ICD-10-CM/PCS MS-DRG v37.1 R1 Definitions Manual

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MDC 05 Diseases & Disorders of the Circulatory System
Aortic and Heart Assist Procedures
MCC DRG
Yes 268
n/a 269

DRG 268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC

DRG 269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC

OPERATING ROOM PROCEDURES

02BW0ZZExcision of Thoracic Aorta, Descending, Open Approach
02BW4ZZExcision of Thoracic Aorta, Descending, Percutaneous Endoscopic Approach
02BX0ZZExcision of Thoracic Aorta, Ascending/Arch, Open Approach
02BX4ZZExcision of Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach
02CW0ZZExtirpation of Matter from Thoracic Aorta, Descending, Open Approach
02CW3ZZExtirpation of Matter from Thoracic Aorta, Descending, Percutaneous Approach
02CW4ZZExtirpation of Matter from Thoracic Aorta, Descending, Percutaneous Endoscopic Approach
02CX0ZZExtirpation of Matter from Thoracic Aorta, Ascending/Arch, Open Approach
02CX3ZZExtirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Approach
02CX4ZZExtirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach
02PA0QZRemoval of Implantable Heart Assist System from Heart, Open Approach
02PA0RSRemoval of Biventricular Short-term External Heart Assist System from Heart, Open Approach
02PA0RZRemoval of Short-term External Heart Assist System from Heart, Open Approach
02PA3QZRemoval of Implantable Heart Assist System from Heart, Percutaneous Approach
02PA3RSRemoval of Biventricular Short-term External Heart Assist System from Heart, Percutaneous Approach
02PA3RZRemoval of Short-term External Heart Assist System from Heart, Percutaneous Approach
02PA4QZRemoval of Implantable Heart Assist System from Heart, Percutaneous Endoscopic Approach
02PA4RSRemoval of Biventricular Short-term External Heart Assist System from Heart, Percutaneous Endoscopic Approach
02PA4RZRemoval of Short-term External Heart Assist System from Heart, Percutaneous Endoscopic Approach
02QW0ZZRepair Thoracic Aorta, Descending, Open Approach
02QW3ZZRepair Thoracic Aorta, Descending, Percutaneous Approach
02QW4ZZRepair Thoracic Aorta, Descending, Percutaneous Endoscopic Approach
02QX0ZZRepair Thoracic Aorta, Ascending/Arch, Open Approach
02QX3ZZRepair Thoracic Aorta, Ascending/Arch, Percutaneous Approach
02QX4ZZRepair Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach
02U00JZSupplement Coronary Artery, One Artery with Synthetic Substitute, Open Approach
02U04JZSupplement Coronary Artery, One Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
02U10JZSupplement Coronary Artery, Two Arteries with Synthetic Substitute, Open Approach
02U14JZSupplement Coronary Artery, Two Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
02U20JZSupplement Coronary Artery, Three Arteries with Synthetic Substitute, Open Approach
02U24JZSupplement Coronary Artery, Three Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
02U30JZSupplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Open Approach
02U34JZSupplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
02UA0JZSupplement Heart with Synthetic Substitute, Open Approach
02UA3JZSupplement Heart with Synthetic Substitute, Percutaneous Approach
02UA4JZSupplement Heart with Synthetic Substitute, Percutaneous Endoscopic Approach
0410093Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Open Approach
0410094Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Open Approach
0410095Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach
04100A3Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Open Approach
04100A4Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Open Approach
04100A5Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach
04100J3Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Open Approach
04100J4Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Open Approach
04100J5Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Open Approach
04100K3Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach
04100K4Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach
04100K5Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach
04100Z3Bypass Abdominal Aorta to Right Renal Artery, Open Approach
04100Z4Bypass Abdominal Aorta to Left Renal Artery, Open Approach
04100Z5Bypass Abdominal Aorta to Bilateral Renal Artery, Open Approach
0410493Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0410494Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0410495Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
04104A3Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104A4Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104A5Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104J3Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104J4Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104J5Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104K3Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04104K4Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04104K5Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04104Z3Bypass Abdominal Aorta to Right Renal Artery, Percutaneous Endoscopic Approach
04104Z4Bypass Abdominal Aorta to Left Renal Artery, Percutaneous Endoscopic Approach
04104Z5Bypass Abdominal Aorta to Bilateral Renal Artery, Percutaneous Endoscopic Approach
0413093Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Open Approach
0413094Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Open Approach
0413095Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach
04130A3Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Open Approach
04130A4Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Open Approach
04130A5Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach
04130J3Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Open Approach
04130J4Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Open Approach
04130J5Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Open Approach
04130K3Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach
04130K4Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach
04130K5Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach
04130Z3Bypass Hepatic Artery to Right Renal Artery, Open Approach
04130Z4Bypass Hepatic Artery to Left Renal Artery, Open Approach
04130Z5Bypass Hepatic Artery to Bilateral Renal Artery, Open Approach
0413493Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0413494Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0413495Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
04134A3Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04134A4Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04134A5Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04134J3Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04134J4Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04134J5Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04134K3Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04134K4Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04134K5Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04134Z3Bypass Hepatic Artery to Right Renal Artery, Percutaneous Endoscopic Approach
04134Z4Bypass Hepatic Artery to Left Renal Artery, Percutaneous Endoscopic Approach
04134Z5Bypass Hepatic Artery to Bilateral Renal Artery, Percutaneous Endoscopic Approach
04500ZZDestruction of Abdominal Aorta, Open Approach
04503ZZDestruction of Abdominal Aorta, Percutaneous Approach
04504ZZDestruction of Abdominal Aorta, Percutaneous Endoscopic Approach
04B00ZZExcision of Abdominal Aorta, Open Approach
04B03ZZExcision of Abdominal Aorta, Percutaneous Approach
04B04ZZExcision of Abdominal Aorta, Percutaneous Endoscopic Approach
04C00ZZExtirpation of Matter from Abdominal Aorta, Open Approach
04C03ZZExtirpation of Matter from Abdominal Aorta, Percutaneous Approach
04C04ZZExtirpation of Matter from Abdominal Aorta, Percutaneous Endoscopic Approach
04L00CZOcclusion of Abdominal Aorta with Extraluminal Device, Open Approach
04L00DZOcclusion of Abdominal Aorta with Intraluminal Device, Open Approach
04L00ZZOcclusion of Abdominal Aorta, Open Approach
04L03CZOcclusion of Abdominal Aorta with Extraluminal Device, Percutaneous Approach
04L03DJOcclusion of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Approach
04L03DZOcclusion of Abdominal Aorta with Intraluminal Device, Percutaneous Approach
04L03ZZOcclusion of Abdominal Aorta, Percutaneous Approach
04L04CZOcclusion of Abdominal Aorta with Extraluminal Device, Percutaneous Endoscopic Approach
04L04DZOcclusion of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach
04L04ZZOcclusion of Abdominal Aorta, Percutaneous Endoscopic Approach
04R007ZReplacement of Abdominal Aorta with Autologous Tissue Substitute, Open Approach
04R00JZReplacement of Abdominal Aorta with Synthetic Substitute, Open Approach
04R00KZReplacement of Abdominal Aorta with Nonautologous Tissue Substitute, Open Approach
04R047ZReplacement of Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R04JZReplacement of Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach
04R04KZReplacement of Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04U03JZSupplement Abdominal Aorta with Synthetic Substitute, Percutaneous Approach
04U04JZSupplement Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach
04V03DZRestriction of Abdominal Aorta with Intraluminal Device, Percutaneous Approach
04V03EZRestriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach
04V03FZRestriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach
04V04DZRestriction of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach
04V04EZRestriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach
04V04FZRestriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Endoscopic Approach



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