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  3. Procedure Codes in MS-DRG 801 - Splenic Procedures Without CC/MCC

Procedure Codes in MS-DRG 801 - Splenic Procedures Without CC/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: Splenic Procedures without CC/MCC from October 1, 2024, through September 30, 2025.

MS-DRG: 801

MS-DRG Title: Splenic Procedures without CC/MCC

MCD: 16

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.

  • 04L - Lower Arteries, Occlusion

    • 04L40CZ - Occlusion of Splenic Artery with Extraluminal Device, Open Approach

    • 04L40DZ - Occlusion of Splenic Artery with Intraluminal Device, Open Approach

    • 04L40ZZ - Occlusion of Splenic Artery, Open Approach

    • 04L43CZ - Occlusion of Splenic Artery with Extraluminal Device, Percutaneous Approach

    • 04L43DZ - Occlusion of Splenic Artery with Intraluminal Device, Percutaneous Approach

    • 04L43ZZ - Occlusion of Splenic Artery, Percutaneous Approach

    • 04L44CZ - Occlusion of Splenic Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    • 04L44DZ - Occlusion of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach

    • 04L44ZZ - Occlusion of Splenic Artery, Percutaneous Endoscopic Approach

  • 075 - Lymphatic and Hemic Systems, Destruction

    • 075P0ZZ - Destruction of Spleen, Open Approach

    • 075P3ZZ - Destruction of Spleen, Percutaneous Approach

    • 075P4ZZ - Destruction of Spleen, Percutaneous Endoscopic Approach

  • 079 - Lymphatic and Hemic Systems, Drainage

    • 079P00Z - Drainage of Spleen with Drainage Device, Open Approach

    • 079P0ZX - Drainage of Spleen, Open Approach, Diagnostic

    • 079P0ZZ - Drainage of Spleen, Open Approach

  • 07B - Lymphatic and Hemic Systems, Excision

    • 07BP0ZX - Excision of Spleen, Open Approach, Diagnostic

    • 07BP0ZZ - Excision of Spleen, Open Approach

    • 07BP3ZZ - Excision of Spleen, Percutaneous Approach

    • 07BP4ZZ - Excision of Spleen, Percutaneous Endoscopic Approach

  • 07C - Lymphatic and Hemic Systems, Extirpation

    • 07CP0ZZ - Extirpation of Matter from Spleen, Open Approach

  • 07H - Lymphatic and Hemic Systems, Insertion

    • 07HP01Z - Insertion of Radioactive Element into Spleen, Open Approach

    • 07HP0YZ - Insertion of Other Device into Spleen, Open Approach

    • 07HP41Z - Insertion of Radioactive Element into Spleen, Percutaneous Endoscopic Approach

  • 07N - Lymphatic and Hemic Systems, Release

    • 07NP0ZZ - Release Spleen, Open Approach

    • 07NP3ZZ - Release Spleen, Percutaneous Approach

    • 07NP4ZZ - Release Spleen, Percutaneous Endoscopic Approach

  • 07P - Lymphatic and Hemic Systems, Removal

    • 07PP00Z - Removal of Drainage Device from Spleen, Open Approach

    • 07PP03Z - Removal of Infusion Device from Spleen, Open Approach

    • 07PP0YZ - Removal of Other Device from Spleen, Open Approach

    • 07PP30Z - Removal of Drainage Device from Spleen, Percutaneous Approach

    • 07PP33Z - Removal of Infusion Device from Spleen, Percutaneous Approach

    • 07PP40Z - Removal of Drainage Device from Spleen, Percutaneous Endoscopic Approach

    • 07PP43Z - Removal of Infusion Device from Spleen, Percutaneous Endoscopic Approach

  • 07Q - Lymphatic and Hemic Systems, Repair

    • 07QP0ZZ - Repair Spleen, Open Approach

    • 07QP3ZZ - Repair Spleen, Percutaneous Approach

    • 07QP4ZZ - Repair Spleen, Percutaneous Endoscopic Approach

  • 07S - Lymphatic and Hemic Systems, Reposition

    • 07SP0ZZ - Reposition Spleen, Open Approach

  • 07T - Lymphatic and Hemic Systems, Resection

    • 07TP0ZZ - Resection of Spleen, Open Approach

    • 07TP4ZG - Resection of Spleen, Percutaneous Endoscopic Approach, Hand-Assisted

    • 07TP4ZZ - Resection of Spleen, Percutaneous Endoscopic Approach

  • 07W - Lymphatic and Hemic Systems, Revision

    • 07WP00Z - Revision of Drainage Device in Spleen, Open Approach

    • 07WP03Z - Revision of Infusion Device in Spleen, Open Approach

    • 07WP0YZ - Revision of Other Device in Spleen, Open Approach

    • 07WP30Z - Revision of Drainage Device in Spleen, Percutaneous Approach

    • 07WP33Z - Revision of Infusion Device in Spleen, Percutaneous Approach

    • 07WP40Z - Revision of Drainage Device in Spleen, Percutaneous Endoscopic Approach

    • 07WP43Z - Revision of Infusion Device in Spleen, Percutaneous Endoscopic Approach

  • 07Y - Lymphatic and Hemic Systems, Transplantation

    • 07YP0Z0 - Transplantation of Spleen, Allogeneic, Open Approach

    • 07YP0Z1 - Transplantation of Spleen, Syngeneic, Open Approach

    • 07YP0Z2 - Transplantation of Spleen, Zooplastic, Open Approach