DRG 640
Medical DRGMiscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC
What is MS-DRG 640?
MS-DRG 640 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 10 (MDC 10) with a Major Complication or Comorbidity (MCC). It maps to 130 ICD-10-CM diagnosis codes. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
Linked ICD-10-CM Diagnosis Mappings
- D81.818
Other biotin-dependent carboxylase deficiency
BillableChapter 3 - D81.819
Biotin-dependent carboxylase deficiency, unspecified
BillableChapter 3 - E15
Nondiabetic hypoglycemic coma
BillableChapter 4 - E16.2
Hypoglycemia, unspecified
BillableChapter 4 - E20.1
Pseudohypoparathyroidism
BillableChapter 4 - E40
Kwashiorkor
BillableChapter 4 - E41
Nutritional marasmus
BillableChapter 4 - E42
Marasmic kwashiorkor
BillableChapter 4 - E43
Unspecified severe protein-calorie malnutrition
BillableChapter 4 - E44.0
Moderate protein-calorie malnutrition
BillableChapter 4 - E44.1
Mild protein-calorie malnutrition
BillableChapter 4 - E45
Retarded development following protein-calorie malnutrition
BillableChapter 4 - E46
Unspecified protein-calorie malnutrition
BillableChapter 4 - E50.8
Other manifestations of vitamin A deficiency
BillableChapter 4 - E50.9
Vitamin A deficiency, unspecified
BillableChapter 4 - E51.11
Dry beriberi
BillableChapter 4 - E51.12
Wet beriberi
BillableChapter 4 - E51.2
Wernicke's encephalopathy
BillableChapter 4 - E51.8
Other manifestations of thiamine deficiency
BillableChapter 4 - E51.9
Thiamine deficiency, unspecified
BillableChapter 4 - E52
Niacin deficiency [pellagra]
BillableChapter 4 - E53.0
Riboflavin deficiency
BillableChapter 4 - E53.1
Pyridoxine deficiency
BillableChapter 4 - E53.8
Deficiency of other specified B group vitamins
BillableChapter 4 - E53.9
Vitamin B deficiency, unspecified
BillableChapter 4 - E54
Ascorbic acid deficiency
BillableChapter 4 - E55.9
Vitamin D deficiency, unspecified
BillableChapter 4 - E56.0
Deficiency of vitamin E
BillableChapter 4 - E56.1
Deficiency of vitamin K
BillableChapter 4 - E56.8
Deficiency of other vitamins
BillableChapter 4 - E56.9
Vitamin deficiency, unspecified
BillableChapter 4 - E58
Dietary calcium deficiency
BillableChapter 4 - E59
Dietary selenium deficiency
BillableChapter 4 - E60
Dietary zinc deficiency
BillableChapter 4 - E61.0
Copper deficiency
BillableChapter 4 - E61.1
Iron deficiency
BillableChapter 4 - E61.2
Magnesium deficiency
BillableChapter 4 - E61.3
Manganese deficiency
BillableChapter 4 - E61.4
Chromium deficiency
BillableChapter 4 - E61.5
Molybdenum deficiency
BillableChapter 4 - E61.6
Vanadium deficiency
BillableChapter 4 - E61.7
Deficiency of multiple nutrient elements
BillableChapter 4 - E61.8
Deficiency of other specified nutrient elements
BillableChapter 4 - E61.9
Deficiency of nutrient element, unspecified
BillableChapter 4 - E63.0
Essential fatty acid [EFA] deficiency
BillableChapter 4 - E63.1
Imbalance of constituents of food intake
BillableChapter 4 - E63.8
Other specified nutritional deficiencies
BillableChapter 4 - E63.9
Nutritional deficiency, unspecified
BillableChapter 4 - E64.0
Sequelae of protein-calorie malnutrition
BillableChapter 4 - E64.1
Sequelae of vitamin A deficiency
BillableChapter 4 - E64.2
Sequelae of vitamin C deficiency
BillableChapter 4 - E64.8
Sequelae of other nutritional deficiencies
BillableChapter 4 - E64.9
Sequelae of unspecified nutritional deficiency
BillableChapter 4 - E65
Localized adiposity
BillableChapter 4 - E66.01
Morbid (severe) obesity due to excess calories
BillableChapter 4 - E66.09
Other obesity due to excess calories
BillableChapter 4 - E66.1
Drug-induced obesity
BillableChapter 4 - E66.3
Overweight
BillableChapter 4 - E66.811
Obesity, class 1
BillableChapter 4 - E66.812
Obesity, class 2
BillableChapter 4 - E66.813
Obesity, class 3
BillableChapter 4 - E66.89
Other obesity not elsewhere classified
BillableChapter 4 - E66.9
Obesity, unspecified
BillableChapter 4 - E67.0
Hypervitaminosis A
BillableChapter 4 - E67.1
Hypercarotenemia
BillableChapter 4 - E67.2
Megavitamin-B6 syndrome
BillableChapter 4 - E67.3
Hypervitaminosis D
BillableChapter 4 - E67.8
Other specified hyperalimentation
BillableChapter 4 - E68
Sequelae of hyperalimentation
BillableChapter 4 - E83.40
Disorders of magnesium metabolism, unspecified
BillableChapter 4 - E83.41
Hypermagnesemia
BillableChapter 4 - E83.42
Hypomagnesemia
BillableChapter 4 - E83.49
Other disorders of magnesium metabolism
BillableChapter 4 - E83.50
Unspecified disorder of calcium metabolism
BillableChapter 4 - E83.51
Hypocalcemia
BillableChapter 4 - E83.52
Hypercalcemia
BillableChapter 4 - E83.59
Other disorders of calcium metabolism
BillableChapter 4 - E83.81
Hungry bone syndrome
BillableChapter 4 - E84.8
Cystic fibrosis with other manifestations
BillableChapter 4 - E84.9
Cystic fibrosis, unspecified
BillableChapter 4 - E86.0
Dehydration
BillableChapter 4 - E86.1
Hypovolemia
BillableChapter 4 - E86.9
Volume depletion, unspecified
BillableChapter 4 - E87.0
Hyperosmolality and hypernatremia
BillableChapter 4 - E87.1
Hypo-osmolality and hyponatremia
BillableChapter 4 - E87.20
Acidosis, unspecified
BillableChapter 4 - E87.21
Acute metabolic acidosis
BillableChapter 4 - E87.22
Chronic metabolic acidosis
BillableChapter 4 - E87.29
Other acidosis
BillableChapter 4 - E87.3
Alkalosis
BillableChapter 4 - E87.4
Mixed disorder of acid-base balance
BillableChapter 4 - E87.5
Hyperkalemia
BillableChapter 4 - E87.6
Hypokalemia
BillableChapter 4 - E87.70
Fluid overload, unspecified
BillableChapter 4 - E87.71
Transfusion associated circulatory overload
BillableChapter 4 - E87.79
Other fluid overload
BillableChapter 4 - E87.8
Other disorders of electrolyte and fluid balance, not elsewhere classified
BillableChapter 4 - E89.0
Postprocedural hypothyroidism
BillableChapter 4 - P92.6
Failure to thrive in newborn
BillableChapter 16 - R29.0
Tetany
BillableChapter 18 - R62.0
Delayed milestone in childhood
BillableChapter 18 - R62.50
Unspecified lack of expected normal physiological development in childhood
BillableChapter 18 - R62.51
Failure to thrive (child)
BillableChapter 18 - R62.52
Short stature (child)
BillableChapter 18 - R62.59
Other lack of expected normal physiological development in childhood
BillableChapter 18 - R62.7
Adult failure to thrive
BillableChapter 18 - R63.0
Anorexia
BillableChapter 18 - R63.1
Polydipsia
BillableChapter 18 - R63.2
Polyphagia
BillableChapter 18 - R63.30
Feeding difficulties, unspecified
BillableChapter 18 - R63.31
Pediatric feeding disorder, acute
BillableChapter 18 - R63.32
Pediatric feeding disorder, chronic
BillableChapter 18 - R63.39
Other feeding difficulties
BillableChapter 18 - R63.4
Abnormal weight loss
BillableChapter 18 - R63.5
Abnormal weight gain
BillableChapter 18 - R63.6
Underweight
BillableChapter 18 - R63.8
Other symptoms and signs concerning food and fluid intake
BillableChapter 18 - R73.01
Impaired fasting glucose
BillableChapter 18 - R73.02
Impaired glucose tolerance (oral)
BillableChapter 18 - R73.03
Prediabetes
BillableChapter 18 - R73.09
Other abnormal glucose
BillableChapter 18 - R73.9
Hyperglycemia, unspecified
BillableChapter 18 - R82.4
Acetonuria
BillableChapter 18 - Z68.41
Body mass index [BMI] 40.0-44.9, adult
BillableChapter 21 - Z68.42
Body mass index [BMI] 45.0-49.9, adult
BillableChapter 21 - Z68.43
Body mass index [BMI] 50.0-59.9, adult
BillableChapter 21 - Z68.44
Body mass index [BMI] 60.0-69.9, adult
BillableChapter 21 - Z68.45
Body mass index [BMI] 70 or greater, adult
BillableChapter 21 - Z68.55
Body mass index [BMI] pediatric, 120% of the 95th percentile for age to less than 140% of the 95th percentile for age
BillableChapter 21 - Z68.56
Body mass index [BMI] pediatric, greater than or equal to 140% of the 95th percentile for age
BillableChapter 21
