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

Procedure Code/MS-DRG Index

Page 208 of 390

0016070 008X4ZZ 00BR0ZZ 00KD0ZZ 00RF4KZ 00WU0YZ 01834ZZ 01NG4ZZ 01XD4ZF 021V0AP 02733ZZ 02LP4ZZ 02T84ZZ 03120A5 031J0KJ 037835Z 037P3FZ 03CH3Z7 03LC4ZZ 03Q90ZZ 03U737Z 03VN4HZ 041C0K3 041K0AK 04703GZ 04783D1 047H34Z 047S46Z 04CR0ZZ 04LD3CZ 04R007Z 04UA0JZ 05130KY 05B54ZX 05HY0YZ 05Q64ZZ 05UL37Z 06560ZZ 06L03CZ 06QQ3ZZ 06V44DZ 07554ZZ 07BB4ZZ 07LJ0CZ 07TH4ZZ 07WL40Z 08LY3CZ 08U037Z 09BD8ZZ 09U107Z 0BBC7ZX 0BPT00Z 0BWT00Z 0CQT7ZZ 0CX6XZZ 0D180KK 0D1A4Z4 0D1H87K 0D5Q3ZZ 0DBL4ZG 0DLP7ZZ 0DQN0ZZ 0DU38JZ 0DVN0CZ 0F170Z9 0FB24ZZ 0FP44DZ 0FVD0DZ 0GN04ZZ 0HR0X74 0HRJXJZ 0J8M0ZZ 0JHG0WZ 0JU70JZ 0JXL3ZC 0K9J0ZX 0KDV0ZZ 0KR907Z 0KU54JZ 0KXV4Z2 0LBC4ZX 0LQJ4ZZ 0LUN4KZ 0MB93ZX 0MRP47Z 0N970ZZ 0NN14ZZ 0NRP0KZ 0NUM3JZ 0P9J0ZZ 0PCS3ZZ 0PP40KZ 0PRC07Z 0PSV45Z 0Q5J0ZZ 0QBG4ZZ 0QHH36Z 0QPL45Z 0QS704Z 0QUH0KZ 0RBE4ZZ 0RG64KJ 0RGT35Z 0RP93JZ 0RRE0JZ 0RUS4JZ 0RWT47Z 0SG10JJ 0SGJ43Z 0SPC40Z 0SRE01Z 0SW83KZ 0T160K6 0T1B0ZD 0TLC8DZ 0TT78ZZ 0U7G3ZZ 0UP343Z 0UWD87Z 0VSG3ZZ 0W1G4J6 0WBH3ZZ 0WPG0JZ 0X074ZZ 0XH201Z 0Y0D0ZZ 0YB00ZZ 0YUQ0KZ DD21JZZ F07G3YZ

CODE	MDC	MS-DRG	SURGICAL CATEGORY
0HR0X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR0XJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR0XJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR0XJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR0XK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR0XK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1X73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1XJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1XJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1XJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1XK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1XK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2X72	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2X73	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2X74	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2XJ3	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2XJ4	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2XJZ	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2XK3	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2XK4	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3X72	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3X73	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3X74	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3XJ3	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3XJ4	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3XJZ	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3XK3	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3XK4	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4X73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4XJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4XJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4XJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4XK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4XK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	04	166-168	Other Respiratory System O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5X73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	04	166-168	Other Respiratory System O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5XJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5XJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5XJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5XK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5XK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR6X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	04	166-168	Other Respiratory System O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR6X73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR6X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	04	166-168	Other Respiratory System O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR6XJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR6XJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
06 Sep 2024 16:41:54
CMS, code-revision=366, description-revision=1405