A55

Clinical notes

Documentation support

General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.

• •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.

ICD-9-CM equivalent

Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.

• 0991

Associated MS-DRGs

A55 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.

Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.

• DRG 727Inflammation of the Male Reproductive System with MCC
• DRG 728Inflammation of the Male Reproductive System without MCC
• DRG 729Other Male Reproductive System Diagnoses with CC/MCC
• DRG 730Other Male Reproductive System Diagnoses without CC/MCC
• DRG 742Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC
• DRG 743Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC
• DRG 757Infections, Female Reproductive System with MCC
• DRG 758Infections, Female Reproductive System with CC
• DRG 759Infections, Female Reproductive System without CC/MCC