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

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Procedure Code/MS-DRG Index
Page 387 of 387
0016070 009400Z 00C34ZZ 00NS4ZZ 00SW3ZZ 00XJ0ZJ 01B13ZZ 01R84KZ 021749T 02703F6 02HT40Z 02S00ZZ 03130ZF 031T0ZG 03773D6 037G3D6 037N3D6 03B54ZX 03CU4ZZ 03LH4ZZ 03QS3ZZ 03UL3KZ 041009F 041D4K1 041L0ZJ 0471476 047637Z 047A3Z6 047F366 047L3D1 047Y3Z1 04CN0ZZ 04L93DZ 04QT4ZZ 04U73JZ 04WY47Z 057T3DZ 05HS3DZ 05PY40Z 05UH4JZ 06550ZZ 06L04CZ 06R34JZ 06V80ZZ 079P0ZZ 07L60ZZ 07QK4ZZ 07VB3ZZ 08BQ3ZX 08RX8JZ 090K3ZZ 09RM3JZ 0BB18ZZ 0BPK41Z 0BWK03Z 0CQR0ZZ 0CX1XZZ 0D168KA 0D1B47B 0D1M4JP 0D9V0ZZ 0DJU4ZZ 0DPQ0LZ 0DTH8ZZ 0DV54CZ 0F150ZB 0F9540Z 0FN98ZZ 0FUD8JZ 0GJR4ZZ 0HQT7ZZ 0HRLX73 0J900ZZ 0JHL0WZ 0JUJ07Z 0JXQ3ZZ 0K9W0ZZ 0KMR0ZZ 0KRK0JZ 0KUH0JZ 0L5L4ZZ 0LBW3ZX 0LR80JZ 0LXG0ZZ 0MCF4ZZ 0MTW0ZZ 0NB40ZZ 0NPW04Z 0NS44ZZ 0P533ZZ 0PB53ZZ 0PHD3DZ 0PPJ07Z 0PS034Z 0PUH47Z 0Q940ZZ 0QCK3ZZ 0QP047Z 0QR44JZ 0QSK06Z 0QWH4KZ 0RG13JJ 0RGF0JZ 0RNF0ZZ 0RQE3ZZ 0RUL0KZ 0RWQ37Z 0SG1071 0SH344Z 0SPM3JZ 0SSK0ZZ 0SWL03Z 0T17476 0TB14ZZ 0TPB77Z 0TW537Z 0UBL0ZX 0UT18ZZ 0VJR0ZZ 0VWD4KZ 0W9300Z 0WHL31Z 0WWC0JZ 0X6K0Z7 0XUD4JZ 0Y6M0Z5 0YJJ0ZZ D026JZZ F02Z1UZ
CODEMDCMS-DRGSURGICAL CATEGORY
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
 21904-905Skin Grafts for Injuries
 22927
 22928-929
 24957-959Other Procedures for Multiple Significant Trauma
XNS003201028-030Spinal Procedures
 17820-822Lymphoma and Leukemia with Major Procedure
 17826-828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XNS033201028-030Spinal Procedures
 17820-822Lymphoma and Leukemia with Major Procedure
 17826-828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XNS303201028-030Spinal Procedures
 17820-822Lymphoma and Leukemia with Major Procedure
 17826-828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XNS333201028-030Spinal Procedures
 17820-822Lymphoma and Leukemia with Major Procedure
 17826-828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XNS403201028-030Spinal Procedures
 17820-822Lymphoma and Leukemia with Major Procedure
 17826-828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XNS433201028-030Spinal Procedures
 17820-822Lymphoma and Leukemia with Major Procedure
 17826-828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
 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
 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
 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
 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
 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
 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
 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
 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
 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
 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
 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
 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
 08459-460Spinal Fusion Except Cervical
 21907-909Other O.R. Procedures for Injuries
 24957-959Other Procedures for Multiple Significant Trauma
XV508A411665-667Prostatectomy
 12713-714Transurethral Prostatectomy
XW033C3*PRE016-017Autologous Bone Marrow Transplant or T-cell Immunotherapy
XW043C3*PRE016-017Autologous Bone Marrow Transplant or T-cell Immunotherapy



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