ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual

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MDC 08 Diseases and disorders of the musculoskeletal system and connective tissue
Bilateral or multiple major joint procedures of lower extremity
Page 5 of 5

LEFT KNEE (continued)

0SPD4JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
  with 0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPU4JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
  with 0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPD09ZRemoval of Liner from Left Knee Joint, Open Approach
0SPW4JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
  with 0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPD38ZRemoval of Spacer from Left Knee Joint, Percutaneous Approach
0SPD0JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Open Approach
  with 0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPW0JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Open Approach

RIGHT ANKLE

0SRF07ZReplacement of Right Ankle Joint with Autologous Tissue Substitute, Open Approach
0SRF0J9Replacement of Right Ankle Joint with Synthetic Substitute, Cemented, Open Approach
0SRF0JAReplacement of Right Ankle Joint with Synthetic Substitute, Uncemented, Open Approach
0SRF0JZReplacement of Right Ankle Joint with Synthetic Substitute, Open Approach
0SRF0KZReplacement of Right Ankle Joint with Nonautologous Tissue Substitute, Open Approach

LEFT ANKLE

0SRG07ZReplacement of Left Ankle Joint with Autologous Tissue Substitute, Open Approach
0SRG0J9Replacement of Left Ankle Joint with Synthetic Substitute, Cemented, Open Approach
0SRG0JAReplacement of Left Ankle Joint with Synthetic Substitute, Uncemented, Open Approach
0SRG0JZReplacement of Left Ankle Joint with Synthetic Substitute, Open Approach
0SRG0KZReplacement of Left Ankle Joint with Nonautologous Tissue Substitute, Open Approach



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16 Mar 2022 16:20:17
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