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

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Procedure Cluster/MS-DRG Index
Page 14 of 29
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
CODE COMBINATIONMDCMS-DRGSURGICAL CATEGORY
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08466-468Revision of hip or knee replacement
and 0SU909Z10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08466-468Revision of hip or knee replacement
and 0SUA09Z10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPA4JZ08466-468Revision of hip or knee replacement
and 0SUR09Z10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J908466-468Revision of hip or knee replacement
    
0SPC0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA08466-468Revision of hip or knee replacement
    
0SPC0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ08466-468Revision of hip or knee replacement
    
0SPC0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ08466-468Revision of hip or knee replacement
    
0SPC0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J908466-468Revision of hip or knee replacement
    
0SPC4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA08466-468Revision of hip or knee replacement
    
0SPC4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ08466-468Revision of hip or knee replacement
    
0SPC4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J908466-468Revision of hip or knee replacement
    
0SPD0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA08466-468Revision of hip or knee replacement
    
0SPD0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ08466-468Revision of hip or knee replacement
    
0SPD0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JZ08466-468Revision of hip or knee replacement
    
0SPD0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J908466-468Revision of hip or knee replacement
    
0SPD4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA08466-468Revision of hip or knee replacement
    
0SPD4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ08466-468Revision of hip or knee replacement
    
0SPD4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPE0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB01908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPE0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB01A08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPE0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB01Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    



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