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

Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
MDC 02 Diseases and disorders of the eye
Intraocular procedures
CC or MCC DRG
Yes 116
No 117

DRG 116 INTRAOCULAR PROCEDURES WITH CC/MCC

DRG 117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC

OPERATING ROOM PROCEDURES

08123J4Bypass Right Anterior Chamber to Sclera with Synthetic Substitute, Percutaneous Approach
08123K4Bypass Right Anterior Chamber to Sclera with Nonautologous Tissue Substitute, Percutaneous Approach
08123Z4Bypass Right Anterior Chamber to Sclera, Percutaneous Approach
08133J4Bypass Left Anterior Chamber to Sclera with Synthetic Substitute, Percutaneous Approach
08133K4Bypass Left Anterior Chamber to Sclera with Nonautologous Tissue Substitute, Percutaneous Approach
08133Z4Bypass Left Anterior Chamber to Sclera, Percutaneous Approach
08523ZZDestruction of Right Anterior Chamber, Percutaneous Approach
08533ZZDestruction of Left Anterior Chamber, Percutaneous Approach
08543ZZDestruction of Right Vitreous, Percutaneous Approach
08553ZZDestruction of Left Vitreous, Percutaneous Approach
085A0ZZDestruction of Right Choroid, Open Approach
085A3ZZDestruction of Right Choroid, Percutaneous Approach
085B0ZZDestruction of Left Choroid, Open Approach
085B3ZZDestruction of Left Choroid, Percutaneous Approach
085C3ZZDestruction of Right Iris, Percutaneous Approach
085D3ZZDestruction of Left Iris, Percutaneous Approach
085G3ZZDestruction of Right Retinal Vessel, Percutaneous Approach
085H3ZZDestruction of Left Retinal Vessel, Percutaneous Approach
085J3ZZDestruction of Right Lens, Percutaneous Approach
085K3ZZDestruction of Left Lens, Percutaneous Approach
089230ZDrainage of Right Anterior Chamber with Drainage Device, Percutaneous Approach
08923ZXDrainage of Right Anterior Chamber, Percutaneous Approach, Diagnostic
08923ZZDrainage of Right Anterior Chamber, Percutaneous Approach
089330ZDrainage of Left Anterior Chamber with Drainage Device, Percutaneous Approach
08933ZXDrainage of Left Anterior Chamber, Percutaneous Approach, Diagnostic
08933ZZDrainage of Left Anterior Chamber, Percutaneous Approach
089430ZDrainage of Right Vitreous with Drainage Device, Percutaneous Approach
08943ZXDrainage of Right Vitreous, Percutaneous Approach, Diagnostic
08943ZZDrainage of Right Vitreous, Percutaneous Approach
089530ZDrainage of Left Vitreous with Drainage Device, Percutaneous Approach
08953ZXDrainage of Left Vitreous, Percutaneous Approach, Diagnostic
08953ZZDrainage of Left Vitreous, Percutaneous Approach
0898X0ZDrainage of Right Cornea with Drainage Device, External Approach
0899X0ZDrainage of Left Cornea with Drainage Device, External Approach
089A00ZDrainage of Right Choroid with Drainage Device, Open Approach
089A0ZXDrainage of Right Choroid, Open Approach, Diagnostic
089A0ZZDrainage of Right Choroid, Open Approach
089A30ZDrainage of Right Choroid with Drainage Device, Percutaneous Approach
089A3ZXDrainage of Right Choroid, Percutaneous Approach, Diagnostic
089A3ZZDrainage of Right Choroid, Percutaneous Approach
089B00ZDrainage of Left Choroid with Drainage Device, Open Approach
089B0ZXDrainage of Left Choroid, Open Approach, Diagnostic
089B0ZZDrainage of Left Choroid, Open Approach
089B30ZDrainage of Left Choroid with Drainage Device, Percutaneous Approach
089B3ZXDrainage of Left Choroid, Percutaneous Approach, Diagnostic
089B3ZZDrainage of Left Choroid, Percutaneous Approach
089C30ZDrainage of Right Iris with Drainage Device, Percutaneous Approach
089C3ZXDrainage of Right Iris, Percutaneous Approach, Diagnostic
089C3ZZDrainage of Right Iris, Percutaneous Approach
089D30ZDrainage of Left Iris with Drainage Device, Percutaneous Approach
089D3ZXDrainage of Left Iris, Percutaneous Approach, Diagnostic
089D3ZZDrainage of Left Iris, Percutaneous Approach
089E30ZDrainage of Right Retina with Drainage Device, Percutaneous Approach
089E3ZXDrainage of Right Retina, Percutaneous Approach, Diagnostic
089E3ZZDrainage of Right Retina, Percutaneous Approach
089F30ZDrainage of Left Retina with Drainage Device, Percutaneous Approach
089F3ZXDrainage of Left Retina, Percutaneous Approach, Diagnostic
089F3ZZDrainage of Left Retina, Percutaneous Approach
089G30ZDrainage of Right Retinal Vessel with Drainage Device, Percutaneous Approach
089G3ZXDrainage of Right Retinal Vessel, Percutaneous Approach, Diagnostic
089G3ZZDrainage of Right Retinal Vessel, Percutaneous Approach
089H30ZDrainage of Left Retinal Vessel with Drainage Device, Percutaneous Approach
089H3ZXDrainage of Left Retinal Vessel, Percutaneous Approach, Diagnostic
089H3ZZDrainage of Left Retinal Vessel, Percutaneous Approach
089J30ZDrainage of Right Lens with Drainage Device, Percutaneous Approach
089J3ZXDrainage of Right Lens, Percutaneous Approach, Diagnostic
089J3ZZDrainage of Right Lens, Percutaneous Approach
089K30ZDrainage of Left Lens with Drainage Device, Percutaneous Approach
089K3ZXDrainage of Left Lens, Percutaneous Approach, Diagnostic
089K3ZZDrainage of Left Lens, Percutaneous Approach
08B43ZXExcision of Right Vitreous, Percutaneous Approach, Diagnostic
08B43ZZExcision of Right Vitreous, Percutaneous Approach
08B53ZXExcision of Left Vitreous, Percutaneous Approach, Diagnostic
08B53ZZExcision of Left Vitreous, Percutaneous Approach
08B6XZXExcision of Right Sclera, External Approach, Diagnostic
08B7XZXExcision of Left Sclera, External Approach, Diagnostic
08BA0ZXExcision of Right Choroid, Open Approach, Diagnostic
08BA0ZZExcision of Right Choroid, Open Approach
08BA3ZXExcision of Right Choroid, Percutaneous Approach, Diagnostic
08BA3ZZExcision of Right Choroid, Percutaneous Approach
08BB0ZXExcision of Left Choroid, Open Approach, Diagnostic
08BB0ZZExcision of Left Choroid, Open Approach
08BB3ZXExcision of Left Choroid, Percutaneous Approach, Diagnostic
08BB3ZZExcision of Left Choroid, Percutaneous Approach
08BC3ZXExcision of Right Iris, Percutaneous Approach, Diagnostic
08BC3ZZExcision of Right Iris, Percutaneous Approach
08BD3ZXExcision of Left Iris, Percutaneous Approach, Diagnostic
08BD3ZZExcision of Left Iris, Percutaneous Approach
08BE3ZXExcision of Right Retina, Percutaneous Approach, Diagnostic
08BE3ZZExcision of Right Retina, Percutaneous Approach
08BF3ZXExcision of Left Retina, Percutaneous Approach, Diagnostic
08BF3ZZExcision of Left Retina, Percutaneous Approach
08BJ3ZXExcision of Right Lens, Percutaneous Approach, Diagnostic
08BJ3ZZExcision of Right Lens, Percutaneous Approach
08BK3ZXExcision of Left Lens, Percutaneous Approach, Diagnostic
08BK3ZZExcision of Left Lens, Percutaneous Approach
08C23ZZExtirpation of Matter from Right Anterior Chamber, Percutaneous Approach
08C33ZZExtirpation of Matter from Left Anterior Chamber, Percutaneous Approach
08C43ZZExtirpation of Matter from Right Vitreous, Percutaneous Approach
08C4XZZExtirpation of Matter from Right Vitreous, External Approach
08C53ZZExtirpation of Matter from Left Vitreous, Percutaneous Approach
08C5XZZExtirpation of Matter from Left Vitreous, External Approach
08CA0ZZExtirpation of Matter from Right Choroid, Open Approach
08CA3ZZExtirpation of Matter from Right Choroid, Percutaneous Approach
08CAXZZExtirpation of Matter from Right Choroid, External Approach
08CB0ZZExtirpation of Matter from Left Choroid, Open Approach
08CB3ZZExtirpation of Matter from Left Choroid, Percutaneous Approach
08CBXZZExtirpation of Matter from Left Choroid, External Approach
08CC3ZZExtirpation of Matter from Right Iris, Percutaneous Approach
08CCXZZExtirpation of Matter from Right Iris, External Approach
08CD3ZZExtirpation of Matter from Left Iris, Percutaneous Approach
08CDXZZExtirpation of Matter from Left Iris, External Approach
08CE3ZZExtirpation of Matter from Right Retina, Percutaneous Approach
08CEXZZExtirpation of Matter from Right Retina, External Approach
08CF3ZZExtirpation of Matter from Left Retina, Percutaneous Approach
08CFXZZExtirpation of Matter from Left Retina, External Approach
08CG3ZZExtirpation of Matter from Right Retinal Vessel, Percutaneous Approach
08CGXZZExtirpation of Matter from Right Retinal Vessel, External Approach
08CH3ZZExtirpation of Matter from Left Retinal Vessel, Percutaneous Approach
08CHXZZExtirpation of Matter from Left Retinal Vessel, External Approach
08CJ3ZZExtirpation of Matter from Right Lens, Percutaneous Approach
08CJXZZExtirpation of Matter from Right Lens, External Approach
08CK3ZZExtirpation of Matter from Left Lens, Percutaneous Approach
08CKXZZExtirpation of Matter from Left Lens, External Approach
08CLXZZExtirpation of Matter from Right Extraocular Muscle, External Approach
08CMXZZExtirpation of Matter from Left Extraocular Muscle, External Approach
08CVXZZExtirpation of Matter from Right Lacrimal Gland, External Approach
08CWXZZExtirpation of Matter from Left Lacrimal Gland, External Approach
08DJ3ZZExtraction of Right Lens, Percutaneous Approach
08DK3ZZExtraction of Left Lens, Percutaneous Approach
08F43ZZFragmentation in Right Vitreous, Percutaneous Approach
08F53ZZFragmentation in Left Vitreous, Percutaneous Approach
08H005ZInsertion of Epiretinal Visual Prosthesis into Right Eye, Open Approach
08H00YZInsertion of Other Device into Right Eye, Open Approach
08H031ZInsertion of Radioactive Element into Right Eye, Percutaneous Approach
08H0X1ZInsertion of Radioactive Element into Right Eye, External Approach
08H105ZInsertion of Epiretinal Visual Prosthesis into Left Eye, Open Approach
08H10YZInsertion of Other Device into Left Eye, Open Approach
08H131ZInsertion of Radioactive Element into Left Eye, Percutaneous Approach
08H1X1ZInsertion of Radioactive Element into Left Eye, External Approach
08N23ZZRelease Right Anterior Chamber, Percutaneous Approach
08N33ZZRelease Left Anterior Chamber, Percutaneous Approach
08N43ZZRelease Right Vitreous, Percutaneous Approach
08N53ZZRelease Left Vitreous, Percutaneous Approach
08N8XZZRelease Right Cornea, External Approach
08N9XZZRelease Left Cornea, External Approach
08NA0ZZRelease Right Choroid, Open Approach
08NA3ZZRelease Right Choroid, Percutaneous Approach
08NB0ZZRelease Left Choroid, Open Approach
08NB3ZZRelease Left Choroid, Percutaneous Approach
08NC3ZZRelease Right Iris, Percutaneous Approach
08ND3ZZRelease Left Iris, Percutaneous Approach
08NE3ZZRelease Right Retina, Percutaneous Approach
08NF3ZZRelease Left Retina, Percutaneous Approach
08NG3ZZRelease Right Retinal Vessel, Percutaneous Approach
08NH3ZZRelease Left Retinal Vessel, Percutaneous Approach
08NJ3ZZRelease Right Lens, Percutaneous Approach
08NK3ZZRelease Left Lens, Percutaneous Approach
08PJ3JZRemoval of Synthetic Substitute from Right Lens, Percutaneous Approach
08PK3JZRemoval of Synthetic Substitute from Left Lens, Percutaneous Approach
08Q23ZZRepair Right Anterior Chamber, Percutaneous Approach
08Q33ZZRepair Left Anterior Chamber, Percutaneous Approach
08Q43ZZRepair Right Vitreous, Percutaneous Approach
08Q53ZZRepair Left Vitreous, Percutaneous Approach
08Q6XZZRepair Right Sclera, External Approach
08Q7XZZRepair Left Sclera, External Approach
08Q8XZZRepair Right Cornea, External Approach
08Q9XZZRepair Left Cornea, External Approach
08QA0ZZRepair Right Choroid, Open Approach
08QA3ZZRepair Right Choroid, Percutaneous Approach
08QB0ZZRepair Left Choroid, Open Approach
08QB3ZZRepair Left Choroid, Percutaneous Approach
08QC3ZZRepair Right Iris, Percutaneous Approach
08QD3ZZRepair Left Iris, Percutaneous Approach
08QE3ZZRepair Right Retina, Percutaneous Approach
08QF3ZZRepair Left Retina, Percutaneous Approach
08QG3ZZRepair Right Retinal Vessel, Percutaneous Approach
08QH3ZZRepair Left Retinal Vessel, Percutaneous Approach
08QJ3ZZRepair Right Lens, Percutaneous Approach
08QK3ZZRepair Left Lens, Percutaneous Approach
08R437ZReplacement of Right Vitreous with Autologous Tissue Substitute, Percutaneous Approach
08R43JZReplacement of Right Vitreous with Synthetic Substitute, Percutaneous Approach
08R43KZReplacement of Right Vitreous with Nonautologous Tissue Substitute, Percutaneous Approach
08R537ZReplacement of Left Vitreous with Autologous Tissue Substitute, Percutaneous Approach
08R53JZReplacement of Left Vitreous with Synthetic Substitute, Percutaneous Approach
08R53KZReplacement of Left Vitreous with Nonautologous Tissue Substitute, Percutaneous Approach
08R837ZReplacement of Right Cornea with Autologous Tissue Substitute, Percutaneous Approach
08R83JZReplacement of Right Cornea with Synthetic Substitute, Percutaneous Approach
08R83KZReplacement of Right Cornea with Nonautologous Tissue Substitute, Percutaneous Approach
08R8XJZReplacement of Right Cornea with Synthetic Substitute, External Approach
08R8XKZReplacement of Right Cornea with Nonautologous Tissue Substitute, External Approach
08R937ZReplacement of Left Cornea with Autologous Tissue Substitute, Percutaneous Approach
08R93JZReplacement of Left Cornea with Synthetic Substitute, Percutaneous Approach
08R93KZReplacement of Left Cornea with Nonautologous Tissue Substitute, Percutaneous Approach
08R9XJZReplacement of Left Cornea with Synthetic Substitute, External Approach
08R9XKZReplacement of Left Cornea with Nonautologous Tissue Substitute, External Approach
08RA07ZReplacement of Right Choroid with Autologous Tissue Substitute, Open Approach
08RA0JZReplacement of Right Choroid with Synthetic Substitute, Open Approach
08RA0KZReplacement of Right Choroid with Nonautologous Tissue Substitute, Open Approach
08RA37ZReplacement of Right Choroid with Autologous Tissue Substitute, Percutaneous Approach
08RA3JZReplacement of Right Choroid with Synthetic Substitute, Percutaneous Approach
08RA3KZReplacement of Right Choroid with Nonautologous Tissue Substitute, Percutaneous Approach
08RB07ZReplacement of Left Choroid with Autologous Tissue Substitute, Open Approach
08RB0JZReplacement of Left Choroid with Synthetic Substitute, Open Approach
08RB0KZReplacement of Left Choroid with Nonautologous Tissue Substitute, Open Approach
08RB37ZReplacement of Left Choroid with Autologous Tissue Substitute, Percutaneous Approach
08RB3JZReplacement of Left Choroid with Synthetic Substitute, Percutaneous Approach
08RB3KZReplacement of Left Choroid with Nonautologous Tissue Substitute, Percutaneous Approach
08RC37ZReplacement of Right Iris with Autologous Tissue Substitute, Percutaneous Approach
08RC3JZReplacement of Right Iris with Synthetic Substitute, Percutaneous Approach
08RC3KZReplacement of Right Iris with Nonautologous Tissue Substitute, Percutaneous Approach
08RD37ZReplacement of Left Iris with Autologous Tissue Substitute, Percutaneous Approach
08RD3JZReplacement of Left Iris with Synthetic Substitute, Percutaneous Approach
08RD3KZReplacement of Left Iris with Nonautologous Tissue Substitute, Percutaneous Approach
08RG37ZReplacement of Right Retinal Vessel with Autologous Tissue Substitute, Percutaneous Approach
08RG3JZReplacement of Right Retinal Vessel with Synthetic Substitute, Percutaneous Approach
08RG3KZReplacement of Right Retinal Vessel with Nonautologous Tissue Substitute, Percutaneous Approach
08RH37ZReplacement of Left Retinal Vessel with Autologous Tissue Substitute, Percutaneous Approach
08RH3JZReplacement of Left Retinal Vessel with Synthetic Substitute, Percutaneous Approach
08RH3KZReplacement of Left Retinal Vessel with Nonautologous Tissue Substitute, Percutaneous Approach
08RJ30ZReplacement of Right Lens with Intraocular Telescope, Percutaneous Approach
08RJ37ZReplacement of Right Lens with Autologous Tissue Substitute, Percutaneous Approach
08RJ3JZReplacement of Right Lens with Synthetic Substitute, Percutaneous Approach
08RJ3KZReplacement of Right Lens with Nonautologous Tissue Substitute, Percutaneous Approach
08RK30ZReplacement of Left Lens with Intraocular Telescope, Percutaneous Approach
08RK37ZReplacement of Left Lens with Autologous Tissue Substitute, Percutaneous Approach
08RK3JZReplacement of Left Lens with Synthetic Substitute, Percutaneous Approach
08RK3KZReplacement of Left Lens with Nonautologous Tissue Substitute, Percutaneous Approach
08SC3ZZReposition Right Iris, Percutaneous Approach
08SD3ZZReposition Left Iris, Percutaneous Approach
08SG3ZZReposition Right Retinal Vessel, Percutaneous Approach
08SH3ZZReposition Left Retinal Vessel, Percutaneous Approach
08SJ3ZZReposition Right Lens, Percutaneous Approach
08SK3ZZReposition Left Lens, Percutaneous Approach
08T43ZZResection of Right Vitreous, Percutaneous Approach
08T53ZZResection of Left Vitreous, Percutaneous Approach
08T8XZZResection of Right Cornea, External Approach
08T9XZZResection of Left Cornea, External Approach
08TC3ZZResection of Right Iris, Percutaneous Approach
08TD3ZZResection of Left Iris, Percutaneous Approach
08TJ3ZZResection of Right Lens, Percutaneous Approach
08TK3ZZResection of Left Lens, Percutaneous Approach
08U807ZSupplement Right Cornea with Autologous Tissue Substitute, Open Approach
08U80JZSupplement Right Cornea with Synthetic Substitute, Open Approach
08U80KZSupplement Right Cornea with Nonautologous Tissue Substitute, Open Approach
08U837ZSupplement Right Cornea with Autologous Tissue Substitute, Percutaneous Approach
08U83JZSupplement Right Cornea with Synthetic Substitute, Percutaneous Approach
08U83KZSupplement Right Cornea with Nonautologous Tissue Substitute, Percutaneous Approach
08U8XJZSupplement Right Cornea with Synthetic Substitute, External Approach
08U8XKZSupplement Right Cornea with Nonautologous Tissue Substitute, External Approach
08U907ZSupplement Left Cornea with Autologous Tissue Substitute, Open Approach
08U90JZSupplement Left Cornea with Synthetic Substitute, Open Approach
08U90KZSupplement Left Cornea with Nonautologous Tissue Substitute, Open Approach
08U937ZSupplement Left Cornea with Autologous Tissue Substitute, Percutaneous Approach
08U93JZSupplement Left Cornea with Synthetic Substitute, Percutaneous Approach
08U93KZSupplement Left Cornea with Nonautologous Tissue Substitute, Percutaneous Approach
08U9XJZSupplement Left Cornea with Synthetic Substitute, External Approach
08U9XKZSupplement Left Cornea with Nonautologous Tissue Substitute, External Approach
08UC07ZSupplement Right Iris with Autologous Tissue Substitute, Open Approach
08UC0JZSupplement Right Iris with Synthetic Substitute, Open Approach
08UC0KZSupplement Right Iris with Nonautologous Tissue Substitute, Open Approach
08UC37ZSupplement Right Iris with Autologous Tissue Substitute, Percutaneous Approach
08UC3JZSupplement Right Iris with Synthetic Substitute, Percutaneous Approach
08UC3KZSupplement Right Iris with Nonautologous Tissue Substitute, Percutaneous Approach
08UD07ZSupplement Left Iris with Autologous Tissue Substitute, Open Approach
08UD0JZSupplement Left Iris with Synthetic Substitute, Open Approach
08UD0KZSupplement Left Iris with Nonautologous Tissue Substitute, Open Approach
08UD37ZSupplement Left Iris with Autologous Tissue Substitute, Percutaneous Approach
08UD3JZSupplement Left Iris with Synthetic Substitute, Percutaneous Approach
08UD3KZSupplement Left Iris with Nonautologous Tissue Substitute, Percutaneous Approach
08UE07ZSupplement Right Retina with Autologous Tissue Substitute, Open Approach
08UE0JZSupplement Right Retina with Synthetic Substitute, Open Approach
08UE0KZSupplement Right Retina with Nonautologous Tissue Substitute, Open Approach
08UE37ZSupplement Right Retina with Autologous Tissue Substitute, Percutaneous Approach
08UE3JZSupplement Right Retina with Synthetic Substitute, Percutaneous Approach
08UE3KZSupplement Right Retina with Nonautologous Tissue Substitute, Percutaneous Approach
08UF07ZSupplement Left Retina with Autologous Tissue Substitute, Open Approach
08UF0JZSupplement Left Retina with Synthetic Substitute, Open Approach
08UF0KZSupplement Left Retina with Nonautologous Tissue Substitute, Open Approach
08UF37ZSupplement Left Retina with Autologous Tissue Substitute, Percutaneous Approach
08UF3JZSupplement Left Retina with Synthetic Substitute, Percutaneous Approach
08UF3KZSupplement Left Retina with Nonautologous Tissue Substitute, Percutaneous Approach
08UG07ZSupplement Right Retinal Vessel with Autologous Tissue Substitute, Open Approach
08UG0JZSupplement Right Retinal Vessel with Synthetic Substitute, Open Approach
08UG0KZSupplement Right Retinal Vessel with Nonautologous Tissue Substitute, Open Approach
08UG37ZSupplement Right Retinal Vessel with Autologous Tissue Substitute, Percutaneous Approach
08UG3JZSupplement Right Retinal Vessel with Synthetic Substitute, Percutaneous Approach
08UG3KZSupplement Right Retinal Vessel with Nonautologous Tissue Substitute, Percutaneous Approach
08UH07ZSupplement Left Retinal Vessel with Autologous Tissue Substitute, Open Approach
08UH0JZSupplement Left Retinal Vessel with Synthetic Substitute, Open Approach
08UH0KZSupplement Left Retinal Vessel with Nonautologous Tissue Substitute, Open Approach
08UH37ZSupplement Left Retinal Vessel with Autologous Tissue Substitute, Percutaneous Approach
08UH3JZSupplement Left Retinal Vessel with Synthetic Substitute, Percutaneous Approach
08UH3KZSupplement Left Retinal Vessel with Nonautologous Tissue Substitute, Percutaneous Approach
08WJ3JZRevision of Synthetic Substitute in Right Lens, Percutaneous Approach
08WK3JZRevision of Synthetic Substitute in Left Lens, Percutaneous Approach



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
17 Sep 2020 09:49:17
CMS, code-revision=275, description-revision=1286