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

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MDC 11 Diseases and disorders of the kidney and urinary tract
Prostatectomy
MCC CC DRG
Yes n/a 665
No Yes 666
No No 667

DRG 665 PROSTATECTOMY WITH MCC

DRG 666 PROSTATECTOMY WITH CC

DRG 667 PROSTATECTOMY WITHOUT CC/MCC

OPERATING ROOM PROCEDURES

0V500Z3Destruction of Prostate using Laser Interstitial Thermal Therapy, Open Approach
0V500ZZDestruction of Prostate, Open Approach
0V503Z3Destruction of Prostate using Laser Interstitial Thermal Therapy, Percutaneous Approach
0V503ZZDestruction of Prostate, Percutaneous Approach
0V504Z3Destruction of Prostate using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0V504ZZDestruction of Prostate, Percutaneous Endoscopic Approach
0V507ZZDestruction of Prostate, Via Natural or Artificial Opening
0V508ZZDestruction of Prostate, Via Natural or Artificial Opening Endoscopic
0VB07ZZExcision of Prostate, Via Natural or Artificial Opening
0VB08ZZExcision of Prostate, Via Natural or Artificial Opening Endoscopic
0VT00ZZResection of Prostate, Open Approach
0VT04ZZResection of Prostate, Percutaneous Endoscopic Approach
0VT07ZZResection of Prostate, Via Natural or Artificial Opening
0VT08ZZResection of Prostate, Via Natural or Artificial Opening Endoscopic
XV508A4Destruction of Prostate using Robotic Waterjet Ablation, Via Natural or Artificial Opening Endoscopic, New Technology Group 4
0VT00ZZResection of Prostate, Open Approach
  with 0VT30ZZResection of Bilateral Seminal Vesicles, Open Approach
0VT00ZZResection of Prostate, Open Approach
  with 0VT34ZZResection of Bilateral Seminal Vesicles, Percutaneous Endoscopic Approach
0VT04ZZResection of Prostate, Percutaneous Endoscopic Approach
  with 0VT30ZZResection of Bilateral Seminal Vesicles, Open Approach
0VT04ZZResection of Prostate, Percutaneous Endoscopic Approach
  with 0VT34ZZResection of Bilateral Seminal Vesicles, Percutaneous Endoscopic Approach
0VT07ZZResection of Prostate, Via Natural or Artificial Opening
  with 0VT30ZZResection of Bilateral Seminal Vesicles, Open Approach
0VT07ZZResection of Prostate, Via Natural or Artificial Opening
  with 0VT34ZZResection of Bilateral Seminal Vesicles, Percutaneous Endoscopic Approach
0VT08ZZResection of Prostate, Via Natural or Artificial Opening Endoscopic
  with 0VT30ZZResection of Bilateral Seminal Vesicles, Open Approach
0VT08ZZResection of Prostate, Via Natural or Artificial Opening Endoscopic
  with 0VT34ZZResection of Bilateral Seminal Vesicles, Percutaneous Endoscopic Approach



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29 Aug 2022 07:55:53
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