ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual
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MDC 11 Diseases & Disorders of the Kidney & Urinary Tract
Urinary Stones
ESW Lithotripsy MCC CC or MCC DRG
Yes Yes 691
Yes No 692
No Yes n/a 693
No No n/a 694

DRG 691 URINARY STONES WITH ESW LITHOTRIPSY WITH CC/MCC

DRG 692 URINARY STONES WITH ESW LITHOTRIPSY WITHOUT CC/MCC

DRG 693 URINARY STONES WITHOUT ESW LITHOTRIPSY WITH MCC

DRG 694 URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MCC

URINARY STONES

PRINCIPAL DIAGNOSIS

N111Chronic obstructive pyelonephritis
N130Hydronephrosis with ureteropelvic junction obstruction
N131Hydronephrosis with ureteral stricture, not elsewhere classified
N132Hydronephrosis with renal and ureteral calculous obstruction
N1330Unspecified hydronephrosis
N1339Other hydronephrosis
N134Hydroureter
N138Other obstructive and reflux uropathy
N200Calculus of kidney
N201Calculus of ureter
N202Calculus of kidney with calculus of ureter
N209Urinary calculus, unspecified
N210Calculus in bladder
N211Calculus in urethra
N218Other lower urinary tract calculus
N219Calculus of lower urinary tract, unspecified
N22Calculus of urinary tract in diseases classified elsewhere
N23Unspecified renal colic

ESW LITHOTRIPSY

NON-OPERATING ROOM PROCEDURES

0TF3XZZFragmentation in Right Kidney Pelvis, External Approach
0TF4XZZFragmentation in Left Kidney Pelvis, External Approach
0TF6XZZFragmentation in Right Ureter, External Approach
0TF7XZZFragmentation in Left Ureter, External Approach
0TFBXZZFragmentation in Bladder, External Approach
0TFCXZZFragmentation in Bladder Neck, External Approach
0WFRXZZFragmentation in Genitourinary Tract, External Approach



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02 Nov 2016 09:53:07
PROD, CMS, code-revision=31, description-revision=86