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
Revision of hip or knee replacement
Page 5 of 5

OPERATING ROOM PROCEDURES (continued)

0SPA0JZ Clusters Clusters Clusters Clusters

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
0SPT4JZRemoval of Synthetic Substitute from Right Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
  with 0SRV0JZReplacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach
0SPV4JZRemoval of Synthetic Substitute from Right Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
  with 0SRV0JZReplacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach
0SPC4JCRemoval of Synthetic Substitute from Right Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
  with 0SRV0JZReplacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach



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16 Mar 2022 16:20:17
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