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18, 19 According to William Morton, who has written extensively on porphyrias, MCSS as first described by Cullen in 1979 may, in fact, be porphyria

Crocus Sativus L

When any one of the five listed diagnosis codes from the Principal Diagnosis logic list is reported as a principal diagnosis in combination with any one of the ten listed diagnosis code from the with Secondary Diagnosis logic list as a secondary diagnosis, the case results in assignment to MS-DRG 177, 178, or 179 depending on the presence of any additional MCC or CC secondary diagnoses