2022 ICD-10-PCS Procedure Code 0MRN4JZ

Replacement of Right Knee Bursa and Ligament with Synthetic Substitute, Percutaneous Endoscopic Approach

Version 2021
Billable Code

Valid for Submission

ICD-10-PCS:0MRN4JZ
Short Description:Replace R Knee Bursa/Lig w Synth Sub, Perc Endo
Long Description:Replacement of Right Knee Bursa and Ligament with Synthetic Substitute, Percutaneous Endoscopic Approach

0MRN4JZ is a billable procedure code used to specify the performance of replacement of right knee bursa and ligament with synthetic substitute, percutaneous endoscopic approach. The code is valid for the year 2022 for the submission of HIPAA-covered transactions.

The procedure code 0MRN4JZ is in the medical and surgical section and is part of the bursae and ligaments body system, classified under the replacement operation. The applicable bodypart is knee bursa and ligament, right.

Replacement Code

0MRN4JZ replaces the following previously assigned ICD-10-PCS code(s):

ICD-10-PCS Details

Position Designation Character Label Notes
1 Section 0 Medical and Surgical
2 Body System M Bursae and Ligaments
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

Includes:
  • Total hip replacement, bone graft, free skin graft
4 BodyPart N Knee Bursa and Ligament, Right Includes:
  • Anterior cruciate ligament (ACL)
  • Lateral collateral ligament (LCL)
  • Ligament of head of fibula
  • Medial collateral ligament (MCL)
  • Patellar ligament
  • Popliteal ligament
  • Posterior cruciate ligament (PCL)
  • Prepatellar bursa
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

6 Device J Synthetic Substitute Includes:
  • AbioCor(R) Total Replacement Heart
  • AMPLATZER(R) Muscular VSD Occluder
  • Annuloplasty ring
  • Bard(R) Composix(R) (E/X)(LP) mesh
  • Bard(R) Composix(R) Kugel(R) patch
  • Bard(R) Dulex(tm) mesh
  • Bard(R) Ventralex(tm) hernia patch
  • Barricaid(R) Annular Closure Device (ACD)
  • BRYAN(R) Cervical Disc System
  • Corvia IASD(R)
  • Ex-PRESS(tm) mini glaucoma shunt
  • Flexible Composite Mesh
  • GORE(R) DUALMESH(R)
  • Holter valve ventricular shunt
  • IASD(R) (InterAtrial Shunt Device), Corvia
  • InterAtrial Shunt Device IASD(R), Corvia
  • MitraClip valve repair system
  • Nitinol framed polymer mesh
  • Open Pivot (mechanical) valve
  • Open Pivot Aortic Valve Graft (AVG)
  • Partially absorbable mesh
  • PHYSIOMESH(tm) Flexible Composite Mesh
  • Polymethylmethacrylate (PMMA)
  • Polypropylene mesh
  • PRESTIGE(R) Cervical Disc
  • PROCEED(tm) Ventral Patch
  • Prodisc-C
  • Prodisc-L
  • PROLENE Polypropylene Hernia System (PHS)
  • Rebound HRD(R) (Hernia Repair Device)
  • SynCardia Total Artificial Heart
  • Total artificial (replacement) heart
  • ULTRAPRO Hernia System (UHS)
  • ULTRAPRO Partially Absorbable Lightweight Mesh
  • ULTRAPRO Plug
  • V-Wave Interatrial Shunt System
  • Ventrio(tm) Hernia Patch
  • Zimmer(R) NexGen(R) LPS Mobile Bearing Knee
  • Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
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 0MRN4JZ 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
485KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC083.4096
486KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC082.1494
487KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC081.6402
488KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC081.9757
489KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC081.2982
907OTHER O.R. PROCEDURES FOR INJURIES WITH MCC213.9482
908OTHER O.R. PROCEDURES FOR INJURIES WITH CC212.0504
909OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC211.371
957OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC247.4209
958OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC244.2057
959OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC242.7361

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 0MRN4JZ 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.