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

Procedure Cluster/MS-DRG Index

Page 18 of 28

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CODE COMBINATION	MDC	MS-DRG	SURGICAL CATEGORY
0SPR0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPR4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPA0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPA4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPR0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPR4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPA0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPA4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPR0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPR4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPE0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPE4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPS0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPS4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPE0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPE4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPS0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPS4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPE0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPE4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPS0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPS4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPC0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPC09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPC08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPC38Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPC48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPC0JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPC4JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPC0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPC09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPC08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPC38Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPC48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPC0JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPC4JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPC0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPC09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPC08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPC38Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPC48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPC0JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPC4JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPD09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPD08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPD38Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPD48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPD0JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPD4JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPD09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPD08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPD38Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPD48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPD0JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPD4JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z	08	466-468	Revision of hip or knee replacement

0SPD09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

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