ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual |
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| MDC 24 Multiple significant trauma |
| Other O.R. procedures for multiple significant trauma |
| Page 47 of 54 |
OPERATING ROOM PROCEDURES (continued)
0016070 00RF4JZ 00XL0ZK 01R60JZ 021V4ZS 02VX4FZ 037P3ZZ 03LG4DZ 03UC37Z 04783DZ 04HJ3DZ 04QN4ZZ 04V24DZ 05L93CZ 05UG07Z 06LJ4CZ 06VP4DZ 08LY0DZ 08UQ3JZ 0B718ZZ 0CBV4ZZ 0D134J6 0D1H8ZP 0DQJ3ZZ 0F144D4 0FM00ZZ 0FW003Z 0HRFXJ4 0JUJ0JZ 0KHY3MZ 0KWY00Z 0LQP4ZZ 0MC03ZZ 0NDL0ZZ 0P803ZZ 0PHG45Z 0PRD07Z 0PTQ0ZZ 0QCG3ZZ 0QPP3JZ 0QU04JZ 0RG13J1 0RGV04Z 0RQQ3ZZ 0RUX3KZ 0SGD0JZ 0SQD0ZZ 0T174J6 0TR67KZ 0US50ZZ 0VUK07Z 0WJC0ZZ 0XQJXZZ X27H385
| 0SQD0ZZ | Repair Left Knee Joint, Open Approach |
| 0SQD3ZZ | Repair Left Knee Joint, Percutaneous Approach |
| 0SQD4ZZ | Repair Left Knee Joint, Percutaneous Endoscopic Approach |
| 0SQF0ZZ | Repair Right Ankle Joint, Open Approach |
| 0SQF3ZZ | Repair Right Ankle Joint, Percutaneous Approach |
| 0SQF4ZZ | Repair Right Ankle Joint, Percutaneous Endoscopic Approach |
| 0SQG0ZZ | Repair Left Ankle Joint, Open Approach |
| 0SQG3ZZ | Repair Left Ankle Joint, Percutaneous Approach |
| 0SQG4ZZ | Repair Left Ankle Joint, Percutaneous Endoscopic Approach |
| 0SR20JZ | Replacement of Lumbar Vertebral Disc with Synthetic Substitute, Open Approach |
| 0SR40JZ | Replacement of Lumbosacral Disc with Synthetic Substitute, Open Approach |
| 0SRC069 | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRC06A | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRC06Z | Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SRC07Z | Replacement of Right Knee Joint with Autologous Tissue Substitute, Open Approach |
| 0SRC0EZ | Replacement of Right Knee Joint with Articulating Spacer, Open Approach |
| 0SRC0J9 | Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRC0JA | Replacement of Right Knee Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0JZ | Replacement of Right Knee Joint with Synthetic Substitute, Open Approach |
| 0SRC0KZ | Replacement of Right Knee Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRC0L9 | Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRC0LA | Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0LZ | Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Open Approach |
| 0SRC0M9 | Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRC0MA | Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0MZ | Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach |
| 0SRC0N9 | Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach |
| 0SRC0NA | Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach |
| 0SRC0NZ | Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Open Approach |
| 0SRD069 | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SRD06A | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SRD06Z | Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach |
| 0SRD07Z | Replacement of Left Knee Joint with Autologous Tissue Substitute, Open Approach |
| 0SRD0EZ | Replacement of Left Knee Joint with Articulating Spacer, Open Approach |
| 0SRD0J9 | Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRD0JA | Replacement of Left Knee Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0JZ | Replacement of Left Knee Joint with Synthetic Substitute, Open Approach |
| 0SRD0KZ | Replacement of Left Knee Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRD0L9 | Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRD0LA | Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0LZ | Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Open Approach |
| 0SRD0M9 | Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach |
| 0SRD0MA | Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0MZ | Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach |
| 0SRD0N9 | Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach |
| 0SRD0NA | Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach |
| 0SRD0NZ | Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach |
| 0SRF07Z | Replacement of Right Ankle Joint with Autologous Tissue Substitute, Open Approach |
| 0SRF0J9 | Replacement of Right Ankle Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRF0JA | Replacement of Right Ankle Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRF0JZ | Replacement of Right Ankle Joint with Synthetic Substitute, Open Approach |
| 0SRF0KZ | Replacement of Right Ankle Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRG07Z | Replacement of Left Ankle Joint with Autologous Tissue Substitute, Open Approach |
| 0SRG0J9 | Replacement of Left Ankle Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRG0JA | Replacement of Left Ankle Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRG0JZ | Replacement of Left Ankle Joint with Synthetic Substitute, Open Approach |
| 0SRG0KZ | Replacement of Left Ankle Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRH07Z | Replacement of Right Tarsal Joint with Autologous Tissue Substitute, Open Approach |
| 0SRH0JZ | Replacement of Right Tarsal Joint with Synthetic Substitute, Open Approach |
| 0SRH0KZ | Replacement of Right Tarsal Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRJ07Z | Replacement of Left Tarsal Joint with Autologous Tissue Substitute, Open Approach |
| 0SRJ0JZ | Replacement of Left Tarsal Joint with Synthetic Substitute, Open Approach |
| 0SRJ0KZ | Replacement of Left Tarsal Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRK07Z | Replacement of Right Tarsometatarsal Joint with Autologous Tissue Substitute, Open Approach |
| 0SRK0JZ | Replacement of Right Tarsometatarsal Joint with Synthetic Substitute, Open Approach |
| 0SRK0KZ | Replacement of Right Tarsometatarsal Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRL07Z | Replacement of Left Tarsometatarsal Joint with Autologous Tissue Substitute, Open Approach |
| 0SRL0JZ | Replacement of Left Tarsometatarsal Joint with Synthetic Substitute, Open Approach |
| 0SRL0KZ | Replacement of Left Tarsometatarsal Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRM07Z | Replacement of Right Metatarsal-Phalangeal Joint with Autologous Tissue Substitute, Open Approach |
| 0SRM0JZ | Replacement of Right Metatarsal-Phalangeal Joint with Synthetic Substitute, Open Approach |
| 0SRM0KZ | Replacement of Right Metatarsal-Phalangeal Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRN07Z | Replacement of Left Metatarsal-Phalangeal Joint with Autologous Tissue Substitute, Open Approach |
| 0SRN0JZ | Replacement of Left Metatarsal-Phalangeal Joint with Synthetic Substitute, Open Approach |
| 0SRN0KZ | Replacement of Left Metatarsal-Phalangeal Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRP07Z | Replacement of Right Toe Phalangeal Joint with Autologous Tissue Substitute, Open Approach |
| 0SRP0JZ | Replacement of Right Toe Phalangeal Joint with Synthetic Substitute, Open Approach |
| 0SRP0KZ | Replacement of Right Toe Phalangeal Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRQ07Z | Replacement of Left Toe Phalangeal Joint with Autologous Tissue Substitute, Open Approach |
| 0SRQ0JZ | Replacement of Left Toe Phalangeal Joint with Synthetic Substitute, Open Approach |
| 0SRQ0KZ | Replacement of Left Toe Phalangeal Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SRT07Z | Replacement of Right Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRT0J9 | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRT0JA | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRT0JZ | Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRT0KZ | Replacement of Right Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRU07Z | Replacement of Left Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach |
| 0SRU0J9 | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRU0JA | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRU0JZ | Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach |
| 0SRU0KZ | Replacement of Left Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRV07Z | Replacement of Right Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach |
| 0SRV0J9 | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRV0JA | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRV0JZ | Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach |
| 0SRV0KZ | Replacement of Right Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SRW07Z | Replacement of Left Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach |
| 0SRW0J9 | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach |
| 0SRW0JA | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach |
| 0SRW0JZ | Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach |
| 0SRW0KZ | Replacement of Left Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach |
| 0SS004Z | Reposition Lumbar Vertebral Joint with Internal Fixation Device, Open Approach |
| 0SS00ZZ | Reposition Lumbar Vertebral Joint, Open Approach |
| 0SS304Z | Reposition Lumbosacral Joint with Internal Fixation Device, Open Approach |
| 0SS30ZZ | Reposition Lumbosacral Joint, Open Approach |
| 0SS504Z | Reposition Sacrococcygeal Joint with Internal Fixation Device, Open Approach |
| 0SS50ZZ | Reposition Sacrococcygeal Joint, Open Approach |
| 0SS604Z | Reposition Coccygeal Joint with Internal Fixation Device, Open Approach |
| 0SS60ZZ | Reposition Coccygeal Joint, Open Approach |
| 0SS704Z | Reposition Right Sacroiliac Joint with Internal Fixation Device, Open Approach |
| 0SS70ZZ | Reposition Right Sacroiliac Joint, Open Approach |
| 0SS804Z | Reposition Left Sacroiliac Joint with Internal Fixation Device, Open Approach |
| 0SS80ZZ | Reposition Left Sacroiliac Joint, Open Approach |
| 0SSC04Z | Reposition Right Knee Joint with Internal Fixation Device, Open Approach |
| 0SSC05Z | Reposition Right Knee Joint with External Fixation Device, Open Approach |
| 0SSC0ZZ | Reposition Right Knee Joint, Open Approach |
| 0SSD04Z | Reposition Left Knee Joint with Internal Fixation Device, Open Approach |
| 0SSD05Z | Reposition Left Knee Joint with External Fixation Device, Open Approach |
| 0SSD0ZZ | Reposition Left Knee Joint, Open Approach |
| 0SSF04Z | Reposition Right Ankle Joint with Internal Fixation Device, Open Approach |
| 0SSF05Z | Reposition Right Ankle Joint with External Fixation Device, Open Approach |
| 0SSF0ZZ | Reposition Right Ankle Joint, Open Approach |
| 0SSG04Z | Reposition Left Ankle Joint with Internal Fixation Device, Open Approach |
| 0SSG05Z | Reposition Left Ankle Joint with External Fixation Device, Open Approach |
| 0SSG0ZZ | Reposition Left Ankle Joint, Open Approach |
| 0SSH04Z | Reposition Right Tarsal Joint with Internal Fixation Device, Open Approach |
| 0SSH05Z | Reposition Right Tarsal Joint with External Fixation Device, Open Approach |
| 0SSH0ZZ | Reposition Right Tarsal Joint, Open Approach |
| 0SSJ04Z | Reposition Left Tarsal Joint with Internal Fixation Device, Open Approach |
| 0SSJ05Z | Reposition Left Tarsal Joint with External Fixation Device, Open Approach |
| 0SSJ0ZZ | Reposition Left Tarsal Joint, Open Approach |
| 0SSK04Z | Reposition Right Tarsometatarsal Joint with Internal Fixation Device, Open Approach |
| 0SSK05Z | Reposition Right Tarsometatarsal Joint with External Fixation Device, Open Approach |
| 0SSK0ZZ | Reposition Right Tarsometatarsal Joint, Open Approach |
| 0SSL04Z | Reposition Left Tarsometatarsal Joint with Internal Fixation Device, Open Approach |
| 0SSL05Z | Reposition Left Tarsometatarsal Joint with External Fixation Device, Open Approach |
| 0SSL0ZZ | Reposition Left Tarsometatarsal Joint, Open Approach |
| 0SSM04Z | Reposition Right Metatarsal-Phalangeal Joint with Internal Fixation Device, Open Approach |
| 0SSM05Z | Reposition Right Metatarsal-Phalangeal Joint with External Fixation Device, Open Approach |
| 0SSM0ZZ | Reposition Right Metatarsal-Phalangeal Joint, Open Approach |
| 0SSN04Z | Reposition Left Metatarsal-Phalangeal Joint with Internal Fixation Device, Open Approach |
| 0SSN05Z | Reposition Left Metatarsal-Phalangeal Joint with External Fixation Device, Open Approach |
| 0SSN0ZZ | Reposition Left Metatarsal-Phalangeal Joint, Open Approach |
| 0SSP04Z | Reposition Right Toe Phalangeal Joint with Internal Fixation Device, Open Approach |
| 0SSP05Z | Reposition Right Toe Phalangeal Joint with External Fixation Device, Open Approach |
| 0SSP0ZZ | Reposition Right Toe Phalangeal Joint, Open Approach |
| 0SSQ04Z | Reposition Left Toe Phalangeal Joint with Internal Fixation Device, Open Approach |
| 0SSQ05Z | Reposition Left Toe Phalangeal Joint with External Fixation Device, Open Approach |
| 0SSQ0ZZ | Reposition Left Toe Phalangeal Joint, Open Approach |
| 0ST20ZZ | Resection of Lumbar Vertebral Disc, Open Approach |
| 0ST40ZZ | Resection of Lumbosacral Disc, Open Approach |
| 0ST50ZZ | Resection of Sacrococcygeal Joint, Open Approach |
| 0ST60ZZ | Resection of Coccygeal Joint, Open Approach |
| 0ST70ZZ | Resection of Right Sacroiliac Joint, Open Approach |
| 0ST80ZZ | Resection of Left Sacroiliac Joint, Open Approach |
| 0STC0ZZ | Resection of Right Knee Joint, Open Approach |
| 0STD0ZZ | Resection of Left Knee Joint, Open Approach |
| 0STF0ZZ | Resection of Right Ankle Joint, Open Approach |
| 0STG0ZZ | Resection of Left Ankle Joint, Open Approach |
| 0STH0ZZ | Resection of Right Tarsal Joint, Open Approach |
| 0STJ0ZZ | Resection of Left Tarsal Joint, Open Approach |
| 0STK0ZZ | Resection of Right Tarsometatarsal Joint, Open Approach |
| 0STL0ZZ | Resection of Left Tarsometatarsal Joint, Open Approach |
| 0STM0ZZ | Resection of Right Metatarsal-Phalangeal Joint, Open Approach |
| 0STN0ZZ | Resection of Left Metatarsal-Phalangeal Joint, Open Approach |
| 0STP0ZZ | Resection of Right Toe Phalangeal Joint, Open Approach |
| 0STQ0ZZ | Resection of Left Toe Phalangeal Joint, Open Approach |
| 0SU00JZ | Supplement Lumbar Vertebral Joint with Synthetic Substitute, Open Approach |
| 0SU03JZ | Supplement Lumbar Vertebral Joint with Synthetic Substitute, Percutaneous Approach |
| 0SU04JZ | Supplement Lumbar Vertebral Joint with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0SU207Z | Supplement Lumbar Vertebral Disc with Autologous Tissue Substitute, Open Approach |
| 0SU20JZ | Supplement Lumbar Vertebral Disc with Synthetic Substitute, Open Approach |
| 0SU20KZ | Supplement Lumbar Vertebral Disc with Nonautologous Tissue Substitute, Open Approach |
| 0SU237Z | Supplement Lumbar Vertebral Disc with Autologous Tissue Substitute, Percutaneous Approach |
| 0SU23JZ | Supplement Lumbar Vertebral Disc with Synthetic Substitute, Percutaneous Approach |
| 0SU23KZ | Supplement Lumbar Vertebral Disc with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0SU247Z | Supplement Lumbar Vertebral Disc with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0SU24JZ | Supplement Lumbar Vertebral Disc with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0SU24KZ | Supplement Lumbar Vertebral Disc with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0SU30JZ | Supplement Lumbosacral Joint with Synthetic Substitute, Open Approach |
| 0SU33JZ | Supplement Lumbosacral Joint with Synthetic Substitute, Percutaneous Approach |
| 0SU34JZ | Supplement Lumbosacral Joint with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0SU407Z | Supplement Lumbosacral Disc with Autologous Tissue Substitute, Open Approach |
| 0SU40JZ | Supplement Lumbosacral Disc with Synthetic Substitute, Open Approach |
| 0SU40KZ | Supplement Lumbosacral Disc with Nonautologous Tissue Substitute, Open Approach |
| 0SU437Z | Supplement Lumbosacral Disc with Autologous Tissue Substitute, Percutaneous Approach |
| 0SU43JZ | Supplement Lumbosacral Disc with Synthetic Substitute, Percutaneous Approach |
| 0SU43KZ | Supplement Lumbosacral Disc with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0SU447Z | Supplement Lumbosacral Disc with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0SU44JZ | Supplement Lumbosacral Disc with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0SU44KZ | Supplement Lumbosacral Disc with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0SU50JZ | Supplement Sacrococcygeal Joint with Synthetic Substitute, Open Approach |
| 0SU53JZ | Supplement Sacrococcygeal Joint with Synthetic Substitute, Percutaneous Approach |
| 0SU54JZ | Supplement Sacrococcygeal Joint with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0SU60JZ | Supplement Coccygeal Joint with Synthetic Substitute, Open Approach |
| 0SU63JZ | Supplement Coccygeal Joint with Synthetic Substitute, Percutaneous Approach |
| 0SU64JZ | Supplement Coccygeal Joint with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0SUH0JZ | Supplement Right Tarsal Joint with Synthetic Substitute, Open Approach |
| 0SUH3JZ | Supplement Right Tarsal Joint with Synthetic Substitute, Percutaneous Approach |
| 0SUH4JZ | Supplement Right Tarsal Joint with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0SUJ0JZ | Supplement Left Tarsal Joint with Synthetic Substitute, Open Approach |
| 0SUJ3JZ | Supplement Left Tarsal Joint with Synthetic Substitute, Percutaneous Approach |
| 0SUJ4JZ | Supplement Left Tarsal Joint with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0SUR09Z | Supplement Right Hip Joint, Femoral Surface with Liner, Open Approach |
| 0SUS09Z | Supplement Left Hip Joint, Femoral Surface with Liner, Open Approach |
| 0SUV09Z | Supplement Right Knee Joint, Tibial Surface with Liner, Open Approach |
| 0SUW09Z | Supplement Left Knee Joint, Tibial Surface with Liner, Open Approach |
| 0SW004Z | Revision of Internal Fixation Device in Lumbar Vertebral Joint, Open Approach |
| 0SW00JZ | Revision of Synthetic Substitute in Lumbar Vertebral Joint, Open Approach |
| 0SW034Z | Revision of Internal Fixation Device in Lumbar Vertebral Joint, Percutaneous Approach |
| 0SW03JZ | Revision of Synthetic Substitute in Lumbar Vertebral Joint, Percutaneous Approach |
| 0SW044Z | Revision of Internal Fixation Device in Lumbar Vertebral Joint, Percutaneous Endoscopic Approach |
| 0SW04JZ | Revision of Synthetic Substitute in Lumbar Vertebral Joint, Percutaneous Endoscopic Approach |
| 0SW20JZ | Revision of Synthetic Substitute in Lumbar Vertebral Disc, Open Approach |
| 0SW23JZ | Revision of Synthetic Substitute in Lumbar Vertebral Disc, Percutaneous Approach |
| 0SW24JZ | Revision of Synthetic Substitute in Lumbar Vertebral Disc, Percutaneous Endoscopic Approach |
| 0SW304Z | Revision of Internal Fixation Device in Lumbosacral Joint, Open Approach |
| 0SW30JZ | Revision of Synthetic Substitute in Lumbosacral Joint, Open Approach |
| 0SW334Z | Revision of Internal Fixation Device in Lumbosacral Joint, Percutaneous Approach |
| 0SW33JZ | Revision of Synthetic Substitute in Lumbosacral Joint, Percutaneous Approach |
| 0SW344Z | Revision of Internal Fixation Device in Lumbosacral Joint, Percutaneous Endoscopic Approach |
| 0SW34JZ | Revision of Synthetic Substitute in Lumbosacral Joint, Percutaneous Endoscopic Approach |
| 0SW40JZ | Revision of Synthetic Substitute in Lumbosacral Disc, Open Approach |
| 0SW43JZ | Revision of Synthetic Substitute in Lumbosacral Disc, Percutaneous Approach |
| 0SW44JZ | Revision of Synthetic Substitute in Lumbosacral Disc, Percutaneous Endoscopic Approach |
| 0SWC0JC | Revision of Synthetic Substitute in Right Knee Joint, Patellar Surface, Open Approach |
| 0SWC0JZ | Revision of Synthetic Substitute in Right Knee Joint, Open Approach |
| 0SWC3JC | Revision of Synthetic Substitute in Right Knee Joint, Patellar Surface, Percutaneous Approach |
| 0SWC3JZ | Revision of Synthetic Substitute in Right Knee Joint, Percutaneous Approach |
| 0SWC4JC | Revision of Synthetic Substitute in Right Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach |
| 0SWC4JZ | Revision of Synthetic Substitute in Right Knee Joint, Percutaneous Endoscopic Approach |
| 0SWD0JC | Revision of Synthetic Substitute in Left Knee Joint, Patellar Surface, Open Approach |
| 0SWD0JZ | Revision of Synthetic Substitute in Left Knee Joint, Open Approach |
| 0SWD3JC | Revision of Synthetic Substitute in Left Knee Joint, Patellar Surface, Percutaneous Approach |
| 0SWD3JZ | Revision of Synthetic Substitute in Left Knee Joint, Percutaneous Approach |
| 0SWD4JC | Revision of Synthetic Substitute in Left Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach |
| 0SWD4JZ | Revision of Synthetic Substitute in Left Knee Joint, Percutaneous Endoscopic Approach |
| 0SWF0JZ | Revision of Synthetic Substitute in Right Ankle Joint, Open Approach |
| 0SWF3JZ | Revision of Synthetic Substitute in Right Ankle Joint, Percutaneous Approach |
| 0SWF4JZ | Revision of Synthetic Substitute in Right Ankle Joint, Percutaneous Endoscopic Approach |
| 0SWG0JZ | Revision of Synthetic Substitute in Left Ankle Joint, Open Approach |
| 0SWG3JZ | Revision of Synthetic Substitute in Left Ankle Joint, Percutaneous Approach |
| 0SWG4JZ | Revision of Synthetic Substitute in Left Ankle Joint, Percutaneous Endoscopic Approach |
| 0SWH0JZ | Revision of Synthetic Substitute in Right Tarsal Joint, Open Approach |
| 0SWH3JZ | Revision of Synthetic Substitute in Right Tarsal Joint, Percutaneous Approach |
| 0SWH4JZ | Revision of Synthetic Substitute in Right Tarsal Joint, Percutaneous Endoscopic Approach |
| 0SWJ0JZ | Revision of Synthetic Substitute in Left Tarsal Joint, Open Approach |
| 0SWJ3JZ | Revision of Synthetic Substitute in Left Tarsal Joint, Percutaneous Approach |
| 0SWJ4JZ | Revision of Synthetic Substitute in Left Tarsal Joint, Percutaneous Endoscopic Approach |
| 0SWK0JZ | Revision of Synthetic Substitute in Right Tarsometatarsal Joint, Open Approach |
| 0SWK3JZ | Revision of Synthetic Substitute in Right Tarsometatarsal Joint, Percutaneous Approach |
| 0SWK4JZ | Revision of Synthetic Substitute in Right Tarsometatarsal Joint, Percutaneous Endoscopic Approach |
| 0SWL0JZ | Revision of Synthetic Substitute in Left Tarsometatarsal Joint, Open Approach |
| 0SWL3JZ | Revision of Synthetic Substitute in Left Tarsometatarsal Joint, Percutaneous Approach |
| 0SWL4JZ | Revision of Synthetic Substitute in Left Tarsometatarsal Joint, Percutaneous Endoscopic Approach |
| 0SWM0JZ | Revision of Synthetic Substitute in Right Metatarsal-Phalangeal Joint, Open Approach |
| 0SWM3JZ | Revision of Synthetic Substitute in Right Metatarsal-Phalangeal Joint, Percutaneous Approach |
| 0SWM4JZ | Revision of Synthetic Substitute in Right Metatarsal-Phalangeal Joint, Percutaneous Endoscopic Approach |
| 0SWN0JZ | Revision of Synthetic Substitute in Left Metatarsal-Phalangeal Joint, Open Approach |
| 0SWN3JZ | Revision of Synthetic Substitute in Left Metatarsal-Phalangeal Joint, Percutaneous Approach |
| 0SWN4JZ | Revision of Synthetic Substitute in Left Metatarsal-Phalangeal Joint, Percutaneous Endoscopic Approach |
| 0SWP0JZ | Revision of Synthetic Substitute in Right Toe Phalangeal Joint, Open Approach |
| 0SWP3JZ | Revision of Synthetic Substitute in Right Toe Phalangeal Joint, Percutaneous Approach |
| 0SWP4JZ | Revision of Synthetic Substitute in Right Toe Phalangeal Joint, Percutaneous Endoscopic Approach |
| 0SWQ0JZ | Revision of Synthetic Substitute in Left Toe Phalangeal Joint, Open Approach |
| 0SWQ3JZ | Revision of Synthetic Substitute in Left Toe Phalangeal Joint, Percutaneous Approach |
| 0SWQ4JZ | Revision of Synthetic Substitute in Left Toe Phalangeal Joint, Percutaneous Endoscopic Approach |
| 0SWT0JZ | Revision of Synthetic Substitute in Right Knee Joint, Femoral Surface, Open Approach |
| 0SWT3JZ | Revision of Synthetic Substitute in Right Knee Joint, Femoral Surface, Percutaneous Approach |
| 0SWT4JZ | Revision of Synthetic Substitute in Right Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach |
| 0SWU0JZ | Revision of Synthetic Substitute in Left Knee Joint, Femoral Surface, Open Approach |
| 0SWU3JZ | Revision of Synthetic Substitute in Left Knee Joint, Femoral Surface, Percutaneous Approach |
| 0SWU4JZ | Revision of Synthetic Substitute in Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach |
| 0SWV0JZ | Revision of Synthetic Substitute in Right Knee Joint, Tibial Surface, Open Approach |
| 0SWV3JZ | Revision of Synthetic Substitute in Right Knee Joint, Tibial Surface, Percutaneous Approach |
| 0SWV4JZ | Revision of Synthetic Substitute in Right Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach |
| 0SWW0JZ | Revision of Synthetic Substitute in Left Knee Joint, Tibial Surface, Open Approach |
| 0SWW3JZ | Revision of Synthetic Substitute in Left Knee Joint, Tibial Surface, Percutaneous Approach |
| 0SWW4JZ | Revision of Synthetic Substitute in Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach |
| 0T1307B | Bypass Right Kidney Pelvis to Bladder with Autologous Tissue Substitute, Open Approach |
| 0T130JB | Bypass Right Kidney Pelvis to Bladder with Synthetic Substitute, Open Approach |
| 0T130KB | Bypass Right Kidney Pelvis to Bladder with Nonautologous Tissue Substitute, Open Approach |
| 0T130ZB | Bypass Right Kidney Pelvis to Bladder, Open Approach |
| 0T1347B | Bypass Right Kidney Pelvis to Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T134JB | Bypass Right Kidney Pelvis to Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0T134KB | Bypass Right Kidney Pelvis to Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T134ZB | Bypass Right Kidney Pelvis to Bladder, Percutaneous Endoscopic Approach |
| 0T1407B | Bypass Left Kidney Pelvis to Bladder with Autologous Tissue Substitute, Open Approach |
| 0T140JB | Bypass Left Kidney Pelvis to Bladder with Synthetic Substitute, Open Approach |
| 0T140KB | Bypass Left Kidney Pelvis to Bladder with Nonautologous Tissue Substitute, Open Approach |
| 0T140ZB | Bypass Left Kidney Pelvis to Bladder, Open Approach |
| 0T1447B | Bypass Left Kidney Pelvis to Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T144JB | Bypass Left Kidney Pelvis to Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0T144KB | Bypass Left Kidney Pelvis to Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T144ZB | Bypass Left Kidney Pelvis to Bladder, Percutaneous Endoscopic Approach |
| 0T16076 | Bypass Right Ureter to Right Ureter with Autologous Tissue Substitute, Open Approach |
| 0T16077 | Bypass Right Ureter to Left Ureter with Autologous Tissue Substitute, Open Approach |
| 0T16078 | Bypass Right Ureter to Colon with Autologous Tissue Substitute, Open Approach |
| 0T16079 | Bypass Right Ureter to Colocutaneous with Autologous Tissue Substitute, Open Approach |
| 0T1607A | Bypass Right Ureter to Ileum with Autologous Tissue Substitute, Open Approach |
| 0T1607B | Bypass Right Ureter to Bladder with Autologous Tissue Substitute, Open Approach |
| 0T1607C | Bypass Right Ureter to Ileocutaneous with Autologous Tissue Substitute, Open Approach |
| 0T1607D | Bypass Right Ureter to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0T160J6 | Bypass Right Ureter to Right Ureter with Synthetic Substitute, Open Approach |
| 0T160J7 | Bypass Right Ureter to Left Ureter with Synthetic Substitute, Open Approach |
| 0T160J8 | Bypass Right Ureter to Colon with Synthetic Substitute, Open Approach |
| 0T160J9 | Bypass Right Ureter to Colocutaneous with Synthetic Substitute, Open Approach |
| 0T160JA | Bypass Right Ureter to Ileum with Synthetic Substitute, Open Approach |
| 0T160JB | Bypass Right Ureter to Bladder with Synthetic Substitute, Open Approach |
| 0T160JC | Bypass Right Ureter to Ileocutaneous with Synthetic Substitute, Open Approach |
| 0T160JD | Bypass Right Ureter to Cutaneous with Synthetic Substitute, Open Approach |
| 0T160K6 | Bypass Right Ureter to Right Ureter with Nonautologous Tissue Substitute, Open Approach |
| 0T160K7 | Bypass Right Ureter to Left Ureter with Nonautologous Tissue Substitute, Open Approach |
| 0T160K8 | Bypass Right Ureter to Colon with Nonautologous Tissue Substitute, Open Approach |
| 0T160K9 | Bypass Right Ureter to Colocutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0T160KA | Bypass Right Ureter to Ileum with Nonautologous Tissue Substitute, Open Approach |
| 0T160KB | Bypass Right Ureter to Bladder with Nonautologous Tissue Substitute, Open Approach |
| 0T160KC | Bypass Right Ureter to Ileocutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0T160KD | Bypass Right Ureter to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0T160Z6 | Bypass Right Ureter to Right Ureter, Open Approach |
| 0T160Z7 | Bypass Right Ureter to Left Ureter, Open Approach |
| 0T160Z8 | Bypass Right Ureter to Colon, Open Approach |
| 0T160Z9 | Bypass Right Ureter to Colocutaneous, Open Approach |
| 0T160ZA | Bypass Right Ureter to Ileum, Open Approach |
| 0T160ZB | Bypass Right Ureter to Bladder, Open Approach |
| 0T160ZC | Bypass Right Ureter to Ileocutaneous, Open Approach |
| 0T160ZD | Bypass Right Ureter to Cutaneous, Open Approach |
| 0T163JD | Bypass Right Ureter to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0T16476 | Bypass Right Ureter to Right Ureter with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T16477 | Bypass Right Ureter to Left Ureter with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T16478 | Bypass Right Ureter to Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T16479 | Bypass Right Ureter to Colocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T1647A | Bypass Right Ureter to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T1647B | Bypass Right Ureter to Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T1647C | Bypass Right Ureter to Ileocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T1647D | Bypass Right Ureter to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T164J6 | Bypass Right Ureter to Right Ureter with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0T164J7 | Bypass Right Ureter to Left Ureter with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0T164J8 | Bypass Right Ureter to Colon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0T164J9 | Bypass Right Ureter to Colocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0T164JA | Bypass Right Ureter to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0T164JB | Bypass Right Ureter to Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0T164JC | Bypass Right Ureter to Ileocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0T164JD | Bypass Right Ureter to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0T164K6 | Bypass Right Ureter to Right Ureter with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T164K7 | Bypass Right Ureter to Left Ureter with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T164K8 | Bypass Right Ureter to Colon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T164K9 | Bypass Right Ureter to Colocutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T164KA | Bypass Right Ureter to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T164KB | Bypass Right Ureter to Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T164KC | Bypass Right Ureter to Ileocutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T164KD | Bypass Right Ureter to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T164Z6 | Bypass Right Ureter to Right Ureter, Percutaneous Endoscopic Approach |
| 0T164Z7 | Bypass Right Ureter to Left Ureter, Percutaneous Endoscopic Approach |
| 0T164Z8 | Bypass Right Ureter to Colon, Percutaneous Endoscopic Approach |
| 0T164Z9 | Bypass Right Ureter to Colocutaneous, Percutaneous Endoscopic Approach |
| 0T164ZA | Bypass Right Ureter to Ileum, Percutaneous Endoscopic Approach |
| 0T164ZB | Bypass Right Ureter to Bladder, Percutaneous Endoscopic Approach |
| 0T164ZC | Bypass Right Ureter to Ileocutaneous, Percutaneous Endoscopic Approach |
| 0T164ZD | Bypass Right Ureter to Cutaneous, Percutaneous Endoscopic Approach |
| 0T17076 | Bypass Left Ureter to Right Ureter with Autologous Tissue Substitute, Open Approach |
| 0T17077 | Bypass Left Ureter to Left Ureter with Autologous Tissue Substitute, Open Approach |
| 0T17078 | Bypass Left Ureter to Colon with Autologous Tissue Substitute, Open Approach |
| 0T17079 | Bypass Left Ureter to Colocutaneous with Autologous Tissue Substitute, Open Approach |
| 0T1707A | Bypass Left Ureter to Ileum with Autologous Tissue Substitute, Open Approach |
| 0T1707B | Bypass Left Ureter to Bladder with Autologous Tissue Substitute, Open Approach |
| 0T1707C | Bypass Left Ureter to Ileocutaneous with Autologous Tissue Substitute, Open Approach |
| 0T1707D | Bypass Left Ureter to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0T170J6 | Bypass Left Ureter to Right Ureter with Synthetic Substitute, Open Approach |
| 0T170J7 | Bypass Left Ureter to Left Ureter with Synthetic Substitute, Open Approach |
| 0T170J8 | Bypass Left Ureter to Colon with Synthetic Substitute, Open Approach |
| 0T170J9 | Bypass Left Ureter to Colocutaneous with Synthetic Substitute, Open Approach |
| 0T170JA | Bypass Left Ureter to Ileum with Synthetic Substitute, Open Approach |
| 0T170JB | Bypass Left Ureter to Bladder with Synthetic Substitute, Open Approach |
| 0T170JC | Bypass Left Ureter to Ileocutaneous with Synthetic Substitute, Open Approach |
| 0T170JD | Bypass Left Ureter to Cutaneous with Synthetic Substitute, Open Approach |
| 0T170K6 | Bypass Left Ureter to Right Ureter with Nonautologous Tissue Substitute, Open Approach |
| 0T170K7 | Bypass Left Ureter to Left Ureter with Nonautologous Tissue Substitute, Open Approach |
| 0T170K8 | Bypass Left Ureter to Colon with Nonautologous Tissue Substitute, Open Approach |
| 0T170K9 | Bypass Left Ureter to Colocutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0T170KA | Bypass Left Ureter to Ileum with Nonautologous Tissue Substitute, Open Approach |
| 0T170KB | Bypass Left Ureter to Bladder with Nonautologous Tissue Substitute, Open Approach |
| 0T170KC | Bypass Left Ureter to Ileocutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0T170KD | Bypass Left Ureter to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0T170Z6 | Bypass Left Ureter to Right Ureter, Open Approach |
| 0T170Z7 | Bypass Left Ureter to Left Ureter, Open Approach |
| 0T170Z8 | Bypass Left Ureter to Colon, Open Approach |
| 0T170Z9 | Bypass Left Ureter to Colocutaneous, Open Approach |
| 0T170ZA | Bypass Left Ureter to Ileum, Open Approach |
| 0T170ZB | Bypass Left Ureter to Bladder, Open Approach |
| 0T170ZC | Bypass Left Ureter to Ileocutaneous, Open Approach |
| 0T170ZD | Bypass Left Ureter to Cutaneous, Open Approach |
| 0T173JD | Bypass Left Ureter to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0T17476 | Bypass Left Ureter to Right Ureter with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T17477 | Bypass Left Ureter to Left Ureter with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T17478 | Bypass Left Ureter to Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T17479 | Bypass Left Ureter to Colocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T1747A | Bypass Left Ureter to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T1747B | Bypass Left Ureter to Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T1747C | Bypass Left Ureter to Ileocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0T1747D | Bypass Left Ureter to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 08 Mar 2021 20:13:49 CMS, code-revision=301, description-revision=1298 |