Unacceptable Principal Diagnosis Codes
ICD-10-CM codes identified as unacceptable when used as principal diagnosis by MCE edit logic.
Source: Definitions of Medicare Code Edits v44.0, edit 9.
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Codes on this list
2,666 codes, page 1 of 27.
- B95.0Streptococcus, group A, as the cause of diseases classified elsewhere
- B95.1Streptococcus, group B, as the cause of diseases classified elsewhere
- B95.2Enterococcus as the cause of diseases classified elsewhere
- B95.3Streptococcus pneumoniae as the cause of diseases classified elsewhere
- B95.4Other streptococcus as the cause of diseases classified elsewhere
- B95.5Unspecified streptococcus as the cause of diseases classified elsewhere
- B95.61Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere
- B95.62Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere
- B95.7Other staphylococcus as the cause of diseases classified elsewhere
- B95.8Unspecified staphylococcus as the cause of diseases classified elsewhere
- B96.0Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere
- B96.1Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere
- B96.20Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere
- B96.21Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere
- B96.22Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere
- B96.23Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere
- B96.29Other Escherichia coli [E. coli] as the cause of diseases classified elsewhere
- B96.3Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere
- B96.4Proteus (mirabilis) (morganii) as the cause of diseases classified elsewhere
- B96.5Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere
- B96.6Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere
- B96.7Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere
- B96.81Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere
- B96.82Vibrio vulnificus as the cause of diseases classified elsewhere
- B96.83Acinetobacter baumannii as the cause of diseases classified elsewhere
- B96.89Other specified bacterial agents as the cause of diseases classified elsewhere
- B97.0Adenovirus as the cause of diseases classified elsewhere
- B97.10Unspecified enterovirus as the cause of diseases classified elsewhere
- B97.11Coxsackievirus as the cause of diseases classified elsewhere
- B97.12Echovirus as the cause of diseases classified elsewhere
- B97.19Other enterovirus as the cause of diseases classified elsewhere
- B97.21SARS-associated coronavirus as the cause of diseases classified elsewhere
- B97.29Other coronavirus as the cause of diseases classified elsewhere
- B97.30Unspecified retrovirus as the cause of diseases classified elsewhere
- B97.31Lentivirus as the cause of diseases classified elsewhere
- B97.32Oncovirus as the cause of diseases classified elsewhere
- B97.33Human T-cell lymphotrophic virus, type I [HTLV-I] as the cause of diseases classified elsewhere
- B97.34Human T-cell lymphotrophic virus, type II [HTLV-II] as the cause of diseases classified elsewhere
- B97.35Human immunodeficiency virus, type 2 [HIV 2] as the cause of diseases classified elsewhere
- B97.39Other retrovirus as the cause of diseases classified elsewhere
- B97.4Respiratory syncytial virus as the cause of diseases classified elsewhere
- B97.5Reovirus as the cause of diseases classified elsewhere
- B97.6Parvovirus as the cause of diseases classified elsewhere
- B97.7Papillomavirus as the cause of diseases classified elsewhere
- B97.81Human metapneumovirus as the cause of diseases classified elsewhere
- B97.89Other viral agents as the cause of diseases classified elsewhere
- C80.2Malignant neoplasm associated with transplanted organ
- D47.Z1Post-transplant lymphoproliferative disorder (PTLD)
- D89.810Acute graft-versus-host disease
- D89.811Chronic graft-versus-host disease
- D89.812Acute on chronic graft-versus-host disease
- D89.813Graft-versus-host disease, unspecified
- D89.831Cytokine release syndrome, grade 1
- D89.832Cytokine release syndrome, grade 2
- D89.833Cytokine release syndrome, grade 3
- D89.834Cytokine release syndrome, grade 4
- D89.835Cytokine release syndrome, grade 5
- D89.839Cytokine release syndrome, grade unspecified
- E88.AWasting disease (syndrome) due to underlying condition
- F05Delirium due to known physiological condition
- F06.70Mild neurocognitive disorder due to known physiological condition without behavioral disturbance
- F06.71Mild neurocognitive disorder due to known physiological condition with behavioral disturbance
- F07.0Personality change due to known physiological condition
- F07.89Other personality and behavioral disorders due to known physiological condition
- F17.200Nicotine dependence, unspecified, uncomplicated
- F17.201Nicotine dependence, unspecified, in remission
- F17.210Nicotine dependence, cigarettes, uncomplicated
- F17.211Nicotine dependence, cigarettes, in remission
- F17.220Nicotine dependence, chewing tobacco, uncomplicated
- F17.221Nicotine dependence, chewing tobacco, in remission
- F17.290Nicotine dependence, other tobacco product, uncomplicated
- F17.291Nicotine dependence, other tobacco product, in remission
- F52.9Unspecified sexual dysfunction not due to a substance or known physiological condition
- F81.9Developmental disorder of scholastic skills, unspecified
- G73.1Lambert-Eaton syndrome in neoplastic disease
- G92.00Immune effector cell-associated neurotoxicity syndrome, grade unspecified
- G92.01Immune effector cell-associated neurotoxicity syndrome, grade 1
- G92.02Immune effector cell-associated neurotoxicity syndrome, grade 2
- G92.03Immune effector cell-associated neurotoxicity syndrome, grade 3
- G92.04Immune effector cell-associated neurotoxicity syndrome, grade 4
- G92.05Immune effector cell-associated neurotoxicity syndrome, grade 5
- H16.9Unspecified keratitis
- H36.811Nonproliferative sickle-cell retinopathy, right eye
- H36.812Nonproliferative sickle-cell retinopathy, left eye
- H36.813Nonproliferative sickle-cell retinopathy, bilateral
- H36.819Nonproliferative sickle-cell retinopathy, unspecified eye
- H36.821Proliferative sickle-cell retinopathy, right eye
- H36.822Proliferative sickle-cell retinopathy, left eye
- H36.823Proliferative sickle-cell retinopathy, bilateral
- H36.829Proliferative sickle-cell retinopathy, unspecified eye
- H40.1210Low-tension glaucoma, right eye, stage unspecified
- H40.1211Low-tension glaucoma, right eye, mild stage
- H40.1212Low-tension glaucoma, right eye, moderate stage
- H40.1213Low-tension glaucoma, right eye, severe stage
- H40.1214Low-tension glaucoma, right eye, indeterminate stage
- H40.1220Low-tension glaucoma, left eye, stage unspecified
- H40.1221Low-tension glaucoma, left eye, mild stage
- H40.1222Low-tension glaucoma, left eye, moderate stage
- H40.1223Low-tension glaucoma, left eye, severe stage
- H40.1224Low-tension glaucoma, left eye, indeterminate stage
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