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

Procedure Code/MS-DRG Index

Page 390 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
XRGB4R7	01	028-030	Spinal Procedures
	08	402	Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	426-428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	447-448	Multiple Level Spinal Fusion Except Cervical
	08	450-451	Single Level Spinal Fusion Except Cervical
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGC0EA+	01	028-030	Spinal Procedures
	08	426-428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	447-448	Multiple Level Spinal Fusion Except Cervical
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGC0R7+	01	028-030	Spinal Procedures
	08	426-428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	447-448	Multiple Level Spinal Fusion Except Cervical
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGC3R7+	01	028-030	Spinal Procedures
	08	426-428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	447-448	Multiple Level Spinal Fusion Except Cervical
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGC4R7+	01	028-030	Spinal Procedures
	08	426-428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	447-448	Multiple Level Spinal Fusion Except Cervical
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGD0EA	01	028-030	Spinal Procedures
	08	402	Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	426-428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	447-448	Multiple Level Spinal Fusion Except Cervical
	08	450-451	Single Level Spinal Fusion Except Cervical
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGD0R7	01	028-030	Spinal Procedures
	08	402	Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	426-428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	447-448	Multiple Level Spinal Fusion Except Cervical
	08	450-451	Single Level Spinal Fusion Except Cervical
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGD3R7	01	028-030	Spinal Procedures
	08	402	Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	426-428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	447-448	Multiple Level Spinal Fusion Except Cervical
	08	450-451	Single Level Spinal Fusion Except Cervical
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGD4R7	01	028-030	Spinal Procedures
	08	402	Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	426-428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	447-448	Multiple Level Spinal Fusion Except Cervical
	08	450-451	Single Level Spinal Fusion Except Cervical
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGE058	01	028-030	Spinal Procedures
	08	402	Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	426-428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	447-448	Multiple Level Spinal Fusion Except Cervical
	08	450-451	Single Level Spinal Fusion Except Cervical
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGE358	01	028-030	Spinal Procedures
	08	402	Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	426-428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	447-448	Multiple Level Spinal Fusion Except Cervical
	08	450-451	Single Level Spinal Fusion Except Cervical
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGF058	01	028-030	Spinal Procedures
	08	402	Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	426-428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	447-448	Multiple Level Spinal Fusion Except Cervical
	08	450-451	Single Level Spinal Fusion Except Cervical
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGF358	01	028-030	Spinal Procedures
	08	402	Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	426-428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
	08	447-448	Multiple Level Spinal Fusion Except Cervical
	08	450-451	Single Level Spinal Fusion Except Cervical
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGJ0B9	08	492-494	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGJ0CA	08	492-494	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGK0B9	08	492-494	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGK0CA	08	492-494	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGL0B9	08	503-505	Foot Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGL0CA	08	503-505	Foot Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGM0B9	08	503-505	Foot Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRGM0CA	08	503-505	Foot Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRH60FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRH63FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRH64FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRH70FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRH73FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRH74FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRH80FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRH83FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRH84FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRHA0FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRHA3FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRHA4FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRHB018	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRHB0FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRHB3FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRHB4FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRHC0FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRHC3FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRHC4FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRHD018	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRHD0FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRHD3FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRHD4FA	01	028-030	Spinal Procedures
	08	518	Back and Neck Procedures Except Spinal Fusion
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRRG0L8+	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
	08	469-470	Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRRG0M8+	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
	08	469-470	Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRRH0L8+	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
	08	469-470	Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XRRH0M8+	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
	08	469-470	Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
XW020D8	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
XW03368*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW03378*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW0338A*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW033A7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW033BA*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW033C7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW033DA*	11	673-675	Other Kidney and Urinary Tract Procedures
XW033FA*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW033G7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW033H7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW033J7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW033K7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW033L7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW033M7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW033N7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW04368*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW04378*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW0438A*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW043A7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW043BA*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW043C7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW043FA*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW043G7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW043H7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW043J7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW043K7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW043L7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW043M7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW043N7*	PRE	018	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
XW0Q316	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
XW1337A*	PRE	016-017	Autologous Bone Marrow Transplant
XW133B8*	PRE	016-017	Autologous Bone Marrow Transplant
XW133C8*	PRE	014	Allogeneic Bone Marrow Transplant
XW133F8*	PRE	016-017	Autologous Bone Marrow Transplant
XW133G8*	PRE	016-017	Autologous Bone Marrow Transplant
XW133H9*	PRE	016-017	Autologous Bone Marrow Transplant
XW133J8*	PRE	016-017	Autologous Bone Marrow Transplant
XW1437A*	PRE	016-017	Autologous Bone Marrow Transplant
XW143B8*	PRE	016-017	Autologous Bone Marrow Transplant
XW143C8*	PRE	014	Allogeneic Bone Marrow Transplant
XW143F8*	PRE	016-017	Autologous Bone Marrow Transplant
XW143G8*	PRE	016-017	Autologous Bone Marrow Transplant
XW143H9*	PRE	016-017	Autologous Bone Marrow Transplant
XW143J8*	PRE	016-017	Autologous Bone Marrow Transplant

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
06 Sep 2024 16:41:54
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