Valid for Submission
|1||Section||0||Medical and Surgical|
|2||Body System||5||Upper Veins|
Diagnostic Related Groups - MS-DRG Mapping
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 05C04ZZ is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2021 through 09/30/2022.
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|163||MAJOR CHEST PROCEDURES WITH MCC||04||5.0068|
|164||MAJOR CHEST PROCEDURES WITH CC||04||2.6556|
|165||MAJOR CHEST PROCEDURES WITHOUT CC/MCC||04||1.9166|
|270||OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC||05||5.187|
|271||OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC||05||3.5654|
|272||OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC||05||2.6883|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert 05C04ZZ to ICD-9-PCS
The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:
What is ICD-10-PCS?
The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. These 2022 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2021 through September 30, 2022.
Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.