ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual
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Procedure Cluster/MS-DRG Index
Page 27 of 28
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
CODE COMBINATIONMDCMS-DRGSURGICAL CATEGORY
0SRC0M908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0JZ08466-468Revision of hip or knee replacement
    
0SRC0M908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4JZ08466-468Revision of hip or knee replacement
    
0SPC09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0M908466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRC0MA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4JZ08466-468Revision of hip or knee replacement
    
0SRC0MA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC09Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRC0MA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0JZ08466-468Revision of hip or knee replacement
    
0SRC0MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4JZ08466-468Revision of hip or knee replacement
    
0SPC0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0MZ08466-468Revision of hip or knee replacement
    
0SPC09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0MZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPC0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0N908466-468Revision of hip or knee replacement
    
0SPC48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0N908466-468Revision of hip or knee replacement
    
0SRC0N908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC09Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRC0N908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC38Z08466-468Revision of hip or knee replacement
    
0SPV4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0N908466-468Revision of hip or knee replacement
    
0SRC0N908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPV0JZ08466-468Revision of hip or knee replacement
    
0SPC4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0N908466-468Revision of hip or knee replacement
    
0SRC0N908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC08Z08466-468Revision of hip or knee replacement
    
0SPT0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0N908466-468Revision of hip or knee replacement
    
0SRC0N908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4JZ08466-468Revision of hip or knee replacement
    
0SPT4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0N908466-468Revision of hip or knee replacement
    
0SRC0N908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0JZ08466-468Revision of hip or knee replacement
    
0SPC4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NA08466-468Revision of hip or knee replacement
    
0SPV0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NA08466-468Revision of hip or knee replacement
    
0SPC38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NA08466-468Revision of hip or knee replacement
    
0SPC0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NA08466-468Revision of hip or knee replacement
    
0SPT0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NA08466-468Revision of hip or knee replacement
    
0SPC09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPV4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NA08466-468Revision of hip or knee replacement
    
0SPC4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NA08466-468Revision of hip or knee replacement
    
0SPT4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NA08466-468Revision of hip or knee replacement
    
0SPC0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NA08466-468Revision of hip or knee replacement
    
0SPC48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NA08466-468Revision of hip or knee replacement
    
0SPC08Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NA08466-468Revision of hip or knee replacement
    
0SRC0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC0JZ08466-468Revision of hip or knee replacement
    
0SRC0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC38Z08466-468Revision of hip or knee replacement
    
0SPT4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NZ08466-468Revision of hip or knee replacement
    
0SRC0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPV0JZ08466-468Revision of hip or knee replacement
    
0SRC0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC4JZ08466-468Revision of hip or knee replacement
    
0SPV4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NZ08466-468Revision of hip or knee replacement
    
0SPC0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NZ08466-468Revision of hip or knee replacement
    
0SRC0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPC08Z08466-468Revision of hip or knee replacement
    
0SPC48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NZ08466-468Revision of hip or knee replacement
    
0SPC4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NZ08466-468Revision of hip or knee replacement
    
0SPC09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NZ08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPT0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRC0NZ08466-468Revision of hip or knee replacement
    
0SRD0EZ08466-468Revision of hip or knee replacement
and 0SPD08Z   
    
0SRD0EZ08466-468Revision of hip or knee replacement
and 0SPD48Z   
    
0SRD0EZ08466-468Revision of hip or knee replacement
and 0SPU0JZ   
    
0SRD0EZ08466-468Revision of hip or knee replacement
and 0SPD4JC   
    
0SRD0EZ08466-468Revision of hip or knee replacement
and 0SPD0JZ   
    
0SRD0EZ08466-468Revision of hip or knee replacement
and 0SPD4JZ   
    
0SPU4JZ08466-468Revision of hip or knee replacement
and 0SRD0EZ   
    
0SRD0EZ08466-468Revision of hip or knee replacement
and 0SPD09Z   
    
0SRD0EZ08466-468Revision of hip or knee replacement
and 0SPW4JZ   
    
0SRD0EZ08466-468Revision of hip or knee replacement
and 0SPD38Z   
    
0SRD0EZ08466-468Revision of hip or knee replacement
and 0SPD0JC   
    
0SRD0EZ08466-468Revision of hip or knee replacement
and 0SPW0JZ   
    
0SRD0M908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD4JZ08466-468Revision of hip or knee replacement
    
0SRD0M908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0JZ08466-468Revision of hip or knee replacement
    
0SRD0M908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD09Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0MA08466-468Revision of hip or knee replacement
    
0SPD09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0MA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPD4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0MA08466-468Revision of hip or knee replacement
    
0SRD0MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0JZ08466-468Revision of hip or knee replacement
    
0SRD0MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD4JZ08466-468Revision of hip or knee replacement
    
0SRD0MZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD09Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRD0N908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD4JZ08466-468Revision of hip or knee replacement
    
0SPD4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0N908466-468Revision of hip or knee replacement
    
0SRD0N908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPW4JZ08466-468Revision of hip or knee replacement
    
0SPD0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0N908466-468Revision of hip or knee replacement
    
0SRD0N908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD08Z08466-468Revision of hip or knee replacement
    
0SRD0N908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD09Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRD0N908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD38Z08466-468Revision of hip or knee replacement
    
0SPU4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0N908466-468Revision of hip or knee replacement
    
0SRD0N908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPW0JZ08466-468Revision of hip or knee replacement
    
0SRD0N908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD48Z08466-468Revision of hip or knee replacement
    
0SPU0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0N908466-468Revision of hip or knee replacement
    
0SRD0N908461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0JZ08466-468Revision of hip or knee replacement
    
0SPD48Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NA08466-468Revision of hip or knee replacement
    
0SPD0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NA08466-468Revision of hip or knee replacement
    
0SPD38Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NA08466-468Revision of hip or knee replacement
    
0SPD4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NA08466-468Revision of hip or knee replacement
    
0SPD4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NA08466-468Revision of hip or knee replacement
    
0SPU4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NA08466-468Revision of hip or knee replacement
    
0SPD0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NA08466-468Revision of hip or knee replacement
    
0SPD09Z08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NA08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SRD0NA08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD08Z08466-468Revision of hip or knee replacement
    
0SPW0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NA08466-468Revision of hip or knee replacement
    
0SPU0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NA08466-468Revision of hip or knee replacement
    
0SPW4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NA08466-468Revision of hip or knee replacement
    
0SRD0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD08Z08466-468Revision of hip or knee replacement
    
0SRD0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD48Z08466-468Revision of hip or knee replacement
    
0SPU0JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NZ08466-468Revision of hip or knee replacement
    
0SPD4JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NZ08466-468Revision of hip or knee replacement
    
0SRD0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD0JZ08466-468Revision of hip or knee replacement
    
0SRD0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD4JZ08466-468Revision of hip or knee replacement
    
0SPU4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NZ08466-468Revision of hip or knee replacement
    
0SRD0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD09Z08466-468Revision of hip or knee replacement
 10628-630Other endocrine, nutritional and metabolic O.R. procedures
    
0SPW4JZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NZ08466-468Revision of hip or knee replacement
    
0SRD0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPD38Z08466-468Revision of hip or knee replacement
    
0SPD0JC08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SRD0NZ08466-468Revision of hip or knee replacement
    
0SRD0NZ08461-462Bilateral or multiple major joint procedures of lower extremity
and 0SPW0JZ08466-468Revision of hip or knee replacement
    
0JH60FZ05222-227Cardiac defibrillator implant
and 0JH608Z   
    
0JH60FZ05222-227Cardiac defibrillator implant
and 0JH609Z   
    
0JH60FZ05222-227Cardiac defibrillator implant
and 0JH638Z   
    
0JH60FZ05222-227Cardiac defibrillator implant
and 0JH639Z   
    
0JH60FZ05222-227Cardiac defibrillator implant
and 0JH808Z   
    
0JH60FZ05222-227Cardiac defibrillator implant
and 0JH809Z   
    
0JH60FZ05222-227Cardiac defibrillator implant
and 0JH838Z   
    
0JH60FZ05222-227Cardiac defibrillator implant
and 0JH839Z   
    
0JH63FZ05222-227Cardiac defibrillator implant
and 0JH608Z   
    
0JH63FZ05222-227Cardiac defibrillator implant
and 0JH609Z   
    
0JH63FZ05222-227Cardiac defibrillator implant
and 0JH638Z   
    
0JH63FZ05222-227Cardiac defibrillator implant
and 0JH639Z   
    
0JH63FZ05222-227Cardiac defibrillator implant
and 0JH808Z   
    
0JH63FZ05222-227Cardiac defibrillator implant
and 0JH809Z   
    
0JH63FZ05222-227Cardiac defibrillator implant
and 0JH838Z   
    
0JH63FZ05222-227Cardiac defibrillator implant
and 0JH839Z   
    
02H60MZ05222-227Cardiac defibrillator implant
and 0JH63AZ   
    
02H60MZ05222-227Cardiac defibrillator implant
and 0JH80AZ   
    
02H60MZ05222-227Cardiac defibrillator implant
and 0JH83AZ   
    
02H63MZ05222-227Cardiac defibrillator implant
and 0JH60AZ   
    
02H63MZ05222-227Cardiac defibrillator implant
and 0JH63AZ   
    
02H63MZ05222-227Cardiac defibrillator implant
and 0JH80AZ   
    
02H63MZ05222-227Cardiac defibrillator implant
and 0JH83AZ   
    
02H64MZ05222-227Cardiac defibrillator implant
and 0JH60AZ   
    
02H64MZ05222-227Cardiac defibrillator implant
and 0JH63AZ   
    
02H64MZ05222-227Cardiac defibrillator implant
and 0JH80AZ   
    
02H64MZ05222-227Cardiac defibrillator implant
and 0JH83AZ   
    
02HK0MZ05222-227Cardiac defibrillator implant
and 0JH60AZ   
    



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
06 Jul 2021 14:18:42
CMS, code-revision=311, description-revision=1309