ICD-10-CM/PCS MS-DRG v35.0 Definitions Manual
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Procedure Code/MS-DRG Index
Page 387 of 387
0016070 00994ZZ 00DL4ZZ 00Q13ZZ 00UP4KZ 00XQ4ZH 01DC3ZZ 01U837Z 021R09A 027R34Z 02LW3DJ 02UR48Z 03170KV 03733DZ 037A35Z 037L366 037V37Z 03CF0ZZ 03L93DZ 03Q73ZZ 03U80JZ 03VT3ZZ 041D0JR 041K4ZM 04713EZ 047607Z 047A3D6 047E441 047L0G6 047Y37Z 04CK0Z6 04L63CZ 04QK4ZZ 04U04JZ 04VU4DZ 059V4ZX 05HY42Z 05Q90ZZ 05UQ0KZ 065V4ZZ 06L13CZ 06RC4KZ 06VB0ZZ 07B10ZZ 07L70ZZ 07QP0ZZ 07VC3DZ 08BRXZX 08RY77Z 090KXZZ 09RN77Z 0BB60ZX 0BPL40Z 0BWL0YZ 0CQT0ZZ 0CX70ZZ 0D168ZL 0D1B47P 0D1M874 0D9W0ZZ 0DJU0ZZ 0DPD7KZ 0DTF8ZZ 0DV33ZZ 0F150D3 0F900ZZ 0FN84ZZ 0FUC4JZ 0GJK0ZZ 0HQY0ZZ 0HRLXK3 0J9C0ZZ 0JHL0WZ 0JUJ07Z 0JXQ3ZZ 0K9W0ZZ 0KMR0ZZ 0KRK0JZ 0KUH0JZ 0L5L4ZZ 0LBW3ZX 0LR80JZ 0LXG0ZZ 0MCF4ZZ 0MTW0ZZ 0NBB0ZZ 0NQK4ZZ 0NTL0ZZ 0P8L3ZZ 0PBP0ZZ 0PHS05Z 0PQ00ZZ 0PSH34Z 0PWF4KZ 0QB10ZZ 0QH834Z 0QPD37Z 0QRP07Z 0QU447Z 0R9A0ZZ 0RG40AJ 0RGC0KZ 0RHV45Z 0RPT3JZ 0RUB0KZ 0RWJ38Z 0SBL4ZZ 0SG844Z 0SNG3ZZ 0SRA01A 0SW00AZ 0T140KC 0T184J8 0TL44CZ 0TRC7KZ 0U597ZZ 0UL70ZZ 0UU777Z 0VNF8ZZ 0W024ZZ 0W9H0ZZ 0WJH4ZZ 0WWF4YZ 0X6S0Z0 0XUN47Z 0Y6P0Z2 0YQCXZZ B217YZZ F0209ZZ
CODEMDCMS-DRGSURGICAL CATEGORY
F0CM3YZ*23945-946Rehabilitation
F0CM3ZZ*23945-946Rehabilitation
F0CZ08Z*23945-946Rehabilitation
F0CZ0ZZ*23945-946Rehabilitation
F0CZ1KZ*23945-946Rehabilitation
F0CZ1LZ*23945-946Rehabilitation
F0CZ1NZ*23945-946Rehabilitation
F0CZ1PZ*23945-946Rehabilitation
F0CZ1QZ*23945-946Rehabilitation
F0CZ1SZ*23945-946Rehabilitation
F0CZ1TZ*23945-946Rehabilitation
F0CZ1YZ*23945-946Rehabilitation
F0CZ1ZZ*23945-946Rehabilitation
F0CZ2KZ*23945-946Rehabilitation
F0CZ2LZ*23945-946Rehabilitation
F0CZ2NZ*23945-946Rehabilitation
F0CZ2PZ*23945-946Rehabilitation
F0CZ2QZ*23945-946Rehabilitation
F0CZ2SZ*23945-946Rehabilitation
F0CZ2TZ*23945-946Rehabilitation
F0CZ2YZ*23945-946Rehabilitation
F0CZ2ZZ*23945-946Rehabilitation
F0DZ05Z*23945-946Rehabilitation
F0DZ0ZZ*23945-946Rehabilitation
F0DZ11Z*23945-946Rehabilitation
F0DZ12Z*23945-946Rehabilitation
F0DZ15Z*23945-946Rehabilitation
F0DZ1KZ*23945-946Rehabilitation
F0DZ1LZ*23945-946Rehabilitation
F0DZ1ZZ*23945-946Rehabilitation
F0DZ21Z*23945-946Rehabilitation
F0DZ22Z*23945-946Rehabilitation
F0DZ25Z*23945-946Rehabilitation
F0DZ2KZ*23945-946Rehabilitation
F0DZ2LZ*23945-946Rehabilitation
F0DZ2ZZ*23945-946Rehabilitation
F0DZ3MZ*23945-946Rehabilitation
F0DZ4SZ*23945-946Rehabilitation
F0DZ4VZ*23945-946Rehabilitation
F0DZ51Z*23945-946Rehabilitation
F0DZ52Z*23945-946Rehabilitation
F0DZ55Z*23945-946Rehabilitation
F0DZ5KZ*23945-946Rehabilitation
F0DZ5LZ*23945-946Rehabilitation
F0DZ5ZZ*23945-946Rehabilitation
F0DZ6EZ*23945-946Rehabilitation
F0DZ6FZ*23945-946Rehabilitation
F0DZ6UZ*23945-946Rehabilitation
F0DZ6ZZ*23945-946Rehabilitation
F0DZ7EZ*23945-946Rehabilitation
F0DZ7FZ*23945-946Rehabilitation
F0DZ7UZ*23945-946Rehabilitation
F0DZ7ZZ*23945-946Rehabilitation
F0DZ8EZ*23945-946Rehabilitation
F0DZ8FZ*23945-946Rehabilitation
F0DZ8UZ*23945-946Rehabilitation
F0FZ0EZ*23945-946Rehabilitation
F0FZ0FZ*23945-946Rehabilitation
F0FZ0UZ*23945-946Rehabilitation
F0FZ0ZZ*23945-946Rehabilitation
F0FZ1EZ*23945-946Rehabilitation
F0FZ1FZ*23945-946Rehabilitation
F0FZ1UZ*23945-946Rehabilitation
F0FZ1ZZ*23945-946Rehabilitation
F0FZ2EZ*23945-946Rehabilitation
F0FZ2FZ*23945-946Rehabilitation
F0FZ2UZ*23945-946Rehabilitation
F0FZ2ZZ*23945-946Rehabilitation
F0FZ3EZ*23945-946Rehabilitation
F0FZ3FZ*23945-946Rehabilitation
F0FZ3UZ*23945-946Rehabilitation
F0FZ3ZZ*23945-946Rehabilitation
F0FZ4EZ*23945-946Rehabilitation
F0FZ4FZ*23945-946Rehabilitation
F0FZ4UZ*23945-946Rehabilitation
F0FZ4ZZ*23945-946Rehabilitation
F0FZ5EZ*23945-946Rehabilitation
F0FZ5FZ*23945-946Rehabilitation
F0FZ5UZ*23945-946Rehabilitation
F0FZ5ZZ*23945-946Rehabilitation
F0FZ6EZ*23945-946Rehabilitation
F0FZ6FZ*23945-946Rehabilitation
F0FZ6UZ*23945-946Rehabilitation
F0FZ6ZZ*23945-946Rehabilitation
F0FZ7EZ*23945-946Rehabilitation
F0FZ7FZ*23945-946Rehabilitation
F0FZ7UZ*23945-946Rehabilitation
F0FZ7ZZ*23945-946Rehabilitation
F0FZ8EZ*23945-946Rehabilitation
F0FZ8FZ*23945-946Rehabilitation
F0FZ8UZ*23945-946Rehabilitation
F0FZ8ZZ*23945-946Rehabilitation
F0FZ9EZ*23945-946Rehabilitation
F0FZ9FZ*23945-946Rehabilitation
F0FZ9UZ*23945-946Rehabilitation
F0FZ9ZZ*23945-946Rehabilitation
F0FZBEZ*23945-946Rehabilitation
F0FZBFZ*23945-946Rehabilitation
F0FZBUZ*23945-946Rehabilitation
F0FZBZZ*23945-946Rehabilitation
F0FZCEZ*23945-946Rehabilitation
F0FZCFZ*23945-946Rehabilitation
F0FZCUZ*23945-946Rehabilitation
F0FZCZZ*23945-946Rehabilitation
F0FZDEZ*23945-946Rehabilitation
F0FZDFZ*23945-946Rehabilitation
F0FZDUZ*23945-946Rehabilitation
F0FZDZZ*23945-946Rehabilitation
F0FZFEZ*23945-946Rehabilitation
F0FZFFZ*23945-946Rehabilitation
F0FZFUZ*23945-946Rehabilitation
F0FZFZZ*23945-946Rehabilitation
F0FZGEZ*23945-946Rehabilitation
F0FZGFZ*23945-946Rehabilitation
F0FZGUZ*23945-946Rehabilitation
F0FZGZZ*23945-946Rehabilitation
F0FZHEZ*23945-946Rehabilitation
F0FZHFZ*23945-946Rehabilitation
F0FZHUZ*23945-946Rehabilitation
F0FZHZZ*23945-946Rehabilitation
F0FZJKZ*23945-946Rehabilitation
F0FZJLZ*23945-946Rehabilitation
F0FZJMZ*23945-946Rehabilitation
F0FZJPZ*23945-946Rehabilitation
F0FZJZZ*23945-946Rehabilitation
HZ30ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ31ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ32ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ33ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ34ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ35ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ36ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ37ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ38ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ39ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ3BZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ40ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ41ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ42ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ43ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ44ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ45ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ46ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ47ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ48ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ49ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ4BZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ50ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ51ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ52ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ53ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ54ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ55ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ56ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ57ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ58ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ59ZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ5BZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ5CZZZ*20895-897Alcohol/Drug Abuse or Dependence
HZ5DZZZ*20895-897Alcohol/Drug Abuse or Dependence
X2C036105231-236Coronary Bypass
 05246-249Percutaneous Cardiovascular Procedures with Coronary Artery/Stent
 05250-251Percutaneous Cardiovascular Procedures without Coronary Artery Stent
X2C136105231-236Coronary Bypass
 05246-249Percutaneous Cardiovascular Procedures with Coronary Artery/Stent
 05250-251Percutaneous Cardiovascular Procedures without Coronary Artery Stent
X2C236105231-236Coronary Bypass
 05246-249Percutaneous Cardiovascular Procedures with Coronary Artery/Stent
 05250-251Percutaneous Cardiovascular Procedures without Coronary Artery Stent
X2C336105231-236Coronary Bypass
 05246-249Percutaneous Cardiovascular Procedures with Coronary Artery/Stent
 05250-251Percutaneous Cardiovascular Procedures without Coronary Artery Stent
X2RF03205216-221Cardiac Valve and Other Major Cardiothoracic Procedures
X2RF33205266-267Endovascular Procedures
X2RF43205216-221Cardiac Valve and Other Major Cardiothoracic Procedures
XHRPXL201040-042Peripheral and Cranial Nerve and Other Nervous System Procedures
 03133-134Other Ear, Nose, Mouth and Throat O.R. Procedures
 05264Other Circulatory O.R. Procedures
 08463-465Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders
 09573-578Skin Graft
 10622-624Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
 13746-747Vagina, Cervix and Vulva Procedures
 14774Vaginal Delivery with Complicating Diagnoses
 21904-905Skin Grafts for Injuries
 22927
 22928-929
 24957-959Other Procedures for Multiple Significant Trauma
XNS003201028-030Spinal Procedures
 08518-520Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
 17820-822Lymphoma and Leukemia with Major Procedure
 17826-830Myeloproliferative Disorders or Poorly Differentiated Neoplasms
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XNS033201028-030Spinal Procedures
 08518-520Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
 17820-822Lymphoma and Leukemia with Major Procedure
 17826-830Myeloproliferative Disorders or Poorly Differentiated Neoplasms
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XNS303201028-030Spinal Procedures
 08518-520Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
 17820-822Lymphoma and Leukemia with Major Procedure
 17826-830Myeloproliferative Disorders or Poorly Differentiated Neoplasms
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XNS333201028-030Spinal Procedures
 08518-520Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
 17820-822Lymphoma and Leukemia with Major Procedure
 17826-830Myeloproliferative Disorders or Poorly Differentiated Neoplasms
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XNS403201028-030Spinal Procedures
 08518-520Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
 17820-822Lymphoma and Leukemia with Major Procedure
 17826-830Myeloproliferative Disorders or Poorly Differentiated Neoplasms
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XNS433201028-030Spinal Procedures
 08518-520Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
 17820-822Lymphoma and Leukemia with Major Procedure
 17826-830Myeloproliferative Disorders or Poorly Differentiated Neoplasms
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XR2G02108485-489Knee Procedures
XR2H02108485-489Knee Procedures
XRG009201028-030Spinal Procedures
 08471-473Cervical Spinal Fusion
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRG00F301028-030Spinal Procedures
 08471-473Cervical Spinal Fusion
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRG109201028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08471-473Cervical Spinal Fusion
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRG10F301028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08471-473Cervical Spinal Fusion
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRG209201028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08471-473Cervical Spinal Fusion
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRG20F301028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08471-473Cervical Spinal Fusion
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRG409201028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08471-473Cervical Spinal Fusion
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRG40F301028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08471-473Cervical Spinal Fusion
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRG609201028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRG60F301028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRG7092+01028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRG70F3+01028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRG809201028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRG80F301028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRGA09201028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRGA0F301028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRGB09201028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRGB0F301028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRGC092+01028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRGC0F3+01028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRGD09201028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XRGD0F301028-030Spinal Procedures
 08453-455Combined Anterior/Posterior Spinal Fusion
 08456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
25 Aug 2017 11:52:25
CMS, code-revision=63, description-revision=616