Questionable Admission ICD-10-CM Codes
ICD-10-CM diagnoses usually not sufficient for hospital admission.
0 codes
Grouped by ICD-10 chapterThese codes represent conditions that typically do not justify admission to an acute care hospital. Claims with these codes as principal diagnosis may be flagged for medical necessity review.
Source: CMS Definitions of Medicare Code Edits v43.0 (FY 2026)