ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual
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MDC 08 Diseases and disorders of the musculoskeletal system and connective tissue

MDC 08 Assignment of Diagnosis Codes

Surgical DRGs. O.R.Procedure of ...

Multiple level combined anterior and posterior spinal fusion except cervical
Single Anterior Fusion Single Posterior Fusion Additional Single Fusion (Anterior or Posterior) Multiple Anterior Fusions Multiple Posterior Fusions MCC CC DRG
Yes n/a n/a n/a Yes Yes n/a 426
n/a Yes n/a Yes n/a Yes n/a 426
n/a n/a n/a Yes Yes Yes n/a 426
Yes Yes Yes n/a n/a Yes n/a 426
Yes n/a n/a n/a Yes n/a Yes 427
n/a Yes n/a Yes n/a n/a Yes 427
n/a n/a n/a Yes Yes n/a Yes 427
Yes Yes Yes n/a n/a n/a Yes 427
Yes n/a n/a n/a Yes n/a n/a 428
n/a Yes n/a Yes n/a n/a n/a 428
n/a n/a n/a Yes Yes n/a n/a 428
Yes Yes Yes n/a n/a n/a n/a 428

Single level combined anterior and posterior spinal fusion except cervical
DRG
402

Combined anterior and posterior cervical spinal fusion
Anterior Cervical Spinal Fusion Posterior Cervical Spinal Fusion MCC DRG
Yes Yes Yes 429
Yes Yes No 430

Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions
MCC CC DRG
Yes n/a 456
No Yes 457
No No 458

Multiple level spinal fusion except cervical
Multiple Anterior Fusions Multiple Posterior Fusions 2+ Single Fusions MCC DRG
Yes n/a n/a Yes 447
n/a Yes n/a Yes 447
n/a n/a Yes Yes 447
Yes n/a n/a No 448
n/a Yes n/a No 448
n/a n/a Yes No 448

Single level spinal fusion except cervical
MCC DRG
Yes 459
No 460

Bilateral or multiple major joint procedures of lower extremity
MCC DRG
Yes 461
No 462

Wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders
MCC CC DRG
Yes n/a 463
No Yes 464
No No 465

Revision of hip or knee replacement
MCC CC DRG
Yes n/a 466
No Yes 467
No No 468

Hip replacement with principal diagnosis of hip fracture
MCC DRG
Yes 521
No 522

Major hip and knee joint replacement or reattachment of lower extremity
MCC Total Ankle Replacement DRG
Yes n/a 469
Yes 469
No No 470

Cervical spinal fusion
MCC CC DRG
Yes n/a 471
No Yes 472
No No 473

Amputation for musculoskeletal system and connective tissue disorders
MCC CC DRG
Yes n/a 474
No Yes 475
No No 476

Biopsies of musculoskeletal system and connective tissue
MCC CC DRG
Yes n/a 477
No Yes 478
No No 479

Hip and femur procedures except major joint
MCC CC DRG
Yes n/a 480
No Yes 481
No No 482

Major joint or limb reattachment procedures of upper extremities
DRG
483

Knee procedures
PDX of Infection MCC CC CC or MCC DRG
Yes Yes n/a n/a 485
Yes No Yes n/a 486
Yes No No n/a 487
No Yes 488
No No 489

Back and neck procedures except spinal fusion
Back & Neck Except Disc Devices Disc Devices Neurostimulator Combinations MCC CC DRG
Yes Yes n/a 518
No Yes n/a n/a n/a 518
No No Yes n/a n/a 518
Yes No No No Yes 519
Yes No No No No 520

Lower extremity and humerus procedures except hip, foot and femur
MCC CC DRG
Yes n/a 492
No Yes 493
No No 494

Local excision and removal of internal fixation devices except hip and femur
MCC CC DRG
Yes n/a 495
No Yes 496
No No 497

Local excision and removal of internal fixation devices of hip and femur
CC or MCC DRG
Yes 498
No 499

Soft tissue procedures
MCC CC DRG
Yes n/a 500
No Yes 501
No No 502

Foot procedures
MCC CC DRG
Yes n/a 503
No Yes 504
No No 505

Major thumb or joint procedures
DRG
506

Major shoulder or elbow joint procedures
CC or MCC DRG
Yes 507
No 508

Arthroscopy
DRG
509

Shoulder, elbow or forearm procedures, except major joint procedures
MCC CC DRG
Yes n/a 510
No Yes 511
No No 512

Hand or wrist procedures, except major thumb or joint procedures
CC or MCC DRG
Yes 513
No 514

Other musculoskeletal system and connective tissue O.R. procedures
MCC CC DRG
Yes n/a 515
No Yes 516
No No 517

Medical DRGs. Principal Diagnosis of ...


Fractures of femur
MCC DRG
Yes 533
No 534

Fractures of hip and pelvis
MCC DRG
Yes 535
No 536

Sprains, strains, and dislocations of hip, pelvis and thigh
CC or MCC DRG
Yes 537
No 538

Osteomyelitis
MCC CC DRG
Yes n/a 539
No Yes 540
No No 541

Pathological fractures and musculoskeletal and connective tissue malignancy
MCC CC DRG
Yes n/a 542
No Yes 543
No No 544

Connective tissue disorders
MCC CC DRG
Yes n/a 545
No Yes 546
No No 547

Septic arthritis
MCC CC DRG
Yes n/a 548
No Yes 549
No No 550

Medical back problems
MCC DRG
Yes 551
No 552

Bone diseases and arthropathies
MCC DRG
Yes 553
No 554

Signs and symptoms of musculoskeletal system and connective tissue
MCC DRG
Yes 555
No 556

Tendonitis, myositis and bursitis
MCC DRG
Yes 557
No 558

Aftercare, musculoskeletal system and connective tissue
MCC CC DRG
Yes n/a 559
No Yes 560
No No 561

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh
MCC DRG
Yes 562
No 563

Other musculoskeletal system and connective tissue diagnoses
MCC CC DRG
Yes n/a 564
No Yes 565
No No 566



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29 Mar 2024 17:03:46
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