ICD-10 MS-DRG v42 (2025)

Medicare Severity Diagnosis Related Group

MDC 03: DISEASES & DISORDERS OF THE EAR, NOSE, MOUTH & THROAT

ICD10CM Code Assignment

Surgical DRGs

140   MAJOR HEAD AND NECK PROCEDURES WITH MCC
141   MAJOR HEAD AND NECK PROCEDURES WITH CC
142   MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
143   OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
144   OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
145   OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
135   SINUS AND MASTOID PROCEDURES WITH CC/MCC
136   SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC
137   MOUTH PROCEDURES WITH CC/MCC
138   MOUTH PROCEDURES WITHOUT CC/MCC
139   SALIVARY GLAND PROCEDURES

If the Principal Diagnosis designated a DRG should be selected from this MDC, AND an O.R. (Operating Room) procedure was performed but does not match the Surgical DRGs listed above, see the Unrelated Operating Room Procedures DRGs.


Medical DRGs

146   EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
147   EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
148   EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC
149   DYSEQUILIBRIUM
150   EPISTAXIS WITH MCC
151   EPISTAXIS WITHOUT MCC
152   OTITIS MEDIA AND URI WITH MCC
153   OTITIS MEDIA AND URI WITHOUT MCC
154   OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
155   OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
156   OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
157   DENTAL AND ORAL DISEASES WITH MCC
158   DENTAL AND ORAL DISEASES WITH CC
159   DENTAL AND ORAL DISEASES WITHOUT CC/MCC
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