ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual

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MS-DRG Surgical Hierarchy by MDC and MS-DRG
Surgical HierarchyMS-DRG
001-002Heart Transplant or Implant of Heart Assist System
003-004ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck
005-006Liver or Intestinal Transplant
014Allogeneic Bone Marrow Transplant
007Lung Transplant
008Simultaneous Pancreas/Kidney Transplant
016-017Autologous Bone Marrow Transplant
010Pancreas Transplant
011-013Tracheostomy for Face, Mouth and Neck Diagnoses
MDC 01 Diseases & Disorders of the Nervous System
020-022Intracranial Vascular Procedures with PDX Hemorrhage
028-030Spinal Procedures
031-033Ventricular Shunt Procedures
034-036Carotid Artery Stent Procedures
037-039Extracranial Procedures
040-042Peripheral and Cranial Nerve and Other Nervous System Procedures
MDC 02 Diseases & Disorders of the Eye
113-114Orbital Procedures
115Extraocular Procedures Except Orbit
116-117Intraocular Procedures
MDC 03 Diseases & Disorders of the Ear, Nose, Mouth & Throat
129-130Major Head and Neck Procedures
131-132Cranial/Facial Procedures
133-134Other Ear, Nose, Mouth and Throat Procedures
135-136Sinus and Mastoid Procedures
137-138Mouth Procedures
139Salivary Gland Procedures
MDC 04 Diseases & Disorders of the Respiratory System
163-165Major Chest Procedures
166-168Other Respiratory System Procedures
MDC 05 Diseases & Disorders of the Circulatory System
215Other Heart Assist System Implant
216-221Cardiac Valve and Other Major Cardiothoracic Procedures
266-267Endovascular Procedures
222-227Cardiac Defibrillator Implant
228-229Other Cardiothoracic Procedures
231-236Coronary Bypass
268-269Aortic and Heart Assist Procedures
270-272Other Major Cardiovascular Procedures
239-241Amputation for Circulatory System Disorders Except Upper Limb and Toe
242-244Permanent Cardiac Pacemaker Implant
245AICD Generator Procedures
265AICD Lead Procedures
273-274Percutaneous Intracardiac Procedures
246-249Percutaneous Cardiovascular Procedures with Coronary Artery Stent
250-251Percutaneous Cardiovascular Procedures without Coronary Artery Stent
252-254Other Vascular Procedures
255-257Upper Limb and Toe Amputation for Circulatory System Disorders
258-259Cardiac Pacemaker Device Replacement
260-262Cardiac Pacemaker Revision Except Device Replacement
263Vein Ligation and Stripping
264Other Circulatory Procedures
MDC 06 Diseases & Disorders of the Digestive System
326-328Stomach, Esophageal and Duodenal Procedures
329-331Major Small and Large Bowel Procedures
332-334Rectal Resection
335-337Peritoneal Adhesiolysis
344-346Minor Small and Large Bowel Procedures
347-349Anal and Stomal Procedures
350-355Hernia Procedures
356-358Other Digestive System Procedures
MDC 07 Diseases & Disorders of the Hepatobiliary System & Pancreas
405-407Pancreas, Liver and Shunt Procedures
408-410Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.
420-422Hepatobiliary Diagnostic Procedures
423-425Other Hepatobiliary or Pancreas Procedures
MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
453-455Combined Anterior/Posterior Spinal Fusion
456-458Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
459-460Spinal Fusion Except Cervical
461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
463-465Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders
466-468Revision of Hip or Knee Replacement
469-470Major Joint Replacement or Reattachment of Lower Extremity
471-473Cervical Spinal Fusion
474-476Amputation for Musculoskeletal System and Connective Tissue Disorders
477-479Biopsies of Musculoskeletal System and Connective Tissue
480-482Hip and Femur Procedures Except Major Joint
483Major Joint and Limb Reattachment Procedures of Upper Extremity
485-489Knee Procedures
518-520Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
492-494Lower Extremity and Humerus Procedures Except Hip,Foot,Femur
495-497Local Excision and Removal Int Fix Devices Except Hip and Femur
498-499Local Excision and Removal Int Fix Devices of Hip and Femur
500-502Soft Tissue Procedures
503-505Foot Procedures
506Major Thumb or Joint Procedures
507-508Major Shoulder or Elbow Joint Procedures
510-512Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures
513-514Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
515-517Other Musculoskeletal System and Connective Tissue Procedures
MDC 09 Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast
573-578Skin Graft
570-572Skin Debridement
579-581Other Skin, Subcutaneous Tissue and Breast Procedures
582-583Mastectomy for Malignancy
584-585Breast Biopsy, Local Excision and Other Breast Procedures
MDC 10 Endocrine, Nutritional & Metabolic Diseases & Disorders
616-618Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders
619-621Procedures for Obesity
622-624Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
614-615Adrenal and Pituitary Procedures
625-627Thyroid, Parathyroid and Thyroglossal Procedures
628-630Other Endocrine, Nutritional and Metabolic Procedures
MDC 11 Diseases & Disorders of the Kidney & Urinary Tract
652Kidney Transplant
653-655Major Bladder Procedures
656-661Kidney and Ureter Procedures
662-664Minor Bladder Procedures
668-670Transurethral Procedures
671-672Urethral Procedures
673-675Other Kidney and Urinary Tract Procedures
MDC 12 Diseases & Disorders of the Male Reproductive System
707-708Major Male Pelvic Procedures
709-710Penis Procedures
711-712Testes Procedures
713-714Transurethral Prostatectomy
715-718Other Male Reproductive System Procedures
MDC 13 Diseases & Disorders of the Female Reproductive System
734-735Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy
736-741Uterine and Adnexal Procedures for Malignancy
742-743Uterine and Adnexal Procedures for Non-Malignancy
744-745D&C, Conization, Laparoscopy and Tubal Interruption
746-747Vagina, Cervix and Vulva Procedures
748Female Reproductive System Reconstructive Procedures
749-750Other Female Reproductive System Procedures
MDC 14 Pregnancy, Childbirth & the Puerperium
765-766Cesarean Section
769Postpartum and Post Abortion Diagnoses with Major Procedure
770Abortion with D&C, Aspiration Curettage or Hysterotomy
767-768Vaginal Delivery with O.R. procedure
MDC 16 Diseases & Disorders of Blood, Blood Forming Organs, Immunologic Disorders
802-804Other Procedures of the Blood and Blood Forming Organs
MDC 17 Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms
820-822Lymphoma and Leukemia with Major Procedure
823-825Lymphoma and Non-Acute Leukemia with Other listed Procedure
826-830Myeloproliferative Disorders or Poorly Differentiated Neoplasms
MDC 18 Infectious & Parasitic Diseases, Systemic or Unspecified Sites
856-858Postoperative or Post-Traumatic Infections with Procedure
853-855Infections and Parasitic Diseases with listed Procedure
MDC 19 Mental Diseases & Disorders
876Major Procedure with Principal Diagnosis of Mental Illness
MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
901-903Wound Debridements for Injuries
904-905Skin Grafts for Injuries
906Hand Procedures for Injuries
907-909Other Procedures for Injuries
MDC 22 Burns
927,933Extensive Burns or Full Thickness Burns with MV >96 Hours
928-929,934Full Thickness Burns
MDC 23 Factors Influencing Health Status & Other Contacts with Health Services
939-941Major Procedures with Diagnosis of Other Contact with Health Services
MDC 24 Multiple Significant Trauma
955Craniotomy for Multiple Significant Trauma
956Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma
957-959Other Procedures for Multiple Significant Trauma
MDC 25 Human Immunodeficiency Virus Infections
969-970HIV with Extensive Procedure

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02 Nov 2016 09:53:07
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