2022 ICD-10-PCS MS-DRG V39.0

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). This is the Version MS-DRG V39.0 applicable from 10/01/2022 through 09/30/2022.

The diagnoses in each MDC correspond to a single organ system or etiology and in general are associated with a particular medical specialty. Thus, in order to maintain the requirement of clinical coherence, no final DRG could contain patients in different MDCs.

In general, each MDC was constructed to correspond to a major organ system rather than etiology. This approach is used since clinical care is generally organized in accordance with the organ system affected, and not the etiology. Thus, diseases involving both a particular organ system and a particular etiology are assigned to the MDC corresponding to the organ system involved. However, not all diseases or disorders could be assigned to an organ system-based MDC and a number of residual MDCs were also created like: Systemic Infectious Diseases, Myeloproliferative Diseases and Poorly Differentiated Neoplasms.

Major Diagnostic Categories

00 - Pre-MDC

  • 001 - HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
  • 002 - HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
  • 003 - ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES
  • 004 - TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
  • 005 - LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
  • 006 - LIVER TRANSPLANT WITHOUT MCC
  • 011 - TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
  • 012 - TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
  • 013 - TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
  • 016 - AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC
  • 017 - AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC

01 - Diseases & Disorders of the Nervous System

  • 020 - INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC
  • 021 - INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC
  • 022 - INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC
  • 023 - CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
  • 024 - CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
  • 025 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC
  • 026 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
  • 027 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC
  • 028 - SPINAL PROCEDURES WITH MCC
  • 029 - SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
  • 030 - SPINAL PROCEDURES WITHOUT CC/MCC
  • 031 - VENTRICULAR SHUNT PROCEDURES WITH MCC
  • 032 - VENTRICULAR SHUNT PROCEDURES WITH CC
  • 033 - VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC
  • 034 - CAROTID ARTERY STENT PROCEDURES WITH MCC
  • 035 - CAROTID ARTERY STENT PROCEDURES WITH CC
  • 036 - CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC
  • 037 - EXTRACRANIAL PROCEDURES WITH MCC
  • 038 - EXTRACRANIAL PROCEDURES WITH CC
  • 039 - EXTRACRANIAL PROCEDURES WITHOUT CC/MCC
  • 040 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
  • 041 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
  • 042 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
  • 061 - ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
  • 062 - ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
  • 063 - ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC

02 - Diseases & Disorders of the Eye

  • 113 - ORBITAL PROCEDURES WITH CC/MCC
  • 114 - ORBITAL PROCEDURES WITHOUT CC/MCC
  • 116 - INTRAOCULAR PROCEDURES WITH CC/MCC
  • 117 - INTRAOCULAR PROCEDURES WITHOUT CC/MCC

03 - Diseases & Disorders of the Ear, Nose, Mouth & Throat

  • 135 - SINUS AND MASTOID PROCEDURES WITH CC/MCC
  • 136 - SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC
  • 137 - MOUTH PROCEDURES WITH CC/MCC
  • 138 - MOUTH PROCEDURES WITHOUT CC/MCC
  • 140 - MAJOR HEAD AND NECK PROCEDURES WITH MCC
  • 141 - MAJOR HEAD AND NECK PROCEDURES WITH CC
  • 142 - MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
  • 143 - OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
  • 144 - OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
  • 145 - OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC

04 - Diseases & Disorders of the Respiratory System

  • 163 - MAJOR CHEST PROCEDURES WITH MCC
  • 164 - MAJOR CHEST PROCEDURES WITH CC
  • 165 - MAJOR CHEST PROCEDURES WITHOUT CC/MCC
  • 166 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
  • 167 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
  • 168 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

05 - Diseases & Disorders of the Circulatory System

  • 216 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
  • 217 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
  • 218 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
  • 219 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
  • 220 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
  • 221 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
  • 222 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC
  • 223 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC
  • 224 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC
  • 225 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC
  • 226 - CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC
  • 227 - CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
  • 228 - OTHER CARDIOTHORACIC PROCEDURES WITH MCC
  • 229 - OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
  • 231 - CORONARY BYPASS WITH PTCA WITH MCC
  • 232 - CORONARY BYPASS WITH PTCA WITHOUT MCC
  • 233 - CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
  • 234 - CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
  • 235 - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
  • 236 - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
  • 239 - AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
  • 240 - AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
  • 241 - AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC
  • 242 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
  • 243 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
  • 244 - PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
  • 246 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS
  • 247 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC
  • 248 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS
  • 249 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC
  • 250 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC
  • 251 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC
  • 252 - OTHER VASCULAR PROCEDURES WITH MCC
  • 253 - OTHER VASCULAR PROCEDURES WITH CC
  • 254 - OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
  • 255 - UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
  • 256 - UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
  • 257 - UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
  • 258 - CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
  • 259 - CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC
  • 260 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
  • 261 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC
  • 262 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC
  • 266 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC
  • 267 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC
  • 268 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC
  • 269 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC
  • 270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
  • 271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
  • 272 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
  • 273 - PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC
  • 274 - PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC
  • 286 - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC
  • 287 - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC
  • 319 - OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
  • 320 - OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC

06 - Diseases & Disorders of the Digestive System

  • 326 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC
  • 327 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC
  • 328 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC
  • 329 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
  • 330 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
  • 331 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
  • 332 - RECTAL RESECTION WITH MCC
  • 333 - RECTAL RESECTION WITH CC
  • 334 - RECTAL RESECTION WITHOUT CC/MCC
  • 335 - PERITONEAL ADHESIOLYSIS WITH MCC
  • 336 - PERITONEAL ADHESIOLYSIS WITH CC
  • 337 - PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC
  • 338 - APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC
  • 339 - APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC
  • 340 - APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
  • 341 - APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC
  • 342 - APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC
  • 343 - APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
  • 344 - MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
  • 345 - MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
  • 346 - MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
  • 347 - ANAL AND STOMAL PROCEDURES WITH MCC
  • 348 - ANAL AND STOMAL PROCEDURES WITH CC
  • 349 - ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC
  • 350 - INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC
  • 351 - INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC
  • 352 - INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC
  • 356 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
  • 357 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
  • 358 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

07 - Diseases & Disorders of the Hepatobiliary System & Pancreas

  • 405 - PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC
  • 406 - PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC
  • 407 - PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC
  • 408 - BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC
  • 409 - BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC
  • 410 - BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC
  • 411 - CHOLECYSTECTOMY WITH C.D.E. WITH MCC
  • 412 - CHOLECYSTECTOMY WITH C.D.E. WITH CC
  • 413 - CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC
  • 414 - CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC
  • 415 - CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC
  • 416 - CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC
  • 417 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC
  • 418 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC
  • 419 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC
  • 420 - HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC
  • 421 - HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC
  • 422 - HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC
  • 423 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
  • 424 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
  • 425 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC

08 - Diseases & Disorders of the Musculoskeletal System & Connective Tissue

  • 453 - COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC
  • 454 - COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC
  • 455 - COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC
  • 456 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC
  • 457 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC
  • 458 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC
  • 459 - SPINAL FUSION EXCEPT CERVICAL WITH MCC
  • 460 - SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
  • 461 - BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC
  • 462 - BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC
  • 463 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC
  • 464 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC
  • 465 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
  • 466 - REVISION OF HIP OR KNEE REPLACEMENT WITH MCC
  • 467 - REVISION OF HIP OR KNEE REPLACEMENT WITH CC
  • 468 - REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC
  • 469 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
  • 470 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
  • 471 - CERVICAL SPINAL FUSION WITH MCC
  • 472 - CERVICAL SPINAL FUSION WITH CC
  • 473 - CERVICAL SPINAL FUSION WITHOUT CC/MCC
  • 474 - AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC
  • 475 - AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC
  • 476 - AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
  • 477 - BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
  • 478 - BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
  • 479 - BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
  • 480 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC
  • 481 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC
  • 482 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC
  • 485 - KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC
  • 486 - KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC
  • 487 - KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
  • 488 - KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC
  • 489 - KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
  • 492 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC
  • 493 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC
  • 494 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC
  • 495 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC
  • 496 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC
  • 497 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC
  • 498 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC
  • 499 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC
  • 500 - SOFT TISSUE PROCEDURES WITH MCC
  • 501 - SOFT TISSUE PROCEDURES WITH CC
  • 502 - SOFT TISSUE PROCEDURES WITHOUT CC/MCC
  • 503 - FOOT PROCEDURES WITH MCC
  • 504 - FOOT PROCEDURES WITH CC
  • 505 - FOOT PROCEDURES WITHOUT CC/MCC
  • 507 - MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
  • 508 - MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
  • 510 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC
  • 511 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC
  • 512 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC
  • 513 - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC
  • 514 - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC
  • 515 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
  • 516 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
  • 517 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
  • 518 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR
  • 519 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC
  • 520 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC
  • 521 - HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC
  • 522 - HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC

09 - Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast

  • 570 - SKIN DEBRIDEMENT WITH MCC
  • 571 - SKIN DEBRIDEMENT WITH CC
  • 572 - SKIN DEBRIDEMENT WITHOUT CC/MCC
  • 573 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC
  • 574 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC
  • 575 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
  • 576 - SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC
  • 577 - SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC
  • 578 - SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
  • 579 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC
  • 580 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC
  • 581 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC
  • 582 - MASTECTOMY FOR MALIGNANCY WITH CC/MCC
  • 583 - MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC
  • 584 - BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC
  • 585 - BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC

10 - Endocrine, Nutritional & Metabolic Diseases & Disorders

  • 614 - ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC
  • 615 - ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC
  • 616 - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
  • 617 - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
  • 618 - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
  • 619 - O.R. PROCEDURES FOR OBESITY WITH MCC
  • 620 - O.R. PROCEDURES FOR OBESITY WITH CC
  • 621 - O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC
  • 622 - SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
  • 623 - SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
  • 624 - SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
  • 625 - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC
  • 626 - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC
  • 627 - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC
  • 628 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
  • 629 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
  • 630 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC

11 - Diseases & Disorders of the Kidney & Urinary Tract

  • 650 - KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC
  • 651 - KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC
  • 653 - MAJOR BLADDER PROCEDURES WITH MCC
  • 654 - MAJOR BLADDER PROCEDURES WITH CC
  • 655 - MAJOR BLADDER PROCEDURES WITHOUT CC/MCC
  • 656 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
  • 657 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
  • 658 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
  • 659 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
  • 660 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
  • 661 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
  • 662 - MINOR BLADDER PROCEDURES WITH MCC
  • 663 - MINOR BLADDER PROCEDURES WITH CC
  • 664 - MINOR BLADDER PROCEDURES WITHOUT CC/MCC
  • 665 - PROSTATECTOMY WITH MCC
  • 666 - PROSTATECTOMY WITH CC
  • 667 - PROSTATECTOMY WITHOUT CC/MCC
  • 668 - TRANSURETHRAL PROCEDURES WITH MCC
  • 669 - TRANSURETHRAL PROCEDURES WITH CC
  • 670 - TRANSURETHRAL PROCEDURES WITHOUT CC/MCC
  • 671 - URETHRAL PROCEDURES WITH CC/MCC
  • 672 - URETHRAL PROCEDURES WITHOUT CC/MCC
  • 673 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
  • 674 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
  • 675 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC

12 - Diseases & Disorders of the Male Reproductive System

  • 707 - MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
  • 708 - MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
  • 709 - PENIS PROCEDURES WITH CC/MCC
  • 710 - PENIS PROCEDURES WITHOUT CC/MCC
  • 711 - TESTES PROCEDURES WITH CC/MCC
  • 712 - TESTES PROCEDURES WITHOUT CC/MCC
  • 713 - TRANSURETHRAL PROSTATECTOMY WITH CC/MCC
  • 714 - TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC
  • 715 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
  • 716 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
  • 717 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
  • 718 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC

13 - Diseases & Disorders of the Female Reproductive System

  • 734 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC
  • 735 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC
  • 736 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC
  • 737 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC
  • 738 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC
  • 739 - UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC
  • 740 - UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC
  • 741 - UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC
  • 742 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
  • 743 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC
  • 744 - D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC
  • 745 - D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC
  • 746 - VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC
  • 747 - VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC
  • 749 - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
  • 750 - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

14 - Pregnancy, Childbirth & the Puerperium

  • 783 - CESAREAN SECTION WITH STERILIZATION WITH MCC
  • 784 - CESAREAN SECTION WITH STERILIZATION WITH CC
  • 785 - CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC
  • 786 - CESAREAN SECTION WITHOUT STERILIZATION WITH MCC
  • 787 - CESAREAN SECTION WITHOUT STERILIZATION WITH CC
  • 788 - CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC
  • 796 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC
  • 797 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC
  • 798 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC
  • 805 - VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC
  • 806 - VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC
  • 807 - VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

16 - Diseases & Disorders of Blood, Blood Forming Organs, Immunologic Disorders

  • 799 - SPLENECTOMY WITH MCC
  • 800 - SPLENECTOMY WITH CC
  • 801 - SPLENECTOMY WITHOUT CC/MCC
  • 802 - OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
  • 803 - OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
  • 804 - OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC

17 - Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms

  • 820 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC
  • 821 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC
  • 822 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
  • 823 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC
  • 824 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC
  • 825 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC
  • 826 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC
  • 827 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC
  • 828 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
  • 829 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC
  • 830 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC
  • 837 - CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC
  • 838 - CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT

21 - Injuries, Poisonings & Toxic Effects of Drugs

  • 901 - WOUND DEBRIDEMENTS FOR INJURIES WITH MCC
  • 902 - WOUND DEBRIDEMENTS FOR INJURIES WITH CC
  • 903 - WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC
  • 904 - SKIN GRAFTS FOR INJURIES WITH CC/MCC
  • 905 - SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC
  • 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
  • 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
  • 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC

22 - Burns

  • 928 - FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC
  • 929 - FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC

23 - Factors Influencing Health Status & Other Contacts with Health Services

  • 945 - REHABILITATION WITH CC/MCC
  • 946 - REHABILITATION WITHOUT CC/MCC

24 - Multiple Significant Trauma

  • 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
  • 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
  • 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC