ICD-10-CM/PCS MS-DRG v40.1 Definitions Manual

Procedure Cluster/MS-DRG Index

Page 1 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
02HK0KZ	05	222-227	Cardiac defibrillator implant
and 0JH609Z

02HK3KZ	05	222-227	Cardiac defibrillator implant
and 0JH609Z

02HK4KZ	05	222-227	Cardiac defibrillator implant
and 0JH609Z

02HL0KZ	05	222-227	Cardiac defibrillator implant
and 0JH609Z

02HL3KZ	05	222-227	Cardiac defibrillator implant
and 0JH609Z

02HL4KZ	05	222-227	Cardiac defibrillator implant
and 0JH609Z

02HK0KZ	05	222-227	Cardiac defibrillator implant
and 0JH639Z

02HK3KZ	05	222-227	Cardiac defibrillator implant
and 0JH639Z

02HK4KZ	05	222-227	Cardiac defibrillator implant
and 0JH639Z

02HL0KZ	05	222-227	Cardiac defibrillator implant
and 0JH639Z

02HL3KZ	05	222-227	Cardiac defibrillator implant
and 0JH639Z

02HL4KZ	05	222-227	Cardiac defibrillator implant
and 0JH639Z

02HK0KZ	05	222-227	Cardiac defibrillator implant
and 0JH809Z

02HK3KZ	05	222-227	Cardiac defibrillator implant
and 0JH809Z

02HK4KZ	05	222-227	Cardiac defibrillator implant
and 0JH809Z

02HL0KZ	05	222-227	Cardiac defibrillator implant
and 0JH809Z

02HL3KZ	05	222-227	Cardiac defibrillator implant
and 0JH809Z

02HL4KZ	05	222-227	Cardiac defibrillator implant
and 0JH809Z

02HK0KZ	05	222-227	Cardiac defibrillator implant
and 0JH839Z

02HK3KZ	05	222-227	Cardiac defibrillator implant
and 0JH839Z

02HK4KZ	05	222-227	Cardiac defibrillator implant
and 0JH839Z

02HL0KZ	05	222-227	Cardiac defibrillator implant
and 0JH839Z

02HL3KZ	05	222-227	Cardiac defibrillator implant
and 0JH839Z

02HL4KZ	05	222-227	Cardiac defibrillator implant
and 0JH839Z

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB029	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB02A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB02Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE009	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE00A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE00Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SP90JZ	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

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPC0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J9	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J9	08	466-468	Revision of hip or knee replacement

0SPC0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA	08	466-468	Revision of hip or knee replacement

0SPC0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ	08	466-468	Revision of hip or knee replacement

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J9	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J9	08	466-468	Revision of hip or knee replacement

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA	08	466-468	Revision of hip or knee replacement

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ	08	466-468	Revision of hip or knee replacement

0SPC0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPC0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ	08	466-468	Revision of hip or knee replacement

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JZ	08	466-468	Revision of hip or knee replacement

0SPC09Z	08	485-489	Knee procedures
and 0SUV09Z

0SPD09Z	08	485-489	Knee procedures
and 0SUW09Z

02H60KZ	05	222-227	Cardiac defibrillator implant
and 0JH608Z

02H63KZ	05	222-227	Cardiac defibrillator implant
and 0JH608Z

02H64KZ	05	222-227	Cardiac defibrillator implant
and 0JH608Z

02H70KZ	05	222-227	Cardiac defibrillator implant
and 0JH608Z

02H73KZ	05	222-227	Cardiac defibrillator implant
and 0JH608Z

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
18 Jan 2023 08:46:59
CMS, code-revision=337, description-revision=1351