DRAFT

ICD-10-CM/PCS MS-DRG v43.0 Definitions Manual

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MDC 08 Diseases and Disorders of the Musculoskeletal System and Connective Tissue
Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection
MCC DRG
Yes 403
n/a 404

DRG 403 Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection with MCC

DRG 404 Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection without MCC

PERIPROSTHETIC JOINT INFECTION

PRINCIPAL DIAGNOSIS

T8451XAInfection and inflammatory reaction due to internal right hip prosthesis, initial encounter
T8452XAInfection and inflammatory reaction due to internal left hip prosthesis, initial encounter
T8453XAInfection and inflammatory reaction due to internal right knee prosthesis, initial encounter
T8454XAInfection and inflammatory reaction due to internal left knee prosthesis, initial encounter

HIP OR KNEE PROCEDURES

OPERATING ROOM PROCEDURES

0M9L4ZZDrainage of Right Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0M9M4ZZDrainage of Left Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0QC60ZZExtirpation of Matter from Right Upper Femur, Open Approach
0QC63ZZExtirpation of Matter from Right Upper Femur, Percutaneous Approach
0QC64ZZExtirpation of Matter from Right Upper Femur, Percutaneous Endoscopic Approach
0QC70ZZExtirpation of Matter from Left Upper Femur, Open Approach
0QC73ZZExtirpation of Matter from Left Upper Femur, Percutaneous Approach
0QC74ZZExtirpation of Matter from Left Upper Femur, Percutaneous Endoscopic Approach
0QC80ZZExtirpation of Matter from Right Femoral Shaft, Open Approach
0QC83ZZExtirpation of Matter from Right Femoral Shaft, Percutaneous Approach
0QC84ZZExtirpation of Matter from Right Femoral Shaft, Percutaneous Endoscopic Approach
0QC90ZZExtirpation of Matter from Left Femoral Shaft, Open Approach
0QC93ZZExtirpation of Matter from Left Femoral Shaft, Percutaneous Approach
0QC94ZZExtirpation of Matter from Left Femoral Shaft, Percutaneous Endoscopic Approach
0QCB0ZZExtirpation of Matter from Right Lower Femur, Open Approach
0QCB3ZZExtirpation of Matter from Right Lower Femur, Percutaneous Approach
0QCB4ZZExtirpation of Matter from Right Lower Femur, Percutaneous Endoscopic Approach
0QCC0ZZExtirpation of Matter from Left Lower Femur, Open Approach
0QCC3ZZExtirpation of Matter from Left Lower Femur, Percutaneous Approach
0QCC4ZZExtirpation of Matter from Left Lower Femur, Percutaneous Endoscopic Approach
0QR60JZReplacement of Right Upper Femur with Synthetic Substitute, Open Approach
0QR60KZReplacement of Right Upper Femur with Nonautologous Tissue Substitute, Open Approach
0QR63JZReplacement of Right Upper Femur with Synthetic Substitute, Percutaneous Approach
0QR63KZReplacement of Right Upper Femur with Nonautologous Tissue Substitute, Percutaneous Approach
0QR64JZReplacement of Right Upper Femur with Synthetic Substitute, Percutaneous Endoscopic Approach
0QR64KZReplacement of Right Upper Femur with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0QR70JZReplacement of Left Upper Femur with Synthetic Substitute, Open Approach
0QR70KZReplacement of Left Upper Femur with Nonautologous Tissue Substitute, Open Approach
0QR73JZReplacement of Left Upper Femur with Synthetic Substitute, Percutaneous Approach
0QR73KZReplacement of Left Upper Femur with Nonautologous Tissue Substitute, Percutaneous Approach
0QR74JZReplacement of Left Upper Femur with Synthetic Substitute, Percutaneous Endoscopic Approach
0QR74KZReplacement of Left Upper Femur with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0QR80JZReplacement of Right Femoral Shaft with Synthetic Substitute, Open Approach
0QR80KZReplacement of Right Femoral Shaft with Nonautologous Tissue Substitute, Open Approach
0QR83JZReplacement of Right Femoral Shaft with Synthetic Substitute, Percutaneous Approach
0QR83KZReplacement of Right Femoral Shaft with Nonautologous Tissue Substitute, Percutaneous Approach
0QR84JZReplacement of Right Femoral Shaft with Synthetic Substitute, Percutaneous Endoscopic Approach
0QR84KZReplacement of Right Femoral Shaft with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0QR90JZReplacement of Left Femoral Shaft with Synthetic Substitute, Open Approach
0QR90KZReplacement of Left Femoral Shaft with Nonautologous Tissue Substitute, Open Approach
0QR93JZReplacement of Left Femoral Shaft with Synthetic Substitute, Percutaneous Approach
0QR93KZReplacement of Left Femoral Shaft with Nonautologous Tissue Substitute, Percutaneous Approach
0QR94JZReplacement of Left Femoral Shaft with Synthetic Substitute, Percutaneous Endoscopic Approach
0QR94KZReplacement of Left Femoral Shaft with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0QRB0JZReplacement of Right Lower Femur with Synthetic Substitute, Open Approach
0QRB0KZReplacement of Right Lower Femur with Nonautologous Tissue Substitute, Open Approach
0QRB3JZReplacement of Right Lower Femur with Synthetic Substitute, Percutaneous Approach
0QRB3KZReplacement of Right Lower Femur with Nonautologous Tissue Substitute, Percutaneous Approach
0QRB4JZReplacement of Right Lower Femur with Synthetic Substitute, Percutaneous Endoscopic Approach
0QRB4KZReplacement of Right Lower Femur with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0QRC0JZReplacement of Left Lower Femur with Synthetic Substitute, Open Approach
0QRC0KZReplacement of Left Lower Femur with Nonautologous Tissue Substitute, Open Approach
0QRC3JZReplacement of Left Lower Femur with Synthetic Substitute, Percutaneous Approach
0QRC3KZReplacement of Left Lower Femur with Nonautologous Tissue Substitute, Percutaneous Approach
0QRC4JZReplacement of Left Lower Femur with Synthetic Substitute, Percutaneous Endoscopic Approach
0QRC4KZReplacement of Left Lower Femur with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0QT60ZZResection of Right Upper Femur, Open Approach
0QT70ZZResection of Left Upper Femur, Open Approach
0QT80ZZResection of Right Femoral Shaft, Open Approach
0QT90ZZResection of Left Femoral Shaft, Open Approach
0QTB0ZZResection of Right Lower Femur, Open Approach
0QTC0ZZResection of Left Lower Femur, Open Approach
0S9900ZDrainage of Right Hip Joint with Drainage Device, Open Approach
0S990ZZDrainage of Right Hip Joint, Open Approach
0S9B00ZDrainage of Left Hip Joint with Drainage Device, Open Approach
0S9B0ZZDrainage of Left Hip Joint, Open Approach
0SB90ZZExcision of Right Hip Joint, Open Approach
0SB93ZZExcision of Right Hip Joint, Percutaneous Approach
0SB94ZZExcision of Right Hip Joint, Percutaneous Endoscopic Approach
0SBB0ZZExcision of Left Hip Joint, Open Approach
0SBB3ZZExcision of Left Hip Joint, Percutaneous Approach
0SBB4ZZExcision of Left Hip Joint, Percutaneous Endoscopic Approach
0SC90ZZExtirpation of Matter from Right Hip Joint, Open Approach
0SC93ZZExtirpation of Matter from Right Hip Joint, Percutaneous Approach
0SC94ZZExtirpation of Matter from Right Hip Joint, Percutaneous Endoscopic Approach
0SCB0ZZExtirpation of Matter from Left Hip Joint, Open Approach
0SCB3ZZExtirpation of Matter from Left Hip Joint, Percutaneous Approach
0SCB4ZZExtirpation of Matter from Left Hip Joint, Percutaneous Endoscopic Approach
0SH908ZInsertion of Spacer into Right Hip Joint, Open Approach
0SHB08ZInsertion of Spacer into Left Hip Joint, Open Approach
0SJ90ZZInspection of Right Hip Joint, Open Approach
0SJB0ZZInspection of Left Hip Joint, Open Approach
0SP900ZRemoval of Drainage Device from Right Hip Joint, Open Approach
0SP903ZRemoval of Infusion Device from Right Hip Joint, Open Approach
0SP904ZRemoval of Internal Fixation Device from Right Hip Joint, Open Approach
0SP908ZRemoval of Spacer from Right Hip Joint, Open Approach
0SP909ZRemoval of Liner from Right Hip Joint, Open Approach
0SP90BZRemoval of Resurfacing Device from Right Hip Joint, Open Approach
0SP90EZRemoval of Articulating Spacer from Right Hip Joint, Open Approach
0SP90JZRemoval of Synthetic Substitute from Right Hip Joint, Open Approach
0SP90KZRemoval of Nonautologous Tissue Substitute from Right Hip Joint, Open Approach
0SP934ZRemoval of Internal Fixation Device from Right Hip Joint, Percutaneous Approach
0SP93JZRemoval of Synthetic Substitute from Right Hip Joint, Percutaneous Approach
0SP93KZRemoval of Nonautologous Tissue Substitute from Right Hip Joint, Percutaneous Approach
0SP940ZRemoval of Drainage Device from Right Hip Joint, Percutaneous Endoscopic Approach
0SP943ZRemoval of Infusion Device from Right Hip Joint, Percutaneous Endoscopic Approach
0SP944ZRemoval of Internal Fixation Device from Right Hip Joint, Percutaneous Endoscopic Approach
0SP94JZRemoval of Synthetic Substitute from Right Hip Joint, Percutaneous Endoscopic Approach
0SP94KZRemoval of Nonautologous Tissue Substitute from Right Hip Joint, Percutaneous Endoscopic Approach
0SPA0JZRemoval of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Open Approach
0SPA3JZRemoval of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Percutaneous Approach
0SPA4JZRemoval of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Percutaneous Endoscopic Approach
0SPB00ZRemoval of Drainage Device from Left Hip Joint, Open Approach
0SPB03ZRemoval of Infusion Device from Left Hip Joint, Open Approach
0SPB04ZRemoval of Internal Fixation Device from Left Hip Joint, Open Approach
0SPB08ZRemoval of Spacer from Left Hip Joint, Open Approach
0SPB09ZRemoval of Liner from Left Hip Joint, Open Approach
0SPB0BZRemoval of Resurfacing Device from Left Hip Joint, Open Approach
0SPB0EZRemoval of Articulating Spacer from Left Hip Joint, Open Approach
0SPB0JZRemoval of Synthetic Substitute from Left Hip Joint, Open Approach
0SPB0KZRemoval of Nonautologous Tissue Substitute from Left Hip Joint, Open Approach
0SPB34ZRemoval of Internal Fixation Device from Left Hip Joint, Percutaneous Approach
0SPB3JZRemoval of Synthetic Substitute from Left Hip Joint, Percutaneous Approach
0SPB3KZRemoval of Nonautologous Tissue Substitute from Left Hip Joint, Percutaneous Approach
0SPB40ZRemoval of Drainage Device from Left Hip Joint, Percutaneous Endoscopic Approach
0SPB43ZRemoval of Infusion Device from Left Hip Joint, Percutaneous Endoscopic Approach
0SPB44ZRemoval of Internal Fixation Device from Left Hip Joint, Percutaneous Endoscopic Approach
0SPB4JZRemoval of Synthetic Substitute from Left Hip Joint, Percutaneous Endoscopic Approach
0SPB4KZRemoval of Nonautologous Tissue Substitute from Left Hip Joint, Percutaneous Endoscopic Approach
0SPC09ZRemoval of Liner from Right Knee Joint, Open Approach
0SPC0JCRemoval of Synthetic Substitute from Right Knee Joint, Patellar Surface, Open Approach
0SPC0JZRemoval of Synthetic Substitute from Right Knee Joint, Open Approach
0SPC0LZRemoval of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Open Approach
0SPC0MZRemoval of Lateral Unicondylar Synthetic Substitute from Right Knee Joint, Open Approach
0SPC0NZRemoval of Patellofemoral Synthetic Substitute from Right Knee Joint, Open Approach
0SPC3JCRemoval of Synthetic Substitute from Right Knee Joint, Patellar Surface, Percutaneous Approach
0SPC3JZRemoval of Synthetic Substitute from Right Knee Joint, Percutaneous Approach
0SPC3LZRemoval of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Approach
0SPC3MZRemoval of Lateral Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Approach
0SPC3NZRemoval of Patellofemoral Synthetic Substitute from Right Knee Joint, Percutaneous Approach
0SPC4JCRemoval of Synthetic Substitute from Right Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
0SPC4JZRemoval of Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
0SPC4LZRemoval of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
0SPC4MZRemoval of Lateral Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
0SPC4NZRemoval of Patellofemoral Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
0SPD09ZRemoval of Liner from Left Knee Joint, Open Approach
0SPD0JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Open Approach
0SPD0JZRemoval of Synthetic Substitute from Left Knee Joint, Open Approach
0SPD0LZRemoval of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
0SPD0MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
0SPD0NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Open Approach
0SPD3JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Percutaneous Approach
0SPD3JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Approach
0SPD3LZRemoval of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Approach
0SPD3MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Approach
0SPD3NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Approach
0SPD4JCRemoval of Synthetic Substitute from Left Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
0SPD4JZRemoval of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPD4LZRemoval of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPD4MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPD4NZRemoval of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPE0JZRemoval of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Open Approach
0SPE3JZRemoval of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Percutaneous Approach
0SPE4JZRemoval of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Percutaneous Endoscopic Approach
0SPR0JZRemoval of Synthetic Substitute from Right Hip Joint, Femoral Surface, Open Approach
0SPR3JZRemoval of Synthetic Substitute from Right Hip Joint, Femoral Surface, Percutaneous Approach
0SPR4JZRemoval of Synthetic Substitute from Right Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach
0SPS0JZRemoval of Synthetic Substitute from Left Hip Joint, Femoral Surface, Open Approach
0SPS3JZRemoval of Synthetic Substitute from Left Hip Joint, Femoral Surface, Percutaneous Approach
0SPS4JZRemoval of Synthetic Substitute from Left Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach
0SPT0JZRemoval of Synthetic Substitute from Right Knee Joint, Femoral Surface, Open Approach
0SPT3JZRemoval of Synthetic Substitute from Right Knee Joint, Femoral Surface, Percutaneous Approach
0SPT4JZRemoval of Synthetic Substitute from Right Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
0SPU0JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Open Approach
0SPU3JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Approach
0SPU4JZRemoval of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach
0SPV0JZRemoval of Synthetic Substitute from Right Knee Joint, Tibial Surface, Open Approach
0SPV3JZRemoval of Synthetic Substitute from Right Knee Joint, Tibial Surface, Percutaneous Approach
0SPV4JZRemoval of Synthetic Substitute from Right Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
0SPW0JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Open Approach
0SPW3JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Approach
0SPW4JZRemoval of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
0SR90EZReplacement of Right Hip Joint with Articulating Spacer, Open Approach
0SRB0EZReplacement of Left Hip Joint with Articulating Spacer, Open Approach
0ST90ZZResection of Right Hip Joint, Open Approach
0STB0ZZResection of Left Hip Joint, Open Approach
0SW900ZRevision of Drainage Device in Right Hip Joint, Open Approach
0SW903ZRevision of Infusion Device in Right Hip Joint, Open Approach
0SW904ZRevision of Internal Fixation Device in Right Hip Joint, Open Approach
0SW908ZRevision of Spacer in Right Hip Joint, Open Approach
0SW909ZRevision of Liner in Right Hip Joint, Open Approach
0SW90BZRevision of Resurfacing Device in Right Hip Joint, Open Approach
0SW90KZRevision of Nonautologous Tissue Substitute in Right Hip Joint, Open Approach
0SW930ZRevision of Drainage Device in Right Hip Joint, Percutaneous Approach
0SW933ZRevision of Infusion Device in Right Hip Joint, Percutaneous Approach
0SW934ZRevision of Internal Fixation Device in Right Hip Joint, Percutaneous Approach
0SW938ZRevision of Spacer in Right Hip Joint, Percutaneous Approach
0SW93KZRevision of Nonautologous Tissue Substitute in Right Hip Joint, Percutaneous Approach
0SW940ZRevision of Drainage Device in Right Hip Joint, Percutaneous Endoscopic Approach
0SW943ZRevision of Infusion Device in Right Hip Joint, Percutaneous Endoscopic Approach
0SW944ZRevision of Internal Fixation Device in Right Hip Joint, Percutaneous Endoscopic Approach
0SW948ZRevision of Spacer in Right Hip Joint, Percutaneous Endoscopic Approach
0SW94KZRevision of Nonautologous Tissue Substitute in Right Hip Joint, Percutaneous Endoscopic Approach
0SWB00ZRevision of Drainage Device in Left Hip Joint, Open Approach
0SWB03ZRevision of Infusion Device in Left Hip Joint, Open Approach
0SWB04ZRevision of Internal Fixation Device in Left Hip Joint, Open Approach
0SWB08ZRevision of Spacer in Left Hip Joint, Open Approach
0SWB09ZRevision of Liner in Left Hip Joint, Open Approach
0SWB0BZRevision of Resurfacing Device in Left Hip Joint, Open Approach
0SWB0KZRevision of Nonautologous Tissue Substitute in Left Hip Joint, Open Approach
0SWB30ZRevision of Drainage Device in Left Hip Joint, Percutaneous Approach
0SWB33ZRevision of Infusion Device in Left Hip Joint, Percutaneous Approach
0SWB34ZRevision of Internal Fixation Device in Left Hip Joint, Percutaneous Approach
0SWB38ZRevision of Spacer in Left Hip Joint, Percutaneous Approach
0SWB3KZRevision of Nonautologous Tissue Substitute in Left Hip Joint, Percutaneous Approach
0SWB40ZRevision of Drainage Device in Left Hip Joint, Percutaneous Endoscopic Approach
0SWB43ZRevision of Infusion Device in Left Hip Joint, Percutaneous Endoscopic Approach
0SWB44ZRevision of Internal Fixation Device in Left Hip Joint, Percutaneous Endoscopic Approach
0SWB48ZRevision of Spacer in Left Hip Joint, Percutaneous Endoscopic Approach
0SWB4KZRevision of Nonautologous Tissue Substitute in Left Hip Joint, Percutaneous Endoscopic Approach
0Y620ZZDetachment at Right Hindquarter, Open Approach
0Y630ZZDetachment at Left Hindquarter, Open Approach
0Y640ZZDetachment at Bilateral Hindquarter, Open Approach
0Y670ZZDetachment at Right Femoral Region, Open Approach
0Y680ZZDetachment at Left Femoral Region, Open Approach
0Y6C0Z1Detachment at Right Upper Leg, High, Open Approach
0Y6C0Z2Detachment at Right Upper Leg, Mid, Open Approach
0Y6C0Z3Detachment at Right Upper Leg, Low, Open Approach
0Y6D0Z1Detachment at Left Upper Leg, High, Open Approach
0Y6D0Z2Detachment at Left Upper Leg, Mid, Open Approach
0Y6D0Z3Detachment at Left Upper Leg, Low, Open Approach
0Y6F0ZZDetachment at Right Knee Region, Open Approach
0Y6G0ZZDetachment at Left Knee Region, Open Approach
0Y6H0Z1Detachment at Right Lower Leg, High, Open Approach
0Y6H0Z2Detachment at Right Lower Leg, Mid, Open Approach
0Y6H0Z3Detachment at Right Lower Leg, Low, Open Approach
0Y6J0Z1Detachment at Left Lower Leg, High, Open Approach
0Y6J0Z2Detachment at Left Lower Leg, Mid, Open Approach
0Y6J0Z3Detachment at Left Lower Leg, Low, Open Approach
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