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ICD-10-CM/PCS MS-DRGv33 Definitions Manual Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
MS-DRG Surgical Hierarchy by MDC and MS-DRG
Surgical HierarchyMS-DRG
Heart Transplant or Implant of Heart Assist System001-002
ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck003-004
Liver or Intestinal Transplant005-006
Allogeneic Bone Marrow Transplant014
Lung Transplant007
Simultaneous Pancreas/Kidney Transplant008
Autologous Bone Marrow Transplant016-017
Pancreas Transplant010
Tracheostomy for Face, Mouth and Neck Diagnoses011-013
MDC 01,Diseases & Disorders of the Nervous System
Intracranial Vascular Procedures with PDX Hemorrhage020-022
Spinal Procedures028-030
Ventricular Shunt Procedures031-033
Carotid Artery Stent Procedures034-036
Extracranial Procedures037-039
Peripheral and Cranial Nerve and Other Nervous System Procedures040-042
MDC 02,Diseases & Disorders of the Eye
Orbital Procedures113-114
Extraocular Procedures Except Orbit115
Intraocular Procedures116-117
MDC 03,Diseases & Disorders of the Ear, Nose, Mouth & Throat
Major Head and Neck Procedures129-130
Cranial/Facial Procedures131-132
Other Ear, Nose, Mouth and Throat Procedures133-134
Sinus and Mastoid Procedures135-136
Mouth Procedures137-138
Salivary Gland Procedures139
MDC 04,Diseases & Disorders of the Respiratory System
Major Chest Procedures163-165
Other Respiratory System Procedures166-168
MDC 05,Diseases & Disorders of the Circulatory System
Other Heart Assist System Implant215
Cardiac Valve and Other Major Cardiothoracic Procedures216-221
Endovascular Procedures266-267
Cardiac Defibrillator Implant222-227
Other Cardiothoracic Procedures228-230
Coronary Bypass231-236
Aortic and Heart Assist Procedures268-269
Other Major Cardiovascular Procedures270-272
Amputation for Circulatory System Disorders Except Upper Limb and Toe239-241
Permanent Cardiac Pacemaker Implant242-244
AICD Generator Procedures245
AICD Lead Procedures265
Percutaneous Intracardiac Procedures273-274
Percutaneous Cardiovascular Procedures with Coronary Artery Stent246-249
Percutaneous Cardiovascular Procedures without Coronary Artery Stent250-251
Other Vascular Procedures252-254
Upper Limb and Toe Amputation for Circulatory System Disorders255-257
Cardiac Pacemaker Device Replacement258-259
Cardiac Pacemaker Revision Except Device Replacement260-262
Vein Ligation and Stripping263
Other Circulatory Procedures264
MDC 06,Diseases & Disorders of the Digestive System
Stomach, Esophageal and Duodenal Procedures326-328
Major Small and Large Bowel Procedures329-331
Rectal Resection332-334
Peritoneal Adhesiolysis335-337
Minor Small and Large Bowel Procedures344-346
Anal and Stomal Procedures347-349
Hernia Procedures350-355
Other Digestive System Procedures356-358
MDC 07,Diseases & Disorders of the Hepatobiliary System & Pancreas
Pancreas, Liver and Shunt Procedures405-407
Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.408-410
Hepatobiliary Diagnostic Procedures420-422
Other Hepatobiliary or Pancreas Procedures423-425
MDC 08,Diseases & Disorders of the Musculoskeletal System & Connective Tissue
Combined Anterior/Posterior Spinal Fusion453-455
Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions456-458
Spinal Fusion Except Cervical459-460
Bilateral or Multiple Major Joint Procedures of Lower Extremity461-462
Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders463-465
Revision of Hip or Knee Replacement466-468
Major Joint Replacement or Reattachment of Lower Extremity469-470
Cervical Spinal Fusion471-473
Amputation for Musculoskeletal System and Connective Tissue Disorders474-476
Biopsies of Musculoskeletal System and Connective Tissue477-479
Hip and Femur Procedures Except Major Joint480-482
Major Joint and Limb Reattachment Procedures of Upper Extremity483
Knee Procedures485-489
Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators518-520
Lower Extremity and Humerus Procedures Except Hip,Foot,Femur492-494
Local Excision and Removal Int Fix Devices Except Hip and Femur495-497
Local Excision and Removal Int Fix Devices of Hip and Femur498-499
Soft Tissue Procedures500-502
Foot Procedures503-505
Major Thumb or Joint Procedures506
Major Shoulder or Elbow Joint Procedures507-508
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures510-512
Hand or Wrist Procedures, Except Major Thumb or Joint Procedures513-514
Other Musculoskeletal System and Connective Tissue Procedures515-517
MDC 09,Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast
Skin Graft573-578
Skin Debridement570-572
Other Skin, Subcutaneous Tissue and Breast Procedures579-581
Mastectomy for Malignancy582-583
Breast Biopsy, Local Excision and Other Breast Procedures584-585
MDC 10,Endocrine, Nutritional & Metabolic Diseases & Disorders
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders616-618
Procedures for Obesity619-621
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders622-624
Adrenal and Pituitary Procedures614-615
Thyroid, Parathyroid and Thyroglossal Procedures625-627
Other Endocrine, Nutritional and Metabolic Procedures628-630
MDC 11,Diseases & Disorders of the Kidney & Urinary Tract
Kidney Transplant652
Major Bladder Procedures653-655
Kidney and Ureter Procedures656-661
Minor Bladder Procedures662-664
Transurethral Procedures668-670
Urethral Procedures671-672
Other Kidney and Urinary Tract Procedures673-675
MDC 12,Diseases & Disorders of the Male Reproductive System
Major Male Pelvic Procedures707-708
Penis Procedures709-710
Testes Procedures711-712
Transurethral Prostatectomy713-714
Other Male Reproductive System Procedures715-718
MDC 13,Diseases & Disorders of the Female Reproductive System
Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy734-735
Uterine and Adnexal Procedures for Malignancy736-741
Uterine and Adnexal Procedures for Non-Malignancy742-743
D&C, Conization, Laparoscopy and Tubal Interruption744-745
Vagina, Cervix and Vulva Procedures746-747
Female Reproductive System Reconstructive Procedures748
Other Female Reproductive System Procedures749-750
MDC 14,Pregnancy, Childbirth & the Puerperium
Cesarean Section765-766
Postpartum and Post Abortion Diagnoses with Major Procedure769
Abortion with D&C, Aspiration Curettage or Hysterotomy770
Vaginal Delivery with O.R. procedure767-768
MDC 15,Newborns & Other Neonates with Conditions Originating in Perinatal Period
MDC 16,Diseases & Disorders of Blood, Blood Forming Organs, Immunologic Disorders
Other Procedures of the Blood and Blood Forming Organs802-804
MDC 17,Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms
Lymphoma and Leukemia with Major Procedure820-822
Lymphoma and Non-Acute Leukemia with Other listed Procedure823-825
Myeloproliferative Disorders or Poorly Differentiated Neoplasms826-830
MDC 18,Infectious & Parasitic Diseases, Systemic or Unspecified Sites
Postoperative or Post-Traumatic Infections with Procedure856-858
Infections and Parasitic Diseases with listed Procedure853-855
MDC 19,Mental Diseases & Disorders
Major Procedure with Principal Diagnosis of Mental Illness876
MDC 20,Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders
MDC 21,Injuries, Poisonings & Toxic Effects of Drugs
Wound Debridements for Injuries901-903
Skin Grafts for Injuries904-905
Hand Procedures for Injuries906
Other Procedures for Injuries907-909
MDC 22,Burns
Extensive Burns or Full Thickness Burns with MV >96 Hours927,933
Full Thickness Burns928-929,934
MDC 23,Factors Influencing Health Status & Other Contacts with Health Services
Major Procedures with Diagnosis of Other Contact with Health Services939-941
MDC 24,Multiple Significant Trauma
Craniotomy for Multiple Significant Trauma955
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma956
Other Procedures for Multiple Significant Trauma957-959
MDC 25,Human Immunodeficiency Virus Infections
HIV with Extensive Procedure969-970

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