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
Hip replacement with principal diagnosis of hip fracture
Page 4 of 4

PRINCIPAL DIAGNOSIS (continued)

S79092POther physeal fracture of upper end of left femur, subsequent encounter for fracture with malunion
S79099AOther physeal fracture of upper end of unspecified femur, initial encounter for closed fracture
S79099GOther physeal fracture of upper end of unspecified femur, subsequent encounter for fracture with delayed healing
S79099KOther physeal fracture of upper end of unspecified femur, subsequent encounter for fracture with nonunion
S79099POther physeal fracture of upper end of unspecified femur, subsequent encounter for fracture with malunion

AND OPERATING ROOM PROCDURES

0SR9019Replacement of Right Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach
0SR901AReplacement of Right Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach
0SR901ZReplacement of Right Hip Joint with Metal Synthetic Substitute, Open Approach
0SR9029Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SR902AReplacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SR902ZReplacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach
0SR9039Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach
0SR903AReplacement of Right Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SR903ZReplacement of Right Hip Joint with Ceramic Synthetic Substitute, Open Approach
0SR9049Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SR904AReplacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SR904ZReplacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach
0SR9069Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SR906AReplacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SR906ZReplacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach
0SR907ZReplacement of Right Hip Joint with Autologous Tissue Substitute, Open Approach
0SR90J9Replacement of Right Hip Joint with Synthetic Substitute, Cemented, Open Approach
0SR90JAReplacement of Right Hip Joint with Synthetic Substitute, Uncemented, Open Approach
0SR90JZReplacement of Right Hip Joint with Synthetic Substitute, Open Approach
0SR90KZReplacement of Right Hip Joint with Nonautologous Tissue Substitute, Open Approach
0SRA009Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRA00AReplacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRA00ZReplacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach
0SRA019Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach
0SRA01AReplacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach
0SRA01ZReplacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach
0SRA039Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRA03AReplacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRA03ZReplacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach
0SRA07ZReplacement of Right Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach
0SRA0J9Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach
0SRA0JAReplacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach
0SRA0JZReplacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach
0SRA0KZReplacement of Right Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach
0SRB019Replacement of Left Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach
0SRB01AReplacement of Left Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach
0SRB01ZReplacement of Left Hip Joint with Metal Synthetic Substitute, Open Approach
0SRB029Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRB02AReplacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRB02ZReplacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach
0SRB039Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRB03AReplacement of Left Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRB03ZReplacement of Left Hip Joint with Ceramic Synthetic Substitute, Open Approach
0SRB049Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRB04AReplacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRB04ZReplacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach
0SRB069Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRB06AReplacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRB06ZReplacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach
0SRB07ZReplacement of Left Hip Joint with Autologous Tissue Substitute, Open Approach
0SRB0J9Replacement of Left Hip Joint with Synthetic Substitute, Cemented, Open Approach
0SRB0JAReplacement of Left Hip Joint with Synthetic Substitute, Uncemented, Open Approach
0SRB0JZReplacement of Left Hip Joint with Synthetic Substitute, Open Approach
0SRB0KZReplacement of Left Hip Joint with Nonautologous Tissue Substitute, Open Approach
0SRE009Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRE00AReplacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRE00ZReplacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach
0SRE019Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach
0SRE01AReplacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach
0SRE01ZReplacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach
0SRE039Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRE03AReplacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRE03ZReplacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach
0SRE07ZReplacement of Left Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach
0SRE0J9Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach
0SRE0JAReplacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach
0SRE0JZReplacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach
0SRE0KZReplacement of Left Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach
0SRR019Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach
0SRR01AReplacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach
0SRR01ZReplacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach
0SRR039Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRR03AReplacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRR03ZReplacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach
0SRR07ZReplacement of Right Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
0SRR0J9Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach
0SRR0JAReplacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
0SRR0JZReplacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach
0SRR0KZReplacement of Right Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
0SRS019Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach
0SRS01AReplacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach
0SRS01ZReplacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach
0SRS039Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRS03AReplacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRS03ZReplacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach
0SRS07ZReplacement of Left Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
0SRS0J9Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach
0SRS0JAReplacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
0SRS0JZReplacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach
0SRS0KZReplacement of Left Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
0SU90BZSupplement Right Hip Joint with Resurfacing Device, Open Approach
0SUA0BZSupplement Right Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach
0SUB0BZSupplement Left Hip Joint with Resurfacing Device, Open Approach
0SUE0BZSupplement Left Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach
0SUR0BZSupplement Right Hip Joint, Femoral Surface with Resurfacing Device, Open Approach
0SUS0BZSupplement Left Hip Joint, Femoral Surface with Resurfacing Device, Open 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