture
S02.672A Fracture of alveolus of left mandible, initial encounter for closed fracture
S02.672B Fracture of alveolus of left mandible, initial encounter for open fracture
S02.69XA Fracture of mandible of other specified site, initial encounter for closed fracture
S02.69XB Fracture of mandible of other specified site, initial encounter for open fracture
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