ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual |
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| MDC 03 Diseases and disorders of the ear, nose, mouth and throat |
| Salivary gland procedures |
| DRG |
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| 139 |
DRG 139 SALIVARY GLAND PROCEDURES
OPERATING ROOM PROCEDURES
| 0C580ZZ | Destruction of Right Parotid Gland, Open Approach |
| 0C583ZZ | Destruction of Right Parotid Gland, Percutaneous Approach |
| 0C590ZZ | Destruction of Left Parotid Gland, Open Approach |
| 0C593ZZ | Destruction of Left Parotid Gland, Percutaneous Approach |
| 0C5B0ZZ | Destruction of Right Parotid Duct, Open Approach |
| 0C5B3ZZ | Destruction of Right Parotid Duct, Percutaneous Approach |
| 0C5C0ZZ | Destruction of Left Parotid Duct, Open Approach |
| 0C5C3ZZ | Destruction of Left Parotid Duct, Percutaneous Approach |
| 0C5D0ZZ | Destruction of Right Sublingual Gland, Open Approach |
| 0C5D3ZZ | Destruction of Right Sublingual Gland, Percutaneous Approach |
| 0C5F0ZZ | Destruction of Left Sublingual Gland, Open Approach |
| 0C5F3ZZ | Destruction of Left Sublingual Gland, Percutaneous Approach |
| 0C5G0ZZ | Destruction of Right Submaxillary Gland, Open Approach |
| 0C5G3ZZ | Destruction of Right Submaxillary Gland, Percutaneous Approach |
| 0C5H0ZZ | Destruction of Left Submaxillary Gland, Open Approach |
| 0C5H3ZZ | Destruction of Left Submaxillary Gland, Percutaneous Approach |
| 0C5J0ZZ | Destruction of Minor Salivary Gland, Open Approach |
| 0C5J3ZZ | Destruction of Minor Salivary Gland, Percutaneous Approach |
| 0C980ZX | Drainage of Right Parotid Gland, Open Approach, Diagnostic |
| 0C980ZZ | Drainage of Right Parotid Gland, Open Approach |
| 0C990ZX | Drainage of Left Parotid Gland, Open Approach, Diagnostic |
| 0C990ZZ | Drainage of Left Parotid Gland, Open Approach |
| 0C9B0ZX | Drainage of Right Parotid Duct, Open Approach, Diagnostic |
| 0C9C0ZX | Drainage of Left Parotid Duct, Open Approach, Diagnostic |
| 0C9D0ZX | Drainage of Right Sublingual Gland, Open Approach, Diagnostic |
| 0C9F0ZX | Drainage of Left Sublingual Gland, Open Approach, Diagnostic |
| 0C9G0ZX | Drainage of Right Submaxillary Gland, Open Approach, Diagnostic |
| 0C9G0ZZ | Drainage of Right Submaxillary Gland, Open Approach |
| 0C9H0ZX | Drainage of Left Submaxillary Gland, Open Approach, Diagnostic |
| 0C9H0ZZ | Drainage of Left Submaxillary Gland, Open Approach |
| 0C9J0ZX | Drainage of Minor Salivary Gland, Open Approach, Diagnostic |
| 0CB80ZX | Excision of Right Parotid Gland, Open Approach, Diagnostic |
| 0CB80ZZ | Excision of Right Parotid Gland, Open Approach |
| 0CB83ZZ | Excision of Right Parotid Gland, Percutaneous Approach |
| 0CB90ZX | Excision of Left Parotid Gland, Open Approach, Diagnostic |
| 0CB90ZZ | Excision of Left Parotid Gland, Open Approach |
| 0CB93ZZ | Excision of Left Parotid Gland, Percutaneous Approach |
| 0CBB0ZX | Excision of Right Parotid Duct, Open Approach, Diagnostic |
| 0CBB0ZZ | Excision of Right Parotid Duct, Open Approach |
| 0CBB3ZZ | Excision of Right Parotid Duct, Percutaneous Approach |
| 0CBC0ZX | Excision of Left Parotid Duct, Open Approach, Diagnostic |
| 0CBC0ZZ | Excision of Left Parotid Duct, Open Approach |
| 0CBC3ZZ | Excision of Left Parotid Duct, Percutaneous Approach |
| 0CBD0ZX | Excision of Right Sublingual Gland, Open Approach, Diagnostic |
| 0CBD0ZZ | Excision of Right Sublingual Gland, Open Approach |
| 0CBD3ZZ | Excision of Right Sublingual Gland, Percutaneous Approach |
| 0CBF0ZX | Excision of Left Sublingual Gland, Open Approach, Diagnostic |
| 0CBF0ZZ | Excision of Left Sublingual Gland, Open Approach |
| 0CBF3ZZ | Excision of Left Sublingual Gland, Percutaneous Approach |
| 0CBG0ZX | Excision of Right Submaxillary Gland, Open Approach, Diagnostic |
| 0CBG0ZZ | Excision of Right Submaxillary Gland, Open Approach |
| 0CBG3ZZ | Excision of Right Submaxillary Gland, Percutaneous Approach |
| 0CBH0ZX | Excision of Left Submaxillary Gland, Open Approach, Diagnostic |
| 0CBH0ZZ | Excision of Left Submaxillary Gland, Open Approach |
| 0CBH3ZZ | Excision of Left Submaxillary Gland, Percutaneous Approach |
| 0CBJ0ZX | Excision of Minor Salivary Gland, Open Approach, Diagnostic |
| 0CBJ0ZZ | Excision of Minor Salivary Gland, Open Approach |
| 0CBJ3ZZ | Excision of Minor Salivary Gland, Percutaneous Approach |
| 0CC80ZZ | Extirpation of Matter from Right Parotid Gland, Open Approach |
| 0CC90ZZ | Extirpation of Matter from Left Parotid Gland, Open Approach |
| 0CCG0ZZ | Extirpation of Matter from Right Submaxillary Gland, Open Approach |
| 0CCH0ZZ | Extirpation of Matter from Left Submaxillary Gland, Open Approach |
| 0CLB0CZ | Occlusion of Right Parotid Duct with Extraluminal Device, Open Approach |
| 0CLB0DZ | Occlusion of Right Parotid Duct with Intraluminal Device, Open Approach |
| 0CLB0ZZ | Occlusion of Right Parotid Duct, Open Approach |
| 0CLB3CZ | Occlusion of Right Parotid Duct with Extraluminal Device, Percutaneous Approach |
| 0CLB3DZ | Occlusion of Right Parotid Duct with Intraluminal Device, Percutaneous Approach |
| 0CLB3ZZ | Occlusion of Right Parotid Duct, Percutaneous Approach |
| 0CLB4CZ | Occlusion of Right Parotid Duct with Extraluminal Device, Percutaneous Endoscopic Approach |
| 0CLB4DZ | Occlusion of Right Parotid Duct with Intraluminal Device, Percutaneous Endoscopic Approach |
| 0CLB4ZZ | Occlusion of Right Parotid Duct, Percutaneous Endoscopic Approach |
| 0CLB7DZ | Occlusion of Right Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening |
| 0CLB7ZZ | Occlusion of Right Parotid Duct, Via Natural or Artificial Opening |
| 0CLB8DZ | Occlusion of Right Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic |
| 0CLB8ZZ | Occlusion of Right Parotid Duct, Via Natural or Artificial Opening Endoscopic |
| 0CLC0CZ | Occlusion of Left Parotid Duct with Extraluminal Device, Open Approach |
| 0CLC0DZ | Occlusion of Left Parotid Duct with Intraluminal Device, Open Approach |
| 0CLC0ZZ | Occlusion of Left Parotid Duct, Open Approach |
| 0CLC3CZ | Occlusion of Left Parotid Duct with Extraluminal Device, Percutaneous Approach |
| 0CLC3DZ | Occlusion of Left Parotid Duct with Intraluminal Device, Percutaneous Approach |
| 0CLC3ZZ | Occlusion of Left Parotid Duct, Percutaneous Approach |
| 0CLC4CZ | Occlusion of Left Parotid Duct with Extraluminal Device, Percutaneous Endoscopic Approach |
| 0CLC4DZ | Occlusion of Left Parotid Duct with Intraluminal Device, Percutaneous Endoscopic Approach |
| 0CLC4ZZ | Occlusion of Left Parotid Duct, Percutaneous Endoscopic Approach |
| 0CLC7DZ | Occlusion of Left Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening |
| 0CLC7ZZ | Occlusion of Left Parotid Duct, Via Natural or Artificial Opening |
| 0CLC8DZ | Occlusion of Left Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic |
| 0CLC8ZZ | Occlusion of Left Parotid Duct, Via Natural or Artificial Opening Endoscopic |
| 0CN80ZZ | Release Right Parotid Gland, Open Approach |
| 0CN83ZZ | Release Right Parotid Gland, Percutaneous Approach |
| 0CN90ZZ | Release Left Parotid Gland, Open Approach |
| 0CN93ZZ | Release Left Parotid Gland, Percutaneous Approach |
| 0CNB0ZZ | Release Right Parotid Duct, Open Approach |
| 0CNB3ZZ | Release Right Parotid Duct, Percutaneous Approach |
| 0CNC0ZZ | Release Left Parotid Duct, Open Approach |
| 0CNC3ZZ | Release Left Parotid Duct, Percutaneous Approach |
| 0CND0ZZ | Release Right Sublingual Gland, Open Approach |
| 0CND3ZZ | Release Right Sublingual Gland, Percutaneous Approach |
| 0CNF0ZZ | Release Left Sublingual Gland, Open Approach |
| 0CNF3ZZ | Release Left Sublingual Gland, Percutaneous Approach |
| 0CNG0ZZ | Release Right Submaxillary Gland, Open Approach |
| 0CNG3ZZ | Release Right Submaxillary Gland, Percutaneous Approach |
| 0CNH0ZZ | Release Left Submaxillary Gland, Open Approach |
| 0CNH3ZZ | Release Left Submaxillary Gland, Percutaneous Approach |
| 0CNJ0ZZ | Release Minor Salivary Gland, Open Approach |
| 0CNJ3ZZ | Release Minor Salivary Gland, Percutaneous Approach |
| 0CQ80ZZ | Repair Right Parotid Gland, Open Approach |
| 0CQ83ZZ | Repair Right Parotid Gland, Percutaneous Approach |
| 0CQ90ZZ | Repair Left Parotid Gland, Open Approach |
| 0CQ93ZZ | Repair Left Parotid Gland, Percutaneous Approach |
| 0CQB0ZZ | Repair Right Parotid Duct, Open Approach |
| 0CQB3ZZ | Repair Right Parotid Duct, Percutaneous Approach |
| 0CQC0ZZ | Repair Left Parotid Duct, Open Approach |
| 0CQC3ZZ | Repair Left Parotid Duct, Percutaneous Approach |
| 0CQD0ZZ | Repair Right Sublingual Gland, Open Approach |
| 0CQD3ZZ | Repair Right Sublingual Gland, Percutaneous Approach |
| 0CQF0ZZ | Repair Left Sublingual Gland, Open Approach |
| 0CQF3ZZ | Repair Left Sublingual Gland, Percutaneous Approach |
| 0CQG0ZZ | Repair Right Submaxillary Gland, Open Approach |
| 0CQG3ZZ | Repair Right Submaxillary Gland, Percutaneous Approach |
| 0CQH0ZZ | Repair Left Submaxillary Gland, Open Approach |
| 0CQH3ZZ | Repair Left Submaxillary Gland, Percutaneous Approach |
| 0CQJ0ZZ | Repair Minor Salivary Gland, Open Approach |
| 0CQJ3ZZ | Repair Minor Salivary Gland, Percutaneous Approach |
| 0CRB07Z | Replacement of Right Parotid Duct with Autologous Tissue Substitute, Open Approach |
| 0CRB0JZ | Replacement of Right Parotid Duct with Synthetic Substitute, Open Approach |
| 0CRB0KZ | Replacement of Right Parotid Duct with Nonautologous Tissue Substitute, Open Approach |
| 0CRB37Z | Replacement of Right Parotid Duct with Autologous Tissue Substitute, Percutaneous Approach |
| 0CRB3JZ | Replacement of Right Parotid Duct with Synthetic Substitute, Percutaneous Approach |
| 0CRB3KZ | Replacement of Right Parotid Duct with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CRC07Z | Replacement of Left Parotid Duct with Autologous Tissue Substitute, Open Approach |
| 0CRC0JZ | Replacement of Left Parotid Duct with Synthetic Substitute, Open Approach |
| 0CRC0KZ | Replacement of Left Parotid Duct with Nonautologous Tissue Substitute, Open Approach |
| 0CRC37Z | Replacement of Left Parotid Duct with Autologous Tissue Substitute, Percutaneous Approach |
| 0CRC3JZ | Replacement of Left Parotid Duct with Synthetic Substitute, Percutaneous Approach |
| 0CRC3KZ | Replacement of Left Parotid Duct with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CSB0ZZ | Reposition Right Parotid Duct, Open Approach |
| 0CSB3ZZ | Reposition Right Parotid Duct, Percutaneous Approach |
| 0CSC0ZZ | Reposition Left Parotid Duct, Open Approach |
| 0CSC3ZZ | Reposition Left Parotid Duct, Percutaneous Approach |
| 0CT80ZZ | Resection of Right Parotid Gland, Open Approach |
| 0CT90ZZ | Resection of Left Parotid Gland, Open Approach |
| 0CTB0ZZ | Resection of Right Parotid Duct, Open Approach |
| 0CTC0ZZ | Resection of Left Parotid Duct, Open Approach |
| 0CTD0ZZ | Resection of Right Sublingual Gland, Open Approach |
| 0CTF0ZZ | Resection of Left Sublingual Gland, Open Approach |
| 0CTG0ZZ | Resection of Right Submaxillary Gland, Open Approach |
| 0CTH0ZZ | Resection of Left Submaxillary Gland, Open Approach |
| 0CTJ0ZZ | Resection of Minor Salivary Gland, Open Approach |
| 0CVB0CZ | Restriction of Right Parotid Duct with Extraluminal Device, Open Approach |
| 0CVB0DZ | Restriction of Right Parotid Duct with Intraluminal Device, Open Approach |
| 0CVB0ZZ | Restriction of Right Parotid Duct, Open Approach |
| 0CVB3CZ | Restriction of Right Parotid Duct with Extraluminal Device, Percutaneous Approach |
| 0CVB3DZ | Restriction of Right Parotid Duct with Intraluminal Device, Percutaneous Approach |
| 0CVB3ZZ | Restriction of Right Parotid Duct, Percutaneous Approach |
| 0CVB7DZ | Restriction of Right Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening |
| 0CVB7ZZ | Restriction of Right Parotid Duct, Via Natural or Artificial Opening |
| 0CVB8DZ | Restriction of Right Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic |
| 0CVB8ZZ | Restriction of Right Parotid Duct, Via Natural or Artificial Opening Endoscopic |
| 0CVC0CZ | Restriction of Left Parotid Duct with Extraluminal Device, Open Approach |
| 0CVC0DZ | Restriction of Left Parotid Duct with Intraluminal Device, Open Approach |
| 0CVC0ZZ | Restriction of Left Parotid Duct, Open Approach |
| 0CVC3CZ | Restriction of Left Parotid Duct with Extraluminal Device, Percutaneous Approach |
| 0CVC3DZ | Restriction of Left Parotid Duct with Intraluminal Device, Percutaneous Approach |
| 0CVC3ZZ | Restriction of Left Parotid Duct, Percutaneous Approach |
| 0CVC7DZ | Restriction of Left Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening |
| 0CVC7ZZ | Restriction of Left Parotid Duct, Via Natural or Artificial Opening |
| 0CVC8DZ | Restriction of Left Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic |
| 0CVC8ZZ | Restriction of Left Parotid Duct, Via Natural or Artificial Opening Endoscopic |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 08 Mar 2021 20:13:49 CMS, code-revision=301, description-revision=1298 |