TABLE 6F - REVISED PROCEDURE CODE TITLES
Procedure Code	Description	O.R.	MDC	MS-DRG
XRGA0R7	Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7		01	028, 029, 030
""			08	453, 454, 455, 456, 457, 458, 459, 460
""			14	769, 817, 818, 819
""			17	823, 824, 825, 829, 830
""			18	853, 854, 855, 856, 857, 858
""			19	876
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
XRGA3R7	Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7		01	028, 029, 030
""			08	453, 454, 455, 456, 457, 458, 459, 460
""			14	769, 817, 818, 819
""			17	823, 824, 825, 829, 830
""			18	853, 854, 855, 856, 857, 858
""			19	876
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
XRGA4R7	Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7		01	028, 029, 030
""			08	453, 454, 455, 456, 457, 458, 459, 460
""			14	769, 817, 818, 819
""			17	823, 824, 825, 829, 830
""			18	853, 854, 855, 856, 857, 858
""			19	876
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
XRGB0R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7		01	028, 029, 030
""			08	453, 454, 455, 456, 457, 458, 459, 460
""			14	769, 817, 818, 819
""			17	823, 824, 825, 829, 830
""			18	853, 854, 855, 856, 857, 858
""			19	876
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
XRGB3R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7		01	028, 029, 030
""			08	453, 454, 455, 456, 457, 458, 459, 460
""			14	769, 817, 818, 819
""			17	823, 824, 825, 829, 830
""			18	853, 854, 855, 856, 857, 858
""			19	876
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
XRGB4R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7		01	028, 029, 030
""			08	453, 454, 455, 456, 457, 458, 459, 460
""			14	769, 817, 818, 819
""			17	823, 824, 825, 829, 830
""			18	853, 854, 855, 856, 857, 858
""			19	876
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
XRGC0R7	Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7		01	028, 029, 030
""			08	453, 454, 455, 456, 457, 458, 459, 460
""			14	769, 817, 818, 819
""			17	823, 824, 825, 829, 830
""			18	853, 854, 855, 856, 857, 858
""			19	876
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
XRGC3R7	Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7		01	028, 029, 030
""			08	453, 454, 455, 456, 457, 458, 459, 460
""			14	769, 817, 818, 819
""			17	823, 824, 825, 829, 830
""			18	853, 854, 855, 856, 857, 858
""			19	876
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
XRGC4R7	Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7		01	028, 029, 030
""			08	453, 454, 455, 456, 457, 458, 459, 460
""			14	769, 817, 818, 819
""			17	823, 824, 825, 829, 830
""			18	853, 854, 855, 856, 857, 858
""			19	876
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
XRGD0R7	Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7		01	028, 029, 030
""			08	453, 454, 455, 456, 457, 458, 459, 460
""			14	769, 817, 818, 819
""			17	823, 824, 825, 829, 830
""			18	853, 854, 855, 856, 857, 858
""			19	876
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
XRGD3R7	Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7		01	028, 029, 030
""			08	453, 454, 455, 456, 457, 458, 459, 460
""			14	769, 817, 818, 819
""			17	823, 824, 825, 829, 830
""			18	853, 854, 855, 856, 857, 858
""			19	876
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
XRGD4R7	Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7		01	028, 029, 030
""			08	453, 454, 455, 456, 457, 458, 459, 460
""			14	769, 817, 818, 819
""			17	823, 824, 825, 829, 830
""			18	853, 854, 855, 856, 857, 858
""			19	876
""			21	907, 908, 909
""			24	957, 958, 959
""				981, 982, 983
XW00X27	Introduction of Anacaulase-bcdb into Skin, External Approach, New Technology Group 7			
XW01X27	Introduction of Anacaulase-bcdb into Subcutaneous Tissue, External Approach, New Technology Group 7			

	Notes:
