ICD-10-CM/PCS MS-DRG v43.1 Definitions Manual

Procedure Code/MS-DRG Index

Page 211 of 395

0016070 008X4ZZ 00BR0ZZ 00KD0ZZ 00R64JZ 00WE07Z 015R0ZZ 01NA4ZZ 01UR47Z 021748R 02560ZZ 02BV4ZX 02PA43Z 02UG37E 03130ZF 031L0ZJ 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 0DLE0CZ 0DQB8ZZ 0DU20JZ 0DVG8ZZ 0F164Z4 0F9F0ZZ 0FND7ZZ 0FUF87Z 0GCR4ZZ 0HNW8ZZ 0HRGXK4 0J860ZZ 0JHD0VZ 0JRQ0KZ 0JXH0ZC 0K983ZX 0KCW3ZZ 0KR50KZ 0KU00JZ 0KXL4Z6 0LB33ZX 0LQ74ZZ 0LUB07Z 0M9P00Z 0MR647Z 0N900ZZ 0NH53SZ 0NRG3KZ 0NUC3KZ 0P990ZX 0PC93ZZ 0PNN0ZZ 0PR14JZ 0PSN05Z 0Q513Z3 0QB90ZX 0QHC3BZ 0QPG4KZ 0QS004Z 0QU74JZ 0R9M0ZZ 0RG60AJ 0RGP0KZ 0RNP3ZZ 0RQH3ZZ 0RUK3KZ 0RWP05Z 0SG00JJ 0SGF0KZ 0SP544Z 0SRA0KZ 0SUF0JZ 0SWW3JZ 0T180JD 0TCC4ZZ 0TQC3ZZ 0TWD3LZ 0UJD0ZZ 0UU68JZ 0VNN0ZZ 0W040KZ 0W9G0ZX 0WJC0ZZ 0WWD30Z 0X6P0Z0 0XUK4KZ 0Y6N0Z6 0YQ00ZZ D720JZZ F0277ZZ X2VY06B

CODE	MDC	MS-DRG	SURGICAL CATEGORY
0HNW8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNWXZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNX0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNX3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNX7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNX8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNXXZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HPT0JZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPT0NZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPT0YZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPT3JZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPT3NZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPU0JZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPU0NZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPU0YZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPU3JZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPU3NZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQ9XZZ*	13	746-747	Vagina, Cervix and Vulva Procedures
0HQQXZZ	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
0HQRXZZ	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
0HQT0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQT3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQT7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQT8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQU0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQU3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQU7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQU8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQV0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQV3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQV7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQV8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQW0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQW3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQW7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQW8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQWXZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQX0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQX3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQX7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQX8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQXXZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQY0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQY3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQY7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQY8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HR0X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat 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
0HR0X73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat 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
0HR0X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat 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
0HR0XJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat 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
0HR0XJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat 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
0HR0XJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat 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
0HR0XK3	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
	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
0HR0XK4	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
	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
0HR1X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat 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
0HR1X73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck 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
0HR1X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck 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
0HR1XJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat 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
0HR1XJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat 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
0HR1XJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat 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
0HR1XK3	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
	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
0HR1XK4	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
	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
0HR2X72	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR2X73	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR2X74	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR2XJ3	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR2XJ4	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR2XJZ	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR2XK3	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR2XK4	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR3X72	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR3X73	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR3X74	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR3XJ3	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR3XJ4	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR3XJZ	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR3XK3	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR3XK4	03	143-145	Other Ear, Nose, Mouth and Throat O.R. 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
0HR4X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat 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
0HR4X73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck 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
0HR4X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat 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
0HR4XJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat 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
0HR4XJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat 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
0HR4XJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck 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
0HR4XK3	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
	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
0HR4XK4	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
	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
0HR5X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	04	166-168	Other Respiratory System 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

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
28 Jan 2026 12:38:39
CMS, code-revision=378, description-revision=1466