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

Procedure Code/MS-DRG Index

Page 203 of 378

0016070 00914ZZ 00BX0ZX 00NG0ZZ 00RQ0JZ 00XF0ZH 018R0ZZ 01QC0ZZ 021248F 021X09A 02CS0ZZ 02RF07Z 02VV3ZZ 031B093 03743FZ 037L3GZ 03BU4ZZ 03L70DZ 03NT0ZZ 03SV0ZZ 03VL3HZ 04144Z5 041J4JG 047034Z 047744Z 047F3FZ 047T37Z 04CT3ZZ 04LH4CZ 04RB4KZ 04UN4KZ 051F47Y 05BQ0ZZ 05L84DZ 05R407Z 05V80ZZ 069J4ZX 06L93CZ 06S74ZZ 06WY3JZ 07B83ZX 07LH0ZZ 07TG4ZZ 07WL3KZ 08LY3CZ 08U03KZ 09BM3ZZ 09U20JZ 0BBH4ZZ 0BQ53ZZ 0C540ZZ 0CR307Z 0D114Z9 0D180KK 0D1A4ZA 0D1H87N 0D740ZZ 0DC34ZZ 0DN90ZZ 0DRU0JZ 0DU907Z 0DW600Z 0F184Z5 0FHB41Z 0FR54KZ 0G914ZX 0H5KXZD 0HR8XJ3 0HUU77Z 0JD40ZZ 0JQQ0ZZ 0JX50ZC 0K840ZZ 0KBN3ZX 0KQB3ZZ 0KS80ZZ 0KX00Z2 0L8V4ZZ 0LM94ZZ 0LSJ0ZZ 0M810ZZ 0MN83ZZ 0N550ZZ 0NC13ZZ 0NR10KZ 0NU037Z 0P8G0ZZ 0PBN0ZX 0PHN35Z 0PPT05Z 0PSG06Z 0PW74KZ 0Q9Q0ZZ 0QH64DZ 0QPB04Z 0QRJ4KZ 0QTL0ZZ 0R5N3ZZ 0RG40JJ 0RGQ4JZ 0RP63AZ 0RRG0JZ 0RUT0KZ 0RWU47Z 0SG30J1 0SHQ34Z 0SPV3JZ 0SU24KZ 0SWP08Z 0T174Z6 0TBB7ZX 0TQ40ZZ 0TWB4JZ 0UF68ZZ 0UU54JZ 0VNG4ZZ 0W0247Z 0W9G00Z 0WJF4ZZ 0WWF37Z 0X6S0Z0 0XUN47Z 0Y6P0Z2 0YQCXZZ D921JZZ F0713FZ

CODE	MDC	MS-DRG	SURGICAL CATEGORY
0HREXK3	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HREXK4	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRFX72	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	906	Hand Procedures for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRFX73	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	906	Hand Procedures for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRFX74	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	906	Hand Procedures for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRFXJ3	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRFXJ4	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRFXJZ	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRFXK3	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRFXK4	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRGX72	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	906	Hand Procedures for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRGX73	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	906	Hand Procedures for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRGX74	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	906	Hand Procedures for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRGXJ3	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRGXJ4	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRGXJZ	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRGXK3	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRGXK4	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRHX72	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRHX73	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRHX74	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRHXJ3	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRHXJ4	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRHXJZ	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRHXK3	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRHXK4	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRJX72	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRJX73	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRJX74	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRJXJ3	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRJXJ4	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRJXJZ	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRJXK3	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRJXK4	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRKX72	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRKX73	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRKX74	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRKXJ3	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRKXJ4	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRKXJZ	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRKXK3	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRKXK4	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRLX72	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRLX73	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRLX74	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRLXJ3	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
0HRLXJ4	01	040-042	Peripheral and Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory 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 with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
23 Mar 2020 12:40:01
CMS, code-revision=249, description-revision=1272