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 09 Diseases and disorders of the skin, subcutaneous tissue and breast |
| Mastectomy for malignancy |
| CC or MCC | DRG |
|---|---|
| Yes | 582 |
| No | 583 |
DRG 582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC
DRG 583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC
OPERATING ROOM PROCEDURES
| 0H0V0JZ | Alteration of Bilateral Breast with Synthetic Substitute, Open Approach |
| 0HBT0ZZ | Excision of Right Breast, Open Approach |
| 0HBT3ZZ | Excision of Right Breast, Percutaneous Approach |
| 0HBU0ZZ | Excision of Left Breast, Open Approach |
| 0HBU3ZZ | Excision of Left Breast, Percutaneous Approach |
| 0HBV0ZZ | Excision of Bilateral Breast, Open Approach |
| 0HBV3ZZ | Excision of Bilateral Breast, Percutaneous Approach |
| 0HRT075 | Replacement of Right Breast using Latissimus Dorsi Myocutaneous Flap, Open Approach |
| 0HRT076 | Replacement of Right Breast using Transverse Rectus Abdominis Myocutaneous Flap, Open Approach |
| 0HRT077 | Replacement of Right Breast using Deep Inferior Epigastric Artery Perforator Flap, Open Approach |
| 0HRT078 | Replacement of Right Breast using Superficial Inferior Epigastric Artery Flap, Open Approach |
| 0HRT079 | Replacement of Right Breast using Gluteal Artery Perforator Flap, Open Approach |
| 0HRT07Z | Replacement of Right Breast with Autologous Tissue Substitute, Open Approach |
| 0HRT0JZ | Replacement of Right Breast with Synthetic Substitute, Open Approach |
| 0HRT0KZ | Replacement of Right Breast with Nonautologous Tissue Substitute, Open Approach |
| 0HRT3JZ | Replacement of Right Breast with Synthetic Substitute, Percutaneous Approach |
| 0HRU075 | Replacement of Left Breast using Latissimus Dorsi Myocutaneous Flap, Open Approach |
| 0HRU076 | Replacement of Left Breast using Transverse Rectus Abdominis Myocutaneous Flap, Open Approach |
| 0HRU077 | Replacement of Left Breast using Deep Inferior Epigastric Artery Perforator Flap, Open Approach |
| 0HRU078 | Replacement of Left Breast using Superficial Inferior Epigastric Artery Flap, Open Approach |
| 0HRU079 | Replacement of Left Breast using Gluteal Artery Perforator Flap, Open Approach |
| 0HRU07Z | Replacement of Left Breast with Autologous Tissue Substitute, Open Approach |
| 0HRU0JZ | Replacement of Left Breast with Synthetic Substitute, Open Approach |
| 0HRU0KZ | Replacement of Left Breast with Nonautologous Tissue Substitute, Open Approach |
| 0HRU3JZ | Replacement of Left Breast with Synthetic Substitute, Percutaneous Approach |
| 0HRV075 | Replacement of Bilateral Breast using Latissimus Dorsi Myocutaneous Flap, Open Approach |
| 0HRV076 | Replacement of Bilateral Breast using Transverse Rectus Abdominis Myocutaneous Flap, Open Approach |
| 0HRV077 | Replacement of Bilateral Breast using Deep Inferior Epigastric Artery Perforator Flap, Open Approach |
| 0HRV078 | Replacement of Bilateral Breast using Superficial Inferior Epigastric Artery Flap, Open Approach |
| 0HRV079 | Replacement of Bilateral Breast using Gluteal Artery Perforator Flap, Open Approach |
| 0HRV0JZ | Replacement of Bilateral Breast with Synthetic Substitute, Open Approach |
| 0HRV3JZ | Replacement of Bilateral Breast with Synthetic Substitute, Percutaneous Approach |
| 0HTT0ZZ | Resection of Right Breast, Open Approach |
| 0HTU0ZZ | Resection of Left Breast, Open Approach |
| 0HTV0ZZ | Resection of Bilateral Breast, Open Approach |
| 0KXF0Z5 | Transfer Right Trunk Muscle, Latissimus Dorsi Myocutaneous Flap, Open Approach |
| 0KXF0Z7 | Transfer Right Trunk Muscle, Deep Inferior Epigastric Artery Perforator Flap, Open Approach |
| 0KXF0Z8 | Transfer Right Trunk Muscle, Superficial Inferior Epigastric Artery Flap, Open Approach |
| 0KXF0Z9 | Transfer Right Trunk Muscle, Gluteal Artery Perforator Flap, Open Approach |
| 0KXF4Z5 | Transfer Right Trunk Muscle, Latissimus Dorsi Myocutaneous Flap, Percutaneous Endoscopic Approach |
| 0KXF4Z7 | Transfer Right Trunk Muscle, Deep Inferior Epigastric Artery Perforator Flap, Percutaneous Endoscopic Approach |
| 0KXF4Z8 | Transfer Right Trunk Muscle, Superficial Inferior Epigastric Artery Flap, Percutaneous Endoscopic Approach |
| 0KXF4Z9 | Transfer Right Trunk Muscle, Gluteal Artery Perforator Flap, Percutaneous Endoscopic Approach |
| 0KXG0Z5 | Transfer Left Trunk Muscle, Latissimus Dorsi Myocutaneous Flap, Open Approach |
| 0KXG0Z7 | Transfer Left Trunk Muscle, Deep Inferior Epigastric Artery Perforator Flap, Open Approach |
| 0KXG0Z8 | Transfer Left Trunk Muscle, Superficial Inferior Epigastric Artery Flap, Open Approach |
| 0KXG0Z9 | Transfer Left Trunk Muscle, Gluteal Artery Perforator Flap, Open Approach |
| 0KXG4Z5 | Transfer Left Trunk Muscle, Latissimus Dorsi Myocutaneous Flap, Percutaneous Endoscopic Approach |
| 0KXG4Z7 | Transfer Left Trunk Muscle, Deep Inferior Epigastric Artery Perforator Flap, Percutaneous Endoscopic Approach |
| 0KXG4Z8 | Transfer Left Trunk Muscle, Superficial Inferior Epigastric Artery Flap, Percutaneous Endoscopic Approach |
| 0KXG4Z9 | Transfer Left Trunk Muscle, Gluteal Artery Perforator Flap, Percutaneous Endoscopic Approach |
| 0KXK0Z6 | Transfer Right Abdomen Muscle, Transverse Rectus Abdominis Myocutaneous Flap, Open Approach |
| 0KXK4Z6 | Transfer Right Abdomen Muscle, Transverse Rectus Abdominis Myocutaneous Flap, Percutaneous Endoscopic Approach |
| 0KXL0Z6 | Transfer Left Abdomen Muscle, Transverse Rectus Abdominis Myocutaneous Flap, Open Approach |
| 0KXL4Z6 | Transfer Left Abdomen Muscle, Transverse Rectus Abdominis Myocutaneous Flap, Percutaneous Endoscopic Approach |
| 07T50ZZ | Resection of Right Axillary Lymphatic, Open Approach |
| with 0HTT0ZZ | Resection of Right Breast, Open Approach |
| 07T60ZZ | Resection of Left Axillary Lymphatic, Open Approach |
| with 0HTU0ZZ | Resection of Left Breast, Open Approach |
| 07T50ZZ | Resection of Right Axillary Lymphatic, Open Approach |
| with 07T60ZZ | Resection of Left Axillary Lymphatic, Open Approach |
| with 0HTV0ZZ | Resection of Bilateral Breast, Open Approach |
| 07T50ZZ | Resection of Right Axillary Lymphatic, Open Approach |
| with 0HTT0ZZ | Resection of Right Breast, Open Approach |
| with 0KTH0ZZ | Resection of Right Thorax Muscle, Open Approach |
| 07T60ZZ | Resection of Left Axillary Lymphatic, Open Approach |
| with 0HTU0ZZ | Resection of Left Breast, Open Approach |
| with 0KTJ0ZZ | Resection of Left Thorax Muscle, Open Approach |
| 07T50ZZ | Resection of Right Axillary Lymphatic, Open Approach |
| with 07T60ZZ | Resection of Left Axillary Lymphatic, Open Approach |
| with 0HTV0ZZ | Resection of Bilateral Breast, Open Approach |
| with 0KTH0ZZ | Resection of Right Thorax Muscle, Open Approach |
| with 0KTJ0ZZ | Resection of Left Thorax Muscle, Open Approach |
| 07T50ZZ | Resection of Right Axillary Lymphatic, Open Approach |
| with 07T70ZZ | Resection of Thorax Lymphatic, Open Approach |
| with 07T80ZZ | Resection of Right Internal Mammary Lymphatic, Open Approach |
| with 0HTT0ZZ | Resection of Right Breast, Open Approach |
| with 0KTH0ZZ | Resection of Right Thorax Muscle, Open Approach |
| 07T60ZZ | Resection of Left Axillary Lymphatic, Open Approach |
| with 07T70ZZ | Resection of Thorax Lymphatic, Open Approach |
| with 07T90ZZ | Resection of Left Internal Mammary Lymphatic, Open Approach |
| with 0HTU0ZZ | Resection of Left Breast, Open Approach |
| with 0KTJ0ZZ | Resection of Left Thorax Muscle, Open Approach |
| 07T50ZZ | Resection of Right Axillary Lymphatic, Open Approach |
| with 07T60ZZ | Resection of Left Axillary Lymphatic, Open Approach |
| with 07T70ZZ | Resection of Thorax Lymphatic, Open Approach |
| with 07T80ZZ | Resection of Right Internal Mammary Lymphatic, Open Approach |
| with 07T90ZZ | Resection of Left Internal Mammary Lymphatic, Open Approach |
| with 0HTV0ZZ | Resection of Bilateral Breast, Open Approach |
| with 0KTH0ZZ | Resection of Right Thorax Muscle, Open Approach |
| with 0KTJ0ZZ | Resection of Left Thorax Muscle, Open Approach |
PRINCIPAL OR SECONDARY DIAGNOSIS
| C50011 | Malignant neoplasm of nipple and areola, right female breast |
| C50012 | Malignant neoplasm of nipple and areola, left female breast |
| C50019 | Malignant neoplasm of nipple and areola, unspecified female breast |
| C50021 | Malignant neoplasm of nipple and areola, right male breast |
| C50022 | Malignant neoplasm of nipple and areola, left male breast |
| C50029 | Malignant neoplasm of nipple and areola, unspecified male breast |
| C50111 | Malignant neoplasm of central portion of right female breast |
| C50112 | Malignant neoplasm of central portion of left female breast |
| C50119 | Malignant neoplasm of central portion of unspecified female breast |
| C50121 | Malignant neoplasm of central portion of right male breast |
| C50122 | Malignant neoplasm of central portion of left male breast |
| C50129 | Malignant neoplasm of central portion of unspecified male breast |
| C50211 | Malignant neoplasm of upper-inner quadrant of right female breast |
| C50212 | Malignant neoplasm of upper-inner quadrant of left female breast |
| C50219 | Malignant neoplasm of upper-inner quadrant of unspecified female breast |
| C50221 | Malignant neoplasm of upper-inner quadrant of right male breast |
| C50222 | Malignant neoplasm of upper-inner quadrant of left male breast |
| C50229 | Malignant neoplasm of upper-inner quadrant of unspecified male breast |
| C50311 | Malignant neoplasm of lower-inner quadrant of right female breast |
| C50312 | Malignant neoplasm of lower-inner quadrant of left female breast |
| C50319 | Malignant neoplasm of lower-inner quadrant of unspecified female breast |
| C50321 | Malignant neoplasm of lower-inner quadrant of right male breast |
| C50322 | Malignant neoplasm of lower-inner quadrant of left male breast |
| C50329 | Malignant neoplasm of lower-inner quadrant of unspecified male breast |
| C50411 | Malignant neoplasm of upper-outer quadrant of right female breast |
| C50412 | Malignant neoplasm of upper-outer quadrant of left female breast |
| C50419 | Malignant neoplasm of upper-outer quadrant of unspecified female breast |
| C50421 | Malignant neoplasm of upper-outer quadrant of right male breast |
| C50422 | Malignant neoplasm of upper-outer quadrant of left male breast |
| C50429 | Malignant neoplasm of upper-outer quadrant of unspecified male breast |
| C50511 | Malignant neoplasm of lower-outer quadrant of right female breast |
| C50512 | Malignant neoplasm of lower-outer quadrant of left female breast |
| C50519 | Malignant neoplasm of lower-outer quadrant of unspecified female breast |
| C50521 | Malignant neoplasm of lower-outer quadrant of right male breast |
| C50522 | Malignant neoplasm of lower-outer quadrant of left male breast |
| C50529 | Malignant neoplasm of lower-outer quadrant of unspecified male breast |
| C50611 | Malignant neoplasm of axillary tail of right female breast |
| C50612 | Malignant neoplasm of axillary tail of left female breast |
| C50619 | Malignant neoplasm of axillary tail of unspecified female breast |
| C50621 | Malignant neoplasm of axillary tail of right male breast |
| C50622 | Malignant neoplasm of axillary tail of left male breast |
| C50629 | Malignant neoplasm of axillary tail of unspecified male breast |
| C50811 | Malignant neoplasm of overlapping sites of right female breast |
| C50812 | Malignant neoplasm of overlapping sites of left female breast |
| C50819 | Malignant neoplasm of overlapping sites of unspecified female breast |
| C50821 | Malignant neoplasm of overlapping sites of right male breast |
| C50822 | Malignant neoplasm of overlapping sites of left male breast |
| C50829 | Malignant neoplasm of overlapping sites of unspecified male breast |
| C50911 | Malignant neoplasm of unspecified site of right female breast |
| C50912 | Malignant neoplasm of unspecified site of left female breast |
| C50919 | Malignant neoplasm of unspecified site of unspecified female breast |
| C50921 | Malignant neoplasm of unspecified site of right male breast |
| C50922 | Malignant neoplasm of unspecified site of left male breast |
| C50929 | Malignant neoplasm of unspecified site of unspecified male breast |
| C792 | Secondary malignant neoplasm of skin |
| C7981 | Secondary malignant neoplasm of breast |
| D0500 | Lobular carcinoma in situ of unspecified breast |
| D0501 | Lobular carcinoma in situ of right breast |
| D0502 | Lobular carcinoma in situ of left breast |
| D0510 | Intraductal carcinoma in situ of unspecified breast |
| D0511 | Intraductal carcinoma in situ of right breast |
| D0512 | Intraductal carcinoma in situ of left breast |
| D0580 | Other specified type of carcinoma in situ of unspecified breast |
| D0581 | Other specified type of carcinoma in situ of right breast |
| D0582 | Other specified type of carcinoma in situ of left breast |
| D0590 | Unspecified type of carcinoma in situ of unspecified breast |
| D0591 | Unspecified type of carcinoma in situ of right breast |
| D0592 | Unspecified type of carcinoma in situ of left breast |
| D4860 | Neoplasm of uncertain behavior of unspecified breast |
| D4861 | Neoplasm of uncertain behavior of right breast |
| D4862 | Neoplasm of uncertain behavior of left breast |
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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 |