ICD-10-CM/PCS MS-DRG v41.1 Definitions Manual

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Procedure Cluster/MS-DRG Index
Page 2 of 30
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 30
CODE COMBINATIONMDCMS-DRGSURGICAL CATEGORY
02H73KZ05275-277Cardiac defibrillator implant
and 0JH608Z   
    
02H74KZ05275-277Cardiac defibrillator implant
and 0JH608Z   
    
02HK0KZ05275-277Cardiac defibrillator implant
and 0JH608Z   
    
02HK3KZ05275-277Cardiac defibrillator implant
and 0JH608Z   
    
02HK4KZ05275-277Cardiac defibrillator implant
and 0JH608Z   
    
02HL0KZ05275-277Cardiac defibrillator implant
and 0JH608Z   
    
02HL3KZ05275-277Cardiac defibrillator implant
and 0JH608Z   
    
02HL4KZ05275-277Cardiac defibrillator implant
and 0JH608Z   
    
02H60KZ05275-277Cardiac defibrillator implant
and 0JH638Z   
    
02H63KZ05275-277Cardiac defibrillator implant
and 0JH638Z   
    
02H64KZ05275-277Cardiac defibrillator implant
and 0JH638Z   
    
02H70KZ05275-277Cardiac defibrillator implant
and 0JH638Z   
    
02H73KZ05275-277Cardiac defibrillator implant
and 0JH638Z   
    
02H74KZ05275-277Cardiac defibrillator implant
and 0JH638Z   
    
02HK0KZ05275-277Cardiac defibrillator implant
and 0JH638Z   
    
02HK3KZ05275-277Cardiac defibrillator implant
and 0JH638Z   
    
02HK4KZ05275-277Cardiac defibrillator implant
and 0JH638Z   
    
02HL0KZ05275-277Cardiac defibrillator implant
and 0JH638Z   
    
02HL3KZ05275-277Cardiac defibrillator implant
and 0JH638Z   
    
02HL4KZ05275-277Cardiac defibrillator implant
and 0JH638Z   
    
02H60KZ05275-277Cardiac defibrillator implant
and 0JH808Z   
    
02H63KZ05275-277Cardiac defibrillator implant
and 0JH808Z   
    
02H64KZ05275-277Cardiac defibrillator implant
and 0JH808Z   
    
02H70KZ05275-277Cardiac defibrillator implant
and 0JH808Z   
    
02H73KZ05275-277Cardiac defibrillator implant
and 0JH808Z   
    
02H74KZ05275-277Cardiac defibrillator implant
and 0JH808Z   
    
02HK0KZ05275-277Cardiac defibrillator implant
and 0JH808Z   
    
02HK3KZ05275-277Cardiac defibrillator implant
and 0JH808Z   
    
02HK4KZ05275-277Cardiac defibrillator implant
and 0JH808Z   
    
02HL0KZ05275-277Cardiac defibrillator implant
and 0JH808Z   
    
02HL3KZ05275-277Cardiac defibrillator implant
and 0JH808Z   
    
02HL4KZ05275-277Cardiac defibrillator implant
and 0JH808Z   
    
02H60KZ05275-277Cardiac defibrillator implant
and 0JH838Z   
    
02H63KZ05275-277Cardiac defibrillator implant
and 0JH838Z   
    
02H64KZ05275-277Cardiac defibrillator implant
and 0JH838Z   
    
02H70KZ05275-277Cardiac defibrillator implant
and 0JH838Z   
    
02H73KZ05275-277Cardiac defibrillator implant
and 0JH838Z   
    
02H74KZ05275-277Cardiac defibrillator implant
and 0JH838Z   
    
02HK0KZ05275-277Cardiac defibrillator implant
and 0JH838Z   
    
02HK3KZ05275-277Cardiac defibrillator implant
and 0JH838Z   
    
02HK4KZ05275-277Cardiac defibrillator implant
and 0JH838Z   
    
02HL0KZ05275-277Cardiac defibrillator implant
and 0JH838Z   
    
02HL3KZ05275-277Cardiac defibrillator implant
and 0JH838Z   
    
02HL4KZ05275-277Cardiac defibrillator implant
and 0JH838Z   
    
0DQ80ZZ06344-346Minor small and large bowel procedures
and 0WQFXZ2   
    
0DQ90ZZ06344-346Minor small and large bowel procedures
and 0WQFXZ2   
    
0DQA0ZZ06344-346Minor small and large bowel procedures
and 0WQFXZ2   
    
0DQB0ZZ06344-346Minor small and large bowel procedures
and 0WQFXZ2   
    
0DQE0ZZ06344-346Minor small and large bowel procedures
and 0WQFXZ2   
    
0DQF0ZZ06344-346Minor small and large bowel procedures
and 0WQFXZ2   
    
0DQG0ZZ06344-346Minor small and large bowel procedures
and 0WQFXZ2   
    
0DQH0ZZ06344-346Minor small and large bowel procedures
and 0WQFXZ2   
    
0DQK0ZZ06344-346Minor small and large bowel procedures
and 0WQFXZ2   
    
0DQL0ZZ06344-346Minor small and large bowel procedures
and 0WQFXZ2   
    
0DQM0ZZ06344-346Minor small and large bowel procedures
and 0WQFXZ2   
    
0DQN0ZZ06344-346Minor small and large bowel procedures
and 0WQFXZ2   
    
0DT90ZZ06326-328Stomach, esophageal and duodenal procedures
and 0FTG0ZZ   
    
0VT00ZZ11665-667Prostatectomy
and 0VT30ZZ12707-708Major male pelvic procedures
    
0VT00ZZ11665-667Prostatectomy
and 0VT34ZZ12707-708Major male pelvic procedures
    
0VT04ZZ11665-667Prostatectomy
and 0VT30ZZ12707-708Major male pelvic procedures
    
0VT04ZZ11665-667Prostatectomy
and 0VT34ZZ12707-708Major male pelvic procedures
    
0VT07ZZ11665-667Prostatectomy
and 0VT30ZZ12707-708Major male pelvic procedures
    
0VT07ZZ11665-667Prostatectomy
and 0VT34ZZ12707-708Major male pelvic procedures
    
0VT08ZZ11665-667Prostatectomy
and 0VT30ZZ12707-708Major male pelvic procedures
    
0VT08ZZ11665-667Prostatectomy
and 0VT34ZZ12707-708Major male pelvic procedures
    
0UT44ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UT94ZZ   
and 0UTC4ZZ   
    
0UT40ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UT90ZZ   
and 0UTC0ZZ   
    
0UT44ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UT9FZZ   
and 0UTC4ZZ   
    
0UT47ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UT97ZZ   
and 0UTC7ZZ   
    
0UT47ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UT97ZZ   
and 0UTC8ZZ   
    
0UT48ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UT97ZZ   
and 0UTC7ZZ   
    
0UT48ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UT97ZZ   
and 0UTC8ZZ   
    
0UT47ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UT98ZZ   
and 0UTC7ZZ   
    
0UT47ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UT98ZZ   
and 0UTC8ZZ   
    
0UT48ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UT98ZZ   
and 0UTC7ZZ   
    
0UT48ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UT98ZZ   
and 0UTC8ZZ   
    
0TTB0ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0TTD0ZZ   
and 0UT20ZZ   
and 0UT70ZZ   
and 0UT90ZZ   
and 0UTC0ZZ   
and 0UTG0ZZ   
    
07BH0ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UTM0ZZ   
    
07BH4ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UTM0ZZ   
    
07BJ0ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UTM0ZZ   
    
07BJ4ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UTM0ZZ   
    
07BH0ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UTMXZZ   
    
07BH4ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UTMXZZ   
    
07BJ0ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UTMXZZ   
    
07BJ4ZZ13734-735Pelvic evisceration, radical hysterectomy and radical vulvectomy
and 0UTMXZZ   
    
0PS33ZZ08515-517Other musculoskeletal system and connective tissue O.R. procedures
and 0PU33JZ   
    
0PS43ZZ08515-517Other musculoskeletal system and connective tissue O.R. procedures
and 0PU43JZ   
    
0QS03ZZ08515-517Other musculoskeletal system and connective tissue O.R. procedures
and 0QU03JZ   
    
0QS13ZZ08515-517Other musculoskeletal system and connective tissue O.R. procedures
and 0QU13JZ   
    
0QSS3ZZ08515-517Other musculoskeletal system and connective tissue O.R. procedures
and 0QUS3JZ   
    
07T50ZZ09582-583Mastectomy for malignancy
and 0HTT0ZZ09584-585Breast biopsy, local excision and other breast procedures
    
07T60ZZ09582-583Mastectomy for malignancy
and 0HTU0ZZ09584-585Breast biopsy, local excision and other breast procedures
    
07T50ZZ09582-583Mastectomy for malignancy
and 07T60ZZ09584-585Breast biopsy, local excision and other breast procedures
and 0HTV0ZZ   
    
07T50ZZ09582-583Mastectomy for malignancy
and 0HTT0ZZ09584-585Breast biopsy, local excision and other breast procedures
and 0KTH0ZZ   
    
07T60ZZ09582-583Mastectomy for malignancy
and 0HTU0ZZ09584-585Breast biopsy, local excision and other breast procedures
and 0KTJ0ZZ   
    
07T50ZZ09582-583Mastectomy for malignancy
and 07T60ZZ09584-585Breast biopsy, local excision and other breast procedures
and 0HTV0ZZ   
and 0KTH0ZZ   
and 0KTJ0ZZ   
    
07T50ZZ09582-583Mastectomy for malignancy
and 07T70ZZ09584-585Breast biopsy, local excision and other breast procedures
and 07T80ZZ   
and 0HTT0ZZ   
and 0KTH0ZZ   
    
07T60ZZ09582-583Mastectomy for malignancy
and 07T70ZZ09584-585Breast biopsy, local excision and other breast procedures
and 07T90ZZ   
and 0HTU0ZZ   
and 0KTJ0ZZ   
    
07T50ZZ09582-583Mastectomy for malignancy
and 07T60ZZ09584-585Breast biopsy, local excision and other breast procedures
and 07T70ZZ   
and 07T80ZZ   
and 07T90ZZ   
and 0HTV0ZZ   
and 0KTH0ZZ   
and 0KTJ0ZZ   
    
0HRT37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JD63ZZ   
    
0HRT37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JD73ZZ   
    
0HRT37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JD83ZZ   
    
0HRT37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JD93ZZ   
    
0HRT37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JDL3ZZ   
    
0HRT37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JDM3ZZ   
    
0HRU37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JD63ZZ   
    
0HRU37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JD73ZZ   
    
0HRU37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JD83ZZ   
    
0HRU37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JD93ZZ   
    
0HRU37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JDL3ZZ   
    
0HRU37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JDM3ZZ   
    
0HRV37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JD63ZZ   
    
0HRV37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JD73ZZ   
    
0HRV37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JD83ZZ   
    
0HRV37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JD93ZZ   
    
0HRV37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JDL3ZZ   
    
0HRV37Z09584-585Breast biopsy, local excision and other breast procedures
and 0JDM3ZZ   
    
0TQB0ZZ11662-664Minor bladder procedures
and 0WQFXZ2   
    
0TQB0ZZ11662-664Minor bladder procedures
and 0WQFXZZ   
    
0TQB3ZZ11662-664Minor bladder procedures
and 0WQFXZ2   
    
0TQB3ZZ11662-664Minor bladder procedures
and 0WQFXZZ   
    
0TQB4ZZ11662-664Minor bladder procedures
and 0WQFXZ2   
    



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
08 Mar 2024 10:29:37
CMS, code-revision=359, description-revision=1383