ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual
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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 |
| 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 |
DRG 469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
DRG 470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
OPERATING ROOM PROCEDURES
| 0SR9019 | Replacement of Right Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SR901A | Replacement of Right Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SR901Z | Replacement of Right Hip Joint with Metal Synthetic Substitute, Open Approach |
| 0SR9029 | Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SR902A | Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SR902Z | Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach |
| 0SR9039 | Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SR903A | Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SR903Z | Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Open Approach |
| 0SR9049 | Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SR904A | Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SR904Z | Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach |
| 0SR9069 | Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SR906A | Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SR906Z | Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SR907Z | Replacement of Right Hip Joint with Autologous Tissue Substitute, Open Approach |
| 0SR90J9 | Replacement of Right Hip Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SR90JA | Replacement of Right Hip Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SR90JZ | Replacement of Right Hip Joint with Synthetic Substitute, Open Approach |
| 0SR90KZ | Replacement of Right Hip Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRA009 | Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRA00A | Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRA00Z | Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach |
| 0SRA019 | Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRA01A | Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRA01Z | Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach |
| 0SRA039 | Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRA03A | Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRA03Z | Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRA07Z | Replacement of Right Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach |
| 0SRA0J9 | Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRA0JA | Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRA0JZ | Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach |
| 0SRA0KZ | Replacement of Right Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRB019 | Replacement of Left Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRB01A | Replacement of Left Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRB01Z | Replacement of Left Hip Joint with Metal Synthetic Substitute, Open Approach |
| 0SRB029 | Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRB02A | Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRB02Z | Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach |
| 0SRB039 | Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRB03A | Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRB03Z | Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Open Approach |
| 0SRB049 | Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRB04A | Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRB04Z | Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach |
| 0SRB069 | Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRB06A | Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRB06Z | Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SRB07Z | Replacement of Left Hip Joint with Autologous Tissue Substitute, Open Approach |
| 0SRB0J9 | Replacement of Left Hip Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRB0JA | Replacement of Left Hip Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRB0JZ | Replacement of Left Hip Joint with Synthetic Substitute, Open Approach |
| 0SRB0KZ | Replacement of Left Hip Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRC069 | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRC06A | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRC06Z | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SRC07Z | Replacement of Right Knee Joint with Autologous Tissue Substitute, Open Approach |
| 0SRC0J9 | Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRC0JA | Replacement of Right Knee Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0JZ | Replacement of Right Knee Joint with Synthetic Substitute, Open Approach |
| 0SRC0KZ | Replacement of Right Knee Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRC0L9 | Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRC0LA | Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0LZ | Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Open Approach |
| 0SRC0M9 | Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRC0MA | Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0MZ | Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach |
| 0SRC0N9 | Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach |
| 0SRC0NA | Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0NZ | Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Open Approach |
| 0SRD069 | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRD06A | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRD06Z | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SRD07Z | Replacement of Left Knee Joint with Autologous Tissue Substitute, Open Approach |
| 0SRD0J9 | Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRD0JA | Replacement of Left Knee Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0JZ | Replacement of Left Knee Joint with Synthetic Substitute, Open Approach |
| 0SRD0KZ | Replacement of Left Knee Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRD0L9 | Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRD0LA | Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0LZ | Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Open Approach |
| 0SRD0M9 | Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRD0MA | Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0MZ | Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach |
| 0SRD0N9 | Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach |
| 0SRD0NA | Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0NZ | Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach |
| 0SRE009 | Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRE00A | Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRE00Z | Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach |
| 0SRE019 | Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRE01A | Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRE01Z | Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach |
| 0SRE039 | Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRE03A | Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRE03Z | Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRE07Z | Replacement of Left Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach |
| 0SRE0J9 | Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRE0JA | Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRE0JZ | Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach |
| 0SRE0KZ | Replacement of Left Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRF07Z | Replacement of Right Ankle Joint with Autologous Tissue Substitute, Open Approach |
| 0SRF0KZ | Replacement of Right Ankle Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRG07Z | Replacement of Left Ankle Joint with Autologous Tissue Substitute, Open Approach |
| 0SRG0KZ | Replacement of Left Ankle Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRR019 | Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRR01A | Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRR01Z | Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach |
| 0SRR039 | Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRR03A | Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRR03Z | Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRR07Z | Replacement of Right Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRR0J9 | Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRR0JA | Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRR0JZ | Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRR0KZ | Replacement of Right Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRS019 | Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRS01A | Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRS01Z | Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach |
| 0SRS039 | Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRS03A | Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRS03Z | Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRS07Z | Replacement of Left Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRS0J9 | Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRS0JA | Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRS0JZ | Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRS0KZ | Replacement of Left Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRT07Z | Replacement of Right Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRT0J9 | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRT0JA | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRT0JZ | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRT0KZ | Replacement of Right Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRU07Z | Replacement of Left Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRU0J9 | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRU0JA | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRU0JZ | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRU0KZ | Replacement of Left Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRV07Z | Replacement of Right Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach |
| 0SRV0J9 | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRV0JA | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRV0JZ | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach |
| 0SRV0KZ | Replacement of Right Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRW07Z | Replacement of Left Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach |
| 0SRW0J9 | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRW0JA | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRW0JZ | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach |
| 0SRW0KZ | Replacement of Left Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SU90BZ | Supplement Right Hip Joint with Resurfacing Device, Open Approach |
| 0SUA0BZ | Supplement Right Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach |
| 0SUB0BZ | Supplement Left Hip Joint with Resurfacing Device, Open Approach |
| 0SUE0BZ | Supplement Left Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach |
| 0SUR0BZ | Supplement Right Hip Joint, Femoral Surface with Resurfacing Device, Open Approach |
| 0SUS0BZ | Supplement Left Hip Joint, Femoral Surface with Resurfacing Device, Open Approach |
| 0YM70ZZ | Reattachment of Right Femoral Region, Open Approach |
| 0YM80ZZ | Reattachment of Left Femoral Region, Open Approach |
| 0YMC0ZZ | Reattachment of Right Upper Leg, Open Approach |
| 0YMD0ZZ | Reattachment of Left Upper Leg, Open Approach |
| 0YMF0ZZ | Reattachment of Right Knee Region, Open Approach |
| 0YMG0ZZ | Reattachment of Left Knee Region, Open Approach |
| 0YMH0ZZ | Reattachment of Right Lower Leg, Open Approach |
| 0YMJ0ZZ | Reattachment of Left Lower Leg, Open Approach |
| 0YMK0ZZ | Reattachment of Right Ankle Region, Open Approach |
| 0YML0ZZ | Reattachment of Left Ankle Region, Open Approach |
| 0YMM0ZZ | Reattachment of Right Foot, Open Approach |
| 0YMN0ZZ | Reattachment of Left Foot, Open Approach |
| XRRG0L8 | Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8 |
| XRRG0M8 | Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8 |
| XRRH0L8 | Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8 |
| XRRH0M8 | Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8 |
TOTAL ANKLE REPLACEMENT
| 0SRF0J9 | Replacement of Right Ankle Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRF0JA | Replacement of Right Ankle Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRF0JZ | Replacement of Right Ankle Joint with Synthetic Substitute, Open Approach |
| 0SRG0J9 | Replacement of Left Ankle Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRG0JA | Replacement of Left Ankle Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRG0JZ | Replacement of Left Ankle Joint with Synthetic Substitute, Open Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 29 Mar 2024 17:03:46 CMS, code-revision=361, description-revision=1397 |