ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual
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Procedure Code/MS-DRG Index
Page 151 of 380
0016070 00914ZZ 00BX0ZX 00NA3ZZ 00RM4KZ 00WV3MZ 018H3ZZ 01Q63ZZ 02114K9 021W4JB 02CF4ZZ 02QW3ZZ 02VR4CZ 03180KF 03733Z1 037J4ZZ 03BN4ZZ 03L20CZ 03LT3ZZ 03SC0ZZ 03VH4HZ 04104Z9 041H4AK 045J3ZZ 04763Z1 047E3DZ 047N4DZ 04CH0ZZ 04LA4DZ 04QY4ZZ 04UA3KZ 05134AY 05B70ZX 05L04CZ 05QC0ZZ 05UR0JZ 065Y3ZC 06L20DZ 06RD0JZ 06VB3ZZ 07B13ZX 07L63ZZ 07QM3ZZ 07VC0CZ 08BR0ZX 08RY0KZ 090K4ZZ 09RM47Z 0B9D0ZZ 0BNB3ZZ 0BV60ZZ 0CPY81Z 0CUV8KZ 0D168JA 0D1A0ZL 0D1H07N 0D5L7ZZ 0DBLFZZ 0DLQXCZ 0DQQ3ZZ 0DU57KZ 0DVQ8DZ 0F180DB 0FF40ZZ 0FQ74ZZ 0G503ZZ 0GTM0ZZ 0HR6XJ3 0HRU078 0JBN3ZZ 0JHT0YZ 0JWV0WZ 0K5H4ZZ 0KBB0ZZ 0KPY30Z 0KRS47Z 0KUS07Z 0L883ZZ 0LD40ZZ 0LRR0KZ 0M553ZZ 0MDB0ZZ 0MWX37Z 0NBG0ZZ 0NQB0ZZ 0NSJ0ZZ 0P5L0ZZ 0PBB3ZZ 0PHH34Z 0PPM35Z 0PS734Z 0PUN4JZ 0Q9C40Z 0QDG0ZZ 0QP407Z 0QR74JZ 0QSL35Z 0QWN07Z 0RG14A0 0RGJ0JZ 0RJQ4ZZ 0RPV43Z 0RUD0KZ 0RWK47Z 0SC40ZZ 0SGH3KZ 0SPC05Z 0SRD0MA 0SW63JZ 0T160J8 0T1B07D 0TLC0CZ 0TT67ZZ 0U7G0DZ 0UP333Z 0UWD81Z 0VSG3ZZ 0W1G4J6 0WBH4ZZ 0WPN01Z 0X0B3KZ 0XH74YZ 0Y0G4JZ 0YB50ZZ 0YUU0JZ DG24DZZ F08F5UZ
CODEMDCMS-DRGSURGICAL CATEGORY
0BV60ZZ04163-165Major chest procedures
0BV63CZ04163-165Major chest procedures
0BV63DZ04163-165Major chest procedures
0BV63ZZ04163-165Major chest procedures
0BV64CZ04163-165Major chest procedures
0BV64DZ04163-165Major chest procedures
0BV64ZZ04163-165Major chest procedures
0BV67DZ04163-165Major chest procedures
0BV67ZZ04163-165Major chest procedures
0BV68DZ04163-165Major chest procedures
0BV68ZZ04163-165Major chest procedures
0BV70CZ04163-165Major chest procedures
0BV70DZ04163-165Major chest procedures
0BV70ZZ04163-165Major chest procedures
0BV73CZ04163-165Major chest procedures
0BV73DZ04163-165Major chest procedures
0BV73ZZ04163-165Major chest procedures
0BV74CZ04163-165Major chest procedures
0BV74DZ04163-165Major chest procedures
0BV74ZZ04163-165Major chest procedures
0BV77DZ04163-165Major chest procedures
0BV77ZZ04163-165Major chest procedures
0BV78DZ04163-165Major chest procedures
0BV78ZZ04163-165Major chest procedures
0BV80CZ04163-165Major chest procedures
0BV80DZ04163-165Major chest procedures
0BV80ZZ04163-165Major chest procedures
0BV83CZ04163-165Major chest procedures
0BV83DZ04163-165Major chest procedures
0BV83ZZ04163-165Major chest procedures
0BV84CZ04163-165Major chest procedures
0BV84DZ04163-165Major chest procedures
0BV84ZZ04163-165Major chest procedures
0BV87DZ04163-165Major chest procedures
0BV87ZZ04163-165Major chest procedures
0BV88DZ04163-165Major chest procedures
0BV88ZZ04163-165Major chest procedures
0BV90CZ04163-165Major chest procedures
0BV90DZ04163-165Major chest procedures
0BV90ZZ04163-165Major chest procedures
0BV93CZ04163-165Major chest procedures
0BV93DZ04163-165Major chest procedures
0BV93ZZ04163-165Major chest procedures
0BV94CZ04163-165Major chest procedures
0BV94DZ04163-165Major chest procedures
0BV94ZZ04163-165Major chest procedures
0BV97DZ04163-165Major chest procedures
0BV97ZZ04163-165Major chest procedures
0BV98DZ04163-165Major chest procedures
0BV98ZZ04163-165Major chest procedures
0BVB0CZ04163-165Major chest procedures
0BVB0DZ04163-165Major chest procedures
0BVB0ZZ04163-165Major chest procedures
0BVB3CZ04163-165Major chest procedures
0BVB3DZ04163-165Major chest procedures
0BVB3ZZ04163-165Major chest procedures
0BVB4CZ04163-165Major chest procedures
0BVB4DZ04163-165Major chest procedures
0BVB4ZZ04163-165Major chest procedures
0BVB7DZ04163-165Major chest procedures
0BVB7ZZ04163-165Major chest procedures
0BVB8DZ04163-165Major chest procedures
0BVB8ZZ04163-165Major chest procedures
0BW000Z04163-165Major chest procedures
0BW002Z04163-165Major chest procedures
0BW003Z04166-168Other respiratory system O.R. procedures
0BW007Z04166-168Other respiratory system O.R. procedures
0BW00CZ04163-165Major chest procedures
0BW00DZ04163-165Major chest procedures
0BW00JZ04163-165Major chest procedures
0BW00KZ04163-165Major chest procedures
0BW00YZ04163-165Major chest procedures
0BW030Z04163-165Major chest procedures
0BW032Z04163-165Major chest procedures
0BW033Z04166-168Other respiratory system O.R. procedures
0BW037Z04166-168Other respiratory system O.R. procedures
0BW03CZ04163-165Major chest procedures
0BW03DZ04163-165Major chest procedures
0BW03JZ04163-165Major chest procedures
0BW03KZ04163-165Major chest procedures
0BW040Z04163-165Major chest procedures
0BW042Z04163-165Major chest procedures
0BW043Z04166-168Other respiratory system O.R. procedures
0BW047Z04166-168Other respiratory system O.R. procedures
0BW04CZ04163-165Major chest procedures
0BW04DZ04163-165Major chest procedures
0BW04JZ04163-165Major chest procedures
0BW04KZ04163-165Major chest procedures
0BW070Z04163-165Major chest procedures
0BW077Z04166-168Other respiratory system O.R. procedures
0BW07CZ04166-168Other respiratory system O.R. procedures
0BW07JZ04166-168Other respiratory system O.R. procedures
0BW07KZ04166-168Other respiratory system O.R. procedures
0BW080Z04163-165Major chest procedures
0BW087Z04166-168Other respiratory system O.R. procedures
0BW08CZ04166-168Other respiratory system O.R. procedures
0BW08JZ04166-168Other respiratory system O.R. procedures
0BW08KZ04166-168Other respiratory system O.R. procedures
0BW100Z04166-168Other respiratory system O.R. procedures
0BW102Z04166-168Other respiratory system O.R. procedures
0BW107Z04166-168Other respiratory system O.R. procedures
0BW10CZ04166-168Other respiratory system O.R. procedures
0BW10DZ04166-168Other respiratory system O.R. procedures
0BW10FZ03140-142Major head and neck procedures
 04166-168Other respiratory system O.R. procedures
 05264Other circulatory system O.R. procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0BW10JZ04166-168Other respiratory system O.R. procedures
0BW10KZ04166-168Other respiratory system O.R. procedures
0BW130Z04166-168Other respiratory system O.R. procedures
0BW132Z04166-168Other respiratory system O.R. procedures
0BW137Z04166-168Other respiratory system O.R. procedures
0BW13CZ04166-168Other respiratory system O.R. procedures
0BW13DZ04166-168Other respiratory system O.R. procedures
0BW13FZ03143-145Other ear, nose, mouth and throat O.R. procedures
 04166-168Other respiratory system O.R. procedures
 05264Other circulatory system O.R. procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0BW13JZ04166-168Other respiratory system O.R. procedures
0BW13KZ04166-168Other respiratory system O.R. procedures
0BW140Z04166-168Other respiratory system O.R. procedures
0BW142Z04166-168Other respiratory system O.R. procedures
0BW147Z04166-168Other respiratory system O.R. procedures
0BW14CZ04166-168Other respiratory system O.R. procedures
0BW14DZ04166-168Other respiratory system O.R. procedures
0BW14FZ03140-142Major head and neck procedures
 04166-168Other respiratory system O.R. procedures
 05264Other circulatory system O.R. procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0BW14JZ04166-168Other respiratory system O.R. procedures
0BW14KZ04166-168Other respiratory system O.R. procedures
0BW170Z04166-168Other respiratory system O.R. procedures
0BW172Z04166-168Other respiratory system O.R. procedures
0BW177Z04166-168Other respiratory system O.R. procedures
0BW17CZ04166-168Other respiratory system O.R. procedures
0BW17DZ04166-168Other respiratory system O.R. procedures
0BW17FZ04166-168Other respiratory system O.R. procedures
0BW17JZ04166-168Other respiratory system O.R. procedures
0BW17KZ04166-168Other respiratory system O.R. procedures
0BW180Z04166-168Other respiratory system O.R. procedures
0BW182Z04166-168Other respiratory system O.R. procedures
0BW187Z04166-168Other respiratory system O.R. procedures
0BW18CZ04166-168Other respiratory system O.R. procedures
0BW18DZ04166-168Other respiratory system O.R. procedures
0BW18FZ04166-168Other respiratory system O.R. procedures
0BW18JZ04166-168Other respiratory system O.R. procedures
0BW18KZ04166-168Other respiratory system O.R. procedures
0BWK00Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWK02Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWK03Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWK0YZ04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWK30Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWK32Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWK33Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWK40Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWK42Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWK43Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWK4YZ04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWK8YZ04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWL00Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWL02Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWL03Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWL0YZ04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWL30Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWL32Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWL33Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWL40Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWL42Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWL43Z04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWL4YZ04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWL8YZ04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWQ4YZ04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWQ8YZ04163-165Major chest procedures
 21907-909Other O.R. procedures for injuries
0BWT00Z04163-165Major chest procedures
0BWT02Z04163-165Major chest procedures
0BWT07Z04163-165Major chest procedures
0BWT0JZ04163-165Major chest procedures
0BWT0KZ04163-165Major chest procedures
0BWT0MZ04163-165Major chest procedures
0BWT0YZ04163-165Major chest procedures
0BWT30Z04163-165Major chest procedures
0BWT32Z04163-165Major chest procedures
0BWT37Z04163-165Major chest procedures
0BWT3JZ04163-165Major chest procedures
0BWT3KZ04163-165Major chest procedures
0BWT3MZ04163-165Major chest procedures
0BWT40Z04163-165Major chest procedures
0BWT42Z04163-165Major chest procedures
0BWT47Z04163-165Major chest procedures
0BWT4JZ04163-165Major chest procedures
0BWT4KZ04163-165Major chest procedures
0BWT4MZ04163-165Major chest procedures
0BWT4YZ04163-165Major chest procedures
0BWT70Z04163-165Major chest procedures
0BWT72Z04163-165Major chest procedures
0BWT77Z04163-165Major chest procedures
0BWT7JZ04163-165Major chest procedures
0BWT7KZ04163-165Major chest procedures
0BWT7MZ04163-165Major chest procedures
0BWT80Z04163-165Major chest procedures
0BWT82Z04163-165Major chest procedures
0BWT87Z04163-165Major chest procedures
0BWT8JZ04163-165Major chest procedures
0BWT8KZ04163-165Major chest procedures
0BWT8MZ04163-165Major chest procedures
0BYC0Z0PRE007Lung transplant
0BYC0Z1PRE007Lung transplant
0BYC0Z2PRE007Lung transplant
0BYD0Z0PRE007Lung transplant
0BYD0Z1PRE007Lung transplant
0BYD0Z2PRE007Lung transplant
0BYF0Z0PRE007Lung transplant
0BYF0Z1PRE007Lung transplant
0BYF0Z2PRE007Lung transplant
0BYG0Z0PRE007Lung transplant
0BYG0Z1PRE007Lung transplant
0BYG0Z2PRE007Lung transplant
0BYH0Z0PRE007Lung transplant
0BYH0Z1PRE007Lung transplant
0BYH0Z2PRE007Lung transplant
0BYJ0Z0PRE007Lung transplant
0BYJ0Z1PRE007Lung transplant
0BYJ0Z2PRE007Lung transplant
0BYK0Z0PRE007Lung transplant
0BYK0Z1PRE007Lung transplant
0BYK0Z2PRE007Lung transplant
0BYL0Z0PRE007Lung transplant
0BYL0Z1PRE007Lung transplant
0BYL0Z2PRE007Lung transplant
0BYM0Z0PRE007Lung transplant
0BYM0Z1PRE007Lung transplant
0BYM0Z2PRE007Lung transplant
0C00X7Z03137-138Mouth procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C00XJZ03137-138Mouth procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C00XKZ03137-138Mouth procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C00XZZ03137-138Mouth procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C01X7Z03137-138Mouth procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C01XJZ03137-138Mouth procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C01XKZ03137-138Mouth procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C01XZZ03137-138Mouth procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C500ZZ03137-138Mouth procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
0C503ZZ03137-138Mouth procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
0C50XZZ03137-138Mouth procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
0C510ZZ03137-138Mouth procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
0C513ZZ03137-138Mouth procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
0C51XZZ03137-138Mouth procedures
 09579-581Other skin, subcutaneous tissue and breast procedures
0C520ZZ03137-138Mouth procedures
0C523ZZ03137-138Mouth procedures
0C52XZZ03137-138Mouth procedures
0C530ZZ03137-138Mouth procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C533ZZ03137-138Mouth procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C53XZZ03137-138Mouth procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C540ZZ03137-138Mouth procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C543ZZ03137-138Mouth procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C54XZZ03137-138Mouth procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C570ZZ03137-138Mouth procedures
 05264Other circulatory system O.R. procedures
0C573ZZ03137-138Mouth procedures
 05264Other circulatory system O.R. procedures
0C57XZZ03137-138Mouth procedures
 05264Other circulatory system O.R. procedures
0C580ZZ03139Salivary gland procedures
0C583ZZ03139Salivary gland procedures
0C590ZZ03139Salivary gland procedures
0C593ZZ03139Salivary gland procedures
0C5B0ZZ03139Salivary gland procedures
0C5B3ZZ03139Salivary gland procedures
0C5C0ZZ03139Salivary gland procedures
0C5C3ZZ03139Salivary gland procedures
0C5D0ZZ03139Salivary gland procedures
0C5D3ZZ03139Salivary gland procedures
0C5F0ZZ03139Salivary gland procedures
0C5F3ZZ03139Salivary gland procedures
0C5G0ZZ03139Salivary gland procedures
0C5G3ZZ03139Salivary gland procedures
0C5H0ZZ03139Salivary gland procedures
0C5H3ZZ03139Salivary gland procedures
0C5J0ZZ03139Salivary gland procedures
0C5J3ZZ03139Salivary gland procedures
0C5M0ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 06326-328Stomach, esophageal and duodenal procedures
0C5M3ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 06326-328Stomach, esophageal and duodenal procedures
0C5M4ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 06326-328Stomach, esophageal and duodenal procedures
0C5M7ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 06326-328Stomach, esophageal and duodenal procedures
0C5M8ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 06326-328Stomach, esophageal and duodenal procedures
0C5N0ZZ03137-138Mouth procedures
0C5N3ZZ03137-138Mouth procedures
0C5NXZZ03137-138Mouth procedures
0C5P0ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
0C5P3ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
0C5PXZZ03143-145Other ear, nose, mouth and throat O.R. procedures
0C5Q0ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
0C5Q3ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
0C5QXZZ03143-145Other ear, nose, mouth and throat O.R. procedures
0C5R0ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 04166-168Other respiratory system O.R. procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C5R3ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 04166-168Other respiratory system O.R. procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C5R4ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 04166-168Other respiratory system O.R. procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C5R7ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 04166-168Other respiratory system O.R. procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C5R8ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 04166-168Other respiratory system O.R. procedures
 21907-909Other O.R. procedures for injuries
 24957-959Other O.R. procedures for multiple significant trauma
0C5S0ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 04166-168Other respiratory system O.R. procedures
0C5S3ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 04166-168Other respiratory system O.R. procedures
0C5S4ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 04166-168Other respiratory system O.R. procedures
0C5S7ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 04166-168Other respiratory system O.R. procedures
0C5S8ZZ03143-145Other ear, nose, mouth and throat O.R. procedures
 04166-168Other respiratory system O.R. procedures



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