ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual |
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| Appendix F Unrelated Operating Room Procedures (MS-DRGs 981-989) |
| Non-extensive Procedure Unrelated to Principal Diagnosis |
| Page 26 of 26 |
ONLY OPERATING ROOM PROCEDURES (continued)
00BF0ZZ 03B70ZX 04LE3CZ 06HY02Z 085C3ZZ 08NX3ZZ 08UM0KZ 09N13ZZ 0C9B0ZX 0DBC3ZZ 0J0N3ZZ 0KPY0JZ 0L9940Z 0M9N00Z 0N9C3ZX 0PP04KZ 0PSK46Z 0QP904Z 0S5D4ZZ 0SRL0JZ 0TPD30Z 0UPH7KZ 0W063ZZ 0WWN40Z 0XUL07Z 0YUC07Z
| 0YUC07Z | Supplement Right Upper Leg with Autologous Tissue Substitute, Open Approach |
| 0YUC0JZ | Supplement Right Upper Leg with Synthetic Substitute, Open Approach |
| 0YUC0KZ | Supplement Right Upper Leg with Nonautologous Tissue Substitute, Open Approach |
| 0YUC47Z | Supplement Right Upper Leg with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUC4JZ | Supplement Right Upper Leg with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUC4KZ | Supplement Right Upper Leg with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUD07Z | Supplement Left Upper Leg with Autologous Tissue Substitute, Open Approach |
| 0YUD0JZ | Supplement Left Upper Leg with Synthetic Substitute, Open Approach |
| 0YUD0KZ | Supplement Left Upper Leg with Nonautologous Tissue Substitute, Open Approach |
| 0YUD47Z | Supplement Left Upper Leg with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUD4JZ | Supplement Left Upper Leg with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUD4KZ | Supplement Left Upper Leg with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUE07Z | Supplement Bilateral Femoral Region with Autologous Tissue Substitute, Open Approach |
| 0YUE0JZ | Supplement Bilateral Femoral Region with Synthetic Substitute, Open Approach |
| 0YUE0KZ | Supplement Bilateral Femoral Region with Nonautologous Tissue Substitute, Open Approach |
| 0YUE47Z | Supplement Bilateral Femoral Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUE4JZ | Supplement Bilateral Femoral Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUE4KZ | Supplement Bilateral Femoral Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUF07Z | Supplement Right Knee Region with Autologous Tissue Substitute, Open Approach |
| 0YUF0JZ | Supplement Right Knee Region with Synthetic Substitute, Open Approach |
| 0YUF0KZ | Supplement Right Knee Region with Nonautologous Tissue Substitute, Open Approach |
| 0YUF47Z | Supplement Right Knee Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUF4JZ | Supplement Right Knee Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUF4KZ | Supplement Right Knee Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUG07Z | Supplement Left Knee Region with Autologous Tissue Substitute, Open Approach |
| 0YUG0JZ | Supplement Left Knee Region with Synthetic Substitute, Open Approach |
| 0YUG0KZ | Supplement Left Knee Region with Nonautologous Tissue Substitute, Open Approach |
| 0YUG47Z | Supplement Left Knee Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUG4JZ | Supplement Left Knee Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUG4KZ | Supplement Left Knee Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUH07Z | Supplement Right Lower Leg with Autologous Tissue Substitute, Open Approach |
| 0YUH0JZ | Supplement Right Lower Leg with Synthetic Substitute, Open Approach |
| 0YUH0KZ | Supplement Right Lower Leg with Nonautologous Tissue Substitute, Open Approach |
| 0YUH47Z | Supplement Right Lower Leg with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUH4JZ | Supplement Right Lower Leg with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUH4KZ | Supplement Right Lower Leg with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUJ07Z | Supplement Left Lower Leg with Autologous Tissue Substitute, Open Approach |
| 0YUJ0JZ | Supplement Left Lower Leg with Synthetic Substitute, Open Approach |
| 0YUJ0KZ | Supplement Left Lower Leg with Nonautologous Tissue Substitute, Open Approach |
| 0YUJ47Z | Supplement Left Lower Leg with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUJ4JZ | Supplement Left Lower Leg with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUJ4KZ | Supplement Left Lower Leg with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUK07Z | Supplement Right Ankle Region with Autologous Tissue Substitute, Open Approach |
| 0YUK0JZ | Supplement Right Ankle Region with Synthetic Substitute, Open Approach |
| 0YUK0KZ | Supplement Right Ankle Region with Nonautologous Tissue Substitute, Open Approach |
| 0YUK47Z | Supplement Right Ankle Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUK4JZ | Supplement Right Ankle Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUK4KZ | Supplement Right Ankle Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUL07Z | Supplement Left Ankle Region with Autologous Tissue Substitute, Open Approach |
| 0YUL0JZ | Supplement Left Ankle Region with Synthetic Substitute, Open Approach |
| 0YUL0KZ | Supplement Left Ankle Region with Nonautologous Tissue Substitute, Open Approach |
| 0YUL47Z | Supplement Left Ankle Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUL4JZ | Supplement Left Ankle Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUL4KZ | Supplement Left Ankle Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUM07Z | Supplement Right Foot with Autologous Tissue Substitute, Open Approach |
| 0YUM0JZ | Supplement Right Foot with Synthetic Substitute, Open Approach |
| 0YUM0KZ | Supplement Right Foot with Nonautologous Tissue Substitute, Open Approach |
| 0YUM47Z | Supplement Right Foot with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUM4JZ | Supplement Right Foot with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUM4KZ | Supplement Right Foot with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUN07Z | Supplement Left Foot with Autologous Tissue Substitute, Open Approach |
| 0YUN0JZ | Supplement Left Foot with Synthetic Substitute, Open Approach |
| 0YUN0KZ | Supplement Left Foot with Nonautologous Tissue Substitute, Open Approach |
| 0YUN47Z | Supplement Left Foot with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUN4JZ | Supplement Left Foot with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUN4KZ | Supplement Left Foot with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUP07Z | Supplement Right 1st Toe with Autologous Tissue Substitute, Open Approach |
| 0YUP0JZ | Supplement Right 1st Toe with Synthetic Substitute, Open Approach |
| 0YUP0KZ | Supplement Right 1st Toe with Nonautologous Tissue Substitute, Open Approach |
| 0YUP47Z | Supplement Right 1st Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUP4JZ | Supplement Right 1st Toe with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUP4KZ | Supplement Right 1st Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUQ07Z | Supplement Left 1st Toe with Autologous Tissue Substitute, Open Approach |
| 0YUQ0JZ | Supplement Left 1st Toe with Synthetic Substitute, Open Approach |
| 0YUQ0KZ | Supplement Left 1st Toe with Nonautologous Tissue Substitute, Open Approach |
| 0YUQ47Z | Supplement Left 1st Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUQ4JZ | Supplement Left 1st Toe with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUQ4KZ | Supplement Left 1st Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUR07Z | Supplement Right 2nd Toe with Autologous Tissue Substitute, Open Approach |
| 0YUR0JZ | Supplement Right 2nd Toe with Synthetic Substitute, Open Approach |
| 0YUR0KZ | Supplement Right 2nd Toe with Nonautologous Tissue Substitute, Open Approach |
| 0YUR47Z | Supplement Right 2nd Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUR4JZ | Supplement Right 2nd Toe with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUR4KZ | Supplement Right 2nd Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUS07Z | Supplement Left 2nd Toe with Autologous Tissue Substitute, Open Approach |
| 0YUS0JZ | Supplement Left 2nd Toe with Synthetic Substitute, Open Approach |
| 0YUS0KZ | Supplement Left 2nd Toe with Nonautologous Tissue Substitute, Open Approach |
| 0YUS47Z | Supplement Left 2nd Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUS4JZ | Supplement Left 2nd Toe with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUS4KZ | Supplement Left 2nd Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUT07Z | Supplement Right 3rd Toe with Autologous Tissue Substitute, Open Approach |
| 0YUT0JZ | Supplement Right 3rd Toe with Synthetic Substitute, Open Approach |
| 0YUT0KZ | Supplement Right 3rd Toe with Nonautologous Tissue Substitute, Open Approach |
| 0YUT47Z | Supplement Right 3rd Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUT4JZ | Supplement Right 3rd Toe with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUT4KZ | Supplement Right 3rd Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUU07Z | Supplement Left 3rd Toe with Autologous Tissue Substitute, Open Approach |
| 0YUU0JZ | Supplement Left 3rd Toe with Synthetic Substitute, Open Approach |
| 0YUU0KZ | Supplement Left 3rd Toe with Nonautologous Tissue Substitute, Open Approach |
| 0YUU47Z | Supplement Left 3rd Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUU4JZ | Supplement Left 3rd Toe with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUU4KZ | Supplement Left 3rd Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUV07Z | Supplement Right 4th Toe with Autologous Tissue Substitute, Open Approach |
| 0YUV0JZ | Supplement Right 4th Toe with Synthetic Substitute, Open Approach |
| 0YUV0KZ | Supplement Right 4th Toe with Nonautologous Tissue Substitute, Open Approach |
| 0YUV47Z | Supplement Right 4th Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUV4JZ | Supplement Right 4th Toe with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUV4KZ | Supplement Right 4th Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUW07Z | Supplement Left 4th Toe with Autologous Tissue Substitute, Open Approach |
| 0YUW0JZ | Supplement Left 4th Toe with Synthetic Substitute, Open Approach |
| 0YUW0KZ | Supplement Left 4th Toe with Nonautologous Tissue Substitute, Open Approach |
| 0YUW47Z | Supplement Left 4th Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUW4JZ | Supplement Left 4th Toe with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUW4KZ | Supplement Left 4th Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUX07Z | Supplement Right 5th Toe with Autologous Tissue Substitute, Open Approach |
| 0YUX0JZ | Supplement Right 5th Toe with Synthetic Substitute, Open Approach |
| 0YUX0KZ | Supplement Right 5th Toe with Nonautologous Tissue Substitute, Open Approach |
| 0YUX47Z | Supplement Right 5th Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUX4JZ | Supplement Right 5th Toe with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUX4KZ | Supplement Right 5th Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUY07Z | Supplement Left 5th Toe with Autologous Tissue Substitute, Open Approach |
| 0YUY0JZ | Supplement Left 5th Toe with Synthetic Substitute, Open Approach |
| 0YUY0KZ | Supplement Left 5th Toe with Nonautologous Tissue Substitute, Open Approach |
| 0YUY47Z | Supplement Left 5th Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YUY4JZ | Supplement Left 5th Toe with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0YUY4KZ | Supplement Left 5th Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 10A07ZZ | Abortion of Products of Conception, Via Natural or Artificial Opening |
| 10A08ZZ | Abortion of Products of Conception, Via Natural or Artificial Opening Endoscopic |
| 3E0L4GC | Introduction of Other Therapeutic Substance into Pleural Cavity, Percutaneous Endoscopic Approach |
| 4A0605Z | Measurement of Lymphatic Flow, Open Approach |
| 4A060BZ | Measurement of Lymphatic Pressure, Open Approach |
| 4A1605Z | Monitoring of Lymphatic Flow, Open Approach |
| 4A160BZ | Monitoring of Lymphatic Pressure, Open Approach |
| XR2G021 | Monitoring of Right Knee Joint using Intraoperative Knee Replacement Sensor, Open Approach, New Technology Group 1 |
| XR2H021 | Monitoring of Left Knee Joint using Intraoperative Knee Replacement Sensor, Open Approach, New Technology Group 1 |
| XV508A4 | Destruction of Prostate using Robotic Waterjet Ablation, Via Natural or Artificial Opening Endoscopic, New Technology Group 4 |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 14 Apr 2020 14:43:32 CMS, code-revision=250, description-revision=1275 |