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

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MDC 08 Diseases and disorders of the musculoskeletal system and connective tissue
Revision of hip or knee replacement
Page 5 of 5

OPERATING ROOM PROCEDURES (continued)

0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPU4JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
  with 0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPD09ZRemoval of Liner from Left Knee Joint, Open Approach
0SPW4JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
  with 0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPD38ZRemoval of Spacer from Left Knee Joint, Percutaneous Approach
0SPD0JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Open Approach
  with 0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPW0JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Open Approach
0SPT4JZRemoval of Synthetic Substitute from Right Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
  with 0SRV0JZReplacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach
0SPV4JZRemoval of Synthetic Substitute from Right Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
  with 0SRV0JZReplacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach
0SPC4JCRemoval of Synthetic Substitute from Right Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
  with 0SRV0JZReplacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC08ZRemoval of Spacer from Right Knee Joint, Open Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC08ZRemoval of Spacer from Right Knee Joint, Open Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC09ZRemoval of Liner from Right Knee Joint, Open Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC09ZRemoval of Liner from Right Knee Joint, Open Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC0EZRemoval of Articulating Spacer from Right Knee Joint, Open Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC0EZRemoval of Articulating Spacer from Right Knee Joint, Open Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC0JCRemoval of Synthetic Substitute from Right Knee Joint, Patellar Surface, Open Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC0JCRemoval of Synthetic Substitute from Right Knee Joint, Patellar Surface, Open Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC0JZRemoval of Synthetic Substitute from Right Knee Joint, Open Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC0JZRemoval of Synthetic Substitute from Right Knee Joint, Open Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC0LZRemoval of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Open Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC0LZRemoval of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Open Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC0MZRemoval of Lateral Unicondylar Synthetic Substitute from Right Knee Joint, Open Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC0MZRemoval of Lateral Unicondylar Synthetic Substitute from Right Knee Joint, Open Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC0NZRemoval of Patellofemoral Synthetic Substitute from Right Knee Joint, Open Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC0NZRemoval of Patellofemoral Synthetic Substitute from Right Knee Joint, Open Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC38ZRemoval of Spacer from Right Knee Joint, Percutaneous Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC38ZRemoval of Spacer from Right Knee Joint, Percutaneous Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC48ZRemoval of Spacer from Right Knee Joint, Percutaneous Endoscopic Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC48ZRemoval of Spacer from Right Knee Joint, Percutaneous Endoscopic Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC4JCRemoval of Synthetic Substitute from Right Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC4JCRemoval of Synthetic Substitute from Right Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC4JZRemoval of Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC4JZRemoval of Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC4LZRemoval of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC4LZRemoval of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC4MZRemoval of Lateral Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC4MZRemoval of Lateral Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPC4NZRemoval of Patellofemoral Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPC4NZRemoval of Patellofemoral Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD08ZRemoval of Spacer from Left Knee Joint, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD08ZRemoval of Spacer from Left Knee Joint, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD09ZRemoval of Liner from Left Knee Joint, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD09ZRemoval of Liner from Left Knee Joint, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD0EZRemoval of Articulating Spacer from Left Knee Joint, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD0EZRemoval of Articulating Spacer from Left Knee Joint, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD0JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD0JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD0LZRemoval of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD0LZRemoval of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD0MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD0MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD0NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD0NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD38ZRemoval of Spacer from Left Knee Joint, Percutaneous Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD38ZRemoval of Spacer from Left Knee Joint, Percutaneous Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD48ZRemoval of Spacer from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD48ZRemoval of Spacer from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD4JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD4JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD4LZRemoval of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD4LZRemoval of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD4MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD4MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD4NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD4NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPT0JZRemoval of Synthetic Substitute from Right Knee Joint, Femoral Surface, Open Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPT0JZRemoval of Synthetic Substitute from Right Knee Joint, Femoral Surface, Open Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPT4JZRemoval of Synthetic Substitute from Right Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPT4JZRemoval of Synthetic Substitute from Right Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPU0JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPU0JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPU4JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPU4JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPV0JZRemoval of Synthetic Substitute from Right Knee Joint, Tibial Surface, Open Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPV0JZRemoval of Synthetic Substitute from Right Knee Joint, Tibial Surface, Open Approach
XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPV4JZRemoval of Synthetic Substitute from Right Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPV4JZRemoval of Synthetic Substitute from Right Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPW0JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPW0JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPW4JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPW4JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach



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