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 2 of 27.
- H40.1230Low-tension glaucoma, bilateral, stage unspecified
- H40.1231Low-tension glaucoma, bilateral, mild stage
- H40.1232Low-tension glaucoma, bilateral, moderate stage
- H40.1233Low-tension glaucoma, bilateral, severe stage
- H40.1234Low-tension glaucoma, bilateral, indeterminate stage
- H40.1290Low-tension glaucoma, unspecified eye, stage unspecified
- H40.1291Low-tension glaucoma, unspecified eye, mild stage
- H40.1292Low-tension glaucoma, unspecified eye, moderate stage
- H40.1293Low-tension glaucoma, unspecified eye, severe stage
- H40.1294Low-tension glaucoma, unspecified eye, indeterminate stage
- H40.1310Pigmentary glaucoma, right eye, stage unspecified
- H40.1311Pigmentary glaucoma, right eye, mild stage
- H40.1312Pigmentary glaucoma, right eye, moderate stage
- H40.1313Pigmentary glaucoma, right eye, severe stage
- H40.1314Pigmentary glaucoma, right eye, indeterminate stage
- H40.1320Pigmentary glaucoma, left eye, stage unspecified
- H40.1321Pigmentary glaucoma, left eye, mild stage
- H40.1322Pigmentary glaucoma, left eye, moderate stage
- H40.1323Pigmentary glaucoma, left eye, severe stage
- H40.1324Pigmentary glaucoma, left eye, indeterminate stage
- H40.1330Pigmentary glaucoma, bilateral, stage unspecified
- H40.1331Pigmentary glaucoma, bilateral, mild stage
- H40.1332Pigmentary glaucoma, bilateral, moderate stage
- H40.1333Pigmentary glaucoma, bilateral, severe stage
- H40.1334Pigmentary glaucoma, bilateral, indeterminate stage
- H40.1390Pigmentary glaucoma, unspecified eye, stage unspecified
- H40.1391Pigmentary glaucoma, unspecified eye, mild stage
- H40.1392Pigmentary glaucoma, unspecified eye, moderate stage
- H40.1393Pigmentary glaucoma, unspecified eye, severe stage
- H40.1394Pigmentary glaucoma, unspecified eye, indeterminate stage
- H40.151Residual stage of open-angle glaucoma, right eye
- H40.152Residual stage of open-angle glaucoma, left eye
- H40.153Residual stage of open-angle glaucoma, bilateral
- H40.159Residual stage of open-angle glaucoma, unspecified eye
- H54.7Unspecified visual loss
- H57.9Unspecified disorder of eye and adnexa
- H93.90Unspecified disorder of ear, unspecified ear
- H93.91Unspecified disorder of right ear
- H93.92Unspecified disorder of left ear
- H93.93Unspecified disorder of ear, bilateral
- I25.82Chronic total occlusion of coronary artery
- I25.83Coronary atherosclerosis due to lipid rich plaque
- I25.84Coronary atherosclerosis due to calcified coronary lesion
- I26.01Septic pulmonary embolism with acute cor pulmonale
- I26.03Cement embolism of pulmonary artery with acute cor pulmonale
- I26.90Septic pulmonary embolism without acute cor pulmonale
- I26.95Cement embolism of pulmonary artery without acute cor pulmonale
- I31.4Cardiac tamponade
- I46.2Cardiac arrest due to underlying cardiac condition
- I46.8Cardiac arrest due to other underlying condition
- I70.92Chronic total occlusion of artery of the extremities
- I76Septic arterial embolism
- J12.82Pneumonia due to coronavirus disease 2019
- J34.8200Internal nasal valve collapse, unspecified
- J34.8201Internal nasal valve collapse, static
- J34.8202Internal nasal valve collapse, dynamic
- J34.8210External nasal valve collapse, unspecified
- J34.8211External nasal valve collapse, static
- J34.8212External nasal valve collapse, dynamic
- J34.829Nasal valve collapse, unspecified
- J93.12Secondary spontaneous pneumothorax
- K74.00Hepatic fibrosis, unspecified
- K74.01Hepatic fibrosis, early fibrosis
- K74.02Hepatic fibrosis, advanced fibrosis
- K76.81Hepatopulmonary syndrome
- L49.0Exfoliation due to erythematous condition involving less than 10 percent of body surface
- L49.1Exfoliation due to erythematous condition involving 10-19 percent of body surface
- L49.2Exfoliation due to erythematous condition involving 20-29 percent of body surface
- L49.3Exfoliation due to erythematous condition involving 30-39 percent of body surface
- L49.4Exfoliation due to erythematous condition involving 40-49 percent of body surface
- L49.5Exfoliation due to erythematous condition involving 50-59 percent of body surface
- L49.6Exfoliation due to erythematous condition involving 60-69 percent of body surface
- L49.7Exfoliation due to erythematous condition involving 70-79 percent of body surface
- L49.8Exfoliation due to erythematous condition involving 80-89 percent of body surface
- L49.9Exfoliation due to erythematous condition involving 90 or more percent of body surface
- M40.10Other secondary kyphosis, site unspecified
- M40.12Other secondary kyphosis, cervical region
- M40.13Other secondary kyphosis, cervicothoracic region
- M40.14Other secondary kyphosis, thoracic region
- M40.15Other secondary kyphosis, thoracolumbar region
- M41.50Other secondary scoliosis, site unspecified
- M41.52Other secondary scoliosis, cervical region
- M41.53Other secondary scoliosis, cervicothoracic region
- M41.54Other secondary scoliosis, thoracic region
- M41.55Other secondary scoliosis, thoracolumbar region
- M41.56Other secondary scoliosis, lumbar region
- M41.57Other secondary scoliosis, lumbosacral region
- N64.1Fat necrosis of breast
- O09.00Supervision of pregnancy with history of infertility, unspecified trimester
- O09.01Supervision of pregnancy with history of infertility, first trimester
- O09.02Supervision of pregnancy with history of infertility, second trimester
- O09.03Supervision of pregnancy with history of infertility, third trimester
- O09.10Supervision of pregnancy with history of ectopic pregnancy, unspecified trimester
- O09.11Supervision of pregnancy with history of ectopic pregnancy, first trimester
- O09.12Supervision of pregnancy with history of ectopic pregnancy, second trimester
- O09.13Supervision of pregnancy with history of ectopic pregnancy, third trimester
- O09.211Supervision of pregnancy with history of pre-term labor, first trimester
- O09.212Supervision of pregnancy with history of pre-term labor, second trimester
- O09.213Supervision of pregnancy with history of pre-term labor, third trimester
- O09.219Supervision of pregnancy with history of pre-term labor, unspecified trimester
