ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual |
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| MDC 03 Diseases and disorders of the ear, nose, mouth and throat |
| Major head and neck procedures |
| MCC | CC | DRG |
|---|---|---|
| Yes | n/a | 140 |
| Yes | 141 | |
| n/a | n/a | 142 |
DRG 140 MAJOR HEAD AND NECK PROCEDURES WITH MCC
DRG 141 MAJOR HEAD AND NECK PROCEDURES WITH CC
DRG 142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
OPERATING ROOM PROCEDURES
| 03LH0CZ | Occlusion of Right Common Carotid Artery with Extraluminal Device, Open Approach |
| 03LH0ZZ | Occlusion of Right Common Carotid Artery, Open Approach |
| 03LH3CZ | Occlusion of Right Common Carotid Artery with Extraluminal Device, Percutaneous Approach |
| 03LH3ZZ | Occlusion of Right Common Carotid Artery, Percutaneous Approach |
| 03LH4CZ | Occlusion of Right Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 03LH4ZZ | Occlusion of Right Common Carotid Artery, Percutaneous Endoscopic Approach |
| 03LJ0CZ | Occlusion of Left Common Carotid Artery with Extraluminal Device, Open Approach |
| 03LJ0ZZ | Occlusion of Left Common Carotid Artery, Open Approach |
| 03LJ3CZ | Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Approach |
| 03LJ3ZZ | Occlusion of Left Common Carotid Artery, Percutaneous Approach |
| 03LJ4CZ | Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 03LJ4ZZ | Occlusion of Left Common Carotid Artery, Percutaneous Endoscopic Approach |
| 03LM0CZ | Occlusion of Right External Carotid Artery with Extraluminal Device, Open Approach |
| 03LM0ZZ | Occlusion of Right External Carotid Artery, Open Approach |
| 03LM3CZ | Occlusion of Right External Carotid Artery with Extraluminal Device, Percutaneous Approach |
| 03LM3ZZ | Occlusion of Right External Carotid Artery, Percutaneous Approach |
| 03LM4CZ | Occlusion of Right External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 03LM4ZZ | Occlusion of Right External Carotid Artery, Percutaneous Endoscopic Approach |
| 03LN0CZ | Occlusion of Left External Carotid Artery with Extraluminal Device, Open Approach |
| 03LN0ZZ | Occlusion of Left External Carotid Artery, Open Approach |
| 03LN3CZ | Occlusion of Left External Carotid Artery with Extraluminal Device, Percutaneous Approach |
| 03LN3ZZ | Occlusion of Left External Carotid Artery, Percutaneous Approach |
| 03LN4CZ | Occlusion of Left External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 03LN4ZZ | Occlusion of Left External Carotid Artery, Percutaneous Endoscopic Approach |
| 03LR0CZ | Occlusion of Face Artery with Extraluminal Device, Open Approach |
| 03LR0ZZ | Occlusion of Face Artery, Open Approach |
| 03LR3CZ | Occlusion of Face Artery with Extraluminal Device, Percutaneous Approach |
| 03LR3ZZ | Occlusion of Face Artery, Percutaneous Approach |
| 03LR4CZ | Occlusion of Face Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 03LR4ZZ | Occlusion of Face Artery, Percutaneous Endoscopic Approach |
| 03LS0CZ | Occlusion of Right Temporal Artery with Extraluminal Device, Open Approach |
| 03LS0ZZ | Occlusion of Right Temporal Artery, Open Approach |
| 03LS3CZ | Occlusion of Right Temporal Artery with Extraluminal Device, Percutaneous Approach |
| 03LS3ZZ | Occlusion of Right Temporal Artery, Percutaneous Approach |
| 03LS4CZ | Occlusion of Right Temporal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 03LS4ZZ | Occlusion of Right Temporal Artery, Percutaneous Endoscopic Approach |
| 03LT0CZ | Occlusion of Left Temporal Artery with Extraluminal Device, Open Approach |
| 03LT0ZZ | Occlusion of Left Temporal Artery, Open Approach |
| 03LT3CZ | Occlusion of Left Temporal Artery with Extraluminal Device, Percutaneous Approach |
| 03LT3ZZ | Occlusion of Left Temporal Artery, Percutaneous Approach |
| 03LT4CZ | Occlusion of Left Temporal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 03LT4ZZ | Occlusion of Left Temporal Artery, Percutaneous Endoscopic Approach |
| 07T00ZZ | Resection of Head Lymphatic, Open Approach |
| 07T04ZZ | Resection of Head Lymphatic, Percutaneous Endoscopic Approach |
| 07T10ZZ | Resection of Right Neck Lymphatic, Open Approach |
| 07T14ZZ | Resection of Right Neck Lymphatic, Percutaneous Endoscopic Approach |
| 07T20ZZ | Resection of Left Neck Lymphatic, Open Approach |
| 07T24ZZ | Resection of Left Neck Lymphatic, Percutaneous Endoscopic Approach |
| 08Q0XZZ | Repair Right Eye, External Approach |
| 08Q1XZZ | Repair Left Eye, External Approach |
| 08T0XZZ | Resection of Right Eye, External Approach |
| 08T1XZZ | Resection of Left Eye, External Approach |
| 09HD01Z | Insertion of Radioactive Element into Right Inner Ear, Open Approach |
| 09HD05Z | Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Open Approach |
| 09HD06Z | Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Open Approach |
| 09HD0SZ | Insertion of Hearing Device into Right Inner Ear, Open Approach |
| 09HD35Z | Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Approach |
| 09HD36Z | Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Approach |
| 09HD41Z | Insertion of Radioactive Element into Right Inner Ear, Percutaneous Endoscopic Approach |
| 09HD45Z | Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Endoscopic Approach |
| 09HD46Z | Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Endoscopic Approach |
| 09HD4SZ | Insertion of Hearing Device into Right Inner Ear, Percutaneous Endoscopic Approach |
| 09HE01Z | Insertion of Radioactive Element into Left Inner Ear, Open Approach |
| 09HE05Z | Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Open Approach |
| 09HE06Z | Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Open Approach |
| 09HE0SZ | Insertion of Hearing Device into Left Inner Ear, Open Approach |
| 09HE35Z | Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Approach |
| 09HE36Z | Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Approach |
| 09HE41Z | Insertion of Radioactive Element into Left Inner Ear, Percutaneous Endoscopic Approach |
| 09HE45Z | Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Endoscopic Approach |
| 09HE46Z | Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Endoscopic Approach |
| 09HE4SZ | Insertion of Hearing Device into Left Inner Ear, Percutaneous Endoscopic Approach |
| 0B510ZZ | Destruction of Trachea, Open Approach |
| 0B513ZZ | Destruction of Trachea, Percutaneous Approach |
| 0B514ZZ | Destruction of Trachea, Percutaneous Endoscopic Approach |
| 0B517ZZ | Destruction of Trachea, Via Natural or Artificial Opening |
| 0B518ZZ | Destruction of Trachea, Via Natural or Artificial Opening Endoscopic |
| 0BW10FZ | Revision of Tracheostomy Device in Trachea, Open Approach |
| 0BW14FZ | Revision of Tracheostomy Device in Trachea, Percutaneous Endoscopic Approach |
| 0CBS0ZZ | Excision of Larynx, Open Approach |
| 0CBS4ZZ | Excision of Larynx, Percutaneous Endoscopic Approach |
| 0CT20ZZ | Resection of Hard Palate, Open Approach |
| 0CT2XZZ | Resection of Hard Palate, External Approach |
| 0CT70ZZ | Resection of Tongue, Open Approach |
| 0CT7XZZ | Resection of Tongue, External Approach |
| 0HR1X73 | Replacement of Face Skin with Autologous Tissue Substitute, Full Thickness, External Approach |
| 0HR1X74 | Replacement of Face Skin with Autologous Tissue Substitute, Partial Thickness, External Approach |
| 0HR4X73 | Replacement of Neck Skin with Autologous Tissue Substitute, Full Thickness, External Approach |
| 0HR4XJZ | Replacement of Neck Skin with Synthetic Substitute, External Approach |
| 0JR107Z | Replacement of Face Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Open Approach |
| 0JR10KZ | Replacement of Face Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Open Approach |
| 0JX40ZB | Transfer Right Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach |
| 0JX40ZC | Transfer Right Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach |
| 0JX50ZB | Transfer Left Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach |
| 0JX50ZC | Transfer Left Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach |
| 0NBT0ZZ | Excision of Right Mandible, Open Approach |
| 0NBT4ZZ | Excision of Right Mandible, Percutaneous Endoscopic Approach |
| 0NBV0ZZ | Excision of Left Mandible, Open Approach |
| 0NBV4ZZ | Excision of Left Mandible, Percutaneous Endoscopic Approach |
| 0NNP0ZZ | Release Right Orbit, Open Approach |
| 0NNP3ZZ | Release Right Orbit, Percutaneous Approach |
| 0NNP4ZZ | Release Right Orbit, Percutaneous Endoscopic Approach |
| 0NNQ0ZZ | Release Left Orbit, Open Approach |
| 0NNQ3ZZ | Release Left Orbit, Percutaneous Approach |
| 0NNQ4ZZ | Release Left Orbit, Percutaneous Endoscopic Approach |
| 0NRT07Z | Replacement of Right Mandible with Autologous Tissue Substitute, Open Approach |
| 0NRT0JZ | Replacement of Right Mandible with Synthetic Substitute, Open Approach |
| 0NRT0KZ | Replacement of Right Mandible with Nonautologous Tissue Substitute, Open Approach |
| 0NRT37Z | Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Approach |
| 0NRT3JZ | Replacement of Right Mandible with Synthetic Substitute, Percutaneous Approach |
| 0NRT3KZ | Replacement of Right Mandible with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0NRT47Z | Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0NRT4JZ | Replacement of Right Mandible with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NRT4KZ | Replacement of Right Mandible with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0NRV07Z | Replacement of Left Mandible with Autologous Tissue Substitute, Open Approach |
| 0NRV0JZ | Replacement of Left Mandible with Synthetic Substitute, Open Approach |
| 0NRV0KZ | Replacement of Left Mandible with Nonautologous Tissue Substitute, Open Approach |
| 0NRV37Z | Replacement of Left Mandible with Autologous Tissue Substitute, Percutaneous Approach |
| 0NRV3JZ | Replacement of Left Mandible with Synthetic Substitute, Percutaneous Approach |
| 0NRV3KZ | Replacement of Left Mandible with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0NRV47Z | Replacement of Left Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0NRV4JZ | Replacement of Left Mandible with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NRV4KZ | Replacement of Left Mandible with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0NS104Z | Reposition Frontal Bone with Internal Fixation Device, Open Approach |
| 0NS10ZZ | Reposition Frontal Bone, Open Approach |
| 0NS134Z | Reposition Frontal Bone with Internal Fixation Device, Percutaneous Approach |
| 0NS13ZZ | Reposition Frontal Bone, Percutaneous Approach |
| 0NS144Z | Reposition Frontal Bone with Internal Fixation Device, Percutaneous Endoscopic Approach |
| 0NS14ZZ | Reposition Frontal Bone, Percutaneous Endoscopic Approach |
| 0NS704Z | Reposition Occipital Bone with Internal Fixation Device, Open Approach |
| 0NS70ZZ | Reposition Occipital Bone, Open Approach |
| 0NS734Z | Reposition Occipital Bone with Internal Fixation Device, Percutaneous Approach |
| 0NS73ZZ | Reposition Occipital Bone, Percutaneous Approach |
| 0NS744Z | Reposition Occipital Bone with Internal Fixation Device, Percutaneous Endoscopic Approach |
| 0NS74ZZ | Reposition Occipital Bone, Percutaneous Endoscopic Approach |
| 0NSB04Z | Reposition Nasal Bone with Internal Fixation Device, Open Approach |
| 0NSB0ZZ | Reposition Nasal Bone, Open Approach |
| 0NSC04Z | Reposition Sphenoid Bone with Internal Fixation Device, Open Approach |
| 0NSC0ZZ | Reposition Sphenoid Bone, Open Approach |
| 0NSF04Z | Reposition Right Ethmoid Bone with Internal Fixation Device, Open Approach |
| 0NSF0ZZ | Reposition Right Ethmoid Bone, Open Approach |
| 0NSG04Z | Reposition Left Ethmoid Bone with Internal Fixation Device, Open Approach |
| 0NSG0ZZ | Reposition Left Ethmoid Bone, Open Approach |
| 0NSH04Z | Reposition Right Lacrimal Bone with Internal Fixation Device, Open Approach |
| 0NSH0ZZ | Reposition Right Lacrimal Bone, Open Approach |
| 0NSJ04Z | Reposition Left Lacrimal Bone with Internal Fixation Device, Open Approach |
| 0NSJ0ZZ | Reposition Left Lacrimal Bone, Open Approach |
| 0NSK04Z | Reposition Right Palatine Bone with Internal Fixation Device, Open Approach |
| 0NSK0ZZ | Reposition Right Palatine Bone, Open Approach |
| 0NSL04Z | Reposition Left Palatine Bone with Internal Fixation Device, Open Approach |
| 0NSL0ZZ | Reposition Left Palatine Bone, Open Approach |
| 0NSM04Z | Reposition Right Zygomatic Bone with Internal Fixation Device, Open Approach |
| 0NSN04Z | Reposition Left Zygomatic Bone with Internal Fixation Device, Open Approach |
| 0NSP04Z | Reposition Right Orbit with Internal Fixation Device, Open Approach |
| 0NSP0ZZ | Reposition Right Orbit, Open Approach |
| 0NSQ04Z | Reposition Left Orbit with Internal Fixation Device, Open Approach |
| 0NSQ0ZZ | Reposition Left Orbit, Open Approach |
| 0NSR04Z | Reposition Maxilla with Internal Fixation Device, Open Approach |
| 0NSR0ZZ | Reposition Maxilla, Open Approach |
| 0NST04Z | Reposition Right Mandible with Internal Fixation Device, Open Approach |
| 0NSV04Z | Reposition Left Mandible with Internal Fixation Device, Open Approach |
| 0NTT0ZZ | Resection of Right Mandible, Open Approach |
| 0NTV0ZZ | Resection of Left Mandible, Open Approach |
| 0RBD0ZZ | Excision of Left Temporomandibular Joint, Open Approach |
| 0RBD3ZZ | Excision of Left Temporomandibular Joint, Percutaneous Approach |
| 0RBD4ZZ | Excision of Left Temporomandibular Joint, Percutaneous Endoscopic Approach |
| 0RRC07Z | Replacement of Right Temporomandibular Joint with Autologous Tissue Substitute, Open Approach |
| 0RRC0JZ | Replacement of Right Temporomandibular Joint with Synthetic Substitute, Open Approach |
| 0RRC0KZ | Replacement of Right Temporomandibular Joint with Nonautologous Tissue Substitute, Open Approach |
| 0RRD07Z | Replacement of Left Temporomandibular Joint with Autologous Tissue Substitute, Open Approach |
| 0RRD0JZ | Replacement of Left Temporomandibular Joint with Synthetic Substitute, Open Approach |
| 0RRD0KZ | Replacement of Left Temporomandibular Joint with Nonautologous Tissue Substitute, Open Approach |
| 0RSC04Z | Reposition Right Temporomandibular Joint with Internal Fixation Device, Open Approach |
| 0RSC0ZZ | Reposition Right Temporomandibular Joint, Open Approach |
| 0RSD04Z | Reposition Left Temporomandibular Joint with Internal Fixation Device, Open Approach |
| 0RSD0ZZ | Reposition Left Temporomandibular Joint, Open Approach |
| 0RTC0ZZ | Resection of Right Temporomandibular Joint, Open Approach |
| 0RTD0ZZ | Resection of Left Temporomandibular Joint, Open Approach |
| 0W9100Z | Drainage of Cranial Cavity with Drainage Device, Open Approach |
| 0W910ZZ | Drainage of Cranial Cavity, Open Approach |
| 0WC10ZZ | Extirpation of Matter from Cranial Cavity, Open Approach |
| 0WC13ZZ | Extirpation of Matter from Cranial Cavity, Percutaneous Approach |
| 0WC14ZZ | Extirpation of Matter from Cranial Cavity, Percutaneous Endoscopic Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 16:20:17 CMS, code-revision=332, description-revision=1327 |