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

Procedure Code/MS-DRG Index

Page 224 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
0JUR0JZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JUR0KZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JUR37Z	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JUR3JZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JUR3KZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JWS00Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWS03Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWS07Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWS0JZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWS0KZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWS0NZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWS0YZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWS30Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWS33Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWS37Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWS3JZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWS3KZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWS3NZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWS3YZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT00Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT02Z	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	260-262	Cardiac Pacemaker Revision Except Device Replacement
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JWT03Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT07Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT0FZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	265	AICD Lead Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JWT0HZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT0JZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT0KZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT0MZ*	05	252-254	Other Vascular Procedures
0JWT0NZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT0PZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	260-262	Cardiac Pacemaker Revision Except Device Replacement
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JWT0VZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT0WZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT0XZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT0YZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	260-262	Cardiac Pacemaker Revision Except Device Replacement
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JWT30Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT32Z	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	260-262	Cardiac Pacemaker Revision Except Device Replacement
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JWT33Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT37Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT3FZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	265	AICD Lead Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JWT3HZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT3JZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT3KZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT3MZ*	05	252-254	Other Vascular Procedures
0JWT3NZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT3PZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	260-262	Cardiac Pacemaker Revision Except Device Replacement
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JWT3VZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT3WZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWT3XZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWTXMZ*	05	252-254	Other Vascular Procedures
0JWV00Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV03Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV07Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV0HZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV0JZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV0KZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV0NZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV0VZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV0WZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV0XZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV0YZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV30Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV33Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV37Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV3HZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV3JZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV3KZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV3NZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV3VZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV3WZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV3XZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWV3YZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW00Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW03Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW07Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW0HZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW0JZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW0KZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW0NZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW0VZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW0WZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW0XZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW0YZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW30Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW33Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW37Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW3HZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW3JZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW3KZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW3NZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW3VZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW3WZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW3XZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JWW3YZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JX00ZB	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX00ZC	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX00ZZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JX03ZB	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX03ZC	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX03ZZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JX10ZB	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX10ZC	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX10ZZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JX13ZB	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX13ZC	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX13ZZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JX40ZB	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX40ZC	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX40ZZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JX43ZB	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX43ZC	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX43ZZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JX50ZB	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX50ZC	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX50ZZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JX53ZB	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX53ZC	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX53ZZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JX60ZB	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX60ZC	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX60ZZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JX63ZB	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX63ZC	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX63ZZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0JX70ZB	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX70ZC	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive 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
0JX70ZZ	08	500-502	Soft Tissue Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries

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