DRAFT

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

Procedure Cluster/MS-DRG Index

Page 18 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 COMBINATION	MDC	MS-DRG	SURGICAL CATEGORY
0SPA4JZ	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

0SPR0JZ	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

0SPR4JZ	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

0SP908Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906A	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 0SR906A	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 0SR906A	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 0SR906A	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 0SR906A	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 0SR906A	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 0SR906A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPA4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPR0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPR4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906A	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 0SR906Z	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 0SR906Z	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 0SR906Z	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 0SR906Z	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 0SR906Z	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 0SR906Z	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 0SR906Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPA4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPR0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPR4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SR906Z	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 0SRB069	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 0SRB069	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 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPE0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPE4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPS0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB069	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 0SRB069	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 0SRB06A	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 0SRB06A	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 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPE0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPE4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPS0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06A	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 0SRB06A	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 0SRB06Z	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 0SRB06Z	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 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPB4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPE0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPE4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPS0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z	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 0SRB06Z	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 0SRC069	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPC09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPC08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPC38Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPC48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPC0JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPC4JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC069	08	466-468	Revision of hip or knee replacement

0SPC0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPC09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPC08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPC38Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPC48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPC0JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPC4JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06A	08	466-468	Revision of hip or knee replacement

0SPC0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPC4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPC09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPC08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPC38Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPC48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPC0JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPC4JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPT0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPT4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPV0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPV4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRC06Z	08	466-468	Revision of hip or knee replacement

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPD09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPD08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPD38Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPD48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPD0JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPD4JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD069	08	466-468	Revision of hip or knee replacement

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPD09Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement
	10	628-630	Other endocrine, nutritional and metabolic O.R. procedures

0SPD08Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPD38Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPD48Z	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPD0JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPD4JC	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPU0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPU4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPW0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPW4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06A	08	466-468	Revision of hip or knee replacement

0SPD0JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z	08	466-468	Revision of hip or knee replacement

0SPD4JZ	08	461-462	Bilateral or multiple major joint procedures of lower extremity
and 0SRD06Z	08	466-468	Revision of hip or knee replacement

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