DRAFT

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

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Procedure Cluster/MS-DRG Index
Page 24 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
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02H74JZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02H74MZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HK0JZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HK0MZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HK3JZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HK3MZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HK4JZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HK4MZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HL0JZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HL0MZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HL3JZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HL3MZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HL4JZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HL4MZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HN0JZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HN0MZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HN3JZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HN3MZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HN4JZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02HN4MZ   
    
0JH83EZ01029Spinal procedures
and 00HV3MZ08518Back and neck procedures except spinal fusion
    
0JH83EZ01029Spinal procedures
and 00HV4MZ08518Back and neck procedures except spinal fusion
    
0JH604Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH605Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH606Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH607Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH60PZ05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH634Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH635Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH636Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH637Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH63PZ05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH804Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH805Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH806Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH807Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH80PZ05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH834Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH835Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH836Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH837Z05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02H63MZ   
    
0JH604Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH605Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH606Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH607Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH60PZ05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH634Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH635Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH636Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH637Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH63PZ05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH804Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH805Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH806Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH807Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH80PZ05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH834Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH835Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH836Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH837Z05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0JH83PZ05242-244Permanent cardiac pacemaker implant
and 02H73MZ   
    
0SR902908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SP90EZ08466-468Revision of hip or knee replacement
and 0SU909Z   
    
0SUR09Z08466-468Revision of hip or knee replacement
and 0SP90EZ   
    
0SRR01908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SR902Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SR901Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90J908466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR901A08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03Z08466-468Revision of hip or knee replacement
    
0SR903Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR0J908466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR906A08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904A08466-468Revision of hip or knee replacement
    
0SR90JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00908466-468Revision of hip or knee replacement
    
0SRR03908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SRA0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01908466-468Revision of hip or knee replacement
    
0SR904908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SRA03A08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903A08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA00Z08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA01Z08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR03A08466-468Revision of hip or knee replacement
    
0SR906908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR90JZ08466-468Revision of hip or knee replacement
    
0SRR0JA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SRR01Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SRA01A08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR902A08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA03908466-468Revision of hip or knee replacement
    
0SR901908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR904Z08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR0JZ08466-468Revision of hip or knee replacement
    
0SP90EZ08466-468Revision of hip or knee replacement
and 0SUA09Z   
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRA0JA08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRR01A08466-468Revision of hip or knee replacement
    
0SRR03Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SRA00A08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SRA0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SR906Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SP90EZ08466-468Revision of hip or knee replacement
    
0SP90EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SR903908466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE03A08466-468Revision of hip or knee replacement
    
0SPB0EZ08466-468Revision of hip or knee replacement
and 0SUB09Z   
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB01Z08466-468Revision of hip or knee replacement
    
0SRE00908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPB0EZ08466-468Revision of hip or knee replacement
    
0SRE03908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPB0EZ08466-468Revision of hip or knee replacement
    
0SPB0EZ08466-468Revision of hip or knee replacement
and 0SUE09Z   
    
0SRB02A08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPB0EZ08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB06Z08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB02Z08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS0J908466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB01908466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB04A08466-468Revision of hip or knee replacement
    
0SRB0J908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPB0EZ08466-468Revision of hip or knee replacement
    
0SUS09Z08466-468Revision of hip or knee replacement
and 0SPB0EZ   
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS03908466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE00Z08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS03A08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB04908466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB06908466-468Revision of hip or knee replacement
    
0SRE03Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPB0EZ08466-468Revision of hip or knee replacement
    
0SRB01A08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPB0EZ08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRE0J908466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB04Z08466-468Revision of hip or knee replacement
    
0SRB0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPB0EZ08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS03Z08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB03A08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB03Z08466-468Revision of hip or knee replacement
    
0SRE01Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPB0EZ08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRS0JZ08466-468Revision of hip or knee replacement
    
0SPB0EZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRB02908466-468Revision 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