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

Procedure Cluster/MS-DRG Index

Page 3 of 29

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

CODE COMBINATION	MDC	MS-DRG	SURGICAL CATEGORY
One of	08	456-458	Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions
0RG7071
0RG707J
0RG70AJ
0RG70J1
0RG70JJ
0RG70K1
0RG70KJ
0RG7371
0RG737J
0RG73AJ
0RG73J1
0RG73JJ
0RG73K1
0RG73KJ
0RG7471
0RG747J
0RG74AJ
0RG74J1
0RG74JJ
0RG74K1
0RG74KJ
with one of
0SG1071
0SG107J
0SG10AJ
0SG10J1
0SG10JJ
0SG10K1
0SG10KJ
0SG1371
0SG137J
0SG13AJ
0SG13J1
0SG13JJ
0SG13K1
0SG13KJ
0SG1471
0SG147J
0SG14AJ
0SG14J1
0SG14JJ
0SG14K1
0SG14KJ

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR901A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR901Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9029	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR902A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR902Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR903A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR903Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9049	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR904A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR904Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA009	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA00A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA00Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	466-468	Revision of hip or knee replacement
and 0SU909Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	466-468	Revision of hip or knee replacement
and 0SUA09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	466-468	Revision of hip or knee replacement
and 0SUR09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR901A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR901Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9029	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR902A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR902Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR903A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR903Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9049	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR904A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR904Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA009	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA00A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA00Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	466-468	Revision of hip or knee replacement
and 0SU909Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	466-468	Revision of hip or knee replacement
and 0SUA09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	466-468	Revision of hip or knee replacement
and 0SUR09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR901A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR901Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9029	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR902A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR902Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR903A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR903Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9049	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR904A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR904Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
29 Aug 2022 07:55:53
CMS, code-revision=335, description-revision=1339