ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual
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Procedure Cluster/MS-DRG Index
Page 3 of 28
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
CODE COMBINATIONMDCMS-DRGSURGICAL CATEGORY
One of08456-458Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions
0RG7071   
0RG707J   
0RG70AJ   
0RG70J1   
0RG70JJ   
0RG70K1   
0RG70KJ   
0RG7371   
0RG737J   
0RG73AJ   
0RG73J1   
0RG73JJ   
0RG73K1   
0RG73KJ   
0RG7471   
0RG747J   
0RG74AJ   
0RG74J1   
0RG74JJ   
0RG74K1   
0RG74KJ   
XRG7092   
XRG70F3   
with one of   
0SG1071   
0SG107J   
0SG10AJ   
0SG10J1   
0SG10JJ   
0SG10K1   
0SG10KJ   
0SG1371   
0SG137J   
0SG13AJ   
0SG13J1   
0SG13JJ   
0SG13K1   
0SG13KJ   
0SG1471   
0SG147J   
0SG14AJ   
0SG14J1   
0SG14JJ   
0SG14K1   
0SG14KJ   
XRGC092   
XRGC0F3   
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08461-462Bilateral or multiple major joint procedures of lower extremity
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 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP908Z08466-468Revision of hip or knee replacement
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0SP908Z08466-468Revision of hip or knee replacement
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0SP908Z08466-468Revision of hip or knee replacement
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0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
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 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
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 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
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 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
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 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08461-462Bilateral or multiple major joint procedures of lower extremity
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 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP909Z08466-468Revision of hip or knee replacement
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0SP909Z08466-468Revision of hip or knee replacement
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0SP909Z08466-468Revision of hip or knee replacement
and 0SUR09Z10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90BZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90BZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90BZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90BZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90BZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90BZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90BZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90BZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90BZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90BZ08461-462Bilateral or multiple major joint procedures of lower extremity
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 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90BZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SP90BZ08461-462Bilateral or multiple major joint procedures of lower extremity
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 10628-630Other endocrine, nutritional and metabolic 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