ICD-10-CM/PCS MS-DRG v42.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v42.1 Definitions Manual |
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| MDC 05 Diseases and Disorders of the Circulatory System |
| Concomitant Aortic and Mitral Valve Procedures |
| Page 2 of 2 |
THIRD CONDITION: SELECT AT LEAST ONE PROCEDURE FROM CONCOMITANT PROCEDURES (continued)
CONCOMITANT OPERATING ROOM PROCEDURES
| 03R307Z | Replacement of Right Subclavian Artery with Autologous Tissue Substitute, Open Approach |
| 03R30JZ | Replacement of Right Subclavian Artery with Synthetic Substitute, Open Approach |
| 03R30KZ | Replacement of Right Subclavian Artery with Nonautologous Tissue Substitute, Open Approach |
| 03R347Z | Replacement of Right Subclavian Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03R34JZ | Replacement of Right Subclavian Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 03R34KZ | Replacement of Right Subclavian Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03R407Z | Replacement of Left Subclavian Artery with Autologous Tissue Substitute, Open Approach |
| 03R40JZ | Replacement of Left Subclavian Artery with Synthetic Substitute, Open Approach |
| 03R40KZ | Replacement of Left Subclavian Artery with Nonautologous Tissue Substitute, Open Approach |
| 03R447Z | Replacement of Left Subclavian Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03R44JZ | Replacement of Left Subclavian Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 03R44KZ | Replacement of Left Subclavian Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05R007Z | Replacement of Azygos Vein with Autologous Tissue Substitute, Open Approach |
| 05R00JZ | Replacement of Azygos Vein with Synthetic Substitute, Open Approach |
| 05R00KZ | Replacement of Azygos Vein with Nonautologous Tissue Substitute, Open Approach |
| 05R047Z | Replacement of Azygos Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05R04JZ | Replacement of Azygos Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05R04KZ | Replacement of Azygos Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05R107Z | Replacement of Hemiazygos Vein with Autologous Tissue Substitute, Open Approach |
| 05R10JZ | Replacement of Hemiazygos Vein with Synthetic Substitute, Open Approach |
| 05R10KZ | Replacement of Hemiazygos Vein with Nonautologous Tissue Substitute, Open Approach |
| 05R147Z | Replacement of Hemiazygos Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05R14JZ | Replacement of Hemiazygos Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05R14KZ | Replacement of Hemiazygos Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05R307Z | Replacement of Right Innominate Vein with Autologous Tissue Substitute, Open Approach |
| 05R30JZ | Replacement of Right Innominate Vein with Synthetic Substitute, Open Approach |
| 05R30KZ | Replacement of Right Innominate Vein with Nonautologous Tissue Substitute, Open Approach |
| 05R347Z | Replacement of Right Innominate Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05R34JZ | Replacement of Right Innominate Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05R34KZ | Replacement of Right Innominate Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05R407Z | Replacement of Left Innominate Vein with Autologous Tissue Substitute, Open Approach |
| 05R40JZ | Replacement of Left Innominate Vein with Synthetic Substitute, Open Approach |
| 05R40KZ | Replacement of Left Innominate Vein with Nonautologous Tissue Substitute, Open Approach |
| 05R447Z | Replacement of Left Innominate Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05R44JZ | Replacement of Left Innominate Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05R44KZ | Replacement of Left Innominate Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05R507Z | Replacement of Right Subclavian Vein with Autologous Tissue Substitute, Open Approach |
| 05R50JZ | Replacement of Right Subclavian Vein with Synthetic Substitute, Open Approach |
| 05R50KZ | Replacement of Right Subclavian Vein with Nonautologous Tissue Substitute, Open Approach |
| 05R547Z | Replacement of Right Subclavian Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05R54JZ | Replacement of Right Subclavian Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05R54KZ | Replacement of Right Subclavian Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05R607Z | Replacement of Left Subclavian Vein with Autologous Tissue Substitute, Open Approach |
| 05R60JZ | Replacement of Left Subclavian Vein with Synthetic Substitute, Open Approach |
| 05R60KZ | Replacement of Left Subclavian Vein with Nonautologous Tissue Substitute, Open Approach |
| 05R647Z | Replacement of Left Subclavian Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05R64JZ | Replacement of Left Subclavian Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05R64KZ | Replacement of Left Subclavian Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 5A02116 | Assistance with Cardiac Output using Other Pump, Intermittent |
| 5A0211D | Assistance with Cardiac Output using Impeller Pump, Intermittent |
| 5A02216 | Assistance with Cardiac Output using Other Pump, Continuous |
| 5A0221D | Assistance with Cardiac Output using Impeller Pump, Continuous |
| X2RX0N7 | Replacement of Thoracic Aorta, Arch using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7 |
| X2VE3SA | Restriction of Descending Thoracic Aorta and Abdominal Aorta using Branched Intraluminal Device, Manufactured Integrated System, Four or More Arteries, Percutaneous Approach, New Technology Group 10 |
| X2VW0N7 | Restriction of Thoracic Aorta, Descending using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7 |
CONCOMITANT NON-OPERATING ROOM PROCEDURES
| 02570ZK* | Destruction of Left Atrial Appendage, Open Approach |
| 4A020N6* | Measurement of Cardiac Sampling and Pressure, Right Heart, Open Approach |
| 4A020N7* | Measurement of Cardiac Sampling and Pressure, Left Heart, Open Approach |
| 4A020N8* | Measurement of Cardiac Sampling and Pressure, Bilateral, Open Approach |
| 4A023FZ* | Measurement of Cardiac Rhythm, Percutaneous Approach |
| 4A023N6* | Measurement of Cardiac Sampling and Pressure, Right Heart, Percutaneous Approach |
| 4A023N7* | Measurement of Cardiac Sampling and Pressure, Left Heart, Percutaneous Approach |
| 4A023N8* | Measurement of Cardiac Sampling and Pressure, Bilateral, Percutaneous Approach |
| 4A027FZ* | Measurement of Cardiac Rhythm, Via Natural or Artificial Opening |
| 4A027N6* | Measurement of Cardiac Sampling and Pressure, Right Heart, Via Natural or Artificial Opening |
| 4A027N7* | Measurement of Cardiac Sampling and Pressure, Left Heart, Via Natural or Artificial Opening |
| 4A027N8* | Measurement of Cardiac Sampling and Pressure, Bilateral, Via Natural or Artificial Opening |
| 4A028FZ* | Measurement of Cardiac Rhythm, Via Natural or Artificial Opening Endoscopic |
| 4A028N6* | Measurement of Cardiac Sampling and Pressure, Right Heart, Via Natural or Artificial Opening Endoscopic |
| 4A028N7* | Measurement of Cardiac Sampling and Pressure, Left Heart, Via Natural or Artificial Opening Endoscopic |
| 4A028N8* | Measurement of Cardiac Sampling and Pressure, Bilateral, Via Natural or Artificial Opening Endoscopic |
| B2000ZZ* | Plain Radiography of Single Coronary Artery using High Osmolar Contrast |
| B2001ZZ* | Plain Radiography of Single Coronary Artery using Low Osmolar Contrast |
| B200YZZ* | Plain Radiography of Single Coronary Artery using Other Contrast |
| B2010ZZ* | Plain Radiography of Multiple Coronary Arteries using High Osmolar Contrast |
| B2011ZZ* | Plain Radiography of Multiple Coronary Arteries using Low Osmolar Contrast |
| B201YZZ* | Plain Radiography of Multiple Coronary Arteries using Other Contrast |
| B2020ZZ* | Plain Radiography of Single Coronary Artery Bypass Graft using High Osmolar Contrast |
| B2021ZZ* | Plain Radiography of Single Coronary Artery Bypass Graft using Low Osmolar Contrast |
| B202YZZ* | Plain Radiography of Single Coronary Artery Bypass Graft using Other Contrast |
| B2030ZZ* | Plain Radiography of Multiple Coronary Artery Bypass Grafts using High Osmolar Contrast |
| B2031ZZ* | Plain Radiography of Multiple Coronary Artery Bypass Grafts using Low Osmolar Contrast |
| B203YZZ* | Plain Radiography of Multiple Coronary Artery Bypass Grafts using Other Contrast |
| B2040ZZ* | Plain Radiography of Right Heart using High Osmolar Contrast |
| B2041ZZ* | Plain Radiography of Right Heart using Low Osmolar Contrast |
| B204YZZ* | Plain Radiography of Right Heart using Other Contrast |
| B2050ZZ* | Plain Radiography of Left Heart using High Osmolar Contrast |
| B2051ZZ* | Plain Radiography of Left Heart using Low Osmolar Contrast |
| B205YZZ* | Plain Radiography of Left Heart using Other Contrast |
| B2060ZZ* | Plain Radiography of Right and Left Heart using High Osmolar Contrast |
| B2061ZZ* | Plain Radiography of Right and Left Heart using Low Osmolar Contrast |
| B206YZZ* | Plain Radiography of Right and Left Heart using Other Contrast |
| B2070ZZ* | Plain Radiography of Right Internal Mammary Bypass Graft using High Osmolar Contrast |
| B2071ZZ* | Plain Radiography of Right Internal Mammary Bypass Graft using Low Osmolar Contrast |
| B207YZZ* | Plain Radiography of Right Internal Mammary Bypass Graft using Other Contrast |
| B2080ZZ* | Plain Radiography of Left Internal Mammary Bypass Graft using High Osmolar Contrast |
| B2081ZZ* | Plain Radiography of Left Internal Mammary Bypass Graft using Low Osmolar Contrast |
| B208YZZ* | Plain Radiography of Left Internal Mammary Bypass Graft using Other Contrast |
| B20F0ZZ* | Plain Radiography of Other Bypass Graft using High Osmolar Contrast |
| B20F1ZZ* | Plain Radiography of Other Bypass Graft using Low Osmolar Contrast |
| B20FYZZ* | Plain Radiography of Other Bypass Graft using Other Contrast |
| B2100ZZ* | Fluoroscopy of Single Coronary Artery using High Osmolar Contrast |
| B2101ZZ* | Fluoroscopy of Single Coronary Artery using Low Osmolar Contrast |
| B210YZZ* | Fluoroscopy of Single Coronary Artery using Other Contrast |
| B2110ZZ* | Fluoroscopy of Multiple Coronary Arteries using High Osmolar Contrast |
| B2111ZZ* | Fluoroscopy of Multiple Coronary Arteries using Low Osmolar Contrast |
| B211YZZ* | Fluoroscopy of Multiple Coronary Arteries using Other Contrast |
| B2120ZZ* | Fluoroscopy of Single Coronary Artery Bypass Graft using High Osmolar Contrast |
| B2121ZZ* | Fluoroscopy of Single Coronary Artery Bypass Graft using Low Osmolar Contrast |
| B212YZZ* | Fluoroscopy of Single Coronary Artery Bypass Graft using Other Contrast |
| B2130ZZ* | Fluoroscopy of Multiple Coronary Artery Bypass Grafts using High Osmolar Contrast |
| B2131ZZ* | Fluoroscopy of Multiple Coronary Artery Bypass Grafts using Low Osmolar Contrast |
| B213YZZ* | Fluoroscopy of Multiple Coronary Artery Bypass Grafts using Other Contrast |
| B2140ZZ* | Fluoroscopy of Right Heart using High Osmolar Contrast |
| B2141ZZ* | Fluoroscopy of Right Heart using Low Osmolar Contrast |
| B214YZZ* | Fluoroscopy of Right Heart using Other Contrast |
| B2150ZZ* | Fluoroscopy of Left Heart using High Osmolar Contrast |
| B2151ZZ* | Fluoroscopy of Left Heart using Low Osmolar Contrast |
| B215YZZ* | Fluoroscopy of Left Heart using Other Contrast |
| B2160ZZ* | Fluoroscopy of Right and Left Heart using High Osmolar Contrast |
| B2161ZZ* | Fluoroscopy of Right and Left Heart using Low Osmolar Contrast |
| B216YZZ* | Fluoroscopy of Right and Left Heart using Other Contrast |
| B2170ZZ* | Fluoroscopy of Right Internal Mammary Bypass Graft using High Osmolar Contrast |
| B2171ZZ* | Fluoroscopy of Right Internal Mammary Bypass Graft using Low Osmolar Contrast |
| B217YZZ* | Fluoroscopy of Right Internal Mammary Bypass Graft using Other Contrast |
| B2180ZZ* | Fluoroscopy of Left Internal Mammary Bypass Graft using High Osmolar Contrast |
| B2181ZZ* | Fluoroscopy of Left Internal Mammary Bypass Graft using Low Osmolar Contrast |
| B218YZZ* | Fluoroscopy of Left Internal Mammary Bypass Graft using Other Contrast |
| B21F0ZZ* | Fluoroscopy of Other Bypass Graft using High Osmolar Contrast |
| B21F1ZZ* | Fluoroscopy of Other Bypass Graft using Low Osmolar Contrast |
| B21FYZZ* | Fluoroscopy of Other Bypass Graft using Other Contrast |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 22 Jan 2025 17:07:44 CMS, code-revision=368, description-revision=1425 |