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

Procedure Cluster/MS-DRG Index

Page 24 of 30

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

CODE COMBINATION	MDC	MS-DRG	SURGICAL CATEGORY
0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H40JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H40MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H43JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H43MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H44JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H44MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H60JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H60MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H64JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H64MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H70JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H70MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H74JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H74MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK0JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK0MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK3JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK3MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK4JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK4MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL0JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL0MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL3JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL3MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL4JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL4MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN0JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN0MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN3JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN3MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN4JZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN4MZ

0JH83EZ	01	029	Spinal Procedures
and 00HV3MZ	08	518	Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator

0JH83EZ	01	029	Spinal Procedures
and 00HV4MZ	08	518	Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator

0JH604Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH605Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH606Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH607Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH60PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH634Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH635Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH636Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH637Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH63PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH804Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH805Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH806Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH807Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH80PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH834Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH835Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63MZ

0JH604Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH605Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH606Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH607Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH60PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH634Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH635Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH636Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH637Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH63PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH804Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH805Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH806Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH807Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH80PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH834Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH835Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0JH83PZ	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73MZ

0SR9029	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	466-468	Revision of Hip or Knee Replacement
and 0SU909Z

0SUR09Z	08	466-468	Revision of Hip or Knee Replacement
and 0SP90EZ

0SRR019	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SR902Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SR901Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SR90J9	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SR901A	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRA03Z	08	466-468	Revision of Hip or Knee Replacement

0SR903Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRR0J9	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SR906A	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SR904A	08	466-468	Revision of Hip or Knee Replacement

0SR90JA	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRA009	08	466-468	Revision of Hip or Knee Replacement

0SRR039	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SRA0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRA019	08	466-468	Revision of Hip or Knee Replacement

0SR9049	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SRA03A	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SR903A	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRA00Z	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRA01Z	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRR03A	08	466-468	Revision of Hip or Knee Replacement

0SR9069	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SR90JZ	08	466-468	Revision of Hip or Knee Replacement

0SRR0JA	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SRR01Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SRA01A	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SR902A	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRA039	08	466-468	Revision of Hip or Knee Replacement

0SR9019	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SR904Z	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRR0JZ	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	466-468	Revision of Hip or Knee Replacement
and 0SUA09Z

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRA0JA	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRR01A	08	466-468	Revision of Hip or Knee Replacement

0SRR03Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SRA00A	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SRA0J9	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SR906Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SP90EZ	08	466-468	Revision of Hip or Knee Replacement

0SP90EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SR9039	08	466-468	Revision of Hip or Knee Replacement

0SPB0EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRE03A	08	466-468	Revision of Hip or Knee Replacement

0SPB0EZ	08	466-468	Revision of Hip or Knee Replacement
and 0SUB09Z

0SPB0EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRB01Z	08	466-468	Revision of Hip or Knee Replacement

0SRE009	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPB0EZ	08	466-468	Revision of Hip or Knee Replacement

0SRE039	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPB0EZ	08	466-468	Revision of Hip or Knee Replacement

0SPB0EZ	08	466-468	Revision of Hip or Knee Replacement
and 0SUE09Z

0SRB02A	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPB0EZ	08	466-468	Revision of Hip or Knee Replacement

0SPB0EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRB06Z	08	466-468	Revision of Hip or Knee Replacement

0SPB0EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRB02Z	08	466-468	Revision of Hip or Knee Replacement

0SPB0EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRS0J9	08	466-468	Revision of Hip or Knee Replacement

0SPB0EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRB019	08	466-468	Revision of Hip or Knee Replacement

0SPB0EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRB04A	08	466-468	Revision of Hip or Knee Replacement

0SRB0J9	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPB0EZ	08	466-468	Revision of Hip or Knee Replacement

0SUS09Z	08	466-468	Revision of Hip or Knee Replacement
and 0SPB0EZ

0SPB0EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRS039	08	466-468	Revision of Hip or Knee Replacement

0SPB0EZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRE00Z	08	466-468	Revision of Hip or Knee Replacement

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
22 Jul 2025 11:22:30
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