ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual |
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| MDC 05 Diseases and disorders of the circulatory system |
| Percutaneous cardiovascular procedures without coronary artery stent |
| MCC | DRG |
|---|---|
| Yes | 250 |
| No | 251 |
DRG 250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC
DRG 251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC
OPERATING ROOM PROCEDURES
| 02703Z6 | Dilation of Coronary Artery, One Artery, Bifurcation, Percutaneous Approach |
| 02703ZZ | Dilation of Coronary Artery, One Artery, Percutaneous Approach |
| 02704Z6 | Dilation of Coronary Artery, One Artery, Bifurcation, Percutaneous Endoscopic Approach |
| 02704ZZ | Dilation of Coronary Artery, One Artery, Percutaneous Endoscopic Approach |
| 02713Z6 | Dilation of Coronary Artery, Two Arteries, Bifurcation, Percutaneous Approach |
| 02713ZZ | Dilation of Coronary Artery, Two Arteries, Percutaneous Approach |
| 02714Z6 | Dilation of Coronary Artery, Two Arteries, Bifurcation, Percutaneous Endoscopic Approach |
| 02714ZZ | Dilation of Coronary Artery, Two Arteries, Percutaneous Endoscopic Approach |
| 02723Z6 | Dilation of Coronary Artery, Three Arteries, Bifurcation, Percutaneous Approach |
| 02723ZZ | Dilation of Coronary Artery, Three Arteries, Percutaneous Approach |
| 02724Z6 | Dilation of Coronary Artery, Three Arteries, Bifurcation, Percutaneous Endoscopic Approach |
| 02724ZZ | Dilation of Coronary Artery, Three Arteries, Percutaneous Endoscopic Approach |
| 02733Z6 | Dilation of Coronary Artery, Four or More Arteries, Bifurcation, Percutaneous Approach |
| 02733ZZ | Dilation of Coronary Artery, Four or More Arteries, Percutaneous Approach |
| 02734Z6 | Dilation of Coronary Artery, Four or More Arteries, Bifurcation, Percutaneous Endoscopic Approach |
| 02734ZZ | Dilation of Coronary Artery, Four or More Arteries, Percutaneous Endoscopic Approach |
| 02C03Z6 | Extirpation of Matter from Coronary Artery, One Artery, Bifurcation, Percutaneous Approach |
| 02C03ZZ | Extirpation of Matter from Coronary Artery, One Artery, Percutaneous Approach |
| 02C04Z6 | Extirpation of Matter from Coronary Artery, One Artery, Bifurcation, Percutaneous Endoscopic Approach |
| 02C04ZZ | Extirpation of Matter from Coronary Artery, One Artery, Percutaneous Endoscopic Approach |
| 02C13Z6 | Extirpation of Matter from Coronary Artery, Two Arteries, Bifurcation, Percutaneous Approach |
| 02C13ZZ | Extirpation of Matter from Coronary Artery, Two Arteries, Percutaneous Approach |
| 02C14Z6 | Extirpation of Matter from Coronary Artery, Two Arteries, Bifurcation, Percutaneous Endoscopic Approach |
| 02C14ZZ | Extirpation of Matter from Coronary Artery, Two Arteries, Percutaneous Endoscopic Approach |
| 02C23Z6 | Extirpation of Matter from Coronary Artery, Three Arteries, Bifurcation, Percutaneous Approach |
| 02C23ZZ | Extirpation of Matter from Coronary Artery, Three Arteries, Percutaneous Approach |
| 02C24Z6 | Extirpation of Matter from Coronary Artery, Three Arteries, Bifurcation, Percutaneous Endoscopic Approach |
| 02C24ZZ | Extirpation of Matter from Coronary Artery, Three Arteries, Percutaneous Endoscopic Approach |
| 02C33Z6 | Extirpation of Matter from Coronary Artery, Four or More Arteries, Bifurcation, Percutaneous Approach |
| 02C33ZZ | Extirpation of Matter from Coronary Artery, Four or More Arteries, Percutaneous Approach |
| 02C34Z6 | Extirpation of Matter from Coronary Artery, Four or More Arteries, Bifurcation, Percutaneous Endoscopic Approach |
| 02C34ZZ | Extirpation of Matter from Coronary Artery, Four or More Arteries, Percutaneous Endoscopic Approach |
| 02FP3Z0 | Fragmentation of Pulmonary Trunk, Percutaneous Approach, Ultrasonic |
| 02FP3ZZ | Fragmentation of Pulmonary Trunk, Percutaneous Approach |
| 02FQ3Z0 | Fragmentation of Right Pulmonary Artery, Percutaneous Approach, Ultrasonic |
| 02FQ3ZZ | Fragmentation of Right Pulmonary Artery, Percutaneous Approach |
| 02FR3Z0 | Fragmentation of Left Pulmonary Artery, Percutaneous Approach, Ultrasonic |
| 02FR3ZZ | Fragmentation of Left Pulmonary Artery, Percutaneous Approach |
| 02FS3Z0 | Fragmentation of Right Pulmonary Vein, Percutaneous Approach, Ultrasonic |
| 02FS3ZZ | Fragmentation of Right Pulmonary Vein, Percutaneous Approach |
| 02FT3Z0 | Fragmentation of Left Pulmonary Vein, Percutaneous Approach, Ultrasonic |
| 02FT3ZZ | Fragmentation of Left Pulmonary Vein, Percutaneous Approach |
| 02U037Z | Supplement Coronary Artery, One Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 02U038Z | Supplement Coronary Artery, One Artery with Zooplastic Tissue, Percutaneous Approach |
| 02U03JZ | Supplement Coronary Artery, One Artery with Synthetic Substitute, Percutaneous Approach |
| 02U03KZ | Supplement Coronary Artery, One Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 02U137Z | Supplement Coronary Artery, Two Arteries with Autologous Tissue Substitute, Percutaneous Approach |
| 02U138Z | Supplement Coronary Artery, Two Arteries with Zooplastic Tissue, Percutaneous Approach |
| 02U13JZ | Supplement Coronary Artery, Two Arteries with Synthetic Substitute, Percutaneous Approach |
| 02U13KZ | Supplement Coronary Artery, Two Arteries with Nonautologous Tissue Substitute, Percutaneous Approach |
| 02U237Z | Supplement Coronary Artery, Three Arteries with Autologous Tissue Substitute, Percutaneous Approach |
| 02U238Z | Supplement Coronary Artery, Three Arteries with Zooplastic Tissue, Percutaneous Approach |
| 02U23JZ | Supplement Coronary Artery, Three Arteries with Synthetic Substitute, Percutaneous Approach |
| 02U23KZ | Supplement Coronary Artery, Three Arteries with Nonautologous Tissue Substitute, Percutaneous Approach |
| 02U337Z | Supplement Coronary Artery, Four or More Arteries with Autologous Tissue Substitute, Percutaneous Approach |
| 02U338Z | Supplement Coronary Artery, Four or More Arteries with Zooplastic Tissue, Percutaneous Approach |
| 02U33JZ | Supplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Percutaneous Approach |
| 02U33KZ | Supplement Coronary Artery, Four or More Arteries with Nonautologous Tissue Substitute, Percutaneous Approach |
| X2C0361 | Extirpation of Matter from Coronary Artery, One Artery using Orbital Atherectomy Technology, Percutaneous Approach, New Technology Group 1 |
| X2C1361 | Extirpation of Matter from Coronary Artery, Two Arteries using Orbital Atherectomy Technology, Percutaneous Approach, New Technology Group 1 |
| X2C2361 | Extirpation of Matter from Coronary Artery, Three Arteries using Orbital Atherectomy Technology, Percutaneous Approach, New Technology Group 1 |
| X2C3361 | Extirpation of Matter from Coronary Artery, Four or More Arteries using Orbital Atherectomy Technology, Percutaneous Approach, New Technology Group 1 |
OR NON-OPERATING ROOM PROCEDURES
| 02570ZK* | Destruction of Left Atrial Appendage, Open Approach |
| 02B70ZK* | Excision of Left Atrial Appendage, Open Approach |
| 02K80ZZ* | Map Conduction Mechanism, Open Approach |
| 02U73JZ* | Supplement Left Atrium with Synthetic Substitute, Percutaneous Approach |
| 02U74JZ* | Supplement Left Atrium with Synthetic Substitute, Percutaneous Endoscopic Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 17 Sep 2020 09:49:17 CMS, code-revision=275, description-revision=1286 |