ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual
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Procedure Cluster/MS-DRG Index
Page 12 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
0SPC38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ08466-468Revision of hip or knee replacement
    
0SPC38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J908466-468Revision of hip or knee replacement
    
0SPC38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA08466-468Revision of hip or knee replacement
    
0SPC38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JZ08466-468Revision of hip or knee replacement
    
0SPC48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J908466-468Revision of hip or knee replacement
    
0SPC48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA08466-468Revision of hip or knee replacement
    
0SPC48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ08466-468Revision of hip or knee replacement
    
0SPC48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J908466-468Revision of hip or knee replacement
    
0SPC48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA08466-468Revision of hip or knee replacement
    
0SPC48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ08466-468Revision of hip or knee replacement
    
0SPC48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J908466-468Revision of hip or knee replacement
    
0SPC48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA08466-468Revision of hip or knee replacement
    
0SPC48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JZ08466-468Revision of hip or knee replacement
    
0SPC4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ08466-468Revision of hip or knee replacement
    
0SPC4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JZ08466-468Revision of hip or knee replacement
    
0SPD08Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J908466-468Revision of hip or knee replacement
    
0SPD08Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA08466-468Revision of hip or knee replacement
    
0SPD08Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ08466-468Revision of hip or knee replacement
    
0SPD08Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA08466-468Revision of hip or knee replacement
    
0SPD08Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J908466-468Revision of hip or knee replacement
    
0SPD08Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JZ08466-468Revision of hip or knee replacement
    
0SPD08Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J908466-468Revision of hip or knee replacement
    
0SPD08Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA08466-468Revision of hip or knee replacement
    
0SPD08Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ08466-468Revision of hip or knee replacement
    
0SPD38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J908466-468Revision of hip or knee replacement
    
0SPD38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA08466-468Revision of hip or knee replacement
    
0SPD38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ08466-468Revision of hip or knee replacement
    
0SPD38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA08466-468Revision of hip or knee replacement
    
0SPD38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J908466-468Revision of hip or knee replacement
    
0SPD38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JZ08466-468Revision of hip or knee replacement
    
0SPD38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J908466-468Revision of hip or knee replacement
    
0SPD38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA08466-468Revision of hip or knee replacement
    
0SPD38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ08466-468Revision of hip or knee replacement
    
0SPD48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J908466-468Revision of hip or knee replacement
    
0SPD48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA08466-468Revision of hip or knee replacement
    
0SPD48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ08466-468Revision of hip or knee replacement
    
0SPD48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA08466-468Revision of hip or knee replacement
    
0SPD48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J908466-468Revision of hip or knee replacement
    
0SPD48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JZ08466-468Revision of hip or knee replacement
    
0SPD48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J908466-468Revision of hip or knee replacement
    
0SPD48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA08466-468Revision of hip or knee replacement
    
0SPD48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ08466-468Revision of hip or knee replacement
    
0SPD4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JZ08466-468Revision of hip or knee replacement
    
02RK0JZPRE001-002Heart transplant or implant of heart assist system
and 02RL0JZ   
    
0JH60BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH60CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH60DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH60EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH63BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH63CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH63DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH63EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH70BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH70CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH70DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH70EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH73BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH73CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH73DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH73EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH80BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH80CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH80DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH80EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH83BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH83CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH83DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH83EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H00MZ   
    
0JH60BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH60CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH60DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH60EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH63BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH63CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH63DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH63EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH70BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH70CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH70DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH70EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH73BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH73CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH73DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH73EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH80BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH80CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH80DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH80EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH83BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH83CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH83DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH83EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H03MZ   
    
0JH60BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH60CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH60DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH60EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH63BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH63CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH63DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH63EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH70BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH70CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH70DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH70EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH73BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH73CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH73DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH73EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH80BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH80CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH80DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH80EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH83BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH83CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH83DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH83EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H04MZ   
    
0JH60BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH60CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH60DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH60EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH63BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH63CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH63DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH63EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH70BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH70CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH70DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH70EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH73BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH73CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH73DZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH73EZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH80BZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    
0JH80CZ01041Peripheral, cranial nerve and other nervous system procedures
and 05H30MZ   
    



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
17 Sep 2020 09:49:17
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