ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual
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Procedure Cluster/MS-DRG Index
Page 25 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
0SRS01Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPB0EZ08466-468Revision of hip or knee replacement
    
0SRE01908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPB0EZ08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE01A08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS0JA08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB03908466-468Revision of hip or knee replacement
    
0SRE0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPB0EZ08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE00A08466-468Revision of hip or knee replacement
    
0SRS01908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPB0EZ08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS01A08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB0JA08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A08466-468Revision of hip or knee replacement
    
0SPC0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J908466-468Revision of hip or knee replacement
    
0SRT0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0EZ08466-468Revision of hip or knee replacement
    
0SRC06A08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0EZ08466-468Revision of hip or knee replacement
    
0SRC0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0EZ08466-468Revision of hip or knee replacement
    
0SPC0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC06908466-468Revision of hip or knee replacement
    
0SRC06Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0EZ08466-468Revision of hip or knee replacement
    
0SRV0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0EZ08466-468Revision of hip or knee replacement
    
0SRC0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0EZ08466-468Revision of hip or knee replacement
    
0SRT0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0EZ08466-468Revision of hip or knee replacement
    
0SRV0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0EZ08466-468Revision of hip or knee replacement
    
0SRV0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0EZ08466-468Revision of hip or knee replacement
    
0SRC0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0EZ08466-468Revision of hip or knee replacement
    
0SRC06A08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0LZ08466-468Revision of hip or knee replacement
    
0SRC06Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0LZ08466-468Revision of hip or knee replacement
    
0SRV0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0LZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRV0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0LZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRC0LA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0LZ08466-468Revision of hip or knee replacement
    
0SPC0LZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ08466-468Revision of hip or knee replacement
    
0SPC0LZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRC0LZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0LZ08466-468Revision of hip or knee replacement
    
0SPC0LZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ08466-468Revision of hip or knee replacement
    
0SRC0L908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0LZ08466-468Revision of hip or knee replacement
    
0SRT0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0LZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRV0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0LZ08466-468Revision of hip or knee replacement
    
0SRC0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0LZ08466-468Revision of hip or knee replacement
    
0SPC0LZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC06908466-468Revision of hip or knee replacement
    
0SRC0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0LZ08466-468Revision of hip or knee replacement
    
0SPC0MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A08466-468Revision of hip or knee replacement
    
0SRC06Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0MZ08466-468Revision of hip or knee replacement
    
0SPC0MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRV0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0MZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRC0LA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0MZ08466-468Revision of hip or knee replacement
    
0SPC0MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ08466-468Revision of hip or knee replacement
    
0SPC0MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC0MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0LZ08466-468Revision of hip or knee replacement
    
0SPC0MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ08466-468Revision of hip or knee replacement
    
0SPC0MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0L908466-468Revision of hip or knee replacement
    
0SPC0MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRV0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0MZ08466-468Revision of hip or knee replacement
    
0SRC0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0MZ08466-468Revision of hip or knee replacement
    
0SPC0MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC06908466-468Revision of hip or knee replacement
    
0SPC0MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J908466-468Revision of hip or knee replacement
    
0SPC0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A08466-468Revision of hip or knee replacement
    
0SRC06Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0NZ08466-468Revision of hip or knee replacement
    
0SPC0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRV0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0NZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRC0LA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0NZ08466-468Revision of hip or knee replacement
    
0SPC0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ08466-468Revision of hip or knee replacement
    
0SPC0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0LZ08466-468Revision of hip or knee replacement
    
0SPC0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ08466-468Revision of hip or knee replacement
    
0SPC0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0L908466-468Revision of hip or knee replacement
    
0SRT0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0NZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRV0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0NZ08466-468Revision of hip or knee replacement
    
0SRC0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0NZ08466-468Revision of hip or knee replacement
    
0SPC0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC06908466-468Revision of hip or knee replacement
    
0SPC0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J908466-468Revision of hip or knee replacement
    
0SRC0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
    
0SRC0LA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
    
0SRC06A08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
    
0SRC0LZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
    
0SRC0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
    
0SRV0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRV0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRC06Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
    
0SRC0L908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
    
0SRC0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
    
0SRT0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRT0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRT0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
    
0SRC06908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
    
0SRV0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
    
0SRC0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4MZ08466-468Revision of hip or knee replacement
    
0SRC0LA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4MZ08466-468Revision of hip or knee replacement
    
0SRC06A08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4MZ08466-468Revision of hip or knee replacement
    
0SPC4MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0LZ08466-468Revision of hip or knee replacement
    
0SPC4MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ08466-468Revision of hip or knee replacement
    
0SRV0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4MZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRV0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4MZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRC06Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4MZ08466-468Revision of hip or knee replacement
    
0SPC4MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0L908466-468Revision of hip or knee replacement
    
0SPC4MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J908466-468Revision of hip or knee replacement
    
0SPC4MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRT0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4MZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC4MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ08466-468Revision of hip or knee replacement
    
0SPC4MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC06908466-468Revision of hip or knee replacement
    
0SRV0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4MZ08466-468Revision of hip or knee replacement
    
0SRC0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4NZ08466-468Revision of hip or knee replacement
    
0SRC0LA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4NZ08466-468Revision of hip or knee replacement
    
0SRC06A08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4NZ08466-468Revision of hip or knee replacement
    
0SPC4NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0LZ08466-468Revision of hip or knee replacement
    
0SPC4NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ08466-468Revision of hip or knee replacement
    
0SRV0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4NZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRV0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4NZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRC06Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4NZ08466-468Revision of hip or knee replacement
    
0SRC0L908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4NZ08466-468Revision of hip or knee replacement
    
0SPC4NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J908466-468Revision of hip or knee replacement
    
0SPC4NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRT0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4NZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC4NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ08466-468Revision of hip or knee replacement
    
0SPC4NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC06908466-468Revision of hip or knee replacement
    
0SRV0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4NZ08466-468Revision of hip or knee replacement
    
0SPD0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ08466-468Revision of hip or knee replacement
    
0SRD0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0EZ08466-468Revision of hip or knee replacement
    
0SRW0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0EZ08466-468Revision of hip or knee replacement
    
0SPD0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J908466-468Revision of hip or knee replacement
    
0SPD0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z08466-468Revision of hip or knee replacement
    
0SRU0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0EZ08466-468Revision of hip or knee replacement
    
0SRU0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0EZ08466-468Revision of hip or knee replacement
    
0SRD0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0EZ08466-468Revision of hip or knee replacement
    
0SRW0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0EZ08466-468Revision of hip or knee replacement
    
0SPD0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD06908466-468Revision of hip or knee replacement
    
0SRU0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0EZ08466-468Revision of hip or knee replacement
    
0SRD06A08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0EZ08466-468Revision of hip or knee replacement
    
0SPD0LZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0LZ08466-468Revision of hip or knee replacement
    



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