Unacceptable Principal Diagnosis Codes
ICD-10-CM codes identified as unacceptable when used as principal diagnosis by MCE edit logic.
- B95.0Billable
Streptococcus, group A, as the cause of diseases classified elsewhere
- B95.1Billable
Streptococcus, group B, as the cause of diseases classified elsewhere
- B95.2Billable
Enterococcus as the cause of diseases classified elsewhere
- B95.3Billable
Streptococcus pneumoniae as the cause of diseases classified elsewhere
- B95.4Billable
Other streptococcus as the cause of diseases classified elsewhere
- B95.5Billable
Unspecified streptococcus as the cause of diseases classified elsewhere
- B95.61Billable
Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere
- B95.62Billable
Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere
- B95.7Billable
Other staphylococcus as the cause of diseases classified elsewhere
- B95.8Billable
Unspecified staphylococcus as the cause of diseases classified elsewhere
- B96.0Billable
Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere
- B96.1Billable
Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere
- B96.20Billable
Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere
- B96.21Billable
Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere
- B96.22Billable
Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere
- B96.23Billable
Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere
- B96.29Billable
Other Escherichia coli [E. coli] as the cause of diseases classified elsewhere
- B96.3Billable
Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere
- B96.4Billable
Proteus (mirabilis) (morganii) as the cause of diseases classified elsewhere
- B96.5Billable
Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere
- B96.6Billable
Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere
- B96.7Billable
Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere
- B96.81Billable
Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere
- B96.82Billable
Vibrio vulnificus as the cause of diseases classified elsewhere
- B96.83Billable
Acinetobacter baumannii as the cause of diseases classified elsewhere
- B96.89Billable
Other specified bacterial agents as the cause of diseases classified elsewhere
- B97.0Billable
Adenovirus as the cause of diseases classified elsewhere
- B97.10Billable
Unspecified enterovirus as the cause of diseases classified elsewhere
- B97.11Billable
Coxsackievirus as the cause of diseases classified elsewhere
- B97.12Billable
Echovirus as the cause of diseases classified elsewhere
- B97.19Billable
Other enterovirus as the cause of diseases classified elsewhere
- B97.21Billable
SARS-associated coronavirus as the cause of diseases classified elsewhere
- B97.29Billable
Other coronavirus as the cause of diseases classified elsewhere
- B97.30Billable
Unspecified retrovirus as the cause of diseases classified elsewhere
- B97.31Billable
Lentivirus as the cause of diseases classified elsewhere
- B97.32Billable
Oncovirus as the cause of diseases classified elsewhere
- B97.33Billable
Human T-cell lymphotrophic virus, type I [HTLV-I] as the cause of diseases classified elsewhere
- B97.34Billable
Human T-cell lymphotrophic virus, type II [HTLV-II] as the cause of diseases classified elsewhere
- B97.35Billable
Human immunodeficiency virus, type 2 [HIV 2] as the cause of diseases classified elsewhere
- B97.39Billable
Other retrovirus as the cause of diseases classified elsewhere
- B97.4Billable
Respiratory syncytial virus as the cause of diseases classified elsewhere
- B97.5Billable
Reovirus as the cause of diseases classified elsewhere
- B97.6Billable
Parvovirus as the cause of diseases classified elsewhere
- B97.7Billable
Papillomavirus as the cause of diseases classified elsewhere
- B97.81Billable
Human metapneumovirus as the cause of diseases classified elsewhere
- B97.89Billable
Other viral agents as the cause of diseases classified elsewhere
- C80.2Billable
Malignant neoplasm associated with transplanted organ
- D47.Z1Billable
Post-transplant lymphoproliferative disorder (PTLD)
- D89.810Billable
Acute graft-versus-host disease
- D89.811Billable
Chronic graft-versus-host disease
- D89.812Billable
Acute on chronic graft-versus-host disease
- D89.813Billable
Graft-versus-host disease, unspecified
- D89.831Billable
Cytokine release syndrome, grade 1
- D89.832Billable
Cytokine release syndrome, grade 2
- D89.833Billable
Cytokine release syndrome, grade 3
- D89.834Billable
Cytokine release syndrome, grade 4
- D89.835Billable
Cytokine release syndrome, grade 5
- D89.839Billable
Cytokine release syndrome, grade unspecified
- E88.ABillable
Wasting disease (syndrome) due to underlying condition
- F05Billable
Delirium due to known physiological condition
- F06.70Billable
Mild neurocognitive disorder due to known physiological condition without behavioral disturbance
- F06.71Billable
Mild neurocognitive disorder due to known physiological condition with behavioral disturbance
- F07.0Billable
Personality change due to known physiological condition
- F07.89Billable
Other personality and behavioral disorders due to known physiological condition
- F17.200Billable
Nicotine dependence, unspecified, uncomplicated
- F17.201Billable
Nicotine dependence, unspecified, in remission
- F17.210Billable
Nicotine dependence, cigarettes, uncomplicated
- F17.211Billable
Nicotine dependence, cigarettes, in remission
- F17.220Billable
Nicotine dependence, chewing tobacco, uncomplicated
- F17.221Billable
Nicotine dependence, chewing tobacco, in remission
- F17.290Billable
Nicotine dependence, other tobacco product, uncomplicated
- F17.291Billable
Nicotine dependence, other tobacco product, in remission
- F52.9Billable
Unspecified sexual dysfunction not due to a substance or known physiological condition
- F81.9Billable
Developmental disorder of scholastic skills, unspecified
- G73.1Billable
Lambert-Eaton syndrome in neoplastic disease
- G92.00Billable
Immune effector cell-associated neurotoxicity syndrome, grade unspecified
- G92.01Billable
Immune effector cell-associated neurotoxicity syndrome, grade 1
- G92.02Billable
Immune effector cell-associated neurotoxicity syndrome, grade 2
- G92.03Billable
Immune effector cell-associated neurotoxicity syndrome, grade 3
- G92.04Billable
Immune effector cell-associated neurotoxicity syndrome, grade 4
- G92.05Billable
Immune effector cell-associated neurotoxicity syndrome, grade 5
- H16.9Billable
Unspecified keratitis
- H36.811Billable
Nonproliferative sickle-cell retinopathy, right eye
- H36.812Billable
Nonproliferative sickle-cell retinopathy, left eye
- H36.813Billable
Nonproliferative sickle-cell retinopathy, bilateral
- H36.819Billable
Nonproliferative sickle-cell retinopathy, unspecified eye
- H36.821Billable
Proliferative sickle-cell retinopathy, right eye
- H36.822Billable
Proliferative sickle-cell retinopathy, left eye
- H36.823Billable
Proliferative sickle-cell retinopathy, bilateral
- H36.829Billable
Proliferative sickle-cell retinopathy, unspecified eye
- H40.1210Billable
Low-tension glaucoma, right eye, stage unspecified
- H40.1211Billable
Low-tension glaucoma, right eye, mild stage
- H40.1212Billable
Low-tension glaucoma, right eye, moderate stage
- H40.1213Billable
Low-tension glaucoma, right eye, severe stage
- H40.1214Billable
Low-tension glaucoma, right eye, indeterminate stage
- H40.1220Billable
Low-tension glaucoma, left eye, stage unspecified
- H40.1221Billable
Low-tension glaucoma, left eye, mild stage
- H40.1222Billable
Low-tension glaucoma, left eye, moderate stage
- H40.1223Billable
Low-tension glaucoma, left eye, severe stage
- H40.1224Billable
Low-tension glaucoma, left eye, indeterminate stage