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

Procedure Code/MS-DRG Index

Page 220 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
0JH63WZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
0JH63XZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
0JH70BZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH70CZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH70DZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH70EZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH70MZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH70NZ	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
0JH70VZ	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
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	12	715-716
	12	717-718	Other Male Reproductive System O.R. Procedures
	13	749-750	Other Female Reproductive System O.R. Procedures
	16	802-804	Other O.R. Procedures of the Blood and Blood Forming Organs
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JH70YZ	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
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	12	715-716
	12	717-718	Other Male Reproductive System O.R. Procedures
	13	749-750	Other Female Reproductive System O.R. Procedures
	16	802-804	Other O.R. Procedures of the Blood and Blood Forming Organs
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JH73BZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH73CZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH73DZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH73EZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH73MZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH73NZ	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
0JH73VZ	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
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	12	715-716
	12	717-718	Other Male Reproductive System O.R. Procedures
	13	749-750	Other Female Reproductive System O.R. Procedures
	16	802-804	Other O.R. Procedures of the Blood and Blood Forming Organs
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JH800Z	05	210-211	Cardiac Pacemaker Revision or Device Replacement
0JH802Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JH804Z*+	05	210-211	Cardiac Pacemaker Revision or Device Replacement
0JH805Z*+	05	210-211	Cardiac Pacemaker Revision or Device Replacement
0JH806Z*+	05	210-211	Cardiac Pacemaker Revision or Device Replacement
0JH807Z*+	05	210-211	Cardiac Pacemaker Revision or Device Replacement
0JH808Z+	05	245	AICD Generator Procedures
0JH809Z+	05	245	AICD Generator Procedures
0JH80AZ+	05	245	AICD Generator Procedures
0JH80BZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH80CZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH80DZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH80EZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH80HZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JH80MZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH80NZ	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
0JH80PZ*+	05	210-211	Cardiac Pacemaker Revision or Device Replacement
0JH80VZ	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
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	12	715-716
	12	717-718	Other Male Reproductive System O.R. Procedures
	13	749-750	Other Female Reproductive System O.R. Procedures
	16	802-804	Other O.R. Procedures of the Blood and Blood Forming Organs
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JH80WZ	04	166-168	Other Respiratory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	13	749-750	Other Female Reproductive System O.R. Procedures
	16	802-804	Other O.R. Procedures of the Blood and Blood Forming Organs
0JH80XZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
0JH80YZ	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
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	12	715-716
	12	717-718	Other Male Reproductive System O.R. Procedures
	13	749-750	Other Female Reproductive System O.R. Procedures
	16	802-804	Other O.R. Procedures of the Blood and Blood Forming Organs
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JH830Z	05	210-211	Cardiac Pacemaker Revision or Device Replacement
0JH832Z*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JH834Z*+	05	210-211	Cardiac Pacemaker Revision or Device Replacement
0JH835Z*+	05	210-211	Cardiac Pacemaker Revision or Device Replacement
0JH836Z*+	05	210-211	Cardiac Pacemaker Revision or Device Replacement
0JH837Z*+	05	210-211	Cardiac Pacemaker Revision or Device Replacement
0JH838Z+	05	245	AICD Generator Procedures
0JH839Z+	05	245	AICD Generator Procedures
0JH83AZ+	05	245	AICD Generator Procedures
0JH83BZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH83CZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH83DZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH83EZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH83HZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
0JH83MZ+	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	252-254	Other Vascular Procedures
0JH83NZ	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
0JH83PZ*+	05	210-211	Cardiac Pacemaker Revision or Device Replacement
0JH83VZ	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
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	12	715-716
	12	717-718	Other Male Reproductive System O.R. Procedures
	13	749-750	Other Female Reproductive System O.R. Procedures
	16	802-804	Other O.R. Procedures of the Blood and Blood Forming Organs
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JH83WZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
0JH83XZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
0JH90NZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System 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
0JH93NZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System 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
0JHB0NZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System 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
0JHB3NZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System 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
0JHC0NZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System 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
0JHC3NZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System 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
0JHD0NZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System 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
0JHD0VZ	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
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	12	715-716
	12	717-718	Other Male Reproductive System O.R. Procedures
	13	749-750	Other Female Reproductive System O.R. Procedures
	16	802-804	Other O.R. Procedures of the Blood and Blood Forming Organs
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JHD0WZ	04	166-168	Other Respiratory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	13	749-750	Other Female Reproductive System O.R. Procedures
	16	802-804	Other O.R. Procedures of the Blood and Blood Forming Organs
0JHD0XZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
0JHD3NZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System 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
0JHD3VZ	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
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	12	715-716
	12	717-718	Other Male Reproductive System O.R. Procedures
	13	749-750	Other Female Reproductive System O.R. Procedures
	16	802-804	Other O.R. Procedures of the Blood and Blood Forming Organs
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JHD3WZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
0JHD3XZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
0JHF0NZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System 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
0JHF0VZ	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
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	12	715-716
	12	717-718	Other Male Reproductive System O.R. Procedures
	13	749-750	Other Female Reproductive System O.R. Procedures
	16	802-804	Other O.R. Procedures of the Blood and Blood Forming Organs
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JHF0WZ	04	166-168	Other Respiratory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	13	749-750	Other Female Reproductive System O.R. Procedures
	16	802-804	Other O.R. Procedures of the Blood and Blood Forming Organs
0JHF0XZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
0JHF3NZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System 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
0JHF3VZ	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
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	12	715-716
	12	717-718	Other Male Reproductive System O.R. Procedures
	13	749-750	Other Female Reproductive System O.R. Procedures
	16	802-804	Other O.R. Procedures of the Blood and Blood Forming Organs
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0JHF3WZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
0JHF3XZ*	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
0JHG0NZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System 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
0JHG0VZ	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
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	08	515-517	Other Musculoskeletal System and Connective Tissue O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	12	715-716
	12	717-718	Other Male Reproductive System O.R. Procedures
	13	749-750	Other Female Reproductive System O.R. Procedures
	16	802-804	Other O.R. Procedures of the Blood and Blood Forming Organs
	21	907-909	Other O.R. Procedures for Injuries
	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