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  3. Procedure Codes in MS-DRG 140 - Major Head And Neck Procedures With MCC

Procedure Codes in MS-DRG 140 - Major Head And Neck Procedures With MCC

The Medicare Severity Diagnosis-Related Group (MS-DRG) is a patient classification system used to categorize hospital cases based on clinical similarity and expected resource use. MS-DRGs organize all possible principal diagnoses into mutually exclusive groups known as Major Diagnostic Categories (MDCs), which help determine reimbursement under the Medicare Inpatient Prospective Payment System.

This section lists the procedure codes included in MS-DRG V42.0: Major Head and Neck Procedures with MCC from October 1, 2024, through September 30, 2025.

MS-DRG: 140

MS-DRG Title: Major Head and Neck Procedures with MCC

MCD: 03

Relative Weight: Relative Weight
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.

Geometric LOS: Geometric Length of Stay
The geometric mean length of stay (GMLOS) is used by Medicare to calculate the reimbursement for patients whose medical treatment takes a much longer or shorter time than average.

Arithmetic LOS: Arithmetic Length of Stay
The average length of stay (ALOS) reflects the average number of days a patient spends in a hospital for each admission.

  • 03L - Upper Arteries, Occlusion

    • 03LH0CZ - Occlusion of Right Common Carotid Artery with Extraluminal Device, Open Approach

    • 03LH0ZZ - Occlusion of Right Common Carotid Artery, Open Approach

    • 03LH3CZ - Occlusion of Right Common Carotid Artery with Extraluminal Device, Percutaneous Approach

    • 03LH3ZZ - Occlusion of Right Common Carotid Artery, Percutaneous Approach

    • 03LH4CZ - Occlusion of Right Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    • 03LH4ZZ - Occlusion of Right Common Carotid Artery, Percutaneous Endoscopic Approach

    • 03LJ0CZ - Occlusion of Left Common Carotid Artery with Extraluminal Device, Open Approach

    • 03LJ0ZZ - Occlusion of Left Common Carotid Artery, Open Approach

    • 03LJ3CZ - Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Approach

    • 03LJ3ZZ - Occlusion of Left Common Carotid Artery, Percutaneous Approach

    • 03LJ4CZ - Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    • 03LJ4ZZ - Occlusion of Left Common Carotid Artery, Percutaneous Endoscopic Approach

    • 03LM0CZ - Occlusion of Right External Carotid Artery with Extraluminal Device, Open Approach

    • 03LM0ZZ - Occlusion of Right External Carotid Artery, Open Approach

    • 03LM3CZ - Occlusion of Right External Carotid Artery with Extraluminal Device, Percutaneous Approach

    • 03LM3ZZ - Occlusion of Right External Carotid Artery, Percutaneous Approach

    • 03LM4CZ - Occlusion of Right External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    • 03LM4ZZ - Occlusion of Right External Carotid Artery, Percutaneous Endoscopic Approach

    • 03LN0CZ - Occlusion of Left External Carotid Artery with Extraluminal Device, Open Approach

    • 03LN0ZZ - Occlusion of Left External Carotid Artery, Open Approach

    • 03LN3CZ - Occlusion of Left External Carotid Artery with Extraluminal Device, Percutaneous Approach

    • 03LN3ZZ - Occlusion of Left External Carotid Artery, Percutaneous Approach

    • 03LN4CZ - Occlusion of Left External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    • 03LN4ZZ - Occlusion of Left External Carotid Artery, Percutaneous Endoscopic Approach

    • 03LR0CZ - Occlusion of Face Artery with Extraluminal Device, Open Approach

    • 03LR0ZZ - Occlusion of Face Artery, Open Approach

    • 03LR3CZ - Occlusion of Face Artery with Extraluminal Device, Percutaneous Approach

    • 03LR3ZZ - Occlusion of Face Artery, Percutaneous Approach

    • 03LR4CZ - Occlusion of Face Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    • 03LR4ZZ - Occlusion of Face Artery, Percutaneous Endoscopic Approach

    • 03LS0CZ - Occlusion of Right Temporal Artery with Extraluminal Device, Open Approach

    • 03LS0ZZ - Occlusion of Right Temporal Artery, Open Approach

    • 03LS3CZ - Occlusion of Right Temporal Artery with Extraluminal Device, Percutaneous Approach

    • 03LS3ZZ - Occlusion of Right Temporal Artery, Percutaneous Approach

    • 03LS4CZ - Occlusion of Right Temporal Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    • 03LS4ZZ - Occlusion of Right Temporal Artery, Percutaneous Endoscopic Approach

    • 03LT0CZ - Occlusion of Left Temporal Artery with Extraluminal Device, Open Approach

    • 03LT0ZZ - Occlusion of Left Temporal Artery, Open Approach

    • 03LT3CZ - Occlusion of Left Temporal Artery with Extraluminal Device, Percutaneous Approach

    • 03LT3ZZ - Occlusion of Left Temporal Artery, Percutaneous Approach

    • 03LT4CZ - Occlusion of Left Temporal Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    • 03LT4ZZ - Occlusion of Left Temporal Artery, Percutaneous Endoscopic Approach

  • 07T - Lymphatic and Hemic Systems, Resection

    • 07T00ZZ - Resection of Head Lymphatic, Open Approach

    • 07T04ZZ - Resection of Head Lymphatic, Percutaneous Endoscopic Approach

    • 07T10ZZ - Resection of Right Neck Lymphatic, Open Approach

    • 07T14ZZ - Resection of Right Neck Lymphatic, Percutaneous Endoscopic Approach

    • 07T20ZZ - Resection of Left Neck Lymphatic, Open Approach

    • 07T24ZZ - Resection of Left Neck Lymphatic, Percutaneous Endoscopic Approach

  • 08Q - Eye, Repair

    • 08Q0XZZ - Repair Right Eye, External Approach

    • 08Q1XZZ - Repair Left Eye, External Approach

  • 08T - Eye, Resection

    • 08T0XZZ - Resection of Right Eye, External Approach

    • 08T1XZZ - Resection of Left Eye, External Approach

  • 09H - Ear, Nose, Sinus, Insertion

    • 09HD01Z - Insertion of Radioactive Element into Right Inner Ear, Open Approach

    • 09HD05Z - Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Open Approach

    • 09HD06Z - Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Open Approach

    • 09HD0SZ - Insertion of Hearing Device into Right Inner Ear, Open Approach

    • 09HD35Z - Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Approach

    • 09HD36Z - Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Approach

    • 09HD41Z - Insertion of Radioactive Element into Right Inner Ear, Percutaneous Endoscopic Approach

    • 09HD45Z - Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Endoscopic Approach

    • 09HD46Z - Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Endoscopic Approach

    • 09HD4SZ - Insertion of Hearing Device into Right Inner Ear, Percutaneous Endoscopic Approach

    • 09HE01Z - Insertion of Radioactive Element into Left Inner Ear, Open Approach

    • 09HE05Z - Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Open Approach

    • 09HE06Z - Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Open Approach

    • 09HE0SZ - Insertion of Hearing Device into Left Inner Ear, Open Approach

    • 09HE35Z - Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Approach

    • 09HE36Z - Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Approach

    • 09HE41Z - Insertion of Radioactive Element into Left Inner Ear, Percutaneous Endoscopic Approach

    • 09HE45Z - Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Endoscopic Approach

    • 09HE46Z - Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Endoscopic Approach

    • 09HE4SZ - Insertion of Hearing Device into Left Inner Ear, Percutaneous Endoscopic Approach

  • 0B5 - Respiratory System, Destruction

    • 0B510ZZ - Destruction of Trachea, Open Approach

    • 0B513ZZ - Destruction of Trachea, Percutaneous Approach

    • 0B514ZZ - Destruction of Trachea, Percutaneous Endoscopic Approach

    • 0B517ZZ - Destruction of Trachea, Via Natural or Artificial Opening

    • 0B518ZZ - Destruction of Trachea, Via Natural or Artificial Opening Endoscopic

  • 0BW - Respiratory System, Revision

    • 0BW10FZ - Revision of Tracheostomy Device in Trachea, Open Approach

    • 0BW14FZ - Revision of Tracheostomy Device in Trachea, Percutaneous Endoscopic Approach

  • 0CB - Mouth and Throat, Excision

    • 0CBS0ZZ - Excision of Larynx, Open Approach

    • 0CBS4ZZ - Excision of Larynx, Percutaneous Endoscopic Approach

  • 0CT - Mouth and Throat, Resection

    • 0CT20ZZ - Resection of Hard Palate, Open Approach

    • 0CT2XZZ - Resection of Hard Palate, External Approach

    • 0CT70ZZ - Resection of Tongue, Open Approach

    • 0CT7XZZ - Resection of Tongue, External Approach

  • 0HR - Skin and Breast, Replacement

    • 0HR1X73 - Replacement of Face Skin with Autologous Tissue Substitute, Full Thickness, External Approach

    • 0HR1X74 - Replacement of Face Skin with Autologous Tissue Substitute, Partial Thickness, External Approach

    • 0HR4X73 - Replacement of Neck Skin with Autologous Tissue Substitute, Full Thickness, External Approach

    • 0HR4XJZ - Replacement of Neck Skin with Synthetic Substitute, External Approach

  • 0JR - Subcutaneous Tissue and Fascia, Replacement

    • 0JR107Z - Replacement of Face Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Open Approach

    • 0JR10KZ - Replacement of Face Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Open Approach

  • 0JX - Subcutaneous Tissue and Fascia, Transfer

    • 0JX40ZB - Transfer Right Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach

    • 0JX40ZC - Transfer Right Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach

    • 0JX50ZB - Transfer Left Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach

    • 0JX50ZC - Transfer Left Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach

  • 0NB - Head and Facial Bones, Excision

    • 0NBT0ZZ - Excision of Right Mandible, Open Approach

    • 0NBT4ZZ - Excision of Right Mandible, Percutaneous Endoscopic Approach

    • 0NBV0ZZ - Excision of Left Mandible, Open Approach

    • 0NBV4ZZ - Excision of Left Mandible, Percutaneous Endoscopic Approach

  • 0NN - Head and Facial Bones, Release

    • 0NNP0ZZ - Release Right Orbit, Open Approach

    • 0NNP3ZZ - Release Right Orbit, Percutaneous Approach

    • 0NNP4ZZ - Release Right Orbit, Percutaneous Endoscopic Approach

    • 0NNQ0ZZ - Release Left Orbit, Open Approach

    • 0NNQ3ZZ - Release Left Orbit, Percutaneous Approach

    • 0NNQ4ZZ - Release Left Orbit, Percutaneous Endoscopic Approach

  • 0NR - Head and Facial Bones, Replacement

    • 0NRT07Z - Replacement of Right Mandible with Autologous Tissue Substitute, Open Approach

    • 0NRT0JZ - Replacement of Right Mandible with Synthetic Substitute, Open Approach

    • 0NRT0KZ - Replacement of Right Mandible with Nonautologous Tissue Substitute, Open Approach

    • 0NRT37Z - Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Approach

    • 0NRT3JZ - Replacement of Right Mandible with Synthetic Substitute, Percutaneous Approach

    • 0NRT3KZ - Replacement of Right Mandible with Nonautologous Tissue Substitute, Percutaneous Approach

    • 0NRT47Z - Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0NRT4JZ - Replacement of Right Mandible with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 0NRT4KZ - Replacement of Right Mandible with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0NRV07Z - Replacement of Left Mandible with Autologous Tissue Substitute, Open Approach

    • 0NRV0JZ - Replacement of Left Mandible with Synthetic Substitute, Open Approach

    • 0NRV0KZ - Replacement of Left Mandible with Nonautologous Tissue Substitute, Open Approach

    • 0NRV37Z - Replacement of Left Mandible with Autologous Tissue Substitute, Percutaneous Approach

    • 0NRV3JZ - Replacement of Left Mandible with Synthetic Substitute, Percutaneous Approach

    • 0NRV3KZ - Replacement of Left Mandible with Nonautologous Tissue Substitute, Percutaneous Approach

    • 0NRV47Z - Replacement of Left Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0NRV4JZ - Replacement of Left Mandible with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 0NRV4KZ - Replacement of Left Mandible with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0NS - Head and Facial Bones, Reposition

    • 0NS104Z - Reposition Frontal Bone with Internal Fixation Device, Open Approach

    • 0NS10ZZ - Reposition Frontal Bone, Open Approach

    • 0NS134Z - Reposition Frontal Bone with Internal Fixation Device, Percutaneous Approach

    • 0NS13ZZ - Reposition Frontal Bone, Percutaneous Approach

    • 0NS144Z - Reposition Frontal Bone with Internal Fixation Device, Percutaneous Endoscopic Approach

    • 0NS14ZZ - Reposition Frontal Bone, Percutaneous Endoscopic Approach

    • 0NS704Z - Reposition Occipital Bone with Internal Fixation Device, Open Approach

    • 0NS70ZZ - Reposition Occipital Bone, Open Approach

    • 0NS734Z - Reposition Occipital Bone with Internal Fixation Device, Percutaneous Approach

    • 0NS73ZZ - Reposition Occipital Bone, Percutaneous Approach

    • 0NS744Z - Reposition Occipital Bone with Internal Fixation Device, Percutaneous Endoscopic Approach

    • 0NS74ZZ - Reposition Occipital Bone, Percutaneous Endoscopic Approach

    • 0NSB04Z - Reposition Nasal Bone with Internal Fixation Device, Open Approach

    • 0NSB0ZZ - Reposition Nasal Bone, Open Approach

    • 0NSC04Z - Reposition Sphenoid Bone with Internal Fixation Device, Open Approach

    • 0NSC0ZZ - Reposition Sphenoid Bone, Open Approach

    • 0NSF04Z - Reposition Right Ethmoid Bone with Internal Fixation Device, Open Approach

    • 0NSF0ZZ - Reposition Right Ethmoid Bone, Open Approach

    • 0NSG04Z - Reposition Left Ethmoid Bone with Internal Fixation Device, Open Approach

    • 0NSG0ZZ - Reposition Left Ethmoid Bone, Open Approach

    • 0NSH04Z - Reposition Right Lacrimal Bone with Internal Fixation Device, Open Approach

    • 0NSH0ZZ - Reposition Right Lacrimal Bone, Open Approach

    • 0NSJ04Z - Reposition Left Lacrimal Bone with Internal Fixation Device, Open Approach

    • 0NSJ0ZZ - Reposition Left Lacrimal Bone, Open Approach

    • 0NSK04Z - Reposition Right Palatine Bone with Internal Fixation Device, Open Approach

    • 0NSK0ZZ - Reposition Right Palatine Bone, Open Approach

    • 0NSL04Z - Reposition Left Palatine Bone with Internal Fixation Device, Open Approach

    • 0NSL0ZZ - Reposition Left Palatine Bone, Open Approach

    • 0NSM04Z - Reposition Right Zygomatic Bone with Internal Fixation Device, Open Approach

    • 0NSN04Z - Reposition Left Zygomatic Bone with Internal Fixation Device, Open Approach

    • 0NSP04Z - Reposition Right Orbit with Internal Fixation Device, Open Approach

    • 0NSP0ZZ - Reposition Right Orbit, Open Approach

    • 0NSQ04Z - Reposition Left Orbit with Internal Fixation Device, Open Approach

    • 0NSQ0ZZ - Reposition Left Orbit, Open Approach

    • 0NSR04Z - Reposition Maxilla with Internal Fixation Device, Open Approach

    • 0NSR0ZZ - Reposition Maxilla, Open Approach

    • 0NST04Z - Reposition Right Mandible with Internal Fixation Device, Open Approach

    • 0NSV04Z - Reposition Left Mandible with Internal Fixation Device, Open Approach

  • 0NT - Head and Facial Bones, Resection

    • 0NTT0ZZ - Resection of Right Mandible, Open Approach

    • 0NTV0ZZ - Resection of Left Mandible, Open Approach

  • 0RB - Upper Joints, Excision

    • 0RBD0ZZ - Excision of Left Temporomandibular Joint, Open Approach

    • 0RBD3ZZ - Excision of Left Temporomandibular Joint, Percutaneous Approach

    • 0RBD4ZZ - Excision of Left Temporomandibular Joint, Percutaneous Endoscopic Approach

  • 0RR - Upper Joints, Replacement

    • 0RRC07Z - Replacement of Right Temporomandibular Joint with Autologous Tissue Substitute, Open Approach

    • 0RRC0JZ - Replacement of Right Temporomandibular Joint with Synthetic Substitute, Open Approach

    • 0RRC0KZ - Replacement of Right Temporomandibular Joint with Nonautologous Tissue Substitute, Open Approach

    • 0RRD07Z - Replacement of Left Temporomandibular Joint with Autologous Tissue Substitute, Open Approach

    • 0RRD0JZ - Replacement of Left Temporomandibular Joint with Synthetic Substitute, Open Approach

    • 0RRD0KZ - Replacement of Left Temporomandibular Joint with Nonautologous Tissue Substitute, Open Approach

  • 0RS - Upper Joints, Reposition

    • 0RSC04Z - Reposition Right Temporomandibular Joint with Internal Fixation Device, Open Approach

    • 0RSC0ZZ - Reposition Right Temporomandibular Joint, Open Approach

    • 0RSD04Z - Reposition Left Temporomandibular Joint with Internal Fixation Device, Open Approach

    • 0RSD0ZZ - Reposition Left Temporomandibular Joint, Open Approach

  • 0RT - Upper Joints, Resection

    • 0RTC0ZZ - Resection of Right Temporomandibular Joint, Open Approach

    • 0RTD0ZZ - Resection of Left Temporomandibular Joint, Open Approach

  • 0W9 - Anatomical Regions, General, Drainage

    • 0W9100Z - Drainage of Cranial Cavity with Drainage Device, Open Approach

    • 0W910ZZ - Drainage of Cranial Cavity, Open Approach

  • 0WC - Anatomical Regions, General, Extirpation

    • 0WC10ZZ - Extirpation of Matter from Cranial Cavity, Open Approach

    • 0WC13ZZ - Extirpation of Matter from Cranial Cavity, Percutaneous Approach

    • 0WC14ZZ - Extirpation of Matter from Cranial Cavity, Percutaneous Endoscopic Approach