ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual

MDC 11 Diseases and disorders of the kidney and urinary tract

Other kidney and urinary tract procedures

Page 5 of 5

OPERATING ROOM PROCEDURES (continued)

00HE0MZ 04713FZ 04S60ZZ 0FN04ZZ 0QBH0ZX

0QBH0ZX	Excision of Left Tibia, Open Approach, Diagnostic
0QBH3ZX	Excision of Left Tibia, Percutaneous Approach, Diagnostic
0QBH4ZX	Excision of Left Tibia, Percutaneous Endoscopic Approach, Diagnostic
0QBJ0ZX	Excision of Right Fibula, Open Approach, Diagnostic
0QBJ3ZX	Excision of Right Fibula, Percutaneous Approach, Diagnostic
0QBJ4ZX	Excision of Right Fibula, Percutaneous Endoscopic Approach, Diagnostic
0QBK0ZX	Excision of Left Fibula, Open Approach, Diagnostic
0QBK3ZX	Excision of Left Fibula, Percutaneous Approach, Diagnostic
0QBK4ZX	Excision of Left Fibula, Percutaneous Endoscopic Approach, Diagnostic
0QBL0ZX	Excision of Right Tarsal, Open Approach, Diagnostic
0QBL3ZX	Excision of Right Tarsal, Percutaneous Approach, Diagnostic
0QBL4ZX	Excision of Right Tarsal, Percutaneous Endoscopic Approach, Diagnostic
0QBM0ZX	Excision of Left Tarsal, Open Approach, Diagnostic
0QBM3ZX	Excision of Left Tarsal, Percutaneous Approach, Diagnostic
0QBM4ZX	Excision of Left Tarsal, Percutaneous Endoscopic Approach, Diagnostic
0QBN0ZX	Excision of Right Metatarsal, Open Approach, Diagnostic
0QBN3ZX	Excision of Right Metatarsal, Percutaneous Approach, Diagnostic
0QBN4ZX	Excision of Right Metatarsal, Percutaneous Endoscopic Approach, Diagnostic
0QBP0ZX	Excision of Left Metatarsal, Open Approach, Diagnostic
0QBP3ZX	Excision of Left Metatarsal, Percutaneous Approach, Diagnostic
0QBP4ZX	Excision of Left Metatarsal, Percutaneous Endoscopic Approach, Diagnostic
0QBS0ZX	Excision of Coccyx, Open Approach, Diagnostic
0QBS3ZX	Excision of Coccyx, Percutaneous Approach, Diagnostic
0QBS4ZX	Excision of Coccyx, Percutaneous Endoscopic Approach, Diagnostic
0VPS0JZ	Removal of Synthetic Substitute from Penis, Open Approach
0VPS3JZ	Removal of Synthetic Substitute from Penis, Percutaneous Approach
0VPS4JZ	Removal of Synthetic Substitute from Penis, Percutaneous Endoscopic Approach
0VPS7JZ	Removal of Synthetic Substitute from Penis, Via Natural or Artificial Opening
0VPS8JZ	Removal of Synthetic Substitute from Penis, Via Natural or Artificial Opening Endoscopic
0VUS0JZ	Supplement Penis with Synthetic Substitute, Open Approach
0VUS4JZ	Supplement Penis with Synthetic Substitute, Percutaneous Endoscopic Approach
0W1G0J4	Bypass Peritoneal Cavity to Cutaneous with Synthetic Substitute, Open Approach
0W1G0J6	Bypass Peritoneal Cavity to Bladder with Synthetic Substitute, Open Approach
0W1G3J4	Bypass Peritoneal Cavity to Cutaneous with Synthetic Substitute, Percutaneous Approach
0W1G3J6	Bypass Peritoneal Cavity to Bladder with Synthetic Substitute, Percutaneous Approach
0W1G4J4	Bypass Peritoneal Cavity to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
0W1G4J6	Bypass Peritoneal Cavity to Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach
0W3F0ZZ	Control Bleeding in Abdominal Wall, Open Approach
0W3F3ZZ	Control Bleeding in Abdominal Wall, Percutaneous Approach
0W3F4ZZ	Control Bleeding in Abdominal Wall, Percutaneous Endoscopic Approach
0W3G0ZZ	Control Bleeding in Peritoneal Cavity, Open Approach
0W3G3ZZ	Control Bleeding in Peritoneal Cavity, Percutaneous Approach
0W3G4ZZ	Control Bleeding in Peritoneal Cavity, Percutaneous Endoscopic Approach
0W3H0ZZ	Control Bleeding in Retroperitoneum, Open Approach
0W3H3ZZ	Control Bleeding in Retroperitoneum, Percutaneous Approach
0W3H4ZZ	Control Bleeding in Retroperitoneum, Percutaneous Endoscopic Approach
0W3J0ZZ	Control Bleeding in Pelvic Cavity, Open Approach
0W3J3ZZ	Control Bleeding in Pelvic Cavity, Percutaneous Approach
0W3J4ZZ	Control Bleeding in Pelvic Cavity, Percutaneous Endoscopic Approach
0W3P0ZZ	Control Bleeding in Gastrointestinal Tract, Open Approach
0W3P3ZZ	Control Bleeding in Gastrointestinal Tract, Percutaneous Approach
0W3P4ZZ	Control Bleeding in Gastrointestinal Tract, Percutaneous Endoscopic Approach
0W9F00Z	Drainage of Abdominal Wall with Drainage Device, Open Approach
0W9F0ZZ	Drainage of Abdominal Wall, Open Approach
0W9G00Z	Drainage of Peritoneal Cavity with Drainage Device, Open Approach
0W9G0ZZ	Drainage of Peritoneal Cavity, Open Approach
0W9G40Z	Drainage of Peritoneal Cavity with Drainage Device, Percutaneous Endoscopic Approach
0W9G4ZZ	Drainage of Peritoneal Cavity, Percutaneous Endoscopic Approach
0W9H00Z	Drainage of Retroperitoneum with Drainage Device, Open Approach
0W9H0ZZ	Drainage of Retroperitoneum, Open Approach
0W9H40Z	Drainage of Retroperitoneum with Drainage Device, Percutaneous Endoscopic Approach
0W9H4ZZ	Drainage of Retroperitoneum, Percutaneous Endoscopic Approach
0W9J00Z	Drainage of Pelvic Cavity with Drainage Device, Open Approach
0W9J0ZZ	Drainage of Pelvic Cavity, Open Approach
0W9J40Z	Drainage of Pelvic Cavity with Drainage Device, Percutaneous Endoscopic Approach
0W9J4ZZ	Drainage of Pelvic Cavity, Percutaneous Endoscopic Approach
0WCG0ZZ	Extirpation of Matter from Peritoneal Cavity, Open Approach
0WCG3ZZ	Extirpation of Matter from Peritoneal Cavity, Percutaneous Approach
0WCG4ZZ	Extirpation of Matter from Peritoneal Cavity, Percutaneous Endoscopic Approach
0WCH0ZZ	Extirpation of Matter from Retroperitoneum, Open Approach
0WCH3ZZ	Extirpation of Matter from Retroperitoneum, Percutaneous Approach
0WCH4ZZ	Extirpation of Matter from Retroperitoneum, Percutaneous Endoscopic Approach
0WCJ0ZZ	Extirpation of Matter from Pelvic Cavity, Open Approach
0WCJ3ZZ	Extirpation of Matter from Pelvic Cavity, Percutaneous Approach
0WCJ4ZZ	Extirpation of Matter from Pelvic Cavity, Percutaneous Endoscopic Approach
0WCP0ZZ	Extirpation of Matter from Gastrointestinal Tract, Open Approach
0WCP3ZZ	Extirpation of Matter from Gastrointestinal Tract, Percutaneous Approach
0WCP4ZZ	Extirpation of Matter from Gastrointestinal Tract, Percutaneous Endoscopic Approach
0WCR0ZZ	Extirpation of Matter from Genitourinary Tract, Open Approach
0WCR3ZZ	Extirpation of Matter from Genitourinary Tract, Percutaneous Approach
0WCR4ZZ	Extirpation of Matter from Genitourinary Tract, Percutaneous Endoscopic Approach
0WHG03Z	Insertion of Infusion Device into Peritoneal Cavity, Open Approach
0WHG43Z	Insertion of Infusion Device into Peritoneal Cavity, Percutaneous Endoscopic Approach
0WHH01Z	Insertion of Radioactive Element into Retroperitoneum, Open Approach
0WHH31Z	Insertion of Radioactive Element into Retroperitoneum, Percutaneous Approach
0WHH41Z	Insertion of Radioactive Element into Retroperitoneum, Percutaneous Endoscopic Approach
0WHR01Z	Insertion of Radioactive Element into Genitourinary Tract, Open Approach
0WHR31Z	Insertion of Radioactive Element into Genitourinary Tract, Percutaneous Approach
0WHR41Z	Insertion of Radioactive Element into Genitourinary Tract, Percutaneous Endoscopic Approach
0WHR71Z	Insertion of Radioactive Element into Genitourinary Tract, Via Natural or Artificial Opening
0WHR81Z	Insertion of Radioactive Element into Genitourinary Tract, Via Natural or Artificial Opening Endoscopic
0WJ90ZZ	Inspection of Right Pleural Cavity, Open Approach
0WJB0ZZ	Inspection of Left Pleural Cavity, Open Approach
0WJC0ZZ	Inspection of Mediastinum, Open Approach
0WJF0ZZ	Inspection of Abdominal Wall, Open Approach
0WJF4ZZ	Inspection of Abdominal Wall, Percutaneous Endoscopic Approach
0WJG0ZZ	Inspection of Peritoneal Cavity, Open Approach
0WJG4ZZ	Inspection of Peritoneal Cavity, Percutaneous Endoscopic Approach
0WJH0ZZ	Inspection of Retroperitoneum, Open Approach
0WJJ0ZZ	Inspection of Pelvic Cavity, Open Approach
0WJJ4ZZ	Inspection of Pelvic Cavity, Percutaneous Endoscopic Approach
0WJP0ZZ	Inspection of Gastrointestinal Tract, Open Approach
0WJP4ZZ	Inspection of Gastrointestinal Tract, Percutaneous Endoscopic Approach
0WJQ0ZZ	Inspection of Respiratory Tract, Open Approach
0WJR0ZZ	Inspection of Genitourinary Tract, Open Approach
0WJR4ZZ	Inspection of Genitourinary Tract, Percutaneous Endoscopic Approach
0Y350ZZ	Control Bleeding in Right Inguinal Region, Open Approach
0Y353ZZ	Control Bleeding in Right Inguinal Region, Percutaneous Approach
0Y354ZZ	Control Bleeding in Right Inguinal Region, Percutaneous Endoscopic Approach
0Y360ZZ	Control Bleeding in Left Inguinal Region, Open Approach
0Y363ZZ	Control Bleeding in Left Inguinal Region, Percutaneous Approach
0Y364ZZ	Control Bleeding in Left Inguinal Region, Percutaneous Endoscopic Approach
0Y9500Z	Drainage of Right Inguinal Region with Drainage Device, Open Approach
0Y950ZZ	Drainage of Right Inguinal Region, Open Approach
0Y9540Z	Drainage of Right Inguinal Region with Drainage Device, Percutaneous Endoscopic Approach
0Y954ZZ	Drainage of Right Inguinal Region, Percutaneous Endoscopic Approach
0Y9600Z	Drainage of Left Inguinal Region with Drainage Device, Open Approach
0Y960ZZ	Drainage of Left Inguinal Region, Open Approach
0Y9640Z	Drainage of Left Inguinal Region with Drainage Device, Percutaneous Endoscopic Approach
0Y964ZZ	Drainage of Left Inguinal Region, Percutaneous Endoscopic Approach
0YJ50ZZ	Inspection of Right Inguinal Region, Open Approach
0YJ60ZZ	Inspection of Left Inguinal Region, Open Approach
0YJ70ZZ	Inspection of Right Femoral Region, Open Approach
0YJA0ZZ	Inspection of Bilateral Inguinal Region, Open Approach
X27H385	Dilation of Right Femoral Artery with Sustained Release Drug-eluting Intraluminal Device, Percutaneous Approach, New Technology Group 5
X27H395	Dilation of Right Femoral Artery with Two Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5
X27H3B5	Dilation of Right Femoral Artery with Three Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5
X27H3C5	Dilation of Right Femoral Artery with Four or More Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5
X27J385	Dilation of Left Femoral Artery with Sustained Release Drug-eluting Intraluminal Device, Percutaneous Approach, New Technology Group 5
X27J395	Dilation of Left Femoral Artery with Two Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5
X27J3B5	Dilation of Left Femoral Artery with Three Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5
X27J3C5	Dilation of Left Femoral Artery with Four or More Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5

OR PRINCIPAL DIAGNOSIS

E883	Tumor lysis syndrome
I120	Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I1311	Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
N170	Acute kidney failure with tubular necrosis
N171	Acute kidney failure with acute cortical necrosis
N172	Acute kidney failure with medullary necrosis
N178	Other acute kidney failure
N179	Acute kidney failure, unspecified
N185	Chronic kidney disease, stage 5
N186	End stage renal disease
N19	Unspecified kidney failure
R34	Anuria and oliguria
T795XXA	Traumatic anuria, initial encounter
T8241XA	Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T8242XA	Displacement of vascular dialysis catheter, initial encounter
T8243XA	Leakage of vascular dialysis catheter, initial encounter
T8249XA	Other complication of vascular dialysis catheter, initial encounter
T8611	Kidney transplant rejection
T8612	Kidney transplant failure
T8613	Kidney transplant infection
T8619	Other complication of kidney transplant

OR PRINCIPAL DIAGNOSIS

E0922	Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease
E1022	Type 1 diabetes mellitus with diabetic chronic kidney disease
E1122	Type 2 diabetes mellitus with diabetic chronic kidney disease
E1322	Other specified diabetes mellitus with diabetic chronic kidney disease

WITH SECONDARY DIAGNOSIS

N185	Chronic kidney disease, stage 5
N186	End stage renal disease

AND NON-OPERATING ROOM PROCEDURES

0JH60XZ*	Insertion of Tunneled Vascular Access Device into Chest Subcutaneous Tissue and Fascia, Open Approach
0JH63WZ*	Insertion of Totally Implantable Vascular Access Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH63XZ*	Insertion of Tunneled Vascular Access Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH80XZ*	Insertion of Tunneled Vascular Access Device into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH83WZ*	Insertion of Totally Implantable Vascular Access Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH83XZ*	Insertion of Tunneled Vascular Access Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHD0XZ*	Insertion of Tunneled Vascular Access Device into Right Upper Arm Subcutaneous Tissue and Fascia, Open Approach
0JHD3WZ*	Insertion of Totally Implantable Vascular Access Device into Right Upper Arm Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHD3XZ*	Insertion of Tunneled Vascular Access Device into Right Upper Arm Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHF0XZ*	Insertion of Tunneled Vascular Access Device into Left Upper Arm Subcutaneous Tissue and Fascia, Open Approach
0JHF3WZ*	Insertion of Totally Implantable Vascular Access Device into Left Upper Arm Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHF3XZ*	Insertion of Tunneled Vascular Access Device into Left Upper Arm Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHG0XZ*	Insertion of Tunneled Vascular Access Device into Right Lower Arm Subcutaneous Tissue and Fascia, Open Approach
0JHG3WZ*	Insertion of Totally Implantable Vascular Access Device into Right Lower Arm Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHG3XZ*	Insertion of Tunneled Vascular Access Device into Right Lower Arm Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHH0XZ*	Insertion of Tunneled Vascular Access Device into Left Lower Arm Subcutaneous Tissue and Fascia, Open Approach
0JHH3WZ*	Insertion of Totally Implantable Vascular Access Device into Left Lower Arm Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHH3XZ*	Insertion of Tunneled Vascular Access Device into Left Lower Arm Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHL0XZ*	Insertion of Tunneled Vascular Access Device into Right Upper Leg Subcutaneous Tissue and Fascia, Open Approach
0JHL3WZ*	Insertion of Totally Implantable Vascular Access Device into Right Upper Leg Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHL3XZ*	Insertion of Tunneled Vascular Access Device into Right Upper Leg Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHM0XZ*	Insertion of Tunneled Vascular Access Device into Left Upper Leg Subcutaneous Tissue and Fascia, Open Approach
0JHM3WZ*	Insertion of Totally Implantable Vascular Access Device into Left Upper Leg Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHM3XZ*	Insertion of Tunneled Vascular Access Device into Left Upper Leg Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHN0XZ*	Insertion of Tunneled Vascular Access Device into Right Lower Leg Subcutaneous Tissue and Fascia, Open Approach
0JHN3WZ*	Insertion of Totally Implantable Vascular Access Device into Right Lower Leg Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHN3XZ*	Insertion of Tunneled Vascular Access Device into Right Lower Leg Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHP0XZ*	Insertion of Tunneled Vascular Access Device into Left Lower Leg Subcutaneous Tissue and Fascia, Open Approach
0JHP3WZ*	Insertion of Totally Implantable Vascular Access Device into Left Lower Leg Subcutaneous Tissue and Fascia, Percutaneous Approach
0JHP3XZ*	Insertion of Tunneled Vascular Access Device into Left Lower Leg Subcutaneous Tissue and Fascia, Percutaneous Approach

OR PRINCIPAL DIAGNOSIS

E1021	Type 1 diabetes mellitus with diabetic nephropathy
E1022	Type 1 diabetes mellitus with diabetic chronic kidney disease
E1029	Type 1 diabetes mellitus with other diabetic kidney complication

AND NON-OPERATING ROOM PROCEDURES

3E030U0*	Introduction of Autologous Pancreatic Islet Cells into Peripheral Vein, Open Approach
3E030U1*	Introduction of Nonautologous Pancreatic Islet Cells into Peripheral Vein, Open Approach
3E033U0*	Introduction of Autologous Pancreatic Islet Cells into Peripheral Vein, Percutaneous Approach
3E033U1*	Introduction of Nonautologous Pancreatic Islet Cells into Peripheral Vein, Percutaneous Approach
3E0J3U0*	Introduction of Autologous Pancreatic Islet Cells into Biliary and Pancreatic Tract, Percutaneous Approach
3E0J3U1*	Introduction of Nonautologous Pancreatic Islet Cells into Biliary and Pancreatic Tract, Percutaneous Approach
3E0J7U0*	Introduction of Autologous Pancreatic Islet Cells into Biliary and Pancreatic Tract, Via Natural or Artificial Opening
3E0J7U1*	Introduction of Nonautologous Pancreatic Islet Cells into Biliary and Pancreatic Tract, Via Natural or Artificial Opening
3E0J8U0*	Introduction of Autologous Pancreatic Islet Cells into Biliary and Pancreatic Tract, Via Natural or Artificial Opening Endoscopic
3E0J8U1*	Introduction of Nonautologous Pancreatic Islet Cells into Biliary and Pancreatic Tract, Via Natural or Artificial Opening Endoscopic

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
08 Mar 2021 20:13:49
CMS, code-revision=301, description-revision=1298