2021 ICD-10-PCS Procedure Code 0DRV4KZ

Replacement of Mesentery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

Version 2021
Billable Code

Valid for Submission

ICD-10-PCS:0DRV4KZ
Short Description:Replacement of Mesentery with Nonaut Sub, Perc Endo Approach
Long Description:Replacement of Mesentery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

0DRV4KZ is a billable procedure code used to specify the performance of replacement of mesentery with nonautologous tissue substitute, percutaneous endoscopic approach. The code is valid for the year 2021 for the submission of HIPAA-covered transactions.

The procedure code 0DRV4KZ is in the medical and surgical section and is part of the gastrointestinal system body system, classified under the replacement operation. The applicable bodypart is mesentery.

ICD-10-PCS Details

Position Designation Character Label Notes
1 Section 0 Medical and Surgical
2 Body System D Gastrointestinal System
3 Operation R Replacement

Involves:
Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

Explanation:
The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Involves:
Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

Explanation:
The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes:
  • Total hip replacement, bone graft, free skin graft
  • Total hip replacement, bone graft, free skin graft
4 BodyPart V Mesentery Includes:
  • Mesoappendix
  • Mesocolon
  • Mesoappendix
  • Mesocolon
5 Approach 4 Percutaneous Endoscopic

Involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

Involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6 Device K Nonautologous Tissue Substitute Includes:
  • Acellular Hydrated Dermis
  • Bone bank bone graft
  • Cook Biodesign(R) Fistula Plug(s)
  • Cook Biodesign(R) Hernia Graft(s)
  • Cook Biodesign(R) Layered Graft(s)
  • Cook Zenapro(tm) Layered Graft(s)
  • Tissue bank graft
  • Acellular Hydrated Dermis
  • Bone bank bone graft
  • Cook Biodesign(R) Fistula Plug(s)
  • Cook Biodesign(R) Hernia Graft(s)
  • Cook Biodesign(R) Layered Graft(s)
  • Cook Zenapro(tm) Layered Graft(s)
  • Tissue bank graft
7 Qualifier Z No Qualifier

Explanation:
The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

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 0DRV4KZ is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2020 through 09/30/2021.

MS-DRG MS-DRG Title MCD Relative Weight
356OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC064.2914
357OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC062.2537
358OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC061.339
423OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC074.179
424OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC072.2816
425OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC071.5433
820LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC175.6873
821LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC172.1551
822LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC171.2516
826MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC175.0368
827MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC172.4976
828MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC171.6777
907OTHER O.R. PROCEDURES FOR INJURIES WITH MCC213.9571
908OTHER O.R. PROCEDURES FOR INJURIES WITH CC212.0404
909OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC211.3746
957OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC247.4208
958OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC244.2054
959OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC242.7342

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 0DRV4KZ 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 2021 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021.

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.