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

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MDC 11 Diseases & Disorders of the Kidney & Urinary Tract
Major Bladder Procedures
MCC CC DRG
Yes n/a 653
No Yes 654
No No 655

DRG 653 MAJOR BLADDER PROCEDURES WITH MCC

DRG 654 MAJOR BLADDER PROCEDURES WITH CC

DRG 655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC

OPERATING ROOM PROCEDURES

0JUC07ZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Open Approach
0JUC0JZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Synthetic Substitute, Open Approach
0JUC0KZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Open Approach
0JUC37ZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Percutaneous Approach
0JUC3JZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Synthetic Substitute, Percutaneous Approach
0JUC3KZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Percutaneous Approach
0T1B079Bypass Bladder to Colocutaneous with Autologous Tissue Substitute, Open Approach
0T1B07CBypass Bladder to Ileocutaneous with Autologous Tissue Substitute, Open Approach
0T1B07DBypass Bladder to Cutaneous with Autologous Tissue Substitute, Open Approach
0T1B0J9Bypass Bladder to Colocutaneous with Synthetic Substitute, Open Approach
0T1B0JCBypass Bladder to Ileocutaneous with Synthetic Substitute, Open Approach
0T1B0JDBypass Bladder to Cutaneous with Synthetic Substitute, Open Approach
0T1B0K9Bypass Bladder to Colocutaneous with Nonautologous Tissue Substitute, Open Approach
0T1B0KCBypass Bladder to Ileocutaneous with Nonautologous Tissue Substitute, Open Approach
0T1B0KDBypass Bladder to Cutaneous with Nonautologous Tissue Substitute, Open Approach
0T1B0Z9Bypass Bladder to Colocutaneous, Open Approach
0T1B0ZCBypass Bladder to Ileocutaneous, Open Approach
0T1B3JDBypass Bladder to Cutaneous with Synthetic Substitute, Percutaneous Approach
0T1B479Bypass Bladder to Colocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0T1B47CBypass Bladder to Ileocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0T1B47DBypass Bladder to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0T1B4J9Bypass Bladder to Colocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
0T1B4JCBypass Bladder to Ileocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
0T1B4JDBypass Bladder to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
0T1B4K9Bypass Bladder to Colocutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0T1B4KCBypass Bladder to Ileocutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0T1B4KDBypass Bladder to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0T1B4Z9Bypass Bladder to Colocutaneous, Percutaneous Endoscopic Approach
0T1B4ZCBypass Bladder to Ileocutaneous, Percutaneous Endoscopic Approach
0T7B0DZDilation of Bladder with Intraluminal Device, Open Approach
0T7B0ZZDilation of Bladder, Open Approach
0T7B3DZDilation of Bladder with Intraluminal Device, Percutaneous Approach
0T7B3ZZDilation of Bladder, Percutaneous Approach
0T7B4DZDilation of Bladder with Intraluminal Device, Percutaneous Endoscopic Approach
0T7B4ZZDilation of Bladder, Percutaneous Endoscopic Approach
0T7B8DZDilation of Bladder with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0T7B8ZZDilation of Bladder, Via Natural or Artificial Opening Endoscopic
0TBB0ZZExcision of Bladder, Open Approach
0TBB3ZZExcision of Bladder, Percutaneous Approach
0TBB4ZZExcision of Bladder, Percutaneous Endoscopic Approach
0TBC0ZZExcision of Bladder Neck, Open Approach
0TBC3ZZExcision of Bladder Neck, Percutaneous Approach
0TBC4ZZExcision of Bladder Neck, Percutaneous Endoscopic Approach
0TMB0ZZReattachment of Bladder, Open Approach
0TMB4ZZReattachment of Bladder, Percutaneous Endoscopic Approach
0TMC0ZZReattachment of Bladder Neck, Open Approach
0TMC4ZZReattachment of Bladder Neck, Percutaneous Endoscopic Approach
0TQB0ZZRepair Bladder, Open Approach
0TQB3ZZRepair Bladder, Percutaneous Approach
0TQB4ZZRepair Bladder, Percutaneous Endoscopic Approach
0TQB7ZZRepair Bladder, Via Natural or Artificial Opening
0TQB8ZZRepair Bladder, Via Natural or Artificial Opening Endoscopic
0TQC0ZZRepair Bladder Neck, Open Approach
0TQC3ZZRepair Bladder Neck, Percutaneous Approach
0TQC4ZZRepair Bladder Neck, Percutaneous Endoscopic Approach
0TQC7ZZRepair Bladder Neck, Via Natural or Artificial Opening
0TQC8ZZRepair Bladder Neck, Via Natural or Artificial Opening Endoscopic
0TRB07ZReplacement of Bladder with Autologous Tissue Substitute, Open Approach
0TRB0JZReplacement of Bladder with Synthetic Substitute, Open Approach
0TRB0KZReplacement of Bladder with Nonautologous Tissue Substitute, Open Approach
0TRB47ZReplacement of Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0TRB4JZReplacement of Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach
0TRB4KZReplacement of Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0TRB77ZReplacement of Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening
0TRB7JZReplacement of Bladder with Synthetic Substitute, Via Natural or Artificial Opening
0TRB7KZReplacement of Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
0TRB87ZReplacement of Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0TRB8JZReplacement of Bladder with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0TRB8KZReplacement of Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0TRC07ZReplacement of Bladder Neck with Autologous Tissue Substitute, Open Approach
0TRC0JZReplacement of Bladder Neck with Synthetic Substitute, Open Approach
0TRC0KZReplacement of Bladder Neck with Nonautologous Tissue Substitute, Open Approach
0TRC47ZReplacement of Bladder Neck with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0TRC4JZReplacement of Bladder Neck with Synthetic Substitute, Percutaneous Endoscopic Approach
0TRC4KZReplacement of Bladder Neck with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0TRC77ZReplacement of Bladder Neck with Autologous Tissue Substitute, Via Natural or Artificial Opening
0TRC7JZReplacement of Bladder Neck with Synthetic Substitute, Via Natural or Artificial Opening
0TRC7KZReplacement of Bladder Neck with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
0TRC87ZReplacement of Bladder Neck with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0TRC8JZReplacement of Bladder Neck with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0TRC8KZReplacement of Bladder Neck with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0TSB0ZZReposition Bladder, Open Approach
0TSB4ZZReposition Bladder, Percutaneous Endoscopic Approach
0TTB0ZZResection of Bladder, Open Approach
0TTB4ZZResection of Bladder, Percutaneous Endoscopic Approach
0TTB7ZZResection of Bladder, Via Natural or Artificial Opening
0TTB8ZZResection of Bladder, Via Natural or Artificial Opening Endoscopic
0TTC0ZZResection of Bladder Neck, Open Approach
0TTC4ZZResection of Bladder Neck, Percutaneous Endoscopic Approach
0TTC7ZZResection of Bladder Neck, Via Natural or Artificial Opening
0TTC8ZZResection of Bladder Neck, Via Natural or Artificial Opening Endoscopic
0TUB07ZSupplement Bladder with Autologous Tissue Substitute, Open Approach
0TUB0JZSupplement Bladder with Synthetic Substitute, Open Approach
0TUB0KZSupplement Bladder with Nonautologous Tissue Substitute, Open Approach
0TUB47ZSupplement Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0TUB4JZSupplement Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach
0TUB4KZSupplement Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0TUB77ZSupplement Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening
0TUB7JZSupplement Bladder with Synthetic Substitute, Via Natural or Artificial Opening
0TUB7KZSupplement Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
0TUB87ZSupplement Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0TUB8JZSupplement Bladder with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0TUB8KZSupplement Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0TVB0CZRestriction of Bladder with Extraluminal Device, Open Approach
0TVB0DZRestriction of Bladder with Intraluminal Device, Open Approach
0TVB0ZZRestriction of Bladder, Open Approach
0TVB3CZRestriction of Bladder with Extraluminal Device, Percutaneous Approach
0TVB3DZRestriction of Bladder with Intraluminal Device, Percutaneous Approach
0TVB3ZZRestriction of Bladder, Percutaneous Approach
0TVB4CZRestriction of Bladder with Extraluminal Device, Percutaneous Endoscopic Approach
0TVB4DZRestriction of Bladder with Intraluminal Device, Percutaneous Endoscopic Approach
0TVB4ZZRestriction of Bladder, Percutaneous Endoscopic Approach
0TVB7DZRestriction of Bladder with Intraluminal Device, Via Natural or Artificial Opening
0TVB7ZZRestriction of Bladder, Via Natural or Artificial Opening
0TVB8DZRestriction of Bladder with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0TVB8ZZRestriction of Bladder, Via Natural or Artificial Opening Endoscopic
0TVC0CZRestriction of Bladder Neck with Extraluminal Device, Open Approach
0TVC0DZRestriction of Bladder Neck with Intraluminal Device, Open Approach
0TVC0ZZRestriction of Bladder Neck, Open Approach
0TVC3CZRestriction of Bladder Neck with Extraluminal Device, Percutaneous Approach
0TVC3DZRestriction of Bladder Neck with Intraluminal Device, Percutaneous Approach
0TVC3ZZRestriction of Bladder Neck, Percutaneous Approach
0TVC4CZRestriction of Bladder Neck with Extraluminal Device, Percutaneous Endoscopic Approach
0TVC4DZRestriction of Bladder Neck with Intraluminal Device, Percutaneous Endoscopic Approach
0TVC4ZZRestriction of Bladder Neck, Percutaneous Endoscopic Approach
0TVC7DZRestriction of Bladder Neck with Intraluminal Device, Via Natural or Artificial Opening
0TVC7ZZRestriction of Bladder Neck, Via Natural or Artificial Opening
0TVC8DZRestriction of Bladder Neck with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0TVC8ZZRestriction of Bladder Neck, Via Natural or Artificial Opening Endoscopic



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