ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual
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Procedure Cluster/MS-DRG Index
Page 7 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
0SPB4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS03Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB4JZ08466-468Revision of hip or knee replacement
and 0SUB09Z10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB4JZ08466-468Revision of hip or knee replacement
and 0SUE09Z10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB4JZ08466-468Revision of hip or knee replacement
and 0SUS09Z10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0JH609Z05275-277Cardiac defibrillator implant
and 02H40KZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02H43JZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02H43KZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02H43MZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02H44KZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02H60KZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02H63KZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02H64KZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02H70KZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02H73KZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02H74KZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02HN0JZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02HN0KZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02HN0MZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02HN3JZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02HN3KZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02HN3MZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02HN4JZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02HN4KZ   
    
0JH609Z05275-277Cardiac defibrillator implant
and 02HN4MZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02H40KZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02H43JZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02H43KZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02H43MZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02H44KZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02H60KZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02H63KZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02H64KZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02H70KZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02H73KZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02H74KZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02HN0JZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02HN0KZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02HN0MZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02HN3JZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02HN3KZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02HN3MZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02HN4JZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02HN4KZ   
    
0JH639Z05275-277Cardiac defibrillator implant
and 02HN4MZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02H40KZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02H43JZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02H43KZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02H43MZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02H44KZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02H60KZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02H63KZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02H64KZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02H70KZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02H73KZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02H74KZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02HN0JZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02HN0KZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02HN0MZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02HN3JZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02HN3KZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02HN3MZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02HN4JZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02HN4KZ   
    
0JH809Z05275-277Cardiac defibrillator implant
and 02HN4MZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02H40KZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02H43JZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02H43KZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02H43MZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02H44KZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02H60KZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02H63KZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02H64KZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02H70KZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02H73KZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02H74KZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02HN0JZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02HN0KZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02HN0MZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02HN3JZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02HN3KZ   
    
0JH839Z05275-277Cardiac defibrillator implant
and 02HN3MZ   
    



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