ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual

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MDC 01 Diseases and disorders of the nervous system
Carotid artery stent procedures
MCC CC DRG
Yes n/a 034
No Yes 035
No No 036

DRG 034 CAROTID ARTERY STENT PROCEDURES WITH MCC

DRG 035 CAROTID ARTERY STENT PROCEDURES WITH CC

DRG 036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC

OPERATING ROOM PROCEDURES

037H04ZDilation of Right Common Carotid Artery with Drug-eluting Intraluminal Device, Open Approach
037H05ZDilation of Right Common Carotid Artery with Two Drug-eluting Intraluminal Devices, Open Approach
037H06ZDilation of Right Common Carotid Artery with Three Drug-eluting Intraluminal Devices, Open Approach
037H07ZDilation of Right Common Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Open Approach
037H0DZDilation of Right Common Carotid Artery with Intraluminal Device, Open Approach
037H0EZDilation of Right Common Carotid Artery with Two Intraluminal Devices, Open Approach
037H0FZDilation of Right Common Carotid Artery with Three Intraluminal Devices, Open Approach
037H0GZDilation of Right Common Carotid Artery with Four or More Intraluminal Devices, Open Approach
037H34ZDilation of Right Common Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037H35ZDilation of Right Common Carotid Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
037H36ZDilation of Right Common Carotid Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
037H37ZDilation of Right Common Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
037H3DZDilation of Right Common Carotid Artery with Intraluminal Device, Percutaneous Approach
037H3EZDilation of Right Common Carotid Artery with Two Intraluminal Devices, Percutaneous Approach
037H3FZDilation of Right Common Carotid Artery with Three Intraluminal Devices, Percutaneous Approach
037H3GZDilation of Right Common Carotid Artery with Four or More Intraluminal Devices, Percutaneous Approach
037H44ZDilation of Right Common Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037H45ZDilation of Right Common Carotid Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037H46ZDilation of Right Common Carotid Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037H47ZDilation of Right Common Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037H4DZDilation of Right Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037H4EZDilation of Right Common Carotid Artery with Two Intraluminal Devices, Percutaneous Endoscopic Approach
037H4FZDilation of Right Common Carotid Artery with Three Intraluminal Devices, Percutaneous Endoscopic Approach
037H4GZDilation of Right Common Carotid Artery with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach
037J04ZDilation of Left Common Carotid Artery with Drug-eluting Intraluminal Device, Open Approach
037J05ZDilation of Left Common Carotid Artery with Two Drug-eluting Intraluminal Devices, Open Approach
037J06ZDilation of Left Common Carotid Artery with Three Drug-eluting Intraluminal Devices, Open Approach
037J07ZDilation of Left Common Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Open Approach
037J0DZDilation of Left Common Carotid Artery with Intraluminal Device, Open Approach
037J0EZDilation of Left Common Carotid Artery with Two Intraluminal Devices, Open Approach
037J0FZDilation of Left Common Carotid Artery with Three Intraluminal Devices, Open Approach
037J0GZDilation of Left Common Carotid Artery with Four or More Intraluminal Devices, Open Approach
037J34ZDilation of Left Common Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037J35ZDilation of Left Common Carotid Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
037J36ZDilation of Left Common Carotid Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
037J37ZDilation of Left Common Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
037J3DZDilation of Left Common Carotid Artery with Intraluminal Device, Percutaneous Approach
037J3EZDilation of Left Common Carotid Artery with Two Intraluminal Devices, Percutaneous Approach
037J3FZDilation of Left Common Carotid Artery with Three Intraluminal Devices, Percutaneous Approach
037J3GZDilation of Left Common Carotid Artery with Four or More Intraluminal Devices, Percutaneous Approach
037J44ZDilation of Left Common Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037J45ZDilation of Left Common Carotid Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037J46ZDilation of Left Common Carotid Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037J47ZDilation of Left Common Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037J4DZDilation of Left Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037J4EZDilation of Left Common Carotid Artery with Two Intraluminal Devices, Percutaneous Endoscopic Approach
037J4FZDilation of Left Common Carotid Artery with Three Intraluminal Devices, Percutaneous Endoscopic Approach
037J4GZDilation of Left Common Carotid Artery with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach
037K04ZDilation of Right Internal Carotid Artery with Drug-eluting Intraluminal Device, Open Approach
037K05ZDilation of Right Internal Carotid Artery with Two Drug-eluting Intraluminal Devices, Open Approach
037K06ZDilation of Right Internal Carotid Artery with Three Drug-eluting Intraluminal Devices, Open Approach
037K07ZDilation of Right Internal Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Open Approach
037K0DZDilation of Right Internal Carotid Artery with Intraluminal Device, Open Approach
037K0EZDilation of Right Internal Carotid Artery with Two Intraluminal Devices, Open Approach
037K0FZDilation of Right Internal Carotid Artery with Three Intraluminal Devices, Open Approach
037K0GZDilation of Right Internal Carotid Artery with Four or More Intraluminal Devices, Open Approach
037K34ZDilation of Right Internal Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037K35ZDilation of Right Internal Carotid Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
037K36ZDilation of Right Internal Carotid Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
037K37ZDilation of Right Internal Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
037K3DZDilation of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Approach
037K3EZDilation of Right Internal Carotid Artery with Two Intraluminal Devices, Percutaneous Approach
037K3FZDilation of Right Internal Carotid Artery with Three Intraluminal Devices, Percutaneous Approach
037K3GZDilation of Right Internal Carotid Artery with Four or More Intraluminal Devices, Percutaneous Approach
037K44ZDilation of Right Internal Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037K45ZDilation of Right Internal Carotid Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037K46ZDilation of Right Internal Carotid Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037K47ZDilation of Right Internal Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037K4DZDilation of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037K4EZDilation of Right Internal Carotid Artery with Two Intraluminal Devices, Percutaneous Endoscopic Approach
037K4FZDilation of Right Internal Carotid Artery with Three Intraluminal Devices, Percutaneous Endoscopic Approach
037K4GZDilation of Right Internal Carotid Artery with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach
037L04ZDilation of Left Internal Carotid Artery with Drug-eluting Intraluminal Device, Open Approach
037L05ZDilation of Left Internal Carotid Artery with Two Drug-eluting Intraluminal Devices, Open Approach
037L06ZDilation of Left Internal Carotid Artery with Three Drug-eluting Intraluminal Devices, Open Approach
037L07ZDilation of Left Internal Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Open Approach
037L0DZDilation of Left Internal Carotid Artery with Intraluminal Device, Open Approach
037L0EZDilation of Left Internal Carotid Artery with Two Intraluminal Devices, Open Approach
037L0FZDilation of Left Internal Carotid Artery with Three Intraluminal Devices, Open Approach
037L0GZDilation of Left Internal Carotid Artery with Four or More Intraluminal Devices, Open Approach
037L34ZDilation of Left Internal Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037L35ZDilation of Left Internal Carotid Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
037L36ZDilation of Left Internal Carotid Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
037L37ZDilation of Left Internal Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
037L3DZDilation of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Approach
037L3EZDilation of Left Internal Carotid Artery with Two Intraluminal Devices, Percutaneous Approach
037L3FZDilation of Left Internal Carotid Artery with Three Intraluminal Devices, Percutaneous Approach
037L3GZDilation of Left Internal Carotid Artery with Four or More Intraluminal Devices, Percutaneous Approach
037L44ZDilation of Left Internal Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037L45ZDilation of Left Internal Carotid Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037L46ZDilation of Left Internal Carotid Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037L47ZDilation of Left Internal Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037L4DZDilation of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037L4EZDilation of Left Internal Carotid Artery with Two Intraluminal Devices, Percutaneous Endoscopic Approach
037L4FZDilation of Left Internal Carotid Artery with Three Intraluminal Devices, Percutaneous Endoscopic Approach
037L4GZDilation of Left Internal Carotid Artery with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach
037M04ZDilation of Right External Carotid Artery with Drug-eluting Intraluminal Device, Open Approach
037M05ZDilation of Right External Carotid Artery with Two Drug-eluting Intraluminal Devices, Open Approach
037M06ZDilation of Right External Carotid Artery with Three Drug-eluting Intraluminal Devices, Open Approach
037M07ZDilation of Right External Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Open Approach
037M0DZDilation of Right External Carotid Artery with Intraluminal Device, Open Approach
037M0EZDilation of Right External Carotid Artery with Two Intraluminal Devices, Open Approach
037M0FZDilation of Right External Carotid Artery with Three Intraluminal Devices, Open Approach
037M0GZDilation of Right External Carotid Artery with Four or More Intraluminal Devices, Open Approach
037M34ZDilation of Right External Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037M35ZDilation of Right External Carotid Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
037M36ZDilation of Right External Carotid Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
037M37ZDilation of Right External Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
037M3DZDilation of Right External Carotid Artery with Intraluminal Device, Percutaneous Approach
037M3EZDilation of Right External Carotid Artery with Two Intraluminal Devices, Percutaneous Approach
037M3FZDilation of Right External Carotid Artery with Three Intraluminal Devices, Percutaneous Approach
037M3GZDilation of Right External Carotid Artery with Four or More Intraluminal Devices, Percutaneous Approach
037M44ZDilation of Right External Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037M45ZDilation of Right External Carotid Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037M46ZDilation of Right External Carotid Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037M47ZDilation of Right External Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037M4DZDilation of Right External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037M4EZDilation of Right External Carotid Artery with Two Intraluminal Devices, Percutaneous Endoscopic Approach
037M4FZDilation of Right External Carotid Artery with Three Intraluminal Devices, Percutaneous Endoscopic Approach
037M4GZDilation of Right External Carotid Artery with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach
037N04ZDilation of Left External Carotid Artery with Drug-eluting Intraluminal Device, Open Approach
037N05ZDilation of Left External Carotid Artery with Two Drug-eluting Intraluminal Devices, Open Approach
037N06ZDilation of Left External Carotid Artery with Three Drug-eluting Intraluminal Devices, Open Approach
037N07ZDilation of Left External Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Open Approach
037N0DZDilation of Left External Carotid Artery with Intraluminal Device, Open Approach
037N0EZDilation of Left External Carotid Artery with Two Intraluminal Devices, Open Approach
037N0FZDilation of Left External Carotid Artery with Three Intraluminal Devices, Open Approach
037N0GZDilation of Left External Carotid Artery with Four or More Intraluminal Devices, Open Approach
037N34ZDilation of Left External Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037N35ZDilation of Left External Carotid Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
037N36ZDilation of Left External Carotid Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
037N37ZDilation of Left External Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
037N3DZDilation of Left External Carotid Artery with Intraluminal Device, Percutaneous Approach
037N3EZDilation of Left External Carotid Artery with Two Intraluminal Devices, Percutaneous Approach
037N3FZDilation of Left External Carotid Artery with Three Intraluminal Devices, Percutaneous Approach
037N3GZDilation of Left External Carotid Artery with Four or More Intraluminal Devices, Percutaneous Approach
037N44ZDilation of Left External Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
037N45ZDilation of Left External Carotid Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037N46ZDilation of Left External Carotid Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037N47ZDilation of Left External Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
037N4DZDilation of Left External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach
037N4EZDilation of Left External Carotid Artery with Two Intraluminal Devices, Percutaneous Endoscopic Approach
037N4FZDilation of Left External Carotid Artery with Three Intraluminal Devices, Percutaneous Endoscopic Approach
037N4GZDilation of Left External Carotid Artery with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
17 Sep 2020 09:49:17
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