DRAFT

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

Procedure Cluster/MS-DRG Index

Page 4 of 29

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CODE COMBINATION	MDC	MS-DRG	SURGICAL CATEGORY
0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA009	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA00A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA00Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	466-468	Revision of hip or knee replacement
and 0SU909Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	466-468	Revision of hip or knee replacement
and 0SUA09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90BZ	08	466-468	Revision of hip or knee replacement
and 0SUR09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9049	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR904A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP90JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR904Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR901A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR901Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9029	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR902A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR902Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR903A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR903Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9049	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR904A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR904Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA009	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA00A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA00Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	466-468	Revision of hip or knee replacement
and 0SU909Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	466-468	Revision of hip or knee replacement
and 0SUA09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP948Z	08	466-468	Revision of hip or knee replacement
and 0SUR09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR901A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR901Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9029	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR902A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR902Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR903A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR903Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9049	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR904A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR904Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR90JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA009	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA00A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA00Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRR03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
16 Mar 2022 17:08:13
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