ICD-10-CM/PCS MS-DRG v35.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v35.0 Definitions Manual |
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| Appendix I Hospital Acquired Conditions (HACS) List |
| Hospital Acquired Conditions |
| Page 12 of 15 |
HAC 10: DEEP VEIN THROMBOSIS (DTV) / PULMONARY EMBOLISM (PE) WITH TOTAL KNEE OR HIP REPLACEMENT (continued)
PROCEDURES
| 0SRB0KZ | Replacement of Left Hip Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRC069 | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRC06A | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRC06Z | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SRC07Z | Replacement of Right Knee Joint with Autologous Tissue Substitute, Open Approach |
| 0SRC0J9 | Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRC0JA | Replacement of Right Knee Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0JZ | Replacement of Right Knee Joint with Synthetic Substitute, Open Approach |
| 0SRC0KZ | Replacement of Right Knee Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRC0L9 | Replacement of Right Knee Joint with Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRC0LA | Replacement of Right Knee Joint with Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0LZ | Replacement of Right Knee Joint with Unicondylar Synthetic Substitute, Open Approach |
| 0SRD069 | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRD06A | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRD06Z | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SRD07Z | Replacement of Left Knee Joint with Autologous Tissue Substitute, Open Approach |
| 0SRD0J9 | Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRD0JA | Replacement of Left Knee Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0JZ | Replacement of Left Knee Joint with Synthetic Substitute, Open Approach |
| 0SRD0KZ | Replacement of Left Knee Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRD0L9 | Replacement of Left Knee Joint with Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRD0LA | Replacement of Left Knee Joint with Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0LZ | Replacement of Left Knee Joint with Unicondylar Synthetic Substitute, Open Approach |
| 0SRE009 | Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRE00A | Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRE00Z | Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach |
| 0SRE019 | Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRE01A | Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRE01Z | Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach |
| 0SRE039 | Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRE03A | Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRE03Z | Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRE07Z | Replacement of Left Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach |
| 0SRE0J9 | Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRE0JA | Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRE0JZ | Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach |
| 0SRE0KZ | Replacement of Left Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRR019 | Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRR01A | Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRR01Z | Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach |
| 0SRR039 | Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRR03A | Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRR03Z | Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRR07Z | Replacement of Right Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRR0J9 | Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRR0JA | Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRR0JZ | Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRR0KZ | Replacement of Right Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRS019 | Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRS01A | Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRS01Z | Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach |
| 0SRS039 | Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRS03A | Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRS03Z | Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRS07Z | Replacement of Left Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRS0J9 | Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRS0JA | Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRS0JZ | Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRS0KZ | Replacement of Left Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRT07Z | Replacement of Right Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRT0J9 | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRT0JA | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRT0JZ | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRT0KZ | Replacement of Right Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRU07Z | Replacement of Left Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRU0J9 | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRU0JA | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRU0JZ | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRU0KZ | Replacement of Left Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRV07Z | Replacement of Right Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach |
| 0SRV0J9 | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRV0JA | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRV0JZ | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach |
| 0SRV0KZ | Replacement of Right Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRW07Z | Replacement of Left Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach |
| 0SRW0J9 | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRW0JA | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRW0JZ | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach |
| 0SRW0KZ | Replacement of Left Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SU90BZ | Supplement Right Hip Joint with Resurfacing Device, Open Approach |
| 0SUA0BZ | Supplement Right Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach |
| 0SUB0BZ | Supplement Left Hip Joint with Resurfacing Device, Open Approach |
| 0SUE0BZ | Supplement Left Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach |
| 0SUR0BZ | Supplement Right Hip Joint, Femoral Surface with Resurfacing Device, Open Approach |
| 0SUS0BZ | Supplement Left Hip Joint, Femoral Surface with Resurfacing Device, Open Approach |
AND
SECONDARY DIAGNOSIS
| I2602 | Saddle embolus of pulmonary artery with acute cor pulmonale |
| I2609 | Other pulmonary embolism with acute cor pulmonale |
| I2692 | Saddle embolus of pulmonary artery without acute cor pulmonale |
| I2699 | Other pulmonary embolism without acute cor pulmonale |
| I82401 | Acute embolism and thrombosis of unspecified deep veins of right lower extremity |
| I82402 | Acute embolism and thrombosis of unspecified deep veins of left lower extremity |
| I82403 | Acute embolism and thrombosis of unspecified deep veins of lower extremity, bilateral |
| I82409 | Acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity |
| I82411 | Acute embolism and thrombosis of right femoral vein |
| I82412 | Acute embolism and thrombosis of left femoral vein |
| I82413 | Acute embolism and thrombosis of femoral vein, bilateral |
| I82419 | Acute embolism and thrombosis of unspecified femoral vein |
| I82421 | Acute embolism and thrombosis of right iliac vein |
| I82422 | Acute embolism and thrombosis of left iliac vein |
| I82423 | Acute embolism and thrombosis of iliac vein, bilateral |
| I82429 | Acute embolism and thrombosis of unspecified iliac vein |
| I82431 | Acute embolism and thrombosis of right popliteal vein |
| I82432 | Acute embolism and thrombosis of left popliteal vein |
| I82433 | Acute embolism and thrombosis of popliteal vein, bilateral |
| I82439 | Acute embolism and thrombosis of unspecified popliteal vein |
| I82441 | Acute embolism and thrombosis of right tibial vein |
| I82442 | Acute embolism and thrombosis of left tibial vein |
| I82443 | Acute embolism and thrombosis of tibial vein, bilateral |
| I82449 | Acute embolism and thrombosis of unspecified tibial vein |
| I82491 | Acute embolism and thrombosis of other specified deep vein of right lower extremity |
| I82492 | Acute embolism and thrombosis of other specified deep vein of left lower extremity |
| I82493 | Acute embolism and thrombosis of other specified deep vein of lower extremity, bilateral |
| I82499 | Acute embolism and thrombosis of other specified deep vein of unspecified lower extremity |
| I824Y1 | Acute embolism and thrombosis of unspecified deep veins of right proximal lower extremity |
| I824Y2 | Acute embolism and thrombosis of unspecified deep veins of left proximal lower extremity |
| I824Y3 | Acute embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral |
| I824Y9 | Acute embolism and thrombosis of unspecified deep veins of unspecified proximal lower extremity |
| I824Z1 | Acute embolism and thrombosis of unspecified deep veins of right distal lower extremity |
| I824Z2 | Acute embolism and thrombosis of unspecified deep veins of left distal lower extremity |
| I824Z3 | Acute embolism and thrombosis of unspecified deep veins of distal lower extremity, bilateral |
| I824Z9 | Acute embolism and thrombosis of unspecified deep veins of unspecified distal lower extremity |
HAC 11: SURGICAL SITE INFECTION FOLLOWING BARIATRIC SURGERY
PROCEDURES
| 0D16079 | Bypass Stomach to Duodenum with Autologous Tissue Substitute, Open Approach |
| 0D1607A | Bypass Stomach to Jejunum with Autologous Tissue Substitute, Open Approach |
| 0D1607B | Bypass Stomach to Ileum with Autologous Tissue Substitute, Open Approach |
| 0D1607L | Bypass Stomach to Transverse Colon with Autologous Tissue Substitute, Open Approach |
| 0D160J9 | Bypass Stomach to Duodenum with Synthetic Substitute, Open Approach |
| 0D160JA | Bypass Stomach to Jejunum with Synthetic Substitute, Open Approach |
| 0D160JB | Bypass Stomach to Ileum with Synthetic Substitute, Open Approach |
| 0D160JL | Bypass Stomach to Transverse Colon with Synthetic Substitute, Open Approach |
| 0D160K9 | Bypass Stomach to Duodenum with Nonautologous Tissue Substitute, Open Approach |
| 0D160KA | Bypass Stomach to Jejunum with Nonautologous Tissue Substitute, Open Approach |
| 0D160KB | Bypass Stomach to Ileum with Nonautologous Tissue Substitute, Open Approach |
| 0D160KL | Bypass Stomach to Transverse Colon with Nonautologous Tissue Substitute, Open Approach |
| 0D160Z9 | Bypass Stomach to Duodenum, Open Approach |
| 0D160ZA | Bypass Stomach to Jejunum, Open Approach |
| 0D160ZB | Bypass Stomach to Ileum, Open Approach |
| 0D160ZL | Bypass Stomach to Transverse Colon, Open Approach |
| 0D16479 | Bypass Stomach to Duodenum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1647A | Bypass Stomach to Jejunum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1647B | Bypass Stomach to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1647L | Bypass Stomach to Transverse Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D164J9 | Bypass Stomach to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D164JA | Bypass Stomach to Jejunum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D164JB | Bypass Stomach to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D164JL | Bypass Stomach to Transverse Colon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D164K9 | Bypass Stomach to Duodenum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D164KA | Bypass Stomach to Jejunum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D164KB | Bypass Stomach to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D164KL | Bypass Stomach to Transverse Colon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D164Z9 | Bypass Stomach to Duodenum, Percutaneous Endoscopic Approach |
| 0D164ZA | Bypass Stomach to Jejunum, Percutaneous Endoscopic Approach |
| 0D164ZB | Bypass Stomach to Ileum, Percutaneous Endoscopic Approach |
| 0D164ZL | Bypass Stomach to Transverse Colon, Percutaneous Endoscopic Approach |
| 0D16879 | Bypass Stomach to Duodenum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1687A | Bypass Stomach to Jejunum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1687B | Bypass Stomach to Ileum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1687L | Bypass Stomach to Transverse Colon with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D168J9 | Bypass Stomach to Duodenum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D168JA | Bypass Stomach to Jejunum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D168JB | Bypass Stomach to Ileum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D168JL | Bypass Stomach to Transverse Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D168K9 | Bypass Stomach to Duodenum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D168KA | Bypass Stomach to Jejunum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D168KB | Bypass Stomach to Ileum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D168KL | Bypass Stomach to Transverse Colon with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D168Z9 | Bypass Stomach to Duodenum, Via Natural or Artificial Opening Endoscopic |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 25 Aug 2017 11:52:25 CMS, code-revision=63, description-revision=616 |