June 2022. Therefore, these diagnosis codes are added to the excluded lists and will not be found on the valid lists for NGHP plan types. Unacceptable principal codes; Outcome of delivery codes; Present on Admission Exempt (POA) . Outpatient surgery encounter rules are to assign the diagnosis code as first-listed for the condition that the surgery was performed. The COBOL wrapping programs provided have been enhanced to add redirectStandardStreams which allows greater flexibility in the location of log files on the Mainframe system. There were no changes made to the functionality or content of MS-DRG or MCE. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, ICD-10 MS-DRGs Version 37.2 Effective August 01, 2020, July 2020 Quarterly Update to the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2020 Pricer, FY 2022 Version 39.1 (Effective April 1, 2022 through September 30, 2022), Medicare Severity Diagnosis Related Group (MS-DRG) Grouper Software and Medicare Code Editor (MCE) Version V. : The Apache Log4j open-source logging software library is used in the PC and Java based grouping and editing software (MS-DRG Java, MCE Java, MSGMCE). or Sign up to get the latest information about your choice of CMS topics. These files listed below represent the January 1, 2021 update for ICD-10-CM. Medicare identifies certain codes as unacceptable as the principal diagnosis. Deleted 32 diagnosis codes. This can lead to confusion in how states should submit data to T-MSIS. These codes are considered unacceptable as a principal diagnosis. B95.1 Streptococcus, group B, as the cause of diseases classified elsewhere. May 19, 2022. Link to the supplementary file that was made available for the listening session: We are providing updated impact on resource use files so that the public can review the mathematical data for the impact on resource use generated using claims from the FY 2019 - FY 2021 MedPAR files: FY 2023 Version 40.1 (Effective April 1, 2023 through September 30, 2023), FY 2023 Version 40 (Effective October 1, 2022 through September 30, 2023). These 2022 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2021 through September 30, 2022. Selain Cms List Of Unacceptable Principal Diagnosis Codes 2022 disini mimin akan menyediakan Mod Apk Gratis dan kamu bisa mengunduhnya secara gratis + versi modnya dengan format file apk. How To Clean Drybar Hair Brush, Share sensitive information only on official, secure websites. 809: This claim must contain at least one specified Surgical . Secure .gov websites use HTTPSA Principal diagnosis: Condition established after study to be chiefly responsible for the patient's admission to the hospital. February 2022. FY 2022 (October 1, 2021 - September 30, 2022) . October 1, 2014, these diagnoses are no longer permitted as principal diagnosis codes on hospice claims. If you comb the Chapter 15 section of the guidelines, which talk about how to use the codes, you will not see these codes mentioned either. Medicare Guide for Snf Billing and Reimbursement The annual CPT "TM" . WebThere are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. This does not appear in the PRATTLST anywhere. Effective with dates of service on and after October 22, 2016, Kansas Medicaid will adopt the Medicare list of unacceptable principal (primary) diagnosis codes in various health care settings as listed in KMAP Bulletin 16161. Sign up to get the latest information about your choice of CMS topics. Kansas Kansas uses a customized, state identified Inappropriate Primary ICD-10 Diagnosis Codes list. Additionally, new edits for the codes in Attachment A will be implemented, as these codes are part of sequencing or other coding convention in ICD-9-CM/ICD-10-CM . ( Proposed Changes to the MS-DRG Diagnosis Codes for FY 2022; a. ADSI - IDTF West 1900 S Norfolk Street, # 350 San Mateo, CA 94403-1171 Phone: (877) 566-7815 ADSI Corporate 6125 Sherwin Drive Port Richey, FL 34668-6751 In 2022, there will be 124 new codes added to ICD-10. https:// March 2022. Then, if you look at the ICD-10 guidelines on codes that cannot be used as a principal diagnosis, you get the following: In diseases classified elsewhere codes are never permitted to be used as first listed or principal diagnosis codes. The HCPCS-MS-DRG definitions manual and software developed under the requirements of section 15001 of the 21st Century Cures Act (Public Law 114255). They are saying the following codes (and others) are not allowable as principal diagnosis codes based on CMS coding: O34.211 (Previous C-section scar), O32.1xx0 (Maternal care for breech presentation), and O36 . ICD-9 V codes are equivalent to ICD-10 Z codes (e.g., factors influencing health status and contact with health services). See additional coding rules. July 2022. Do You Know the Difference Between Reporting 59000 or 59001? An official website of the United States government eric church tour opening act 2022; how to get sword of nunoboko shinobi striker. ICD-10 Hospital Acquired Conditions Code List. For additional information regarding the Version 39 Test GROUPER please see the file titled CMS-1752-P Tables 6P.1a and 6P.1b below. Indicates that a specific set of principal diagnoses are used in the definition of the MS-DRG. O33.7XX5 Maternal care for disproportion due to other fetal deformities, fetus 5. The complete Medicare list of unacceptable principal diagnosis codes can be accessed on the Centers for Medicare & Medicaid Services (CMS) MS-DRG Classifications and Software page. In response to the national emergency that was declared concerning the COVID-19 outbreak, the Centers for Disease Control and Preventions (CDC) National Center for Health Statistics (NCHS) is implementing 6 new diagnosis codes into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), effective January 1, 2021. The MS-DRGs listed in the logic tables are in hierarchical order. Intubated. Percentage. . If the primary diagnosis does not fit into one of the 12 clinical groups in the payment model, this is considered a "Unacceptable Diagnosis". Effective October 1, 2015, the diagnosis and procedure information is reported by the hospital using codes from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS). Medicare Severity Diagnosis Related Group (MS-DRG) Grouper Software and Medicare Code Editor (MCE) Java Beta Version 38.1 MAINFRAME Software (ZIP)- UPDATED 5.24.21, Inquiries related to this Java Beta version of the Grouper should be directed toGrouperBetaTesting@cms.hhs.gov, Errata (PDF): A document describing the changes from Version 38 to Version 38.0 R1, This is a supporting file for the FY 2021 IPPS/LTCH PPS Proposed Rule. You can decide how often to receive updates. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented. Page 4 Mixed coded claims: Claims coded with ICD-9 and ICD-10 on the same claim will not be accepted. Z codes that may only be principal/first-listed diagnosis; Z Codes as Principal, First-listed Diagnosis. (This list is a combination codes from ICD-10 Inappropriate Primary DX list and the CMS Medicare Unacceptable Principal Diagnosis Code List). CMS reviews ICD 10 codes annually to identify the codes that may be used for Section 111 NGHP Claim Input File Detail Record submissions. Claims containing services before and after the compliance date: These claims require the health care professionals to split the claim so all ICD-9 codes remain on one claim with dates of service prior to October 1, 2105 and all ICD-10 codes on the claims with dates of service on or after . Police Power In Real Estate, Question:Our auditors have given us a list of unacceptable principal diagnosis codes. https:// Endocrine, nutritional and metabolic diseases, and immunity disorders. Medicare Severity Diagnosis Related Group (MS-DRG) Grouper Software and Medicare Code Editor (MCE) Version V38.0 R1MAINFRAME Software, Medicare Severity Diagnosis Related Group (MS-DRG) Grouper Software and Medicare Code Editor (MCE) Version V38.0 R1, ICD-10 PC Software, Proposed ICD-10 MS-DRG Definitions Manual Files V38. These codes are considered unacceptable as a principal diagnosis.. To ensure ICD codes are acceptable, Barnestorm has provided a visual guide for accepted codes with a simple highlight, as well as a pull-down that filters by clinical . ncaa swimming championships 2022 results; smart financial credit union wayside; . Zip file contains a PDF and text file that is 508 compliant. The O36.59 category also has no instruction about coding something first. If you comb the Chapter 15 section of the guidelines, which talk about how to use the codes, you will not see these codes mentioned either. QPP symbol in the tabular section. The files in the Downloads section below contain information on the ICD-10-CM COVID-19 updates effective with discharges and patient encounters on and after January 1, 2021. R54 is applicable to adult patients . For MS-DRG, refer to folder CMSDRG400_MF_Java_jar. #2. Each of the Medicare Severity Diagnosis Related Groups is defined by a particular set of patient attributes which include principal . Those identified codes do not describe a current illness or injury, but a Principal Diagnosis and Code: Right orbital floor--S02.31XA Other Diagnoses and Codes: Right . The list goes on, but my question is what in the world are we supposed to use? All Rights Reserved. Questionable admission 1.166 9. This is completely unacceptable, because the certification MUST include certifying the date of the Face-to-Face Encounter and that cannot happen until the encounter has taken place. Michigan Michigan Medicaid allows for Z33.1 and Z39.2 to be billed with T1033 and S9445 for . Denials will include administrative . When an admission occurs due to a complication arising from surgery or other medical care, the complication code should be reported as principal. Select "Definition of Medicare Code Edits v33" zip file; . Example: A 68-year-old male with type II diabetes, COPD, and hypertension underwent LT total hip arthroplasty due to OA. united states. They want us to code what the principle diagnosis was for bringing her into the hospital. The 2022 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2022. [], Copyright 2023. .gov You can decide how often to receive updates. Share sensitive information only on official, secure websites. They are saying the following codes (and others) are not allowable as principal diagnosis codes based on CMS coding: O34.211 (Previous C-section scar), O32.1xx0 (Maternal care for breech presentation), and O36.5930 (IUFD). Unacceptable principal diagnosis is a coding convention in ICD-10. hUKgm/2WFRl3Rf*"H? Attachments Section: Inappropriate Primary Diagnosis Codes ICD-10-CM list updated 1/1/2022 Policy Version Change Added Oxford information to Application section 9/26/2021 Policy Version Change Attachments Section: Inappropriate Primary Diagnosis Codes ICD-10-CM list updated History Section: Entries prior to 1/1/2019 archived cE;Cz?)?L{U*?DwGRf] [G!@2eay"{`,,NJdF)K'U4GXT)i b:NHHuS`v$3q:VNxK/I'1IJlu5hBfC6 $2uA4Y[vf`~eL&QPm7E"!l%5TQe%U\n.gX4c" [q_ +ab%)+*DRvT&Z;|w|>>UmaF+ x@q|'1 A)JekDo ? 11. patient/staff safety) 52 Discharge for patient unavailability, inability to receive care, or out of service area 85 Delayed recertification of hospice terminal illness (effective for claims received on or after 1/1/2017) CMS Pub. Im unsure on how we would use an obstruction of labor code on scheduled C-sections where the patient never went into labor. For the transcript and audio file of the listening session, visit https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/Downloads/10082019ListingSessionTrasncriptandQandAsandAudioFile.zip. ( The following 23,106 ICD-10-CM codes are non-billable/non-specific and should generally not be used to indicate a diagnosis for reimbursement purposes. Non-specific principal diagnosis 1.166 8. . These files are not intended for direct use in applications but offer an opportunity for users to have some additional insight into the components inner workings. Meningitis in other infectious and parasitic diseases classified elsewhere. The valid lists also include the, Excluded Liability and No-Fault ICD-10 List, Excluded Liability and No-Fault ICD-9 List, Coordination of Benefits & Recovery Overview. The 2021 ICD-10-CM codes are to be used from January 1, 2021 through September 30, 2021. Each code submitted will be considered on a case by case basis. Section 1886(d) of the Act specifies that the Secretary shall establish a classification system (referred to as DRGs) for inpatient discharges and adjust payments under the IPPS based on appropriate weighting factors assigned to each DRG. Quickly see the complete list of new, revised, and deleted codes affecting the CY2022 codes, including a conversion table and code changes by specialty. Effective April 5, 2022, the new electronic intake system, Medicare Electronic Application Request Information SystemTM(MEARISTM), became available as an initial release for users to begin gaining familiarity with a new approach and process to submit MS-DRG classification change requests. Recently, a vulnerability was discovered in Log4j that could present security issues when running under certain conditions. Does CMS provide a list of appropriate or inappropriate primary diagnoses? Find ICD-10 diagnosis codes by code name, code description, synonyms, chapter, classification, valid for submission status code and code status. This test software reflects the proposed GROUPER logic for FY 2022. . W7113: The principal diagnosis code reported is considered supplementary or an additional code and cannot be used as the principal diagnoses. The Centers for Disease Control and Prevention will implement three new ICD-10 diagnosis codes for reporting COVID-19 vaccination status effective April 1, 2022. 12. 1. Securities registered pursuant to Section 12(g) of the Act: None. For Medicare Advantage (MA) members specifically, the Centers for Medicare & Medicaid Services determined that coverage for COVID-19 vaccines administered to MA plan members during 2020 and 2021 would be provided through the Original Medicare program . Changes to the Medicare Code Editor (MCE) a. But coders should be able to defend this with documentation of clinical circumstances, such as if the patient is: In the intensive care unit. If yes, is value in 2300 HI01-2 (diagnosis code) identified as an Unacceptable Principal Diagnosis (if applicable)? The following criteria, used to determine codes that are added to the Unacceptable Principal Diagnosis Codes list, are . Policy List Change: Unacceptable Principal ICD10 Diagnosis Codes List 8/28/2022 Policy Version Change . B95.0 Streptococcus, group A, as the cause of diseases classified elsewhere. Under the 2020 subheading, click the link titled Definition of Medicare Code . https:// First code the current symptoms/conditions then add code U09.9 as a secondary diagnosis. The reason for the encounter documented in the medical record will generally be the first listed diagnosis. 1.21.2022 - Conversion Factor for Anesthesia Codes Update. Oct 31, 2020. In the inpatient setting, the primary diagnosis describes the diagnosis that was the most serious and/or resource-intensive during the hospitalization or the inpatient encounter. April 2022. It is always the first-listed diagnosis on the health record and the UB-04 claim form. CMS Manual System Department of Health & Human Services (DHHS) Pub 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS) Transmittal 10996 Date: September 16, 2021 Change Request 12432. Unacceptable principal diagnosis 10. 2. The following headings appear in the MS-DRG definitions: Principal diagnoses. Visit the NCCI Medicaid Manual Archive for more information and prior versions of the manual.. includes guidelines for selection of principal diagnosis for nonoutpatient settings . I have no clue what we are supposed to use for a patient who, for instance, has a fetal demise at 26 weeks and is scheduled for an induction, since apparently O36.5930 is an unacceptable principle diagnosis on the list as well. CMS does publish a list of unacceptable principal diagnosis codes for purposes of inpatient facility DRG claims, which you can find within the 'Definitions of Medicare Code Edits' documents at the link below. . Reader Questions: Determine What Diagnoses Can Be Principal Ones, Determine What Diagnoses Can Be Principal Ones. Zip file contains a PDF and text file that is 508 compliant. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. Last Updated Wed, 11 May 2022 18:25:23 +0000. Proposed ICD-10-CM/PCS MS-DRG V38 Definitions Manual Table of Contents - Full Titles - HTML Version, Medicare Severity Diagnosis Related Group (MS-DRG) Test Grouper Software and Medicare Code Editor (MCE) Version 38, ICD-10 PC Software, FY 2020 -Version 37.2 - (Effective August 1, 2020 through September 30, 2020), V37.2 Definitions Manual Table of Contents - Full Titles - HTML Versions, Medicare Severity Diagnosis Related Group (MS-DRG) Grouper Software and Medicare Code Editor (MCE) Version. The List of ICD-9 codes included codes for the following: Infectious and parasitic diseases. There is no FY 2022 GEMs file. 1.21.2022 - The COVID-19 Public Health Emergency and Medicaid FAQs. DIAGNOSIS VALIDITY & CODING GUIDELINES File Name: diagnosis_validity_MA Origination: 6/2022 Last Review: 12/2022 Next Review: 12/2023 Description Diagnosis (ICD-10-CM) codes are alphanumeric codes with three to seven characters and are used to describe a clinical picture. The complete unacceptable diagnoses list for Medicare home health care is 620 pages and contains to more than 29,000 ICD 10- diagnoses code and descriptions. The complete Medicare list of unacceptable principal diagnosis codes can be accessed on the Centers for Medicare & Medicaid Services (CMS) MS-DRG Classifications and Software page. Age Conflict Edit (1) Pediatric Diagnoses; c. Sex Conflict . or principal, diagnosis code reported in DIAGNOSIS-CODE-1. Share sensitive information only on official, secure websites. My Spotify Glass Phone Number, Your healthcare provider may have used the wrong diagnosis code. Unacceptable principal diagnosis is a coding convention in ICD-10. We made the GEMs files available for FY 2016, FY 2017 and FY 2018. It is unacceptable to assign codes in the inpatient setting to diagnoses that are documented as being "probable," "suspected," or "likely." For additional information regarding the Version 38 Test GROUPER please see the file titled CMS-1735-P Table 6P.1a below. Question:Our auditors have given us a list of unacceptable principal diagnosis codes. The MS-DRG Java zip file has been updated to include a missing dependency required for testing. Zip file contains a PDF and text file that is 508 compliant. This is the American ICD-10-CM version of R54 - other international versions of ICD-10 R54 may differ. The Java Source Code (JAR files) are provided for transparency around the grouping and editing methodology internals. Unacceptable Principal Diagnosis Additions . Covid-19 was the eighth leading cause of death among children in recent months, according to a study published Monday. These codes are only to be used when the medical record, at the time of the encounter, is insufficient to assign a more specific code. Reimbursement Policies. securities and exchange commission. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. E-code as principal diagnosis 3. principal diagnosis on an inpatient hospital (UB-04) claim form or its electronic equivalent. Secure .gov websites use HTTPSA UnitedHealthcare Inappropriate Primary ICD-10-CM Diagnosis Codes List Questions and Answers 1 Q: Does this policy apply to Inpatient Hospital claims? A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Someone within our group handling the refund requests from the auditor is telling us that if we arent using O80 or O82, then they are looking for complications of pregnancy codes O60-O77.9. 1.20.2022 - 24-Hour Prior Authorization Requirements. The selection of appropriate ICD-10-CM diagnosis codes by providers is based on clinical information that is unavailable to the State of New Jersey. 27 Top Diagnoses in 2017 28 . Codes with only three characters are usually the headings of a category of codes. Once identified for Section 111 reporting, diagnosis codes are retained on the lists from year to year. Age conflict 5. Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. Reimbursement Guidelines UnitedHealthcare will deny claims when a code on the Unacceptable Principal ICD-10-CM Diagnosis List is submitted as a principal diagnosis in box 67 on a UB-04 claim form or its electronical equivalent. Ask your auditor to show you where it says this in the official ICD-10-CM guidelines, as there is only a small number of codes that cannot be specifically used as a principal diagnosis and the ones listed above (with the exception of the O34 codes) are not among them. Answer:The instruction for the O34 codes is to Code first any associated obstructed labor (O65.5). This means if there is obstructed labor, you should code that as the principal diagnosis. 4753 0 obj <>/Filter/FlateDecode/ID[]/Index[4733 30]/Info 4732 0 R/Length 102/Prev 822649/Root 4734 0 R/Size 4763/Type/XRef/W[1 3 1]>>stream If yes, reject. Updated December 31, 2021. Medicare Severity-Diagnosis Related Groups are assigned a Major Diagnostic Category (MDC). The formula used to calculate payment for a specific case multiplies an individual hospital's payment rate per case by the weight of the DRG to which the case is assigned. is a complete list of all the ICD-10-CM diagnosis or procedure codes included in the MS-DRG. The Centers for Medicare and Medicaid Services (CMS) is responsible for the development for ICD-10-PCS. Johnston County Traditional School Calendar, R21 - Precertification. Browse for your desired term or condition, or search for a specific disease / condition. Heres how you know. Many of the diagnoses on the list would never be listed as a primary diagnosis for home health patients from a clinical. SUBJECT: October 2021 Integrated Outpatient Code Editor (I/OCE) Specifications Version 22.3 A=Added To List, N=New Code Diagnosis Eff Date Description R* J1282 2021-01-01 Pneumonia due to coronavirus disease 2019 N Z1152 2021-01-01 Encounter for screening for COVID-19 N Z20822 2021-01-01 Contact with and (suspected . Please see below for a full list of these codes effective Oct. 1, 2022. Duplicate of PDX 4. They want us to code what the principal diagnosis was for bringing the patient into the hospital. When using code K74.00 in processing claims, check the following: See additional coding rules. Invalid diagnosis or procedure code 2. . Diagnosis codes 294.10/F02.80. A=Added To List, N=New Code Diagnosis Eff Date Description R* J1282 2021-01-01 Pneumonia due to coronavirus disease 2019 N The ICD-10-CM Official Guidelines for Coding and Reporting identify which codes maybe assigned as principal or first-listed diagnosis only, secondary diagnosis only, or . WesMel said: We are getting audited by HealthEZ. II . ZTclGu9$oF'BT&`$_K+Z5Y_`^ 8{q9}^9Gu^y=gh6;u)\tqw!sqi~rOC.1\fH5U|Ay10>gm:3k+\IWZpB}%vU l7IFedY Sign up to get the latest information about your choice of CMS topics. The diagnosis codes found in the Tabular List and Alphabetic Index have been adopted under HIPAA for all healthcare settings. Woodside Dividend Policy, Displaying codes 1-100 of 23,106: A00 Cholera A01 Typhoid and paratyphoid fevers A01.0 Typhoid fever A02 Other salmonella infections A02.2 Localized salmonella infections A03 Shigellosis Code Z91.83 Sequence the underlying disorder first. Questionable As Principal Diagnosis ICD-10-CM Codes. In addition to the source files, precompiled jar files and instructions are provided which can be used on any platform running Java. FY 2014 Hospice Wage Index and Payment RateUpdate; Hospice Quality . "Dementia in diseases classified elsewhere without behavioral disturbance," and 294.11/F02.81, "Dementia in diseases classified elsewhere with behavioral disturbance.". Partial searches are allowed. Im unsure on how we would use an obstruction of labor code on scheduled C-sections where the patient never went into labor. i Effective February 12, 2022, we will implement a new-----1--reimbursement policy, Unacceptable Principal Diagnosis Codes (R38), for claims billed with an unacceptable principal diagnosis code. endstream endobj startxref The MS-DRG and MCE Java Mainframe deliverables have updated install guide PDF with corrections for clarity. cms list of unacceptable principal diagnosis codes 2022 cms list of unacceptable principal diagnosis codes 2022. difference between caste system and varna system upsc; loyola-chicago men's basketball score; brentwood originals curtains; 1970 buick limited for sale; furinno large entertainment center 15113 assembly instructions Not all code types are added to the valid lists. Reason Key: A=Added To List, N=New Code Diagnosis Eff Date Description R* Z28310 2022-04 -01 Unvaccinated for COVID-19 N #3. mariab_786@hotmail.com said: Does CMS provide a list of appropriate or inappropriate primary diagnoses? Each DRG weight represents the average resources required to care for cases in that particular DRG, relative to the average resources used to treat cases in all DRGs. The following 27 ICD-10-CM codes are not usually sufficient justification for admission to an acute care hospital when used as a principal diagnosis. Under the HCPCS version of the MS-DRGs developed for this requirement, to the extent feasible, the MS-DRG assignment for a given service furnished to an outpatient (billed using a HCPCS code) is as similar as possible to the MS-DRG assignment for that service if furnished to an inpatient (billed using an ICD-10-PCS code). Unacceptable principal diagnosis codes ICD-10 coding rules for There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. : A zip file with the ICD-10 MS DRG Definitions Manual (Text Version) contains the complete documentation of the ICD-10 MS-DRG Grouper logic. Title: ICD-10-CM Editing - Unacceptable Principal Diagnosis Author: ASK-EDI Created Date: 10/8/2021 2:48:23 PM . What Is Faster Than Planck Time, The O32 codes have no such code first instructions, but do indicate: The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O32 that has a 7th character of 1 through 9. They are saying the following codes (and others) are not allowable as principal diagnosis codes based on CMS coding: O34.211 (Previous C-section scar), O32.1xx0 (Maternal care for breech presentation), and O36.5930 (IUFD).