DRAFT

ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual

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Appendix I Hospital Acquired Conditions (HACS) List
Hospital acquired conditions
Page 13 of 14

HAC 12: SURGICAL SITE INFECTION - CERTAIN ORTHOPEDIC PROCEDURES OF SPINE, SHOULDER AND ELBOW (continued)

PROCEDURES

0RGJ04ZFusion of Right Shoulder Joint with Internal Fixation Device, Open Approach
0RGJ07ZFusion of Right Shoulder Joint with Autologous Tissue Substitute, Open Approach
0RGJ0JZFusion of Right Shoulder Joint with Synthetic Substitute, Open Approach
0RGJ0KZFusion of Right Shoulder Joint with Nonautologous Tissue Substitute, Open Approach
0RGJ34ZFusion of Right Shoulder Joint with Internal Fixation Device, Percutaneous Approach
0RGJ37ZFusion of Right Shoulder Joint with Autologous Tissue Substitute, Percutaneous Approach
0RGJ3JZFusion of Right Shoulder Joint with Synthetic Substitute, Percutaneous Approach
0RGJ3KZFusion of Right Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RGJ44ZFusion of Right Shoulder Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0RGJ47ZFusion of Right Shoulder Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGJ4JZFusion of Right Shoulder Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RGJ4KZFusion of Right Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGK04ZFusion of Left Shoulder Joint with Internal Fixation Device, Open Approach
0RGK07ZFusion of Left Shoulder Joint with Autologous Tissue Substitute, Open Approach
0RGK0JZFusion of Left Shoulder Joint with Synthetic Substitute, Open Approach
0RGK0KZFusion of Left Shoulder Joint with Nonautologous Tissue Substitute, Open Approach
0RGK34ZFusion of Left Shoulder Joint with Internal Fixation Device, Percutaneous Approach
0RGK37ZFusion of Left Shoulder Joint with Autologous Tissue Substitute, Percutaneous Approach
0RGK3JZFusion of Left Shoulder Joint with Synthetic Substitute, Percutaneous Approach
0RGK3KZFusion of Left Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RGK44ZFusion of Left Shoulder Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0RGK47ZFusion of Left Shoulder Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGK4JZFusion of Left Shoulder Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RGK4KZFusion of Left Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGL03ZFusion of Right Elbow Joint with Sustained Compression Internal Fixation Device, Open Approach
0RGL04ZFusion of Right Elbow Joint with Internal Fixation Device, Open Approach
0RGL05ZFusion of Right Elbow Joint with External Fixation Device, Open Approach
0RGL07ZFusion of Right Elbow Joint with Autologous Tissue Substitute, Open Approach
0RGL0JZFusion of Right Elbow Joint with Synthetic Substitute, Open Approach
0RGL0KZFusion of Right Elbow Joint with Nonautologous Tissue Substitute, Open Approach
0RGL33ZFusion of Right Elbow Joint with Sustained Compression Internal Fixation Device, Percutaneous Approach
0RGL34ZFusion of Right Elbow Joint with Internal Fixation Device, Percutaneous Approach
0RGL35ZFusion of Right Elbow Joint with External Fixation Device, Percutaneous Approach
0RGL37ZFusion of Right Elbow Joint with Autologous Tissue Substitute, Percutaneous Approach
0RGL3JZFusion of Right Elbow Joint with Synthetic Substitute, Percutaneous Approach
0RGL3KZFusion of Right Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RGL43ZFusion of Right Elbow Joint with Sustained Compression Internal Fixation Device, Percutaneous Endoscopic Approach
0RGL44ZFusion of Right Elbow Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0RGL45ZFusion of Right Elbow Joint with External Fixation Device, Percutaneous Endoscopic Approach
0RGL47ZFusion of Right Elbow Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGL4JZFusion of Right Elbow Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RGL4KZFusion of Right Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGM03ZFusion of Left Elbow Joint with Sustained Compression Internal Fixation Device, Open Approach
0RGM04ZFusion of Left Elbow Joint with Internal Fixation Device, Open Approach
0RGM05ZFusion of Left Elbow Joint with External Fixation Device, Open Approach
0RGM07ZFusion of Left Elbow Joint with Autologous Tissue Substitute, Open Approach
0RGM0JZFusion of Left Elbow Joint with Synthetic Substitute, Open Approach
0RGM0KZFusion of Left Elbow Joint with Nonautologous Tissue Substitute, Open Approach
0RGM33ZFusion of Left Elbow Joint with Sustained Compression Internal Fixation Device, Percutaneous Approach
0RGM34ZFusion of Left Elbow Joint with Internal Fixation Device, Percutaneous Approach
0RGM35ZFusion of Left Elbow Joint with External Fixation Device, Percutaneous Approach
0RGM37ZFusion of Left Elbow Joint with Autologous Tissue Substitute, Percutaneous Approach
0RGM3JZFusion of Left Elbow Joint with Synthetic Substitute, Percutaneous Approach
0RGM3KZFusion of Left Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RGM43ZFusion of Left Elbow Joint with Sustained Compression Internal Fixation Device, Percutaneous Endoscopic Approach
0RGM44ZFusion of Left Elbow Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0RGM45ZFusion of Left Elbow Joint with External Fixation Device, Percutaneous Endoscopic Approach
0RGM47ZFusion of Left Elbow Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGM4JZFusion of Left Elbow Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RGM4KZFusion of Left Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RQE0ZZRepair Right Sternoclavicular Joint, Open Approach
0RQE3ZZRepair Right Sternoclavicular Joint, Percutaneous Approach
0RQE4ZZRepair Right Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RQF0ZZRepair Left Sternoclavicular Joint, Open Approach
0RQF3ZZRepair Left Sternoclavicular Joint, Percutaneous Approach
0RQF4ZZRepair Left Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RQG0ZZRepair Right Acromioclavicular Joint, Open Approach
0RQG3ZZRepair Right Acromioclavicular Joint, Percutaneous Approach
0RQG4ZZRepair Right Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RQH0ZZRepair Left Acromioclavicular Joint, Open Approach
0RQH3ZZRepair Left Acromioclavicular Joint, Percutaneous Approach
0RQH4ZZRepair Left Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RQJ0ZZRepair Right Shoulder Joint, Open Approach
0RQJ3ZZRepair Right Shoulder Joint, Percutaneous Approach
0RQJ4ZZRepair Right Shoulder Joint, Percutaneous Endoscopic Approach
0RQK0ZZRepair Left Shoulder Joint, Open Approach
0RQK3ZZRepair Left Shoulder Joint, Percutaneous Approach
0RQK4ZZRepair Left Shoulder Joint, Percutaneous Endoscopic Approach
0RQL0ZZRepair Right Elbow Joint, Open Approach
0RQL3ZZRepair Right Elbow Joint, Percutaneous Approach
0RQL4ZZRepair Right Elbow Joint, Percutaneous Endoscopic Approach
0RQM0ZZRepair Left Elbow Joint, Open Approach
0RQM3ZZRepair Left Elbow Joint, Percutaneous Approach
0RQM4ZZRepair Left Elbow Joint, Percutaneous Endoscopic Approach
0RUE07ZSupplement Right Sternoclavicular Joint with Autologous Tissue Substitute, Open Approach
0RUE0JZSupplement Right Sternoclavicular Joint with Synthetic Substitute, Open Approach
0RUE0KZSupplement Right Sternoclavicular Joint with Nonautologous Tissue Substitute, Open Approach
0RUE37ZSupplement Right Sternoclavicular Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUE3JZSupplement Right Sternoclavicular Joint with Synthetic Substitute, Percutaneous Approach
0RUE3KZSupplement Right Sternoclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUE47ZSupplement Right Sternoclavicular Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUE4JZSupplement Right Sternoclavicular Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUE4KZSupplement Right Sternoclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUF07ZSupplement Left Sternoclavicular Joint with Autologous Tissue Substitute, Open Approach
0RUF0JZSupplement Left Sternoclavicular Joint with Synthetic Substitute, Open Approach
0RUF0KZSupplement Left Sternoclavicular Joint with Nonautologous Tissue Substitute, Open Approach
0RUF37ZSupplement Left Sternoclavicular Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUF3JZSupplement Left Sternoclavicular Joint with Synthetic Substitute, Percutaneous Approach
0RUF3KZSupplement Left Sternoclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUF47ZSupplement Left Sternoclavicular Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUF4JZSupplement Left Sternoclavicular Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUF4KZSupplement Left Sternoclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUG07ZSupplement Right Acromioclavicular Joint with Autologous Tissue Substitute, Open Approach
0RUG0JZSupplement Right Acromioclavicular Joint with Synthetic Substitute, Open Approach
0RUG0KZSupplement Right Acromioclavicular Joint with Nonautologous Tissue Substitute, Open Approach
0RUG37ZSupplement Right Acromioclavicular Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUG3JZSupplement Right Acromioclavicular Joint with Synthetic Substitute, Percutaneous Approach
0RUG3KZSupplement Right Acromioclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUG47ZSupplement Right Acromioclavicular Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUG4JZSupplement Right Acromioclavicular Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUG4KZSupplement Right Acromioclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUH07ZSupplement Left Acromioclavicular Joint with Autologous Tissue Substitute, Open Approach
0RUH0JZSupplement Left Acromioclavicular Joint with Synthetic Substitute, Open Approach
0RUH0KZSupplement Left Acromioclavicular Joint with Nonautologous Tissue Substitute, Open Approach
0RUH37ZSupplement Left Acromioclavicular Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUH3JZSupplement Left Acromioclavicular Joint with Synthetic Substitute, Percutaneous Approach
0RUH3KZSupplement Left Acromioclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUH47ZSupplement Left Acromioclavicular Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUH4JZSupplement Left Acromioclavicular Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUH4KZSupplement Left Acromioclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUJ07ZSupplement Right Shoulder Joint with Autologous Tissue Substitute, Open Approach
0RUJ0JZSupplement Right Shoulder Joint with Synthetic Substitute, Open Approach
0RUJ0KZSupplement Right Shoulder Joint with Nonautologous Tissue Substitute, Open Approach
0RUJ37ZSupplement Right Shoulder Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUJ3JZSupplement Right Shoulder Joint with Synthetic Substitute, Percutaneous Approach
0RUJ3KZSupplement Right Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUJ47ZSupplement Right Shoulder Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUJ4JZSupplement Right Shoulder Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUJ4KZSupplement Right Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUK07ZSupplement Left Shoulder Joint with Autologous Tissue Substitute, Open Approach
0RUK0JZSupplement Left Shoulder Joint with Synthetic Substitute, Open Approach
0RUK0KZSupplement Left Shoulder Joint with Nonautologous Tissue Substitute, Open Approach
0RUK37ZSupplement Left Shoulder Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUK3JZSupplement Left Shoulder Joint with Synthetic Substitute, Percutaneous Approach
0RUK3KZSupplement Left Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUK47ZSupplement Left Shoulder Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUK4JZSupplement Left Shoulder Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUK4KZSupplement Left Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUL07ZSupplement Right Elbow Joint with Autologous Tissue Substitute, Open Approach
0RUL0JZSupplement Right Elbow Joint with Synthetic Substitute, Open Approach
0RUL0KZSupplement Right Elbow Joint with Nonautologous Tissue Substitute, Open Approach
0RUL37ZSupplement Right Elbow Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUL3JZSupplement Right Elbow Joint with Synthetic Substitute, Percutaneous Approach
0RUL3KZSupplement Right Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUL47ZSupplement Right Elbow Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUL4JZSupplement Right Elbow Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUL4KZSupplement Right Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUM07ZSupplement Left Elbow Joint with Autologous Tissue Substitute, Open Approach
0RUM0JZSupplement Left Elbow Joint with Synthetic Substitute, Open Approach
0RUM0KZSupplement Left Elbow Joint with Nonautologous Tissue Substitute, Open Approach
0RUM37ZSupplement Left Elbow Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUM3JZSupplement Left Elbow Joint with Synthetic Substitute, Percutaneous Approach
0RUM3KZSupplement Left Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUM47ZSupplement Left Elbow Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUM4JZSupplement Left Elbow Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUM4KZSupplement Left Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0SG0070Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG0071Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG007JFusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG00A0Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0SG00AJFusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0SG00J0Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0SG00J1Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0SG00JJFusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0SG00K0Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG00K1Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG00KJFusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG0370Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG0371Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG037JFusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG03A0Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach
0SG03AJFusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach
0SG03J0Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG03J1Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG03JJFusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG03K0Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG03K1Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG03KJFusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG0470Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG0471Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG047JFusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG04A0Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG04AJFusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG04J0Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG04J1Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG04JJFusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG04K0Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG04K1Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG04KJFusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG1070Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG1071Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG107JFusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG10A0Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0SG10AJFusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0SG10J0Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0SG10J1Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0SG10JJFusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0SG10K0Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG10K1Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG10KJFusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG1370Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG1371Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG137JFusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG13A0Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach
0SG13AJFusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach
0SG13J0Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG13J1Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG13JJFusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG13K0Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG13K1Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG13KJFusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG1470Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG1471Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG147JFusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14A0Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14AJFusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14J0Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14J1Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG14JJFusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14K0Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14K1Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG14KJFusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG3070Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG3071Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG307JFusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG30A0Fusion of Lumbosacral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0SG30AJFusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0SG30J0Fusion of Lumbosacral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0SG30J1Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0SG30JJFusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0SG30K0Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG30K1Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG30KJFusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG3370Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG3371Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG337JFusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG33A0Fusion of Lumbosacral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach
0SG33AJFusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach
0SG33J0Fusion of Lumbosacral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG33J1Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG33JJFusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG33K0Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG33K1Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG33KJFusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG3470Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG3471Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG347JFusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG34A0Fusion of Lumbosacral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG34AJFusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG34J0Fusion of Lumbosacral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG34J1Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG34JJFusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG34K0Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG34K1Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG34KJFusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG704ZFusion of Right Sacroiliac Joint with Internal Fixation Device, Open Approach
0SG707ZFusion of Right Sacroiliac Joint with Autologous Tissue Substitute, Open Approach
0SG70JZFusion of Right Sacroiliac Joint with Synthetic Substitute, Open Approach
0SG70KZFusion of Right Sacroiliac Joint with Nonautologous Tissue Substitute, Open Approach
0SG734ZFusion of Right Sacroiliac Joint with Internal Fixation Device, Percutaneous Approach
0SG737ZFusion of Right Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Approach
0SG73JZFusion of Right Sacroiliac Joint with Synthetic Substitute, Percutaneous Approach
0SG73KZFusion of Right Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0SG744ZFusion of Right Sacroiliac Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0SG747ZFusion of Right Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0SG74JZFusion of Right Sacroiliac Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0SG74KZFusion of Right Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0SG804ZFusion of Left Sacroiliac Joint with Internal Fixation Device, Open Approach
0SG807ZFusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Open Approach
0SG80JZFusion of Left Sacroiliac Joint with Synthetic Substitute, Open Approach
0SG80KZFusion of Left Sacroiliac Joint with Nonautologous Tissue Substitute, Open Approach
0SG834ZFusion of Left Sacroiliac Joint with Internal Fixation Device, Percutaneous Approach
0SG837ZFusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Approach
0SG83JZFusion of Left Sacroiliac Joint with Synthetic Substitute, Percutaneous Approach
0SG83KZFusion of Left Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0SG844ZFusion of Left Sacroiliac Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0SG847ZFusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0SG84JZFusion of Left Sacroiliac Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0SG84KZFusion of Left Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
XRG0092Fusion of Occipital-cervical Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2
XRG00F3Fusion of Occipital-cervical Joint using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3
XRG1092Fusion of Cervical Vertebral Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2
XRG10F3Fusion of Cervical Vertebral Joint using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3
XRG2092Fusion of 2 or more Cervical Vertebral Joints using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2
XRG20F3Fusion of 2 or more Cervical Vertebral Joints using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3
XRG4092Fusion of Cervicothoracic Vertebral Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2
XRG40F3Fusion of Cervicothoracic Vertebral Joint using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3
XRG6092Fusion of Thoracic Vertebral Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2
XRG60F3Fusion of Thoracic Vertebral Joint using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3
XRG7092Fusion of 2 to 7 Thoracic Vertebral Joints using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2
XRG70F3Fusion of 2 to 7 Thoracic Vertebral Joints using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3
XRG8092Fusion of 8 or more Thoracic Vertebral Joints using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2
XRG80F3Fusion of 8 or more Thoracic Vertebral Joints using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3
XRGA092Fusion of Thoracolumbar Vertebral Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2
XRGA0F3Fusion of Thoracolumbar Vertebral Joint using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3
XRGA0R7Fusion of Thoracolumbar Vertebral Joint using Customizable Interbody Fusion Device, Open Approach, New Technology Group 7
XRGA3R7Fusion of Thoracolumbar Vertebral Joint using Customizable Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGA4R7Fusion of Thoracolumbar Vertebral Joint using Customizable Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
XRGB092Fusion of Lumbar Vertebral Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2
XRGB0F3Fusion of Lumbar Vertebral Joint using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3
XRGB0R7Fusion of Lumbar Vertebral Joint using Customizable Interbody Fusion Device, Open Approach, New Technology Group 7
XRGB3R7Fusion of Lumbar Vertebral Joint using Customizable Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGB4R7Fusion of Lumbar Vertebral Joint using Customizable Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
XRGC092Fusion of 2 or more Lumbar Vertebral Joints using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2
XRGC0F3Fusion of 2 or more Lumbar Vertebral Joints using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3
XRGC0R7Fusion of 2 or more Lumbar Vertebral Joints using Customizable Interbody Fusion Device, Open Approach, New Technology Group 7
XRGC3R7Fusion of 2 or more Lumbar Vertebral Joints using Customizable Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGC4R7Fusion of 2 or more Lumbar Vertebral Joints using Customizable Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
XRGD092Fusion of Lumbosacral Joint using Nanotextured Surface Interbody Fusion Device, Open Approach, New Technology Group 2
XRGD0F3Fusion of Lumbosacral Joint using Radiolucent Porous Interbody Fusion Device, Open Approach, New Technology Group 3
XRGD0R7Fusion of Lumbosacral Joint using Customizable Interbody Fusion Device, Open Approach, New Technology Group 7
XRGD3R7Fusion of Lumbosacral Joint using Customizable Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGD4R7Fusion of Lumbosacral Joint using Customizable Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7

NON-OPERATING ROOM PROCEDURES

0RQEXZZ*Repair Right Sternoclavicular Joint, External Approach
0RQFXZZ*Repair Left Sternoclavicular Joint, External Approach
0RQGXZZ*Repair Right Acromioclavicular Joint, External Approach
0RQHXZZ*Repair Left Acromioclavicular Joint, External Approach
0RQJXZZ*Repair Right Shoulder Joint, External Approach
0RQKXZZ*Repair Left Shoulder Joint, External Approach
0RQLXZZ*Repair Right Elbow Joint, External Approach
0RQMXZZ*Repair Left Elbow Joint, External Approach

AND

SECONDARY DIAGNOSIS

K6811Postprocedural retroperitoneal abscess
T8140XAInfection following a procedure, unspecified, initial encounter
T8141XAInfection following a procedure, superficial incisional surgical site, initial encounter
T8142XAInfection following a procedure, deep incisional surgical site, initial encounter
T8143XAInfection following a procedure, organ and space surgical site, initial encounter
T8144XASepsis following a procedure, initial encounter
T8149XAInfection following a procedure, other surgical site, initial encounter
T8460XAInfection and inflammatory reaction due to internal fixation device of unspecified site, initial encounter
T84610AInfection and inflammatory reaction due to internal fixation device of right humerus, initial encounter
T84611AInfection and inflammatory reaction due to internal fixation device of left humerus, initial encounter
T84612AInfection and inflammatory reaction due to internal fixation device of right radius, initial encounter
T84613AInfection and inflammatory reaction due to internal fixation device of left radius, initial encounter
T84614AInfection and inflammatory reaction due to internal fixation device of right ulna, initial encounter
T84615AInfection and inflammatory reaction due to internal fixation device of left ulna, initial encounter
T84619AInfection and inflammatory reaction due to internal fixation device of unspecified bone of arm, initial encounter
T8463XAInfection and inflammatory reaction due to internal fixation device of spine, initial encounter
T8469XAInfection and inflammatory reaction due to internal fixation device of other site, initial encounter
T847XXAInfection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, initial encounter

HAC 13: SURGICAL SITE INFECTION (SSI) FOLLOWING CARDIAC IMPLANTABLE ELECTRONIC DEVICE (CIED) PROCEDURES

PROCEDURES

02H43KZInsertion of Defibrillator Lead into Coronary Vein, Percutaneous Approach
02PA0MZRemoval of Cardiac Lead from Heart, Open Approach
02PA3MZRemoval of Cardiac Lead from Heart, Percutaneous Approach
02PA4MZRemoval of Cardiac Lead from Heart, Percutaneous Endoscopic Approach
02WA0MZRevision of Cardiac Lead in Heart, Open Approach
02WA3MZRevision of Cardiac Lead in Heart, Percutaneous Approach
02WA4MZRevision of Cardiac Lead in Heart, Percutaneous Endoscopic Approach
0JH608ZInsertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Open Approach
0JH609ZInsertion of Cardiac Resynchronization Defibrillator Pulse Generator into Chest Subcutaneous Tissue and Fascia, Open Approach
0JH638ZInsertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH639ZInsertion of Cardiac Resynchronization Defibrillator Pulse Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH808ZInsertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH809ZInsertion of Cardiac Resynchronization Defibrillator Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH838ZInsertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH839ZInsertion of Cardiac Resynchronization Defibrillator Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
0JPT0FZRemoval of Subcutaneous Defibrillator Lead from Trunk Subcutaneous Tissue and Fascia, Open Approach
0JPT0PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach
0JPT3FZRemoval of Subcutaneous Defibrillator Lead from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach
0JPT3PZRemoval of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach
0JWT0FZRevision of Subcutaneous Defibrillator Lead in Trunk Subcutaneous Tissue and Fascia, Open Approach
0JWT0PZRevision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, Open Approach
0JWT3FZRevision of Subcutaneous Defibrillator Lead in Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach
0JWT3PZRevision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

NON-OPERATING ROOM PROCEDURES

02H43JZ*Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Approach
02H43MZ*Insertion of Cardiac Lead into Coronary Vein, Percutaneous Approach
02H63JZ*Insertion of Pacemaker Lead into Right Atrium, Percutaneous Approach
02H63MZ*Insertion of Cardiac Lead into Right Atrium, Percutaneous Approach
02H73JZ*Insertion of Pacemaker Lead into Left Atrium, Percutaneous Approach
02H73MZ*Insertion of Cardiac 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
02HN0JZ*Insertion of Pacemaker Lead into Pericardium, Open Approach
02HN0MZ*Insertion of Cardiac Lead into Pericardium, Open Approach
02HN3JZ*Insertion of Pacemaker Lead into Pericardium, Percutaneous Approach
02HN3MZ*Insertion of Cardiac Lead into Pericardium, Percutaneous Approach
02HN4JZ*Insertion of Pacemaker Lead into Pericardium, Percutaneous Endoscopic Approach
02HN4MZ*Insertion of Cardiac Lead into Pericardium, Percutaneous Endoscopic Approach
02PAXMZ*Removal of Cardiac Lead from Heart, External Approach
0JH604Z*Insertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach
0JH605Z*Insertion of Pacemaker, Single Chamber Rate Responsive into Chest Subcutaneous Tissue and Fascia, Open Approach
0JH606Z*Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach
0JH607Z*Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Chest Subcutaneous Tissue and Fascia, Open Approach
0JH60PZ*Insertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Open Approach
0JH634Z*Insertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH635Z*Insertion of Pacemaker, Single Chamber Rate Responsive into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH636Z*Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH637Z*Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH63PZ*Insertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH804Z*Insertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH805Z*Insertion of Pacemaker, Single Chamber Rate Responsive into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH806Z*Insertion of Pacemaker, Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH807Z*Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH80PZ*Insertion of Cardiac Rhythm Related Device into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH834Z*Insertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH835Z*Insertion of Pacemaker, Single Chamber Rate Responsive into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH836Z*Insertion of Pacemaker, Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH837Z*Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH83PZ*Insertion of Cardiac Rhythm Related Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous 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