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

Procedure Code/MS-DRG Index

Page 213 of 395

0016070 008X4ZZ 00BR0ZZ 00KD0ZZ 00R64JZ 00WE07Z 015R0ZZ 01NA4ZZ 01UR47Z 021748R 02560ZZ 02BV4ZX 02PA4NZ 02UG3JH 0314090 031L0ZK 037936Z 037R0DZ 03CP4ZZ 03LG3BZ 03QF3ZZ 03UA07Z 03VP3ZZ 041C0ZG 041K0JL 047046Z 04783GZ 047H3D1 047T4D1 04CT3ZZ 04LE0ZZ 04R247Z 04UC0KZ 05140AY 05B73ZX 05HY42Z 05Q80ZZ 05UH0KZ 06520ZZ 06L00ZZ 06QP0ZZ 06V40DZ 07543ZZ 07BB4ZX 07LH4DZ 07TH0ZZ 07WL3CZ 08LY0DZ 08U00JZ 09BC3ZZ 09U0X7Z 0BB40ZZ 0BPK42Z 0BWK02Z 0CQM3ZZ 0CWY77Z 0D1807N 0D1A4JK 0D1H47P 0D5J4ZZ 0DBG7ZZ 0DLF8DZ 0DQE7ZZ 0DU24KZ 0DVH7DZ 0F164Z8 0FB00ZZ 0FNF7ZZ 0FV70CZ 0GHS41Z 0HQ9XZZ 0HRHXJ3 0J8B0ZZ 0JHF0VZ 0JU10JZ 0JXJ0ZZ 0K9C0ZZ 0KD90ZZ 0KR64JZ 0KU20JZ 0KXP4Z0 0LB63ZX 0LQC3ZZ 0LUG47Z 0M9V3ZX 0MR947Z 0N930ZZ 0NHF04Z 0NRJ4KZ 0NUG4KZ 0P9C40Z 0PCG4ZZ 0PP044Z 0PR50KZ 0PSQ35Z 0Q560ZZ 0QBC0ZX 0QHD45Z 0QPH4KZ 0QS134Z 0QU93KZ 0RB03ZZ 0RG60KJ 0RGQ07Z 0RNU4ZZ 0RQN4ZZ 0RUM0KZ 0RWP4KZ 0SG0371 0SGF47Z 0SP740Z 0SRB03A 0SUJ47Z 0T130K6 0T180KB 0TH901Z 0TR307Z 0TWD87Z 0UL60CZ 0UUG07Z 0VP440Z 0W053KZ 0W9H0ZZ 0WJH0ZZ 0WWF07Z 0X6R0Z1 0XUM4JZ 0Y6N0ZF 0YQC0ZZ D027HZZ F022DYZ XHR7XGA

CODE	MDC	MS-DRG	SURGICAL CATEGORY
0HRBXJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRBXJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRBXK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRBXK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRCX72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRCX73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRCX74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRCXJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRCXJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRCXJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRCXK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRCXK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRDX72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRDX73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRDX74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRDXJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRDXJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRDXJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRDXK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRDXK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HREX72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HREX73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HREX74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HREXJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HREXJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HREXJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HREXK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HREXK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRFX72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	906	Hand Procedures for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRFX73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	906	Hand Procedures for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRFX74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	906	Hand Procedures for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRFXJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRFXJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRFXJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRFXK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRFXK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRGX72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	906	Hand Procedures for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRGX73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	906	Hand Procedures for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRGX74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	906	Hand Procedures for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRGXJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRGXJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRGXJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRGXK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRGXK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	513-514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
	09	573-578	Skin Graft
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRHX72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRHX73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HRHX74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma

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