DRAFT

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

Procedure Cluster/MS-DRG Index

Page 5 of 29

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CODE COMBINATION	MDC	MS-DRG	SURGICAL CATEGORY
0SP94JZ	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

0SP94JZ	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

0SP94JZ	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

0SP94JZ	08	466-468	Revision of hip or knee replacement
and 0SU909Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	466-468	Revision of hip or knee replacement
and 0SUA09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP94JZ	08	466-468	Revision of hip or knee replacement
and 0SUR09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB029	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB02A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB02Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB049	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB04A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB04Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE009	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE00A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE00Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	466-468	Revision of hip or knee replacement
and 0SUB09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	466-468	Revision of hip or knee replacement
and 0SUE09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB08Z	08	466-468	Revision of hip or knee replacement
and 0SUS09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB029	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB02A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB02Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB049	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB04A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB04Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE009	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE00A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE00Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRS0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	466-468	Revision of hip or knee replacement
and 0SUB09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	466-468	Revision of hip or knee replacement
and 0SUE09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB09Z	08	466-468	Revision of hip or knee replacement
and 0SUS09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB01A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB01Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB029	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB02A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB02Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB039	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB03A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB03Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB049	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB04A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB04Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE009	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE00A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE00Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0BZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRE019	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

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16 Mar 2022 17:08:13
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