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
Revision of hip or knee replacement
Page 5 of 5

OPERATING ROOM PROCEDURES (continued)

0SPA0JZ Clusters Clusters Clusters Clusters

0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPU4JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
  with 0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPD09ZRemoval of Liner from Left Knee Joint, Open Approach
0SPW4JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
  with 0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPD38ZRemoval of Spacer from Left Knee Joint, Percutaneous Approach
0SPD0JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Open Approach
  with 0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPW0JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, 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