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 24 Multiple significant trauma |
| Other O.R. procedures for multiple significant trauma |
| Page 54 of 54 |
OPERATING ROOM PROCEDURES (continued)
0016070 00RF4JZ 00XL0ZK 01R60JZ 021V4ZS 02VX4FZ 037P3ZZ 03LG4DZ 03UC37Z 04783DZ 04HJ3DZ 04QF4ZZ 04UY47Z 05L73CZ 05U907Z 06LG4CZ 06VF4DZ 08CWXZZ 08UN3JZ 0B5L7ZZ 0CB4XZZ 0D128J4 0D1E8ZE 0DQA7ZZ 0DX84ZD 0FLC8DZ 0FVD0CZ 0HRCX72 0JR737Z 0KD80ZZ 0KSR0ZZ 0LQF0ZZ 0MB84ZZ 0NBR0ZZ 0P5L4ZZ 0PHF37Z 0PQP0ZZ 0PSV05Z 0QBS4ZZ 0QPM47Z 0QSS44Z 0RG047J 0RGT3KZ 0RQF4ZZ 0RUU47Z 0SG844Z 0SPN0JZ 0T170JD 0TQ67ZZ 0UQ93ZZ 0VUG0JZ 0WH33YZ 0XQB3ZZ 0YQS4ZZ
| 0YQS4ZZ | Repair Left 2nd Toe, Percutaneous Endoscopic Approach |
| 0YQSXZZ | Repair Left 2nd Toe, External Approach |
| 0YQT0ZZ | Repair Right 3rd Toe, Open Approach |
| 0YQT3ZZ | Repair Right 3rd Toe, Percutaneous Approach |
| 0YQT4ZZ | Repair Right 3rd Toe, Percutaneous Endoscopic Approach |
| 0YQTXZZ | Repair Right 3rd Toe, External Approach |
| 0YQU0ZZ | Repair Left 3rd Toe, Open Approach |
| 0YQU3ZZ | Repair Left 3rd Toe, Percutaneous Approach |
| 0YQU4ZZ | Repair Left 3rd Toe, Percutaneous Endoscopic Approach |
| 0YQUXZZ | Repair Left 3rd Toe, External Approach |
| 0YQV0ZZ | Repair Right 4th Toe, Open Approach |
| 0YQV3ZZ | Repair Right 4th Toe, Percutaneous Approach |
| 0YQV4ZZ | Repair Right 4th Toe, Percutaneous Endoscopic Approach |
| 0YQVXZZ | Repair Right 4th Toe, External Approach |
| 0YQW0ZZ | Repair Left 4th Toe, Open Approach |
| 0YQW3ZZ | Repair Left 4th Toe, Percutaneous Approach |
| 0YQW4ZZ | Repair Left 4th Toe, Percutaneous Endoscopic Approach |
| 0YQWXZZ | Repair Left 4th Toe, External Approach |
| 0YQX0ZZ | Repair Right 5th Toe, Open Approach |
| 0YQX3ZZ | Repair Right 5th Toe, Percutaneous Approach |
| 0YQX4ZZ | Repair Right 5th Toe, Percutaneous Endoscopic Approach |
| 0YQXXZZ | Repair Right 5th Toe, External Approach |
| 0YQY0ZZ | Repair Left 5th Toe, Open Approach |
| 0YQY3ZZ | Repair Left 5th Toe, Percutaneous Approach |
| 0YQY4ZZ | Repair Left 5th Toe, Percutaneous Endoscopic Approach |
| 0YQYXZZ | Repair Left 5th Toe, External Approach |
| X27H385 | Dilation of Right Femoral Artery with Sustained Release Drug-eluting Intraluminal Device, Percutaneous Approach, New Technology Group 5 |
| X27H395 | Dilation of Right Femoral Artery with Two Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 |
| X27H3B5 | Dilation of Right Femoral Artery with Three Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 |
| X27H3C5 | Dilation of Right Femoral Artery with Four or More Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 |
| X27J385 | Dilation of Left Femoral Artery with Sustained Release Drug-eluting Intraluminal Device, Percutaneous Approach, New Technology Group 5 |
| X27J395 | Dilation of Left Femoral Artery with Two Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 |
| X27J3B5 | Dilation of Left Femoral Artery with Three Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 |
| X27J3C5 | Dilation of Left Femoral Artery with Four or More Sustained Release Drug-eluting Intraluminal Devices, Percutaneous Approach, New Technology Group 5 |
| X2CP3T7 | Extirpation of Matter from Abdominal Aorta using Computer-aided Mechanical Aspiration, Percutaneous Approach, New Technology Group 7 |
| X2CS3T7 | Extirpation of Matter from Right Lower Extremity Artery using Computer-aided Mechanical Aspiration, Percutaneous Approach, New Technology Group 7 |
| X2CT3T7 | Extirpation of Matter from Left Lower Extremity Artery using Computer-aided Mechanical Aspiration, Percutaneous Approach, New Technology Group 7 |
| X2CY3T7 | Extirpation of Matter from Great Vessel using Computer-aided Mechanical Aspiration, Percutaneous Approach, New Technology Group 7 |
| X2KB317 | Bypass Right Radial Artery using Thermal Resistance Energy, Percutaneous Approach, New Technology Group 7 |
| X2KC317 | Bypass Left Radial Artery using Thermal Resistance Energy, Percutaneous Approach, New Technology Group 7 |
| X2RX0N7 | Replacement of Thoracic Aorta, Arch using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7 |
| X2VW0N7 | Restriction of Thoracic Aorta, Descending using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7 |
| XHRPXF7 | Replacement of Skin with Bioengineered Allogeneic Construct, External Approach, New Technology Group 7 |
| XHRPXL2 | Replacement of Skin using Porcine Liver Derived Skin Substitute, External Approach, New Technology Group 2 |
| XNS0032 | Reposition of Lumbar Vertebra using Magnetically Controlled Growth Rod(s), Open Approach, New Technology Group 2 |
| XNS00C7 | Reposition of Lumbar Vertebra using Posterior (Dynamic) Distraction Device, Open Approach, New Technology Group 7 |
| XNS0332 | Reposition of Lumbar Vertebra using Magnetically Controlled Growth Rod(s), Percutaneous Approach, New Technology Group 2 |
| XNS03C7 | Reposition of Lumbar Vertebra using Posterior (Dynamic) Distraction Device, Percutaneous Approach, New Technology Group 7 |
| XNS3032 | Reposition of Cervical Vertebra using Magnetically Controlled Growth Rod(s), Open Approach, New Technology Group 2 |
| XNS3332 | Reposition of Cervical Vertebra using Magnetically Controlled Growth Rod(s), Percutaneous Approach, New Technology Group 2 |
| XNS4032 | Reposition of Thoracic Vertebra using Magnetically Controlled Growth Rod(s), Open Approach, New Technology Group 2 |
| XNS40C7 | Reposition of Thoracic Vertebra using Posterior (Dynamic) Distraction Device, Open Approach, New Technology Group 7 |
| XNS4332 | Reposition of Thoracic Vertebra using Magnetically Controlled Growth Rod(s), Percutaneous Approach, New Technology Group 2 |
| XNS43C7 | Reposition of Thoracic Vertebra using Posterior (Dynamic) Distraction Device, Percutaneous Approach, New Technology Group 7 |
| XNU0356 | Supplement Lumbar Vertebra with Mechanically Expandable (Paired) Synthetic Substitute, Percutaneous Approach, New Technology Group 6 |
| XNU4356 | Supplement Thoracic Vertebra with Mechanically Expandable (Paired) Synthetic Substitute, Percutaneous Approach, New Technology Group 6 |
| XRG0092 | Fusion of Occipital-cervical Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2 |
| XRG00F3 | Fusion of Occipital-cervical Joint using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3 |
| XRG1092 | Fusion of Cervical Vertebral Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2 |
| XRG10F3 | Fusion of Cervical Vertebral Joint using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3 |
| XRG2092 | Fusion of 2 or more Cervical Vertebral Joints using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2 |
| XRG20F3 | Fusion of 2 or more Cervical Vertebral Joints using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3 |
| XRG4092 | Fusion of Cervicothoracic Vertebral Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2 |
| XRG40F3 | Fusion of Cervicothoracic Vertebral Joint using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3 |
| XRG6092 | Fusion of Thoracic Vertebral Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2 |
| XRG60F3 | Fusion of Thoracic Vertebral Joint using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3 |
| XRG7092 | Fusion of 2 to 7 Thoracic Vertebral Joints using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2 |
| XRG70F3 | Fusion of 2 to 7 Thoracic Vertebral Joints using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3 |
| XRG8092 | Fusion of 8 or more Thoracic Vertebral Joints using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2 |
| XRG80F3 | Fusion of 8 or more Thoracic Vertebral Joints using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3 |
| XRGA092 | Fusion of Thoracolumbar Vertebral Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2 |
| XRGA0F3 | Fusion of Thoracolumbar Vertebral Joint using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3 |
| XRGA0R7 | Fusion of Thoracolumbar Vertebral Joint using Customizable Interbody Fusion Device, Open Approach, New Technology Group 7 |
| XRGA3R7 | Fusion of Thoracolumbar Vertebral Joint using Customizable Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 |
| XRGA4R7 | Fusion of Thoracolumbar Vertebral Joint using Customizable Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 |
| XRGB092 | Fusion of Lumbar Vertebral Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2 |
| XRGB0F3 | Fusion of Lumbar Vertebral Joint using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3 |
| XRGB0R7 | Fusion of Lumbar Vertebral Joint using Customizable Interbody Fusion Device, Open Approach, New Technology Group 7 |
| XRGB3R7 | Fusion of Lumbar Vertebral Joint using Customizable Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 |
| XRGB4R7 | Fusion of Lumbar Vertebral Joint using Customizable Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 |
| XRGC092 | Fusion of 2 or more Lumbar Vertebral Joints using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2 |
| XRGC0F3 | Fusion of 2 or more Lumbar Vertebral Joints using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3 |
| XRGC0R7 | Fusion of 2 or more Lumbar Vertebral Joints using Customizable Interbody Fusion Device, Open Approach, New Technology Group 7 |
| XRGC3R7 | Fusion of 2 or more Lumbar Vertebral Joints using Customizable Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 |
| XRGC4R7 | Fusion of 2 or more Lumbar Vertebral Joints using Customizable Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 |
| XRGD092 | Fusion of Lumbosacral Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2 |
| XRGD0F3 | Fusion of Lumbosacral Joint using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3 |
| XRGD0R7 | Fusion of Lumbosacral Joint using Customizable Interbody Fusion Device, Open Approach, New Technology Group 7 |
| XRGD3R7 | Fusion of Lumbosacral Joint using Customizable Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 |
| XRGD4R7 | Fusion of Lumbosacral Joint using Customizable Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 |
| XRRG0L8 | Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8 |
| XRRG0M8 | Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8 |
| XRRH0L8 | Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8 |
| XRRH0M8 | Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8 |
NON-OPERATING ROOM PROCEDURES
| 02H63JZ* | Insertion of Pacemaker Lead into Right Atrium, Percutaneous Approach |
| 02H73JZ* | Insertion of Pacemaker Lead into Left Atrium, Percutaneous Approach |
| 02HK3JZ* | Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Approach |
| 02HL3JZ* | Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Approach |
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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 |