DRAFT

ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual

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Pre-MDC
Allogeneic bone marrow transplant
DRG
014

DRG 014 ALLOGENEIC BONE MARROW TRANSPLANT

NON-OPERATING ROOM PROCEDURES

30233G2*Transfusion of Allogeneic Related Bone Marrow into Peripheral Vein, Percutaneous Approach
30233G3*Transfusion of Allogeneic Unrelated Bone Marrow into Peripheral Vein, Percutaneous Approach
30233G4*Transfusion of Allogeneic Unspecified Bone Marrow into Peripheral Vein, Percutaneous Approach
30233U2*Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach
30233U3*Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach
30233U4*Transfusion of Allogeneic Unspecified T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach
30233X2*Transfusion of Allogeneic Related Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach
30233X3*Transfusion of Allogeneic Unrelated Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach
30233X4*Transfusion of Allogeneic Unspecified Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach
30233Y2*Transfusion of Allogeneic Related Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach
30233Y3*Transfusion of Allogeneic Unrelated Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach
30233Y4*Transfusion of Allogeneic Unspecified Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach
30243G2*Transfusion of Allogeneic Related Bone Marrow into Central Vein, Percutaneous Approach
30243G3*Transfusion of Allogeneic Unrelated Bone Marrow into Central Vein, Percutaneous Approach
30243G4*Transfusion of Allogeneic Unspecified Bone Marrow into Central Vein, Percutaneous Approach
30243U2*Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach
30243U3*Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach
30243U4*Transfusion of Allogeneic Unspecified T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach
30243X2*Transfusion of Allogeneic Related Cord Blood Stem Cells into Central Vein, Percutaneous Approach
30243X3*Transfusion of Allogeneic Unrelated Cord Blood Stem Cells into Central Vein, Percutaneous Approach
30243X4*Transfusion of Allogeneic Unspecified Cord Blood Stem Cells into Central Vein, Percutaneous Approach
30243Y2*Transfusion of Allogeneic Related Hematopoietic Stem Cells into Central Vein, Percutaneous Approach
30243Y3*Transfusion of Allogeneic Unrelated Hematopoietic Stem Cells into Central Vein, Percutaneous Approach
30243Y4*Transfusion of Allogeneic Unspecified Hematopoietic Stem Cells into Central Vein, Percutaneous Approach
XW133C8*Transfusion of Omidubicel into Peripheral Vein, Percutaneous Approach, New Technology Group 8
XW143C8*Transfusion of Omidubicel into Central Vein, Percutaneous Approach, New Technology Group 8



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
01 Mar 2023 06:12:40
CMS, code-revision=344, description-revision=1357