DRAFT

ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual

Procedure Cluster/MS-DRG Index

Page 17 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
0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	08	466-468	Revision of hip or knee replacement
and 0SUB09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPS4JZ	08	466-468	Revision of hip or knee replacement
and 0SUE09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPS4JZ	08	466-468	Revision of hip or knee replacement
and 0SUS09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J9	08	466-468	Revision of hip or knee replacement

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA	08	466-468	Revision of hip or knee replacement

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ	08	466-468	Revision of hip or knee replacement

0SPT0JZ	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

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ	08	466-468	Revision of hip or knee replacement

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J9	08	466-468	Revision of hip or knee replacement

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA	08	466-468	Revision of hip or knee replacement

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ	08	466-468	Revision of hip or knee replacement

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J9	08	466-468	Revision of hip or knee replacement

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA	08	466-468	Revision of hip or knee replacement

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ	08	466-468	Revision of hip or knee replacement

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JZ	08	466-468	Revision of hip or knee replacement

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J9	08	466-468	Revision of hip or knee replacement

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA	08	466-468	Revision of hip or knee replacement

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ	08	466-468	Revision of hip or knee replacement

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J9	08	466-468	Revision of hip or knee replacement

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA	08	466-468	Revision of hip or knee replacement

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ	08	466-468	Revision of hip or knee replacement

0SPV0JZ	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

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ	08	466-468	Revision of hip or knee replacement

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J9	08	466-468	Revision of hip or knee replacement

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA	08	466-468	Revision of hip or knee replacement

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ	08	466-468	Revision of hip or knee replacement

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J9	08	466-468	Revision of hip or knee replacement

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA	08	466-468	Revision of hip or knee replacement

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ	08	466-468	Revision of hip or knee replacement

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JZ	08	466-468	Revision of hip or knee replacement

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J9	08	466-468	Revision of hip or knee replacement

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA	08	466-468	Revision of hip or knee replacement

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ	08	466-468	Revision of hip or knee replacement

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ	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 0SRC0L9	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0L9	08	466-468	Revision of hip or knee replacement

0SPC09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0L9	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 0SRC0LA	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0LA	08	466-468	Revision of hip or knee replacement

0SPC09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0LA	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 0SRC0LZ	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0LZ	08	466-468	Revision of hip or knee replacement

0SPC09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0LZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0L9	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0L9	08	466-468	Revision of hip or knee replacement

0SPD09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0L9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0LA	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0LA	08	466-468	Revision of hip or knee replacement

0SPD09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0LA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0LZ	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0LZ	08	466-468	Revision of hip or knee replacement

0SPD09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0LZ	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 0SR9069	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 0SR9069	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 0SR9069	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 0SR9069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPA0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPA4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9069	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
01 Mar 2023 06:12:40
CMS, code-revision=344, description-revision=1357