ICD-10-CM/PCS MS-DRG v43.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v43.0 Definitions Manual |
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| MDC 02 Diseases and Disorders of the Eye |
| Orbital Procedures |
| CC or MCC | DRG |
|---|---|
| Yes | 113 |
| No | 114 |
DRG 113 Orbital Procedures with CC/MCC
DRG 114 Orbital Procedures without CC/MCC
OPERATING ROOM PROCEDURES
| 08B00ZX | Excision of Right Eye, Open Approach, Diagnostic |
| 08B03ZX | Excision of Right Eye, Percutaneous Approach, Diagnostic |
| 08B0XZX | Excision of Right Eye, External Approach, Diagnostic |
| 08B10ZX | Excision of Left Eye, Open Approach, Diagnostic |
| 08B13ZX | Excision of Left Eye, Percutaneous Approach, Diagnostic |
| 08B1XZX | Excision of Left Eye, External Approach, Diagnostic |
| 08P003Z | Removal of Infusion Device from Right Eye, Open Approach |
| 08P00JZ | Removal of Synthetic Substitute from Right Eye, Open Approach |
| 08P103Z | Removal of Infusion Device from Left Eye, Open Approach |
| 08P10JZ | Removal of Synthetic Substitute from Left Eye, Open Approach |
| 08Q0XZZ | Repair Right Eye, External Approach |
| 08Q1XZZ | Repair Left Eye, External Approach |
| 08R007Z | Replacement of Right Eye with Autologous Tissue Substitute, Open Approach |
| 08R00JZ | Replacement of Right Eye with Synthetic Substitute, Open Approach |
| 08R037Z | Replacement of Right Eye with Autologous Tissue Substitute, Percutaneous Approach |
| 08R03KZ | Replacement of Right Eye with Nonautologous Tissue Substitute, Percutaneous Approach |
| 08R107Z | Replacement of Left Eye with Autologous Tissue Substitute, Open Approach |
| 08R10JZ | Replacement of Left Eye with Synthetic Substitute, Open Approach |
| 08R137Z | Replacement of Left Eye with Autologous Tissue Substitute, Percutaneous Approach |
| 08R13KZ | Replacement of Left Eye with Nonautologous Tissue Substitute, Percutaneous Approach |
| 08T0XZZ | Resection of Right Eye, External Approach |
| 08T1XZZ | Resection of Left Eye, External Approach |
| 08W00JZ | Revision of Synthetic Substitute in Right Eye, Open Approach |
| 08W03JZ | Revision of Synthetic Substitute in Right Eye, Percutaneous Approach |
| 08W10JZ | Revision of Synthetic Substitute in Left Eye, Open Approach |
| 08W13JZ | Revision of Synthetic Substitute in Left Eye, Percutaneous Approach |
| 0J810ZZ | Division of Face Subcutaneous Tissue and Fascia, Open Approach |
| 0J813ZZ | Division of Face Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JR107Z | Replacement of Face Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Open Approach |
| 0JR10KZ | Replacement of Face Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Open Approach |
| 0JR137Z | Replacement of Face Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Percutaneous Approach |
| 0JR13KZ | Replacement of Face Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0N8P0ZZ | Division of Right Orbit, Open Approach |
| 0N8P3ZZ | Division of Right Orbit, Percutaneous Approach |
| 0N8P4ZZ | Division of Right Orbit, Percutaneous Endoscopic Approach |
| 0N8Q0ZZ | Division of Left Orbit, Open Approach |
| 0N8Q3ZZ | Division of Left Orbit, Percutaneous Approach |
| 0N8Q4ZZ | Division of Left Orbit, Percutaneous Endoscopic Approach |
| 0N9P00Z | Drainage of Right Orbit with Drainage Device, Open Approach |
| 0N9P0ZX | Drainage of Right Orbit, Open Approach, Diagnostic |
| 0N9P0ZZ | Drainage of Right Orbit, Open Approach |
| 0N9P3ZX | Drainage of Right Orbit, Percutaneous Approach, Diagnostic |
| 0N9P40Z | Drainage of Right Orbit with Drainage Device, Percutaneous Endoscopic Approach |
| 0N9P4ZX | Drainage of Right Orbit, Percutaneous Endoscopic Approach, Diagnostic |
| 0N9P4ZZ | Drainage of Right Orbit, Percutaneous Endoscopic Approach |
| 0N9Q00Z | Drainage of Left Orbit with Drainage Device, Open Approach |
| 0N9Q0ZX | Drainage of Left Orbit, Open Approach, Diagnostic |
| 0N9Q0ZZ | Drainage of Left Orbit, Open Approach |
| 0N9Q3ZX | Drainage of Left Orbit, Percutaneous Approach, Diagnostic |
| 0N9Q40Z | Drainage of Left Orbit with Drainage Device, Percutaneous Endoscopic Approach |
| 0N9Q4ZX | Drainage of Left Orbit, Percutaneous Endoscopic Approach, Diagnostic |
| 0N9Q4ZZ | Drainage of Left Orbit, Percutaneous Endoscopic Approach |
| 0NBP0ZX | Excision of Right Orbit, Open Approach, Diagnostic |
| 0NBP0ZZ | Excision of Right Orbit, Open Approach |
| 0NBP3ZX | Excision of Right Orbit, Percutaneous Approach, Diagnostic |
| 0NBP3ZZ | Excision of Right Orbit, Percutaneous Approach |
| 0NBP4ZX | Excision of Right Orbit, Percutaneous Endoscopic Approach, Diagnostic |
| 0NBP4ZZ | Excision of Right Orbit, Percutaneous Endoscopic Approach |
| 0NBQ0ZX | Excision of Left Orbit, Open Approach, Diagnostic |
| 0NBQ0ZZ | Excision of Left Orbit, Open Approach |
| 0NBQ3ZX | Excision of Left Orbit, Percutaneous Approach, Diagnostic |
| 0NBQ3ZZ | Excision of Left Orbit, Percutaneous Approach |
| 0NBQ4ZX | Excision of Left Orbit, Percutaneous Endoscopic Approach, Diagnostic |
| 0NBQ4ZZ | Excision of Left Orbit, Percutaneous Endoscopic Approach |
| 0NPW0JZ | Removal of Synthetic Substitute from Facial Bone, Open Approach |
| 0NPW3JZ | Removal of Synthetic Substitute from Facial Bone, Percutaneous Approach |
| 0NPW4JZ | Removal of Synthetic Substitute from Facial Bone, Percutaneous Endoscopic Approach |
| 0NQP0ZZ | Repair Right Orbit, Open Approach |
| 0NQP3ZZ | Repair Right Orbit, Percutaneous Approach |
| 0NQP4ZZ | Repair Right Orbit, Percutaneous Endoscopic Approach |
| 0NQQ0ZZ | Repair Left Orbit, Open Approach |
| 0NQQ3ZZ | Repair Left Orbit, Percutaneous Approach |
| 0NQQ4ZZ | Repair Left Orbit, Percutaneous Endoscopic Approach |
| 0NRC0JZ | Replacement of Sphenoid Bone with Synthetic Substitute, Open Approach |
| 0NRC3JZ | Replacement of Sphenoid Bone with Synthetic Substitute, Percutaneous Approach |
| 0NRC4JZ | Replacement of Sphenoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NRF0JZ | Replacement of Right Ethmoid Bone with Synthetic Substitute, Open Approach |
| 0NRF3JZ | Replacement of Right Ethmoid Bone with Synthetic Substitute, Percutaneous Approach |
| 0NRF4JZ | Replacement of Right Ethmoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NRG0JZ | Replacement of Left Ethmoid Bone with Synthetic Substitute, Open Approach |
| 0NRG3JZ | Replacement of Left Ethmoid Bone with Synthetic Substitute, Percutaneous Approach |
| 0NRG4JZ | Replacement of Left Ethmoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NRH0JZ | Replacement of Right Lacrimal Bone with Synthetic Substitute, Open Approach |
| 0NRH3JZ | Replacement of Right Lacrimal Bone with Synthetic Substitute, Percutaneous Approach |
| 0NRH4JZ | Replacement of Right Lacrimal Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NRJ0JZ | Replacement of Left Lacrimal Bone with Synthetic Substitute, Open Approach |
| 0NRJ3JZ | Replacement of Left Lacrimal Bone with Synthetic Substitute, Percutaneous Approach |
| 0NRJ4JZ | Replacement of Left Lacrimal Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NRK0JZ | Replacement of Right Palatine Bone with Synthetic Substitute, Open Approach |
| 0NRK3JZ | Replacement of Right Palatine Bone with Synthetic Substitute, Percutaneous Approach |
| 0NRK4JZ | Replacement of Right Palatine Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NRL0JZ | Replacement of Left Palatine Bone with Synthetic Substitute, Open Approach |
| 0NRL3JZ | Replacement of Left Palatine Bone with Synthetic Substitute, Percutaneous Approach |
| 0NRL4JZ | Replacement of Left Palatine Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NRM0JZ | Replacement of Right Zygomatic Bone with Synthetic Substitute, Open Approach |
| 0NRM3JZ | Replacement of Right Zygomatic Bone with Synthetic Substitute, Percutaneous Approach |
| 0NRM4JZ | Replacement of Right Zygomatic Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NRN0JZ | Replacement of Left Zygomatic Bone with Synthetic Substitute, Open Approach |
| 0NRN3JZ | Replacement of Left Zygomatic Bone with Synthetic Substitute, Percutaneous Approach |
| 0NRN4JZ | Replacement of Left Zygomatic Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NRP07Z | Replacement of Right Orbit with Autologous Tissue Substitute, Open Approach |
| 0NRP0JZ | Replacement of Right Orbit with Synthetic Substitute, Open Approach |
| 0NRP37Z | Replacement of Right Orbit with Autologous Tissue Substitute, Percutaneous Approach |
| 0NRP3JZ | Replacement of Right Orbit with Synthetic Substitute, Percutaneous Approach |
| 0NRP47Z | Replacement of Right Orbit with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0NRP4JZ | Replacement of Right Orbit with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NRQ07Z | Replacement of Left Orbit with Autologous Tissue Substitute, Open Approach |
| 0NRQ0JZ | Replacement of Left Orbit with Synthetic Substitute, Open Approach |
| 0NRQ37Z | Replacement of Left Orbit with Autologous Tissue Substitute, Percutaneous Approach |
| 0NRQ3JZ | Replacement of Left Orbit with Synthetic Substitute, Percutaneous Approach |
| 0NRQ47Z | Replacement of Left Orbit with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0NRQ4JZ | Replacement of Left Orbit with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NRX0JZ | Replacement of Hyoid Bone with Synthetic Substitute, Open Approach |
| 0NRX3JZ | Replacement of Hyoid Bone with Synthetic Substitute, Percutaneous Approach |
| 0NRX4JZ | Replacement of Hyoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NSC04Z | Reposition Sphenoid Bone with Internal Fixation Device, Open Approach |
| 0NSC0ZZ | Reposition Sphenoid Bone, Open Approach |
| 0NSF04Z | Reposition Right Ethmoid Bone with Internal Fixation Device, Open Approach |
| 0NSF0ZZ | Reposition Right Ethmoid Bone, Open Approach |
| 0NSG04Z | Reposition Left Ethmoid Bone with Internal Fixation Device, Open Approach |
| 0NSG0ZZ | Reposition Left Ethmoid Bone, Open Approach |
| 0NSH04Z | Reposition Right Lacrimal Bone with Internal Fixation Device, Open Approach |
| 0NSH0ZZ | Reposition Right Lacrimal Bone, Open Approach |
| 0NSJ04Z | Reposition Left Lacrimal Bone with Internal Fixation Device, Open Approach |
| 0NSJ0ZZ | Reposition Left Lacrimal Bone, Open Approach |
| 0NSK04Z | Reposition Right Palatine Bone with Internal Fixation Device, Open Approach |
| 0NSK0ZZ | Reposition Right Palatine Bone, Open Approach |
| 0NSL04Z | Reposition Left Palatine Bone with Internal Fixation Device, Open Approach |
| 0NSL0ZZ | Reposition Left Palatine Bone, Open Approach |
| 0NSP04Z | Reposition Right Orbit with Internal Fixation Device, Open Approach |
| 0NSP0ZZ | Reposition Right Orbit, Open Approach |
| 0NSQ04Z | Reposition Left Orbit with Internal Fixation Device, Open Approach |
| 0NSQ0ZZ | Reposition Left Orbit, Open Approach |
| 0NSX04Z | Reposition Hyoid Bone with Internal Fixation Device, Open Approach |
| 0NSX0ZZ | Reposition Hyoid Bone, Open Approach |
| 0NUC0JZ | Supplement Sphenoid Bone with Synthetic Substitute, Open Approach |
| 0NUC3JZ | Supplement Sphenoid Bone with Synthetic Substitute, Percutaneous Approach |
| 0NUC4JZ | Supplement Sphenoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NUF0JZ | Supplement Right Ethmoid Bone with Synthetic Substitute, Open Approach |
| 0NUF3JZ | Supplement Right Ethmoid Bone with Synthetic Substitute, Percutaneous Approach |
| 0NUF4JZ | Supplement Right Ethmoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NUG0JZ | Supplement Left Ethmoid Bone with Synthetic Substitute, Open Approach |
| 0NUG3JZ | Supplement Left Ethmoid Bone with Synthetic Substitute, Percutaneous Approach |
| 0NUG4JZ | Supplement Left Ethmoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NUH0JZ | Supplement Right Lacrimal Bone with Synthetic Substitute, Open Approach |
| 0NUH3JZ | Supplement Right Lacrimal Bone with Synthetic Substitute, Percutaneous Approach |
| 0NUH4JZ | Supplement Right Lacrimal Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NUJ0JZ | Supplement Left Lacrimal Bone with Synthetic Substitute, Open Approach |
| 0NUJ3JZ | Supplement Left Lacrimal Bone with Synthetic Substitute, Percutaneous Approach |
| 0NUJ4JZ | Supplement Left Lacrimal Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NUK0JZ | Supplement Right Palatine Bone with Synthetic Substitute, Open Approach |
| 0NUK3JZ | Supplement Right Palatine Bone with Synthetic Substitute, Percutaneous Approach |
| 0NUK4JZ | Supplement Right Palatine Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NUL0JZ | Supplement Left Palatine Bone with Synthetic Substitute, Open Approach |
| 0NUL3JZ | Supplement Left Palatine Bone with Synthetic Substitute, Percutaneous Approach |
| 0NUL4JZ | Supplement Left Palatine Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NUM0JZ | Supplement Right Zygomatic Bone with Synthetic Substitute, Open Approach |
| 0NUM3JZ | Supplement Right Zygomatic Bone with Synthetic Substitute, Percutaneous Approach |
| 0NUM4JZ | Supplement Right Zygomatic Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NUN0JZ | Supplement Left Zygomatic Bone with Synthetic Substitute, Open Approach |
| 0NUN3JZ | Supplement Left Zygomatic Bone with Synthetic Substitute, Percutaneous Approach |
| 0NUN4JZ | Supplement Left Zygomatic Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NUP0JZ | Supplement Right Orbit with Synthetic Substitute, Open Approach |
| 0NUP3JZ | Supplement Right Orbit with Synthetic Substitute, Percutaneous Approach |
| 0NUP4JZ | Supplement Right Orbit with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NUQ0JZ | Supplement Left Orbit with Synthetic Substitute, Open Approach |
| 0NUQ3JZ | Supplement Left Orbit with Synthetic Substitute, Percutaneous Approach |
| 0NUQ4JZ | Supplement Left Orbit with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0NUX0JZ | Supplement Hyoid Bone with Synthetic Substitute, Open Approach |
| 0NUX3JZ | Supplement Hyoid Bone with Synthetic Substitute, Percutaneous Approach |
| 0NUX4JZ | Supplement Hyoid Bone with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0WQ2XZZ | Repair Face, External Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 22 Jul 2025 11:22:30 CMS, code-revision=376, description-revision=1445 |