ICD-10-CM/PCS MS-DRG v42.1 Definitions Manual

Procedure Code/MS-DRG Index

Page 208 of 390

0016070 008X4ZZ 00BR0ZZ 00KD0ZZ 00RF4KZ 00WU0YZ 01834ZZ 01NG4ZZ 01XD4ZF 021V0AP 02733ZZ 02LP4ZZ 02T84ZZ 03120A5 031J0KJ 037835Z 037P3FZ 03CH3Z7 03LC4ZZ 03Q90ZZ 03U737Z 03VN4HZ 041C0K3 041K0AK 04703GZ 04783D1 047H34Z 047S46Z 04CR0ZZ 04LD3CZ 04R007Z 04UA0JZ 05130KY 05B54ZX 05HY0YZ 05Q64ZZ 05UL37Z 06560ZZ 06L03CZ 06QQ3ZZ 06V44DZ 07554ZZ 07BB4ZZ 07LJ0CZ 07TH4ZZ 07WL40Z 08LY3CZ 08U037Z 09BD8ZZ 09U107Z 0BBC7ZX 0BPT00Z 0BWT00Z 0CQT7ZZ 0CX6XZZ 0D180KH 0D1A4KQ 0D1H874 0D5Q0ZZ 0DBL3ZZ 0DLN3CZ 0DQK8ZZ 0DU377Z 0DVM0ZZ 0F170Z4 0FB20ZZ 0FP400Z 0FVC4ZZ 0GMH4ZZ 0HQXXZZ 0HRJX74 0J8H3ZZ 0JHF3WZ 0JU53JZ 0JXK3ZC 0K9G00Z 0KDL0ZZ 0KR74KZ 0KU407Z 0KXS0Z2 0LB90ZX 0LQG0ZZ 0LUK4KZ 0MB43ZZ 0MRK47Z 0N954ZX 0NJ04ZZ 0NRM4KZ 0NUK4KZ 0P9G4ZZ 0PCQ0ZZ 0PP337Z 0PR947Z 0PST44Z 0Q5F3ZZ 0QBG0ZX 0QHH06Z 0QPL0KZ 0QS63DZ 0QUG37Z 0RBC4ZZ 0RG64JJ 0RGT03Z 0RP637Z 0RRB0KZ 0RUR4KZ 0RWT05Z 0SG107J 0SGK35Z 0SPD09Z 0SRE0JA 0SW934Z 0T160KB 0T1B4JD 0TLD7DZ 0TTB8ZZ 0U7K4ZZ 0UP83CZ 0UWD8KZ 0VSH4ZZ 0W1J0JB 0WBH4ZZ 0WPG40Z 0X080KZ 0XH243Z 0Y0D47Z 0YB03ZZ 0YUQ4KZ DD22DZZ F07G6EZ

CODE	MDC	MS-DRG	SURGICAL CATEGORY
0HQXXZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HQY0ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQY3ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQY7ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HQY8ZZ	09	584-585	Breast Biopsy, Local Excision and Other Breast Procedures
0HR0X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR0X73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR0X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR0XJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR0XJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR0XJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR0XK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR0XK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1X73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1XJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1XJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1XJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1XK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR1XK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2X72	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2X73	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2X74	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2XJ3	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2XJ4	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2XJZ	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2XK3	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR2XK4	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3X72	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3X73	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3X74	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3XJ3	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3XJ4	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3XJZ	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3XK3	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR3XK4	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	09	579-581	Other Skin, Subcutaneous Tissue and Breast Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4X73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4XJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4XJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4XJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	140-142	Major Head and Neck Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4XK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR4XK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	04	166-168	Other Respiratory System O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5X73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	04	166-168	Other Respiratory System O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5XJ3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5XJ4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5XJZ	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5XK3	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR5XK4	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	03	143-145	Other Ear, Nose, Mouth and Throat O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR6X72	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	04	166-168	Other Respiratory System O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR6X73	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
0HR6X74	01	040-042	Peripheral, Cranial Nerve and Other Nervous System Procedures
	04	166-168	Other Respiratory System O.R. Procedures
	05	264	Other Circulatory System O.R. Procedures
	06	356-358	Other Digestive System O.R. Procedures
	08	463-465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
	09	573-578	Skin Graft
	10	622-624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
	21	904-905	Skin Grafts for Injuries
	22	927	Extensive Burns or Full Thickness Burns with MV >96 Hours
	22	928-929	Full Thickness Burn
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
22 Jan 2025 17:07:44
CMS, code-revision=368, description-revision=1425