ICD-10-CM/PCS MS-DRG v37.1 R1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v37.1 R1 Definitions Manual |
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| MDC 11 Diseases & Disorders of the Kidney & Urinary Tract |
| Other Kidney and Urinary Tract Procedures |
| Page 5 of 5 |
OPERATING ROOM PROCEDURES (continued)
00HE0MZ 04713Z1 04S64ZZ 0FN10ZZ 0QBJ3ZX
| 0QBJ3ZX | Excision of Right Fibula, Percutaneous Approach, Diagnostic |
| 0QBJ4ZX | Excision of Right Fibula, Percutaneous Endoscopic Approach, Diagnostic |
| 0QBK0ZX | Excision of Left Fibula, Open Approach, Diagnostic |
| 0QBK3ZX | Excision of Left Fibula, Percutaneous Approach, Diagnostic |
| 0QBK4ZX | Excision of Left Fibula, Percutaneous Endoscopic Approach, Diagnostic |
| 0QBL0ZX | Excision of Right Tarsal, Open Approach, Diagnostic |
| 0QBL3ZX | Excision of Right Tarsal, Percutaneous Approach, Diagnostic |
| 0QBL4ZX | Excision of Right Tarsal, Percutaneous Endoscopic Approach, Diagnostic |
| 0QBM0ZX | Excision of Left Tarsal, Open Approach, Diagnostic |
| 0QBM3ZX | Excision of Left Tarsal, Percutaneous Approach, Diagnostic |
| 0QBM4ZX | Excision of Left Tarsal, Percutaneous Endoscopic Approach, Diagnostic |
| 0QBN0ZX | Excision of Right Metatarsal, Open Approach, Diagnostic |
| 0QBN3ZX | Excision of Right Metatarsal, Percutaneous Approach, Diagnostic |
| 0QBN4ZX | Excision of Right Metatarsal, Percutaneous Endoscopic Approach, Diagnostic |
| 0QBP0ZX | Excision of Left Metatarsal, Open Approach, Diagnostic |
| 0QBP3ZX | Excision of Left Metatarsal, Percutaneous Approach, Diagnostic |
| 0QBP4ZX | Excision of Left Metatarsal, Percutaneous Endoscopic Approach, Diagnostic |
| 0QBS0ZX | Excision of Coccyx, Open Approach, Diagnostic |
| 0QBS3ZX | Excision of Coccyx, Percutaneous Approach, Diagnostic |
| 0QBS4ZX | Excision of Coccyx, Percutaneous Endoscopic Approach, Diagnostic |
| 0VPS0JZ | Removal of Synthetic Substitute from Penis, Open Approach |
| 0VPS3JZ | Removal of Synthetic Substitute from Penis, Percutaneous Approach |
| 0VPS4JZ | Removal of Synthetic Substitute from Penis, Percutaneous Endoscopic Approach |
| 0VPS7JZ | Removal of Synthetic Substitute from Penis, Via Natural or Artificial Opening |
| 0VPS8JZ | Removal of Synthetic Substitute from Penis, Via Natural or Artificial Opening Endoscopic |
| 0VUS0JZ | Supplement Penis with Synthetic Substitute, Open Approach |
| 0VUS4JZ | Supplement Penis with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0W1G0J4 | Bypass Peritoneal Cavity to Cutaneous with Synthetic Substitute, Open Approach |
| 0W1G3J4 | Bypass Peritoneal Cavity to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0W1G4J4 | Bypass Peritoneal Cavity to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0W3F0ZZ | Control Bleeding in Abdominal Wall, Open Approach |
| 0W3F3ZZ | Control Bleeding in Abdominal Wall, Percutaneous Approach |
| 0W3F4ZZ | Control Bleeding in Abdominal Wall, Percutaneous Endoscopic Approach |
| 0W3G3ZZ | Control Bleeding in Peritoneal Cavity, Percutaneous Approach |
| 0W3G4ZZ | Control Bleeding in Peritoneal Cavity, Percutaneous Endoscopic Approach |
| 0W3H0ZZ | Control Bleeding in Retroperitoneum, Open Approach |
| 0W3H3ZZ | Control Bleeding in Retroperitoneum, Percutaneous Approach |
| 0W3H4ZZ | Control Bleeding in Retroperitoneum, Percutaneous Endoscopic Approach |
| 0W3J0ZZ | Control Bleeding in Pelvic Cavity, Open Approach |
| 0W3J3ZZ | Control Bleeding in Pelvic Cavity, Percutaneous Approach |
| 0W3J4ZZ | Control Bleeding in Pelvic Cavity, Percutaneous Endoscopic Approach |
| 0W3P0ZZ | Control Bleeding in Gastrointestinal Tract, Open Approach |
| 0W3P3ZZ | Control Bleeding in Gastrointestinal Tract, Percutaneous Approach |
| 0W3P4ZZ | Control Bleeding in Gastrointestinal Tract, Percutaneous Endoscopic Approach |
| 0W9F00Z | Drainage of Abdominal Wall with Drainage Device, Open Approach |
| 0W9F0ZZ | Drainage of Abdominal Wall, Open Approach |
| 0W9G00Z | Drainage of Peritoneal Cavity with Drainage Device, Open Approach |
| 0W9G0ZZ | Drainage of Peritoneal Cavity, Open Approach |
| 0W9H00Z | Drainage of Retroperitoneum with Drainage Device, Open Approach |
| 0W9H0ZZ | Drainage of Retroperitoneum, Open Approach |
| 0W9H40Z | Drainage of Retroperitoneum with Drainage Device, Percutaneous Endoscopic Approach |
| 0W9H4ZZ | Drainage of Retroperitoneum, Percutaneous Endoscopic Approach |
| 0W9J00Z | Drainage of Pelvic Cavity with Drainage Device, Open Approach |
| 0W9J0ZZ | Drainage of Pelvic Cavity, Open Approach |
| 0W9J40Z | Drainage of Pelvic Cavity with Drainage Device, Percutaneous Endoscopic Approach |
| 0W9J4ZZ | Drainage of Pelvic Cavity, Percutaneous Endoscopic Approach |
| 0WCG0ZZ | Extirpation of Matter from Peritoneal Cavity, Open Approach |
| 0WCG3ZZ | Extirpation of Matter from Peritoneal Cavity, Percutaneous Approach |
| 0WCG4ZZ | Extirpation of Matter from Peritoneal Cavity, Percutaneous Endoscopic Approach |
| 0WCH0ZZ | Extirpation of Matter from Retroperitoneum, Open Approach |
| 0WCH3ZZ | Extirpation of Matter from Retroperitoneum, Percutaneous Approach |
| 0WCH4ZZ | Extirpation of Matter from Retroperitoneum, Percutaneous Endoscopic Approach |
| 0WCJ0ZZ | Extirpation of Matter from Pelvic Cavity, Open Approach |
| 0WCJ3ZZ | Extirpation of Matter from Pelvic Cavity, Percutaneous Approach |
| 0WCJ4ZZ | Extirpation of Matter from Pelvic Cavity, Percutaneous Endoscopic Approach |
| 0WCP0ZZ | Extirpation of Matter from Gastrointestinal Tract, Open Approach |
| 0WCP3ZZ | Extirpation of Matter from Gastrointestinal Tract, Percutaneous Approach |
| 0WCP4ZZ | Extirpation of Matter from Gastrointestinal Tract, Percutaneous Endoscopic Approach |
| 0WCR0ZZ | Extirpation of Matter from Genitourinary Tract, Open Approach |
| 0WCR3ZZ | Extirpation of Matter from Genitourinary Tract, Percutaneous Approach |
| 0WCR4ZZ | Extirpation of Matter from Genitourinary Tract, Percutaneous Endoscopic Approach |
| 0WHG03Z | Insertion of Infusion Device into Peritoneal Cavity, Open Approach |
| 0WHG43Z | Insertion of Infusion Device into Peritoneal Cavity, Percutaneous Endoscopic Approach |
| 0WHH01Z | Insertion of Radioactive Element into Retroperitoneum, Open Approach |
| 0WHH31Z | Insertion of Radioactive Element into Retroperitoneum, Percutaneous Approach |
| 0WHH41Z | Insertion of Radioactive Element into Retroperitoneum, Percutaneous Endoscopic Approach |
| 0WHR01Z | Insertion of Radioactive Element into Genitourinary Tract, Open Approach |
| 0WHR31Z | Insertion of Radioactive Element into Genitourinary Tract, Percutaneous Approach |
| 0WHR41Z | Insertion of Radioactive Element into Genitourinary Tract, Percutaneous Endoscopic Approach |
| 0WHR71Z | Insertion of Radioactive Element into Genitourinary Tract, Via Natural or Artificial Opening |
| 0WHR81Z | Insertion of Radioactive Element into Genitourinary Tract, Via Natural or Artificial Opening Endoscopic |
| 0WJ90ZZ | Inspection of Right Pleural Cavity, Open Approach |
| 0WJB0ZZ | Inspection of Left Pleural Cavity, Open Approach |
| 0WJC0ZZ | Inspection of Mediastinum, Open Approach |
| 0WJF0ZZ | Inspection of Abdominal Wall, Open Approach |
| 0WJF4ZZ | Inspection of Abdominal Wall, Percutaneous Endoscopic Approach |
| 0WJG0ZZ | Inspection of Peritoneal Cavity, Open Approach |
| 0WJG4ZZ | Inspection of Peritoneal Cavity, Percutaneous Endoscopic Approach |
| 0WJH0ZZ | Inspection of Retroperitoneum, Open Approach |
| 0WJJ0ZZ | Inspection of Pelvic Cavity, Open Approach |
| 0WJJ4ZZ | Inspection of Pelvic Cavity, Percutaneous Endoscopic Approach |
| 0WJP0ZZ | Inspection of Gastrointestinal Tract, Open Approach |
| 0WJP4ZZ | Inspection of Gastrointestinal Tract, Percutaneous Endoscopic Approach |
| 0WJQ0ZZ | Inspection of Respiratory Tract, Open Approach |
| 0WJR0ZZ | Inspection of Genitourinary Tract, Open Approach |
| 0WJR4ZZ | Inspection of Genitourinary Tract, Percutaneous Endoscopic Approach |
| 0Y350ZZ | Control Bleeding in Right Inguinal Region, Open Approach |
| 0Y353ZZ | Control Bleeding in Right Inguinal Region, Percutaneous Approach |
| 0Y354ZZ | Control Bleeding in Right Inguinal Region, Percutaneous Endoscopic Approach |
| 0Y360ZZ | Control Bleeding in Left Inguinal Region, Open Approach |
| 0Y363ZZ | Control Bleeding in Left Inguinal Region, Percutaneous Approach |
| 0Y364ZZ | Control Bleeding in Left Inguinal Region, Percutaneous Endoscopic Approach |
| 0Y9500Z | Drainage of Right Inguinal Region with Drainage Device, Open Approach |
| 0Y950ZZ | Drainage of Right Inguinal Region, Open Approach |
| 0Y9540Z | Drainage of Right Inguinal Region with Drainage Device, Percutaneous Endoscopic Approach |
| 0Y954ZZ | Drainage of Right Inguinal Region, Percutaneous Endoscopic Approach |
| 0Y9600Z | Drainage of Left Inguinal Region with Drainage Device, Open Approach |
| 0Y960ZZ | Drainage of Left Inguinal Region, Open Approach |
| 0Y9640Z | Drainage of Left Inguinal Region with Drainage Device, Percutaneous Endoscopic Approach |
| 0Y964ZZ | Drainage of Left Inguinal Region, Percutaneous Endoscopic Approach |
| 0YJ50ZZ | Inspection of Right Inguinal Region, Open Approach |
| 0YJ60ZZ | Inspection of Left Inguinal Region, Open Approach |
| 0YJ70ZZ | Inspection of Right Femoral Region, Open Approach |
| 0YJA0ZZ | Inspection of Bilateral Inguinal Region, Open Approach |
| X27H385 | Dilation of Right Femoral Artery with Sustained Release Drug-eluting Intraluminal Device, Percutaneous Approach, New Technology Group 5 |
| X27H395 | Dilation of Right Femoral Artery with Two Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 |
| X27H3B5 | Dilation of Right Femoral Artery with Three Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 |
| X27H3C5 | Dilation of Right Femoral Artery with Four or More Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 |
| X27J385 | Dilation of Left Femoral Artery with Sustained Release Drug-eluting Intraluminal Device, Percutaneous Approach, New Technology Group 5 |
| X27J395 | Dilation of Left Femoral Artery with Two Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 |
| X27J3B5 | Dilation of Left Femoral Artery with Three Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 |
| X27J3C5 | Dilation of Left Femoral Artery with Four or More Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 |
OR PRINCIPAL DIAGNOSIS
| E883 | Tumor lysis syndrome |
| I120 | Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease |
| I129 | Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I1310 | Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I1311 | Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease |
| N170 | Acute kidney failure with tubular necrosis |
| N171 | Acute kidney failure with acute cortical necrosis |
| N172 | Acute kidney failure with medullary necrosis |
| N178 | Other acute kidney failure |
| N179 | Acute kidney failure, unspecified |
| N181 | Chronic kidney disease, stage 1 |
| N182 | Chronic kidney disease, stage 2 (mild) |
| N183 | Chronic kidney disease, stage 3 (moderate) |
| N184 | Chronic kidney disease, stage 4 (severe) |
| N185 | Chronic kidney disease, stage 5 |
| N186 | End stage renal disease |
| N189 | Chronic kidney disease, unspecified |
| N19 | Unspecified kidney failure |
| R34 | Anuria and oliguria |
| T795XXA | Traumatic anuria, initial encounter |
AND NON-OPERATING ROOM PROCEDURES
| 0JH60XZ* | Insertion of Tunneled Vascular Access Device into Chest Subcutaneous Tissue and Fascia, Open Approach |
| 0JH63WZ* | Insertion of Totally Implantable Vascular Access Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH63XZ* | Insertion of Tunneled Vascular Access Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH80XZ* | Insertion of Tunneled Vascular Access Device into Abdomen Subcutaneous Tissue and Fascia, Open Approach |
| 0JH83WZ* | Insertion of Totally Implantable Vascular Access Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH83XZ* | Insertion of Tunneled Vascular Access Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHD0XZ* | Insertion of Tunneled Vascular Access Device into Right Upper Arm Subcutaneous Tissue and Fascia, Open Approach |
| 0JHD3WZ* | Insertion of Totally Implantable Vascular Access Device into Right Upper Arm Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHD3XZ* | Insertion of Tunneled Vascular Access Device into Right Upper Arm Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHF0XZ* | Insertion of Tunneled Vascular Access Device into Left Upper Arm Subcutaneous Tissue and Fascia, Open Approach |
| 0JHF3WZ* | Insertion of Totally Implantable Vascular Access Device into Left Upper Arm Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHF3XZ* | Insertion of Tunneled Vascular Access Device into Left Upper Arm Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHG0XZ* | Insertion of Tunneled Vascular Access Device into Right Lower Arm Subcutaneous Tissue and Fascia, Open Approach |
| 0JHG3WZ* | Insertion of Totally Implantable Vascular Access Device into Right Lower Arm Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHG3XZ* | Insertion of Tunneled Vascular Access Device into Right Lower Arm Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHH0XZ* | Insertion of Tunneled Vascular Access Device into Left Lower Arm Subcutaneous Tissue and Fascia, Open Approach |
| 0JHH3WZ* | Insertion of Totally Implantable Vascular Access Device into Left Lower Arm Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHH3XZ* | Insertion of Tunneled Vascular Access Device into Left Lower Arm Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHL0XZ* | Insertion of Tunneled Vascular Access Device into Right Upper Leg Subcutaneous Tissue and Fascia, Open Approach |
| 0JHL3WZ* | Insertion of Totally Implantable Vascular Access Device into Right Upper Leg Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHL3XZ* | Insertion of Tunneled Vascular Access Device into Right Upper Leg Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHM0XZ* | Insertion of Tunneled Vascular Access Device into Left Upper Leg Subcutaneous Tissue and Fascia, Open Approach |
| 0JHM3WZ* | Insertion of Totally Implantable Vascular Access Device into Left Upper Leg Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHM3XZ* | Insertion of Tunneled Vascular Access Device into Left Upper Leg Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHN0XZ* | Insertion of Tunneled Vascular Access Device into Right Lower Leg Subcutaneous Tissue and Fascia, Open Approach |
| 0JHN3WZ* | Insertion of Totally Implantable Vascular Access Device into Right Lower Leg Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHN3XZ* | Insertion of Tunneled Vascular Access Device into Right Lower Leg Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHP0XZ* | Insertion of Tunneled Vascular Access Device into Left Lower Leg Subcutaneous Tissue and Fascia, Open Approach |
| 0JHP3WZ* | Insertion of Totally Implantable Vascular Access Device into Left Lower Leg Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JHP3XZ* | Insertion of Tunneled Vascular Access Device into Left Lower Leg Subcutaneous Tissue and Fascia, Percutaneous Approach |
OR PRINCIPAL DIAGNOSIS
| E1021 | Type 1 diabetes mellitus with diabetic nephropathy |
| E1022 | Type 1 diabetes mellitus with diabetic chronic kidney disease |
| E1029 | Type 1 diabetes mellitus with other diabetic kidney complication |
AND NON-OPERATING ROOM PROCEDURES
| 3E030U0* | Introduction of Autologous Pancreatic Islet Cells into Peripheral Vein, Open Approach |
| 3E030U1* | Introduction of Nonautologous Pancreatic Islet Cells into Peripheral Vein, Open Approach |
| 3E033U0* | Introduction of Autologous Pancreatic Islet Cells into Peripheral Vein, Percutaneous Approach |
| 3E033U1* | Introduction of Nonautologous Pancreatic Islet Cells into Peripheral Vein, Percutaneous Approach |
| 3E0J3U0* | Introduction of Autologous Pancreatic Islet Cells into Biliary and Pancreatic Tract, Percutaneous Approach |
| 3E0J3U1* | Introduction of Nonautologous Pancreatic Islet Cells into Biliary and Pancreatic Tract, Percutaneous Approach |
| 3E0J7U0* | Introduction of Autologous Pancreatic Islet Cells into Biliary and Pancreatic Tract, Via Natural or Artificial Opening |
| 3E0J7U1* | Introduction of Nonautologous Pancreatic Islet Cells into Biliary and Pancreatic Tract, Via Natural or Artificial Opening |
| 3E0J8U0* | Introduction of Autologous Pancreatic Islet Cells into Biliary and Pancreatic Tract, Via Natural or Artificial Opening Endoscopic |
| 3E0J8U1* | Introduction of Nonautologous Pancreatic Islet Cells into Biliary and Pancreatic Tract, Via Natural or Artificial Opening Endoscopic |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 23 Mar 2020 12:40:01 CMS, code-revision=249, description-revision=1272 |