ICD-10-CM/PCS MS-DRG v43.0 Definitions Manual

Appendix I Hospital Acquired Conditions (HACs) List

Hospital Acquired Conditions

Page 13 of 14

HAC 12: Surgical Site Infection - Certain Orthopedic Procedures of Spine, Shoulder and Elbow (continued)

PROCEDURES

0RG0070 0RGF4KZ

0RGF4KZ	Fusion of Left Sternoclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGG04Z	Fusion of Right Acromioclavicular Joint with Internal Fixation Device, Open Approach
0RGG07Z	Fusion of Right Acromioclavicular Joint with Autologous Tissue Substitute, Open Approach
0RGG0JZ	Fusion of Right Acromioclavicular Joint with Synthetic Substitute, Open Approach
0RGG0KZ	Fusion of Right Acromioclavicular Joint with Nonautologous Tissue Substitute, Open Approach
0RGG34Z	Fusion of Right Acromioclavicular Joint with Internal Fixation Device, Percutaneous Approach
0RGG37Z	Fusion of Right Acromioclavicular Joint with Autologous Tissue Substitute, Percutaneous Approach
0RGG3JZ	Fusion of Right Acromioclavicular Joint with Synthetic Substitute, Percutaneous Approach
0RGG3KZ	Fusion of Right Acromioclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RGG44Z	Fusion of Right Acromioclavicular Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0RGG47Z	Fusion of Right Acromioclavicular Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGG4JZ	Fusion of Right Acromioclavicular Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RGG4KZ	Fusion of Right Acromioclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGH04Z	Fusion of Left Acromioclavicular Joint with Internal Fixation Device, Open Approach
0RGH07Z	Fusion of Left Acromioclavicular Joint with Autologous Tissue Substitute, Open Approach
0RGH0JZ	Fusion of Left Acromioclavicular Joint with Synthetic Substitute, Open Approach
0RGH0KZ	Fusion of Left Acromioclavicular Joint with Nonautologous Tissue Substitute, Open Approach
0RGH34Z	Fusion of Left Acromioclavicular Joint with Internal Fixation Device, Percutaneous Approach
0RGH37Z	Fusion of Left Acromioclavicular Joint with Autologous Tissue Substitute, Percutaneous Approach
0RGH3JZ	Fusion of Left Acromioclavicular Joint with Synthetic Substitute, Percutaneous Approach
0RGH3KZ	Fusion of Left Acromioclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RGH44Z	Fusion of Left Acromioclavicular Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0RGH47Z	Fusion of Left Acromioclavicular Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGH4JZ	Fusion of Left Acromioclavicular Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RGH4KZ	Fusion of Left Acromioclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGJ04Z	Fusion of Right Shoulder Joint with Internal Fixation Device, Open Approach
0RGJ07Z	Fusion of Right Shoulder Joint with Autologous Tissue Substitute, Open Approach
0RGJ0JZ	Fusion of Right Shoulder Joint with Synthetic Substitute, Open Approach
0RGJ0KZ	Fusion of Right Shoulder Joint with Nonautologous Tissue Substitute, Open Approach
0RGJ34Z	Fusion of Right Shoulder Joint with Internal Fixation Device, Percutaneous Approach
0RGJ37Z	Fusion of Right Shoulder Joint with Autologous Tissue Substitute, Percutaneous Approach
0RGJ3JZ	Fusion of Right Shoulder Joint with Synthetic Substitute, Percutaneous Approach
0RGJ3KZ	Fusion of Right Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RGJ44Z	Fusion of Right Shoulder Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0RGJ47Z	Fusion of Right Shoulder Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGJ4JZ	Fusion of Right Shoulder Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RGJ4KZ	Fusion of Right Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGK04Z	Fusion of Left Shoulder Joint with Internal Fixation Device, Open Approach
0RGK07Z	Fusion of Left Shoulder Joint with Autologous Tissue Substitute, Open Approach
0RGK0JZ	Fusion of Left Shoulder Joint with Synthetic Substitute, Open Approach
0RGK0KZ	Fusion of Left Shoulder Joint with Nonautologous Tissue Substitute, Open Approach
0RGK34Z	Fusion of Left Shoulder Joint with Internal Fixation Device, Percutaneous Approach
0RGK37Z	Fusion of Left Shoulder Joint with Autologous Tissue Substitute, Percutaneous Approach
0RGK3JZ	Fusion of Left Shoulder Joint with Synthetic Substitute, Percutaneous Approach
0RGK3KZ	Fusion of Left Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RGK44Z	Fusion of Left Shoulder Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0RGK47Z	Fusion of Left Shoulder Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGK4JZ	Fusion of Left Shoulder Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RGK4KZ	Fusion of Left Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGL03Z	Fusion of Right Elbow Joint with Sustained Compression Internal Fixation Device, Open Approach
0RGL04Z	Fusion of Right Elbow Joint with Internal Fixation Device, Open Approach
0RGL05Z	Fusion of Right Elbow Joint with External Fixation Device, Open Approach
0RGL07Z	Fusion of Right Elbow Joint with Autologous Tissue Substitute, Open Approach
0RGL0JZ	Fusion of Right Elbow Joint with Synthetic Substitute, Open Approach
0RGL0KZ	Fusion of Right Elbow Joint with Nonautologous Tissue Substitute, Open Approach
0RGL33Z	Fusion of Right Elbow Joint with Sustained Compression Internal Fixation Device, Percutaneous Approach
0RGL34Z	Fusion of Right Elbow Joint with Internal Fixation Device, Percutaneous Approach
0RGL35Z	Fusion of Right Elbow Joint with External Fixation Device, Percutaneous Approach
0RGL37Z	Fusion of Right Elbow Joint with Autologous Tissue Substitute, Percutaneous Approach
0RGL3JZ	Fusion of Right Elbow Joint with Synthetic Substitute, Percutaneous Approach
0RGL3KZ	Fusion of Right Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RGL43Z	Fusion of Right Elbow Joint with Sustained Compression Internal Fixation Device, Percutaneous Endoscopic Approach
0RGL44Z	Fusion of Right Elbow Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0RGL45Z	Fusion of Right Elbow Joint with External Fixation Device, Percutaneous Endoscopic Approach
0RGL47Z	Fusion of Right Elbow Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGL4JZ	Fusion of Right Elbow Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RGL4KZ	Fusion of Right Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGM03Z	Fusion of Left Elbow Joint with Sustained Compression Internal Fixation Device, Open Approach
0RGM04Z	Fusion of Left Elbow Joint with Internal Fixation Device, Open Approach
0RGM05Z	Fusion of Left Elbow Joint with External Fixation Device, Open Approach
0RGM07Z	Fusion of Left Elbow Joint with Autologous Tissue Substitute, Open Approach
0RGM0JZ	Fusion of Left Elbow Joint with Synthetic Substitute, Open Approach
0RGM0KZ	Fusion of Left Elbow Joint with Nonautologous Tissue Substitute, Open Approach
0RGM33Z	Fusion of Left Elbow Joint with Sustained Compression Internal Fixation Device, Percutaneous Approach
0RGM34Z	Fusion of Left Elbow Joint with Internal Fixation Device, Percutaneous Approach
0RGM35Z	Fusion of Left Elbow Joint with External Fixation Device, Percutaneous Approach
0RGM37Z	Fusion of Left Elbow Joint with Autologous Tissue Substitute, Percutaneous Approach
0RGM3JZ	Fusion of Left Elbow Joint with Synthetic Substitute, Percutaneous Approach
0RGM3KZ	Fusion of Left Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RGM43Z	Fusion of Left Elbow Joint with Sustained Compression Internal Fixation Device, Percutaneous Endoscopic Approach
0RGM44Z	Fusion of Left Elbow Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0RGM45Z	Fusion of Left Elbow Joint with External Fixation Device, Percutaneous Endoscopic Approach
0RGM47Z	Fusion of Left Elbow Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RGM4JZ	Fusion of Left Elbow Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RGM4KZ	Fusion of Left Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RQE0ZZ	Repair Right Sternoclavicular Joint, Open Approach
0RQE3ZZ	Repair Right Sternoclavicular Joint, Percutaneous Approach
0RQE4ZZ	Repair Right Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RQF0ZZ	Repair Left Sternoclavicular Joint, Open Approach
0RQF3ZZ	Repair Left Sternoclavicular Joint, Percutaneous Approach
0RQF4ZZ	Repair Left Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RQG0ZZ	Repair Right Acromioclavicular Joint, Open Approach
0RQG3ZZ	Repair Right Acromioclavicular Joint, Percutaneous Approach
0RQG4ZZ	Repair Right Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RQH0ZZ	Repair Left Acromioclavicular Joint, Open Approach
0RQH3ZZ	Repair Left Acromioclavicular Joint, Percutaneous Approach
0RQH4ZZ	Repair Left Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RQJ0ZZ	Repair Right Shoulder Joint, Open Approach
0RQJ3ZZ	Repair Right Shoulder Joint, Percutaneous Approach
0RQJ4ZZ	Repair Right Shoulder Joint, Percutaneous Endoscopic Approach
0RQK0ZZ	Repair Left Shoulder Joint, Open Approach
0RQK3ZZ	Repair Left Shoulder Joint, Percutaneous Approach
0RQK4ZZ	Repair Left Shoulder Joint, Percutaneous Endoscopic Approach
0RQL0ZZ	Repair Right Elbow Joint, Open Approach
0RQL3ZZ	Repair Right Elbow Joint, Percutaneous Approach
0RQL4ZZ	Repair Right Elbow Joint, Percutaneous Endoscopic Approach
0RQM0ZZ	Repair Left Elbow Joint, Open Approach
0RQM3ZZ	Repair Left Elbow Joint, Percutaneous Approach
0RQM4ZZ	Repair Left Elbow Joint, Percutaneous Endoscopic Approach
0RUE07Z	Supplement Right Sternoclavicular Joint with Autologous Tissue Substitute, Open Approach
0RUE0JZ	Supplement Right Sternoclavicular Joint with Synthetic Substitute, Open Approach
0RUE0KZ	Supplement Right Sternoclavicular Joint with Nonautologous Tissue Substitute, Open Approach
0RUE37Z	Supplement Right Sternoclavicular Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUE3JZ	Supplement Right Sternoclavicular Joint with Synthetic Substitute, Percutaneous Approach
0RUE3KZ	Supplement Right Sternoclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUE47Z	Supplement Right Sternoclavicular Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUE4JZ	Supplement Right Sternoclavicular Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUE4KZ	Supplement Right Sternoclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUF07Z	Supplement Left Sternoclavicular Joint with Autologous Tissue Substitute, Open Approach
0RUF0JZ	Supplement Left Sternoclavicular Joint with Synthetic Substitute, Open Approach
0RUF0KZ	Supplement Left Sternoclavicular Joint with Nonautologous Tissue Substitute, Open Approach
0RUF37Z	Supplement Left Sternoclavicular Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUF3JZ	Supplement Left Sternoclavicular Joint with Synthetic Substitute, Percutaneous Approach
0RUF3KZ	Supplement Left Sternoclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUF47Z	Supplement Left Sternoclavicular Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUF4JZ	Supplement Left Sternoclavicular Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUF4KZ	Supplement Left Sternoclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUG07Z	Supplement Right Acromioclavicular Joint with Autologous Tissue Substitute, Open Approach
0RUG0JZ	Supplement Right Acromioclavicular Joint with Synthetic Substitute, Open Approach
0RUG0KZ	Supplement Right Acromioclavicular Joint with Nonautologous Tissue Substitute, Open Approach
0RUG37Z	Supplement Right Acromioclavicular Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUG3JZ	Supplement Right Acromioclavicular Joint with Synthetic Substitute, Percutaneous Approach
0RUG3KZ	Supplement Right Acromioclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUG47Z	Supplement Right Acromioclavicular Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUG4JZ	Supplement Right Acromioclavicular Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUG4KZ	Supplement Right Acromioclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUH07Z	Supplement Left Acromioclavicular Joint with Autologous Tissue Substitute, Open Approach
0RUH0JZ	Supplement Left Acromioclavicular Joint with Synthetic Substitute, Open Approach
0RUH0KZ	Supplement Left Acromioclavicular Joint with Nonautologous Tissue Substitute, Open Approach
0RUH37Z	Supplement Left Acromioclavicular Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUH3JZ	Supplement Left Acromioclavicular Joint with Synthetic Substitute, Percutaneous Approach
0RUH3KZ	Supplement Left Acromioclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUH47Z	Supplement Left Acromioclavicular Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUH4JZ	Supplement Left Acromioclavicular Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUH4KZ	Supplement Left Acromioclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUJ07Z	Supplement Right Shoulder Joint with Autologous Tissue Substitute, Open Approach
0RUJ0JZ	Supplement Right Shoulder Joint with Synthetic Substitute, Open Approach
0RUJ0KZ	Supplement Right Shoulder Joint with Nonautologous Tissue Substitute, Open Approach
0RUJ37Z	Supplement Right Shoulder Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUJ3JZ	Supplement Right Shoulder Joint with Synthetic Substitute, Percutaneous Approach
0RUJ3KZ	Supplement Right Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUJ47Z	Supplement Right Shoulder Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUJ4JZ	Supplement Right Shoulder Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUJ4KZ	Supplement Right Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUK07Z	Supplement Left Shoulder Joint with Autologous Tissue Substitute, Open Approach
0RUK0JZ	Supplement Left Shoulder Joint with Synthetic Substitute, Open Approach
0RUK0KZ	Supplement Left Shoulder Joint with Nonautologous Tissue Substitute, Open Approach
0RUK37Z	Supplement Left Shoulder Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUK3JZ	Supplement Left Shoulder Joint with Synthetic Substitute, Percutaneous Approach
0RUK3KZ	Supplement Left Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUK47Z	Supplement Left Shoulder Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUK4JZ	Supplement Left Shoulder Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUK4KZ	Supplement Left Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUL07Z	Supplement Right Elbow Joint with Autologous Tissue Substitute, Open Approach
0RUL0JZ	Supplement Right Elbow Joint with Synthetic Substitute, Open Approach
0RUL0KZ	Supplement Right Elbow Joint with Nonautologous Tissue Substitute, Open Approach
0RUL37Z	Supplement Right Elbow Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUL3JZ	Supplement Right Elbow Joint with Synthetic Substitute, Percutaneous Approach
0RUL3KZ	Supplement Right Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUL47Z	Supplement Right Elbow Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUL4JZ	Supplement Right Elbow Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUL4KZ	Supplement Right Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUM07Z	Supplement Left Elbow Joint with Autologous Tissue Substitute, Open Approach
0RUM0JZ	Supplement Left Elbow Joint with Synthetic Substitute, Open Approach
0RUM0KZ	Supplement Left Elbow Joint with Nonautologous Tissue Substitute, Open Approach
0RUM37Z	Supplement Left Elbow Joint with Autologous Tissue Substitute, Percutaneous Approach
0RUM3JZ	Supplement Left Elbow Joint with Synthetic Substitute, Percutaneous Approach
0RUM3KZ	Supplement Left Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0RUM47Z	Supplement Left Elbow Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUM4JZ	Supplement Left Elbow Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUM4KZ	Supplement Left Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0SG0070	Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG0071	Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG007J	Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG00A0	Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0SG00AJ	Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0SG00J0	Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0SG00J1	Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0SG00JJ	Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0SG00K0	Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG00K1	Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG00KJ	Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG0370	Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG0371	Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG037J	Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG03A0	Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach
0SG03AJ	Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach
0SG03J0	Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG03J1	Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG03JJ	Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG03K0	Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG03K1	Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG03KJ	Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG0470	Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG0471	Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG047J	Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG04A0	Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG04AJ	Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG04J0	Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG04J1	Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG04JJ	Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG04K0	Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG04K1	Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG04KJ	Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG1070	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG1071	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG107J	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG10A0	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0SG10AJ	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0SG10J0	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0SG10J1	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0SG10JJ	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0SG10K0	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG10K1	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG10KJ	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG1370	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG1371	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG137J	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG13A0	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach
0SG13AJ	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach
0SG13J0	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG13J1	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG13JJ	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG13K0	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG13K1	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG13KJ	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG1470	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG1471	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG147J	Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14A0	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14AJ	Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14J0	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14J1	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG14JJ	Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14K0	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG14K1	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG14KJ	Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG3070	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG3071	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG307J	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG30A0	Fusion of Lumbosacral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach
0SG30AJ	Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach
0SG30J0	Fusion of Lumbosacral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach
0SG30J1	Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach
0SG30JJ	Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach
0SG30K0	Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach
0SG30K1	Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach
0SG30KJ	Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach
0SG3370	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG3371	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG337J	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG33A0	Fusion of Lumbosacral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach
0SG33AJ	Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach
0SG33J0	Fusion of Lumbosacral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG33J1	Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG33JJ	Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG33K0	Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach
0SG33K1	Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach
0SG33KJ	Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach
0SG3470	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG3471	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG347J	Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG34A0	Fusion of Lumbosacral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG34AJ	Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG34J0	Fusion of Lumbosacral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG34J1	Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG34JJ	Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG34K0	Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG34K1	Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach
0SG34KJ	Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach
0SG704Z	Fusion of Right Sacroiliac Joint with Internal Fixation Device, Open Approach
0SG707Z	Fusion of Right Sacroiliac Joint with Autologous Tissue Substitute, Open Approach
0SG70JZ	Fusion of Right Sacroiliac Joint with Synthetic Substitute, Open Approach
0SG70KZ	Fusion of Right Sacroiliac Joint with Nonautologous Tissue Substitute, Open Approach
0SG734Z	Fusion of Right Sacroiliac Joint with Internal Fixation Device, Percutaneous Approach
0SG737Z	Fusion of Right Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Approach
0SG73JZ	Fusion of Right Sacroiliac Joint with Synthetic Substitute, Percutaneous Approach
0SG73KZ	Fusion of Right Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0SG744Z	Fusion of Right Sacroiliac Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0SG747Z	Fusion of Right Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0SG74JZ	Fusion of Right Sacroiliac Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0SG74KZ	Fusion of Right Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0SG804Z	Fusion of Left Sacroiliac Joint with Internal Fixation Device, Open Approach
0SG807Z	Fusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Open Approach
0SG80JZ	Fusion of Left Sacroiliac Joint with Synthetic Substitute, Open Approach
0SG80KZ	Fusion of Left Sacroiliac Joint with Nonautologous Tissue Substitute, Open Approach
0SG834Z	Fusion of Left Sacroiliac Joint with Internal Fixation Device, Percutaneous Approach
0SG837Z	Fusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Approach
0SG83JZ	Fusion of Left Sacroiliac Joint with Synthetic Substitute, Percutaneous Approach
0SG83KZ	Fusion of Left Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Approach
0SG844Z	Fusion of Left Sacroiliac Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0SG847Z	Fusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0SG84JZ	Fusion of Left Sacroiliac Joint with Synthetic Substitute, Percutaneous Endoscopic Approach
0SG84KZ	Fusion of Left Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
XRG10RB	Fusion of Cervical Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11
XRG13RB	Fusion of Cervical Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 11
XRG14RB	Fusion of Cervical Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 11
XRG20RB	Fusion of 2 or more Cervical Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11
XRG23RB	Fusion of 2 or more Cervical Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 11
XRG24RB	Fusion of 2 or more Cervical Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 11
XRG40RB	Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11
XRG43RB	Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 11
XRG44RB	Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 11
XRGA0EA	Fusion of Thoracolumbar Vertebral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10
XRGA0R7	Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
XRGA3R7	Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGA4R7	Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
XRGB0EA	Fusion of Lumbar Vertebral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10
XRGB0R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
XRGB3R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGB4R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
XRGC0EA	Fusion of 2 or more Lumbar Vertebral Joints using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10
XRGC0R7	Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
XRGC3R7	Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGC4R7	Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
XRGD0EA	Fusion of Lumbosacral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10
XRGD0R7	Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
XRGD3R7	Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGD4R7	Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
XRGE058	Fusion of Right Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8
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

NON-OPERATING ROOM PROCEDURES

0RQEXZZ*	Repair Right Sternoclavicular Joint, External Approach
0RQFXZZ*	Repair Left Sternoclavicular Joint, External Approach
0RQGXZZ*	Repair Right Acromioclavicular Joint, External Approach
0RQHXZZ*	Repair Left Acromioclavicular Joint, External Approach
0RQJXZZ*	Repair Right Shoulder Joint, External Approach
0RQKXZZ*	Repair Left Shoulder Joint, External Approach
0RQLXZZ*	Repair Right Elbow Joint, External Approach
0RQMXZZ*	Repair Left Elbow Joint, External Approach

AND

SECONDARY DIAGNOSIS

K6811	Postprocedural retroperitoneal abscess
T8140XA	Infection following a procedure, unspecified, initial encounter
T8141XA	Infection following a procedure, superficial incisional surgical site, initial encounter
T8142XA	Infection following a procedure, deep incisional surgical site, initial encounter
T8143XA	Infection following a procedure, organ and space surgical site, initial encounter
T8144XA	Sepsis following a procedure, initial encounter
T8149XA	Infection following a procedure, other surgical site, initial encounter
T8460XA	Infection and inflammatory reaction due to internal fixation device of unspecified site, initial encounter
T84610A	Infection and inflammatory reaction due to internal fixation device of right humerus, initial encounter
T84611A	Infection and inflammatory reaction due to internal fixation device of left humerus, initial encounter
T84612A	Infection and inflammatory reaction due to internal fixation device of right radius, initial encounter
T84613A	Infection and inflammatory reaction due to internal fixation device of left radius, initial encounter
T84614A	Infection and inflammatory reaction due to internal fixation device of right ulna, initial encounter
T84615A	Infection and inflammatory reaction due to internal fixation device of left ulna, initial encounter
T84619A	Infection and inflammatory reaction due to internal fixation device of unspecified bone of arm, initial encounter
T8463XA	Infection and inflammatory reaction due to internal fixation device of spine, initial encounter
T8469XA	Infection and inflammatory reaction due to internal fixation device of other site, initial encounter
T847XXA	Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, initial encounter

HAC 13: Surgical Site Infection (SSI) Following Cardiac Implantable Electronic Device (CIED) Procedures

PROCEDURES

02H40JZ* 02HK3JZ*

02H40KZ	Insertion of Defibrillator Lead into Coronary Vein, Open Approach
02H40NZ	Insertion of Intracardiac Pacemaker into Coronary Vein, Open Approach
02H43KZ	Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Approach
02H43NZ	Insertion of Intracardiac Pacemaker into Coronary Vein, Percutaneous Approach
02H44KZ	Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Endoscopic Approach
02H44NZ	Insertion of Intracardiac Pacemaker into Coronary Vein, Percutaneous Endoscopic Approach
02H60KZ	Insertion of Defibrillator Lead into Right Atrium, Open Approach
02H60NZ	Insertion of Intracardiac Pacemaker into Right Atrium, Open Approach
02H63KZ	Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach
02H63NZ	Insertion of Intracardiac Pacemaker into Right Atrium, Percutaneous Approach
02H64KZ	Insertion of Defibrillator Lead into Right Atrium, Percutaneous Endoscopic Approach
02H64NZ	Insertion of Intracardiac Pacemaker into Right Atrium, Percutaneous Endoscopic Approach
02H70KZ	Insertion of Defibrillator Lead into Left Atrium, Open Approach
02H70NZ	Insertion of Intracardiac Pacemaker into Left Atrium, Open Approach
02H73KZ	Insertion of Defibrillator Lead into Left Atrium, Percutaneous Approach
02H73NZ	Insertion of Intracardiac Pacemaker into Left Atrium, Percutaneous Approach
02H74KZ	Insertion of Defibrillator Lead into Left Atrium, Percutaneous Endoscopic Approach
02H74NZ	Insertion of Intracardiac Pacemaker into Left Atrium, Percutaneous Endoscopic Approach
02HK0KZ	Insertion of Defibrillator Lead into Right Ventricle, Open Approach
02HK0NZ	Insertion of Intracardiac Pacemaker into Right Ventricle, Open Approach

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
22 Jul 2025 11:22:30
CMS, code-revision=376, description-revision=1445