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

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Procedure Cluster/MS-DRG Index
Page 1 of 28
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
CODE COMBINATIONMDCMS-DRGSURGICAL CATEGORY
02HK0KZ05222-227Cardiac defibrillator implant
and 0JH609Z   
    
02HK3KZ05222-227Cardiac defibrillator implant
and 0JH609Z   
    
02HK4KZ05222-227Cardiac defibrillator implant
and 0JH609Z   
    
02HL0KZ05222-227Cardiac defibrillator implant
and 0JH609Z   
    
02HL3KZ05222-227Cardiac defibrillator implant
and 0JH609Z   
    
02HL4KZ05222-227Cardiac defibrillator implant
and 0JH609Z   
    
02HK0KZ05222-227Cardiac defibrillator implant
and 0JH639Z   
    
02HK3KZ05222-227Cardiac defibrillator implant
and 0JH639Z   
    
02HK4KZ05222-227Cardiac defibrillator implant
and 0JH639Z   
    
02HL0KZ05222-227Cardiac defibrillator implant
and 0JH639Z   
    
02HL3KZ05222-227Cardiac defibrillator implant
and 0JH639Z   
    
02HL4KZ05222-227Cardiac defibrillator implant
and 0JH639Z   
    
02HK0KZ05222-227Cardiac defibrillator implant
and 0JH809Z   
    
02HK3KZ05222-227Cardiac defibrillator implant
and 0JH809Z   
    
02HK4KZ05222-227Cardiac defibrillator implant
and 0JH809Z   
    
02HL0KZ05222-227Cardiac defibrillator implant
and 0JH809Z   
    
02HL3KZ05222-227Cardiac defibrillator implant
and 0JH809Z   
    
02HL4KZ05222-227Cardiac defibrillator implant
and 0JH809Z   
    
02HK0KZ05222-227Cardiac defibrillator implant
and 0JH839Z   
    
02HK3KZ05222-227Cardiac defibrillator implant
and 0JH839Z   
    
02HK4KZ05222-227Cardiac defibrillator implant
and 0JH839Z   
    
02HL0KZ05222-227Cardiac defibrillator implant
and 0JH839Z   
    
02HL3KZ05222-227Cardiac defibrillator implant
and 0JH839Z   
    
02HL4KZ05222-227Cardiac defibrillator implant
and 0JH839Z   
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB01908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB01A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB01Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB02908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB02A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB02Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB03908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB03A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB03Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE00908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE00A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE00Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE01908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE01A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE01Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE03908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE03A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE03Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS01908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS01A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS01Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS03908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS03A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS03Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J908466-468Revision of hip or knee replacement
    
0SPC4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J908466-468Revision of hip or knee replacement
    
0SPC0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA08466-468Revision of hip or knee replacement
    
0SPC4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA08466-468Revision of hip or knee replacement
    
0SPC0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ08466-468Revision of hip or knee replacement
    
0SPC4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ08466-468Revision of hip or knee replacement
    
0SPD0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J908466-468Revision of hip or knee replacement
    
0SPD4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J908466-468Revision of hip or knee replacement
    
0SPD0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA08466-468Revision of hip or knee replacement
    
0SPD4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA08466-468Revision of hip or knee replacement
    
0SPD0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ08466-468Revision of hip or knee replacement
    
0SPD4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ08466-468Revision of hip or knee replacement
    
0SPC0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JZ08466-468Revision of hip or knee replacement
    
0SPC0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ08466-468Revision of hip or knee replacement
    
0SPD0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JZ08466-468Revision of hip or knee replacement
    
0SPC09Z08485-489Knee procedures
and 0SUV09Z   
    
0SPD09Z08485-489Knee procedures
and 0SUW09Z   
    
02H60KZ05222-227Cardiac defibrillator implant
and 0JH608Z   
    
02H63KZ05222-227Cardiac defibrillator implant
and 0JH608Z   
    
02H64KZ05222-227Cardiac defibrillator implant
and 0JH608Z   
    
02H70KZ05222-227Cardiac defibrillator implant
and 0JH608Z   
    
02H73KZ05222-227Cardiac defibrillator implant
and 0JH608Z   
    



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