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

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MDC 11 Diseases & Disorders of the Kidney & Urinary Tract
Minor Bladder Procedures
MCC CC DRG
Yes n/a 662
No Yes 663
No No 664

DRG 662 MINOR BLADDER PROCEDURES WITH MCC

DRG 663 MINOR BLADDER PROCEDURES WITH CC

DRG 664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC

OPERATING ROOM PROCEDURES

0JQC0ZZRepair Pelvic Region Subcutaneous Tissue and Fascia, Open Approach
0T1B0ZDBypass Bladder to Cutaneous, Open Approach
0T1B4ZDBypass Bladder to Cutaneous, Percutaneous Endoscopic Approach
0T5B0ZZDestruction of Bladder, Open Approach
0T5B3ZZDestruction of Bladder, Percutaneous Approach
0T5B4ZZDestruction of Bladder, Percutaneous Endoscopic Approach
0T5C0ZZDestruction of Bladder Neck, Open Approach
0T5C3ZZDestruction of Bladder Neck, Percutaneous Approach
0T5C4ZZDestruction of Bladder Neck, Percutaneous Endoscopic Approach
0T8C0ZZDivision of Bladder Neck, Open Approach
0T8C3ZZDivision of Bladder Neck, Percutaneous Approach
0T8C4ZZDivision of Bladder Neck, Percutaneous Endoscopic Approach
0T9B00ZDrainage of Bladder with Drainage Device, Open Approach
0T9B0ZXDrainage of Bladder, Open Approach, Diagnostic
0T9B0ZZDrainage of Bladder, Open Approach
0T9C00ZDrainage of Bladder Neck with Drainage Device, Open Approach
0T9C0ZXDrainage of Bladder Neck, Open Approach, Diagnostic
0T9C0ZZDrainage of Bladder Neck, Open Approach
0TBB0ZXExcision of Bladder, Open Approach, Diagnostic
0TBC0ZXExcision of Bladder Neck, Open Approach, Diagnostic
0TCB0ZZExtirpation of Matter from Bladder, Open Approach
0TCB3ZZExtirpation of Matter from Bladder, Percutaneous Approach
0TCB4ZZExtirpation of Matter from Bladder, Percutaneous Endoscopic Approach
0TCC0ZZExtirpation of Matter from Bladder Neck, Open Approach
0TCC3ZZExtirpation of Matter from Bladder Neck, Percutaneous Approach
0TCC4ZZExtirpation of Matter from Bladder Neck, Percutaneous Endoscopic Approach
0THB02ZInsertion of Monitoring Device into Bladder, Open Approach
0THB0LZInsertion of Artificial Sphincter into Bladder, Open Approach
0THB0MZInsertion of Stimulator Lead into Bladder, Open Approach
0THB0YZInsertion of Other Device into Bladder, Open Approach
0THB32ZInsertion of Monitoring Device into Bladder, Percutaneous Approach
0THB3LZInsertion of Artificial Sphincter into Bladder, Percutaneous Approach
0THB3MZInsertion of Stimulator Lead into Bladder, Percutaneous Approach
0THB42ZInsertion of Monitoring Device into Bladder, Percutaneous Endoscopic Approach
0THB4LZInsertion of Artificial Sphincter into Bladder, Percutaneous Endoscopic Approach
0THB4MZInsertion of Stimulator Lead into Bladder, Percutaneous Endoscopic Approach
0THB7LZInsertion of Artificial Sphincter into Bladder, Via Natural or Artificial Opening
0THB7MZInsertion of Stimulator Lead into Bladder, Via Natural or Artificial Opening
0THB8LZInsertion of Artificial Sphincter into Bladder, Via Natural or Artificial Opening Endoscopic
0THB8MZInsertion of Stimulator Lead into Bladder, Via Natural or Artificial Opening Endoscopic
0THB8YZInsertion of Other Device into Bladder, Via Natural or Artificial Opening Endoscopic
0THC0LZInsertion of Artificial Sphincter into Bladder Neck, Open Approach
0THC3LZInsertion of Artificial Sphincter into Bladder Neck, Percutaneous Approach
0THC4LZInsertion of Artificial Sphincter into Bladder Neck, Percutaneous Endoscopic Approach
0THC7LZInsertion of Artificial Sphincter into Bladder Neck, Via Natural or Artificial Opening
0THC8LZInsertion of Artificial Sphincter into Bladder Neck, Via Natural or Artificial Opening Endoscopic
0THD0LZInsertion of Artificial Sphincter into Urethra, Open Approach
0THD3LZInsertion of Artificial Sphincter into Urethra, Percutaneous Approach
0THD4LZInsertion of Artificial Sphincter into Urethra, Percutaneous Endoscopic Approach
0THD7LZInsertion of Artificial Sphincter into Urethra, Via Natural or Artificial Opening
0THD8LZInsertion of Artificial Sphincter into Urethra, Via Natural or Artificial Opening Endoscopic
0THDXLZInsertion of Artificial Sphincter into Urethra, External Approach
0TJB0ZZInspection of Bladder, Open Approach
0TJB4ZZInspection of Bladder, Percutaneous Endoscopic Approach
0TLB0CZOcclusion of Bladder with Extraluminal Device, Open Approach
0TLB0DZOcclusion of Bladder with Intraluminal Device, Open Approach
0TLB0ZZOcclusion of Bladder, Open Approach
0TLB3CZOcclusion of Bladder with Extraluminal Device, Percutaneous Approach
0TLB3DZOcclusion of Bladder with Intraluminal Device, Percutaneous Approach
0TLB3ZZOcclusion of Bladder, Percutaneous Approach
0TLB4CZOcclusion of Bladder with Extraluminal Device, Percutaneous Endoscopic Approach
0TLB4DZOcclusion of Bladder with Intraluminal Device, Percutaneous Endoscopic Approach
0TLB4ZZOcclusion of Bladder, Percutaneous Endoscopic Approach
0TLB7DZOcclusion of Bladder with Intraluminal Device, Via Natural or Artificial Opening
0TLB7ZZOcclusion of Bladder, Via Natural or Artificial Opening
0TLB8DZOcclusion of Bladder with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0TLB8ZZOcclusion of Bladder, Via Natural or Artificial Opening Endoscopic
0TLC0CZOcclusion of Bladder Neck with Extraluminal Device, Open Approach
0TLC0DZOcclusion of Bladder Neck with Intraluminal Device, Open Approach
0TLC0ZZOcclusion of Bladder Neck, Open Approach
0TLC3CZOcclusion of Bladder Neck with Extraluminal Device, Percutaneous Approach
0TLC3DZOcclusion of Bladder Neck with Intraluminal Device, Percutaneous Approach
0TLC3ZZOcclusion of Bladder Neck, Percutaneous Approach
0TLC4CZOcclusion of Bladder Neck with Extraluminal Device, Percutaneous Endoscopic Approach
0TLC4DZOcclusion of Bladder Neck with Intraluminal Device, Percutaneous Endoscopic Approach
0TLC4ZZOcclusion of Bladder Neck, Percutaneous Endoscopic Approach
0TLC7DZOcclusion of Bladder Neck with Intraluminal Device, Via Natural or Artificial Opening
0TLC7ZZOcclusion of Bladder Neck, Via Natural or Artificial Opening
0TLC8DZOcclusion of Bladder Neck with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0TLC8ZZOcclusion of Bladder Neck, Via Natural or Artificial Opening Endoscopic
0TNB0ZZRelease Bladder, Open Approach
0TNB3ZZRelease Bladder, Percutaneous Approach
0TNB4ZZRelease Bladder, Percutaneous Endoscopic Approach
0TNC0ZZRelease Bladder Neck, Open Approach
0TNC3ZZRelease Bladder Neck, Percutaneous Approach
0TNC4ZZRelease Bladder Neck, Percutaneous Endoscopic Approach
0TPB00ZRemoval of Drainage Device from Bladder, Open Approach
0TPB02ZRemoval of Monitoring Device from Bladder, Open Approach
0TPB03ZRemoval of Infusion Device from Bladder, Open Approach
0TPB07ZRemoval of Autologous Tissue Substitute from Bladder, Open Approach
0TPB0CZRemoval of Extraluminal Device from Bladder, Open Approach
0TPB0DZRemoval of Intraluminal Device from Bladder, Open Approach
0TPB0JZRemoval of Synthetic Substitute from Bladder, Open Approach
0TPB0KZRemoval of Nonautologous Tissue Substitute from Bladder, Open Approach
0TPB0LZRemoval of Artificial Sphincter from Bladder, Open Approach
0TPB0MZRemoval of Stimulator Lead from Bladder, Open Approach
0TPB0YZRemoval of Other Device from Bladder, Open Approach
0TPB30ZRemoval of Drainage Device from Bladder, Percutaneous Approach
0TPB32ZRemoval of Monitoring Device from Bladder, Percutaneous Approach
0TPB33ZRemoval of Infusion Device from Bladder, Percutaneous Approach
0TPB37ZRemoval of Autologous Tissue Substitute from Bladder, Percutaneous Approach
0TPB3CZRemoval of Extraluminal Device from Bladder, Percutaneous Approach
0TPB3DZRemoval of Intraluminal Device from Bladder, Percutaneous Approach
0TPB3JZRemoval of Synthetic Substitute from Bladder, Percutaneous Approach
0TPB3KZRemoval of Nonautologous Tissue Substitute from Bladder, Percutaneous Approach
0TPB3LZRemoval of Artificial Sphincter from Bladder, Percutaneous Approach
0TPB3MZRemoval of Stimulator Lead from Bladder, Percutaneous Approach
0TPB40ZRemoval of Drainage Device from Bladder, Percutaneous Endoscopic Approach
0TPB42ZRemoval of Monitoring Device from Bladder, Percutaneous Endoscopic Approach
0TPB43ZRemoval of Infusion Device from Bladder, Percutaneous Endoscopic Approach
0TPB47ZRemoval of Autologous Tissue Substitute from Bladder, Percutaneous Endoscopic Approach
0TPB4CZRemoval of Extraluminal Device from Bladder, Percutaneous Endoscopic Approach
0TPB4DZRemoval of Intraluminal Device from Bladder, Percutaneous Endoscopic Approach
0TPB4JZRemoval of Synthetic Substitute from Bladder, Percutaneous Endoscopic Approach
0TPB4KZRemoval of Nonautologous Tissue Substitute from Bladder, Percutaneous Endoscopic Approach
0TPB4LZRemoval of Artificial Sphincter from Bladder, Percutaneous Endoscopic Approach
0TPB4MZRemoval of Stimulator Lead from Bladder, Percutaneous Endoscopic Approach
0TPB77ZRemoval of Autologous Tissue Substitute from Bladder, Via Natural or Artificial Opening
0TPB7CZRemoval of Extraluminal Device from Bladder, Via Natural or Artificial Opening
0TPB7JZRemoval of Synthetic Substitute from Bladder, Via Natural or Artificial Opening
0TPB7KZRemoval of Nonautologous Tissue Substitute from Bladder, Via Natural or Artificial Opening
0TPB7LZRemoval of Artificial Sphincter from Bladder, Via Natural or Artificial Opening
0TPB7MZRemoval of Stimulator Lead from Bladder, Via Natural or Artificial Opening
0TPB87ZRemoval of Autologous Tissue Substitute from Bladder, Via Natural or Artificial Opening Endoscopic
0TPB8CZRemoval of Extraluminal Device from Bladder, Via Natural or Artificial Opening Endoscopic
0TPB8JZRemoval of Synthetic Substitute from Bladder, Via Natural or Artificial Opening Endoscopic
0TPB8KZRemoval of Nonautologous Tissue Substitute from Bladder, Via Natural or Artificial Opening Endoscopic
0TPB8LZRemoval of Artificial Sphincter from Bladder, Via Natural or Artificial Opening Endoscopic
0TPB8MZRemoval of Stimulator Lead from Bladder, Via Natural or Artificial Opening Endoscopic
0TPB8YZRemoval of Other Device from Bladder, Via Natural or Artificial Opening Endoscopic
0TPBXMZRemoval of Stimulator Lead from Bladder, External Approach
0TQD0ZZRepair Urethra, Open Approach
0TQD3ZZRepair Urethra, Percutaneous Approach
0TQD4ZZRepair Urethra, Percutaneous Endoscopic Approach
0TSC0ZZReposition Bladder Neck, Open Approach
0TSC4ZZReposition Bladder Neck, Percutaneous Endoscopic Approach
0TSD0ZZReposition Urethra, Open Approach
0TSD4ZZReposition Urethra, Percutaneous Endoscopic Approach
0TUC07ZSupplement Bladder Neck with Autologous Tissue Substitute, Open Approach
0TUC0JZSupplement Bladder Neck with Synthetic Substitute, Open Approach
0TUC0KZSupplement Bladder Neck with Nonautologous Tissue Substitute, Open Approach
0TUC47ZSupplement Bladder Neck with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0TUC4JZSupplement Bladder Neck with Synthetic Substitute, Percutaneous Endoscopic Approach
0TUC4KZSupplement Bladder Neck with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0TUC77ZSupplement Bladder Neck with Autologous Tissue Substitute, Via Natural or Artificial Opening
0TUC7JZSupplement Bladder Neck with Synthetic Substitute, Via Natural or Artificial Opening
0TUC7KZSupplement Bladder Neck with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
0TUC87ZSupplement Bladder Neck with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0TUC8JZSupplement Bladder Neck with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0TUC8KZSupplement Bladder Neck with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0TWB00ZRevision of Drainage Device in Bladder, Open Approach
0TWB02ZRevision of Monitoring Device in Bladder, Open Approach
0TWB03ZRevision of Infusion Device in Bladder, Open Approach
0TWB07ZRevision of Autologous Tissue Substitute in Bladder, Open Approach
0TWB0CZRevision of Extraluminal Device in Bladder, Open Approach
0TWB0DZRevision of Intraluminal Device in Bladder, Open Approach
0TWB0JZRevision of Synthetic Substitute in Bladder, Open Approach
0TWB0KZRevision of Nonautologous Tissue Substitute in Bladder, Open Approach
0TWB0LZRevision of Artificial Sphincter in Bladder, Open Approach
0TWB0MZRevision of Stimulator Lead in Bladder, Open Approach
0TWB0YZRevision of Other Device in Bladder, Open Approach
0TWB30ZRevision of Drainage Device in Bladder, Percutaneous Approach
0TWB32ZRevision of Monitoring Device in Bladder, Percutaneous Approach
0TWB33ZRevision of Infusion Device in Bladder, Percutaneous Approach
0TWB37ZRevision of Autologous Tissue Substitute in Bladder, Percutaneous Approach
0TWB3CZRevision of Extraluminal Device in Bladder, Percutaneous Approach
0TWB3DZRevision of Intraluminal Device in Bladder, Percutaneous Approach
0TWB3JZRevision of Synthetic Substitute in Bladder, Percutaneous Approach
0TWB3KZRevision of Nonautologous Tissue Substitute in Bladder, Percutaneous Approach
0TWB3LZRevision of Artificial Sphincter in Bladder, Percutaneous Approach
0TWB3MZRevision of Stimulator Lead in Bladder, Percutaneous Approach
0TWB40ZRevision of Drainage Device in Bladder, Percutaneous Endoscopic Approach
0TWB42ZRevision of Monitoring Device in Bladder, Percutaneous Endoscopic Approach
0TWB43ZRevision of Infusion Device in Bladder, Percutaneous Endoscopic Approach
0TWB47ZRevision of Autologous Tissue Substitute in Bladder, Percutaneous Endoscopic Approach
0TWB4CZRevision of Extraluminal Device in Bladder, Percutaneous Endoscopic Approach
0TWB4DZRevision of Intraluminal Device in Bladder, Percutaneous Endoscopic Approach
0TWB4JZRevision of Synthetic Substitute in Bladder, Percutaneous Endoscopic Approach
0TWB4KZRevision of Nonautologous Tissue Substitute in Bladder, Percutaneous Endoscopic Approach
0TWB4LZRevision of Artificial Sphincter in Bladder, Percutaneous Endoscopic Approach
0TWB4MZRevision of Stimulator Lead in Bladder, Percutaneous Endoscopic Approach
0TWB70ZRevision of Drainage Device in Bladder, Via Natural or Artificial Opening
0TWB72ZRevision of Monitoring Device in Bladder, Via Natural or Artificial Opening
0TWB73ZRevision of Infusion Device in Bladder, Via Natural or Artificial Opening
0TWB77ZRevision of Autologous Tissue Substitute in Bladder, Via Natural or Artificial Opening
0TWB7CZRevision of Extraluminal Device in Bladder, Via Natural or Artificial Opening
0TWB7DZRevision of Intraluminal Device in Bladder, Via Natural or Artificial Opening
0TWB7JZRevision of Synthetic Substitute in Bladder, Via Natural or Artificial Opening
0TWB7KZRevision of Nonautologous Tissue Substitute in Bladder, Via Natural or Artificial Opening
0TWB7LZRevision of Artificial Sphincter in Bladder, Via Natural or Artificial Opening
0TWB7MZRevision of Stimulator Lead in Bladder, Via Natural or Artificial Opening
0TWB80ZRevision of Drainage Device in Bladder, Via Natural or Artificial Opening Endoscopic
0TWB82ZRevision of Monitoring Device in Bladder, Via Natural or Artificial Opening Endoscopic
0TWB83ZRevision of Infusion Device in Bladder, Via Natural or Artificial Opening Endoscopic
0TWB87ZRevision of Autologous Tissue Substitute in Bladder, Via Natural or Artificial Opening Endoscopic
0TWB8CZRevision of Extraluminal Device in Bladder, Via Natural or Artificial Opening Endoscopic
0TWB8DZRevision of Intraluminal Device in Bladder, Via Natural or Artificial Opening Endoscopic
0TWB8JZRevision of Synthetic Substitute in Bladder, Via Natural or Artificial Opening Endoscopic
0TWB8KZRevision of Nonautologous Tissue Substitute in Bladder, Via Natural or Artificial Opening Endoscopic
0TWB8LZRevision of Artificial Sphincter in Bladder, Via Natural or Artificial Opening Endoscopic
0TWB8MZRevision of Stimulator Lead in Bladder, Via Natural or Artificial Opening Endoscopic
0TWB8YZRevision of Other Device in Bladder, Via Natural or Artificial Opening Endoscopic
0USG0ZZReposition Vagina, Open Approach
0USG4ZZReposition Vagina, Percutaneous Endoscopic Approach
0USG7ZZReposition Vagina, Via Natural or Artificial Opening
0USG8ZZReposition Vagina, Via Natural or Artificial Opening Endoscopic
0USGXZZReposition Vagina, External Approach
0VXT0ZDTransfer Prepuce to Urethra, Open Approach
0W3R0ZZControl Bleeding in Genitourinary Tract, Open Approach
0W3R3ZZControl Bleeding in Genitourinary Tract, Percutaneous Approach
0W3R4ZZControl Bleeding in Genitourinary Tract, Percutaneous Endoscopic Approach
0W3R7ZZControl Bleeding in Genitourinary Tract, Via Natural or Artificial Opening
0W3R8ZZControl Bleeding in Genitourinary Tract, Via Natural or Artificial Opening Endoscopic
0WQFXZ2Repair Abdominal Wall, Stoma, External Approach
0WQFXZZRepair Abdominal Wall, External Approach
0TQB0ZZRepair Bladder, Open Approach
  with 0WQFXZ2Repair Abdominal Wall, Stoma, External Approach
0TQB0ZZRepair Bladder, Open Approach
  with 0WQFXZZRepair Abdominal Wall, External Approach
0TQB3ZZRepair Bladder, Percutaneous Approach
  with 0WQFXZ2Repair Abdominal Wall, Stoma, External Approach
0TQB3ZZRepair Bladder, Percutaneous Approach
  with 0WQFXZZRepair Abdominal Wall, External Approach
0TQB4ZZRepair Bladder, Percutaneous Endoscopic Approach
  with 0WQFXZ2Repair Abdominal Wall, Stoma, External Approach
0TQB4ZZRepair Bladder, Percutaneous Endoscopic Approach
  with 0WQFXZZRepair Abdominal Wall, External Approach



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