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

Procedure Cluster/MS-DRG Index

Page 19 of 28

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CODE COMBINATION	MDC	MS-DRG	SURGICAL CATEGORY
0SPD08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z	08	466-468	Revision of hip or knee replacement

0SPD38Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z	08	466-468	Revision of hip or knee replacement

0SPD48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z	08	466-468	Revision of hip or knee replacement

0SPD0JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z	08	466-468	Revision of hip or knee replacement

0SPD4JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z	08	466-468	Revision of hip or knee replacement

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z	08	466-468	Revision of hip or knee replacement

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z	08	466-468	Revision of hip or knee replacement

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z	08	466-468	Revision of hip or knee replacement

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z	08	466-468	Revision of hip or knee replacement

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H40JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H40MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H43JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H43MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H44JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H44MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H60JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H60MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H63JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H64JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H64MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H70JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H70MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H73JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H74JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02H74MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK0JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK0MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK3JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK3MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK4JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK4MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL0JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL0MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL3JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL3MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL4JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL4MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN0JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN0MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN3JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN3MZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN4JZ

0JH604Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN4MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H40JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H40MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H43JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H43MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H44JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H44MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H60JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H60MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H63JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H64JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H64MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H70JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H70MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H73JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H74JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02H74MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK0JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK0MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK3JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK3MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK4JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK4MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL0JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL0MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL3JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL3MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL4JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL4MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN0JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN0MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN3JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN3MZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN4JZ

0JH605Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN4MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H40JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H40MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H43JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H43MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H44JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H44MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H60JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H60MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H63JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H64JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H64MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H70JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H70MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H73JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H74JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02H74MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK0JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK0MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK3JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK3MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK4JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK4MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL0JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL0MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL3JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL3MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL4JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL4MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN0JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN0MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN3JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN3MZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN4JZ

0JH606Z	05	242-244	Permanent cardiac pacemaker implant
and 02HN4MZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H40JZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H40MZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H43JZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H43MZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H44JZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H44MZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H60JZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H60MZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H63JZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H64JZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H64MZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H70JZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H70MZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H73JZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H74JZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02H74MZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK0JZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK0MZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK3JZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK3MZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK4JZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02HK4MZ

0JH607Z	05	242-244	Permanent cardiac pacemaker implant
and 02HL0JZ

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