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 shoulder or elbow joint procedures
Page 2 of 2

OPERATING ROOM PROCEDURES (continued)

0M914ZZ 0RUM4KZ

0RUM4KZSupplement Left Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RWE00ZRevision of Drainage Device in Right Sternoclavicular Joint, Open Approach
0RWE03ZRevision of Infusion Device in Right Sternoclavicular Joint, Open Approach
0RWE04ZRevision of Internal Fixation Device in Right Sternoclavicular Joint, Open Approach
0RWE07ZRevision of Autologous Tissue Substitute in Right Sternoclavicular Joint, Open Approach
0RWE08ZRevision of Spacer in Right Sternoclavicular Joint, Open Approach
0RWE0JZRevision of Synthetic Substitute in Right Sternoclavicular Joint, Open Approach
0RWE0KZRevision of Nonautologous Tissue Substitute in Right Sternoclavicular Joint, Open Approach
0RWE30ZRevision of Drainage Device in Right Sternoclavicular Joint, Percutaneous Approach
0RWE33ZRevision of Infusion Device in Right Sternoclavicular Joint, Percutaneous Approach
0RWE34ZRevision of Internal Fixation Device in Right Sternoclavicular Joint, Percutaneous Approach
0RWE37ZRevision of Autologous Tissue Substitute in Right Sternoclavicular Joint, Percutaneous Approach
0RWE38ZRevision of Spacer in Right Sternoclavicular Joint, Percutaneous Approach
0RWE3JZRevision of Synthetic Substitute in Right Sternoclavicular Joint, Percutaneous Approach
0RWE3KZRevision of Nonautologous Tissue Substitute in Right Sternoclavicular Joint, Percutaneous Approach
0RWE40ZRevision of Drainage Device in Right Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RWE43ZRevision of Infusion Device in Right Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RWE44ZRevision of Internal Fixation Device in Right Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RWE47ZRevision of Autologous Tissue Substitute in Right Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RWE48ZRevision of Spacer in Right Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RWE4JZRevision of Synthetic Substitute in Right Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RWE4KZRevision of Nonautologous Tissue Substitute in Right Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RWF00ZRevision of Drainage Device in Left Sternoclavicular Joint, Open Approach
0RWF03ZRevision of Infusion Device in Left Sternoclavicular Joint, Open Approach
0RWF04ZRevision of Internal Fixation Device in Left Sternoclavicular Joint, Open Approach
0RWF07ZRevision of Autologous Tissue Substitute in Left Sternoclavicular Joint, Open Approach
0RWF08ZRevision of Spacer in Left Sternoclavicular Joint, Open Approach
0RWF0JZRevision of Synthetic Substitute in Left Sternoclavicular Joint, Open Approach
0RWF0KZRevision of Nonautologous Tissue Substitute in Left Sternoclavicular Joint, Open Approach
0RWF30ZRevision of Drainage Device in Left Sternoclavicular Joint, Percutaneous Approach
0RWF33ZRevision of Infusion Device in Left Sternoclavicular Joint, Percutaneous Approach
0RWF34ZRevision of Internal Fixation Device in Left Sternoclavicular Joint, Percutaneous Approach
0RWF37ZRevision of Autologous Tissue Substitute in Left Sternoclavicular Joint, Percutaneous Approach
0RWF38ZRevision of Spacer in Left Sternoclavicular Joint, Percutaneous Approach
0RWF3JZRevision of Synthetic Substitute in Left Sternoclavicular Joint, Percutaneous Approach
0RWF3KZRevision of Nonautologous Tissue Substitute in Left Sternoclavicular Joint, Percutaneous Approach
0RWF40ZRevision of Drainage Device in Left Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RWF43ZRevision of Infusion Device in Left Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RWF44ZRevision of Internal Fixation Device in Left Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RWF47ZRevision of Autologous Tissue Substitute in Left Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RWF48ZRevision of Spacer in Left Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RWF4JZRevision of Synthetic Substitute in Left Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RWF4KZRevision of Nonautologous Tissue Substitute in Left Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RWG00ZRevision of Drainage Device in Right Acromioclavicular Joint, Open Approach
0RWG03ZRevision of Infusion Device in Right Acromioclavicular Joint, Open Approach
0RWG04ZRevision of Internal Fixation Device in Right Acromioclavicular Joint, Open Approach
0RWG07ZRevision of Autologous Tissue Substitute in Right Acromioclavicular Joint, Open Approach
0RWG08ZRevision of Spacer in Right Acromioclavicular Joint, Open Approach
0RWG0KZRevision of Nonautologous Tissue Substitute in Right Acromioclavicular Joint, Open Approach
0RWG30ZRevision of Drainage Device in Right Acromioclavicular Joint, Percutaneous Approach
0RWG33ZRevision of Infusion Device in Right Acromioclavicular Joint, Percutaneous Approach
0RWG34ZRevision of Internal Fixation Device in Right Acromioclavicular Joint, Percutaneous Approach
0RWG37ZRevision of Autologous Tissue Substitute in Right Acromioclavicular Joint, Percutaneous Approach
0RWG38ZRevision of Spacer in Right Acromioclavicular Joint, Percutaneous Approach
0RWG3KZRevision of Nonautologous Tissue Substitute in Right Acromioclavicular Joint, Percutaneous Approach
0RWG40ZRevision of Drainage Device in Right Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RWG43ZRevision of Infusion Device in Right Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RWG44ZRevision of Internal Fixation Device in Right Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RWG47ZRevision of Autologous Tissue Substitute in Right Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RWG48ZRevision of Spacer in Right Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RWG4KZRevision of Nonautologous Tissue Substitute in Right Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RWH00ZRevision of Drainage Device in Left Acromioclavicular Joint, Open Approach
0RWH03ZRevision of Infusion Device in Left Acromioclavicular Joint, Open Approach
0RWH04ZRevision of Internal Fixation Device in Left Acromioclavicular Joint, Open Approach
0RWH07ZRevision of Autologous Tissue Substitute in Left Acromioclavicular Joint, Open Approach
0RWH08ZRevision of Spacer in Left Acromioclavicular Joint, Open Approach
0RWH0KZRevision of Nonautologous Tissue Substitute in Left Acromioclavicular Joint, Open Approach
0RWH30ZRevision of Drainage Device in Left Acromioclavicular Joint, Percutaneous Approach
0RWH33ZRevision of Infusion Device in Left Acromioclavicular Joint, Percutaneous Approach
0RWH34ZRevision of Internal Fixation Device in Left Acromioclavicular Joint, Percutaneous Approach
0RWH37ZRevision of Autologous Tissue Substitute in Left Acromioclavicular Joint, Percutaneous Approach
0RWH38ZRevision of Spacer in Left Acromioclavicular Joint, Percutaneous Approach
0RWH3KZRevision of Nonautologous Tissue Substitute in Left Acromioclavicular Joint, Percutaneous Approach
0RWH40ZRevision of Drainage Device in Left Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RWH43ZRevision of Infusion Device in Left Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RWH44ZRevision of Internal Fixation Device in Left Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RWH47ZRevision of Autologous Tissue Substitute in Left Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RWH48ZRevision of Spacer in Left Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RWH4KZRevision of Nonautologous Tissue Substitute in Left Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RWJ00ZRevision of Drainage Device in Right Shoulder Joint, Open Approach
0RWJ03ZRevision of Infusion Device in Right Shoulder Joint, Open Approach
0RWJ04ZRevision of Internal Fixation Device in Right Shoulder Joint, Open Approach
0RWJ07ZRevision of Autologous Tissue Substitute in Right Shoulder Joint, Open Approach
0RWJ08ZRevision of Spacer in Right Shoulder Joint, Open Approach
0RWJ0KZRevision of Nonautologous Tissue Substitute in Right Shoulder Joint, Open Approach
0RWJ30ZRevision of Drainage Device in Right Shoulder Joint, Percutaneous Approach
0RWJ33ZRevision of Infusion Device in Right Shoulder Joint, Percutaneous Approach
0RWJ34ZRevision of Internal Fixation Device in Right Shoulder Joint, Percutaneous Approach
0RWJ37ZRevision of Autologous Tissue Substitute in Right Shoulder Joint, Percutaneous Approach
0RWJ38ZRevision of Spacer in Right Shoulder Joint, Percutaneous Approach
0RWJ3KZRevision of Nonautologous Tissue Substitute in Right Shoulder Joint, Percutaneous Approach
0RWJ40ZRevision of Drainage Device in Right Shoulder Joint, Percutaneous Endoscopic Approach
0RWJ43ZRevision of Infusion Device in Right Shoulder Joint, Percutaneous Endoscopic Approach
0RWJ44ZRevision of Internal Fixation Device in Right Shoulder Joint, Percutaneous Endoscopic Approach
0RWJ47ZRevision of Autologous Tissue Substitute in Right Shoulder Joint, Percutaneous Endoscopic Approach
0RWJ48ZRevision of Spacer in Right Shoulder Joint, Percutaneous Endoscopic Approach
0RWJ4KZRevision of Nonautologous Tissue Substitute in Right Shoulder Joint, Percutaneous Endoscopic Approach
0RWK00ZRevision of Drainage Device in Left Shoulder Joint, Open Approach
0RWK03ZRevision of Infusion Device in Left Shoulder Joint, Open Approach
0RWK04ZRevision of Internal Fixation Device in Left Shoulder Joint, Open Approach
0RWK07ZRevision of Autologous Tissue Substitute in Left Shoulder Joint, Open Approach
0RWK08ZRevision of Spacer in Left Shoulder Joint, Open Approach
0RWK0KZRevision of Nonautologous Tissue Substitute in Left Shoulder Joint, Open Approach
0RWK30ZRevision of Drainage Device in Left Shoulder Joint, Percutaneous Approach
0RWK33ZRevision of Infusion Device in Left Shoulder Joint, Percutaneous Approach
0RWK34ZRevision of Internal Fixation Device in Left Shoulder Joint, Percutaneous Approach
0RWK37ZRevision of Autologous Tissue Substitute in Left Shoulder Joint, Percutaneous Approach
0RWK38ZRevision of Spacer in Left Shoulder Joint, Percutaneous Approach
0RWK3KZRevision of Nonautologous Tissue Substitute in Left Shoulder Joint, Percutaneous Approach
0RWK40ZRevision of Drainage Device in Left Shoulder Joint, Percutaneous Endoscopic Approach
0RWK43ZRevision of Infusion Device in Left Shoulder Joint, Percutaneous Endoscopic Approach
0RWK44ZRevision of Internal Fixation Device in Left Shoulder Joint, Percutaneous Endoscopic Approach
0RWK47ZRevision of Autologous Tissue Substitute in Left Shoulder Joint, Percutaneous Endoscopic Approach
0RWK48ZRevision of Spacer in Left Shoulder Joint, Percutaneous Endoscopic Approach
0RWK4KZRevision of Nonautologous Tissue Substitute in Left Shoulder Joint, Percutaneous Endoscopic Approach
0RWL00ZRevision of Drainage Device in Right Elbow Joint, Open Approach
0RWL03ZRevision of Infusion Device in Right Elbow Joint, Open Approach
0RWL04ZRevision of Internal Fixation Device in Right Elbow Joint, Open Approach
0RWL05ZRevision of External Fixation Device in Right Elbow Joint, Open Approach
0RWL07ZRevision of Autologous Tissue Substitute in Right Elbow Joint, Open Approach
0RWL08ZRevision of Spacer in Right Elbow Joint, Open Approach
0RWL0KZRevision of Nonautologous Tissue Substitute in Right Elbow Joint, Open Approach
0RWL30ZRevision of Drainage Device in Right Elbow Joint, Percutaneous Approach
0RWL33ZRevision of Infusion Device in Right Elbow Joint, Percutaneous Approach
0RWL34ZRevision of Internal Fixation Device in Right Elbow Joint, Percutaneous Approach
0RWL35ZRevision of External Fixation Device in Right Elbow Joint, Percutaneous Approach
0RWL37ZRevision of Autologous Tissue Substitute in Right Elbow Joint, Percutaneous Approach
0RWL38ZRevision of Spacer in Right Elbow Joint, Percutaneous Approach
0RWL3KZRevision of Nonautologous Tissue Substitute in Right Elbow Joint, Percutaneous Approach
0RWL40ZRevision of Drainage Device in Right Elbow Joint, Percutaneous Endoscopic Approach
0RWL43ZRevision of Infusion Device in Right Elbow Joint, Percutaneous Endoscopic Approach
0RWL44ZRevision of Internal Fixation Device in Right Elbow Joint, Percutaneous Endoscopic Approach
0RWL45ZRevision of External Fixation Device in Right Elbow Joint, Percutaneous Endoscopic Approach
0RWL47ZRevision of Autologous Tissue Substitute in Right Elbow Joint, Percutaneous Endoscopic Approach
0RWL48ZRevision of Spacer in Right Elbow Joint, Percutaneous Endoscopic Approach
0RWL4KZRevision of Nonautologous Tissue Substitute in Right Elbow Joint, Percutaneous Endoscopic Approach
0RWM00ZRevision of Drainage Device in Left Elbow Joint, Open Approach
0RWM03ZRevision of Infusion Device in Left Elbow Joint, Open Approach
0RWM04ZRevision of Internal Fixation Device in Left Elbow Joint, Open Approach
0RWM05ZRevision of External Fixation Device in Left Elbow Joint, Open Approach
0RWM07ZRevision of Autologous Tissue Substitute in Left Elbow Joint, Open Approach
0RWM08ZRevision of Spacer in Left Elbow Joint, Open Approach
0RWM0KZRevision of Nonautologous Tissue Substitute in Left Elbow Joint, Open Approach
0RWM30ZRevision of Drainage Device in Left Elbow Joint, Percutaneous Approach
0RWM33ZRevision of Infusion Device in Left Elbow Joint, Percutaneous Approach
0RWM34ZRevision of Internal Fixation Device in Left Elbow Joint, Percutaneous Approach
0RWM35ZRevision of External Fixation Device in Left Elbow Joint, Percutaneous Approach
0RWM37ZRevision of Autologous Tissue Substitute in Left Elbow Joint, Percutaneous Approach
0RWM38ZRevision of Spacer in Left Elbow Joint, Percutaneous Approach
0RWM3KZRevision of Nonautologous Tissue Substitute in Left Elbow Joint, Percutaneous Approach
0RWM40ZRevision of Drainage Device in Left Elbow Joint, Percutaneous Endoscopic Approach
0RWM43ZRevision of Infusion Device in Left Elbow Joint, Percutaneous Endoscopic Approach
0RWM44ZRevision of Internal Fixation Device in Left Elbow Joint, Percutaneous Endoscopic Approach
0RWM45ZRevision of External Fixation Device in Left Elbow Joint, Percutaneous Endoscopic Approach
0RWM47ZRevision of Autologous Tissue Substitute in Left Elbow Joint, Percutaneous Endoscopic Approach
0RWM48ZRevision of Spacer in Left Elbow Joint, Percutaneous Endoscopic Approach
0RWM4KZRevision of Nonautologous Tissue Substitute in Left Elbow Joint, Percutaneous Endoscopic 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