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

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MDC 08 Diseases and disorders of the musculoskeletal system and connective tissue
Major hip and knee joint replacement or reattachment of lower extremity
MCC Total Ankle Replacement DRG
Yes n/a 469
Yes 469
No No 470

DRG 469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT

DRG 470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

OPERATING ROOM PROCEDURES

0SR9019Replacement of Right Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach
0SR901AReplacement of Right Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach
0SR901ZReplacement of Right Hip Joint with Metal Synthetic Substitute, Open Approach
0SR9029Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SR902AReplacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SR902ZReplacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach
0SR9039Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach
0SR903AReplacement of Right Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SR903ZReplacement of Right Hip Joint with Ceramic Synthetic Substitute, Open Approach
0SR9049Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SR904AReplacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SR904ZReplacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach
0SR9069Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SR906AReplacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SR906ZReplacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach
0SR907ZReplacement of Right Hip Joint with Autologous Tissue Substitute, Open Approach
0SR90J9Replacement of Right Hip Joint with Synthetic Substitute, Cemented, Open Approach
0SR90JAReplacement of Right Hip Joint with Synthetic Substitute, Uncemented, Open Approach
0SR90JZReplacement of Right Hip Joint with Synthetic Substitute, Open Approach
0SR90KZReplacement of Right Hip Joint with Nonautologous Tissue Substitute, Open Approach
0SRA009Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRA00AReplacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRA00ZReplacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach
0SRA019Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach
0SRA01AReplacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach
0SRA01ZReplacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach
0SRA039Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRA03AReplacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRA03ZReplacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach
0SRA07ZReplacement of Right Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach
0SRA0J9Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach
0SRA0JAReplacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach
0SRA0JZReplacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach
0SRA0KZReplacement of Right Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach
0SRB019Replacement of Left Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach
0SRB01AReplacement of Left Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach
0SRB01ZReplacement of Left Hip Joint with Metal Synthetic Substitute, Open Approach
0SRB029Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRB02AReplacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRB02ZReplacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach
0SRB039Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRB03AReplacement of Left Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRB03ZReplacement of Left Hip Joint with Ceramic Synthetic Substitute, Open Approach
0SRB049Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRB04AReplacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRB04ZReplacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach
0SRB069Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRB06AReplacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRB06ZReplacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach
0SRB07ZReplacement of Left Hip Joint with Autologous Tissue Substitute, Open Approach
0SRB0J9Replacement of Left Hip Joint with Synthetic Substitute, Cemented, Open Approach
0SRB0JAReplacement of Left Hip Joint with Synthetic Substitute, Uncemented, Open Approach
0SRB0JZReplacement of Left Hip Joint with Synthetic Substitute, Open Approach
0SRB0KZReplacement of Left Hip Joint with Nonautologous Tissue Substitute, Open Approach
0SRC069Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRC06AReplacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRC06ZReplacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach
0SRC07ZReplacement of Right Knee Joint with Autologous Tissue Substitute, Open Approach
0SRC0J9Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach
0SRC0JAReplacement of Right Knee Joint with Synthetic Substitute, Uncemented, Open Approach
0SRC0JZReplacement of Right Knee Joint with Synthetic Substitute, Open Approach
0SRC0KZReplacement of Right Knee Joint with Nonautologous Tissue Substitute, Open Approach
0SRC0L9Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach
0SRC0LAReplacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach
0SRC0LZReplacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Open Approach
0SRC0M9Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach
0SRC0MAReplacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach
0SRC0MZReplacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach
0SRC0N9Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
0SRC0NAReplacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SRC0NZReplacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
0SRD069Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRD06AReplacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRD06ZReplacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach
0SRD07ZReplacement of Left Knee Joint with Autologous Tissue Substitute, Open Approach
0SRD0J9Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach
0SRD0JAReplacement of Left Knee Joint with Synthetic Substitute, Uncemented, Open Approach
0SRD0JZReplacement of Left Knee Joint with Synthetic Substitute, Open Approach
0SRD0KZReplacement of Left Knee Joint with Nonautologous Tissue Substitute, Open Approach
0SRD0L9Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach
0SRD0LAReplacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach
0SRD0LZReplacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Open Approach
0SRD0M9Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach
0SRD0MAReplacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach
0SRD0MZReplacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach
0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
0SRE009Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRE00AReplacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRE00ZReplacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach
0SRE019Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach
0SRE01AReplacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach
0SRE01ZReplacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach
0SRE039Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRE03AReplacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRE03ZReplacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach
0SRE07ZReplacement of Left Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach
0SRE0J9Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach
0SRE0JAReplacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach
0SRE0JZReplacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach
0SRE0KZReplacement of Left Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach
0SRF07ZReplacement of Right Ankle Joint with Autologous Tissue Substitute, Open Approach
0SRF0KZReplacement of Right Ankle Joint with Nonautologous Tissue Substitute, Open Approach
0SRG07ZReplacement of Left Ankle Joint with Autologous Tissue Substitute, Open Approach
0SRG0KZReplacement of Left Ankle Joint with Nonautologous Tissue Substitute, Open Approach
0SRR019Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach
0SRR01AReplacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach
0SRR01ZReplacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach
0SRR039Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRR03AReplacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRR03ZReplacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach
0SRR07ZReplacement of Right Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
0SRR0J9Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach
0SRR0JAReplacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
0SRR0JZReplacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach
0SRR0KZReplacement of Right Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
0SRS019Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach
0SRS01AReplacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach
0SRS01ZReplacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach
0SRS039Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRS03AReplacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRS03ZReplacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach
0SRS07ZReplacement of Left Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
0SRS0J9Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach
0SRS0JAReplacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
0SRS0JZReplacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach
0SRS0KZReplacement of Left Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
0SRT07ZReplacement of Right Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
0SRT0J9Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach
0SRT0JAReplacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
0SRT0JZReplacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach
0SRT0KZReplacement of Right Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
0SRU07ZReplacement of Left Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
0SRU0J9Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach
0SRU0JAReplacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
0SRU0JZReplacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach
0SRU0KZReplacement of Left Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
0SRV07ZReplacement of Right Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach
0SRV0J9Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach
0SRV0JAReplacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach
0SRV0JZReplacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach
0SRV0KZReplacement of Right Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach
0SRW07ZReplacement of Left Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach
0SRW0J9Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach
0SRW0JAReplacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach
0SRW0JZReplacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach
0SRW0KZReplacement of Left Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach
0SU90BZSupplement Right Hip Joint with Resurfacing Device, Open Approach
0SUA0BZSupplement Right Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach
0SUB0BZSupplement Left Hip Joint with Resurfacing Device, Open Approach
0SUE0BZSupplement Left Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach
0SUR0BZSupplement Right Hip Joint, Femoral Surface with Resurfacing Device, Open Approach
0SUS0BZSupplement Left Hip Joint, Femoral Surface with Resurfacing Device, Open Approach
0YM70ZZReattachment of Right Femoral Region, Open Approach
0YM80ZZReattachment of Left Femoral Region, Open Approach
0YMC0ZZReattachment of Right Upper Leg, Open Approach
0YMD0ZZReattachment of Left Upper Leg, Open Approach
0YMF0ZZReattachment of Right Knee Region, Open Approach
0YMG0ZZReattachment of Left Knee Region, Open Approach
0YMH0ZZReattachment of Right Lower Leg, Open Approach
0YMJ0ZZReattachment of Left Lower Leg, Open Approach
0YMK0ZZReattachment of Right Ankle Region, Open Approach
0YML0ZZReattachment of Left Ankle Region, Open Approach
0YMM0ZZReattachment of Right Foot, Open Approach
0YMN0ZZReattachment of Left Foot, Open Approach

TOTAL ANKLE REPLACEMENT

0SRF0J9Replacement of Right Ankle Joint with Synthetic Substitute, Cemented, Open Approach
0SRF0JAReplacement of Right Ankle Joint with Synthetic Substitute, Uncemented, Open Approach
0SRF0JZReplacement of Right Ankle Joint with Synthetic Substitute, Open Approach
0SRG0J9Replacement of Left Ankle Joint with Synthetic Substitute, Cemented, Open Approach
0SRG0JAReplacement of Left Ankle Joint with Synthetic Substitute, Uncemented, Open Approach
0SRG0JZReplacement of Left Ankle Joint with Synthetic Substitute, Open 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