ICD-10-CM/PCS MS-DRG v44.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v44.0 Definitions Manual |
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| MDC 08 Diseases and Disorders of the Musculoskeletal System and Connective Tissue |
| Extensive or Complex Spinal Fusion Procedures Except Cervical |
| Extensive Fusion | Custom-Made Anatomically Designed Interbody Fusion Device (CMADIFD) | Tulip Connector Internal Fixation Device | MCC | CC | DRG |
|---|---|---|---|---|---|
| Yes | n/a | n/a | Yes | n/a | 523 |
| n/a | Yes | n/a | Yes | n/a | 523 |
| n/a | n/a | Yes | Yes | n/a | 523 |
| Yes | n/a | n/a | No | Yes | 524 |
| n/a | Yes | n/a | No | Yes | 524 |
| n/a | n/a | Yes | No | Yes | 524 |
| Yes | n/a | n/a | No | No | 525 |
| n/a | Yes | n/a | No | No | 525 |
| n/a | n/a | Yes | No | No | 525 |
DRG 523 Extensive or Complex Spinal Fusion Procedures Except Cervical with MCC
DRG 524 Extensive or Complex Spinal Fusion Procedures Except Cervical with CC
DRG 525 Extensive or Complex Spinal Fusion Procedures Except Cervical without CC/MCC
EXTENSIVE FUSIONS
OPERATING ROOM PROCEDURES
| 0RG8070 | Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0RG8071 | Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0RG807J | Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0RG80A0 | Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach |
| 0RG80AJ | Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach |
| 0RG80J0 | Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0RG80J1 | Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0RG80JJ | Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0RG80K0 | Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0RG80K1 | Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0RG80KJ | Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0RG8370 | Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0RG8371 | Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0RG837J | Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0RG83A0 | Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0RG83AJ | Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0RG83J0 | Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0RG83J1 | Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0RG83JJ | Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0RG83K0 | Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0RG83K1 | Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0RG83KJ | Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0RG8470 | Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0RG8471 | Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0RG847J | Fusion of 8 or more Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0RG84A0 | Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0RG84AJ | Fusion of 8 or more Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0RG84J0 | Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0RG84J1 | Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0RG84JJ | Fusion of 8 or more Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0RG84K0 | Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0RG84K1 | Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0RG84KJ | Fusion of 8 or more Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| One of | |
| 0RG7070 | Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0RG70A0 | Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach |
| 0RG70J0 | Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0RG70K0 | Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0RG7370 | Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0RG73A0 | Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0RG73J0 | Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0RG73K0 | Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0RG7470 | Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0RG74A0 | Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0RG74J0 | Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0RG74K0 | Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| with one of | |
| 0SG1070 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0SG10A0 | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach |
| 0SG10J0 | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0SG10K0 | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0SG1370 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG13A0 | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG13J0 | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG13K0 | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG1470 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG14A0 | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG14J0 | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG14K0 | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| XRGC0R7 | Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7 |
| XRGC3R7 | Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 |
| XRGC4R7 | Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 |
| One of | |
| 0RG7071 | Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0RG707J | Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0RG70AJ | Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach |
| 0RG70J1 | Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0RG70JJ | Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0RG70K1 | Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0RG70KJ | Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0RG7371 | Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0RG737J | Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0RG73AJ | Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0RG73J1 | Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0RG73JJ | Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0RG73K1 | Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0RG73KJ | Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0RG7471 | Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0RG747J | Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0RG74AJ | Fusion of 2 to 7 Thoracic Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0RG74J1 | Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0RG74JJ | Fusion of 2 to 7 Thoracic Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0RG74K1 | Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0RG74KJ | Fusion of 2 to 7 Thoracic Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| with one of | |
| 0SG1071 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0SG107J | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0SG10AJ | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach |
| 0SG10J1 | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0SG10JJ | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0SG10K1 | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0SG10KJ | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0SG1371 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG137J | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG13AJ | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG13J1 | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG13JJ | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG13K1 | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG13KJ | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG1471 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG147J | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG14AJ | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG14J1 | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG14JJ | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG14K1 | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG14KJ | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| XRGC0EA | Fusion of 2 or more Lumbar Vertebral Joints using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10 |
CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICES
OPERATING ROOM PROCEDURES
| XRGA0R7 | Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7 |
| XRGA3R7 | Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 |
| XRGA4R7 | Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 |
| XRGB0R7 | Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7 |
| XRGB3R7 | Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 |
| XRGB4R7 | Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 |
| XRGC0R7 | Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7 |
| XRGC3R7 | Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 |
| XRGC4R7 | Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 |
| XRGD0R7 | Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7 |
| XRGD3R7 | Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7 |
| XRGD4R7 | Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7 |
TULIP CONNECTOR INTERNAL FIXATION DEVICE
OPERATING ROOM PROCEDURES
| XRGE058 | Fusion of Right Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8 |
| XRGE358 | Fusion of Right Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Percutaneous Approach, New Technology Group 8 |
| XRGF058 | Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Open Approach, New Technology Group 8 |
| XRGF358 | Fusion of Left Sacroiliac Joint using Internal Fixation Device with Tulip Connector, Percutaneous Approach, New Technology Group 8 |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 25 Mar 2026 13:16:25 CMS, code-revision=381, description-revision=1473 |