DRAFT

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

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Procedure Cluster/MS-DRG Index
Page 29 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
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0JZ08466-468Revision of hip or knee replacement
    
XRRG0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0LZ08466-468Revision of hip or knee replacement
    
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0LZ08466-468Revision of hip or knee replacement
    
XRRG0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0MZ08466-468Revision of hip or knee replacement
    
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0MZ08466-468Revision of hip or knee replacement
    
XRRG0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0NZ08466-468Revision of hip or knee replacement
    
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0NZ08466-468Revision of hip or knee replacement
    
XRRG0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC38Z08466-468Revision of hip or knee replacement
    
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC38Z08466-468Revision of hip or knee replacement
    
XRRG0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC48Z08466-468Revision of hip or knee replacement
    
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC48Z08466-468Revision of hip or knee replacement
    
XRRG0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4JC08466-468Revision of hip or knee replacement
    
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4JC08466-468Revision of hip or knee replacement
    
XRRG0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4JZ08466-468Revision of hip or knee replacement
    
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4JZ08466-468Revision of hip or knee replacement
    
XRRG0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
    
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4LZ08466-468Revision of hip or knee replacement
    
XRRG0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4MZ08466-468Revision of hip or knee replacement
    
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4MZ08466-468Revision of hip or knee replacement
    
XRRG0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4NZ08466-468Revision of hip or knee replacement
    
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4NZ08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD08Z08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD08Z08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD09Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD09Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0EZ08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0EZ08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0JC08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0JC08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0JZ08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0JZ08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0LZ08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0LZ08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0MZ08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0MZ08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0NZ08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0NZ08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD38Z08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD38Z08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD48Z08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD48Z08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD4JC08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD4JC08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD4JZ08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD4JZ08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD4LZ08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD4LZ08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD4MZ08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD4MZ08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD4NZ08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD4NZ08466-468Revision of hip or knee replacement
    
XRRG0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPT0JZ08466-468Revision of hip or knee replacement
    
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPT0JZ08466-468Revision of hip or knee replacement
    
XRRG0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPT4JZ08466-468Revision of hip or knee replacement
    
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPT4JZ08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPU0JZ08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPU0JZ08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPU4JZ08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPU4JZ08466-468Revision of hip or knee replacement
    
XRRG0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPV0JZ08466-468Revision of hip or knee replacement
    
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPV0JZ08466-468Revision of hip or knee replacement
    
XRRG0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPV4JZ08466-468Revision of hip or knee replacement
    
XRRG0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPV4JZ08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPW0JZ08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPW0JZ08466-468Revision of hip or knee replacement
    
XRRH0L808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPW4JZ08466-468Revision of hip or knee replacement
    
XRRH0M808461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPW4JZ08466-468Revision 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