ICD-10-CM/PCS MS-DRG v44.0 Definitions Manual

Procedure Code/MS-DRG Index

Page 212 of 402

0016070 008X4ZZ 00BR0ZZ 00KC3ZZ 00R24KZ 00W643Z 015N3ZZ 01N93ZZ 01UR0JZ 02170ZQ 02540ZZ 02BT0ZX 02NW0ZZ 02UF48J 03130JD 031K0ZK 03783ZZ 037Q3FZ 03CM3Z7 03LF0ZZ 03QB3ZZ 03U74JZ 03VP0BZ 041C0A2 041J4JJ 047034Z 04773ZZ 047F3EZ 047Q34Z 04CL0ZZ 04LA4ZZ 04QR3ZZ 04U40KZ 04WY37Z 057R3ZZ 05HM3DZ 05P03MZ 05U63KZ 061909Y 06HH3DZ 06PY43Z 06UY4JZ 071G4Z3 07B44ZX 07L94CZ 07T34ZZ 07VD4DZ 08BX3ZZ 08SL3ZZ 095B3ZZ 09RN7KZ 0B9230Z 0BM50ZZ 0BV20CZ 0CNT3ZZ 0CUM7JZ 0D160ZA 0D1A07Q 0D1E474 0D523ZZ 0DB53ZZ 0DJV4ZZ 0DPR0MZ 0DTK4ZZ 0DV64DZ 0F150Z7 0F7D3ZZ 0FN44ZZ 0FU647Z 0GBM0ZX 0HHU01Z 0HRDX74 0HXGXZZ 0JH63WZ 0JR93JZ 0JX83ZZ 0K8L4ZZ 0KBW0ZX 0KQN3ZZ 0KSQ4ZZ 0KX84Z1 0L990ZZ 0LMT0ZZ 0LT00ZZ 0M8H0ZZ 0MPY47Z 0N5C0ZZ 0NC63ZZ 0NR33KZ 0NU13KZ 0P8H3ZZ 0PBJ0ZZ 0PHK3BZ 0PPP4KZ 0PSD0CZ 0PUV37Z 0Q9F3ZX 0QCP4ZZ 0QP005Z 0QR13KZ 0QSG3CZ 0QW837Z 0RG00J0 0RGA071 0RH43DZ 0RPK37Z 0RSS0ZZ 0RW54KZ 0S5G3ZZ 0SG3371 0SGQ45Z 0SPF35Z 0SRG0KZ 0SW94JZ 0T143JD 0T18077 0T9B0ZZ 0TN37ZZ 0TT14ZZ 0U154J5 0UL70DZ 0UUK0KZ 0VNQ3ZZ 0W000KZ 0W9C0ZX 0WHP01Z 0WWC03Z 0X6J0ZC 0XUB4JZ 0Y6H0Z3 0YJ90ZZ B2140ZZ F0120ZZ X27B35B

CODE	MDC	MS-DRG	SURGICAL CATEGORY
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	361-362	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement or 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	361-362	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement or 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 or 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 or 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 or 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 or 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 or 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 or 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	361-362	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement or 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	361-362	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement or 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 or 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 or 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 or 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 or 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 or 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 or 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	361-362	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement or 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	361-362	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement or 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	361-362	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR5X73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR5X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	04	166-168	Other Respiratory System O.R. Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR5XJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR5XJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR5XJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR5XK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR5XK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR6X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	04	166-168	Other Respiratory System O.R. Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR6X73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR6X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	04	166-168	Other Respiratory System O.R. Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR6XJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR6XJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR6XJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR6XK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR6XK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement or 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
0HR7X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	04	166-168	Other Respiratory System O.R. Procedures
	05	361-362	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement or 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
24 Aug 2026 15:08:56
CMS, code-revision=387, description-revision=1483