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

Procedure Cluster/MS-DRG Index

Page 7 of 30

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CODE COMBINATION	MDC	MS-DRG	SURGICAL CATEGORY
0SPB4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRS03Z	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPB4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRS0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPB4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRS0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPB4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRS0JZ	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPB4JZ	08	466-468	Revision of Hip or Knee Replacement
and 0SUB09Z	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPB4JZ	08	466-468	Revision of Hip or Knee Replacement
and 0SUE09Z	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPB4JZ	08	466-468	Revision of Hip or Knee Replacement
and 0SUS09Z	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0JZ	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0JZ	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0JZ	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0JZ	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0JZ	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0JZ	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0JZ	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0J9	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0JA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPD4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0JZ	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H40KZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H43JZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H43KZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H43MZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H44KZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H60KZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H63KZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H64KZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H70KZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H73KZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H74KZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN0JZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN0KZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN0MZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN3JZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN3KZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN3MZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN4JZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN4KZ

0JH609Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN4MZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H40KZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H43JZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H43KZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H43MZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H44KZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H60KZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H63KZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H64KZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H70KZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H73KZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H74KZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN0JZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN0KZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN0MZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN3JZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN3KZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN3MZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN4JZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN4KZ

0JH639Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN4MZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H40KZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H43JZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H43KZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H43MZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H44KZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H60KZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H63KZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H64KZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H70KZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H73KZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H74KZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN0JZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN0KZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN0MZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN3JZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN3KZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN3MZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN4JZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN4KZ

0JH809Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN4MZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H40KZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H43JZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H43KZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H43MZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H44KZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H60KZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H63KZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H64KZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H70KZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H73KZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02H74KZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN0JZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN0KZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN0MZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN3JZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN3KZ

0JH839Z	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 02HN3MZ

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