DRAFT

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

Procedure Cluster/MS-DRG Index

Page 23 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
0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H74JZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H74MZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK0JZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK0MZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK3JZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK3MZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK4JZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK4MZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL0JZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL0MZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL3JZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL3MZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL4JZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL4MZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN0JZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN0MZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN3JZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN3MZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN4JZ

0JH836Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN4MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H40JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H40MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H43JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H43MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H44JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H44MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H60JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H60MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H63JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H64JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H64MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H70JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H70MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H73JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H74JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02H74MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK0JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK0MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK3JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK3MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK4JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HK4MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL0JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL0MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL3JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL3MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL4JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HL4MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN0JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN0MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN3JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN3MZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN4JZ

0JH837Z	05	242-244	Permanent Cardiac Pacemaker Implant
and 02HN4MZ

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

0JH83EZ	01	029	Spinal Procedures
and 00HV4MZ	08	518	Back and Neck Procedures Except Spinal Fusion

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

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
12 Mar 2025 12:04:04
CMS, code-revision=373, description-revision=1431