ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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| MDC 05 Diseases and disorders of the circulatory system |
| Aortic and heart assist procedures except pulsation balloon |
| MCC | DRG |
|---|---|
| Yes | 268 |
| n/a | 269 |
DRG 268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC
DRG 269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC
OPERATING ROOM PROCEDURES
| 02BW0ZZ | Excision of Thoracic Aorta, Descending, Open Approach |
| 02BW4ZZ | Excision of Thoracic Aorta, Descending, Percutaneous Endoscopic Approach |
| 02BX0ZZ | Excision of Thoracic Aorta, Ascending/Arch, Open Approach |
| 02BX4ZZ | Excision of Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach |
| 02CW0ZZ | Extirpation of Matter from Thoracic Aorta, Descending, Open Approach |
| 02CW3ZZ | Extirpation of Matter from Thoracic Aorta, Descending, Percutaneous Approach |
| 02CW4ZZ | Extirpation of Matter from Thoracic Aorta, Descending, Percutaneous Endoscopic Approach |
| 02CX0ZZ | Extirpation of Matter from Thoracic Aorta, Ascending/Arch, Open Approach |
| 02CX3ZZ | Extirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Approach |
| 02CX4ZZ | Extirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach |
| 02PA0QZ | Removal of Implantable Heart Assist System from Heart, Open Approach |
| 02PA0RS | Removal of Biventricular Short-term External Heart Assist System from Heart, Open Approach |
| 02PA0RZ | Removal of Short-term External Heart Assist System from Heart, Open Approach |
| 02PA3QZ | Removal of Implantable Heart Assist System from Heart, Percutaneous Approach |
| 02PA3RS | Removal of Biventricular Short-term External Heart Assist System from Heart, Percutaneous Approach |
| 02PA3RZ | Removal of Short-term External Heart Assist System from Heart, Percutaneous Approach |
| 02PA4QZ | Removal of Implantable Heart Assist System from Heart, Percutaneous Endoscopic Approach |
| 02PA4RS | Removal of Biventricular Short-term External Heart Assist System from Heart, Percutaneous Endoscopic Approach |
| 02PA4RZ | Removal of Short-term External Heart Assist System from Heart, Percutaneous Endoscopic Approach |
| 02QW0ZZ | Repair Thoracic Aorta, Descending, Open Approach |
| 02QW3ZZ | Repair Thoracic Aorta, Descending, Percutaneous Approach |
| 02QW4ZZ | Repair Thoracic Aorta, Descending, Percutaneous Endoscopic Approach |
| 02QX0ZZ | Repair Thoracic Aorta, Ascending/Arch, Open Approach |
| 02QX3ZZ | Repair Thoracic Aorta, Ascending/Arch, Percutaneous Approach |
| 02QX4ZZ | Repair Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach |
| 02U00JZ | Supplement Coronary Artery, One Artery with Synthetic Substitute, Open Approach |
| 02U04JZ | Supplement Coronary Artery, One Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02U10JZ | Supplement Coronary Artery, Two Arteries with Synthetic Substitute, Open Approach |
| 02U14JZ | Supplement Coronary Artery, Two Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02U20JZ | Supplement Coronary Artery, Three Arteries with Synthetic Substitute, Open Approach |
| 02U24JZ | Supplement Coronary Artery, Three Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02U30JZ | Supplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Open Approach |
| 02U34JZ | Supplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02UA0JZ | Supplement Heart with Synthetic Substitute, Open Approach |
| 02UA3JZ | Supplement Heart with Synthetic Substitute, Percutaneous Approach |
| 02UA4JZ | Supplement Heart with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0410093 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Open Approach |
| 0410094 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Open Approach |
| 0410095 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach |
| 04100A3 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04100A4 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04100A5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04100J3 | Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Open Approach |
| 04100J4 | Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Open Approach |
| 04100J5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Open Approach |
| 04100K3 | Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100K4 | Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100K5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100Z3 | Bypass Abdominal Aorta to Right Renal Artery, Open Approach |
| 04100Z4 | Bypass Abdominal Aorta to Left Renal Artery, Open Approach |
| 04100Z5 | Bypass Abdominal Aorta to Bilateral Renal Artery, Open Approach |
| 0410493 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0410494 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0410495 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 04104A3 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104A4 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104A5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104J3 | Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104J4 | Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104J5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104K3 | Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104K4 | Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104K5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104Z3 | Bypass Abdominal Aorta to Right Renal Artery, Percutaneous Endoscopic Approach |
| 04104Z4 | Bypass Abdominal Aorta to Left Renal Artery, Percutaneous Endoscopic Approach |
| 04104Z5 | Bypass Abdominal Aorta to Bilateral Renal Artery, Percutaneous Endoscopic Approach |
| 0413093 | Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Open Approach |
| 0413094 | Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Open Approach |
| 0413095 | Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach |
| 04130A3 | Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04130A4 | Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04130A5 | Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04130J3 | Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Open Approach |
| 04130J4 | Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Open Approach |
| 04130J5 | Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Open Approach |
| 04130K3 | Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04130K4 | Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04130K5 | Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04130Z3 | Bypass Hepatic Artery to Right Renal Artery, Open Approach |
| 04130Z4 | Bypass Hepatic Artery to Left Renal Artery, Open Approach |
| 04130Z5 | Bypass Hepatic Artery to Bilateral Renal Artery, Open Approach |
| 0413493 | Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0413494 | Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0413495 | Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 04134A3 | Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04134A4 | Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04134A5 | Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04134J3 | Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04134J4 | Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04134J5 | Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04134K3 | Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04134K4 | Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04134K5 | Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04134Z3 | Bypass Hepatic Artery to Right Renal Artery, Percutaneous Endoscopic Approach |
| 04134Z4 | Bypass Hepatic Artery to Left Renal Artery, Percutaneous Endoscopic Approach |
| 04134Z5 | Bypass Hepatic Artery to Bilateral Renal Artery, Percutaneous Endoscopic Approach |
| 04500ZZ | Destruction of Abdominal Aorta, Open Approach |
| 04503ZZ | Destruction of Abdominal Aorta, Percutaneous Approach |
| 04504ZZ | Destruction of Abdominal Aorta, Percutaneous Endoscopic Approach |
| 04B00ZZ | Excision of Abdominal Aorta, Open Approach |
| 04B03ZZ | Excision of Abdominal Aorta, Percutaneous Approach |
| 04B04ZZ | Excision of Abdominal Aorta, Percutaneous Endoscopic Approach |
| 04C00ZZ | Extirpation of Matter from Abdominal Aorta, Open Approach |
| 04C03ZZ | Extirpation of Matter from Abdominal Aorta, Percutaneous Approach |
| 04C04ZZ | Extirpation of Matter from Abdominal Aorta, Percutaneous Endoscopic Approach |
| 04L00CZ | Occlusion of Abdominal Aorta with Extraluminal Device, Open Approach |
| 04L00DZ | Occlusion of Abdominal Aorta with Intraluminal Device, Open Approach |
| 04L00ZZ | Occlusion of Abdominal Aorta, Open Approach |
| 04L03CZ | Occlusion of Abdominal Aorta with Extraluminal Device, Percutaneous Approach |
| 04L03DJ | Occlusion of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Approach |
| 04L03DZ | Occlusion of Abdominal Aorta with Intraluminal Device, Percutaneous Approach |
| 04L03ZZ | Occlusion of Abdominal Aorta, Percutaneous Approach |
| 04L04CZ | Occlusion of Abdominal Aorta with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L04DZ | Occlusion of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L04ZZ | Occlusion of Abdominal Aorta, Percutaneous Endoscopic Approach |
| 04R007Z | Replacement of Abdominal Aorta with Autologous Tissue Substitute, Open Approach |
| 04R00JZ | Replacement of Abdominal Aorta with Synthetic Substitute, Open Approach |
| 04R00KZ | Replacement of Abdominal Aorta with Nonautologous Tissue Substitute, Open Approach |
| 04R047Z | Replacement of Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R04JZ | Replacement of Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R04KZ | Replacement of Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U03JZ | Supplement Abdominal Aorta with Synthetic Substitute, Percutaneous Approach |
| 04U04JZ | Supplement Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04V03DZ | Restriction of Abdominal Aorta with Intraluminal Device, Percutaneous Approach |
| 04V03EZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach |
| 04V03FZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach |
| 04V04DZ | Restriction of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V04EZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach |
| 04V04FZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Endoscopic Approach |
| X2CP3T7 | Extirpation of Matter from Abdominal Aorta using Computer-aided Mechanical Aspiration, Percutaneous Approach, New Technology Group 7 |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |