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

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MDC 10 Endocrine, nutritional and metabolic diseases and disorders
Other endocrine, nutritional and metabolic O.R. procedures
Page 13 of 13

OR NON-OPERATING ROOM PROCEDURES (continued)

DV21HZZ*Stereotactic Particulate Radiosurgery of Testis
DV21JZZ*Stereotactic Gamma Beam Radiosurgery of Testis
DW21DZZ*Stereotactic Other Photon Radiosurgery of Head and Neck
DW21HZZ*Stereotactic Particulate Radiosurgery of Head and Neck
DW21JZZ*Stereotactic Gamma Beam Radiosurgery of Head and Neck
DW22DZZ*Stereotactic Other Photon Radiosurgery of Chest
DW22HZZ*Stereotactic Particulate Radiosurgery of Chest
DW22JZZ*Stereotactic Gamma Beam Radiosurgery of Chest
DW23DZZ*Stereotactic Other Photon Radiosurgery of Abdomen
DW23HZZ*Stereotactic Particulate Radiosurgery of Abdomen
DW23JZZ*Stereotactic Gamma Beam Radiosurgery of Abdomen
DW26DZZ*Stereotactic Other Photon Radiosurgery of Pelvic Region
DW26HZZ*Stereotactic Particulate Radiosurgery of Pelvic Region
DW26JZZ*Stereotactic Gamma Beam Radiosurgery of Pelvic Region



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
13 Oct 2023 12:52:35
CMS, code-revision=349, description-revision=1375