ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual

Procedure Code/MS-DRG Index

Page 378 of 378

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CODE	MDC	MS-DRG	SURGICAL CATEGORY
X27J395	04	166-168	Other Respiratory System Procedures
	05	252-254	Other Vascular Procedures
	06	356-358	Other Digestive System O.R. Procedures
	07	423-425	Other Hepatobiliary or Pancreas Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
X27J3B5	04	166-168	Other Respiratory System Procedures
	05	252-254	Other Vascular Procedures
	06	356-358	Other Digestive System O.R. Procedures
	07	423-425	Other Hepatobiliary or Pancreas Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
X27J3C5	04	166-168	Other Respiratory System Procedures
	05	252-254	Other Vascular Procedures
	06	356-358	Other Digestive System O.R. Procedures
	07	423-425	Other Hepatobiliary or Pancreas Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
X27K385	05	252-254	Other Vascular Procedures
X27K395	05	252-254	Other Vascular Procedures
X27K3B5	05	252-254	Other Vascular Procedures
X27K3C5	05	252-254	Other Vascular Procedures
X27L385	05	252-254	Other Vascular Procedures
X27L395	05	252-254	Other Vascular Procedures
X27L3B5	05	252-254	Other Vascular Procedures
X27L3C5	05	252-254	Other Vascular Procedures
X27M385	05	252-254	Other Vascular Procedures
X27M395	05	252-254	Other Vascular Procedures
X27M3B5	05	252-254	Other Vascular Procedures
X27M3C5	05	252-254	Other Vascular Procedures
X27N385	05	252-254	Other Vascular Procedures
X27N395	05	252-254	Other Vascular Procedures
X27N3B5	05	252-254	Other Vascular Procedures
X27N3C5	05	252-254	Other Vascular Procedures
X27P385	05	252-254	Other Vascular Procedures
X27P395	05	252-254	Other Vascular Procedures
X27P3B5	05	252-254	Other Vascular Procedures
X27P3C5	05	252-254	Other Vascular Procedures
X27Q385	05	252-254	Other Vascular Procedures
X27Q395	05	252-254	Other Vascular Procedures
X27Q3B5	05	252-254	Other Vascular Procedures
X27Q3C5	05	252-254	Other Vascular Procedures
X27R385	05	252-254	Other Vascular Procedures
X27R395	05	252-254	Other Vascular Procedures
X27R3B5	05	252-254	Other Vascular Procedures
X27R3C5	05	252-254	Other Vascular Procedures
X27S385	05	252-254	Other Vascular Procedures
X27S395	05	252-254	Other Vascular Procedures
X27S3B5	05	252-254	Other Vascular Procedures
X27S3C5	05	252-254	Other Vascular Procedures
X27T385	05	252-254	Other Vascular Procedures
X27T395	05	252-254	Other Vascular Procedures
X27T3B5	05	252-254	Other Vascular Procedures
X27T3C5	05	252-254	Other Vascular Procedures
X27U385	05	252-254	Other Vascular Procedures
X27U395	05	252-254	Other Vascular Procedures
X27U3B5	05	252-254	Other Vascular Procedures
X27U3C5	05	252-254	Other Vascular Procedures
X2C0361	05	231-232	Coronary Bypass
	05	246-249	Percutaneous Cardiovascular Procedures with Coronary Artery/Stent
	05	250-251	Percutaneous Cardiovascular Procedures without Coronary Artery Stent
X2C1361	05	231-232	Coronary Bypass
	05	246-249	Percutaneous Cardiovascular Procedures with Coronary Artery/Stent
	05	250-251	Percutaneous Cardiovascular Procedures without Coronary Artery Stent
X2C2361	05	231-232	Coronary Bypass
	05	246-249	Percutaneous Cardiovascular Procedures with Coronary Artery/Stent
	05	250-251	Percutaneous Cardiovascular Procedures without Coronary Artery Stent
X2C3361	05	231-232	Coronary Bypass
	05	246-249	Percutaneous Cardiovascular Procedures with Coronary Artery/Stent
	05	250-251	Percutaneous Cardiovascular Procedures without Coronary Artery Stent
X2RF032	05	216-221	Cardiac Valve and Other Major Cardiothoracic Procedures
X2RF332	05	266-267	Endovascular Cardiac Valve Procedures
X2RF432	05	216-221	Cardiac Valve and Other Major Cardiothoracic Procedures
XHRPXL2	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	13	746-747	Vagina, Cervix and Vulva Procedures
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV > 96 Hours with Skin Graft
	22	928-929	Full Thickness Burns with Skin Graft or Inhalation Therapy
	24	957-959	Other Procedures for Multiple Significant Trauma
XNS0032	01	028-030	Spinal Procedures
	08	518-520	Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
	17	820-822	Lymphoma and Leukemia with Major Procedure
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XNS0332	01	028-030	Spinal Procedures
	08	518-520	Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
	17	820-822	Lymphoma and Leukemia with Major Procedure
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XNS3032	01	028-030	Spinal Procedures
	08	518-520	Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
	17	820-822	Lymphoma and Leukemia with Major Procedure
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XNS3332	01	028-030	Spinal Procedures
	08	518-520	Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
	17	820-822	Lymphoma and Leukemia with Major Procedure
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XNS4032	01	028-030	Spinal Procedures
	08	518-520	Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
	17	820-822	Lymphoma and Leukemia with Major Procedure
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XNS4332	01	028-030	Spinal Procedures
	08	518-520	Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
	17	820-822	Lymphoma and Leukemia with Major Procedure
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XR2G021	08	485-489	Knee Procedures
XR2H021	08	485-489	Knee Procedures
XRG0092	01	028-030	Spinal Procedures
	08	471-473	Cervical Spinal Fusion
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRG00F3	01	028-030	Spinal Procedures
	08	471-473	Cervical Spinal Fusion
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRG1092	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	471-473	Cervical Spinal Fusion
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRG10F3	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	471-473	Cervical Spinal Fusion
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRG2092	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	471-473	Cervical Spinal Fusion
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRG20F3	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	471-473	Cervical Spinal Fusion
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRG4092	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	471-473	Cervical Spinal Fusion
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRG40F3	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	471-473	Cervical Spinal Fusion
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRG6092	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	459-460	Spinal Fusion Except Cervical
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRG60F3	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	459-460	Spinal Fusion Except Cervical
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRG7092+	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	459-460	Spinal Fusion Except Cervical
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRG70F3+	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	459-460	Spinal Fusion Except Cervical
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRG8092	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
	08	459-460	Spinal Fusion Except Cervical
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRG80F3	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	456-458	Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
	08	459-460	Spinal Fusion Except Cervical
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRGA092	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	459-460	Spinal Fusion Except Cervical
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRGA0F3	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	459-460	Spinal Fusion Except Cervical
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRGB092	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	459-460	Spinal Fusion Except Cervical
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRGB0F3	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	459-460	Spinal Fusion Except Cervical
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRGC092+	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	459-460	Spinal Fusion Except Cervical
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRGC0F3+	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	459-460	Spinal Fusion Except Cervical
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRGD092	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	459-460	Spinal Fusion Except Cervical
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XRGD0F3	01	028-030	Spinal Procedures
	08	453-455	Combined Anterior and Posterior Spinal Fusion
	08	459-460	Spinal Fusion Except Cervical
	21	907-909	Other Procedures for Injuries
	24	957-959	Other Procedures for Multiple Significant Trauma
XV508A4	11	665-667	Prostatectomy
	12	713-714	Transurethral Prostatectomy
XW033C3*	PRE	018	Chimeric Antigen Receptor (CAR) T-cell Immunotherapy
XW043C3*	PRE	018	Chimeric Antigen Receptor (CAR) T-cell Immunotherapy

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
14 Apr 2020 14:43:32
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