DRAFT

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

Procedure Cluster/MS-DRG Index

Page 27 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
0SPD4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0MA	08	466-468	Revision of Hip or Knee Replacement

0SRD0MZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0JZ	08	466-468	Revision of Hip or Knee Replacement

0SRD0MZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD4JZ	08	466-468	Revision of Hip or Knee Replacement

0SRD0MZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD09Z	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SRD0N9	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD4JZ	08	466-468	Revision of Hip or Knee Replacement

0SPD4JC	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0N9	08	466-468	Revision of Hip or Knee Replacement

0SRD0N9	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPW4JZ	08	466-468	Revision of Hip or Knee Replacement

0SPD0JC	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0N9	08	466-468	Revision of Hip or Knee Replacement

0SRD0N9	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD08Z	08	466-468	Revision of Hip or Knee Replacement

0SRD0N9	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD09Z	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SRD0N9	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD38Z	08	466-468	Revision of Hip or Knee Replacement

0SPU4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0N9	08	466-468	Revision of Hip or Knee Replacement

0SRD0N9	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPW0JZ	08	466-468	Revision of Hip or Knee Replacement

0SRD0N9	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD48Z	08	466-468	Revision of Hip or Knee Replacement

0SPU0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0N9	08	466-468	Revision of Hip or Knee Replacement

0SRD0N9	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0JZ	08	466-468	Revision of Hip or Knee Replacement

0SPD48Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NA	08	466-468	Revision of Hip or Knee Replacement

0SPD0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NA	08	466-468	Revision of Hip or Knee Replacement

0SPD38Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NA	08	466-468	Revision of Hip or Knee Replacement

0SPD4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NA	08	466-468	Revision of Hip or Knee Replacement

0SPD4JC	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NA	08	466-468	Revision of Hip or Knee Replacement

0SPU4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NA	08	466-468	Revision of Hip or Knee Replacement

0SPD0JC	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NA	08	466-468	Revision of Hip or Knee Replacement

0SPD09Z	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NA	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SRD0NA	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD08Z	08	466-468	Revision of Hip or Knee Replacement

0SPW0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NA	08	466-468	Revision of Hip or Knee Replacement

0SPU0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NA	08	466-468	Revision of Hip or Knee Replacement

0SPW4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NA	08	466-468	Revision of Hip or Knee Replacement

0SRD0NZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD08Z	08	466-468	Revision of Hip or Knee Replacement

0SRD0NZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD48Z	08	466-468	Revision of Hip or Knee Replacement

0SPU0JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NZ	08	466-468	Revision of Hip or Knee Replacement

0SPD4JC	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NZ	08	466-468	Revision of Hip or Knee Replacement

0SRD0NZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0JZ	08	466-468	Revision of Hip or Knee Replacement

0SRD0NZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD4JZ	08	466-468	Revision of Hip or Knee Replacement

0SPU4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NZ	08	466-468	Revision of Hip or Knee Replacement

0SRD0NZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD09Z	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPW4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NZ	08	466-468	Revision of Hip or Knee Replacement

0SRD0NZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD38Z	08	466-468	Revision of Hip or Knee Replacement

0SPD0JC	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRD0NZ	08	466-468	Revision of Hip or Knee Replacement

0SRD0NZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPW0JZ	08	466-468	Revision of Hip or Knee Replacement

0JH60FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH608Z

0JH60FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH609Z

0JH60FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH638Z

0JH60FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH639Z

0JH60FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH808Z

0JH60FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH809Z

0JH60FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH838Z

0JH60FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH839Z

0JH63FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH608Z

0JH63FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH609Z

0JH63FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH638Z

0JH63FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH639Z

0JH63FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH808Z

0JH63FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH809Z

0JH63FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH838Z

0JH63FZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH839Z

02H60MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH63AZ

02H60MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH80AZ

02H60MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH83AZ

02H63MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH60AZ

02H63MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH63AZ

02H63MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH80AZ

02H63MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH83AZ

02H64MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH60AZ

02H64MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH63AZ

02H64MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH80AZ

02H64MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH83AZ

02HK0MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH60AZ

02HK0MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH63AZ

02HK0MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH80AZ

02HK0MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH83AZ

02HK3MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH60AZ

02HK3MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH63AZ

02HK3MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH80AZ

02HK3MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH83AZ

02HK4MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH60AZ

02HK4MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH63AZ

02HK4MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH80AZ

02HK4MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH83AZ

02H60MZ	05	275-277	Cardiac Defibrillator Implant or Carotid Sinus Neurostimulator
and 0JH60AZ

0SPT4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0JZ	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPV4JZ	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0JZ	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0SPC4JC	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SRV0JZ	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE0MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE3MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE4MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY0MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY3MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY4MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H33MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H34MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H40MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H43MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H44MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH60MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH63MZ

0JH60MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH64MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE0MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE3MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE4MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY0MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY3MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY4MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H33MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H34MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H40MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H43MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H44MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH60MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH63MZ

0JH63MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH64MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE0MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE3MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE4MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY0MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY3MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY4MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H33MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H34MZ

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