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

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MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders
MCC CC DRG
Yes n/a 463
No Yes 464
No No 465

DRG 463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC

DRG 464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC

DRG 465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC

OPERATING ROOM PROCEDURES

0HR0X73Replacement of Scalp Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HR0X74Replacement of Scalp Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HR0XJ3Replacement of Scalp Skin with Synthetic Substitute, Full Thickness, External Approach
0HR0XJ4Replacement of Scalp Skin with Synthetic Substitute, Partial Thickness, External Approach
0HR0XJZReplacement of Scalp Skin with Synthetic Substitute, External Approach
0HR0XK3Replacement of Scalp Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HR0XK4Replacement of Scalp Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HR1X73Replacement of Face Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HR1X74Replacement of Face Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HR1XJ3Replacement of Face Skin with Synthetic Substitute, Full Thickness, External Approach
0HR1XJ4Replacement of Face Skin with Synthetic Substitute, Partial Thickness, External Approach
0HR1XJZReplacement of Face Skin with Synthetic Substitute, External Approach
0HR1XK3Replacement of Face Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HR1XK4Replacement of Face Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HR4X73Replacement of Neck Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HR4X74Replacement of Neck Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HR4XJ3Replacement of Neck Skin with Synthetic Substitute, Full Thickness, External Approach
0HR4XJ4Replacement of Neck Skin with Synthetic Substitute, Partial Thickness, External Approach
0HR4XJZReplacement of Neck Skin with Synthetic Substitute, External Approach
0HR4XK3Replacement of Neck Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HR4XK4Replacement of Neck Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HR5X73Replacement of Chest Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HR5X74Replacement of Chest Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HR5XJ3Replacement of Chest Skin with Synthetic Substitute, Full Thickness, External Approach
0HR5XJ4Replacement of Chest Skin with Synthetic Substitute, Partial Thickness, External Approach
0HR5XJZReplacement of Chest Skin with Synthetic Substitute, External Approach
0HR5XK3Replacement of Chest Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HR5XK4Replacement of Chest Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HR6X73Replacement of Back Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HR6X74Replacement of Back Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HR6XJ3Replacement of Back Skin with Synthetic Substitute, Full Thickness, External Approach
0HR6XJ4Replacement of Back Skin with Synthetic Substitute, Partial Thickness, External Approach
0HR6XJZReplacement of Back Skin with Synthetic Substitute, External Approach
0HR6XK3Replacement of Back Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HR6XK4Replacement of Back Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HR7X73Replacement of Abdomen Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HR7X74Replacement of Abdomen Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HR7XJ3Replacement of Abdomen Skin with Synthetic Substitute, Full Thickness, External Approach
0HR7XJ4Replacement of Abdomen Skin with Synthetic Substitute, Partial Thickness, External Approach
0HR7XJZReplacement of Abdomen Skin with Synthetic Substitute, External Approach
0HR7XK3Replacement of Abdomen Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HR7XK4Replacement of Abdomen Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HR8X73Replacement of Buttock Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HR8X74Replacement of Buttock Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HR8XJ3Replacement of Buttock Skin with Synthetic Substitute, Full Thickness, External Approach
0HR8XJ4Replacement of Buttock Skin with Synthetic Substitute, Partial Thickness, External Approach
0HR8XJZReplacement of Buttock Skin with Synthetic Substitute, External Approach
0HR8XK3Replacement of Buttock Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HR8XK4Replacement of Buttock Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HRAX73Replacement of Inguinal Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HRAX74Replacement of Inguinal Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HRAXJ3Replacement of Inguinal Skin with Synthetic Substitute, Full Thickness, External Approach
0HRAXJ4Replacement of Inguinal Skin with Synthetic Substitute, Partial Thickness, External Approach
0HRAXJZReplacement of Inguinal Skin with Synthetic Substitute, External Approach
0HRAXK3Replacement of Inguinal Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HRAXK4Replacement of Inguinal Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HRBX73Replacement of Right Upper Arm Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HRBX74Replacement of Right Upper Arm Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HRBXJ3Replacement of Right Upper Arm Skin with Synthetic Substitute, Full Thickness, External Approach
0HRBXJ4Replacement of Right Upper Arm Skin with Synthetic Substitute, Partial Thickness, External Approach
0HRBXJZReplacement of Right Upper Arm Skin with Synthetic Substitute, External Approach
0HRBXK3Replacement of Right Upper Arm Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HRBXK4Replacement of Right Upper Arm Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HRCX73Replacement of Left Upper Arm Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HRCX74Replacement of Left Upper Arm Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HRCXJ3Replacement of Left Upper Arm Skin with Synthetic Substitute, Full Thickness, External Approach
0HRCXJ4Replacement of Left Upper Arm Skin with Synthetic Substitute, Partial Thickness, External Approach
0HRCXJZReplacement of Left Upper Arm Skin with Synthetic Substitute, External Approach
0HRCXK3Replacement of Left Upper Arm Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HRCXK4Replacement of Left Upper Arm Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HRDX73Replacement of Right Lower Arm Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HRDX74Replacement of Right Lower Arm Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HRDXJ3Replacement of Right Lower Arm Skin with Synthetic Substitute, Full Thickness, External Approach
0HRDXJ4Replacement of Right Lower Arm Skin with Synthetic Substitute, Partial Thickness, External Approach
0HRDXJZReplacement of Right Lower Arm Skin with Synthetic Substitute, External Approach
0HRDXK3Replacement of Right Lower Arm Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HRDXK4Replacement of Right Lower Arm Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HREX73Replacement of Left Lower Arm Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HREX74Replacement of Left Lower Arm Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HREXJ3Replacement of Left Lower Arm Skin with Synthetic Substitute, Full Thickness, External Approach
0HREXJ4Replacement of Left Lower Arm Skin with Synthetic Substitute, Partial Thickness, External Approach
0HREXJZReplacement of Left Lower Arm Skin with Synthetic Substitute, External Approach
0HREXK3Replacement of Left Lower Arm Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HREXK4Replacement of Left Lower Arm Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HRHX73Replacement of Right Upper Leg Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HRHX74Replacement of Right Upper Leg Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HRHXJ3Replacement of Right Upper Leg Skin with Synthetic Substitute, Full Thickness, External Approach
0HRHXJ4Replacement of Right Upper Leg Skin with Synthetic Substitute, Partial Thickness, External Approach
0HRHXJZReplacement of Right Upper Leg Skin with Synthetic Substitute, External Approach
0HRHXK3Replacement of Right Upper Leg Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HRHXK4Replacement of Right Upper Leg Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HRJX73Replacement of Left Upper Leg Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HRJX74Replacement of Left Upper Leg Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HRJXJ3Replacement of Left Upper Leg Skin with Synthetic Substitute, Full Thickness, External Approach
0HRJXJ4Replacement of Left Upper Leg Skin with Synthetic Substitute, Partial Thickness, External Approach
0HRJXJZReplacement of Left Upper Leg Skin with Synthetic Substitute, External Approach
0HRJXK3Replacement of Left Upper Leg Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HRJXK4Replacement of Left Upper Leg Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HRKX73Replacement of Right Lower Leg Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HRKX74Replacement of Right Lower Leg Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HRKXJ3Replacement of Right Lower Leg Skin with Synthetic Substitute, Full Thickness, External Approach
0HRKXJ4Replacement of Right Lower Leg Skin with Synthetic Substitute, Partial Thickness, External Approach
0HRKXJZReplacement of Right Lower Leg Skin with Synthetic Substitute, External Approach
0HRKXK3Replacement of Right Lower Leg Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HRKXK4Replacement of Right Lower Leg Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HRLX73Replacement of Left Lower Leg Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HRLX74Replacement of Left Lower Leg Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HRLXJ3Replacement of Left Lower Leg Skin with Synthetic Substitute, Full Thickness, External Approach
0HRLXJ4Replacement of Left Lower Leg Skin with Synthetic Substitute, Partial Thickness, External Approach
0HRLXJZReplacement of Left Lower Leg Skin with Synthetic Substitute, External Approach
0HRLXK3Replacement of Left Lower Leg Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HRLXK4Replacement of Left Lower Leg Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HRMX73Replacement of Right Foot Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HRMX74Replacement of Right Foot Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HRMXJ3Replacement of Right Foot Skin with Synthetic Substitute, Full Thickness, External Approach
0HRMXJ4Replacement of Right Foot Skin with Synthetic Substitute, Partial Thickness, External Approach
0HRMXJZReplacement of Right Foot Skin with Synthetic Substitute, External Approach
0HRMXK3Replacement of Right Foot Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HRMXK4Replacement of Right Foot Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HRNX73Replacement of Left Foot Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HRNX74Replacement of Left Foot Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HRNXJ3Replacement of Left Foot Skin with Synthetic Substitute, Full Thickness, External Approach
0HRNXJ4Replacement of Left Foot Skin with Synthetic Substitute, Partial Thickness, External Approach
0HRNXJZReplacement of Left Foot Skin with Synthetic Substitute, External Approach
0HRNXK3Replacement of Left Foot Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HRNXK4Replacement of Left Foot Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HX0XZZTransfer Scalp Skin, External Approach
0HX1XZZTransfer Face Skin, External Approach
0HX4XZZTransfer Neck Skin, External Approach
0HX5XZZTransfer Chest Skin, External Approach
0HX6XZZTransfer Back Skin, External Approach
0HX7XZZTransfer Abdomen Skin, External Approach
0HX8XZZTransfer Buttock Skin, External Approach
0HX9XZZTransfer Perineum Skin, External Approach
0HXAXZZTransfer Inguinal Skin, External Approach
0HXBXZZTransfer Right Upper Arm Skin, External Approach
0HXCXZZTransfer Left Upper Arm Skin, External Approach
0HXDXZZTransfer Right Lower Arm Skin, External Approach
0HXEXZZTransfer Left Lower Arm Skin, External Approach
0HXFXZZTransfer Right Hand Skin, External Approach
0HXGXZZTransfer Left Hand Skin, External Approach
0HXHXZZTransfer Right Upper Leg Skin, External Approach
0HXJXZZTransfer Left Upper Leg Skin, External Approach
0HXKXZZTransfer Right Lower Leg Skin, External Approach
0HXLXZZTransfer Left Lower Leg Skin, External Approach
0HXMXZZTransfer Right Foot Skin, External Approach
0HXNXZZTransfer Left Foot Skin, External Approach
0JB00ZZExcision of Scalp Subcutaneous Tissue and Fascia, Open Approach
0JB10ZZExcision of Face Subcutaneous Tissue and Fascia, Open Approach
0JB40ZZExcision of Right Neck Subcutaneous Tissue and Fascia, Open Approach
0JB50ZZExcision of Left Neck Subcutaneous Tissue and Fascia, Open Approach
0JB60ZZExcision of Chest Subcutaneous Tissue and Fascia, Open Approach
0JB70ZZExcision of Back Subcutaneous Tissue and Fascia, Open Approach
0JB80ZZExcision of Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JB90ZZExcision of Buttock Subcutaneous Tissue and Fascia, Open Approach
0JBB0ZZExcision of Perineum Subcutaneous Tissue and Fascia, Open Approach
0JBC0ZZExcision of Pelvic Region Subcutaneous Tissue and Fascia, Open Approach
0JBD0ZZExcision of Right Upper Arm Subcutaneous Tissue and Fascia, Open Approach
0JBF0ZZExcision of Left Upper Arm Subcutaneous Tissue and Fascia, Open Approach
0JBG0ZZExcision of Right Lower Arm Subcutaneous Tissue and Fascia, Open Approach
0JBH0ZZExcision of Left Lower Arm Subcutaneous Tissue and Fascia, Open Approach
0JBL0ZZExcision of Right Upper Leg Subcutaneous Tissue and Fascia, Open Approach
0JBM0ZZExcision of Left Upper Leg Subcutaneous Tissue and Fascia, Open Approach
0JBN0ZZExcision of Right Lower Leg Subcutaneous Tissue and Fascia, Open Approach
0JBP0ZZExcision of Left Lower Leg Subcutaneous Tissue and Fascia, Open Approach
0JBQ0ZZExcision of Right Foot Subcutaneous Tissue and Fascia, Open Approach
0JBR0ZZExcision of Left Foot Subcutaneous Tissue and Fascia, Open Approach
0JH00NZInsertion of Tissue Expander into Scalp Subcutaneous Tissue and Fascia, Open Approach
0JH03NZInsertion of Tissue Expander into Scalp Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH10NZInsertion of Tissue Expander into Face Subcutaneous Tissue and Fascia, Open Approach
0JH13NZInsertion of Tissue Expander into Face Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH40NZInsertion of Tissue Expander into Right Neck Subcutaneous Tissue and Fascia, Open Approach
0JH43NZInsertion of Tissue Expander into Right Neck Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH50NZInsertion of Tissue Expander into Left Neck Subcutaneous Tissue and Fascia, Open Approach
0JH53NZInsertion of Tissue Expander into Left Neck Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH60NZInsertion of Tissue Expander into Chest Subcutaneous Tissue and Fascia, Open Approach
0JH63NZInsertion of Tissue Expander into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH70NZInsertion of Tissue Expander into Back Subcutaneous Tissue and Fascia, Open Approach
0JH73NZInsertion of Tissue Expander into Back Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH80NZInsertion of Tissue Expander into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH83NZInsertion of Tissue Expander into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH90NZInsertion of Tissue Expander into Buttock Subcutaneous Tissue and Fascia, Open Approach
0JH93NZInsertion of Tissue Expander into Buttock Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHB0NZInsertion of Tissue Expander into Perineum Subcutaneous Tissue and Fascia, Open Approach
0JHB3NZInsertion of Tissue Expander into Perineum Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHC0NZInsertion of Tissue Expander into Pelvic Region Subcutaneous Tissue and Fascia, Open Approach
0JHC3NZInsertion of Tissue Expander into Pelvic Region Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHD0NZInsertion of Tissue Expander into Right Upper Arm Subcutaneous Tissue and Fascia, Open Approach
0JHD3NZInsertion of Tissue Expander into Right Upper Arm Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHF0NZInsertion of Tissue Expander into Left Upper Arm Subcutaneous Tissue and Fascia, Open Approach
0JHF3NZInsertion of Tissue Expander into Left Upper Arm Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHG0NZInsertion of Tissue Expander into Right Lower Arm Subcutaneous Tissue and Fascia, Open Approach
0JHG3NZInsertion of Tissue Expander into Right Lower Arm Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHH0NZInsertion of Tissue Expander into Left Lower Arm Subcutaneous Tissue and Fascia, Open Approach
0JHH3NZInsertion of Tissue Expander into Left Lower Arm Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHL0NZInsertion of Tissue Expander into Right Upper Leg Subcutaneous Tissue and Fascia, Open Approach
0JHL3NZInsertion of Tissue Expander into Right Upper Leg Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHM0NZInsertion of Tissue Expander into Left Upper Leg Subcutaneous Tissue and Fascia, Open Approach
0JHM3NZInsertion of Tissue Expander into Left Upper Leg Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHN0NZInsertion of Tissue Expander into Right Lower Leg Subcutaneous Tissue and Fascia, Open Approach
0JHN3NZInsertion of Tissue Expander into Right Lower Leg Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHP0NZInsertion of Tissue Expander into Left Lower Leg Subcutaneous Tissue and Fascia, Open Approach
0JHP3NZInsertion of Tissue Expander into Left Lower Leg Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHQ0NZInsertion of Tissue Expander into Right Foot Subcutaneous Tissue and Fascia, Open Approach
0JHQ3NZInsertion of Tissue Expander into Right Foot Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHR0NZInsertion of Tissue Expander into Left Foot Subcutaneous Tissue and Fascia, Open Approach
0JHR3NZInsertion of Tissue Expander into Left Foot Subcutaneous Tissue and Fascia, Percutaneous Approach
0JX00ZBTransfer Scalp Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JX00ZCTransfer Scalp Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JX03ZBTransfer Scalp Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JX03ZCTransfer Scalp Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JX10ZBTransfer Face Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JX10ZCTransfer Face Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JX13ZBTransfer Face Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JX13ZCTransfer Face Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JX40ZBTransfer Right Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JX40ZCTransfer Right Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JX43ZBTransfer Right Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JX43ZCTransfer Right Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JX50ZBTransfer Left Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JX50ZCTransfer Left Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JX53ZBTransfer Left Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JX53ZCTransfer Left Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JX60ZBTransfer Chest Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JX60ZCTransfer Chest Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JX63ZBTransfer Chest Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JX63ZCTransfer Chest Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JX70ZBTransfer Back Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JX70ZCTransfer Back Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JX73ZBTransfer Back Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JX73ZCTransfer Back Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JX80ZBTransfer Abdomen Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JX80ZCTransfer Abdomen Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JX83ZBTransfer Abdomen Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JX83ZCTransfer Abdomen Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JX90ZBTransfer Buttock Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JX90ZCTransfer Buttock Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JX93ZBTransfer Buttock Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JX93ZCTransfer Buttock Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JXB0ZBTransfer Perineum Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JXB0ZCTransfer Perineum Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JXB3ZBTransfer Perineum Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JXB3ZCTransfer Perineum Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JXC0ZBTransfer Pelvic Region Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JXC0ZCTransfer Pelvic Region Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JXC3ZBTransfer Pelvic Region Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JXC3ZCTransfer Pelvic Region Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JXD0ZBTransfer Right Upper Arm Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JXD0ZCTransfer Right Upper Arm Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JXD3ZBTransfer Right Upper Arm Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JXD3ZCTransfer Right Upper Arm Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JXF0ZBTransfer Left Upper Arm Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JXF0ZCTransfer Left Upper Arm Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JXF3ZBTransfer Left Upper Arm Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JXF3ZCTransfer Left Upper Arm Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JXG0ZBTransfer Right Lower Arm Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JXG0ZCTransfer Right Lower Arm Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JXG3ZBTransfer Right Lower Arm Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JXG3ZCTransfer Right Lower Arm Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JXH0ZBTransfer Left Lower Arm Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JXH0ZCTransfer Left Lower Arm Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JXH3ZBTransfer Left Lower Arm Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JXH3ZCTransfer Left Lower Arm Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JXL0ZBTransfer Right Upper Leg Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JXL0ZCTransfer Right Upper Leg Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JXL3ZBTransfer Right Upper Leg Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JXL3ZCTransfer Right Upper Leg Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JXM0ZBTransfer Left Upper Leg Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JXM0ZCTransfer Left Upper Leg Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JXM3ZBTransfer Left Upper Leg Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JXM3ZCTransfer Left Upper Leg Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JXN0ZBTransfer Right Lower Leg Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JXN0ZCTransfer Right Lower Leg Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JXN3ZBTransfer Right Lower Leg Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JXN3ZCTransfer Right Lower Leg Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JXP0ZBTransfer Left Lower Leg Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JXP0ZCTransfer Left Lower Leg Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JXP3ZBTransfer Left Lower Leg Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JXP3ZCTransfer Left Lower Leg Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JXQ0ZBTransfer Right Foot Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JXQ0ZCTransfer Right Foot Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JXQ3ZBTransfer Right Foot Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JXQ3ZCTransfer Right Foot Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0JXR0ZBTransfer Left Foot Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JXR0ZCTransfer Left Foot Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JXR3ZBTransfer Left Foot Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Percutaneous Approach
0JXR3ZCTransfer Left Foot Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Percutaneous Approach
0SP909ZRemoval of Liner from Right Hip Joint, Open Approach
0SP90JZRemoval of Synthetic Substitute from Right Hip Joint, Open Approach
0SP93JZRemoval of Synthetic Substitute from Right Hip Joint, Percutaneous Approach
0SP94JZRemoval of Synthetic Substitute from Right Hip Joint, Percutaneous Endoscopic Approach
0SPA0JZRemoval of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Open Approach
0SPA3JZRemoval of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Percutaneous Approach
0SPA4JZRemoval of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Percutaneous Endoscopic Approach
0SPB09ZRemoval of Liner from Left Hip Joint, Open Approach
0SPB0JZRemoval of Synthetic Substitute from Left Hip Joint, Open Approach
0SPB3JZRemoval of Synthetic Substitute from Left Hip Joint, Percutaneous Approach
0SPB4JZRemoval of Synthetic Substitute from Left Hip Joint, Percutaneous Endoscopic Approach
0SPC09ZRemoval of Liner from Right Knee Joint, Open Approach
0SPC0JCRemoval of Synthetic Substitute from Right Knee Joint, Patellar Surface, Open Approach
0SPC0JZRemoval of Synthetic Substitute from Right Knee Joint, Open Approach
0SPC0LZRemoval of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Open Approach
0SPC0MZRemoval of Lateral Unicondylar Synthetic Substitute from Right Knee Joint, Open Approach
0SPC0NZRemoval of Patellofemoral Synthetic Substitute from Right Knee Joint, Open Approach
0SPC3JCRemoval of Synthetic Substitute from Right Knee Joint, Patellar Surface, Percutaneous Approach
0SPC3JZRemoval of Synthetic Substitute from Right Knee Joint, Percutaneous Approach
0SPC3LZRemoval of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Approach
0SPC3MZRemoval of Lateral Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Approach
0SPC3NZRemoval of Patellofemoral Synthetic Substitute from Right Knee Joint, Percutaneous Approach
0SPC4JCRemoval of Synthetic Substitute from Right Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
0SPC4JZRemoval of Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
0SPC4LZRemoval of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
0SPC4MZRemoval of Lateral Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
0SPC4NZRemoval of Patellofemoral Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
0SPD09ZRemoval of Liner from Left Knee Joint, Open Approach
0SPD0JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Open Approach
0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach
0SPD0LZRemoval of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
0SPD0MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
0SPD0NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Open Approach
0SPD3JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Percutaneous Approach
0SPD3JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Approach
0SPD3LZRemoval of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Approach
0SPD3MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Approach
0SPD3NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Approach
0SPD4JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPD4LZRemoval of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPD4MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPD4NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPE0JZRemoval of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Open Approach
0SPE3JZRemoval of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Percutaneous Approach
0SPE4JZRemoval of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Percutaneous Endoscopic Approach
0SPR0JZRemoval of Synthetic Substitute from Right Hip Joint, Femoral Surface, Open Approach
0SPR3JZRemoval of Synthetic Substitute from Right Hip Joint, Femoral Surface, Percutaneous Approach
0SPR4JZRemoval of Synthetic Substitute from Right Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach
0SPS0JZRemoval of Synthetic Substitute from Left Hip Joint, Femoral Surface, Open Approach
0SPS3JZRemoval of Synthetic Substitute from Left Hip Joint, Femoral Surface, Percutaneous Approach
0SPS4JZRemoval of Synthetic Substitute from Left Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach
0SPT0JZRemoval of Synthetic Substitute from Right Knee Joint, Femoral Surface, Open Approach
0SPT3JZRemoval of Synthetic Substitute from Right Knee Joint, Femoral Surface, Percutaneous Approach
0SPT4JZRemoval of Synthetic Substitute from Right Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
0SPU0JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Open Approach
0SPU3JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Approach
0SPU4JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
0SPV0JZRemoval of Synthetic Substitute from Right Knee Joint, Tibial Surface, Open Approach
0SPV3JZRemoval of Synthetic Substitute from Right Knee Joint, Tibial Surface, Percutaneous Approach
0SPV4JZRemoval of Synthetic Substitute from Right Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
0SPW0JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Open Approach
0SPW3JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Approach
0SPW4JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
0WU007ZSupplement Head with Autologous Tissue Substitute, Open Approach
0WU047ZSupplement Head with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0WU207ZSupplement Face with Autologous Tissue Substitute, Open Approach
0WU247ZSupplement Face with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0WU607ZSupplement Neck with Autologous Tissue Substitute, Open Approach
0WU647ZSupplement Neck with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0WUK07ZSupplement Upper Back with Autologous Tissue Substitute, Open Approach
0WUK47ZSupplement Upper Back with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0WUL07ZSupplement Lower Back with Autologous Tissue Substitute, Open Approach
0WUL47ZSupplement Lower Back with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0XU207ZSupplement Right Shoulder Region with Autologous Tissue Substitute, Open Approach
0XU247ZSupplement Right Shoulder Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0XU307ZSupplement Left Shoulder Region with Autologous Tissue Substitute, Open Approach
0XU347ZSupplement Left Shoulder Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0XU407ZSupplement Right Axilla with Autologous Tissue Substitute, Open Approach
0XU447ZSupplement Right Axilla with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0XU507ZSupplement Left Axilla with Autologous Tissue Substitute, Open Approach
0XU547ZSupplement Left Axilla with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0XU607ZSupplement Right Upper Extremity with Autologous Tissue Substitute, Open Approach
0XU647ZSupplement Right Upper Extremity with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0XU707ZSupplement Left Upper Extremity with Autologous Tissue Substitute, Open Approach
0XU747ZSupplement Left Upper Extremity with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0XU807ZSupplement Right Upper Arm with Autologous Tissue Substitute, Open Approach
0XU847ZSupplement Right Upper Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0XU907ZSupplement Left Upper Arm with Autologous Tissue Substitute, Open Approach
0XU947ZSupplement Left Upper Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0XUB07ZSupplement Right Elbow Region with Autologous Tissue Substitute, Open Approach
0XUB47ZSupplement Right Elbow Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0XUC07ZSupplement Left Elbow Region with Autologous Tissue Substitute, Open Approach
0XUC47ZSupplement Left Elbow Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0XUD07ZSupplement Right Lower Arm with Autologous Tissue Substitute, Open Approach
0XUD47ZSupplement Right Lower Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0XUF07ZSupplement Left Lower Arm with Autologous Tissue Substitute, Open Approach
0XUF47ZSupplement Left Lower Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0XUG07ZSupplement Right Wrist Region with Autologous Tissue Substitute, Open Approach
0XUG47ZSupplement Right Wrist Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0XUH07ZSupplement Left Wrist Region with Autologous Tissue Substitute, Open Approach
0XUH47ZSupplement Left Wrist Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
XHRPXL2Replacement of Skin using Porcine Liver Derived Skin Substitute, External Approach, New Technology Group 2



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