Unacceptable Principal Diagnosis Codes
ICD-10-CM codes identified as unacceptable when used as principal diagnosis by MCE edit logic.
- H40.1230Billable
Low-tension glaucoma, bilateral, stage unspecified
- H40.1231Billable
Low-tension glaucoma, bilateral, mild stage
- H40.1232Billable
Low-tension glaucoma, bilateral, moderate stage
- H40.1233Billable
Low-tension glaucoma, bilateral, severe stage
- H40.1234Billable
Low-tension glaucoma, bilateral, indeterminate stage
- H40.1290Billable
Low-tension glaucoma, unspecified eye, stage unspecified
- H40.1291Billable
Low-tension glaucoma, unspecified eye, mild stage
- H40.1292Billable
Low-tension glaucoma, unspecified eye, moderate stage
- H40.1293Billable
Low-tension glaucoma, unspecified eye, severe stage
- H40.1294Billable
Low-tension glaucoma, unspecified eye, indeterminate stage
- H40.1310Billable
Pigmentary glaucoma, right eye, stage unspecified
- H40.1311Billable
Pigmentary glaucoma, right eye, mild stage
- H40.1312Billable
Pigmentary glaucoma, right eye, moderate stage
- H40.1313Billable
Pigmentary glaucoma, right eye, severe stage
- H40.1314Billable
Pigmentary glaucoma, right eye, indeterminate stage
- H40.1320Billable
Pigmentary glaucoma, left eye, stage unspecified
- H40.1321Billable
Pigmentary glaucoma, left eye, mild stage
- H40.1322Billable
Pigmentary glaucoma, left eye, moderate stage
- H40.1323Billable
Pigmentary glaucoma, left eye, severe stage
- H40.1324Billable
Pigmentary glaucoma, left eye, indeterminate stage
- H40.1330Billable
Pigmentary glaucoma, bilateral, stage unspecified
- H40.1331Billable
Pigmentary glaucoma, bilateral, mild stage
- H40.1332Billable
Pigmentary glaucoma, bilateral, moderate stage
- H40.1333Billable
Pigmentary glaucoma, bilateral, severe stage
- H40.1334Billable
Pigmentary glaucoma, bilateral, indeterminate stage
- H40.1390Billable
Pigmentary glaucoma, unspecified eye, stage unspecified
- H40.1391Billable
Pigmentary glaucoma, unspecified eye, mild stage
- H40.1392Billable
Pigmentary glaucoma, unspecified eye, moderate stage
- H40.1393Billable
Pigmentary glaucoma, unspecified eye, severe stage
- H40.1394Billable
Pigmentary glaucoma, unspecified eye, indeterminate stage
- H40.151Billable
Residual stage of open-angle glaucoma, right eye
- H40.152Billable
Residual stage of open-angle glaucoma, left eye
- H40.153Billable
Residual stage of open-angle glaucoma, bilateral
- H40.159Billable
Residual stage of open-angle glaucoma, unspecified eye
- H54.7Billable
Unspecified visual loss
- H57.9Billable
Unspecified disorder of eye and adnexa
- H93.90Billable
Unspecified disorder of ear, unspecified ear
- H93.91Billable
Unspecified disorder of right ear
- H93.92Billable
Unspecified disorder of left ear
- H93.93Billable
Unspecified disorder of ear, bilateral
- I25.82Billable
Chronic total occlusion of coronary artery
- I25.83Billable
Coronary atherosclerosis due to lipid rich plaque
- I25.84Billable
Coronary atherosclerosis due to calcified coronary lesion
- I26.01Billable
Septic pulmonary embolism with acute cor pulmonale
- I26.03Billable
Cement embolism of pulmonary artery with acute cor pulmonale
- I26.90Billable
Septic pulmonary embolism without acute cor pulmonale
- I26.95Billable
Cement embolism of pulmonary artery without acute cor pulmonale
- I31.4Billable
Cardiac tamponade
- I46.2Billable
Cardiac arrest due to underlying cardiac condition
- I46.8Billable
Cardiac arrest due to other underlying condition
- I70.92Billable
Chronic total occlusion of artery of the extremities
- I76Billable
Septic arterial embolism
- J12.82Billable
Pneumonia due to coronavirus disease 2019
- J34.8200Billable
Internal nasal valve collapse, unspecified
- J34.8201Billable
Internal nasal valve collapse, static
- J34.8202Billable
Internal nasal valve collapse, dynamic
- J34.8210Billable
External nasal valve collapse, unspecified
- J34.8211Billable
External nasal valve collapse, static
- J34.8212Billable
External nasal valve collapse, dynamic
- J34.829Billable
Nasal valve collapse, unspecified
- J93.12Billable
Secondary spontaneous pneumothorax
- K74.00Billable
Hepatic fibrosis, unspecified
- K74.01Billable
Hepatic fibrosis, early fibrosis
- K74.02Billable
Hepatic fibrosis, advanced fibrosis
- K76.81Billable
Hepatopulmonary syndrome
- L49.0Billable
Exfoliation due to erythematous condition involving less than 10 percent of body surface
- L49.1Billable
Exfoliation due to erythematous condition involving 10-19 percent of body surface
- L49.2Billable
Exfoliation due to erythematous condition involving 20-29 percent of body surface
- L49.3Billable
Exfoliation due to erythematous condition involving 30-39 percent of body surface
- L49.4Billable
Exfoliation due to erythematous condition involving 40-49 percent of body surface
- L49.5Billable
Exfoliation due to erythematous condition involving 50-59 percent of body surface
- L49.6Billable
Exfoliation due to erythematous condition involving 60-69 percent of body surface
- L49.7Billable
Exfoliation due to erythematous condition involving 70-79 percent of body surface
- L49.8Billable
Exfoliation due to erythematous condition involving 80-89 percent of body surface
- L49.9Billable
Exfoliation due to erythematous condition involving 90 or more percent of body surface
- M40.10Billable
Other secondary kyphosis, site unspecified
- M40.12Billable
Other secondary kyphosis, cervical region
- M40.13Billable
Other secondary kyphosis, cervicothoracic region
- M40.14Billable
Other secondary kyphosis, thoracic region
- M40.15Billable
Other secondary kyphosis, thoracolumbar region
- M41.50Billable
Other secondary scoliosis, site unspecified
- M41.52Billable
Other secondary scoliosis, cervical region
- M41.53Billable
Other secondary scoliosis, cervicothoracic region
- M41.54Billable
Other secondary scoliosis, thoracic region
- M41.55Billable
Other secondary scoliosis, thoracolumbar region
- M41.56Billable
Other secondary scoliosis, lumbar region
- M41.57Billable
Other secondary scoliosis, lumbosacral region
- N64.1Billable
Fat necrosis of breast
- O09.00Billable
Supervision of pregnancy with history of infertility, unspecified trimester
- O09.01Billable
Supervision of pregnancy with history of infertility, first trimester
- O09.02Billable
Supervision of pregnancy with history of infertility, second trimester
- O09.03Billable
Supervision of pregnancy with history of infertility, third trimester
- O09.10Billable
Supervision of pregnancy with history of ectopic pregnancy, unspecified trimester
- O09.11Billable
Supervision of pregnancy with history of ectopic pregnancy, first trimester
- O09.12Billable
Supervision of pregnancy with history of ectopic pregnancy, second trimester
- O09.13Billable
Supervision of pregnancy with history of ectopic pregnancy, third trimester
- O09.211Billable
Supervision of pregnancy with history of pre-term labor, first trimester
- O09.212Billable
Supervision of pregnancy with history of pre-term labor, second trimester
- O09.213Billable
Supervision of pregnancy with history of pre-term labor, third trimester
- O09.219Billable
Supervision of pregnancy with history of pre-term labor, unspecified trimester