ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual

MDC 07 Diseases and disorders of the hepatobiliary system and pancreas

Cholecystectomy

C.D.E	Laparoscopic	MCC	CC	DRG
Yes		Yes	n/a	411
Yes		No	Yes	412
Yes		No	No	413
No	No	Yes	n/a	414
No	No	No	Yes	415
No	No	No	No	416
No	Yes	Yes	No	417
No	Yes	No	Yes	418
No	Yes	No	No	419

DRG 411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC

DRG 412 CHOLECYSTECTOMY WITH C.D.E. WITH CC

DRG 413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC

DRG 414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC

DRG 415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC

DRG 416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC

DRG 417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC

DRG 418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC

DRG 419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC

OPERATING ROOM PROCEDURES

0F540Z3	Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Open Approach
0F540ZZ	Destruction of Gallbladder, Open Approach
0F543Z3	Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Percutaneous Approach
0F543ZZ	Destruction of Gallbladder, Percutaneous Approach
0F544Z3	Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0F544ZZ	Destruction of Gallbladder, Percutaneous Endoscopic Approach
0F548ZZ	Destruction of Gallbladder, Via Natural or Artificial Opening Endoscopic
0FB40ZZ	Excision of Gallbladder, Open Approach
0FB43ZZ	Excision of Gallbladder, Percutaneous Approach
0FB44ZX	Excision of Gallbladder, Percutaneous Endoscopic Approach, Diagnostic
0FB44ZZ	Excision of Gallbladder, Percutaneous Endoscopic Approach
0FB48ZZ	Excision of Gallbladder, Via Natural or Artificial Opening Endoscopic
0FT40ZZ	Resection of Gallbladder, Open Approach
0FT44ZG	Resection of Gallbladder, Percutaneous Endoscopic Approach, Hand-Assisted
0FT44ZZ	Resection of Gallbladder, Percutaneous Endoscopic Approach

C.D.E.

OPERATING ROOM PROCEDURES

0F9900Z	Drainage of Common Bile Duct with Drainage Device, Open Approach
0F990ZZ	Drainage of Common Bile Duct, Open Approach
0F9940Z	Drainage of Common Bile Duct with Drainage Device, Percutaneous Endoscopic Approach
0FC90ZZ	Extirpation of Matter from Common Bile Duct, Open Approach
0FC94ZZ	Extirpation of Matter from Common Bile Duct, Percutaneous Endoscopic Approach
0FJB0ZZ	Inspection of Hepatobiliary Duct, Open Approach
0FJB4ZZ	Inspection of Hepatobiliary Duct, Percutaneous Endoscopic Approach

CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE

OPERATING ROOM PROCEDURES

0F540Z3	Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Open Approach
0F540ZZ	Destruction of Gallbladder, Open Approach
0F543Z3	Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Percutaneous Approach
0F543ZZ	Destruction of Gallbladder, Percutaneous Approach
0FB40ZZ	Excision of Gallbladder, Open Approach
0FB43ZZ	Excision of Gallbladder, Percutaneous Approach
0FT40ZZ	Resection of Gallbladder, Open Approach

LAPAROSCOPIC CHOLECYSTECTOMY

OPERATING ROOM PROCEDURES

0F544Z3	Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0F544ZZ	Destruction of Gallbladder, Percutaneous Endoscopic Approach
0F548ZZ	Destruction of Gallbladder, Via Natural or Artificial Opening Endoscopic
0FB44ZX	Excision of Gallbladder, Percutaneous Endoscopic Approach, Diagnostic
0FB44ZZ	Excision of Gallbladder, Percutaneous Endoscopic Approach
0FB48ZZ	Excision of Gallbladder, Via Natural or Artificial Opening Endoscopic
0FT44ZG	Resection of Gallbladder, Percutaneous Endoscopic Approach, Hand-Assisted
0FT44ZZ	Resection of Gallbladder, Percutaneous Endoscopic Approach

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
29 Mar 2024 17:03:46
CMS, code-revision=361, description-revision=1397

C.D.E	Laparoscopic	MCC	CC	DRG
Yes		Yes	n/a	411
Yes		No	Yes	412
Yes		No	No	413
No	No	Yes	n/a	414
No	No	No	Yes	415
No	No	No	No	416
No	Yes	Yes	No	417
No	Yes	No	Yes	418
No	Yes	No	No	419

C.D.E	Laparoscopic	MCC	CC	DRG
Yes		Yes	n/a	411
Yes		No	Yes	412
Yes		No	No	413
No	No	Yes	n/a	414
No	No	No	Yes	415
No	No	No	No	416
No	Yes	Yes	No	417
No	Yes	No	Yes	418
No	Yes	No	No	419

C.D.E	Laparoscopic	MCC	CC	DRG
Yes		Yes	n/a	411
Yes		No	Yes	412
Yes		No	No	413
No	No	Yes	n/a	414
No	No	No	Yes	415
No	No	No	No	416
No	Yes	Yes	No	417
No	Yes	No	Yes	418
No	Yes	No	No	419