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

Procedure Cluster/MS-DRG Index

Page 12 of 28

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

CODE COMBINATION	MDC	MS-DRG	SURGICAL CATEGORY
0SPC38Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPC38Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0J9	08	466-468	Revision of Hip or Knee Replacement

0SPC38Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0JA	08	466-468	Revision of Hip or Knee Replacement

0SPC38Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPC48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0J9	08	466-468	Revision of Hip or Knee Replacement

0SPC48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0JA	08	466-468	Revision of Hip or Knee Replacement

0SPC48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPC48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0J9	08	466-468	Revision of Hip or Knee Replacement

0SPC48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0JA	08	466-468	Revision of Hip or Knee Replacement

0SPC48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPC48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0J9	08	466-468	Revision of Hip or Knee Replacement

0SPC48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0JA	08	466-468	Revision of Hip or Knee Replacement

0SPC48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPC4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPC4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPD08Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0J9	08	466-468	Revision of Hip or Knee Replacement

0SPD08Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0JA	08	466-468	Revision of Hip or Knee Replacement

0SPD08Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPD08Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0JA	08	466-468	Revision of Hip or Knee Replacement

0SPD08Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0J9	08	466-468	Revision of Hip or Knee Replacement

0SPD08Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPD08Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0J9	08	466-468	Revision of Hip or Knee Replacement

0SPD08Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0JA	08	466-468	Revision of Hip or Knee Replacement

0SPD08Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPD38Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0J9	08	466-468	Revision of Hip or Knee Replacement

0SPD38Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0JA	08	466-468	Revision of Hip or Knee Replacement

0SPD38Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPD38Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0JA	08	466-468	Revision of Hip or Knee Replacement

0SPD38Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0J9	08	466-468	Revision of Hip or Knee Replacement

0SPD38Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPD38Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0J9	08	466-468	Revision of Hip or Knee Replacement

0SPD38Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0JA	08	466-468	Revision of Hip or Knee Replacement

0SPD38Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPD48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0J9	08	466-468	Revision of Hip or Knee Replacement

0SPD48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0JA	08	466-468	Revision of Hip or Knee Replacement

0SPD48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPD48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0JA	08	466-468	Revision of Hip or Knee Replacement

0SPD48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0J9	08	466-468	Revision of Hip or Knee Replacement

0SPD48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPD48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0J9	08	466-468	Revision of Hip or Knee Replacement

0SPD48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0JA	08	466-468	Revision of Hip or Knee Replacement

0SPD48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPD4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRU0JZ	08	466-468	Revision of Hip or Knee Replacement

02RK0JZ	PRE	001-002	Heart Transplant or Implant of Heart Assist System
and 02RL0JZ

0JH60BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH60CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH60DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH60EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH63BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH63CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH63DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH63EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH70BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH70CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH70DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH70EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH73BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH73CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH73DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH73EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH80BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH80CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH80DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH80EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH83BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH83CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH83DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH83EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH60BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH60CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH60DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH60EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH63BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH63CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH63DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH63EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH70BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH70CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH70DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH70EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH73BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH73CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH73DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH73EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH80BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH80CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH80DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH80EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH83BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH83CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH83DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH83EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH60BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH60CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH60DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH60EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH63BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH63CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH63DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH63EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH70BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH70CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH70DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH70EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH73BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH73CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH73DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH73EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH80BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH80CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH80DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH80EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH83BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH83CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH83DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH83EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH60BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH60CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH60DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH60EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH63BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH63CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH63DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH63EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH70BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH70CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH70DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH70EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH73BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH73CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH73DZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH73EZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH80BZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH80CZ	01	041	Peripheral and Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
14 Apr 2020 14:43:32
CMS, code-revision=250, description-revision=1275