ICD-10-CM/PCS MS-DRG v43.0 Definitions Manual |
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| MDC 21 Injuries, Poisonings and Toxic Effects of Drugs |
| Other O.R. Procedures for Injuries |
| Page 76 of 76 |
OPERATING ROOM PROCEDURES (continued)
0016070 00D04ZZ 00RG0KZ 00XJ4ZR 01HY0MZ 021Q48A 02QX0ZZ 03140ZD 037L37Z 03L34ZZ 03R847Z 03VD0ZZ 041C4KJ 047A36Z 04HN3DZ 04QL0ZZ 04UH37Z 055H0ZZ 05LF0CZ 05U10JZ 06H60DZ 06S03ZZ 07130Z7 07LK0CZ 07VB4DZ 08NM3ZZ 08UY87Z 0B9D00Z 0BTL0ZZ 0CRV77Z 0D18878 0D1H4JK 0D9F4ZZ 0DMB0ZZ 0DS60ZZ 0DV10DZ 0DWD83Z 0FBG0ZX 0FT24ZG 0HDY0ZZ 0JHS0YZ 0K5T3ZZ 0KMG4ZZ 0KU047Z 0L9B4ZZ 0LQT4ZZ 0LUS0JZ 0MCC4ZZ 0N5Q3ZZ 0NRT47Z 0PBH3ZZ 0PP207Z 0PRG4JZ 0Q550ZZ 0QH80BZ 0QP93JZ 0QRK4KZ 0QU90JZ 0RG40A0 0RP33JZ 0RUH47Z 0SB40ZZ 0SGL0JZ 0SPF40Z 0SRV0JA 0SWL47Z 0T9880Z 0TR687Z 0UHC71Z 0VPD3JZ 0W1B0J9 0WPD01Z 0X334ZZ 0XUV4KZ 0YHL31Z XRGE0HB
| XRGE0HB | Fusion of Right Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Open Approach, New Technology Group 11 |
| XRGE358 | Fusion of Right Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Percutaneous Approach, New Technology Group 8 |
| XRGE3HB | Fusion of Right Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Percutaneous Approach, New Technology Group 11 |
| XRGF058 | Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8 |
| XRGF0HB | Fusion of Left Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Open Approach, New Technology Group 11 |
| XRGF358 | Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Percutaneous Approach, New Technology Group 8 |
| XRGF3HB | Fusion of Left Sacroiliac Joint using Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device, Percutaneous Approach, New Technology Group 11 |
| XRGJ0B9 | Fusion of Right Ankle Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9 |
| XRGJ0CA | Fusion of Right Ankle Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10 |
| XRGK0B9 | Fusion of Left Ankle Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9 |
| XRGK0CA | Fusion of Left Ankle Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10 |
| XRGL0B9 | Fusion of Right Tarsal Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9 |
| XRGL0CA | Fusion of Right Tarsal Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10 |
| XRGM0B9 | Fusion of Left Tarsal Joint using Open-truss Design Internal Fixation Device, Open Approach, New Technology Group 9 |
| XRGM0CA | Fusion of Left Tarsal Joint using Gyroid-Sheet Lattice Design Internal Fixation Device, Open Approach, New Technology Group 10 |
| XRH10GB | Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervical Vertebral Joint, Open Approach, New Technology Group 11 |
| XRH13GB | Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Approach, New Technology Group 11 |
| XRH14GB | Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 11 |
| XRH20GB | Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Open Approach, New Technology Group 11 |
| XRH23GB | Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Percutaneous Approach, New Technology Group 11 |
| XRH24GB | Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 11 |
| XRH40GB | Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach, New Technology Group 11 |
| XRH43GB | Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Approach, New Technology Group 11 |
| XRH44GB | Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 11 |
| XRH60FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach, New Technology Group 10 |
| XRH60GB | Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach, New Technology Group 11 |
| XRH63FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Approach, New Technology Group 10 |
| XRH63GB | Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Approach, New Technology Group 11 |
| XRH64FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 10 |
| XRH64GB | Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 11 |
| XRH70FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 to 7 Thoracic Vertebral Joints, Open Approach, New Technology Group 10 |
| XRH73FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 to 7 Thoracic Vertebral Joints, Percutaneous Approach, New Technology Group 10 |
| XRH74FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 to 7 Thoracic Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 10 |
| XRH80FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 8 or more Thoracic Vertebral Joints, Open Approach, New Technology Group 10 |
| XRH83FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 8 or more Thoracic Vertebral Joints, Percutaneous Approach, New Technology Group 10 |
| XRH84FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 8 or more Thoracic Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 10 |
| XRHA0FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach, New Technology Group 10 |
| XRHA3FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Approach, New Technology Group 10 |
| XRHA4FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 10 |
| XRHB018 | Insertion of Posterior Spinal Motion Preservation Device into Lumbar Vertebral Joint, Open Approach, New Technology Group 8 |
| XRHB0FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach, New Technology Group 10 |
| XRHB3FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach, New Technology Group 10 |
| XRHB4FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 10 |
| XRHC0FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 or more Lumbar Vertebral Joints, Open Approach, New Technology Group 10 |
| XRHC3FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 or more Lumbar Vertebral Joints, Percutaneous Approach, New Technology Group 10 |
| XRHC4FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 or more Lumbar Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 10 |
| XRHD018 | Insertion of Posterior Spinal Motion Preservation Device into Lumbosacral Joint, Open Approach, New Technology Group 8 |
| XRHD0FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral Joint, Open Approach, New Technology Group 10 |
| XRHD3FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach, New Technology Group 10 |
| XRHD4FA | Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Endoscopic Approach, New Technology Group 10 |
| XRRG0L8 | Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8 |
| XRRG0M8 | Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8 |
| XRRH0L8 | Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8 |
| XRRH0M8 | Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8 |
NON-OPERATING ROOM PROCEDURES
| 02H63JZ* | Insertion of Pacemaker Lead into Right Atrium, Percutaneous Approach |
| 02H73JZ* | Insertion of Pacemaker Lead into Left Atrium, Percutaneous Approach |
| 02HK3JZ* | Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Approach |
| 02HL3JZ* | Insertion of Pacemaker Lead into Left Ventricle, Percutaneous 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 |