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)

0YUC07ZSupplement Right Upper Leg with Autologous Tissue Substitute, Open Approach
0YUC0JZSupplement Right Upper Leg with Synthetic Substitute, Open Approach
0YUC0KZSupplement Right Upper Leg with Nonautologous Tissue Substitute, Open Approach
0YUC47ZSupplement Right Upper Leg with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUC4JZSupplement Right Upper Leg with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUC4KZSupplement Right Upper Leg with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUD07ZSupplement Left Upper Leg with Autologous Tissue Substitute, Open Approach
0YUD0JZSupplement Left Upper Leg with Synthetic Substitute, Open Approach
0YUD0KZSupplement Left Upper Leg with Nonautologous Tissue Substitute, Open Approach
0YUD47ZSupplement Left Upper Leg with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUD4JZSupplement Left Upper Leg with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUD4KZSupplement Left Upper Leg with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUE07ZSupplement Bilateral Femoral Region with Autologous Tissue Substitute, Open Approach
0YUE0JZSupplement Bilateral Femoral Region with Synthetic Substitute, Open Approach
0YUE0KZSupplement Bilateral Femoral Region with Nonautologous Tissue Substitute, Open Approach
0YUE47ZSupplement Bilateral Femoral Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUE4JZSupplement Bilateral Femoral Region with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUE4KZSupplement Bilateral Femoral Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUF07ZSupplement Right Knee Region with Autologous Tissue Substitute, Open Approach
0YUF0JZSupplement Right Knee Region with Synthetic Substitute, Open Approach
0YUF0KZSupplement Right Knee Region with Nonautologous Tissue Substitute, Open Approach
0YUF47ZSupplement Right Knee Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUF4JZSupplement Right Knee Region with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUF4KZSupplement Right Knee Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUG07ZSupplement Left Knee Region with Autologous Tissue Substitute, Open Approach
0YUG0JZSupplement Left Knee Region with Synthetic Substitute, Open Approach
0YUG0KZSupplement Left Knee Region with Nonautologous Tissue Substitute, Open Approach
0YUG47ZSupplement Left Knee Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUG4JZSupplement Left Knee Region with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUG4KZSupplement Left Knee Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUH07ZSupplement Right Lower Leg with Autologous Tissue Substitute, Open Approach
0YUH0JZSupplement Right Lower Leg with Synthetic Substitute, Open Approach
0YUH0KZSupplement Right Lower Leg with Nonautologous Tissue Substitute, Open Approach
0YUH47ZSupplement Right Lower Leg with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUH4JZSupplement Right Lower Leg with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUH4KZSupplement Right Lower Leg with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUJ07ZSupplement Left Lower Leg with Autologous Tissue Substitute, Open Approach
0YUJ0JZSupplement Left Lower Leg with Synthetic Substitute, Open Approach
0YUJ0KZSupplement Left Lower Leg with Nonautologous Tissue Substitute, Open Approach
0YUJ47ZSupplement Left Lower Leg with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUJ4JZSupplement Left Lower Leg with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUJ4KZSupplement Left Lower Leg with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUK07ZSupplement Right Ankle Region with Autologous Tissue Substitute, Open Approach
0YUK0JZSupplement Right Ankle Region with Synthetic Substitute, Open Approach
0YUK0KZSupplement Right Ankle Region with Nonautologous Tissue Substitute, Open Approach
0YUK47ZSupplement Right Ankle Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUK4JZSupplement Right Ankle Region with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUK4KZSupplement Right Ankle Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUL07ZSupplement Left Ankle Region with Autologous Tissue Substitute, Open Approach
0YUL0JZSupplement Left Ankle Region with Synthetic Substitute, Open Approach
0YUL0KZSupplement Left Ankle Region with Nonautologous Tissue Substitute, Open Approach
0YUL47ZSupplement Left Ankle Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUL4JZSupplement Left Ankle Region with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUL4KZSupplement Left Ankle Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUM07ZSupplement Right Foot with Autologous Tissue Substitute, Open Approach
0YUM0JZSupplement Right Foot with Synthetic Substitute, Open Approach
0YUM0KZSupplement Right Foot with Nonautologous Tissue Substitute, Open Approach
0YUM47ZSupplement Right Foot with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUM4JZSupplement Right Foot with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUM4KZSupplement Right Foot with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUN07ZSupplement Left Foot with Autologous Tissue Substitute, Open Approach
0YUN0JZSupplement Left Foot with Synthetic Substitute, Open Approach
0YUN0KZSupplement Left Foot with Nonautologous Tissue Substitute, Open Approach
0YUN47ZSupplement Left Foot with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUN4JZSupplement Left Foot with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUN4KZSupplement Left Foot with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUP07ZSupplement Right 1st Toe with Autologous Tissue Substitute, Open Approach
0YUP0JZSupplement Right 1st Toe with Synthetic Substitute, Open Approach
0YUP0KZSupplement Right 1st Toe with Nonautologous Tissue Substitute, Open Approach
0YUP47ZSupplement Right 1st Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUP4JZSupplement Right 1st Toe with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUP4KZSupplement Right 1st Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUQ07ZSupplement Left 1st Toe with Autologous Tissue Substitute, Open Approach
0YUQ0JZSupplement Left 1st Toe with Synthetic Substitute, Open Approach
0YUQ0KZSupplement Left 1st Toe with Nonautologous Tissue Substitute, Open Approach
0YUQ47ZSupplement Left 1st Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUQ4JZSupplement Left 1st Toe with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUQ4KZSupplement Left 1st Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUR07ZSupplement Right 2nd Toe with Autologous Tissue Substitute, Open Approach
0YUR0JZSupplement Right 2nd Toe with Synthetic Substitute, Open Approach
0YUR0KZSupplement Right 2nd Toe with Nonautologous Tissue Substitute, Open Approach
0YUR47ZSupplement Right 2nd Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUR4JZSupplement Right 2nd Toe with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUR4KZSupplement Right 2nd Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUS07ZSupplement Left 2nd Toe with Autologous Tissue Substitute, Open Approach
0YUS0JZSupplement Left 2nd Toe with Synthetic Substitute, Open Approach
0YUS0KZSupplement Left 2nd Toe with Nonautologous Tissue Substitute, Open Approach
0YUS47ZSupplement Left 2nd Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUS4JZSupplement Left 2nd Toe with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUS4KZSupplement Left 2nd Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUT07ZSupplement Right 3rd Toe with Autologous Tissue Substitute, Open Approach
0YUT0JZSupplement Right 3rd Toe with Synthetic Substitute, Open Approach
0YUT0KZSupplement Right 3rd Toe with Nonautologous Tissue Substitute, Open Approach
0YUT47ZSupplement Right 3rd Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUT4JZSupplement Right 3rd Toe with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUT4KZSupplement Right 3rd Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUU07ZSupplement Left 3rd Toe with Autologous Tissue Substitute, Open Approach
0YUU0JZSupplement Left 3rd Toe with Synthetic Substitute, Open Approach
0YUU0KZSupplement Left 3rd Toe with Nonautologous Tissue Substitute, Open Approach
0YUU47ZSupplement Left 3rd Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUU4JZSupplement Left 3rd Toe with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUU4KZSupplement Left 3rd Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUV07ZSupplement Right 4th Toe with Autologous Tissue Substitute, Open Approach
0YUV0JZSupplement Right 4th Toe with Synthetic Substitute, Open Approach
0YUV0KZSupplement Right 4th Toe with Nonautologous Tissue Substitute, Open Approach
0YUV47ZSupplement Right 4th Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUV4JZSupplement Right 4th Toe with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUV4KZSupplement Right 4th Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUW07ZSupplement Left 4th Toe with Autologous Tissue Substitute, Open Approach
0YUW0JZSupplement Left 4th Toe with Synthetic Substitute, Open Approach
0YUW0KZSupplement Left 4th Toe with Nonautologous Tissue Substitute, Open Approach
0YUW47ZSupplement Left 4th Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUW4JZSupplement Left 4th Toe with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUW4KZSupplement Left 4th Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUX07ZSupplement Right 5th Toe with Autologous Tissue Substitute, Open Approach
0YUX0JZSupplement Right 5th Toe with Synthetic Substitute, Open Approach
0YUX0KZSupplement Right 5th Toe with Nonautologous Tissue Substitute, Open Approach
0YUX47ZSupplement Right 5th Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUX4JZSupplement Right 5th Toe with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUX4KZSupplement Right 5th Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUY07ZSupplement Left 5th Toe with Autologous Tissue Substitute, Open Approach
0YUY0JZSupplement Left 5th Toe with Synthetic Substitute, Open Approach
0YUY0KZSupplement Left 5th Toe with Nonautologous Tissue Substitute, Open Approach
0YUY47ZSupplement Left 5th Toe with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUY4JZSupplement Left 5th Toe with Synthetic Substitute, Percutaneous Endoscopic Approach
0YUY4KZSupplement Left 5th Toe with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
10A07ZZAbortion of Products of Conception, Via Natural or Artificial Opening
10A08ZZAbortion of Products of Conception, Via Natural or Artificial Opening Endoscopic
3E0L4GCIntroduction of Other Therapeutic Substance into Pleural Cavity, Percutaneous Endoscopic Approach
4A0605ZMeasurement of Lymphatic Flow, Open Approach
4A060BZMeasurement of Lymphatic Pressure, Open Approach
4A1605ZMonitoring of Lymphatic Flow, Open Approach
4A160BZMonitoring of Lymphatic Pressure, Open Approach
XR2G021Monitoring of Right Knee Joint using Intraoperative Knee Replacement Sensor, Open Approach, New Technology Group 1
XR2H021Monitoring of Left Knee Joint using Intraoperative Knee Replacement Sensor, Open Approach, New Technology Group 1
XV508A4Destruction of Prostate using Robotic Waterjet Ablation, Via Natural or Artificial Opening Endoscopic, New Technology Group 4



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