DRAFT

ICD-10-CM/PCS MS-DRG v40.0 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)

0SRD0JAReplacement of Left Knee Joint with Synthetic Substitute, Uncemented, Open Approach
  with 0SPD4NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SRD0LAReplacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach
  with 0SPD4NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SRW0JZReplacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach
  with 0SPD4NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SRW0JAReplacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach
  with 0SPD4NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPD4NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
  with 0SRD069Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRU0JAReplacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
  with 0SPD4NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SRD0M9Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach
  with 0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SRD0M9Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach
  with 0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach
0SRD0M9Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach
  with 0SPD09ZRemoval of Liner from Left Knee Joint, Open Approach
0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach
  with 0SRD0MAReplacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach
0SPD09ZRemoval of Liner from Left Knee Joint, Open Approach
  with 0SRD0MAReplacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach
0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
  with 0SRD0MAReplacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach
0SRD0MZReplacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach
  with 0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach
0SRD0MZReplacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach
  with 0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SRD0MZReplacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach
  with 0SPD09ZRemoval of Liner from Left Knee Joint, Open Approach
0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
  with 0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPD4JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
  with 0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
  with 0SPW4JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
0SPD0JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Open Approach
  with 0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
  with 0SPD08ZRemoval of Spacer from Left Knee Joint, Open Approach
0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
  with 0SPD09ZRemoval of Liner from Left Knee Joint, Open Approach
0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
  with 0SPD38ZRemoval of Spacer from Left Knee Joint, Percutaneous Approach
0SPU4JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
  with 0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
  with 0SPW0JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Open Approach
0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
  with 0SPD48ZRemoval of Spacer from Left Knee Joint, Percutaneous Endoscopic Approach
0SPU0JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Open Approach
  with 0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
  with 0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach
0SPD48ZRemoval of Spacer from Left Knee Joint, Percutaneous Endoscopic Approach
  with 0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach
  with 0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SPD38ZRemoval of Spacer from Left Knee Joint, Percutaneous Approach
  with 0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
  with 0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SPD4JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
  with 0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SPU4JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
  with 0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SPD0JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Open Approach
  with 0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SPD09ZRemoval of Liner from Left Knee Joint, Open Approach
  with 0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
  with 0SPD08ZRemoval of Spacer from Left Knee Joint, Open Approach
0SPW0JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Open Approach
  with 0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SPU0JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Open Approach
  with 0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SPW4JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
  with 0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPD08ZRemoval of Spacer from Left Knee Joint, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
  with 0SPD48ZRemoval of Spacer from Left Knee Joint, Percutaneous Endoscopic Approach
0SPU0JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Open Approach
  with 0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
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
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD08ZRemoval of Spacer from Left Knee Joint, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD08ZRemoval of Spacer from Left Knee Joint, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD09ZRemoval of Liner from Left Knee Joint, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD09ZRemoval of Liner from Left Knee Joint, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD0EZRemoval of Articulating Spacer from Left Knee Joint, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD0EZRemoval of Articulating Spacer from Left Knee Joint, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD0JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD0JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD0LZRemoval of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD0LZRemoval of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD0MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD0MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD0NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD0NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD38ZRemoval of Spacer from Left Knee Joint, Percutaneous Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD38ZRemoval of Spacer from Left Knee Joint, Percutaneous Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD48ZRemoval of Spacer from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD48ZRemoval of Spacer from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD4JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD4JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD4LZRemoval of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD4LZRemoval of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD4MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD4MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPD4NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPD4NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPU0JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPU0JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPU4JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPU4JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPW0JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Open Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPW0JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Open Approach
XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
  with 0SPW4JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
  with 0SPW4JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Endoscopic 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



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
16 Mar 2022 17:08:13
CMS, code-revision=333, description-revision=1331