ICD-10-CM/PCS MS-DRG v38.1 Definitions Manual

MDC 08 Diseases and disorders of the musculoskeletal system and connective tissue

Other musculoskeletal system and connective tissue O.R. procedures

Page 1 of 12

MCC	CC	DRG
Yes	n/a	515
No	Yes	516
No	No	517

DRG 515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC

DRG 516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC

DRG 517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC

OPERATING ROOM PROCEDURES

008F0ZZ 01Q93ZZ 047A36Z 090K4KZ 0MUK0JZ 0NSR04Z 0PQ14ZZ 0Q8S3ZZ 0RC33ZZ 0RW444Z 0SU33KZ 0W3K4ZZ

008F0ZZ	Division of Olfactory Nerve, Open Approach
008F3ZZ	Division of Olfactory Nerve, Percutaneous Approach
008F4ZZ	Division of Olfactory Nerve, Percutaneous Endoscopic Approach
008G0ZZ	Division of Optic Nerve, Open Approach
008G3ZZ	Division of Optic Nerve, Percutaneous Approach
008G4ZZ	Division of Optic Nerve, Percutaneous Endoscopic Approach
008H0ZZ	Division of Oculomotor Nerve, Open Approach
008H3ZZ	Division of Oculomotor Nerve, Percutaneous Approach
008H4ZZ	Division of Oculomotor Nerve, Percutaneous Endoscopic Approach
008J0ZZ	Division of Trochlear Nerve, Open Approach
008J3ZZ	Division of Trochlear Nerve, Percutaneous Approach
008J4ZZ	Division of Trochlear Nerve, Percutaneous Endoscopic Approach
008L0ZZ	Division of Abducens Nerve, Open Approach
008L3ZZ	Division of Abducens Nerve, Percutaneous Approach
008L4ZZ	Division of Abducens Nerve, Percutaneous Endoscopic Approach
008M0ZZ	Division of Facial Nerve, Open Approach
008M3ZZ	Division of Facial Nerve, Percutaneous Approach
008M4ZZ	Division of Facial Nerve, Percutaneous Endoscopic Approach
008N0ZZ	Division of Acoustic Nerve, Open Approach
008N3ZZ	Division of Acoustic Nerve, Percutaneous Approach
008N4ZZ	Division of Acoustic Nerve, Percutaneous Endoscopic Approach
008R0ZZ	Division of Accessory Nerve, Open Approach
008R3ZZ	Division of Accessory Nerve, Percutaneous Approach
008R4ZZ	Division of Accessory Nerve, Percutaneous Endoscopic Approach
008S0ZZ	Division of Hypoglossal Nerve, Open Approach
008S3ZZ	Division of Hypoglossal Nerve, Percutaneous Approach
008S4ZZ	Division of Hypoglossal Nerve, Percutaneous Endoscopic Approach
009F0ZX	Drainage of Olfactory Nerve, Open Approach, Diagnostic
009G0ZX	Drainage of Optic Nerve, Open Approach, Diagnostic
009H0ZX	Drainage of Oculomotor Nerve, Open Approach, Diagnostic
009J0ZX	Drainage of Trochlear Nerve, Open Approach, Diagnostic
009K0ZX	Drainage of Trigeminal Nerve, Open Approach, Diagnostic
009L0ZX	Drainage of Abducens Nerve, Open Approach, Diagnostic
009M0ZX	Drainage of Facial Nerve, Open Approach, Diagnostic
009N0ZX	Drainage of Acoustic Nerve, Open Approach, Diagnostic
009P0ZX	Drainage of Glossopharyngeal Nerve, Open Approach, Diagnostic
009Q0ZX	Drainage of Vagus Nerve, Open Approach, Diagnostic
009R0ZX	Drainage of Accessory Nerve, Open Approach, Diagnostic
009S0ZX	Drainage of Hypoglossal Nerve, Open Approach, Diagnostic
00BF0ZX	Excision of Olfactory Nerve, Open Approach, Diagnostic
00BF0ZZ	Excision of Olfactory Nerve, Open Approach
00BF3ZZ	Excision of Olfactory Nerve, Percutaneous Approach
00BF4ZZ	Excision of Olfactory Nerve, Percutaneous Endoscopic Approach
00BG0ZX	Excision of Optic Nerve, Open Approach, Diagnostic
00BG0ZZ	Excision of Optic Nerve, Open Approach
00BG3ZZ	Excision of Optic Nerve, Percutaneous Approach
00BG4ZZ	Excision of Optic Nerve, Percutaneous Endoscopic Approach
00BH0ZX	Excision of Oculomotor Nerve, Open Approach, Diagnostic
00BH0ZZ	Excision of Oculomotor Nerve, Open Approach
00BH3ZZ	Excision of Oculomotor Nerve, Percutaneous Approach
00BH4ZZ	Excision of Oculomotor Nerve, Percutaneous Endoscopic Approach
00BJ0ZX	Excision of Trochlear Nerve, Open Approach, Diagnostic
00BJ0ZZ	Excision of Trochlear Nerve, Open Approach
00BJ3ZZ	Excision of Trochlear Nerve, Percutaneous Approach
00BJ4ZZ	Excision of Trochlear Nerve, Percutaneous Endoscopic Approach
00BK0ZX	Excision of Trigeminal Nerve, Open Approach, Diagnostic
00BK0ZZ	Excision of Trigeminal Nerve, Open Approach
00BK3ZZ	Excision of Trigeminal Nerve, Percutaneous Approach
00BK4ZZ	Excision of Trigeminal Nerve, Percutaneous Endoscopic Approach
00BL0ZX	Excision of Abducens Nerve, Open Approach, Diagnostic
00BL0ZZ	Excision of Abducens Nerve, Open Approach
00BL3ZZ	Excision of Abducens Nerve, Percutaneous Approach
00BL4ZZ	Excision of Abducens Nerve, Percutaneous Endoscopic Approach
00BM0ZX	Excision of Facial Nerve, Open Approach, Diagnostic
00BM0ZZ	Excision of Facial Nerve, Open Approach
00BM3ZZ	Excision of Facial Nerve, Percutaneous Approach
00BM4ZZ	Excision of Facial Nerve, Percutaneous Endoscopic Approach
00BN0ZX	Excision of Acoustic Nerve, Open Approach, Diagnostic
00BN3ZZ	Excision of Acoustic Nerve, Percutaneous Approach
00BN4ZZ	Excision of Acoustic Nerve, Percutaneous Endoscopic Approach
00BP0ZX	Excision of Glossopharyngeal Nerve, Open Approach, Diagnostic
00BP0ZZ	Excision of Glossopharyngeal Nerve, Open Approach
00BP3ZZ	Excision of Glossopharyngeal Nerve, Percutaneous Approach
00BP4ZZ	Excision of Glossopharyngeal Nerve, Percutaneous Endoscopic Approach
00BQ0ZX	Excision of Vagus Nerve, Open Approach, Diagnostic
00BQ0ZZ	Excision of Vagus Nerve, Open Approach
00BQ3ZZ	Excision of Vagus Nerve, Percutaneous Approach
00BQ4ZZ	Excision of Vagus Nerve, Percutaneous Endoscopic Approach
00BR0ZX	Excision of Accessory Nerve, Open Approach, Diagnostic
00BR0ZZ	Excision of Accessory Nerve, Open Approach
00BR3ZZ	Excision of Accessory Nerve, Percutaneous Approach
00BR4ZZ	Excision of Accessory Nerve, Percutaneous Endoscopic Approach
00BS0ZX	Excision of Hypoglossal Nerve, Open Approach, Diagnostic
00BS0ZZ	Excision of Hypoglossal Nerve, Open Approach
00BS3ZZ	Excision of Hypoglossal Nerve, Percutaneous Approach
00BS4ZZ	Excision of Hypoglossal Nerve, Percutaneous Endoscopic Approach
00DF0ZZ	Extraction of Olfactory Nerve, Open Approach
00DF3ZZ	Extraction of Olfactory Nerve, Percutaneous Approach
00DF4ZZ	Extraction of Olfactory Nerve, Percutaneous Endoscopic Approach
00DG0ZZ	Extraction of Optic Nerve, Open Approach
00DG3ZZ	Extraction of Optic Nerve, Percutaneous Approach
00DG4ZZ	Extraction of Optic Nerve, Percutaneous Endoscopic Approach
00DH0ZZ	Extraction of Oculomotor Nerve, Open Approach
00DH3ZZ	Extraction of Oculomotor Nerve, Percutaneous Approach
00DH4ZZ	Extraction of Oculomotor Nerve, Percutaneous Endoscopic Approach
00DJ0ZZ	Extraction of Trochlear Nerve, Open Approach
00DJ3ZZ	Extraction of Trochlear Nerve, Percutaneous Approach
00DJ4ZZ	Extraction of Trochlear Nerve, Percutaneous Endoscopic Approach
00DK0ZZ	Extraction of Trigeminal Nerve, Open Approach
00DK3ZZ	Extraction of Trigeminal Nerve, Percutaneous Approach
00DK4ZZ	Extraction of Trigeminal Nerve, Percutaneous Endoscopic Approach
00DL0ZZ	Extraction of Abducens Nerve, Open Approach
00DL3ZZ	Extraction of Abducens Nerve, Percutaneous Approach
00DL4ZZ	Extraction of Abducens Nerve, Percutaneous Endoscopic Approach
00DM0ZZ	Extraction of Facial Nerve, Open Approach
00DM3ZZ	Extraction of Facial Nerve, Percutaneous Approach
00DM4ZZ	Extraction of Facial Nerve, Percutaneous Endoscopic Approach
00DN0ZZ	Extraction of Acoustic Nerve, Open Approach
00DN3ZZ	Extraction of Acoustic Nerve, Percutaneous Approach
00DN4ZZ	Extraction of Acoustic Nerve, Percutaneous Endoscopic Approach
00DP0ZZ	Extraction of Glossopharyngeal Nerve, Open Approach
00DP3ZZ	Extraction of Glossopharyngeal Nerve, Percutaneous Approach
00DP4ZZ	Extraction of Glossopharyngeal Nerve, Percutaneous Endoscopic Approach
00DQ0ZZ	Extraction of Vagus Nerve, Open Approach
00DQ3ZZ	Extraction of Vagus Nerve, Percutaneous Approach
00DQ4ZZ	Extraction of Vagus Nerve, Percutaneous Endoscopic Approach
00DR0ZZ	Extraction of Accessory Nerve, Open Approach
00DR3ZZ	Extraction of Accessory Nerve, Percutaneous Approach
00DR4ZZ	Extraction of Accessory Nerve, Percutaneous Endoscopic Approach
00DS0ZZ	Extraction of Hypoglossal Nerve, Open Approach
00DS3ZZ	Extraction of Hypoglossal Nerve, Percutaneous Approach
00DS4ZZ	Extraction of Hypoglossal Nerve, Percutaneous Endoscopic Approach
00HE0MZ	Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach
00HE3MZ	Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach
00HE4MZ	Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach
00PE0MZ	Removal of Neurostimulator Lead from Cranial Nerve, Open Approach
00PE3MZ	Removal of Neurostimulator Lead from Cranial Nerve, Percutaneous Approach
00PE4MZ	Removal of Neurostimulator Lead from Cranial Nerve, Percutaneous Endoscopic Approach
01800ZZ	Division of Cervical Plexus, Open Approach
01803ZZ	Division of Cervical Plexus, Percutaneous Approach
01804ZZ	Division of Cervical Plexus, Percutaneous Endoscopic Approach
01820ZZ	Division of Phrenic Nerve, Open Approach
01823ZZ	Division of Phrenic Nerve, Percutaneous Approach
01824ZZ	Division of Phrenic Nerve, Percutaneous Endoscopic Approach
01830ZZ	Division of Brachial Plexus, Open Approach
01833ZZ	Division of Brachial Plexus, Percutaneous Approach
01834ZZ	Division of Brachial Plexus, Percutaneous Endoscopic Approach
01840ZZ	Division of Ulnar Nerve, Open Approach
01843ZZ	Division of Ulnar Nerve, Percutaneous Approach
01844ZZ	Division of Ulnar Nerve, Percutaneous Endoscopic Approach
01850ZZ	Division of Median Nerve, Open Approach
01853ZZ	Division of Median Nerve, Percutaneous Approach
01854ZZ	Division of Median Nerve, Percutaneous Endoscopic Approach
01860ZZ	Division of Radial Nerve, Open Approach
01863ZZ	Division of Radial Nerve, Percutaneous Approach
01864ZZ	Division of Radial Nerve, Percutaneous Endoscopic Approach
01890ZZ	Division of Lumbar Plexus, Open Approach
01893ZZ	Division of Lumbar Plexus, Percutaneous Approach
01894ZZ	Division of Lumbar Plexus, Percutaneous Endoscopic Approach
018A0ZZ	Division of Lumbosacral Plexus, Open Approach
018A3ZZ	Division of Lumbosacral Plexus, Percutaneous Approach
018A4ZZ	Division of Lumbosacral Plexus, Percutaneous Endoscopic Approach
018C0ZZ	Division of Pudendal Nerve, Open Approach
018C3ZZ	Division of Pudendal Nerve, Percutaneous Approach
018C4ZZ	Division of Pudendal Nerve, Percutaneous Endoscopic Approach
018D0ZZ	Division of Femoral Nerve, Open Approach
018D3ZZ	Division of Femoral Nerve, Percutaneous Approach
018D4ZZ	Division of Femoral Nerve, Percutaneous Endoscopic Approach
018F0ZZ	Division of Sciatic Nerve, Open Approach
018F3ZZ	Division of Sciatic Nerve, Percutaneous Approach
018F4ZZ	Division of Sciatic Nerve, Percutaneous Endoscopic Approach
018G0ZZ	Division of Tibial Nerve, Open Approach
018G3ZZ	Division of Tibial Nerve, Percutaneous Approach
018G4ZZ	Division of Tibial Nerve, Percutaneous Endoscopic Approach
018H0ZZ	Division of Peroneal Nerve, Open Approach
018H3ZZ	Division of Peroneal Nerve, Percutaneous Approach
018H4ZZ	Division of Peroneal Nerve, Percutaneous Endoscopic Approach
018Q0ZZ	Division of Sacral Plexus, Open Approach
018Q3ZZ	Division of Sacral Plexus, Percutaneous Approach
018Q4ZZ	Division of Sacral Plexus, Percutaneous Endoscopic Approach
01900ZX	Drainage of Cervical Plexus, Open Approach, Diagnostic
01910ZX	Drainage of Cervical Nerve, Open Approach, Diagnostic
01920ZX	Drainage of Phrenic Nerve, Open Approach, Diagnostic
01930ZX	Drainage of Brachial Plexus, Open Approach, Diagnostic
01940ZX	Drainage of Ulnar Nerve, Open Approach, Diagnostic
01950ZX	Drainage of Median Nerve, Open Approach, Diagnostic
01960ZX	Drainage of Radial Nerve, Open Approach, Diagnostic
01980ZX	Drainage of Thoracic Nerve, Open Approach, Diagnostic
01990ZX	Drainage of Lumbar Plexus, Open Approach, Diagnostic
019A0ZX	Drainage of Lumbosacral Plexus, Open Approach, Diagnostic
019B0ZX	Drainage of Lumbar Nerve, Open Approach, Diagnostic
019C0ZX	Drainage of Pudendal Nerve, Open Approach, Diagnostic
019D0ZX	Drainage of Femoral Nerve, Open Approach, Diagnostic
019F0ZX	Drainage of Sciatic Nerve, Open Approach, Diagnostic
019G0ZX	Drainage of Tibial Nerve, Open Approach, Diagnostic
019H0ZX	Drainage of Peroneal Nerve, Open Approach, Diagnostic
019Q0ZX	Drainage of Sacral Plexus, Open Approach, Diagnostic
019R0ZX	Drainage of Sacral Nerve, Open Approach, Diagnostic
01B00ZX	Excision of Cervical Plexus, Open Approach, Diagnostic
01B00ZZ	Excision of Cervical Plexus, Open Approach
01B03ZZ	Excision of Cervical Plexus, Percutaneous Approach
01B04ZZ	Excision of Cervical Plexus, Percutaneous Endoscopic Approach
01B10ZX	Excision of Cervical Nerve, Open Approach, Diagnostic
01B10ZZ	Excision of Cervical Nerve, Open Approach
01B13ZZ	Excision of Cervical Nerve, Percutaneous Approach
01B14ZZ	Excision of Cervical Nerve, Percutaneous Endoscopic Approach
01B20ZX	Excision of Phrenic Nerve, Open Approach, Diagnostic
01B20ZZ	Excision of Phrenic Nerve, Open Approach
01B23ZZ	Excision of Phrenic Nerve, Percutaneous Approach
01B24ZZ	Excision of Phrenic Nerve, Percutaneous Endoscopic Approach
01B30ZX	Excision of Brachial Plexus, Open Approach, Diagnostic
01B30ZZ	Excision of Brachial Plexus, Open Approach
01B33ZZ	Excision of Brachial Plexus, Percutaneous Approach
01B34ZZ	Excision of Brachial Plexus, Percutaneous Endoscopic Approach
01B40ZX	Excision of Ulnar Nerve, Open Approach, Diagnostic
01B40ZZ	Excision of Ulnar Nerve, Open Approach
01B43ZZ	Excision of Ulnar Nerve, Percutaneous Approach
01B44ZZ	Excision of Ulnar Nerve, Percutaneous Endoscopic Approach
01B50ZX	Excision of Median Nerve, Open Approach, Diagnostic
01B50ZZ	Excision of Median Nerve, Open Approach
01B53ZZ	Excision of Median Nerve, Percutaneous Approach
01B54ZZ	Excision of Median Nerve, Percutaneous Endoscopic Approach
01B60ZX	Excision of Radial Nerve, Open Approach, Diagnostic
01B60ZZ	Excision of Radial Nerve, Open Approach
01B63ZZ	Excision of Radial Nerve, Percutaneous Approach
01B64ZZ	Excision of Radial Nerve, Percutaneous Endoscopic Approach
01B80ZX	Excision of Thoracic Nerve, Open Approach, Diagnostic
01B80ZZ	Excision of Thoracic Nerve, Open Approach
01B83ZZ	Excision of Thoracic Nerve, Percutaneous Approach
01B84ZZ	Excision of Thoracic Nerve, Percutaneous Endoscopic Approach
01B90ZX	Excision of Lumbar Plexus, Open Approach, Diagnostic
01B90ZZ	Excision of Lumbar Plexus, Open Approach
01B93ZZ	Excision of Lumbar Plexus, Percutaneous Approach
01B94ZZ	Excision of Lumbar Plexus, Percutaneous Endoscopic Approach
01BA0ZX	Excision of Lumbosacral Plexus, Open Approach, Diagnostic
01BA0ZZ	Excision of Lumbosacral Plexus, Open Approach
01BA3ZZ	Excision of Lumbosacral Plexus, Percutaneous Approach
01BA4ZZ	Excision of Lumbosacral Plexus, Percutaneous Endoscopic Approach
01BB0ZX	Excision of Lumbar Nerve, Open Approach, Diagnostic
01BB0ZZ	Excision of Lumbar Nerve, Open Approach
01BB3ZZ	Excision of Lumbar Nerve, Percutaneous Approach
01BB4ZZ	Excision of Lumbar Nerve, Percutaneous Endoscopic Approach
01BC0ZX	Excision of Pudendal Nerve, Open Approach, Diagnostic
01BC0ZZ	Excision of Pudendal Nerve, Open Approach
01BC3ZZ	Excision of Pudendal Nerve, Percutaneous Approach
01BC4ZZ	Excision of Pudendal Nerve, Percutaneous Endoscopic Approach
01BD0ZX	Excision of Femoral Nerve, Open Approach, Diagnostic
01BD0ZZ	Excision of Femoral Nerve, Open Approach
01BD3ZZ	Excision of Femoral Nerve, Percutaneous Approach
01BD4ZZ	Excision of Femoral Nerve, Percutaneous Endoscopic Approach
01BF0ZX	Excision of Sciatic Nerve, Open Approach, Diagnostic
01BF0ZZ	Excision of Sciatic Nerve, Open Approach
01BF3ZZ	Excision of Sciatic Nerve, Percutaneous Approach
01BF4ZZ	Excision of Sciatic Nerve, Percutaneous Endoscopic Approach
01BG0ZX	Excision of Tibial Nerve, Open Approach, Diagnostic
01BG0ZZ	Excision of Tibial Nerve, Open Approach
01BG3ZZ	Excision of Tibial Nerve, Percutaneous Approach
01BG4ZZ	Excision of Tibial Nerve, Percutaneous Endoscopic Approach
01BH0ZX	Excision of Peroneal Nerve, Open Approach, Diagnostic
01BH0ZZ	Excision of Peroneal Nerve, Open Approach
01BH3ZZ	Excision of Peroneal Nerve, Percutaneous Approach
01BH4ZZ	Excision of Peroneal Nerve, Percutaneous Endoscopic Approach
01BQ0ZX	Excision of Sacral Plexus, Open Approach, Diagnostic
01BQ0ZZ	Excision of Sacral Plexus, Open Approach
01BQ3ZZ	Excision of Sacral Plexus, Percutaneous Approach
01BQ4ZZ	Excision of Sacral Plexus, Percutaneous Endoscopic Approach
01BR0ZX	Excision of Sacral Nerve, Open Approach, Diagnostic
01BR0ZZ	Excision of Sacral Nerve, Open Approach
01BR3ZZ	Excision of Sacral Nerve, Percutaneous Approach
01BR4ZZ	Excision of Sacral Nerve, Percutaneous Endoscopic Approach
01D00ZZ	Extraction of Cervical Plexus, Open Approach
01D03ZZ	Extraction of Cervical Plexus, Percutaneous Approach
01D04ZZ	Extraction of Cervical Plexus, Percutaneous Endoscopic Approach
01D10ZZ	Extraction of Cervical Nerve, Open Approach
01D13ZZ	Extraction of Cervical Nerve, Percutaneous Approach
01D14ZZ	Extraction of Cervical Nerve, Percutaneous Endoscopic Approach
01D20ZZ	Extraction of Phrenic Nerve, Open Approach
01D23ZZ	Extraction of Phrenic Nerve, Percutaneous Approach
01D24ZZ	Extraction of Phrenic Nerve, Percutaneous Endoscopic Approach
01D30ZZ	Extraction of Brachial Plexus, Open Approach
01D33ZZ	Extraction of Brachial Plexus, Percutaneous Approach
01D34ZZ	Extraction of Brachial Plexus, Percutaneous Endoscopic Approach
01D40ZZ	Extraction of Ulnar Nerve, Open Approach
01D43ZZ	Extraction of Ulnar Nerve, Percutaneous Approach
01D44ZZ	Extraction of Ulnar Nerve, Percutaneous Endoscopic Approach
01D50ZZ	Extraction of Median Nerve, Open Approach
01D53ZZ	Extraction of Median Nerve, Percutaneous Approach
01D54ZZ	Extraction of Median Nerve, Percutaneous Endoscopic Approach
01D60ZZ	Extraction of Radial Nerve, Open Approach
01D63ZZ	Extraction of Radial Nerve, Percutaneous Approach
01D64ZZ	Extraction of Radial Nerve, Percutaneous Endoscopic Approach
01D80ZZ	Extraction of Thoracic Nerve, Open Approach
01D83ZZ	Extraction of Thoracic Nerve, Percutaneous Approach
01D84ZZ	Extraction of Thoracic Nerve, Percutaneous Endoscopic Approach
01D90ZZ	Extraction of Lumbar Plexus, Open Approach
01D93ZZ	Extraction of Lumbar Plexus, Percutaneous Approach
01D94ZZ	Extraction of Lumbar Plexus, Percutaneous Endoscopic Approach
01DA0ZZ	Extraction of Lumbosacral Plexus, Open Approach
01DA3ZZ	Extraction of Lumbosacral Plexus, Percutaneous Approach
01DA4ZZ	Extraction of Lumbosacral Plexus, Percutaneous Endoscopic Approach
01DB0ZZ	Extraction of Lumbar Nerve, Open Approach
01DB3ZZ	Extraction of Lumbar Nerve, Percutaneous Approach
01DB4ZZ	Extraction of Lumbar Nerve, Percutaneous Endoscopic Approach
01DC0ZZ	Extraction of Pudendal Nerve, Open Approach
01DC3ZZ	Extraction of Pudendal Nerve, Percutaneous Approach
01DC4ZZ	Extraction of Pudendal Nerve, Percutaneous Endoscopic Approach
01DD0ZZ	Extraction of Femoral Nerve, Open Approach
01DD3ZZ	Extraction of Femoral Nerve, Percutaneous Approach
01DD4ZZ	Extraction of Femoral Nerve, Percutaneous Endoscopic Approach
01DF0ZZ	Extraction of Sciatic Nerve, Open Approach
01DF3ZZ	Extraction of Sciatic Nerve, Percutaneous Approach
01DF4ZZ	Extraction of Sciatic Nerve, Percutaneous Endoscopic Approach
01DG0ZZ	Extraction of Tibial Nerve, Open Approach
01DG3ZZ	Extraction of Tibial Nerve, Percutaneous Approach
01DG4ZZ	Extraction of Tibial Nerve, Percutaneous Endoscopic Approach
01DH0ZZ	Extraction of Peroneal Nerve, Open Approach
01DH3ZZ	Extraction of Peroneal Nerve, Percutaneous Approach
01DH4ZZ	Extraction of Peroneal Nerve, Percutaneous Endoscopic Approach
01DQ0ZZ	Extraction of Sacral Plexus, Open Approach
01DQ3ZZ	Extraction of Sacral Plexus, Percutaneous Approach
01DQ4ZZ	Extraction of Sacral Plexus, Percutaneous Endoscopic Approach
01DR0ZZ	Extraction of Sacral Nerve, Open Approach
01DR3ZZ	Extraction of Sacral Nerve, Percutaneous Approach
01DR4ZZ	Extraction of Sacral Nerve, Percutaneous Endoscopic Approach
01HY0MZ	Insertion of Neurostimulator Lead into Peripheral Nerve, Open Approach
01HY3MZ	Insertion of Neurostimulator Lead into Peripheral Nerve, Percutaneous Approach
01HY4MZ	Insertion of Neurostimulator Lead into Peripheral Nerve, Percutaneous Endoscopic Approach
01N00ZZ	Release Cervical Plexus, Open Approach
01N03ZZ	Release Cervical Plexus, Percutaneous Approach
01N04ZZ	Release Cervical Plexus, Percutaneous Endoscopic Approach
01N10ZZ	Release Cervical Nerve, Open Approach
01N13ZZ	Release Cervical Nerve, Percutaneous Approach
01N14ZZ	Release Cervical Nerve, Percutaneous Endoscopic Approach
01N20ZZ	Release Phrenic Nerve, Open Approach
01N23ZZ	Release Phrenic Nerve, Percutaneous Approach
01N24ZZ	Release Phrenic Nerve, Percutaneous Endoscopic Approach
01N30ZZ	Release Brachial Plexus, Open Approach
01N33ZZ	Release Brachial Plexus, Percutaneous Approach
01N34ZZ	Release Brachial Plexus, Percutaneous Endoscopic Approach
01N40ZZ	Release Ulnar Nerve, Open Approach
01N43ZZ	Release Ulnar Nerve, Percutaneous Approach
01N44ZZ	Release Ulnar Nerve, Percutaneous Endoscopic Approach
01N60ZZ	Release Radial Nerve, Open Approach
01N63ZZ	Release Radial Nerve, Percutaneous Approach
01N64ZZ	Release Radial Nerve, Percutaneous Endoscopic Approach
01N80ZZ	Release Thoracic Nerve, Open Approach
01N83ZZ	Release Thoracic Nerve, Percutaneous Approach
01N84ZZ	Release Thoracic Nerve, Percutaneous Endoscopic Approach
01N90ZZ	Release Lumbar Plexus, Open Approach
01N93ZZ	Release Lumbar Plexus, Percutaneous Approach
01N94ZZ	Release Lumbar Plexus, Percutaneous Endoscopic Approach
01NA0ZZ	Release Lumbosacral Plexus, Open Approach
01NA3ZZ	Release Lumbosacral Plexus, Percutaneous Approach
01NA4ZZ	Release Lumbosacral Plexus, Percutaneous Endoscopic Approach
01NB0ZZ	Release Lumbar Nerve, Open Approach
01NB3ZZ	Release Lumbar Nerve, Percutaneous Approach
01NB4ZZ	Release Lumbar Nerve, Percutaneous Endoscopic Approach
01NC0ZZ	Release Pudendal Nerve, Open Approach
01NC3ZZ	Release Pudendal Nerve, Percutaneous Approach
01NC4ZZ	Release Pudendal Nerve, Percutaneous Endoscopic Approach
01ND0ZZ	Release Femoral Nerve, Open Approach
01ND3ZZ	Release Femoral Nerve, Percutaneous Approach
01ND4ZZ	Release Femoral Nerve, Percutaneous Endoscopic Approach
01NF0ZZ	Release Sciatic Nerve, Open Approach
01NF3ZZ	Release Sciatic Nerve, Percutaneous Approach
01NF4ZZ	Release Sciatic Nerve, Percutaneous Endoscopic Approach
01NH0ZZ	Release Peroneal Nerve, Open Approach
01NH3ZZ	Release Peroneal Nerve, Percutaneous Approach
01NH4ZZ	Release Peroneal Nerve, Percutaneous Endoscopic Approach
01NQ0ZZ	Release Sacral Plexus, Open Approach
01NQ3ZZ	Release Sacral Plexus, Percutaneous Approach
01NQ4ZZ	Release Sacral Plexus, Percutaneous Endoscopic Approach
01NR0ZZ	Release Sacral Nerve, Open Approach
01NR3ZZ	Release Sacral Nerve, Percutaneous Approach
01NR4ZZ	Release Sacral Nerve, Percutaneous Endoscopic Approach
01PY0MZ	Removal of Neurostimulator Lead from Peripheral Nerve, Open Approach
01PY3MZ	Removal of Neurostimulator Lead from Peripheral Nerve, Percutaneous Approach
01PY4MZ	Removal of Neurostimulator Lead from Peripheral Nerve, Percutaneous Endoscopic Approach
01Q00ZZ	Repair Cervical Plexus, Open Approach
01Q03ZZ	Repair Cervical Plexus, Percutaneous Approach
01Q04ZZ	Repair Cervical Plexus, Percutaneous Endoscopic Approach
01Q10ZZ	Repair Cervical Nerve, Open Approach
01Q13ZZ	Repair Cervical Nerve, Percutaneous Approach
01Q14ZZ	Repair Cervical Nerve, Percutaneous Endoscopic Approach
01Q20ZZ	Repair Phrenic Nerve, Open Approach
01Q23ZZ	Repair Phrenic Nerve, Percutaneous Approach
01Q24ZZ	Repair Phrenic Nerve, Percutaneous Endoscopic Approach
01Q30ZZ	Repair Brachial Plexus, Open Approach
01Q33ZZ	Repair Brachial Plexus, Percutaneous Approach
01Q34ZZ	Repair Brachial Plexus, Percutaneous Endoscopic Approach
01Q40ZZ	Repair Ulnar Nerve, Open Approach
01Q43ZZ	Repair Ulnar Nerve, Percutaneous Approach
01Q44ZZ	Repair Ulnar Nerve, Percutaneous Endoscopic Approach
01Q50ZZ	Repair Median Nerve, Open Approach
01Q53ZZ	Repair Median Nerve, Percutaneous Approach
01Q54ZZ	Repair Median Nerve, Percutaneous Endoscopic Approach
01Q60ZZ	Repair Radial Nerve, Open Approach
01Q63ZZ	Repair Radial Nerve, Percutaneous Approach
01Q64ZZ	Repair Radial Nerve, Percutaneous Endoscopic Approach
01Q80ZZ	Repair Thoracic Nerve, Open Approach
01Q83ZZ	Repair Thoracic Nerve, Percutaneous Approach
01Q84ZZ	Repair Thoracic Nerve, Percutaneous Endoscopic Approach
01Q90ZZ	Repair Lumbar Plexus, Open Approach

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
20 Nov 2020 15:32:59
CMS, code-revision=283, description-revision=1293