DRAFT

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

Procedure Cluster/MS-DRG Index

Page 17 of 29

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CODE COMBINATION	MDC	MS-DRG	SURGICAL CATEGORY
0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	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

0SPS4JZ	08	466-468	Revision of hip or knee replacement
and 0SUB09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPS4JZ	08	466-468	Revision of hip or knee replacement
and 0SUE09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPS4JZ	08	466-468	Revision of hip or knee replacement
and 0SUS09Z	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J9	08	466-468	Revision of hip or knee replacement

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA	08	466-468	Revision of hip or knee replacement

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ	08	466-468	Revision of hip or knee replacement

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ	08	466-468	Revision of hip or knee replacement

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J9	08	466-468	Revision of hip or knee replacement

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA	08	466-468	Revision of hip or knee replacement

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ	08	466-468	Revision of hip or knee replacement

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J9	08	466-468	Revision of hip or knee replacement

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA	08	466-468	Revision of hip or knee replacement

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ	08	466-468	Revision of hip or knee replacement

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JZ	08	466-468	Revision of hip or knee replacement

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J9	08	466-468	Revision of hip or knee replacement

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA	08	466-468	Revision of hip or knee replacement

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ	08	466-468	Revision of hip or knee replacement

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J9	08	466-468	Revision of hip or knee replacement

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA	08	466-468	Revision of hip or knee replacement

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ	08	466-468	Revision of hip or knee replacement

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JZ	08	466-468	Revision of hip or knee replacement

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0J9	08	466-468	Revision of hip or knee replacement

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JA	08	466-468	Revision of hip or knee replacement

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0JZ	08	466-468	Revision of hip or knee replacement

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRT0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRV0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J9	08	466-468	Revision of hip or knee replacement

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA	08	466-468	Revision of hip or knee replacement

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ	08	466-468	Revision of hip or knee replacement

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JZ	08	466-468	Revision of hip or knee replacement

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0J9	08	466-468	Revision of hip or knee replacement

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JA	08	466-468	Revision of hip or knee replacement

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0JZ	08	466-468	Revision of hip or knee replacement

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRU0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0J9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRW0JZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPC0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0L9	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0L9	08	466-468	Revision of hip or knee replacement

0SPC09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0L9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPC0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0LA	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0LA	08	466-468	Revision of hip or knee replacement

0SPC09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0LA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPC0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0LZ	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0LZ	08	466-468	Revision of hip or knee replacement

0SPC09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC0LZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0L9	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0L9	08	466-468	Revision of hip or knee replacement

0SPD09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0L9	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0LA	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0LA	08	466-468	Revision of hip or knee replacement

0SPD09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0LA	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0LZ	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0LZ	08	466-468	Revision of hip or knee replacement

0SPD09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD0LZ	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SP909Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9069	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 0SR9069	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 0SR9069	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 0SR9069	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 0SR9069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPA0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR9069	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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