ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual
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Pre-MDC
ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck
ECMO Tracheostomy MV>96 PDX Exc Face, Mouth, Neck Major O.R. Procedure DRG
Yes n/a n/a n/a n/a 003
No Yes Yes Yes 003
No Yes Yes Yes 003
No Yes Yes No 004
No Yes Yes No 004

DRG 003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES

DRG 004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES

ECMO

OPERATING ROOM PROCEDURES

5A1522FExtracorporeal Oxygenation, Membrane, Central

NON-OPERATING ROOM PROCEDURES

5A1522G*Extracorporeal Oxygenation, Membrane, Peripheral Veno-arterial
5A1522H*Extracorporeal Oxygenation, Membrane, Peripheral Veno-venous

TRACHEOSTOMY

OPERATING ROOM PROCEDURES

0B110F4Bypass Trachea to Cutaneous with Tracheostomy Device, Open Approach
0B110Z4Bypass Trachea to Cutaneous, Open Approach
0B114F4Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Endoscopic Approach
0B114Z4Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach

OR NON-OPERATING ROOM PROCEDURES

0B113F4*Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Approach
0B113Z4*Bypass Trachea to Cutaneous, Percutaneous Approach

MECHANICAL VENTILATION >96 HOURS

NON-OPERATING ROOM PROCEDURES

5A1955Z*Respiratory Ventilation, Greater than 96 Consecutive Hours

PDX EXCEPT FACE, MOUTH & NECK

Principal Diagnosis not assigned to DRGs 011, 012 or 013

MAJOR O.R. PROCEDURE

Operating Room Procedures not listed in DRGs 987 thru 989




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