DRAFT

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

Procedure Code/MS-DRG Index

Page 211 of 400

0016070 008Y4ZZ 00BW0ZX 00N74ZZ 00RK4JZ 00WV0MZ 018D4ZZ 01Q30ZZ 02100JW 021P09B 0270376 02CR0ZZ 02QP4ZZ 02UN07Z 03150A1 031T09G 037A3D1 037Y37Z 03FY3ZZ 03LJ4CZ 03QY4ZZ 03UL0KZ 03VU0ZZ 041C4KK 041K49L 04713FZ 047937Z 047J0Z1 047W0EZ 04FC3Z0 04LF0ZZ 04R60KZ 04UF4JZ 051607Y 05BB4ZZ 05L30CZ 05QC4ZZ 05UM3JZ 065F0ZZ 06L03ZZ 06QV4ZZ 06V50CZ 07560ZZ 07BB4ZZ 07LH4CZ 07TG0ZZ 07WL00Z 08LX3CZ 08TY0ZZ 09B88ZZ 09TU4ZZ 0BB10ZX 0BP17JZ 0BW14JZ 0CQG3ZZ 0CWY37Z 0D1807K 0D1A4J4 0D1H474 0D5H0ZZ 0DBG4ZG 0DLB4CZ 0DQ98ZZ 0DU17KZ 0DVF7ZZ 0F164D6 0F990ZZ 0FNC4ZZ 0FUD4KZ 0GCN0ZZ 0HNBXZZ 0HRFXK4 0J570ZZ 0JH83NZ 0JRK0KZ 0JXD3ZZ 0K930ZZ 0KCK0ZZ 0KR20KZ 0KTK0ZZ 0KXG4Z8 0L9T00Z 0LQ10ZZ 0LU50KZ 0M990ZX 0MR04JZ 0N804ZZ 0NDX0ZZ 0NR74KZ 0NU707Z 0P934ZZ 0PBQ4ZX 0PHT35Z 0PQ23ZZ 0PSH4CZ 0PWH37Z 0Q9R0ZZ 0QH305Z 0QP645Z 0QRB07Z 0QSM0ZZ 0QWM44Z 0RG14JJ 0RGC04Z 0RHU34Z 0RPS03Z 0RU93KZ 0RWH48Z 0SBD3ZZ 0SG84JZ 0SJP0ZZ 0SPU0JZ 0SSN04Z 0SWJ00Z 0T164J7 0T184KD 0TC63ZZ 0TPB7LZ 0TV60CZ 0U964ZX 0UPD4JZ 0V1Q0JJ 0VT07ZE 0W1G0J6 0WBF0ZZ 0WPD40Z 0X043KZ 0XBF3ZZ 0Y014JZ 0Y950ZX 0YUF4KZ DB20DZZ F0776BZ XRGB4R7

CODE	MDC	MS-DRG	SURGICAL CATEGORY
0HNBXZZ	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
0HNCXZZ	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
0HNDXZZ	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
0HNEXZZ	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
0HNFXZZ	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
0HNGXZZ	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
0HNHXZZ	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
0HNJXZZ	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
0HNKXZZ	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
0HNLXZZ	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
0HNMXZZ	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
0HNNXZZ	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
0HNQXZZ	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0HNRXZZ	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
0HNT0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNT3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNT7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNT8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNU0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNU3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNU7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNU8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNV0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNV3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNV7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNV8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNW0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNW3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNW7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNW8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNWXZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNX0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNX3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNX7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNX8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HNXXZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HPT0JZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPT0NZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPT0YZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPT3JZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPT3NZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPU0JZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPU0NZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPU0YZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPU3JZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HPU3NZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQ9XZZ*	13	746-747	Vagina, Cervix and Vulva Procedures
0HQQXZZ	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
0HQRXZZ	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
0HQT0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQT3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQT7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQT8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQU0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQU3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQU7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQU8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQV0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQV3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQV7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQV8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQW0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQW3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQW7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQW8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQWXZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQX0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQX3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQX7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQX8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQXXZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQY0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQY3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQY7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQY8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HR0X72	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
0HR0X73	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
0HR0X74	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
0HR0XJ3	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
0HR0XJ4	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
0HR0XJZ	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
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

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
25 Mar 2026 13:16:25
CMS, code-revision=381, description-revision=1473