ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual

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MDC 05 Diseases and disorders of the circulatory system
Percutaneous cardiovascular procedures without coronary artery stent
MCC DRG
Yes 250
No 251

DRG 250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC

DRG 251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC

OPERATING ROOM PROCEDURES

02703Z6Dilation of Coronary Artery, One Artery, Bifurcation, Percutaneous Approach
02703ZZDilation of Coronary Artery, One Artery, Percutaneous Approach
02704Z6Dilation of Coronary Artery, One Artery, Bifurcation, Percutaneous Endoscopic Approach
02704ZZDilation of Coronary Artery, One Artery, Percutaneous Endoscopic Approach
02713Z6Dilation of Coronary Artery, Two Arteries, Bifurcation, Percutaneous Approach
02713ZZDilation of Coronary Artery, Two Arteries, Percutaneous Approach
02714Z6Dilation of Coronary Artery, Two Arteries, Bifurcation, Percutaneous Endoscopic Approach
02714ZZDilation of Coronary Artery, Two Arteries, Percutaneous Endoscopic Approach
02723Z6Dilation of Coronary Artery, Three Arteries, Bifurcation, Percutaneous Approach
02723ZZDilation of Coronary Artery, Three Arteries, Percutaneous Approach
02724Z6Dilation of Coronary Artery, Three Arteries, Bifurcation, Percutaneous Endoscopic Approach
02724ZZDilation of Coronary Artery, Three Arteries, Percutaneous Endoscopic Approach
02733Z6Dilation of Coronary Artery, Four or More Arteries, Bifurcation, Percutaneous Approach
02733ZZDilation of Coronary Artery, Four or More Arteries, Percutaneous Approach
02734Z6Dilation of Coronary Artery, Four or More Arteries, Bifurcation, Percutaneous Endoscopic Approach
02734ZZDilation of Coronary Artery, Four or More Arteries, Percutaneous Endoscopic Approach
02C03Z6Extirpation of Matter from Coronary Artery, One Artery, Bifurcation, Percutaneous Approach
02C03Z7Extirpation of Matter from Coronary Artery, One Artery, Orbital Atherectomy Technique, Percutaneous Approach
02C03ZZExtirpation of Matter from Coronary Artery, One Artery, Percutaneous Approach
02C04Z6Extirpation of Matter from Coronary Artery, One Artery, Bifurcation, Percutaneous Endoscopic Approach
02C04ZZExtirpation of Matter from Coronary Artery, One Artery, Percutaneous Endoscopic Approach
02C13Z6Extirpation of Matter from Coronary Artery, Two Arteries, Bifurcation, Percutaneous Approach
02C13Z7Extirpation of Matter from Coronary Artery, Two Arteries, Orbital Atherectomy Technique, Percutaneous Approach
02C13ZZExtirpation of Matter from Coronary Artery, Two Arteries, Percutaneous Approach
02C14Z6Extirpation of Matter from Coronary Artery, Two Arteries, Bifurcation, Percutaneous Endoscopic Approach
02C14ZZExtirpation of Matter from Coronary Artery, Two Arteries, Percutaneous Endoscopic Approach
02C23Z6Extirpation of Matter from Coronary Artery, Three Arteries, Bifurcation, Percutaneous Approach
02C23Z7Extirpation of Matter from Coronary Artery, Three Arteries, Orbital Atherectomy Technique, Percutaneous Approach
02C23ZZExtirpation of Matter from Coronary Artery, Three Arteries, Percutaneous Approach
02C24Z6Extirpation of Matter from Coronary Artery, Three Arteries, Bifurcation, Percutaneous Endoscopic Approach
02C24ZZExtirpation of Matter from Coronary Artery, Three Arteries, Percutaneous Endoscopic Approach
02C33Z6Extirpation of Matter from Coronary Artery, Four or More Arteries, Bifurcation, Percutaneous Approach
02C33Z7Extirpation of Matter from Coronary Artery, Four or More Arteries, Orbital Atherectomy Technique, Percutaneous Approach
02C33ZZExtirpation of Matter from Coronary Artery, Four or More Arteries, Percutaneous Approach
02C34Z6Extirpation of Matter from Coronary Artery, Four or More Arteries, Bifurcation, Percutaneous Endoscopic Approach
02C34ZZExtirpation of Matter from Coronary Artery, Four or More Arteries, Percutaneous Endoscopic Approach
02F03ZZFragmentation in Coronary Artery, One Artery, Percutaneous Approach
02F13ZZFragmentation in Coronary Artery, Two Arteries, Percutaneous Approach
02F23ZZFragmentation in Coronary Artery, Three Arteries, Percutaneous Approach
02F33ZZFragmentation in Coronary Artery, Four or More Arteries, Percutaneous Approach
02FP3Z0Fragmentation of Pulmonary Trunk, Percutaneous Approach, Ultrasonic
02FP3ZZFragmentation of Pulmonary Trunk, Percutaneous Approach
02FQ3Z0Fragmentation of Right Pulmonary Artery, Percutaneous Approach, Ultrasonic
02FQ3ZZFragmentation of Right Pulmonary Artery, Percutaneous Approach
02FR3Z0Fragmentation of Left Pulmonary Artery, Percutaneous Approach, Ultrasonic
02FR3ZZFragmentation of Left Pulmonary Artery, Percutaneous Approach
02FS3Z0Fragmentation of Right Pulmonary Vein, Percutaneous Approach, Ultrasonic
02FS3ZZFragmentation of Right Pulmonary Vein, Percutaneous Approach
02FT3Z0Fragmentation of Left Pulmonary Vein, Percutaneous Approach, Ultrasonic
02FT3ZZFragmentation of Left Pulmonary Vein, Percutaneous Approach
02U037ZSupplement Coronary Artery, One Artery with Autologous Tissue Substitute, Percutaneous Approach
02U038ZSupplement Coronary Artery, One Artery with Zooplastic Tissue, Percutaneous Approach
02U03JZSupplement Coronary Artery, One Artery with Synthetic Substitute, Percutaneous Approach
02U03KZSupplement Coronary Artery, One Artery with Nonautologous Tissue Substitute, Percutaneous Approach
02U137ZSupplement Coronary Artery, Two Arteries with Autologous Tissue Substitute, Percutaneous Approach
02U138ZSupplement Coronary Artery, Two Arteries with Zooplastic Tissue, Percutaneous Approach
02U13JZSupplement Coronary Artery, Two Arteries with Synthetic Substitute, Percutaneous Approach
02U13KZSupplement Coronary Artery, Two Arteries with Nonautologous Tissue Substitute, Percutaneous Approach
02U237ZSupplement Coronary Artery, Three Arteries with Autologous Tissue Substitute, Percutaneous Approach
02U238ZSupplement Coronary Artery, Three Arteries with Zooplastic Tissue, Percutaneous Approach
02U23JZSupplement Coronary Artery, Three Arteries with Synthetic Substitute, Percutaneous Approach
02U23KZSupplement Coronary Artery, Three Arteries with Nonautologous Tissue Substitute, Percutaneous Approach
02U337ZSupplement Coronary Artery, Four or More Arteries with Autologous Tissue Substitute, Percutaneous Approach
02U338ZSupplement Coronary Artery, Four or More Arteries with Zooplastic Tissue, Percutaneous Approach
02U33JZSupplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Percutaneous Approach
02U33KZSupplement Coronary Artery, Four or More Arteries with Nonautologous Tissue Substitute, Percutaneous Approach

OR NON-OPERATING ROOM PROCEDURES

02570ZK*Destruction of Left Atrial Appendage, Open Approach
02B70ZK*Excision of Left Atrial Appendage, Open Approach
02U73JZ*Supplement Left Atrium with Synthetic Substitute, Percutaneous Approach
02U74JZ*Supplement Left Atrium with Synthetic Substitute, Percutaneous Endoscopic Approach
X2A7358*Intermittent Coronary Sinus Occlusion, Percutaneous Approach, New Technology Group 8



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29 Aug 2022 07:55:53
CMS, code-revision=335, description-revision=1339