ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual
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Procedure Cluster/MS-DRG Index
Page 25 of 28
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CODE COMBINATIONMDCMS-DRGSURGICAL CATEGORY
0SRS01Z08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPB0EZ08466-468Revision of Hip or Knee Replacement
    
0SRE01908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPB0EZ08466-468Revision of Hip or Knee Replacement
    
0SPB0EZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRE01A08466-468Revision of Hip or Knee Replacement
    
0SPB0EZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRS0JA08466-468Revision of Hip or Knee Replacement
    
0SPB0EZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRB03908466-468Revision of Hip or Knee Replacement
    
0SRE0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPB0EZ08466-468Revision of Hip or Knee Replacement
    
0SPB0EZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRE00A08466-468Revision of Hip or Knee Replacement
    
0SRS01908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPB0EZ08466-468Revision of Hip or Knee Replacement
    
0SPB0EZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRS01A08466-468Revision of Hip or Knee Replacement
    
0SPB0EZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRB0JA08466-468Revision of Hip or Knee Replacement
    
0SPB0EZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRB06A08466-468Revision of Hip or Knee Replacement
    
0SPC0EZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0J908466-468Revision of Hip or Knee Replacement
    
0SRT0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0EZ08466-468Revision of Hip or Knee Replacement
    
0SRC06A08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0EZ08466-468Revision of Hip or Knee Replacement
    
0SRC0J908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0EZ08466-468Revision of Hip or Knee Replacement
    
0SPC0EZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC06908466-468Revision of Hip or Knee Replacement
    
0SRC06Z08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0EZ08466-468Revision of Hip or Knee Replacement
    
0SRV0JZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0EZ08466-468Revision of Hip or Knee Replacement
    
0SRC0JZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0EZ08466-468Revision of Hip or Knee Replacement
    
0SRT0JZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0EZ08466-468Revision of Hip or Knee Replacement
    
0SRV0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0EZ08466-468Revision of Hip or Knee Replacement
    
0SRV0J908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0EZ08466-468Revision of Hip or Knee Replacement
    
0SRC0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0EZ08466-468Revision of Hip or Knee Replacement
    
0SRC06A08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0LZ08466-468Revision of Hip or Knee Replacement
    
0SRC06Z08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0LZ08466-468Revision of Hip or Knee Replacement
    
0SRV0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0LZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRV0J908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0LZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRC0LA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0LZ08466-468Revision of Hip or Knee Replacement
    
0SPC0LZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0JZ08466-468Revision of Hip or Knee Replacement
    
0SPC0LZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0J908466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRC0LZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0LZ08466-468Revision of Hip or Knee Replacement
    
0SPC0LZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0JZ08466-468Revision of Hip or Knee Replacement
    
0SRC0L908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0LZ08466-468Revision of Hip or Knee Replacement
    
0SRT0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0LZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRV0JZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0LZ08466-468Revision of Hip or Knee Replacement
    
0SRC0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0LZ08466-468Revision of Hip or Knee Replacement
    
0SPC0LZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC06908466-468Revision of Hip or Knee Replacement
    
0SRC0J908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0LZ08466-468Revision of Hip or Knee Replacement
    
0SPC0MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC06A08466-468Revision of Hip or Knee Replacement
    
0SRC06Z08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0MZ08466-468Revision of Hip or Knee Replacement
    
0SPC0MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0JA08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRV0J908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0MZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRC0LA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0MZ08466-468Revision of Hip or Knee Replacement
    
0SPC0MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0JZ08466-468Revision of Hip or Knee Replacement
    
0SPC0MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0J908466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SPC0MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0LZ08466-468Revision of Hip or Knee Replacement
    
0SPC0MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0JZ08466-468Revision of Hip or Knee Replacement
    
0SPC0MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0L908466-468Revision of Hip or Knee Replacement
    
0SPC0MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0JA08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRV0JZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0MZ08466-468Revision of Hip or Knee Replacement
    
0SRC0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0MZ08466-468Revision of Hip or Knee Replacement
    
0SPC0MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC06908466-468Revision of Hip or Knee Replacement
    
0SPC0MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0J908466-468Revision of Hip or Knee Replacement
    
0SPC0NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC06A08466-468Revision of Hip or Knee Replacement
    
0SRC06Z08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0NZ08466-468Revision of Hip or Knee Replacement
    
0SPC0NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0JA08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRV0J908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0NZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRC0LA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0NZ08466-468Revision of Hip or Knee Replacement
    
0SPC0NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0JZ08466-468Revision of Hip or Knee Replacement
    
0SPC0NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0J908466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SPC0NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0LZ08466-468Revision of Hip or Knee Replacement
    
0SPC0NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0JZ08466-468Revision of Hip or Knee Replacement
    
0SPC0NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0L908466-468Revision of Hip or Knee Replacement
    
0SRT0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0NZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRV0JZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0NZ08466-468Revision of Hip or Knee Replacement
    
0SRC0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0NZ08466-468Revision of Hip or Knee Replacement
    
0SPC0NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC06908466-468Revision of Hip or Knee Replacement
    
0SPC0NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0J908466-468Revision of Hip or Knee Replacement
    
0SRC0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
    
0SRC0LA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
    
0SRC06A08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
    
0SRC0LZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
    
0SRC0JZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
    
0SRV0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRV0J908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRC06Z08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
    
0SRC0L908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
    
0SRC0J908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
    
0SRT0J908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRT0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRT0JZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
    
0SRC06908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
    
0SRV0JZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ08466-468Revision of Hip or Knee Replacement
    
0SRC0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4MZ08466-468Revision of Hip or Knee Replacement
    
0SRC0LA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4MZ08466-468Revision of Hip or Knee Replacement
    
0SRC06A08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4MZ08466-468Revision of Hip or Knee Replacement
    
0SPC4MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0LZ08466-468Revision of Hip or Knee Replacement
    
0SPC4MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0JZ08466-468Revision of Hip or Knee Replacement
    
0SRV0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4MZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRV0J908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4MZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRC06Z08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4MZ08466-468Revision of Hip or Knee Replacement
    
0SPC4MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0L908466-468Revision of Hip or Knee Replacement
    
0SPC4MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0J908466-468Revision of Hip or Knee Replacement
    
0SPC4MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0J908466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRT0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4MZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SPC4MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0JZ08466-468Revision of Hip or Knee Replacement
    
0SPC4MZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC06908466-468Revision of Hip or Knee Replacement
    
0SRV0JZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4MZ08466-468Revision of Hip or Knee Replacement
    
0SRC0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4NZ08466-468Revision of Hip or Knee Replacement
    
0SRC0LA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4NZ08466-468Revision of Hip or Knee Replacement
    
0SRC06A08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4NZ08466-468Revision of Hip or Knee Replacement
    
0SPC4NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0LZ08466-468Revision of Hip or Knee Replacement
    
0SPC4NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0JZ08466-468Revision of Hip or Knee Replacement
    
0SRV0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4NZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRV0J908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4NZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRC06Z08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4NZ08466-468Revision of Hip or Knee Replacement
    
0SRC0L908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4NZ08466-468Revision of Hip or Knee Replacement
    
0SPC4NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC0J908466-468Revision of Hip or Knee Replacement
    
0SPC4NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0J908466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SRT0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4NZ08466-468Revision of Hip or Knee Replacement
 10628-630Other Endocrine, Nutritional and Metabolic Procedures
    
0SPC4NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRT0JZ08466-468Revision of Hip or Knee Replacement
    
0SPC4NZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRC06908466-468Revision of Hip or Knee Replacement
    
0SRV0JZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4NZ08466-468Revision of Hip or Knee Replacement
    
0SPD0EZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0JZ08466-468Revision of Hip or Knee Replacement
    
0SRD0J908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0EZ08466-468Revision of Hip or Knee Replacement
    
0SRW0JZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0EZ08466-468Revision of Hip or Knee Replacement
    
0SPD0EZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRW0J908466-468Revision of Hip or Knee Replacement
    
0SPD0EZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD06Z08466-468Revision of Hip or Knee Replacement
    
0SRU0J908461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0EZ08466-468Revision of Hip or Knee Replacement
    
0SRU0JZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0EZ08466-468Revision of Hip or Knee Replacement
    
0SRD0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0EZ08466-468Revision of Hip or Knee Replacement
    
0SRW0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0EZ08466-468Revision of Hip or Knee Replacement
    
0SPD0EZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD06908466-468Revision of Hip or Knee Replacement
    
0SRU0JA08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0EZ08466-468Revision of Hip or Knee Replacement
    
0SRD06A08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0EZ08466-468Revision of Hip or Knee Replacement
    
0SPD0LZ08461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0LZ08466-468Revision of Hip or Knee Replacement
    



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