DRAFT

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

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MS-DRG Surgical Hierarchy by MDC and MS-DRG
MS-DRGSurgical Category
Pre-MDC
018Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
001-002Heart Transplant or Implant of Heart Assist System
003ECMO or Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck
007Lung Transplant
004Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures
014Allogeneic Bone Marrow Transplant
005-006Liver or Intestinal Transplant
010Pancreas or Islet Cell Transplant
019Simultaneous Pancreas, Islet Cell and Kidney Transplant with Hemodialysis
016-017Autologous Bone Marrow Transplant
008Simultaneous Pancreas, Islet Cell and Kidney Transplant
011-013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy
MDC 01 Diseases and Disorders of the Nervous System
020-022Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage
023-024Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis
025-027Craniotomy and Endovascular Intracranial Procedures
028-030Spinal Procedures
031-033Ventricular Shunt Procedures
034-036Carotid Artery Stent Procedures
037-039Extracranial Procedures
040-042Peripheral, Cranial Nerve and Other Nervous System Procedures
MDC 02 Diseases and Disorders of the Eye
113-114Orbital Procedures
115Extraocular Procedures Except Orbit
116-117Intraocular Procedures
MDC 03 Diseases and Disorders of the Ear, Nose, Mouth and Throat
140-142Major Head and Neck Procedures
143-145Other Ear, Nose, Mouth and Throat O.R. Procedures
135-136Sinus and Mastoid Procedures
137-138Mouth Procedures
139Salivary Gland Procedures
MDC 04 Diseases and Disorders of the Respiratory System
163-165Major Chest Procedures
173Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
166-168Other Respiratory System O.R. Procedures
MDC 05 Diseases and Disorders of the Circulatory System
209Complex Aortic Arch Procedures
212Concomitant Aortic and Mitral Valve Procedures
215Other Heart Assist System Implant
216-218Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization
231-232Coronary Bypass with PTCA
275Cardiac Defibrillator Implant with Cardiac Catheterization
317Concomitant Left Atrial Appendage Closure and Cardiac Ablation
219-221Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
233-234Coronary Bypass with Cardiac Catheterization or Open Ablation
213Endovascular Abdominal Aorta with Iliac Branch Procedures
276-277Cardiac Defibrillator Implant
266-267Endovascular Cardiac Valve Replacement and Supplement Procedures
268-269Aortic and Heart Assist Procedures Except Pulsation Balloon
235-236Coronary Bypass without Cardiac Catheterization
245AICD Generator Procedures
278-279Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
270-272Other Major Cardiovascular Procedures
228-229Other Cardiothoracic Procedures
323-324Coronary Intravascular Lithotripsy with Intraluminal Device
319-320Other Endovascular Cardiac Valve Procedures
239-241Amputation for Circulatory System Disorders Except Upper Limb and Toe
273-274Percutaneous and Other Intracardiac Procedures
325Coronary Intravascular Lithotripsy without Intraluminal Device
263Vein Ligation and Stripping
265AICD Lead Procedures
252-254Other Vascular Procedures
359-360Percutaneous Coronary Atherectomy with Intraluminal Device
318Percutaneous Coronary Atherectomy without Intraluminal Device
242-244Permanent Cardiac Pacemaker Implant
210-211Cardiac Pacemaker Revision or Device Replacement
321-322Percutaneous Cardiovascular Procedures with Intraluminal Device
255-257Upper Limb and Toe Amputation for Circulatory System Disorders
250-251Percutaneous Cardiovascular Procedures without Intraluminal Device
361-362Other Circulatory System O.R. Procedures
MDC 06 Diseases and Disorders of the Digestive System
326-328Stomach, Esophageal and Duodenal Procedures
329-331Major Small and Large Bowel Procedures
332-334Rectal Resection
335-337Peritoneal Adhesiolysis
397-399Appendix Procedures
344-346Minor Small and Large Bowel Procedures
347-349Anal and Stomal Procedures
350-355Hernia Procedures
356-358Other Digestive System O.R. Procedures
MDC 07 Diseases and Disorders of the Hepatobiliary System and Pancreas
405-407Pancreas, Liver and Shunt Procedures
408-410Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.
411-419Cholecystectomy
420-422Hepatobiliary Diagnostic Procedures
423-425Other Hepatobiliary or Pancreas O.R. Procedures
MDC 08 Diseases and Disorders of the Musculoskeletal System and Connective Tissue
523-525Extensive or Complex Spinal Fusion Procedures Except Cervical
426-428Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical
429-430Combined Anterior and Posterior Cervical Spinal Fusion
456-458Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection
447-448Multiple Level Spinal Fusion Except Cervical
402Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
449Revision of Hip or Knee Replacement
403-404Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection
450-451Single Level Spinal Fusion Except Cervical
471-473Cervical Spinal Fusion
463-465Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
461-462Bilateral or Multiple Major Joint Procedures of Lower Extremity
498-499Local Excision and Removal of Internal Fixation Devices of Hip and Femur
483Major Joint or Limb Reattachment Procedures of Upper Extremities
474-476Amputation for Musculoskeletal System and Connective Tissue Disorders
477-479Biopsies of Musculoskeletal System and Connective Tissue
492-494Lower Extremity and Humerus Procedures Except Hip, Foot and Femur
521-522Hip Replacement with Principal Diagnosis of Hip Fracture
480-482Hip and Femur Procedures Except Major Joint
518-520Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator
510-512Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures
469-470Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity or Total Ankle Replacement
500-502Soft Tissue Procedures
400Knee Procedures with Principal Diagnosis of Infection
503-505Foot Procedures
488-489Knee Procedures without Principal Diagnosis of Infection
495-497Local Excision and Removal of Internal Fixation Devices Except Hip and Femur
507-508Major Shoulder or Elbow Joint Procedures
513-514Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
506Major Thumb or Joint Procedures
515-517Other Musculoskeletal System and Connective Tissue O.R. Procedures
MDC 09 Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast
573-578Skin Graft
570-572Skin Debridement
579-581Other Skin, Subcutaneous Tissue and Breast Procedures
582-583Mastectomy for Malignancy
584-585Breast Biopsy, Local Excision and Other Breast Procedures
MDC 10 Endocrine, Nutritional and Metabolic Diseases and Disorders
622-624Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
616-618Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders
614-615Adrenal and Pituitary Procedures
625-627Thyroid, Parathyroid and Thyroglossal Procedures
619-621O.R. Procedures for Obesity
628-630Other Endocrine, Nutritional and Metabolic O.R. Procedures
MDC 11 Diseases and Disorders of the Kidney and Urinary Tract
650-651Kidney Transplant with Hemodialysis
653-655Major Bladder Procedures
652Kidney Transplant
665-667Prostatectomy
656-658Kidney and Ureter Procedures for Neoplasm
662-664Minor Bladder Procedures
668-670Transurethral Procedures
671-672Urethral Procedures
659-661Kidney and Ureter Procedures for Non-Neoplasm
673-675Other Kidney and Urinary Tract Procedures
MDC 12 Diseases and Disorders of the Male Reproductive System
715-716Other Male Reproductive System O.R. Procedures for Malignancy
709-710Penis Procedures
711-712Testes Procedures
707-708Major Male Pelvic Procedures
713-714Transurethral Prostatectomy
717-718Other Male Reproductive System O.R. Procedures Except Malignancy
MDC 13 Diseases and Disorders of the Female Reproductive System
731-733Uterine and Adnexa Procedures for Malignancy
734-735Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy
744-745D&C, Conization, Laparoscopy and Tubal Interruption
742-743Uterine and Adnexa Procedures for Non-Malignancy
748Female Reproductive System Reconstructive Procedures
746-747Vagina, Cervix and Vulva Procedures
749-750Other Female Reproductive System O.R. Procedures
MDC 14 Pregnancy, Childbirth and the Puerperium
783-785Cesarean Section with Sterilization
786-788Cesarean Section without Sterilization
768Vaginal Delivery with O.R. Procedures Except Sterilization and/or D&C
796-798Vaginal Delivery with Sterilization and/or D&C
770Abortion with D&C, Aspiration Curettage or Hysterotomy
817-819Other Antepartum Diagnoses with O.R. Procedures
769Postpartum and Post Abortion Diagnoses with O.R. Procedures
MDC 16 Diseases and Disorders of Blood, Blood Forming Organs and Immunologic Disorders
799-801Splenic Procedures
802-804Other O.R. Procedures of the Blood and Blood Forming Organs
MDC 17 Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms
820-822Lymphoma and Leukemia with Major O.R. Procedures
850Acute Leukemia with Other Procedures
823-825Lymphoma and Non-Acute Leukemia with Other Procedures
826-828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
829-830Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures
MDC 18 Infectious and Parasitic Diseases, Systemic or Unspecified Sites
856-858Postoperative or Post-Traumatic Infections with O.R. Procedures
853-855Infectious and Parasitic Diseases with O.R. Procedures
MDC 19 Mental Diseases and Disorders
876O.R. Procedures with Principal Diagnosis of Mental Illness
MDC 21 Injuries, Poisonings and Toxic Effects of Drugs
901-903Wound Debridements for Injuries
904-905Skin Grafts for Injuries
906Hand Procedures for Injuries
907-909Other O.R. Procedures for Injuries
MDC 22 Burns
927Extensive Burns or Full Thickness Burns with MV >96 Hours
928-929Full Thickness Burn
MDC 23 Factors Influencing Health Status and Other Contacts with Health Services
939-941O.R. Procedures with Diagnoses of Other Contact with Health Services
MDC 24 Multiple Significant Trauma
955Craniotomy for Multiple Significant Trauma
956Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma
957-959Other O.R. Procedures for Multiple Significant Trauma
MDC 25 Human Immunodeficiency Virus Infections
969-970HIV with Extensive O.R. Procedures
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25 Mar 2026 13:16:25
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