ICD-10-CM/PCS MS-DRG v37.2 Definitions Manual
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ICD-10-CM/PCS MS-DRG v37.2 Definitions Manual |
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| MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity |
| MCC | DRG |
|---|---|
| Yes | 461 |
| No | 462 |
DRG 461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC
DRG 462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC
To qualify as bilateral or multiple joint procedures you must have at least one code from two different lower extremity sites as listed below.
Examples: left hip and right hip - bilateral; left hip and left knee - multiple; left hip and right ankle - multiple; left knee and right knee - bilateral
RIGHT HIP
| 0SR9019 | Replacement of Right Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SR901A | Replacement of Right Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SR901Z | Replacement of Right Hip Joint with Metal Synthetic Substitute, Open Approach |
| 0SR9029 | Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SR902A | Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SR902Z | Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach |
| 0SR9039 | Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SR903A | Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SR903Z | Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Open Approach |
| 0SR9049 | Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SR904A | Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SR904Z | Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach |
| 0SR9069 | Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SR906A | Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SR906Z | Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SR907Z | Replacement of Right Hip Joint with Autologous Tissue Substitute, Open Approach |
| 0SR90J9 | Replacement of Right Hip Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SR90JA | Replacement of Right Hip Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SR90JZ | Replacement of Right Hip Joint with Synthetic Substitute, Open Approach |
| 0SR90KZ | Replacement of Right Hip Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRA009 | Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRA00A | Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRA00Z | Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach |
| 0SRA019 | Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRA01A | Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRA01Z | Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach |
| 0SRA039 | Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRA03A | Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRA03Z | Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRA07Z | Replacement of Right Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach |
| 0SRA0J9 | Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRA0JA | Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRA0JZ | Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach |
| 0SRA0KZ | Replacement of Right Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRR019 | Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRR01A | Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRR01Z | Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach |
| 0SRR039 | Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRR03A | Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRR03Z | Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRR07Z | Replacement of Right Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRR0J9 | Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRR0JA | Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRR0JZ | Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRR0KZ | Replacement of Right Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SU90BZ | Supplement Right Hip Joint with Resurfacing Device, Open Approach |
| 0SUA0BZ | Supplement Right Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach |
| 0SUR0BZ | Supplement Right Hip Joint, Femoral Surface with Resurfacing Device, Open Approach |
LEFT HIP
| 0SRB019 | Replacement of Left Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRB01A | Replacement of Left Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRB01Z | Replacement of Left Hip Joint with Metal Synthetic Substitute, Open Approach |
| 0SRB029 | Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRB02A | Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRB02Z | Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach |
| 0SRB039 | Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRB03A | Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRB03Z | Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Open Approach |
| 0SRB049 | Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRB04A | Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRB04Z | Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach |
| 0SRB069 | Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRB06A | Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRB06Z | Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SRB07Z | Replacement of Left Hip Joint with Autologous Tissue Substitute, Open Approach |
| 0SRB0J9 | Replacement of Left Hip Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRB0JA | Replacement of Left Hip Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRB0JZ | Replacement of Left Hip Joint with Synthetic Substitute, Open Approach |
| 0SRB0KZ | Replacement of Left Hip Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRE009 | Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRE00A | Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRE00Z | Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach |
| 0SRE019 | Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRE01A | Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRE01Z | Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach |
| 0SRE039 | Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRE03A | Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRE03Z | Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRE07Z | Replacement of Left Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach |
| 0SRE0J9 | Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRE0JA | Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRE0JZ | Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach |
| 0SRE0KZ | Replacement of Left Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRS019 | Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SRS01A | Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SRS01Z | Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach |
| 0SRS039 | Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SRS03A | Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SRS03Z | Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach |
| 0SRS07Z | Replacement of Left Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRS0J9 | Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRS0JA | Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRS0JZ | Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRS0KZ | Replacement of Left Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SUB0BZ | Supplement Left Hip Joint with Resurfacing Device, Open Approach |
| 0SUE0BZ | Supplement Left Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach |
| 0SUS0BZ | Supplement Left Hip Joint, Femoral Surface with Resurfacing Device, Open Approach |
RIGHT KNEE
| 0SRC069 | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRC06A | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRC06Z | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SRC07Z | Replacement of Right Knee Joint with Autologous Tissue Substitute, Open Approach |
| 0SRC0J9 | Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRC0JA | Replacement of Right Knee Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0JZ | Replacement of Right Knee Joint with Synthetic Substitute, Open Approach |
| 0SRC0KZ | Replacement of Right Knee Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRC0L9 | Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRC0LA | Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0LZ | Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Open Approach |
| 0SRC0M9 | Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRC0MA | Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0MZ | Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach |
| 0SRC0N9 | Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach |
| 0SRC0NA | Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0NZ | Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Open Approach |
| 0SRT07Z | Replacement of Right Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRT0J9 | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRT0JA | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRT0JZ | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRT0KZ | Replacement of Right Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRV07Z | Replacement of Right Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach |
| 0SRV0J9 | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRV0JA | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRV0JZ | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach |
| 0SRV0KZ | Replacement of Right Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach |
LEFT KNEE
| 0SRD069 | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRD06A | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRD06Z | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SRD07Z | Replacement of Left Knee Joint with Autologous Tissue Substitute, Open Approach |
| 0SRD0J9 | Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRD0JA | Replacement of Left Knee Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0JZ | Replacement of Left Knee Joint with Synthetic Substitute, Open Approach |
| 0SRD0KZ | Replacement of Left Knee Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRD0L9 | Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRD0LA | Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0LZ | Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Open Approach |
| 0SRD0M9 | Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRD0MA | Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0MZ | Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach |
| 0SRD0N9 | Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach |
| 0SRD0NA | Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0NZ | Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach |
| 0SRU07Z | Replacement of Left Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRU0J9 | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRU0JA | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRU0JZ | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRU0KZ | Replacement of Left Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRW07Z | Replacement of Left Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach |
| 0SRW0J9 | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRW0JA | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRW0JZ | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach |
| 0SRW0KZ | Replacement of Left Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach |
RIGHT ANKLE
| 0SRF07Z | Replacement of Right Ankle Joint with Autologous Tissue Substitute, Open Approach |
| 0SRF0J9 | Replacement of Right Ankle Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRF0JA | Replacement of Right Ankle Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRF0JZ | Replacement of Right Ankle Joint with Synthetic Substitute, Open Approach |
| 0SRF0KZ | Replacement of Right Ankle Joint with Nonautologous Tissue Substitute, Open Approach |
LEFT ANKLE
| 0SRG07Z | Replacement of Left Ankle Joint with Autologous Tissue Substitute, Open Approach |
| 0SRG0J9 | Replacement of Left Ankle Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRG0JA | Replacement of Left Ankle Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRG0JZ | Replacement of Left Ankle Joint with Synthetic Substitute, Open Approach |
| 0SRG0KZ | Replacement of Left Ankle Joint with Nonautologous Tissue Substitute, Open Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 09 Jul 2020 15:51:46 CMS, code-revision=268, description-revision=1285 |