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Draft ICD-10-CM/PCS MS-DRGv28 Definitions Manual Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
MDC 8 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
Revision of Hip or Knee Replacement
MCC CC DRG
Yes n/a 466
No Yes 467
No No 468

DRG 466 REVISION OF HIP OR KNEE REPLACEMENT W MCC

DRG 467 REVISION OF HIP OR KNEE REPLACEMENT W CC

DRG 468 REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC

OPERATING ROOM PROCEDURES

0SW90JZRevision of Synthetic Substitute in Right Hip Joint, Open Approach
0SW93JZRevision of Synthetic Substitute in Right Hip Joint, Percutaneous Approach
0SW94JZRevision of Synthetic Substitute in Right Hip Joint, Percutaneous Endoscopic Approach
0SWB0JZRevision of Synthetic Substitute in Left Hip Joint, Open Approach
0SWB3JZRevision of Synthetic Substitute in Left Hip Joint, Percutaneous Approach
0SWB4JZRevision of Synthetic Substitute in Left Hip Joint, Percutaneous Endoscopic Approach
0SWC0JZRevision of Synthetic Substitute in Right Knee Joint, Open Approach
0SWC3JZRevision of Synthetic Substitute in Right Knee Joint, Percutaneous Approach
0SWC4JZRevision of Synthetic Substitute in Right Knee Joint, Percutaneous Endoscopic Approach
0SWD0JZRevision of Synthetic Substitute in Left Knee Joint, Open Approach
0SWD3JZRevision of Synthetic Substitute in Left Knee Joint, Percutaneous Approach
0SWD4JZRevision of Synthetic Substitute in Left Knee Joint, Percutaneous Endoscopic Approach
  
One of 
0SRA0JFReplacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Metal, Open Approach
0SRA0JGReplacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Ceramic, Open Approach
0SRA0JHReplacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Polyethylene, Open Approach
0SRA0JZReplacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach
with 
0SP90JZRemoval of Synthetic Substitute from Right Hip Joint, Open Approach
  
One of 
0SRE0JFReplacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Metal, Open Approach
0SRE0JGReplacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Ceramic, Open Approach
0SRE0JHReplacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Polyethylene, Open Approach
0SRE0JZReplacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach
with 
0SPB0JZRemoval of Synthetic Substitute from Left Hip Joint, Open Approach
  
One of 
0SRR0JFReplacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Metal, Open Approach
0SRR0JGReplacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Ceramic, Open Approach
0SRR0JZReplacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach
with 
0SP90JZRemoval of Synthetic Substitute from Right Hip Joint, Open Approach
  
One of 
0SRS0JFReplacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Metal, Open Approach
0SRS0JGReplacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Ceramic, Open Approach
0SRS0JZReplacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach
with 
0SPB0JZRemoval of Synthetic Substitute from Left Hip Joint, Open Approach
  
One of 
0SR90J5Replacement of Right Hip Joint with Synthetic Substitute, Metal on Polyethylene, Open Approach
0SR90J6Replacement of Right Hip Joint with Synthetic Substitute, Metal on Metal, Open Approach
0SR90J7Replacement of Right Hip Joint with Synthetic Substitute, Ceramic on Ceramic, Open Approach
0SR90JZReplacement of Right Hip Joint with Synthetic Substitute, Open Approach
with 
0SP90JZRemoval of Synthetic Substitute from Right Hip Joint, Open Approach
  
One of 
0SRB0J5Replacement of Left Hip Joint with Synthetic Substitute, Metal on Polyethylene, Open Approach
0SRB0J6Replacement of Left Hip Joint with Synthetic Substitute, Metal on Metal, Open Approach
0SRB0J7Replacement of Left Hip Joint with Synthetic Substitute, Ceramic on Ceramic, Open Approach
0SRB0JZReplacement of Left Hip Joint with Synthetic Substitute, Open Approach
with 
0SPB0JZRemoval of Synthetic Substitute from Left Hip Joint, Open Approach
  
0SRC0JZReplacement of Right Knee Joint with Synthetic Substitute, Open Approach
with one of 
0SPC0JZRemoval of Synthetic Substitute from Right Knee Joint, Open Approach
0SPC4JZRemoval of Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
  
0SRD0JZReplacement of Left Knee Joint with Synthetic Substitute, Open Approach
with one of 
0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach
0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
  
One of 
0SU909ZSupplement Right Hip Joint with Liner, Open Approach
0SUA09ZSupplement Right Hip Joint, Acetabular Surface with Liner, Open Approach
0SUR09ZSupplement Right Hip Joint, Femoral Surface with Liner, Open Approach
with 
0SP909ZRemoval of Liner from Right Hip Joint, Open Approach
  
One of 
0SUB09ZSupplement Left Hip Joint with Liner, Open Approach
0SUE09ZSupplement Left Hip Joint, Acetabular Surface with Liner, Open Approach
0SUS09ZSupplement Left Hip Joint, Femoral Surface with Liner, Open Approach
with 
0SPB09ZRemoval of Liner from Left Hip Joint, Open Approach
  
0SRV0JZReplacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach
with 
0SPC0JZRemoval of Synthetic Substitute from Right Knee Joint, Open Approach
  
0SRW0JZReplacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach
with 
0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach
  
0SRT0JZReplacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach
with 
0SPC0JZRemoval of Synthetic Substitute from Right Knee Joint, Open Approach
  
0SRU0JZReplacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach
with 
0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach



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