ICD-10-CM/PCS MS-DRG v36.0 Definitions Manual

Pre-MDC

ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck

ECMO	Tracheostomy	Major O.R.Procedure	DRG
Yes	n/a	n/a	003
No	Yes	Yes	003
No	Yes	No	004

DRG 003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE

DRG 004 TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE

ECMO

OPERATING ROOM PROCEDURES

5A1522F

Extracorporeal Oxygenation, Membrane, Central

TRACHEOSTOMY

OPERATING ROOM PROCEDURES

0B110F4	Bypass Trachea to Cutaneous with Tracheostomy Device, Open Approach
0B110Z4	Bypass Trachea to Cutaneous, Open Approach
0B114F4	Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Endoscopic Approach
0B114Z4	Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach

OR NON-OPERATING ROOM PROCEDURES

0B113F4*	Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Approach
0B113Z4*	Bypass Trachea to Cutaneous, Percutaneous Approach

MECHANICAL VENTILATION >96 HOURS

NON-OPERATING ROOM PROCEDURES

5A1955Z*

Respiratory Ventilation, Greater than 96 Consecutive Hours

PDX EXCEPT FACE, MOUTH & NECK

Principal Diagnosis not assigned to DRGs 011, 012 or 013

MAJOR O.R. PROCEDURE

Operating Room Procedures not listed in DRGs 987 thru 989

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
04 Oct 2018 16:21:08
CMS, code-revision=145, description-revision=1114