DRAFT

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

Procedure Cluster/MS-DRG Index

Page 28 of 30

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CODE COMBINATION	MDC	MS-DRG	SURGICAL CATEGORY
0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H40MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H43MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H44MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH60MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH63MZ

0JH70MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH64MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE0MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE3MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE4MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY0MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY3MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY4MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H33MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H34MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H40MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H43MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H44MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH60MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH63MZ

0JH73MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH64MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE0MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE3MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE4MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY0MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY3MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY4MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H33MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H34MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H40MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H43MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H44MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH60MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH63MZ

0JH80MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH64MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE0MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE3MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 00HE4MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY0MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY3MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 01HY4MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H00MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H03MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H04MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H30MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H33MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H34MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H40MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H43MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 05H44MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH60MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH63MZ

0JH83MZ	01	041	Peripheral, Cranial Nerve and Other Nervous System Procedures
and 0DH64MZ

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC08Z	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC08Z	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC09Z	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC09Z	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0EZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0EZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0JC	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0JC	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0JZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0JZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0LZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0LZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0MZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0MZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0NZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC0NZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC38Z	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC38Z	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC48Z	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC48Z	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4JC	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4JC	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4JZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4JZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4LZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4MZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4MZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4NZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPC4NZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD08Z	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD08Z	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD09Z	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD09Z	08	466-468	Revision of Hip or Knee Replacement
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0EZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0EZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0JC	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0JC	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0JZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0JZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0LZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0LZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0MZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0MZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0NZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD0NZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD38Z	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD38Z	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD48Z	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD48Z	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD4JC	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD4JC	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD4JZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD4JZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD4LZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD4LZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD4MZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD4MZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD4NZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPD4NZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPT0JZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPT0JZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPT4JZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPT4JZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPU0JZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPU0JZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPU4JZ	08	466-468	Revision of Hip or Knee Replacement

XRRH0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPU4JZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPV0JZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPV0JZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0L8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPV4JZ	08	466-468	Revision of Hip or Knee Replacement

XRRG0M8	08	461-462	Bilateral or Multiple Major Joint Procedures of Lower Extremity
and 0SPV4JZ	08	466-468	Revision of Hip or Knee Replacement

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
12 Mar 2025 12:04:04
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