Elsevier Coding Updates



APPENDIX E, OPERATING ROOM PROCEDURES AND PROCEDURE CODE/MS-DRG INDEX

The Procedure Code/MS-DRG Index is a reference source of all ICD-9-CM procedure codes that affect

MS-DRG assignment, the MDCs and MS-DRGs to which they are assigned, and a description of the

surgical categories. The procedure codes are listed in code order with an * indicating the non-operating

room procedures. All procedures without an * are considered OPERATING ROOM PROCEDURES by

the MS-DRGs.

The first section of Appendix E contains the Pacemaker Lead/Device Reference Table, the

Cardioverter-Defibrilator Lead(s) Generator Reference Table, the Abdominal Aorta/Thoracic Vessel

Resection Reference Table, the Spinal Fusion Reference Table, the Pancreas Transplant Reference

Table, and the Lead/Device Reference Table. The Pacemaker Lead/Device Reference Table lists codes

for the initial insertion of permanent pacemaker leads and devices with their associated code

descriptions. Following this list are pairs of codes, one lead and one device code, that must be used in

combination in order to code the initial implantation of a permanent cardiac pacemaker.

For example, procedure codes: 3770, 3771, 3772, 3773, 3781, 3782, and 3783 are not considered

operating room procedures by the MS-DRGs unless used in combination with their related codes. If used singularly, these codes will be ignored for the purpose of MS-DRG assignment.

The Abdominal Aorta/Thoracic Vessel Resection Reference Table lists codes for Abdominal Aorta and Thoracic Vessel resection with their associated code descriptions and MS-DRG assignment.

The Cardioverter-Defibrillator Lead(s)/Generator Reference Table lists codes for the implantation and replacement of automatic cardioverter-defibrillator lead(s) and generator, with their associated code descriptions and MS-DRG assignment.

The Spinal Fusion Reference Table lists codes for Spinal Fusion and Combined Anterior/Posterior Spinal Fusion with their associated code descriptions and MS-DRG assignment.

The Pancreas Transplant Reference Table lists codes for Simultaneous Pancreas/Kidney Transplant and Pancreas Transplant with their associated code descriptions and MS-DRG assignment.

The Lead/Device Reference Table lists codes for the insertion and replacement of a intracardiac

hemodynamic monitoring sensor and device, with their associated code descriptions and MS-DRG assignment.

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

PACEMAKER LEAD/DEVICE REFERENCE TABLE

3770 Int insert pacemak lead

3771 Int insert lead in vent

3772 Int inser lead atri-vent

3773 Int inser lead in atrium

3774 Int or repl lead epicar

3776 Repl tv atri-vent lead

3780 Int or repl perm pacemkr

LEAD DEVICE MDC MS-DRG

3770 & 3780 01 040-042

05 242-244

21 907-909

3770 & 3781 01 040-042

05 242-244

21 907-909

3770 & 3782 01 040-042

05 242-244

21 907-909

3770 & 3785 01 040-042

05 242-244

21 907-909

3770 & 3786 01 040-042

05 242-244

21 907-909

3770 & 3787 01 040-042

05 242-244

21 907-909

3771 & 3780 01 040-042

05 242-244

21 907-909

3771 & 3781 01 040-042

05 242-244

21 907-909

3771 & 3782 01 040-042

05 242-244

21 907-909

3771 & 3785 01 040-042

05 242-244

21 907-909

3771 & 3786 01 040-042

05 242-244

21 907-909

3771 & 3787 01 040-042

05 242-244

21 907-909

3781 Int insert 1-cham, non

3782 Int insert 1-cham, rate

3783 Int insert dual-cham dev

3785 Repl pacem w 1-cham, non

3786 Repl pacem 1-cham, rate

3787 Repl pacem w dual-cham

SURGICAL CATEGORY

Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries

Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries

Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries

Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries

Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries

Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries

Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries

Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries

Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries

Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries

Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries

Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

3772 & 3780 01

05

21

3772 & 3783 01

05

21

3773 & 3780 01

05

21

3773 & 3781 01

05

21

3773 & 3782 01

05

21

3773 & 3785 01

05

21

3773 & 3786 01

05

21

3773 & 3787 01

05

21

3774 & 3780 01

05

21

3774 & 3781 01

05

21

3774 & 3782 01

05

21

3774 & 3783 01

05

21

3774 & 3785 01

05

21

3774 & 3786 01

05

21

3774 & 3787 01

05

21

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

040-042 Periph/Cranial Nerve & Other

242-244 Cardiac Pacemaker Implant

907-909 Other Procs for Injuries

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

3776 & 3780 01 040-042 Periph/Cranial Nerve & Other

05 242-244 Cardiac Pacemaker Implant

21 907-909 Other Procs for Injuries

3776 & 3785 01 040-042 Periph/Cranial Nerve & Other

05 242-244 Cardiac Pacemaker Implant

21 907-909 Other Procs for Injuries

3776 & 3786 01 040-042 Periph/Cranial Nerve & Other

05 242-244 Cardiac Pacemaker Implant

21 907-909 Other Procs for Injuries

3776 & 3787 01 040-042 Periph/Cranial Nerve & Other

05 242-244 Cardiac Pacemaker Implant

21 907-909 Other Procs for Injuries

END OF PACEMAKER LEAD/DEVICE REFERENCE TABLE

CARDIOVERTER-DEFIBRILLATOR LEAD/GENERATOR REFERENCE TABLE

0052 Imp/rep lead lf ven sys 3773 Int inser lead in atrium

0053 Imp/rep CRT pacemakr gen 3774 Int or repl lead epicar

0054 Imp/rep CRT defib genat 3776 Repl tv atri-vent lead

1752 Implant CCM pulse genrtr 3795 Implt cardiodefib leads

3770 Int insert pacemak lead 3796 Implt cardiodefib genatr

3771 Int insert lead in vent 3797 Repl cardiodefib leads

3772 Int inser lead atri-vent 3798 Repl cardiodefib genratr

PROCEDURES MDC MS-DRG SURGICAL CATEGORY

0052 05 265 AICD Lead

0053 05 258-259 Pacemaker Device Replacement

0054 05 245 AICD Generator

1752 05 245 AICD Generator

3795 05 265 AICD Lead

3796 05 245 AICD Generator

3797 05 265 AICD Lead

3798 05 245 AICD Generator

0052 & 0053 05 242-244 Cardiac Pacemaker Implant

0052 & 0054 05 222-227 Cardiac Defibrillator Implant

0053 & 3770 05 242-244 Cardiac Pacemaker Implant

0053 & 3771 05 242-244 Cardiac Pacemaker Implant

0053 & 3772 05 242-244 Cardiac Pacemaker Implant

0053 & 3773 05 242-244 Cardiac Pacemaker Implant

0053 & 3774 05 242-244 Cardiac Pacemaker Implant

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

0053 & 3776 05 242-244 Cardiac Pacemaker Implant

0054 & 3774 05 222-227 Cardiac Defibrillator Implant

0054 & 3795 05 222-227 Cardiac Defibrillator Implant

0054 & 3797 05 222-227 Cardiac Defibrillator Implant

3774 & 3796 05 222-227 Cardiac Defibrillator Implant

3774 & 3798 05 222-227 Cardiac Defibrillator Implant

3795 & 3796 05 222-227 Cardiac Defibrillator Implant

3797 & 3798 05 222-227 Cardiac Defibrillator Implant

END OF CARDIOVERTER-DEFIBRILLATOR LEAD/GENERATOR REFERENCE TABLE

SPINAL FUSION REFERENCE TABLE

8100 Spinal fusion NOS 8131 Refusion of atlas-axis

8101 Atlas-axis fusion 8132 Refus oth cervcl ant/ant

8102 Oth cerv fusion ant/ant 8133 Refus oth cerv post/post

8103 Ot cerv fusion post/post 8134 Refus drs/drslmb ant/ant

8104 Drsl/drslumb fus ant/ant 8135 Refus drs/drslmb pst/pst

8105 Drsl/dslmb fus post/post 8136 Refus lmb/lmbsac ant/ant

8106 Lumb/lmbosac fus ant/ant 8137 Refus lmb/lmbsac pst/pst

8107 Lmb/lmbsac fus post/post 8138 Refus lmb/lmbsc ant/post

8108 Lumb/lmbsac fus ant/post 8139 Refusion of spine NEC

8130 Spinal refusion NOS

PROCEDURES MDC MS-DRG SURGICAL CATEGORY

8100 08 456-460 Spinal Fusion

8101 08 471-473 Cervical Spinal Fusion

8102 08 471-473 Cervical Spinal Fusion

8103 08 471-473 Cervical Spinal Fusion

8104 08 456-460 Spinal Fusion

8105 08 456-460 Spinal Fusion

8106 08 456-460 Spinal Fusion

8107 08 456-460 Spinal Fusion

8108 08 456-460 Spinal Fusion

8130 08 456-460 Spinal Fusion

8131 08 471-473 Cervical Spinal Fusion

8132 08 471-473 Cervical Spinal Fusion

8133 08 471-473 Cervical Spinal Fusion

8134 08 456-460 Spinal Fusion

8135 08 456-460 Spinal Fusion

8136 08 456-460 Spinal Fusion

8137 08 456-460 Spinal Fusion

8138 08 456-460 Spinal Fusion

8139 08 456-460 Spinal Fusion

8102 & 8103 08 453-455 Anterior/Posterior Spinal Fusion

8102 & 8105 08 453-455 Anterior/Posterior Spinal Fusion

8102 & 8107 08 453-455 Anterior/Posterior Spinal Fusion

8102 & 8108 08 453-455 Anterior/Posterior Spinal Fusion

8102 & 8133 08 453-455 Anterior/Posterior Spinal Fusion

8102 & 8135 08 453-455 Anterior/Posterior Spinal Fusion

8102 & 8137 08 453-455 Anterior/Posterior Spinal Fusion

8102 & 8138 08 453-455 Anterior/Posterior Spinal Fusion

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

8104 & 8103 08 453-455

8104 & 8105 08 453-455

8104 & 8107 08 453-455

8104 & 8108 08 453-455

8104 & 8133 08 453-455

8104 & 8135 08 453-455

8104 & 8137 08 453-455

8104 & 8138 08 453-455

8106 & 8103 08 453-455

8106 & 8105 08 453-455

8106 & 8107 08 453-455

8106 & 8108 08 453-455

8106 & 8133 08 453-455

8106 & 8135 08 453-455

8106 & 8137 08 453-455

8106 & 8138 08 453-455

8132 & 8103 08 453-455

8132 & 8105 08 453-455

8132 & 8107 08 453-455

8132 & 8108 08 453-455

8132 & 8133 08 453-455

8132 & 8135 08 453-455

8132 & 8137 08 453-455

8132 & 8138 08 453-455

8134 & 8103 08 453-455

8134 & 8105 08 453-455

8134 & 8107 08 453-455

8134 & 8108 08 453-455

8134 & 8133 08 453-455

8134 & 8135 08 453-455

8134 & 8137 08 453-455

8134 & 8138 08 453-455

8136 & 8103 08 453-455

8136 & 8105 08 453-455

8136 & 8107 08 453-455

8136 & 8108 08 453-455

8136 & 8133 08 453-455

8136 & 8135 08 453-455

8136 & 8137 08 453-455

8136 & 8138 08 453-455

END OF SPINAL FUSION REFERENCE TABLE

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

Anterior/Posterior Spinal Fusion

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

KIDNEY/PANCREAS TRANSPLANT REFERENCE TABLE

5280 Pancreat transplant NOS 5569 Kidney transplant NEC

5282 Pancreatic homotransplan

PROCEDURES MDC MS-DRG SURGICAL CATEGORY

5280 Pre 010 Pancreas Transplant

07 405-407 Pancreas, Liver and Shunt

10 628-630 Other Endocrine/Nutrit/Metabolic

5282 Pre 010 Pancreas Transplant

07 405-407 Pancreas, Liver and Shunt

10 628-630 Other Endocrine/Nutrit/Metabolic

5569 11 652 Kidney Transplant

5280 & 5569 Pre 008 Simultaneous Pancreas/Kidney Transplant

5282 & 5569 Pre 008 Simultaneous Pancreas/Kidney Transplant

END OF KIDNEY/PANCREAS TRANSPLANT REFERENCE TABLE

LEAD/DEVICE REFERENCE TABLE

0056 Ins/rep sens-crd/vsl mtr

0057 Imp/rep subcue card dev

PROCEDURES MDC MS-DRG

0056 05 260-262

0057 05 258-259

0056 & 0057 05 264

END OF LEAD/DEVICE REFERENCE TABLE

SURGICAL CATEGORY

Intracard monitoring sensor insert Intracard monitoring device insert Other Circulatory System

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0010* Implant chemothera agent 01 023

0015* High-dose infusion IL-2 17 837-838

0043* Procedure-four+ vessels 05 246,248

0048* Insert 4+ vasculr stents 05 246,248

0050 Impl CRT pacemaker sys 05 242-244

0051 Impl CRT defibrillat sys 05 222-227

0052 Imp/rep lead lf ven sys 05

0053 Imp/rep CRT pacemakr gen 05 258-259

05

0054 Imp/rep CRT defib genat 05 245

05

0056 Ins/rep sens-crd/vsl mtr 05

0057 Imp/rep subcue card dev 05

0061 Perc angio extracran ves 01 034-036

01 037-039

05 252-254

21 907-909

24 957-959

0062 Perc angio intracran ves 01 023-027

05 252-254

21 907-909

24 957-959

0063* Perc ins carotid stent 01 034-036

0066 PTCA 05 231-232

05 246-251

0070 Rev hip repl-acetab/fem 08 461-462

08 466-468

10 628-630

21 907-909

24 956

0071 Rev hip repl-acetab comp 08 466-468

10 628-630

21 907-909

24 956

0072 Rev hip repl-fem comp 08 466-468

10 628-630

21 907-909

24 956

0073 Rev hip repl-liner/head 08 466-468

10 628-630

21 907-909

24 956

SURGICAL CATEGORY

*Implant of chemotherapy agent *High dose chemotherapy agent *4+ vessel/stent procedures

*4+ vessel/stent procedures Implant CRT pacemaker system Cardiac defibrillator implant

See Lead/Generator Reference Table

Pacemaker device replacement

See Lead/Generator Reference Table

AICD generator

See Lead/Generator Reference Table See Lead/Device Reference Table

See Lead/Device Reference Table

Angioplasty of precerebral vessel Extracranial

Other vascular

Other procs for injuries

Other procs for mult signif trauma

Craniotomy

Other vascular

Other procs for injuries

Other procs for mult signif trauma *Carotid artery stent

PTCA

Percutaneous cardiovascular

Bilat/mult major joint, low extrem Revision of hip / knee replacement Other endocrine/nutrit/metabolic Other procs for injuries

Limb reattach, hip & femur

Revision of hip / knee replacement Other endocrine/nutrit/metabolic Other procs for injuries

Limb reattach, hip & femur

Revision of hip / knee replacement Other endocrine/nutrit/metabolic Other procs for injuries

Limb reattach, hip & femur

Revision of hip / knee replacement Other endocrine/nutrit/metabolic Other procs for injuries

Limb reattach, hip & femur

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0080 Rev knee replacemt-total 08 461-462

08 466-468

21 907-909

24 957-959

0081 Rev knee repl-tibia comp 08 466-468

21 907-909

24 957-959

0082 Rev knee repl-femur comp 08 466-468

21 907-909

24 957-959

0083 Rev knee replace-patella 08 485-489

21 907-909

24 957-959

0084 Rev knee repl-tibia lin 08 485-489

21 907-909

24 957-959

0085 Resrf hip,total-acet/fem 08 461-462

08 469-470

21 907-909

24 956

0086 Resrf hip,part-fem head 08 461-462

08 469-470

10 628-630

21 907-909

24 956

0087 Resrf hip,part-acetablum 08 461-462

08 469-470

10 628-630

21 907-909

24 956

0112 Open cereb meninges bx 01 023-027

17 820-822

17 826-828

0114 Open brain biopsy 01 023-027

17 820-822

17 826-828

0115 Skull biopsy 01 023-027

08 477-479

10 628-630

0118 Other brain dx procedure 01 023-027

17 820-822

17 826-828

21 907-909

24 957-959

0119 Other skull dx procedure 01 023-027

08 477-479

21 907-909

24 957-959

SURGICAL CATEGORY

Bilat/mult major joint, low extrem Revision of hip / knee replacement Other procs for injuries

Other procs for mult signif trauma

Revision of hip / knee replacement Other procs for injuries

Other procs for mult signif trauma

Revision of hip / knee replacement Other procs for injuries

Other procs for mult signif trauma

Knee

Other procs for injuries

Other procs for mult signif trauma

Knee

Other procs for injuries

Other procs for mult signif trauma

Bilat/mult major joint, low extrem Maj joint repl/reattach, low extrm Other procs for injuries

Limb reattach, hip & femur

Bilat/mult major joint, low extrem Maj joint repl/reattach, low extrm Other endocrine/nutrit/metabolic Other procs for injuries

Limb reattach, hip & femur

Bilat/mult major joint, low extrem Maj joint repl/reattach, low extrm Other endocrine/nutrit/metabolic Other procs for injuries

Limb reattach, hip & femur

Craniotomy

Major procedure

Major procedure

Craniotomy

Major procedure

Major procedure

Craniotomy

Musculoskeletal biopsy

Other endocrine/nutrit/metabolic

Craniotomy

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Craniotomy

Musculoskeletal biopsy

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0120 Imp/repl brain pulse gen 01 023-024

01 040-042

0121 Cranial sinus i & d 01 023-027

24 955

0122 Removal brain stim lead 01 023-027

17 820-822

17 826-828

0123 Reopen craniotomy site 01 023-027

03 131-132

17 820-822

17 826-828

21 907-909

24 955

0124 Other craniotomy 01 023-027

03 131-132

17 820-822

17 826-828

21 907-909

24 955

0125 Other craniectomy 01 023-027

03 131-132

08 515-517

17 820-822

17 826-828

21 907-909

24 955

0128 Intracereb cth-burr hole 01 023-027

17 820-822

17 826-828

21 907-909

24 955

0129 Rem brain pulse generatr 01 040-042

0131 Incise cerebral meninges 01 023-027

17 820-822

17 826-828

21 907-909

24 955

0132 Lobotomy & tractotomy 01 023-027

17 820-822

17 826-828

21 907-909

24 955

0139 Other brain incision 01 023-027

17 820-822

17 826-828

21 907-909

24 955

SURGICAL CATEGORY

Insert/repl dual pulse generator Periph/cranial nerve & other

Craniotomy

Craniotomy for mult signif trauma

Craniotomy

Major procedure

Major procedure

Craniotomy

Cranial/facial

Major procedure

Major procedure

Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Cranial/facial

Major procedure

Major procedure

Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Cranial/facial

Other musculoskel & connec tissue Major procedure

Major procedure

Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Major procedure

Major procedure

Other procs for injuries

Craniotomy for mult signif trauma Periph/cranial nerve & other

Craniotomy

Major procedure

Major procedure

Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Major procedure

Major procedure

Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Major procedure

Major procedure

Other procs for injuries

Craniotomy for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0141 Thalamus operations 01 023-027

17 820-822

17 826-828

21 907-909

24 955

0142 Globus pallidus ops 01 023-027

17 820-822

17 826-828

24 955

0151 Ex cereb meningeal les 01 023-027

17 820-822

17 826-828

24 955

0152 Hemispherectomy 01 023-027

17 820-822

17 826-828

21 907-909

24 955

0153 Brain lobectomy 01 023-027

17 820-822

17 826-828

21 907-909

24 955

0159 Other brain excision 01 023-027

17 820-822

17 826-828

21 907-909

24 955

016 Excise skull lesion 01 023-027

03 131-132

08 495-497

17 820-822

17 826-828

24 955

0201 Linear craniectomy 01 023-027

03 131-132

08 515-517

21 907-909

24 955

0202 Elevate skull fx fragmnt 01 023-027

03 131-132

08 515-517

21 907-909

24 955

0203 Skull flap formation 01 023-027

03 131-132

08 515-517

21 907-909

24 955

SURGICAL CATEGORY

Craniotomy

Major procedure

Major procedure

Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Major procedure

Major procedure

Craniotomy for mult signif trauma

Craniotomy

Major procedure

Major procedure

Craniotomy for mult signif trauma

Craniotomy

Major procedure

Major procedure

Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Major procedure

Major procedure

Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Major procedure

Major procedure

Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Cranial/facial

Loc excis,rm int fx dev ex hip,fem Major procedure

Major procedure

Craniotomy for mult signif trauma

Craniotomy

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Craniotomy for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0204 Bone graft to skull 01 023-027

03 131-132

08 515-517

21 907-909

24 955

0205 Skull plate insertion 01 023-027

03 131-132

08 515-517

21 907-909

24 955

0206 Cranial osteoplasty NEC 01 023-027

03 131-132

08 515-517

21 907-909

24 955

0207 Skull plate removal 01 023-027

03 131-132

08 515-517

21 907-909

24 957-959

0211 Simple suture of dura 01 023-027

21 907-909

24 955

0212 Brain meninge repair NEC 01 023-027

21 907-909

24 955

0213 Meninge vessel ligation 01 020-022

01 023-027

21 907-909

24 955

0214 Choroid plexectomy 01 023-027

24 955

0221 Insert/replace EVD 01 023-027

17 820-822

17 826-828

21 907-909

24 955

0222 Intrcran vent shunt/anas 01 023-027

17 820-822

17 826-828

21 907-909

24 955

0231 Ventricl shunt-head/neck 01 031-033

17 820-822

17 826-828

21 907-909

24 957-959

SURGICAL CATEGORY

Craniotomy

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Craniotomy

Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Other procs for injuries

Craniotomy for mult signif trauma

Intracranial vascular Craniotomy

Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Craniotomy for mult signif trauma

Craniotomy

Major procedure

Major procedure

Other procs for injuries

Craniotomy for mult signif trauma

Craniotomy

Major procedure

Major procedure

Other procs for injuries

Craniotomy for mult signif trauma

Ventricular shunt

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0232 Ventri shunt-circula sys 01 031-033

17 820-822

17 826-828

21 907-909

24 957-959

0233 Ventricl shunt-thorax 01 031-033

17 820-822

17 826-828

21 907-909

24 957-959

0234 Ventricl shunt-abdomen 01 031-033

17 820-822

17 826-828

21 907-909

24 957-959

0235 Ventri shunt-uninary sys 01 031-033

17 820-822

17 826-828

21 907-909

24 957-959

0239 Vent shunt extracran NEC 01 031-033

17 820-822

17 826-828

21 907-909

24 957-959

0242 Replace ventricle shunt 01 031-033

17 820-822

17 826-828

21 907-909

24 957-959

0243 Remove ventricle shunt 01 031-033

21 907-909

24 957-959

0291 Lysis cortical adhesion 01 023-027

17 820-822

17 826-828

21 907-909

24 957-959

0292 Brain repair 01 023-027

21 907-909

24 955

0293 Imp/repl brain stim lead 01 023-024

01 023-027

17 820-822

17 826-828

21 907-909

24 957-959

0294 Insert/replac skull tong 01 023-027

08 515-517

21 907-909

24 955

SURGICAL CATEGORY

Ventricular shunt

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Ventricular shunt

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Ventricular shunt

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Ventricular shunt

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Ventricular shunt

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Ventricular shunt

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Ventricular shunt

Other procs for injuries

Other procs for mult signif trauma

Craniotomy

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Craniotomy

Other procs for injuries

Craniotomy for mult signif trauma

Implant/replace brain stim lead Craniotomy

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Craniotomy

Other musculoskel & connec tissue Other procs for injuries

Craniotomy for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0299 Skull & brain op NEC 01 023-027

03 131-132

08 515-517

17 820-822

17 826-828

21 907-909

24 955

0301 Removal FB spinal canal 01 028-030

21 907-909

24 957-959

0302 Reopen laminectomy site 01 028-030

08 490-491

17 820-822

17 826-828

21 907-909

24 957-959

0309 Spinal canal explor NEC 01 028-030

08 490-491

17 820-822

17 826-828

21 907-909

24 957-959

031 Intraspin nerve root div 01 028-030

08 490-491

17 820-822

17 826-828

21 907-909

24 957-959

0321 Percutaneous chordotomy 01 028-030

07 423-425

17 820-822

17 826-828

21 907-909

24 957-959

0329 Other chordotomy 01 028-030

07 423-425

17 820-822

17 826-828

21 907-909

24 957-959

0332 Spinal cord/meninges bx 01 028-030

08 490-491

17 820-822

17 826-828

0339 Other spinal dx proc 01 028-030

08 490-491

17 820-822

17 826-828

034 Excis spinal cord lesion 01 028-030

08 490-491

17 820-822

17 826-828

SURGICAL CATEGORY

Craniotomy

Cranial/facial

Other musculoskel & connec tissue Major procedure

Major procedure

Other procs for injuries

Craniotomy for mult signif trauma

Spinal

Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Spinal

Other hepatobiliary or pancreas Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Spinal

Other hepatobiliary or pancreas Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Major procedure

Major procedure

Spinal

Back & neck except spinal fusion Major procedure

Major procedure

Spinal

Back & neck except spinal fusion Major procedure

Major procedure

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0351 Spine meningocele repair 01 028-030

0352 Myelomeningocel repair 01 028-030

0353 Vertebral fx repair 01 028-030

08 490-491

17 820-822

17 826-828

21 907-909

24 957-959

0359 Spinal struct repair NEC 01 028-030

08 490-491

17 820-822

17 826-828

21 907-909

24 957-959

036 Spinal cord adhesiolysis 01 028-030

08 490-491

17 820-822

17 826-828

21 907-909

24 957-959

0371 Subarach-periton shunt 01 028-030

17 820-822

17 826-828

0372 Subarach-ureteral shunt 01 028-030

17 820-822

17 826-828

0379 Oth spinal thecal shunt 01 028-030

17 820-822

17 826-828

0393 Imp/repl spine stim lead 01 028-030

01 029

08 490

08 490-491

11 673-675

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

0394 Removal spine stim lead 01 028-030

08 490-491

11 673-675

12 715-718

13 749-750

21 907-909

24 957-959

SURGICAL CATEGORY

Spinal

Spinal

Spinal

Back & neck except spinal fusion Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Spinal

Major procedure

Major procedure

Spinal

Major procedure

Major procedure

Spinal

Major procedure

Major procedure

Spinal

Neurostimulator

Neurostimulator

Back & neck except spinal fusion Other kidney & urinary tract

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Other kidney & urinary tract

Other male reproductive system Other female reproductive system Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0397 Revise spine theca shunt 01 028-030

08 490-491

17 820-822

17 826-828

21 907-909

24 957-959

0398 Remove spine theca shunt 01 028-030

08 490-491

21 907-909

24 957-959

0399 Spine canal struc op NEC 01 028-030

08 490-491

17 820-822

17 826-828

21 907-909

24 957-959

0401 Excision acoustc neuroma 01 023-027

03 133-134

0402 Trigeminal nerv division 01 040-042

03 133-134

21 907-909

24 957-959

0403 Periph nerve div NEC 01 040-042

03 133-134

08 515-517

21 907-909

24 957-959

0404 Periph nerve incis NEC 01 040-042

03 133-134

08 515-517

21 907-909

24 957-959

0405 Gasserian ganglionectomy 01 040-042

03 133-134

21 907-909

24 957-959

0406 Periph ganglionect NEC 01 040-042

03 133-134

08 515-517

21 907-909

24 957-959

0407 Periph nerv excision NEC 01 040-042

03 133-134

08 515-517

21 907-909

24 957-959

0412 Open periph nerve biopsy 01 040-042

03 133-134

08 515-517

21 907-909

24 957-959

SURGICAL CATEGORY

Spinal

Back & neck except spinal fusion Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Craniotomy

Other ear, nose, mouth & throat

Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0419 Periph nerve dx proc NEC 01 040-042

03 133-134

08 515-517

21 907-909

24 957-959

043 Peripheral nerve suture 01 040-042

21 907-909

24 957-959

0441 Decompress trigem root 01 023-027

03 133-134

21 907-909

24 955

0442 Cran nerv root decom NEC 01 040-042

03 133-134

21 907-909

24 957-959

0443 Carpal tunnel release 01 040-042

08 513-514

21 906

24 957-959

0444 Tarsal tunnel release 01 040-042

08 503-505

21 907-909

24 957-959

0449 Per nerve adhesiolys NEC 01 040-042

03 133-134

08 515-517

21 907-909

24 957-959

045 Peripheral nerve graft 01 040-042

21 907-909

24 957-959

046 Periph nerve transposit 01 040-042

21 907-909

24 957-959

0471 Hypogloss-facial anastom 01 040-042

03 133-134

21 907-909

24 957-959

0472 Accessory-facial anastom 01 040-042

03 133-134

21 907-909

24 957-959

0473 Access-hypogloss anastom 01 040-042

03 133-134

21 907-909

24 957-959

SURGICAL CATEGORY

Periph/cranial nerve & other

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other procs for injuries

Other procs for mult signif trauma

Craniotomy

Other ear, nose, mouth & throat Other procs for injuries

Craniotomy for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Foot

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0474 Periph nerv anastom NEC 01 040-042

03 133-134

21 907-909

24 957-959

0475 Postop revis per nerv op 01 040-042

03 133-134

21 907-909

24 957-959

0476 Late repair per nerv inj 01 040-042

03 133-134

21 907-909

24 957-959

0479 Other neuroplasty 01 040-042

21 907-909

24 957-959

0491 Neurectasis 01 040-042

21 907-909

24 957-959

0492 Imp/repl peri stim lead 01 040-042

01 041

03 133-134

05 252-254

08 515-517

11 673-675

12 715-718

13 749-750

21 907-909

24 957-959

0493 Removal peri stim lead 01 040-042

03 133-134

08 515-517

12 715-718

13 749-750

21 907-909

24 957-959

0499 Peripheral nerve ops NEC 01 040-042

03 133-134

08 515-517

21 907-909

24 957-959

050 Sympath nerve division 01 040-042

05 264

0511 Sympathetic nerve biopsy 01 040-042

0519 Sympath nrv dx proc NEC 01 040-042

0521 Sphenopalatin ganglionec 01 040-042

03 133-134

05 264

SURGICAL CATEGORY

Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Neurostimulator

Other ear, nose, mouth & throat Other vascular

Other musculoskel & connec tissue Other kidney & urinary tract

Other male reproductive system Other female reproductive system Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Other ear, nose, mouth & throat

Other musculoskel & connec tissue Other male reproductive system Other female reproductive system Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other circulatory system

Periph/cranial nerve & other

Periph/cranial nerve & other

Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0522 Cervical sympathectomy 01 040-042

03 133-134

05 264

0523 Lumbar sympathectomy 01 040-042

05 264

0524 Presacral sympathectomy 01 040-042

05 264

13 749-750

0525 Periart sympathectomy 01 040-042

05 264

0529 Other sympathectomy 01 040-042

05 264

0581 Sympathetic nerve repair 01 040-042

0589 Sympathetic nerve op NEC 01 040-042

05 264

059 Other nervous system ops 01 040-042

21 907-909

24 957-959

0602 Reopen thyroid field wnd 10 625-627

21 907-909

24 957-959

0609 Incis thyroid field NEC 03 133-134

09 579-581

10 625-627

21 907-909

24 957-959

0612 Open thyroid gland bx 10 625-627

0613 Parathyroid biopsy 08 515-517

10 625-627

0619 Thyr/parathy dx proc NEC 08 515-517

10 625-627

062 Unilat thyroid lobectomy 10 625-627

0631 Excision thyroid lesion 10 625-627

0639 Part thyroidectomy NEC 10 625-627

064 Complete thyroidectomy 10 625-627

0650 Substern thyroidect NOS 10 625-627

0651 Part substern thyroidect 10 625-627

0652 Tot substern thyroidect 10 625-627

066 Lingual thyroid excision 03 133-134

10 625-627

SURGICAL CATEGORY

Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system

Periph/cranial nerve & other Other circulatory system

Periph/cranial nerve & other Other circulatory system

Other female reproductive system

Periph/cranial nerve & other Other circulatory system

Periph/cranial nerve & other Other circulatory system

Periph/cranial nerve & other

Periph/cranial nerve & other Other circulatory system

Periph/cranial nerve & other Other procs for injuries

Other procs for mult signif trauma

Thyroid/parathyroid/thyroglossal Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other skin, subcut tissue & breast Thyroid/parathyroid/thyroglossal Other procs for injuries

Other procs for mult signif trauma

Thyroid/parathyroid/thyroglossal

Other musculoskel & connec tissue Thyroid/parathyroid/thyroglossal

Other musculoskel & connec tissue Thyroid/parathyroid/thyroglossal

Thyroid/parathyroid/thyroglossal

Thyroid/parathyroid/thyroglossal

Thyroid/parathyroid/thyroglossal

Thyroid/parathyroid/thyroglossal

Thyroid/parathyroid/thyroglossal

Thyroid/parathyroid/thyroglossal

Thyroid/parathyroid/thyroglossal

Other ear, nose, mouth & throat

Thyroid/parathyroid/thyroglossal

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

067 Thyrogloss duct excision 03 133-134

10 625-627

0681 Total parathyroidectomy 10 625-627

11 673-675

0689 Other parathyroidectomy 10 625-627

11 673-675

0691 Thyroid isthmus division 10 625-627

0692 Thyroid vessel ligation 10 625-627

21 907-909

24 957-959

0693 Thyroid suture 10 625-627

21 907-909

24 957-959

0694 Thyroid reimplantation 10 625-627

0695 Parathyroid reimplant 10 625-627

0698 Other thyroid operations 10 625-627

0699 Other parathyroid ops 10 625-627

0700 Adrenal exploration NOS 10 614-615

0701 Unilat adrenal explorat 10 614-615

0702 Bilat adrenal explorat 10 614-615

0712 Open adrenal gland bx 10 614-615

0713 Transfront pituitary bx 01 023-027

10 614-615

0714 Transphen pituitary bx 01 023-027

10 614-615

0715 Pituitary biopsy NOS 01 023-027

10 614-615

0716 Thymus biopsy 04 163-165

10 628-630

16 802-804

17 820-822

17 826-828

0717 Pineal biopsy 01 023-027

10 614-615

0719 Endocrine dx proc NEC 01 040-042

10 614-615

0721 Adrenal lesion excision 10 614-615

0722 Unilateral adrenalectomy 09 579-581

10 614-615

SURGICAL CATEGORY

Other ear, nose, mouth & throat

Thyroid/parathyroid/thyroglossal

Thyroid/parathyroid/thyroglossal Other kidney & urinary tract

Thyroid/parathyroid/thyroglossal Other kidney & urinary tract

Thyroid/parathyroid/thyroglossal

Thyroid/parathyroid/thyroglossal Other procs for injuries

Other procs for mult signif trauma

Thyroid/parathyroid/thyroglossal Other procs for injuries

Other procs for mult signif trauma

Thyroid/parathyroid/thyroglossal

Thyroid/parathyroid/thyroglossal

Thyroid/parathyroid/thyroglossal

Thyroid/parathyroid/thyroglossal

Adrenal & pituitary

Adrenal & pituitary

Adrenal & pituitary

Adrenal & pituitary

Craniotomy

Adrenal & pituitary

Craniotomy

Adrenal & pituitary

Craniotomy

Adrenal & pituitary

Major chest

Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure

Major procedure

Craniotomy

Adrenal & pituitary

Periph/cranial nerve & other Adrenal & pituitary

Adrenal & pituitary

Other skin, subcut tissue & breast Adrenal & pituitary

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0729 Part adrenalectomy NEC 10 614-615

073 Bilateral adrenalectomy 09 579-581

10 614-615

0741 Adrenal incision 10 614-615

0742 Adrenal nerve division 10 614-615

0743 Adrenal vessel ligation 10 614-615

21 907-909

24 957-959

0744 Adrenal repair 10 614-615

21 907-909

24 957-959

0745 Adrenal reimplantation 10 614-615

21 907-909

24 957-959

0749 Adrenal operation NEC 10 614-615

21 907-909

24 957-959

0751 Pineal field exploration 01 023-027

10 614-615

0752 Pineal gland incision 01 023-027

10 614-615

0753 Partial pinealectomy 01 023-027

10 614-615

0754 Total pinealectomy 01 023-027

10 614-615

0759 Pineal operation NEC 01 023-027

10 614-615

0761 Exc pituit les-transfron 01 023-027

10 614-615

0762 Exc pituit les-transphen 01 023-027

10 614-615

0763 Part excis pituitary NOS 01 023-027

09 579-581

10 614-615

0764 Tot exc pituit-transfron 01 023-027

09 579-581

10 614-615

0765 Tot exc pituit-transphen 01 023-027

09 579-581

10 614-615

0768 Total exc pituitary NEC 01 023-027

09 579-581

10 614-615

SURGICAL CATEGORY

Adrenal & pituitary

Other skin, subcut tissue & breast Adrenal & pituitary

Adrenal & pituitary

Adrenal & pituitary

Adrenal & pituitary

Other procs for injuries

Other procs for mult signif trauma

Adrenal & pituitary

Other procs for injuries

Other procs for mult signif trauma

Adrenal & pituitary

Other procs for injuries

Other procs for mult signif trauma

Adrenal & pituitary

Other procs for injuries

Other procs for mult signif trauma

Craniotomy

Adrenal & pituitary

Craniotomy

Adrenal & pituitary

Craniotomy

Adrenal & pituitary

Craniotomy

Adrenal & pituitary

Craniotomy

Adrenal & pituitary

Craniotomy

Adrenal & pituitary

Craniotomy

Adrenal & pituitary

Craniotomy

Other skin, subcut tissue & breast Adrenal & pituitary

Craniotomy

Other skin, subcut tissue & breast Adrenal & pituitary

Craniotomy

Other skin, subcut tissue & breast Adrenal & pituitary

Craniotomy

Other skin, subcut tissue & breast Adrenal & pituitary

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0769 Total exc pituitary NOS 01 023-027

09 579-581

10 614-615

0771 Pituitary fossa explorat 01 023-027

10 614-615

0772 Pituitary gland incision 01 023-027

09 579-581

10 614-615

0779 Pituitary operation NEC 01 023-027

09 579-581

10 614-615

0780 Thymectomy NOS 01 040-042

04 163-165

10 628-630

16 802-804

17 820-822

17 826-828

21 907-909

24 957-959

0781 Oth part excision thymus 01 040-042

04 163-165

10 628-630

16 802-804

17 820-822

17 826-828

21 907-909

24 957-959

0782 Oth totl excision thymus 01 040-042

04 163-165

10 628-630

16 802-804

17 820-822

17 826-828

21 907-909

24 957-959

0783 Thorac part exisn thymus 01 040-042

04 163-165

10 628-630

16 802-804

17 820-822

17 826-828

21 907-909

24 957-959

0784 Thorac total exc thymus 01 040-042

04 163-165

10 628-630

16 802-804

17 820-822

17 826-828

21 907-909

24 957-959

SURGICAL CATEGORY

Craniotomy

Other skin, subcut tissue & breast Adrenal & pituitary

Craniotomy

Adrenal & pituitary

Craniotomy

Other skin, subcut tissue & breast Adrenal & pituitary

Craniotomy

Other skin, subcut tissue & breast Adrenal & pituitary

Periph/cranial nerve & other Major chest

Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Major chest

Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Major chest

Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Major chest

Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Major chest

Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

0791 Thymus field exploration

0792 Other incision of thymus

0793 Repair of thymus

0794 Thymus transplantation

0795 Thorac incision thymus

0798 Oth thorac op thymus NOS

0799 Other thymus ops NOS

0811 Eyelid biopsy

MDC MS-DRG SURGICAL CATEGORY

04 163-165 Major chest

10 628-630 Other endocrine/nutrit/metabolic

16 802-804 Other blood & blood form org

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

10 628-630 Other endocrine/nutrit/metabolic

16 802-804 Other blood & blood form org

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

10 628-630 Other endocrine/nutrit/metabolic

16 802-804 Other blood & blood form org

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

10 628-630 Other endocrine/nutrit/metabolic

16 802-804 Other blood & blood form org

17 820-822 Major procedure

17 826-828 Major procedure

01 040-042 Periph/cranial nerve & other

04 163-165 Major chest

10 628-630 Other endocrine/nutrit/metabolic

16 802-804 Other blood & blood form org

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

04 163-165 Major chest

10 628-630 Other endocrine/nutrit/metabolic

16 802-804 Other blood & blood form org

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

10 628-630 Other endocrine/nutrit/metabolic

16 802-804 Other blood & blood form org

17 820-822 Major procedure

17 826-828 Major procedure

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

0820 Remove eyelid lesion NOS

0821 Chalazion excision

0822 Excise minor les lid NEC

0823 Exc maj les lid prt-thic

0824 Exc maj les lid ful-thic

0825 Destruction lid lesion

0831 Ptosis rep-front mus sut

0832 Ptosis rep-fron mus slng

0833 Ptosis rep-levat mus adv

0834 Ptosis rep-levat mus NEC

0835 Ptos rep-tarsal techniq

0836 Blepharoptos repair NEC

0837 Reduc overcorrect ptosis

MDC MS-DRG SURGICAL CATEGORY

02 115 Extraocular except orbital

09 579-581 Other skin, subcut tissue & breast

10 628-630 Other endocrine/nutrit/metabolic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0838 Correct lid retraction 02 115

09 579-581

10 628-630

21 907-909

24 957-959

0841 Thermocaut/entropion rep 02 115

21 907-909

24 957-959

0842 Suture entropion repair 02 115

21 907-909

24 957-959

0843 Wedg resec entropion rep 02 115

21 907-909

24 957-959

0844 Lid recons entropion rep 02 115

09 579-581

21 907-909

24 957-959

0849 Entropion/ectrop rep NEC 02 115

21 907-909

24 957-959

0851 Canthotomy 01 040-042

02 115

09 579-581

21 907-909

24 957-959

0852 Blepharorrhaphy 01 040-042

02 115

09 579-581

21 907-909

24 957-959

0859 Adjust lid position NEC 01 040-042

02 115

09 579-581

21 907-909

24 957-959

0861 Lid reconst w skin graft 02 115

09 579-581

21 907-909

24 957-959

0862 Lid reconst w muc graft 02 115

09 579-581

21 907-909

24 957-959

0863 Lid reconst w hair graft 02 115

09 579-581

21 907-909

24 957-959

SURGICAL CATEGORY

Extraocular except orbital

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0864 Lid recon-tarsoconj flap 02 115

09 579-581

21 907-909

24 957-959

0869 Lid reconstr w graft NEC 02 115

09 579-581

21 907-909

24 957-959

0870 Lid reconstruction NOS 02 115

09 579-581

10 628-630

21 907-909

24 957-959

0871 Lid marg recon-part thic 02 115

09 579-581

21 907-909

24 957-959

0872 Lid recons-part thic NEC 02 115

09 579-581

21 907-909

24 957-959

0873 Lid marg recons ful thic 02 115

09 579-581

21 907-909

24 957-959

0874 Lid reconst-ful thic NEC 02 115

09 579-581

21 907-909

24 957-959

0891 Electrosurg lid epilat 02 115

21 907-909

24 957-959

0892 Cryosurg lid epilation 02 115

21 907-909

24 957-959

0893 Eyelid epilation NEC 02 115

21 907-909

24 957-959

0899 Eyelid operation NEC 02 115

09 579-581

21 907-909

24 957-959

090 Lacrimal gland incision 02 115

0911 Lacrimal gland biopsy 02 115

21 907-909

24 957-959

0912 Lacrimal sac biopsy 02 115

03 133-134

SURGICAL CATEGORY

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma Extraocular except orbital

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital

Other ear, nose, mouth & throat

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

0919 Lacrimal sys dx proc NEC

0920 Exc lacrimal gland NOS

0921 Excis les lacrimal gland

0922 Part dacryoadenect NEC

0923 Total dacryoadenectomy

093 Other lacrimal gland ops

0941 Lacrimal punctum probe

0942 Lac canaliculi probe

0943 Nasolacrimal duct probe

0944 Nasolac duct intubat

0949 Lac passage manip NEC

0951 Lac punctum incision

0952 Lac canaliculi incision

0953 Lacrimal sac incision

0959 Lacrim passage incis NEC

096 Lacrim sac/passage excis

0971 Correct everted punctum

0972 Punctum repair NEC

MDC MS-DRG SURGICAL CATEGORY

02 115 Extraocular except orbital

03 133-134 Other ear, nose, mouth & throat

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

03 133-134 Other ear, nose, mouth & throat

02 115 Extraocular except orbital

03 133-134 Other ear, nose, mouth & throat

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

0973 Canaliculus repair 02 115

09 579-581

21 907-909

24 957-959

0981 Dacryocystorhinostomy 02 115

03 133-134

21 907-909

24 957-959

0982 Conjunctivocystorhinost 02 115

21 907-909

24 957-959

0983 Conjunctivorhinos w tube 02 115

21 907-909

24 957-959

0991 Lac punctum obliteration 02 115

21 907-909

24 957-959

0999 Lacrimal system op NEC 02 115

03 133-134

21 907-909

24 957-959

100 Incise/remov conjunct FB 02 115

21 907-909

24 957-959

101 Conjunctiva incision NEC 02 115

1021 Conjunctival biopsy 02 115

1029 Conjunctiva dx proc NEC 02 115

1031 Excise conjunctiv lesion 02 115

21 907-909

24 957-959

1032 Destruct conjunc les NEC 02 115

21 907-909

24 957-959

1033 Oth conjunc destruc proc 02 115

21 907-909

24 957-959

1041 Symbleph rep w free grft 02 115

21 907-909

24 957-959

1042 Graft conjunc cul-de-sac 02 115

21 907-909

24 957-959

1043 Conjun cul-de-sac rx NEC 02 115

21 907-909

24 957-959

SURGICAL CATEGORY

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma Extraocular except orbital

Extraocular except orbital

Extraocular except orbital

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

1044 Conjunc free graft NEC

1049 Conjunctivoplasty NEC

105 Conjunc/lid adhesiolysis

106 Repair conjunct lacerat

1091 Subconjunctival inject

1099 Conjunctival op NEC

110 Magnet removal cornea FB

111 Corneal incision

1121 Corneal scrape for smear

1122 Corneal biopsy

1129 Corneal dx proc NEC

1131 Pterygium transposition

1132 Pteryg exc w cornea grft

1139 Pterygium excision NEC

1141 Mech remov cornea epith

1142 Thermocaut cornea lesion

1143 Cryotherap cornea lesion

1149 Destruct cornea les NEC

1151 Suture cornea laceration

MDC MS-DRG SURGICAL CATEGORY

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

1152 Rep cornea postop dehisc

1153 Rx cornea lac w conj flp

1159 Corneal repair NEC

1160 Corneal transplant NOS

1161 Lam keratplast w autgrft

1162 Lamellar keratoplast NEC

1163 Perf keratopl w autogrft

1164 Perforat keratoplast NEC

1169 Corneal transplant NEC

1171 Keratomileusis

1172 Keratophakia

1173 Keratoprosthesis

1174 Thermokeratoplasty

1175 Radial keratotomy

1176 Epikeratophakia

MDC MS-DRG SURGICAL CATEGORY

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

1179 Cornea reconstruct NEC

1191 Corneal tattooing

1192 Remove corneal implant

1199 Corneal operation NEC

1200 Remov ant segmnt FB NOS

1201 Magnet remov ant seg FB

1202 Nonmag remov ant seg FB

1211 Iridotomy w transfixion

1212 Iridotomy NEC

1213 Prolapsed iris excision

1214 Iridectomy NEC

1221 Dx aspirat-ant chamber

1222 Iris biopsy

1229 Ant segment dx proc NEC

1231 Goniosynechiae lysis

MDC MS-DRG SURGICAL CATEGORY

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

1232 Ant synechia lysis NEC

1233 Post synechiae lysis

1234 Corneovitreal adhesiolys

1235 Coreoplasty

1239 Iridoplasty NEC

1240 Remov ant segmnt les NOS

1241 Nonexc destruc iris les

1242 Excision of iris lesion

1243 Nonexc destr cil bod les

1244 Excise ciliary body les

1251 Goniopuncture

1252 Goniotomy

1253 Goniotomy w goniopunctur

1254 Trabeculotomy ab externo

1255 Cyclodialysis

MDC MS-DRG SURGICAL CATEGORY

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

1259 Facilit intraoc circ NEC

1261 Trephin sclera w iridect

1262 Thermcaut scler w iridec

1263 Iridencleisis/iridotasis

1264 Trabeculectom ab externo

1265 Scler fistuliz w iridect

1266 Postop revis scl fistul

1267 Insert aqueous drain dev

1269 Scler fistulizing op NEC

1271 Cyclodiathermy

1272 Cyclocryotherapy

1273 Cyclophotocoagulation

1274 Cil body diminution NOS

1279 Glaucoma procedure NEC

1281 Suture scleral lacer

1282 Scleral fistula repair

1283 Revis ant seg op wnd NEC

MDC MS-DRG SURGICAL CATEGORY

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

10 628-630 Other endocrine/nutrit/metabolic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

02 116-117 Intraocular

10 628-630 Other endocrine/nutrit/metabolic

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

10 628-630 Other endocrine/nutrit/metabolic

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

1284 Destruct scleral lesion

1285 Repair staphylom w graft

1286 Rep scler staphyloma NEC

1287 Graft reinforce sclera

1288 Sclera reinforcement NEC

1289 Scleral operation NEC

1291 Therapeut evac ant chamb

1292 Anterior chamber inject

1293 Remov epithel downgrowth

1297 Iris operation NEC

1298 Ciliary body op NEC

1299 Anterior chamber op NEC

1300 Remove FB lens NOS

1301 Magnet remove FB lens

1302 Nonmagnet remove FB lens

1311 Temp-inf intrcap lens ex

MDC MS-DRG SURGICAL CATEGORY

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

10 628-630 Other endocrine/nutrit/metabolic

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

1319 Intracapsul lens ext NEC

132 Linear extracap lens ext

133 Simpl aspir lens extract

1341 Catarac phacoemuls/aspir

1342 Post catarac frag/aspir

1343 Cataract frag/aspir NEC

1351 Temp-inf xtracap lens ex

1359 Extracap lens extrac NEC

1364 After-catar discission

1365 After-cataract excision

1366 After catar fragmntation

1369 Cataract extraction NEC

1370 Insert pseudophakos NOS

1371 Insert lens at catar ext

1372 Secondary insert lens

138 Implanted lens removal

1390 Operation on lens NEC

1391 Impl intraoc telesc pros

1400 Remov post segmnt FB NOS

1401 Magnet remov post seg FB

1402 Nonmag remov post seg FB

1411 Diagnost vitreous aspir

1419 Dx proc post seg NEC

MDC MS-DRG SURGICAL CATEGORY

02 116-117 Intraocular

10 628-630 Other endocrine/nutrit/metabolic

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

10 628-630 Other endocrine/nutrit/metabolic

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

02 116-117 Intraocular

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

1421 Chorioret les diathermy

1422 Chorioretin les cryother

1426 Chorioret les radiother

1427 Chorioret les rad implan

1429 Chorioret les destr NEC

1431 Retinal tear diathermy

1432 Retinal tear cryotherapy

1439 Retinal tear repair NEC

1441 Scleral buckle w implant

1449 Scleral buckling NEC

1451 Detach retina-diathermy

1452 Detach retina-cryotherap

1453 Detach retina xenon coag

1454 Detach retina laser coag

1455 Detach ret photocoag NOS

1459 Repair retina detach NEC

146 Remov pros mat post seg

1471 Anterior remov vitreous

MDC MS-DRG SURGICAL CATEGORY

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

02 116-117 Intraocular

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

10 628-630 Other endocrine/nutrit/metabolic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

10 628-630 Other endocrine/nutrit/metabolic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

10 628-630 Other endocrine/nutrit/metabolic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

1472 Vitreous removal NEC

1473 Anterior mechan vitrect

1474 Mech vitrectomy NEC

1475 Vitreous substitut injec

1479 Vitreous operation NEC

149 Other post segment ops

1501 Extraoc musc-tend biopsy

1509 Extraoc musc dx proc NEC

1511 One extraoc mus recess

1512 1 extraoc muscl advance

1513 1 extraoc muscl resect

1519 Xtraoc mus op/detach NEC

1521 Lengthen 1 extraoc musc

1522 Shorten 1 extraoc musc

1529 Op on 1 extraoc musc NEC

153 Temp detach >1 xtroc mus

154 Oth op on >l extraoc mus

155 Extraocul mus transposit

156 Revis extraoc musc surg

157 Extraoc musc inj repair

159 Oth extraoc mus-tend op

MDC MS-DRG SURGICAL CATEGORY

02 116-117 Intraocular

10 628-630 Other endocrine/nutrit/metabolic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

10 628-630 Other endocrine/nutrit/metabolic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 116-117 Intraocular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

02 115 Extraocular except orbital

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

1601 Orbitotomy w bone flap 02 113-114

03 131-132

21 907-909

24 957-959

1602 Orbitotomy w implant 02 113-114

03 131-132

21 907-909

24 957-959

1609 Orbitotomy NEC 02 113-114

03 131-132

21 907-909

24 957-959

161 Remove penetrat FB eye 02 116-117

21 907-909

24 957-959

1622 Diagnostic asp of orbit 02 113-114

1623 Eyeball & orbit biopsy 02 113-114

1629 Eyebal/orbit dx proc NEC 02 113-114

1631 Eye evisc w synch implan 02 113-114

21 907-909

24 957-959

1639 Eyeball evisceration NEC 02 113-114

21 907-909

24 957-959

1641 Eye enuc/implan/musc att 02 113-114

21 907-909

24 957-959

1642 Eye enuc w implant NEC 02 113-114

21 907-909

24 957-959

1649 Eyeball enucleation NEC 02 113-114

21 907-909

24 957-959

1651 Radical orbitomaxillect 02 113-114

03 131-132

08 515-517

21 907-909

24 957-959

1652 Orbit exent w bone remov 02 113-114

03 131-132

21 907-909

24 957-959

1659 Orbital exenteration NEC 02 113-114

03 131-132

08 515-517

21 907-909

24 957-959

SURGICAL CATEGORY

Orbital extraocular Cranial/facial

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular Cranial/facial

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular Cranial/facial

Other procs for injuries

Other procs for mult signif trauma

Intraocular

Other procs for injuries

Other procs for mult signif trauma Orbital extraocular

Orbital extraocular

Orbital extraocular

Orbital extraocular

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular Cranial/facial

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

1661 2ndry ocular imp insert 02 113-114

21 907-909

24 957-959

1662 Revis/reinsert ocul imp 02 113-114

21 907-909

24 957-959

1663 Revis enuc socket w grft 02 113-114

03 131-132

21 907-909

24 957-959

1664 Enuc socket revis NEC 02 113-114

03 131-132

21 907-909

24 957-959

1665 2ndry exent cavity graft 02 113-114

03 133-134

21 907-909

24 957-959

1666 Revis exenter cavity NEC 02 113-114

03 133-134

21 907-909

24 957-959

1669 2nd op post eye rem NEC 02 113-114

21 907-909

24 957-959

1671 Remove ocular implant 02 113-114

21 907-909

24 957-959

1672 Remove orbital implant 02 113-114

21 907-909

24 957-959

1681 Repair of orbital wound 02 113-114

21 907-909

24 957-959

1682 Repair eyeball rupture 02 113-114

21 907-909

24 957-959

1689 Eye/orbit inj repair NEC 02 113-114

03 131-132

21 907-909

24 957-959

1692 Excision orbital lesion 02 113-114

03 131-132

21 907-909

24 957-959

SURGICAL CATEGORY

Orbital extraocular

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular Cranial/facial

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular Cranial/facial

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular

Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular

Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular Cranial/facial

Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular Cranial/facial

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

1693 Excision eye lesion NOS 02 115

09 579-581

21 907-909

24 957-959

1698 Operation on orbit NEC 02 113-114

03 131-132

21 907-909

24 957-959

1699 Operation on eyeball NEC 02 115

10 628-630

21 907-909

24 957-959

1711 Lap dir ing hern-graft 06 350-352

1712 Lap indir ing hern-graft 06 350-352

1713 Lap ing hern-graft NOS 06 350-352

1721 Lap bil dir ing hrn-grft 06 350-352

1722 Lap bi indir ing hrn-grf 06 350-352

1723 Lap bi dr/ind ing hrn-gr 06 350-352

1724 Lap bil ing hern-grf NOS 06 350-352

1731 Lap mul seg res lg intes 06 329-331

17 820-822

17 826-828

21 907-909

24 957-959

1732 Laparoscopic cecectomy 05 264

06 329-331

21 907-909

24 957-959

1733 Lap right hemicolectomy 05 264

06 329-331

17 820-822

17 826-828

21 907-909

24 957-959

1734 Lap res transverse colon 05 264

06 329-331

17 820-822

17 826-828

21 907-909

24 957-959

1735 Lap left hemicolectomy 05 264

06 329-331

10 628-630

17 820-822

17 826-828

21 907-909

24 957-959

SURGICAL CATEGORY

Extraocular except orbital

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular Cranial/facial

Other procs for injuries

Other procs for mult signif trauma

Extraocular except orbital

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Major small & large bowel Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other circulatory system

Major small & large bowel

Other procs for injuries

Other procs for mult signif trauma

Other circulatory system Major small & large bowel Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other circulatory system Major small & large bowel Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other circulatory system

Major small & large bowel

Other endocrine/nutrit/metabolic Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

1736 Lap sigmoidectomy 06 329-331

17 820-822

17 826-828

21 907-909

24 957-959

1739 Lap pt ex lrg intest NEC 05 264

06 329-331

17 820-822

17 826-828

21 907-909

24 957-959

1751 Implant CCM,total system 05 222-227

1752 Implant CCM pulse genrtr 05 245

1753 Perc ather extracran vsl 01 034-036

01 037-039

05 252-254

21 907-909

24 957-959

1754 Perc ather intracran vsl 01 023-027

05 252-254

21 907-909

24 957-959

1755 Translum cor atherectomy 05 231-232

05 246-251

1756 Ather oth non-cor vessel 01 037-039

04 166-168

05 252-254

06 356-358

07 423-425

08 515-517

09 579-581

10 628-630

11 673-675

21 907-909

24 957-959

1761 LITT lesn brain,guidance 01 023-027

1762 LITT les hd/nck,guidance 10 625-627

17 820-822

17 826-828

1763 LITT lesn liver,guidance 06 356-358

07 405-407

1769 LITT lesn, guide oth/NOS 04 163-165

09 584-585

12 715-718

17 820-822

17 826-828

1821 Preauricular sinus excis 03 133-134

09 579-581

SURGICAL CATEGORY

Major small & large bowel Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other circulatory system Major small & large bowel Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma Cardiac defibrillator implant

AICD generator

Angioplasty of precerebral vessel Extracranial

Other vascular

Other procs for injuries

Other procs for mult signif trauma

Craniotomy

Other vascular

Other procs for injuries

Other procs for mult signif trauma

PTCA

Percutaneous cardiovascular

Extracranial

Other respiratory system Other vascular

Other digestive system

Other hepatobiliary or pancreas

Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other procs for injuries

Other procs for mult signif trauma Craniotomy

Thyroid/parathyroid/thyroglossal Major procedure

Major procedure

Other digestive system

Pancreas, liver and shunt

Major chest

Breast biop/local excis/oth breast Other male reproductive system Major procedure

Major procedure

Other ear, nose, mouth & throat

Other skin, subcut tissue & breast

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

1831 Rad excis ext ear les 03 133-134

09 579-581

1839 Excis external ear NEC 03 133-134

09 579-581

21 907-909

24 957-959

185 Correction prominent ear 03 133-134

09 579-581

186 Ext audit canal reconstr 03 133-134

09 579-581

21 907-909

24 957-959

1871 Construction ear auricle 03 133-134

09 579-581

21 907-909

24 957-959

1872 Reattach amputated ear 03 133-134

21 907-909

24 957-959

1879 Plastic rep ext ear NEC 03 133-134

09 579-581

21 907-909

24 957-959

189 Other ext ear operations 03 133-134

09 579-581

21 907-909

24 957-959

190 Stapes mobilization 03 133-134

1911 Stapedect w replac incus 03 133-134

1919 Stapedectomy NEC 03 133-134

1921 Rev stapdec w incus repl 03 133-134

1929 Stapedectomy revis NEC 03 133-134

193 Ossicular chain op NEC 03 133-134

194 Myringoplasty 03 133-134

1952 Type 2 tympanoplasty 03 133-134

1953 Type 3 tympanoplasty 03 133-134

1954 Type 4 tympanoplasty 03 133-134

1955 Type 5 tympanoplasty 03 133-134

196 Tympanoplasty revision 03 133-134

199 Middle ear repair NEC 03 133-134

SURGICAL CATEGORY

Other ear, nose, mouth & throat

Other skin, subcut tissue & breast

Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat

Other skin, subcut tissue & breast

Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat

Other ear, nose, mouth & throat

Other ear, nose, mouth & throat

Other ear, nose, mouth & throat

Other ear, nose, mouth & throat

Other ear, nose, mouth & throat

Other ear, nose, mouth & throat

Other ear, nose, mouth & throat

Other ear, nose, mouth & throat

Other ear, nose, mouth & throat

Other ear, nose, mouth & throat

Other ear, nose, mouth & throat

Other ear, nose, mouth & throat

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

2001 Myringotomy w intubation

2021 Mastoid incision

2022 Petrus pyram air cel inc

2023 Middle ear incision

2032 Mid & inner ear biopsy

2039 Mid/in ear dx proc NEC

2041 Simple mastoidectomy

2042 Radical mastoidectomy

2049 Mastoidectomy NEC

2051 Excise middle ear lesion

2059 Middle ear excision NEC

2061 Inner ear fenestration

2062 Revis inner ear fenestra

2071 Endolymphatic shunt

2072 Inner ear injection

2079 Inc/exc/destr in ear NEC

2091 Tympanosympathectomy

2092 Mastoidectomy revision

2093 Repair oval/round window

2095 Elecmag hear dev implant

2096 Implt cochlear prost NOS

2097 Imp/rep schan coch pros

2098 Imp/rep mchan cochl pros

2099 Mid-inner ear ops NEC

2104 Ethmoid art ligat-epist

2105 Max art lig for epistax

MDC MS-DRG SURGICAL CATEGORY

03 133-134 Other ear, nose, mouth & throat

03 135-136 Sinus & mastoid

03 135-136 Sinus & mastoid

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 135-136 Sinus & mastoid

03 135-136 Sinus & mastoid

03 135-136 Sinus & mastoid

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 135-136 Sinus & mastoid

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 129 Cochlear implant

03 129-130 Major head & neck

03 129 Cochlear implant

03 129-130 Major head & neck

03 129 Cochlear implant

03 129-130 Major head & neck

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

05 264 Other circulatory system

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

05 264 Other circulatory system

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

2106 Ext carot art lig-epist 03 133-134

05 264

21 907-909

24 957-959

2107 Nasal sept grft-epistax 03 133-134

05 264

21 907-909

24 957-959

2109 Epistaxis control NEC 03 133-134

05 264

21 907-909

24 957-959

214 Resection of nose 03 131-132

09 579-581

21 907-909

24 957-959

215 Submuc nasal sept resect 03 133-134

21 907-909

24 957-959

2161 Diather/cryo turbinectom 03 133-134

2162 Turbinate fracture 03 133-134

21 907-909

24 957-959

2169 Turbinectomy NEC 03 133-134

21 907-909

24 957-959

2172 Open reduction nasal fx 03 131-132

08 515-517

09 579-581

21 907-909

24 957-959

2182 Nasal fistula closure 03 133-134

2183 Tot nasal reconstruction 03 133-134

08 515-517

09 579-581

21 907-909

24 957-959

2184 Revision rhinoplasty 03 133-134

08 515-517

09 579-581

21 907-909

24 957-959

2185 Augmentation rhinoplasty 03 133-134

08 515-517

09 579-581

21 907-909

24 957-959

SURGICAL CATEGORY

Other ear, nose, mouth & throat Other circulatory system

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other circulatory system

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other circulatory system

Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat

Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

2186 Limited rhinoplasty 03 133-134

08 515-517

09 579-581

21 907-909

24 957-959

2187 Rhinoplasty NEC 03 133-134

08 515-517

09 579-581

21 907-909

24 957-959

2188 Septoplasty NEC 03 133-134

08 515-517

09 579-581

21 907-909

24 957-959

2189 Nasal repair NEC 03 133-134

08 515-517

09 579-581

21 907-909

24 957-959

2199 Nasal operation NEC 03 133-134

09 579-581

21 907-909

24 957-959

2212 Open biopsy nasal sinus 03 135-136

2231 Radical maxillary antrot 03 135-136

2239 Ext maxillary antrot NEC 03 135-136

2241 Frontal sinusotomy 03 135-136

2242 Frontal sinusectomy 03 135-136

2250 Sinusotomy NOS 03 135-136

2251 Ethmoidotomy 03 135-136

2252 Sphenoidotomy 03 135-136

2253 Multiple sinus incision 03 135-136

2260 Sinusectomy NOS 03 135-136

2261 C-luc exc max sinus les 03 135-136

2262 Exc max sinus lesion NEC 03 135-136

08 515-517

2263 Ethmoidectomy 03 135-136

2264 Sphenoidectomy 03 135-136

2271 Nasal sinus fistula clos 03 135-136

2279 Nasal sinus repair NEC 03 135-136

SURGICAL CATEGORY

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma Sinus & mastoid

Sinus & mastoid

Sinus & mastoid

Sinus & mastoid

Sinus & mastoid

Sinus & mastoid

Sinus & mastoid

Sinus & mastoid

Sinus & mastoid

Sinus & mastoid

Sinus & mastoid

Sinus & mastoid

Other musculoskel & connec tissue Sinus & mastoid

Sinus & mastoid

Sinus & mastoid

Sinus & mastoid

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

229 Other nasal sinus ops

242 Gingivoplasty

244 Exc of dental les of jaw

245 Alveoloplasty

2502 Open biopsy of tongue

251 Destruction tongue les

252 Partial glossectomy

253 Complete glossectomy

254 Radical glossectomy

2559 Repair of tongue NEC

2594 Other glossotomy

2599 Tongue operation NEC

2612 Open bx saliv gland/duct

2621 Salivary cyst marsupial

2629 Saliv lesion excis NEC

2630 Sialoadenectomy NOS

2631 Partial sialoadenectomy

2632 Complete sialoadenectomy

2641 Suture of saliv glnd lac

2642 Salivary fistula closure

2649 Salivary repair NEC

2699 Salivary operation NEC

MDC MS-DRG SURGICAL CATEGORY

03 135-136 Sinus & mastoid

03 137-138 Mouth

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 137-138 Mouth

03 137-138 Mouth

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 137-138 Mouth

03 137-138 Mouth

05 264 Other circulatory system

03 137-138 Mouth

03 129-130 Major head & neck

03 129-130 Major head & neck

03 137-138 Mouth

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 137-138 Mouth

03 137-138 Mouth

03 139 Salivary gland

03 139 Salivary gland

03 139 Salivary gland

03 139 Salivary gland

16 802-804 Other blood & blood form org

03 139 Salivary gland

03 139 Salivary gland

03 139 Salivary gland

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 139 Salivary gland

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 139 Salivary gland

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 139 Salivary gland

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

270 Drain face & mouth floor 03 137-138

09 579-581

21 907-909

24 957-959

271 Incision of palate 03 137-138

2721 Bony palate biopsy 03 137-138

2722 Uvula and soft palate bx 03 137-138

2731 Loc exc bony palate les 03 137-138

2732 Wide exc bony palate les 03 129-130

2742 Wide excision of lip les 03 137-138

09 579-581

2743 Excision of lip les NEC 03 137-138

09 579-581

2749 Excision of mouth NEC 03 137-138

21 907-909

24 957-959

2753 Closure of mouth fistula 03 137-138

21 907-909

24 957-959

2754 Repair of cleft lip 03 133-134

09 579-581

21 907-909

24 957-959

2755 Full-thick grft to mouth 03 137-138

09 579-581

21 907-909

24 957-959

2756 Skin graft to mouth NEC 03 137-138

09 579-581

21 907-909

24 957-959

2757 Pedicle attach to mouth 03 137-138

09 579-581

21 907-909

24 957-959

2759 Mouth repair NEC 03 137-138

09 579-581

21 907-909

24 957-959

2761 Suture of palate lacerat 03 137-138

21 907-909

24 957-959

2762 Cleft palate correction 01 040-042

03 133-134

SURGICAL CATEGORY

Mouth

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Mouth

Mouth

Mouth

Mouth

Major head & neck

Mouth

Other skin, subcut tissue & breast

Mouth

Other skin, subcut tissue & breast

Mouth

Other procs for injuries

Other procs for mult signif trauma

Mouth

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Mouth

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Mouth

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Mouth

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Mouth

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Mouth

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Other ear, nose, mouth & throat

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

2763 Revis cleft palat repair

2769 Oth plastic repair palat

2771 Incision of uvula

2772 Excision of uvula

2773 Repair of uvula

2779 Other uvula operations

2792 Mouth incision NOS

2799 Oral cavity ops NEC

280 Peritonsillar i & d

2811 Tonsil&adenoid biopsy

2819 Tonsil&adenoid dx op NEC

282 Tonsillectomy

283 Tonsillectomy/adenoidec

284 Excision of tonsil tag

285 Excision lingual tonsil

286 Adenoidectomy

287 Hemorr contrl post T & A

2891 Incis to remov tonsil FB

2892 Excis tonsil/adenoid les

2899 Tonsil/adenoid ops NEC

290 Pharyngotomy

292 Exc branchial cleft cyst

2931 Cricopharyngeal myotomy

MDC MS-DRG SURGICAL CATEGORY

03 133-134 Other ear, nose, mouth & throat

09 579-581 Other skin, subcut tissue & breast

01 040-042 Periph/cranial nerve & other

03 133-134 Other ear, nose, mouth & throat

09 579-581 Other skin, subcut tissue & breast

03 137-138 Mouth

03 137-138 Mouth

03 137-138 Mouth

03 137-138 Mouth

03 137-138 Mouth

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 137-138 Mouth

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

09 579-581 Other skin, subcut tissue & breast

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

2932 Pharyngeal diverticulec

2933 Pharyngectomy

2939 Excis/destr les phar NEC

294 Plastic op on pharynx

2951 Suture of pharyngeal lac

2952 Clos branch cleft fistul

2953 Clos pharynx fistula NEC

2954 Lysis pharyngeal adhes

2959 Pharyngeal repair NEC

2992 Divis glossopharyng nerv

2999 Pharyngeal operation NEC

3001 Larynx cyst marsupializ

3009 Destruct larynx les NEC

301 Hemilaryngectomy

3021 Epiglottidectomy

3022 Vocal cordectomy

MDC MS-DRG SURGICAL CATEGORY

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

01 040-042 Periph/cranial nerve & other

03 133-134 Other ear, nose, mouth & throat

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

09 579-581 Other skin, subcut tissue & breast

03 133-134 Other ear, nose, mouth & throat

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

01 040-042 Periph/cranial nerve & other

03 133-134 Other ear, nose, mouth & throat

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

01 023-027 Craniotomy

03 133-134 Other ear, nose, mouth & throat

03 133-134 Other ear, nose, mouth & throat

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

04 166-168 Other respiratory system

03 133-134 Other ear, nose, mouth & throat

04 166-168 Other respiratory system

03 129-130 Major head & neck

04 166-168 Other respiratory system

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

04 166-168 Other respiratory system

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

04 166-168 Other respiratory system

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3029 Other part laryngectomy 03 129-130

04 166-168

21 907-909

24 957-959

303 Complete laryngectomy 011-013

304 Radical laryngectomy 011-013

311* Temporary tracheostomy 003-004

011-013

3121 Mediastinal tracheostomy 003-004

011-013

3129 Other perm tracheostomy 003-004

011-013

313 Incis larynx trachea NEC 03 133-134

04 166-168

3145 Opn bx larynx or trachea 03 133-134

04 166-168

315 Local destruc trach les 03 133-134

04 166-168

3161 Suture of laryngeal lac 03 133-134

04 166-168

21 907-909

24 957-959

3162 Laryngeal fistula clos 03 133-134

04 166-168

3163 Laryngostomy revision 03 133-134

04 166-168

3164 Laryngeal fx repair 03 133-134

04 166-168

21 907-909

24 957-959

3169 Other laryngeal repair 03 133-134

04 166-168

21 907-909

24 957-959

3171 Suture of tracheal lacer 03 133-134

04 166-168

21 907-909

24 957-959

3172 Closure of tracheostomy 03 133-134

04 166-168

05 264

09 579-581

21 907-909

24 957-959

SURGICAL CATEGORY

Major head & neck

Other respiratory system

Other procs for injuries

Other procs for mult signif trauma Laryngectomy

Laryngectomy

*Tracheostomy

*Tracheostomy

Tracheostomy

Tracheostomy

Tracheostomy

Tracheostomy

Other ear, nose, mouth & throat Other respiratory system

Other ear, nose, mouth & throat Other respiratory system

Other ear, nose, mouth & throat Other respiratory system

Other ear, nose, mouth & throat Other respiratory system

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other respiratory system

Other ear, nose, mouth & throat Other respiratory system

Other ear, nose, mouth & throat Other respiratory system

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other respiratory system

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other respiratory system

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other respiratory system

Other circulatory system

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3173 Trachea fistula clos NEC 03 133-134

04 163-165

06 326-328

21 907-909

24 957-959

3174 Revision of tracheostomy 03 133-134

04 166-168

05 264

09 579-581

21 907-909

24 957-959

3175 Tracheal reconstruction 03 133-134

04 163-165

21 907-909

24 957-959

3179 Other tracheal repair 03 133-134

04 163-165

21 907-909

24 957-959

3191 Laryngeal nerv division 03 133-134

04 166-168

3192 Lysis trach/larynx adhes 03 133-134

04 166-168

21 907-909

24 957-959

3198 Oth laryngeal operation 03 133-134

04 166-168

3199 Other tracheal operation 03 133-134

04 166-168

21 907-909

24 957-959

3209 Other destruc bronc les 04 163-165

321 Other bronchial excision 04 163-165

21 907-909

24 957-959

3220 Thorac exc lung lesion 04 163-165

17 820-822

17 826-828

21 907-909

24 957-959

3221 Emphysema bleb plication 04 163-165

3222 Lung vol reduction surg 04 163-165

3223 Open abltn lung les/tiss 04 163-165

17 820-822

17 826-828

3224 Perc abltn lung les/tiss 04 166-168

SURGICAL CATEGORY

Other ear, nose, mouth & throat Major chest

Stomach, esophageal & duodenal Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other respiratory system

Other circulatory system

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Major chest

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Major chest

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other respiratory system

Other ear, nose, mouth & throat Other respiratory system

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other respiratory system

Other ear, nose, mouth & throat Other respiratory system

Other procs for injuries

Other procs for mult signif trauma Major chest

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma Major chest

Major chest

Major chest

Major procedure

Major procedure

Other respiratory system

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

3225 Thor abltn lung les/tiss

3226 Abltn lung tiss NEC/NOS

3227 Brnc thrmplsty,ablt mscl

3229 Destroy loc lung les NEC

3230 Thorac seg lung resect

3239 Oth seg lung resect NOS

3241 Thorac lobectomy lung

3249 Lobectomy of lung NEC

3250 Thoracospc pneumonectomy

3259 Other pneumonectomy NOS

326 Rad dissec thorac struct

329 Other excision of lung

330 Incision of bronchus

331 Incision of lung

3320 Thoracoscopc lung biopsy

3325 Open bronchial biopsy

MDC MS-DRG SURGICAL CATEGORY

04 163-165 Major chest

17 820-822 Major procedure

17 826-828 Major procedure

04 163-165 Major chest

04 163-165 Major chest

04 163-165 Major chest

17 820-822 Major procedure

17 826-828 Major procedure

04 163-165 Major chest

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

04 163-165 Major chest

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 166-168 Other respiratory system

05 264 Other circulatory system

08 515-517 Other musculoskel & connec tissue

11 673-675 Other kidney & urinary tract

04 163-165 Major chest

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3327 Clos endoscopic lung bx 04 166-168

05 264

3328 Open lung biopsy 04 163-165

05 264

08 515-517

11 673-675

17 820-822

17 826-828

3329 Bronch/lung dx proc NEC 04 166-168

3334 Thoracoplasty 04 163-165

3339 Surg collaps of lung NEC 04 163-165

3341 Bronchial lacerat suture 04 163-165

21 907-909

24 957-959

3342 Bronchial fistula clos 04 163-165

21 907-909

24 957-959

3343 Lung laceration closure 04 163-165

21 907-909

24 957-959

3348 Bronchial repair NEC 04 163-165

21 907-909

24 957-959

3349 Lung repair NEC 04 163-165

21 907-909

24 957-959

3350 Lung transplant NOS 007

3351 Unilat lung transplant 007

3352 Bilat lung transplant 007

336 Comb heart/lung transpla 001-002

3392 Bronchial ligation 04 163-165

21 907-909

24 957-959

3393 Puncture of lung 04 166-168

3398 Bronchial operation NEC 04 163-165

21 907-909

24 957-959

3399 Lung operation NEC 04 163-165

21 907-909

24 957-959

SURGICAL CATEGORY

Other respiratory system

Other circulatory system

Major chest

Other circulatory system

Other musculoskel & connec tissue Other kidney & urinary tract

Major procedure

Major procedure

Other respiratory system Major chest

Major chest

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma Lung transplant

Lung transplant

Lung transplant

Heart transplant

Major chest

Other procs for injuries

Other procs for mult signif trauma Other respiratory system

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

3402 Exploratory thoracotomy

3403 Reopen thoracotomy site

3406 Thorac drain pleurl cav

341 Incision of mediastinum

3420 Thoracoscopic pleural bx

3421 Transpleura thoracoscopy

3422 Mediastinoscopy

3426 Open mediastinal biopsy

3427 Biopsy of diaphragm

3428 Dx procedure thorax NEC

3429 Dx proc mediastinum NEC

343 Destruct mediastin les

344 Destruct chest wall les

MDC MS-DRG SURGICAL CATEGORY

04 163-165 Major chest

05 264 Other circulatory system

11 673-675 Other kidney & urinary tract

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

05 264 Other circulatory system

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 166-168 Other respiratory system

04 166-168 Other respiratory system

05 264 Other circulatory system

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 166-168 Other respiratory system

04 166-168 Other respiratory system

05 264 Other circulatory system

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

04 166-168 Other respiratory system

05 264 Other circulatory system

16 802-804 Other blood & blood form org

17 820-822 Major procedure

17 826-828 Major procedure

04 166-168 Other respiratory system

05 264 Other circulatory system

10 628-630 Other endocrine/nutrit/metabolic

16 802-804 Other blood & blood form org

17 820-822 Major procedure

17 826-828 Major procedure

04 163-165 Major chest

04 166-168 Other respiratory system

04 166-168 Other respiratory system

05 264 Other circulatory system

04 163-165 Major chest

10 628-630 Other endocrine/nutrit/metabolic

17 820-822 Major procedure

17 826-828 Major procedure

04 166-168 Other respiratory system

08 495-497 Loc excis,rm int fx dev ex hip,fem

09 579-581 Other skin, subcut tissue & breast

10 628-630 Other endocrine/nutrit/metabolic

17 820-822 Major procedure

17 826-828 Major procedure

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3451 Decortication of lung 04 163-165

17 820-822

17 826-828

21 907-909

24 957-959

3452 Thoracoscopc decort lung 04 163-165

17 820-822

17 826-828

21 907-909

24 957-959

3459 Other pleural excision 04 163-165

21 907-909

24 957-959

346 Scarification of pleura 04 163-165

17 820-822

17 826-828

21 907-909

24 957-959

3473 Clos thoracic fistul NEC 04 163-165

21 907-909

24 957-959

3474 Pectus deformity repair 04 163-165

08 515-517

3479 Other chest wall repair 04 166-168

08 515-517

09 579-581

21 907-909

24 957-959

3481 Excise diaphragm lesion 04 163-165

08 515-517

3482 Suture diaphragm lacerat 04 163-165

21 907-909

24 957-959

3483 Close diaphragm fistula 04 163-165

21 907-909

24 957-959

3484 Other diaphragm repair 04 163-165

21 907-909

24 957-959

3485 Implant diaphra pacemake 04 163-165

21 907-909

24 957-959

3489 Diaphragm operation NEC 04 163-165

21 907-909

24 957-959

3493 Repair of pleura 04 163-165

21 907-909

24 957-959

SURGICAL CATEGORY

Major chest

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Major chest

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other musculoskel & connec tissue

Other respiratory system

Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Major chest

Other musculoskel & connec tissue

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3499 Thoracic operation NEC 04 166-168

21 907-909

24 957-959

3500 Closed valvotomy NOS 05 237-238

3501 Closed aortic valvotomy 05 237-238

3502 Closed mitral valvotomy 05 237-238

3503 Closed pulmon valvotomy 05 237-238

3504 Closed tricusp valvotomy 05 237-238

3505 Endovas repl aortc valve 05 216-221

3506 Trnsapcl rep aortc valve 05 216-221

3507 Endovas repl pulm valve 05 216-221

3508 Trnsapcl repl pulm valve 05 216-221

3509 Endovas repl uns hrt vlv 05 216-221

3510 Open valvuloplasty NOS 05 216-221

3511 Opn aortic valvuloplasty 05 216-221

3512 Opn mitral valvuloplasty 05 216-221

3513 Opn pulmon valvuloplasty 05 216-221

3514 Opn tricus valvuloplasty 05 216-221

3520 Opn/oth rep hrt vlv NOS 05 216-221

3521 Opn/oth rep aort vlv-tis 05 216-221

3522 Opn/oth rep aortic valve 05 216-221

3523 Opn/oth rep mtrl vlv-tis 05 216-221

3524 Opn/oth rep mitral valve 05 216-221

3525 Opn/oth rep pulm vlv-tis 05 216-221

3526 Opn/oth repl pul valve 05 216-221

3527 Opn/oth rep tcspd vlv-ts 05 216-221

3528 Opn/oth repl tcspd valve 05 216-221

3531 Papillary muscle ops 05 228-230

3532 Chordae tendineae ops 05 228-230

3533 Annuloplasty 05 216-221

3534 Infundibulectomy 05 228-230

3535 Trabecul carneae cord op 05 228-230

SURGICAL CATEGORY

Other respiratory system

Other procs for injuries

Other procs for mult signif trauma Major cardiovascular

Major cardiovascular

Major cardiovascular

Major cardiovascular

Major cardiovascular

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Valve & other major cardiothoracic

Other cardiothoracic

Other cardiothoracic

Valve & other major cardiothoracic Other cardiothoracic

Other cardiothoracic

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

3539 Tiss adj to valv ops NEC

3542 Create septal defect

3550 Prosth rep hrt septa NOS

3551 Pros rep atrial def-opn

3552 Pros repair atria def-cl

3553 Pros rep ventric def-opn

3554 Pros rep endocar cushion

3555 Pros rep ventrc def-clos

3560 Grft repair hrt sept NOS

3561 Graft repair atrial def

3562 Graft repair ventric def

3563 Grft rep endocar cushion

3570 Heart septa repair NOS

3571 Atria septa def rep NEC

3572 Ventr septa def rep NEC

3573 Endocar cushion rep NEC

3581 Tot repair tetral fallot

3582 Total repair of tapvc

3583 Tot rep truncus arterios

3584 Tot cor transpos grt ves

3591 Interat ven retrn transp

3592 Conduit rt vent-pul art

3593 Conduit left ventr-aorta

3594 Conduit artium-pulm art

3595 Heart repair revision

3596 Perc balloon valvuplasty

3597 Perc mtrl vlv repr w imp

3598 Other heart septa ops

3599 Other heart valve ops

3603 Open coronry angioplasty

MDC MS-DRG SURGICAL CATEGORY

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 250-251 Percutaneous cardiovascular

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 231-232 PTCA

05 246-251 Percutaneous cardiovascular

05 231-232 PTCA

05 246-251 Percutaneous cardiovascular

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

3606* Ins nondrug elut cor st 3607* Ins drug-elut coronry st

3609 Rem of cor art obstr NEC

3610 Aortocoronary bypass NOS

3611 Aortocor bypas-1 cor art

3612 Aortocor bypas-2 cor art

3613 Aortocor bypas-3 cor art

3614 Aortcor bypas-4+ cor art

3615 1 int mam-cor art bypass

3616 2 int mam-cor art bypass

3617 Abd-coron artery bypass

3619 Hrt revas byps anas NEC

362 Arterial implant revasc

3631 Open chest trans revasc

3632 Oth transmyo revascular

3633 Endo transmyo revascular

3634 Perc transmyo revascular

3639 Oth heart revascular

3691 Coron vess aneurysm rep

3699 Heart vessel op NEC

3710 Incision of heart NOS

3711 Cardiotomy

3712 Pericardiotomy

3721* Rt heart cardiac cath

MDC MS-DRG SURGICAL CATEGORY

05 248-249 *Insert non-drug-eluting stent

05 246-247 *Insert drug-eluting stent

05 246-251 Percutaneous cardiovascular

05 231-236 Coronary bypass

05 231-236 Coronary bypass

05 231-236 Coronary bypass

05 231-236 Coronary bypass

05 231-236 Coronary bypass

05 231-236 Coronary bypass

05 231-236 Coronary bypass

05 231-236 Coronary bypass

05 231-236 Coronary bypass

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

05 228-230 Other cardiothoracic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

05 237-238 Major cardiovascular

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 216-218 *Cardiac catheter

05 222-225 *Cardiac catheter

05 233-234 *Cardiac catheter

05 286-287 *Cardiac catheter

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3722* Left heart cardiac cath 05 216-218

05 222-225

05 233-234

05 286-287

3723* Rt/left heart card cath 05 216-218

05 222-225

05 233-234

05 286-287

3724 Pericardial biopsy 04 163-165

05 237-238

17 820-822

17 826-828

3726* Cath base invasv ep test 05 216-218

05 246-251

3727* Cardiac mapping 05 246-251

3731 Pericardiectomy 04 163-165

05 237-238

17 820-822

17 826-828

21 907-909

24 957-959

3732 Heart aneurysm excision 05 228-230

3733 Exc/dest hrt lesion open 05 228-230

3734 Exc/des hrt les,endovasc 05 246-251

3735 Partial ventriculectomy 05 228-230

3736* Exc,destrct,exclus LAA 05 250-251

3737 Exc/dest hrt les, thrspc 05 228-230

3741 Impl cardiac support dev 05 237-238

3749 Heart/pericard repr NEC 05 237-238

21 907-909

24 957-959

3751 Heart transplantation 001-002

3752 Imp tot int bi ht rp sys 001-002

3753 Repl/rep thr unt tot hrt 05 215

3754 Repl/rep oth tot hrt sys 05 215

3755 Rem int bivent hrt sys 05 237-238

3760 Imp bivn ext hrt ast sys 001-002

05 215

3761 Pulsation balloon implan 05 237-238

3762 Insrt non-impl circ dev 05 215

SURGICAL CATEGORY

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

Major chest

Major cardiovascular Major procedure

Major procedure

*Cardiac catheter

*Percutaneous cardiovascular

*Percutaneous cardiovascular

Major chest

Major cardiovascular Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma Other cardiothoracic

Other cardiothoracic

Percutaneous cardiovascular Other cardiothoracic

*Percutaneous cardiovascular Other cardiothoracic

Major cardiovascular

Major cardiovascular

Other procs for injuries

Other procs for mult signif trauma Heart transplant

Heart transplant

Other heart assist system implant Other heart assist system implant Major cardiovascular

Implant of heart assist system

Other heart assist system implant

Major cardiovascular

Other heart assist system implant

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3763 Repair heart assist sys 001-002

05 215

3764 Remve ext hrt assist sys 001-002

05 237-238

3765 Imp vent ext hrt ast sys 001-002

05 215

3766 Implantable hrt assist 001-002

3767 Imp cardiomyostimul sys 05 237-238

3768 Percutan hrt assist syst 05 216-221

3770* Int insert pacemak lead 01

05

05

21

3771* Int insert lead in vent 01

05

05

21

3772* Int inser lead atri-vent 01

05

05

21

3773* Int inser lead in atrium 01

05

05

21

3774 Int or repl lead epicar 01 040-042

01

05

05 260-262

05

21 907-909

21

24 957-959

3775 Revision of lead 01 040-042

05 260-262

21 907-909

24 957-959

3776 Repl tv atri-vent lead 01 040-042

01

05

05 260-262

05

21 907-909

21

24 957-959

SURGICAL CATEGORY

Implant of heart assist system

Other heart assist system implant

Removal of heart assist system Major cardiovascular

Implant of heart assist system

Other heart assist system implant

Heart transplant

Major cardiovascular

Valve & other major cardiothoracic

See Pacemaker Reference Table

See Lead/Generator Reference Table

See Pacemaker Reference Table

See Pacemaker Reference Table

See Pacemaker Reference Table

See Lead/Generator Reference Table

See Pacemaker Reference Table

See Pacemaker Reference Table

See Pacemaker Reference Table

See Lead/Generator Reference Table

See Pacemaker Reference Table

See Pacemaker Reference Table

See Pacemaker Reference Table

See Lead/Generator Reference Table

See Pacemaker Reference Table

See Pacemaker Reference Table

Periph/cranial nerve & other

See Pacemaker Reference Table

See Lead/Generator Reference Table Pacemaker revis exc device replace See Pacemaker Reference Table

Other procs for injuries

See Pacemaker Reference Table

Other procs for mult signif trauma

Periph/cranial nerve & other

Pacemaker revis exc device replace Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

See Pacemaker Reference Table

See Lead/Generator Reference Table Pacemaker revis exc device replace See Pacemaker Reference Table

Other procs for injuries

See Pacemaker Reference Table

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3777 Removal of lead w/o repl 01 040-042

05 260-262

21 907-909

24 957-959

3779 Rev/reloc card dev pockt 01 040-042

05 260-262

09 579-581

21 907-909

24 957-959

3780 Int or repl perm pacemkr 01 040-042

01

05 258-259

05

21 907-909

21

24 957-959

3781* Int insert 1-cham, non 01

05

21

3782* Int insert 1-cham, rate 01

05

21

3783* Int insert dual-cham dev 01

05

21

3785 Repl pacem w 1-cham, non 01 040-042

01

05 258-259

05

21 907-909

21

24 957-959

3786 Repl pacem 1-cham, rate 01 040-042

01

05 258-259

05

21 907-909

21

24 957-959

3787 Repl pacem w dual-cham 01 040-042

01

05 258-259

05

21 907-909

21

24 957-959

3789 Revise or remove pacemak 01 040-042

05 260-262

21 907-909

24 957-959

3790* Ins left atr append dev 05 250-251

SURGICAL CATEGORY

Periph/cranial nerve & other

Pacemaker revis exc device replace Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Pacemaker revis exc device replace Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

See Pacemaker Reference Table Pacemaker device replacement See Pacemaker Reference Table Other procs for injuries

See Pacemaker Reference Table

Other procs for mult signif trauma

See Pacemaker Reference Table

See Pacemaker Reference Table

See Pacemaker Reference Table

See Pacemaker Reference Table

See Pacemaker Reference Table

See Pacemaker Reference Table

See Pacemaker Reference Table

See Pacemaker Reference Table

See Pacemaker Reference Table

Periph/cranial nerve & other

See Pacemaker Reference Table Pacemaker device replacement See Pacemaker Reference Table Other procs for injuries

See Pacemaker Reference Table

Other procs for mult signif trauma

Periph/cranial nerve & other

See Pacemaker Reference Table Pacemaker device replacement See Pacemaker Reference Table Other procs for injuries

See Pacemaker Reference Table

Other procs for mult signif trauma

Periph/cranial nerve & other

See Pacemaker Reference Table Pacemaker device replacement See Pacemaker Reference Table Other procs for injuries

See Pacemaker Reference Table

Other procs for mult signif trauma

Periph/cranial nerve & other

Pacemaker revis exc device replace Other procs for injuries

Other procs for mult signif trauma *Percutaneous cardiovascular

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3791 Opn chest cardiac massag 04 163-165

05 237-238

17 820-822

17 826-828

21 907-909

24 957-959

3794 Implt/repl carddefib tot 05 222-227

3795 Implt cardiodefib leads 05

3796 Implt cardiodefib genatr 05 245

05

3797 Repl cardiodefib leads 05

3798 Repl cardiodefib genratr 05 245

05

3799 Other heart/pericard ops 05 237-238

3800 Incision of vessel NOS 03 133-134

05 252-254

10 628-630

21 907-909

24 957-959

3801 Intracran vessel incis 01 020-022

01 023-027

21 907-909

24 957-959

3802 Head/neck ves incis NEC 01 040-042

03 133-134

05 252-254

10 628-630

21 907-909

24 957-959

3803 Upper limb vessel incis 05 252-254

10 628-630

21 907-909

24 957-959

3804 Incision of aorta 05 237-238

06 356-358

21 907-909

24 957-959

3805 Thoracic vessel inc NEC 04 163-165

05 237-238

06 326-328

21 907-909

24 957-959

3806 Abdomen artery incision 05 237-238

06 356-358

11 673-675

21 907-909

24 957-959

SURGICAL CATEGORY

Major chest

Major cardiovascular Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma Cardiac defibrillator implant

See Lead/Generator Reference Table

AICD generator

See Lead/Generator Reference Table

See Lead/Generator Reference Table

AICD generator

See Lead/Generator Reference Table Major cardiovascular

Other ear, nose, mouth & throat Other vascular

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Intracranial vascular Craniotomy

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other vascular

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Other vascular

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other digestive system

Other procs for injuries

Other procs for mult signif trauma

Major chest

Major cardiovascular

Stomach, esophageal & duodenal Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other digestive system

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

3807 Abdominal vein incision

3808 Lower limb artery incis

3809 Lower limb vein incision

3810 Endarterectomy NOS

3811 Intracran endarterectomy

3812 Head & neck endarter NEC

3813 Upper limb endarterectom

3814 Endarterectomy of aorta

3815 Thoracic endarterectomy

3816 Abdominal endarterectomy

3818 Lower limb endarterect

MDC MS-DRG SURGICAL CATEGORY

05 237-238 Major cardiovascular

06 356-358 Other digestive system

11 673-675 Other kidney & urinary tract

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 252-254 Other vascular

10 628-630 Other endocrine/nutrit/metabolic

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 263 Vein ligation & stripping

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

01 037-039 Extracranial

05 252-254 Other vascular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

01 020-022 Intracranial vascular

01 023-027 Craniotomy

01 037-039 Extracranial

03 133-134 Other ear, nose, mouth & throat

05 252-254 Other vascular

10 628-630 Other endocrine/nutrit/metabolic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 252-254 Other vascular

10 628-630 Other endocrine/nutrit/metabolic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 237-238 Major cardiovascular

06 356-358 Other digestive system

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

05 237-238 Major cardiovascular

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 237-238 Major cardiovascular

06 356-358 Other digestive system

11 673-675 Other kidney & urinary tract

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 252-254 Other vascular

10 628-630 Other endocrine/nutrit/metabolic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3821 Blood vessel biopsy 01 040-042

02 115

03 133-134

04 166-168

05 252-254

08 515-517

10 628-630

11 673-675

3826 Insrt prsr snsr w/o lead 05 264

3829 Blood vessel dx proc NEC 05 252-254

10 628-630

3830 Vessel resect/anast NOS 05 252-254

10 628-630

21 907-909

24 957-959

3831 Intracran ves resec-anas 01 020-022

01 023-027

21 907-909

24 957-959

3832 Head/neck ves resec-anas 01 037-039

03 133-134

05 252-254

21 907-909

24 957-959

3833 Arm vessel resect/anast 05 252-254

10 628-630

21 907-909

24 957-959

3834 Aorta resection & anast 05 237-238

06 356-358

21 907-909

24 957-959

3835 Thor vessel resect/anast 04 163-165

05 237-238

06 326-328

21 907-909

24 957-959

3836 Abd vessel resect/anast 05 237-238

06 356-358

11 673-675

21 907-909

24 957-959

3837 Abd vein resect & anast 05 237-238

06 356-358

11 673-675

21 907-909

24 957-959

SURGICAL CATEGORY

Periph/cranial nerve & other

Extraocular except orbital

Other ear, nose, mouth & throat Other respiratory system

Other vascular

Other musculoskel & connec tissue Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other circulatory system

Other vascular

Other endocrine/nutrit/metabolic

Other vascular

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Intracranial vascular Craniotomy

Other procs for injuries

Other procs for mult signif trauma

Extracranial

Other ear, nose, mouth & throat Other vascular

Other procs for injuries

Other procs for mult signif trauma

Other vascular

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other digestive system

Other procs for injuries

Other procs for mult signif trauma

Major chest

Major cardiovascular

Stomach, esophageal & duodenal Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other digestive system

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other digestive system

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3838 Leg artery resect/anast 05 252-254

10 628-630

21 907-909

24 957-959

3839 Leg vein resect/anastom 05 263

21 907-909

24 957-959

3840 Vessel resect/replac NOS 05 252-254

21 907-909

24 957-959

3841 Intracran ves resec-repl 01 020-022

01 023-027

21 907-909

24 957-959

3842 Head/neck ves resec-repl 01 040-042

03 133-134

05 252-254

21 907-909

24 957-959

3843 Arm ves resect w replace 05 252-254

10 628-630

21 907-909

24 957-959

3844 Resect abdm aorta w repl 05 237-238

21 907-909

24 957-959

3845 Resect thorac ves w repl 04 163-165

05 216-221

06 326-328

21 907-909

24 957-959

3846 Abd artery resec w repla 05 237-238

06 356-358

11 673-675

21 907-909

24 957-959

3847 Abd vein resect w replac 05 237-238

06 356-358

11 673-675

21 907-909

24 957-959

3848 Leg artery resec w repla 05 252-254

10 628-630

21 907-909

24 957-959

3849 Leg vein resect w replac 05 263

21 907-909

24 957-959

3850 Varicose v lig-strip NOS 05 263

SURGICAL CATEGORY

Other vascular

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Vein ligation & stripping

Other procs for injuries

Other procs for mult signif trauma

Other vascular

Other procs for injuries

Other procs for mult signif trauma

Intracranial vascular Craniotomy

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other vascular

Other procs for injuries

Other procs for mult signif trauma

Other vascular

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other procs for injuries

Other procs for mult signif trauma

Major chest

Valve & other major cardiothoracic Stomach, esophageal & duodenal Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other digestive system

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other digestive system

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

Other vascular

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Vein ligation & stripping

Other procs for injuries

Other procs for mult signif trauma Vein ligation & stripping

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3851 Intcran var v lig-strip 01 020-022

01 023-027

3852 Head/neck var v lig-str 05 252-254

3853 Arm varicose v lig-strip 05 263

3855 Thorac var v lig-strip 04 163-165

05 237-238

10 628-630

3857 Abd varicos v liga-strip 05 252-254

06 356-358

3859 Leg varicos v liga-strip 05 263

3860 Excision of vessel NOS 05 252-254

10 628-630

21 907-909

24 957-959

3861 Intracran vessel excis 01 020-022

01 023-027

21 907-909

24 957-959

3862 Head/neck vessel excis 01 037-039

03 133-134

05 252-254

21 907-909

24 957-959

3863 Arm vessel excision 05 252-254

10 628-630

21 907-909

24 957-959

3864 Excision of aorta 05 237-238

06 356-358

21 907-909

24 957-959

3865 Thoracic vessel excision 04 163-165

05 237-238

06 326-328

21 907-909

24 957-959

3866 Abdominal artery excis 05 237-238

06 356-358

11 673-675

21 907-909

24 957-959

3867 Abdominal vein excision 05 237-238

06 356-358

11 673-675

21 907-909

24 957-959

SURGICAL CATEGORY

Intracranial vascular Craniotomy

Other vascular

Vein ligation & stripping

Major chest

Major cardiovascular

Other endocrine/nutrit/metabolic

Other vascular

Other digestive system

Vein ligation & stripping

Other vascular

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Intracranial vascular Craniotomy

Other procs for injuries

Other procs for mult signif trauma

Extracranial

Other ear, nose, mouth & throat Other vascular

Other procs for injuries

Other procs for mult signif trauma

Other vascular

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other digestive system

Other procs for injuries

Other procs for mult signif trauma

Major chest

Major cardiovascular

Stomach, esophageal & duodenal Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other digestive system

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other digestive system

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3868 Leg artery excision 05 252-254

10 628-630

21 907-909

24 957-959

3869 Leg vein excision 05 263

21 907-909

24 957-959

387 Interruption vena cava 01 040-042

04 166-168

05 252-254

06 356-358

07 423-425

08 515-517

10 628-630

11 673-675

12 715-718

13 749-750

14 768

16 802-804

21 907-909

24 957-959

3880 Surg vessel occlus NEC 05 252-254

21 907-909

24 957-959

3881 Occlus intracran ves NEC 01 020-022

01 023-027

21 907-909

24 955

3882 Occlus head/neck ves NEC 01 040-042

03 133-134

05 252-254

21 907-909

24 957-959

3883 Occlude arm vessel NEC 05 252-254

10 628-630

21 907-909

24 957-959

3884 Occlude aorta NEC 05 237-238

06 356-358

21 907-909

24 957-959

3885 Occlude thoracic ves NEC 04 163-165

05 237-238

06 326-328

21 907-909

24 957-959

3886 Occlude abd artery NEC 05 237-238

06 356-358

11 673-675

21 907-909

24 957-959

SURGICAL CATEGORY

Other vascular

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Vein ligation & stripping

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other respiratory system Other vascular

Other digestive system

Other hepatobiliary or pancreas

Other musculoskel & connec tissue

Other endocrine/nutrit/metabolic

Other kidney & urinary tract

Other male reproductive system

Other female reproductive system

Delivery except steril &/or D&C

Other blood & blood form org

Other procs for injuries

Other procs for mult signif trauma

Other vascular

Other procs for injuries

Other procs for mult signif trauma

Intracranial vascular Craniotomy

Other procs for injuries

Craniotomy for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other vascular

Other procs for injuries

Other procs for mult signif trauma

Other vascular

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other digestive system

Other procs for injuries

Other procs for mult signif trauma

Major chest

Major cardiovascular

Stomach, esophageal & duodenal Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other digestive system

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3887 Occlude abd vein NEC 05 237-238

06 356-358

11 673-675

21 907-909

24 957-959

3888 Occlude leg artery NEC 05 252-254

10 628-630

21 907-909

24 957-959

3889 Occlude leg vein NEC 05 263

21 907-909

24 957-959

390 Systemic-pulm art shunt 05 237-238

391 Intra-abd venous shunt 05 237-238

06 326-328

07 405-407

3921 Caval-pulmon art anastom 05 237-238

3922 Aorta-subclv-carot bypas 01 037-039

05 237-238

21 907-909

24 957-959

3923 Intrathoracic shunt NEC 05 237-238

21 907-909

24 957-959

3924 Aorta-renal bypass 05 237-238

11 656-661

21 907-909

24 957-959

3925 Aorta-iliac-femor bypass 05 237-238

09 579-581

10 628-630

21 907-909

24 957-959

3926 Intra-abdomin shunt NEC 05 237-238

06 356-358

07 423-425

11 656-661

21 907-909

24 957-959

3927 Dialysis arteriovenostom 05 264

06 356-358

10 628-630

11 673-675

21 907-909

24 957-959

3928 Extracran-intracr bypass 01 020-022

01 023-027

21 907-909

24 957-959

SURGICAL CATEGORY

Major cardiovascular

Other digestive system

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

Other vascular

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Vein ligation & stripping

Other procs for injuries

Other procs for mult signif trauma Major cardiovascular

Major cardiovascular

Stomach, esophageal & duodenal Pancreas, liver and shunt

Major cardiovascular

Extracranial

Major cardiovascular

Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other digestive system

Other hepatobiliary or pancreas Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Other circulatory system

Other digestive system

Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other procs for injuries

Other procs for mult signif trauma

Intracranial vascular Craniotomy

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3929 Vasc shunt & bypass NEC 01 037-039

04 166-168

05 252-254

07 423-425

09 579-581

10 628-630

21 907-909

24 957-959

3930 Suture of vessel NOS 01 037-039

05 252-254

21 907-909

24 957-959

3931 Suture of artery 01 037-039

04 166-168

05 252-254

09 579-581

10 628-630

21 907-909

24 957-959

3932 Suture of vein 01 037-039

05 263

21 907-909

24 957-959

3941 Postop vasc op hem contr 05 252-254

10 628-630

21 907-909

24 957-959

3942 Revis ren dialysis shunt 05 264

10 628-630

11 673-675

21 907-909

24 957-959

3943 Remov ren dialysis shunt 05 264

11 673-675

21 907-909

24 957-959

3949 Vasc proc revision NEC 05 252-254

06 356-358

07 423-425

10 628-630

11 673-675

21 907-909

24 957-959

SURGICAL CATEGORY

Extracranial

Other respiratory system Other vascular

Other hepatobiliary or pancreas Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Extracranial

Other vascular

Other procs for injuries

Other procs for mult signif trauma

Extracranial

Other respiratory system Other vascular

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Extracranial

Vein ligation & stripping

Other procs for injuries

Other procs for mult signif trauma

Other vascular

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Other circulatory system

Other endocrine/nutrit/metabolic Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

Other circulatory system Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

Other vascular

Other digestive system

Other hepatobiliary or pancreas Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3950 Angio oth non-coronary 01 037-039

04 166-168

05 252-254

06 356-358

07 423-425

08 515-517

09 579-581

10 628-630

11 673-675

21 907-909

24 957-959

3951 Clipping of aneurysm 01 020-022

01 023-027

05 252-254

3952 Aneurysm repair NEC 01 020-022

01 023-027

05 237-238

11 673-675

21 907-909

24 957-959

3953 Arterioven fistula rep 01 020-022

01 023-027

05 252-254

3954 Re-entry operation 04 163-165

05 237-238

3955 Reimplan aberr renal ves 05 252-254

11 656-661

3956 Repair vess w tis patch 01 037-039

05 252-254

10 628-630

11 673-675

21 907-909

24 957-959

3957 Rep vess w synth patch 01 037-039

05 252-254

10 628-630

11 673-675

21 907-909

24 957-959

3958 Repair vess w patch NOS 01 037-039

05 252-254

10 628-630

11 673-675

21 907-909

24 957-959

3959 Repair of vessel NEC 01 037-039

05 252-254

09 579-581

10 628-630

11 673-675

21 907-909

24 957-959

SURGICAL CATEGORY

Extracranial

Other respiratory system Other vascular

Other digestive system

Other hepatobiliary or pancreas

Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other procs for injuries

Other procs for mult signif trauma

Intracranial vascular Craniotomy

Other vascular

Intracranial vascular Craniotomy

Major cardiovascular

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

Intracranial vascular Craniotomy

Other vascular

Major chest

Major cardiovascular

Other vascular

Kidney & ureter

Extracranial

Other vascular

Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other procs for injuries

Other procs for mult signif trauma

Extracranial

Other vascular

Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other procs for injuries

Other procs for mult signif trauma

Extracranial

Other vascular

Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other procs for injuries

Other procs for mult signif trauma

Extracranial

Other vascular

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3965 Extracorporeal memb oxy 003

3971 Endo imp oth grf abd aor 05 237-238

11 673-675

21 907-909

24 957-959

3972 Endovasc embol hd/nk ves 01 020-022

01 023-027

05 237-238

11 673-675

21 907-909

24 957-959

3973 Endo imp grft thor aorta 05 216-221

11 673-675

21 907-909

24 957-959

3974 Endo rem obs hd/neck ves 01 023-027

21 907-909

24 957-959

3975 Endo emb hd/nk,bare coil 01 020-022

01 023-027

05 237-238

11 673-675

21 907-909

24 957-959

3976 Endo em hd/nk,bioac coil 01 020-022

01 023-027

05 237-238

11 673-675

21 907-909

24 957-959

3977 Temp endovsc occls vessl 01 037-039

05 252-254

21 907-909

24 957-959

3978 Endovas impln grft aorta 05 237-238

24 957-959

3979 Oth endo proc oth vessel 01 020-022

01 023-027

05 237-238

11 673-675

21 907-909

24 957-959

3981 Imp crtd sinus stm,totl 05 252-254

3982 Imp/rep crtd sinus lead 05 252-254

3983 Imp/rep crtd sinus gnrtr 05 252-254

3984 Rev crtd sinus stm leads 05 252-254

3985 Rev crtd sinus pulse gen 05 252-254

SURGICAL CATEGORY

ECMO

Major cardiovascular

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

Intracranial vascular Craniotomy

Major cardiovascular

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

Valve & other major cardiothoracic Other kidney & urinary tract

Other procs for injuries

Other procs for mult signif trauma

Craniotomy

Other procs for injuries

Other procs for mult signif trauma

Intracranial vascular Craniotomy

Major cardiovascular

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

Intracranial vascular Craniotomy

Major cardiovascular

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

Extracranial

Other vascular

Other procs for injuries

Other procs for mult signif trauma

Major cardiovascular

Other procs for mult signif trauma

Intracranial vascular Craniotomy

Major cardiovascular

Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma Other vascular

Other vascular

Other vascular

Other vascular

Other vascular

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

3986 Rem crtd sinus stm, totl 05 252-254

3987 Rem crtd sinus stm lead 05 252-254

3988 Rem crtd sinus pulse gen 05 252-254

3989 Oth cartd body/sinus op 05 252-254

3991 Freeing of vessel 05 252-254

06 356-358

10 628-630

21 907-909

24 957-959

3992 Vein inject-scleros agnt 01 037-039

05 263

3993 Insert ves-to-ves cannul 05 264

10 628-630

11 673-675

21 907-909

24 957-959

3994 Replac ves-to-ves cannul 05 252-254

11 673-675

3998 Hemorrhage control NOS 03 133-134

04 163-165

05 264

06 356-358

07 423-425

08 515-517

09 579-581

10 628-630

11 673-675

12 715-718

13 749-750

14 768

17 820-822

17 826-828

21 907-909

24 957-959

3999 Vessel operation NEC 03 133-134

04 166-168

05 252-254

06 356-358

14 768

17 820-822

17 826-828

21 907-909

24 957-959

400 Incis lymphatic structur 09 579-581

16 802-804

SURGICAL CATEGORY

Other vascular

Other vascular

Other vascular

Other vascular

Other vascular

Other digestive system

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Extracranial

Vein ligation & stripping

Other circulatory system

Other endocrine/nutrit/metabolic Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

Other vascular

Other kidney & urinary tract

Other ear, nose, mouth & throat Major chest

Other circulatory system

Other digestive system

Other hepatobiliary or pancreas

Other musculoskel & connec tissue

Other skin, subcut tissue & breast

Other endocrine/nutrit/metabolic

Other kidney & urinary tract

Other male reproductive system

Other female reproductive system

Delivery except steril &/or D&C

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other respiratory system

Other vascular

Other digestive system

Delivery except steril &/or D&C Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other skin, subcut tissue & breast Other blood & blood form org

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

4011 Lymphatic struct biopsy 01 040-042

03 133-134

04 166-168

05 264

06 356-358

07 423-425

08 515-517

09 579-581

10 628-630

11 673-675

12 715-718

13 749-750

16 802-804

4019 Lymphatic diag proc NEC 03 133-134

04 166-168

05 264

06 356-358

08 515-517

09 579-581

10 628-630

11 673-675

12 715-718

16 802-804

4021 Excis deep cervical node 03 133-134

04 166-168

05 264

06 356-358

08 515-517

09 579-581

10 628-630

16 802-804

4022 Excise int mammary node 04 163-165

09 579-581

16 802-804

4023 Excise axillary node 03 133-134

04 166-168

05 264

06 356-358

08 515-517

09 579-581

16 802-804

4024 Excise inguinal node 04 166-168

05 264

06 356-358

08 515-517

09 579-581

11 673-675

12 715-718

13 749-750

14 768

16 802-804

SURGICAL CATEGORY

Periph/cranial nerve & other Other ear, nose, mouth & throat Other respiratory system

Other circulatory system

Other digestive system

Other hepatobiliary or pancreas

Other musculoskel & connec tissue

Other skin, subcut tissue & breast

Other endocrine/nutrit/metabolic

Other kidney & urinary tract

Other male reproductive system

Other female reproductive system

Other blood & blood form org

Other ear, nose, mouth & throat Other respiratory system

Other circulatory system

Other digestive system

Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other male reproductive system Other blood & blood form org

Other ear, nose, mouth & throat Other respiratory system

Other circulatory system

Other digestive system

Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other blood & blood form org

Major chest

Other skin, subcut tissue & breast Other blood & blood form org

Other ear, nose, mouth & throat Other respiratory system

Other circulatory system

Other digestive system

Other musculoskel & connec tissue Other skin, subcut tissue & breast Other blood & blood form org

Other respiratory system

Other circulatory system

Other digestive system

Other musculoskel & connec tissue Other skin, subcut tissue & breast Other kidney & urinary tract

Other male reproductive system

Other female reproductive system

Delivery except steril &/or D&C

Other blood & blood form org

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

4029 Simp exc lymph struc NEC 03 133-134

04 166-168

05 264

06 356-358

08 515-517

09 579-581

10 628-630

11 673-675

12 715-718

13 749-750

16 802-804

21 907-909

24 957-959

403 Regional lymph node exc 03 133-134

04 166-168

05 264

06 356-358

08 515-517

09 579-581

10 628-630

11 673-675

12 715-718

13 749-750

14 768

16 802-804

17 820-822

17 826-828

4040 Rad neck dissection NOS 03 129-130

04 166-168

09 579-581

10 628-630

16 802-804

17 820-822

17 826-828

4041 Unilat rad neck dissect 03 129-130

04 166-168

09 579-581

10 628-630

16 802-804

17 820-822

17 826-828

4042 Bilat rad neck dissect 03 129-130

04 166-168

09 579-581

10 628-630

16 802-804

17 820-822

17 826-828

SURGICAL CATEGORY

Other ear, nose, mouth & throat Other respiratory system

Other circulatory system

Other digestive system

Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other male reproductive system Other female reproductive system Other blood & blood form org

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other respiratory system

Other circulatory system

Other digestive system

Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other male reproductive system

Other female reproductive system

Delivery except steril &/or D&C

Other blood & blood form org

Major procedure

Major procedure

Major head & neck

Other respiratory system

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other blood & blood form org

Major procedure

Major procedure

Major head & neck

Other respiratory system

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other blood & blood form org

Major procedure

Major procedure

Major head & neck

Other respiratory system

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other blood & blood form org

Major procedure

Major procedure

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

4050 Rad node dissection NOS 03 129-130

04 166-168

06 356-358

09 579-581

11 673-675

12 715-718

13 734-735

16 802-804

17 820-822

17 826-828

4051 Rad dissec axillary node 06 356-358

08 515-517

09 579-581

16 802-804

17 820-822

17 826-828

4052 Rad dissec periaort node 04 163-165

06 356-358

08 515-517

09 579-581

10 628-630

11 656-661

12 707-708

13 734-735

16 802-804

17 820-822

17 826-828

4053 Rad dissect iliac nodes 06 356-358

08 515-517

09 579-581

10 628-630

11 656-661

12 707-708

13 734-735

16 802-804

17 820-822

17 826-828

4054 Radical groin dissection 06 356-358

08 515-517

09 579-581

11 656-661

12 707-708

13 734-735

16 802-804

17 820-822

17 826-828

SURGICAL CATEGORY

Major head & neck

Other respiratory system

Other digestive system

Other skin, subcut tissue & breast Other kidney & urinary tract

Other male reproductive system Pelv evisc, rad hyst & vulvectomy Other blood & blood form org

Major procedure

Major procedure

Other digestive system

Other musculoskel & connec tissue Other skin, subcut tissue & breast Other blood & blood form org

Major procedure

Major procedure

Major chest

Other digestive system

Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Kidney & ureter

Major pelvic

Pelv evisc, rad hyst & vulvectomy Other blood & blood form org

Major procedure

Major procedure

Other digestive system

Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Kidney & ureter

Major pelvic

Pelv evisc, rad hyst & vulvectomy Other blood & blood form org

Major procedure

Major procedure

Other digestive system

Other musculoskel & connec tissue Other skin, subcut tissue & breast Kidney & ureter

Major pelvic

Pelv evisc, rad hyst & vulvectomy Other blood & blood form org

Major procedure

Major procedure

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

4059 Rad node dissection NEC 03 129-130

04 166-168

06 356-358

08 515-517

09 579-581

11 656-661

12 707-708

13 734-735

16 802-804

17 820-822

17 826-828

4061 Thorac duct cannulation 04 163-165

21 907-909

24 957-959

4062 Thoracic duct fistulizat 04 163-165

21 907-909

24 957-959

4063 Close thoracic duct fist 04 163-165

21 907-909

24 957-959

4064 Ligate thoracic duct 04 163-165

21 907-909

24 957-959

4069 Thoracic duct op NEC 04 163-165

21 907-909

24 957-959

409 Lymph structure op NEC 03 133-134

06 356-358

09 579-581

11 673-675

12 715-718

16 802-804

17 820-822

17 826-828

21 907-909

24 957-959

4100 Bone marrow trnsplnt NOS 016-017

4101 Auto bone mt w/o purg 016-017

4102 Alo bone marrow trnsplnt 014

4103 Allogrft bone marrow NOS 014

4104 Auto hem stem ct w/o pur 016-017

4105 Allo hem stem ct w/o pur 014

4106 Cord bld stem cell trans 014

4107 Auto hem stem ct w purg 016-017

4108 Allo hem stem ct w purg 014

SURGICAL CATEGORY

Major head & neck

Other respiratory system

Other digestive system

Other musculoskel & connec tissue Other skin, subcut tissue & breast Kidney & ureter

Major pelvic

Pelv evisc, rad hyst & vulvectomy Other blood & blood form org

Major procedure

Major procedure

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

Major chest

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other digestive system

Other skin, subcut tissue & breast Other kidney & urinary tract

Other male reproductive system Other blood & blood form org Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Autologous Bone Marrow Transplant

Autologous Bone Marrow Transplant

Allogeneic Bone Marrow Transplant

Allogeneic Bone Marrow Transplant

Autologous Bone Marrow Transplant

Allogeneic Bone Marrow Transplant

Allogeneic Bone Marrow Transplant

Autologous Bone Marrow Transplant

Allogeneic Bone Marrow Transplant

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

4109 Auto bone mt w purging 016-017

412 Splenotomy 16 799-801

17 820-822

17 826-828

21 907-909

24 957-959

4133 Open spleen biopsy 16 799-801

17 820-822

17 826-828

4141 Splenic cyst marsupial 16 799-801

17 820-822

17 826-828

4142 Exc splenic lesion/tiss 16 799-801

17 820-822

17 826-828

21 907-909

24 957-959

4143 Partial splenectomy 08 515-517

16 799-801

17 820-822

17 826-828

21 907-909

24 957-959

415 Total splenectomy 05 264

06 356-358

08 515-517

16 799-801

17 820-822

17 826-828

21 907-909

24 957-959

4193 Exc of accessory spleen 16 799-801

17 820-822

17 826-828

21 907-909

24 957-959

4194 Spleen transplantation 16 799-801

17 820-822

17 826-828

4195 Repair of spleen 16 799-801

17 820-822

17 826-828

21 907-909

24 957-959

4199 Spleen operation NEC 16 799-801

17 820-822

17 826-828

21 907-909

24 957-959

SURGICAL CATEGORY

Autologous Bone Marrow Transplant

Splenectomy

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Splenectomy

Major procedure

Major procedure

Splenectomy

Major procedure

Major procedure

Splenectomy

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Splenectomy

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other circulatory system

Other digestive system

Other musculoskel & connec tissue Splenectomy

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Splenectomy

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Splenectomy

Major procedure

Major procedure

Splenectomy

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Splenectomy

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

4201 Esophageal web incision

4209 Esophageal incision NEC

4210 Esophagostomy NOS

4211 Cervical esophagostomy

4212 Esoph pouch exteriorizat

4219 Ext fistulizat esoph NEC

4221 Esophagoscopy by incis

4225 Open biopsy of esophagus

4231 Loc excis esoph divertic

4232 Local excis esophag NEC

4239 Destruct esophag les NEC

MDC MS-DRG SURGICAL CATEGORY

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

4240 Esophagectomy NOS

4241 Partial esophagectomy

4242 Total esophagectomy

4251 Thorac esophagoesophagos

4252 Thorac esophagogastrost

4253 Thorac sm bowel interpos

4254 Thorac esophagoenter NEC

4255 Thorac lg bowel interpos

MDC MS-DRG SURGICAL CATEGORY

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

4256 Thorac esophagocolos NEC

4258 Thorac interposition NEC

4259 Thorac esophag anast NEC

4261 Stern esophagoesophagost

4262 Stern esophagogastrostom

4263 Stern sm bowel interpos

4264 Stern esophagoenter NEC

4265 Stern lg bowel interpos

MDC MS-DRG SURGICAL CATEGORY

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

4266 Stern esophagocolos NEC

4268 Stern interposition NEC

4269 Stern esophag anast NEC

427 Esophagomyotomy

4282 Suture esophageal lacer

4283 Esophagostomy closure

4284 Esoph fistula repair NEC

4285 Esophag stricture repair

4286 Prod subq tunnel no anas

MDC MS-DRG SURGICAL CATEGORY

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

03 133-134 Other ear, nose, mouth & throat

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

4287 Esophageal graft NEC 03 133-134

06 326-328

17 820-822

17 826-828

21 907-909

24 957-959

4289 Esophageal repair NEC 03 133-134

06 326-328

17 820-822

17 826-828

21 907-909

24 957-959

4291 Ligation esoph varix 06 326-328

07 423-425

430 Gastrotomy 06 326-328

07 423-425

10 628-630

17 820-822

17 826-828

21 907-909

24 957-959

433 Pyloromyotomy 06 326-328

4342 Local gastr excision NEC 06 326-328

07 423-425

10 628-630

4349 Local gastr destruct NEC 06 326-328

435 Proximal gastrectomy 06 326-328

17 820-822

17 826-828

21 907-909

24 957-959

436 Distal gastrectomy 05 264

06 326-328

17 820-822

17 826-828

21 907-909

24 957-959

437 Part gastrec w jej anast 05 264

06 326-328

10 628-630

17 820-822

17 826-828

21 907-909

24 957-959

4381 Part gast w jej transpos 06 326-328

17 820-822

17 826-828

21 907-909

24 957-959

SURGICAL CATEGORY

Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal

Other hepatobiliary or pancreas

Stomach, esophageal & duodenal Other hepatobiliary or pancreas Other endocrine/nutrit/metabolic Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal

Stomach, esophageal & duodenal

Other hepatobiliary or pancreas

Other endocrine/nutrit/metabolic

Stomach, esophageal & duodenal

Stomach, esophageal & duodenal Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other circulatory system

Stomach, esophageal & duodenal Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other circulatory system

Stomach, esophageal & duodenal Other endocrine/nutrit/metabolic Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

4382 Lap vertical gastrectomy

4389 Opn/oth part gastrectomy

4391 Tot gast w intes interpo

4399 Total gastrectomy NEC

4400 Vagotomy NOS

4401 Truncal vagotomy

4402 Highly select vagotomy

4403 Selective vagotomy NEC

4411 Transabdomin gastroscopy

4415 Open gastric biopsy

4421 Dilate pylorus, incision

4429 Other pyloroplasty

4431 High gastric bypass

4432 Percu gastrojejunostomy

MDC MS-DRG SURGICAL CATEGORY

05 264 Other circulatory system

06 326-328 Stomach, esophageal & duodenal

10 619-621 Procs for obesity

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 326-328 Stomach, esophageal & duodenal

10 619-621 Procs for obesity

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 326-328 Stomach, esophageal & duodenal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

06 326-328 Stomach, esophageal & duodenal

06 326-328 Stomach, esophageal & duodenal

06 326-328 Stomach, esophageal & duodenal

06 326-328 Stomach, esophageal & duodenal

06 326-328 Stomach, esophageal & duodenal

07 420-422 Hepatobiliary diagnostic procs

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 326-328 Stomach, esophageal & duodenal

06 326-328 Stomach, esophageal & duodenal

06 326-328 Stomach, esophageal & duodenal

06 326-328 Stomach, esophageal & duodenal

10 619-621 Procs for obesity

17 820-822 Major procedure

17 826-828 Major procedure

06 326-328 Stomach, esophageal & duodenal

07 423-425 Other hepatobiliary or pancreas

10 619-621 Procs for obesity

17 820-822 Major procedure

17 826-828 Major procedure

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

4438 Lap gastroenterostomy 05 264

06 326-328

07 423-425

10 619-621

17 820-822

17 826-828

4439 Gastroenterostomy NEC 05 264

06 326-328

07 423-425

10 619-621

17 820-822

17 826-828

4440 Suture peptic ulcer NOS 06 326-328

4441 Sut gastric ulcer site 06 326-328

4442 Suture duoden ulcer site 06 326-328

445 Revision gastric anastom 06 326-328

10 619-621

21 907-909

24 957-959

4461 Suture gastric lacerat 06 326-328

21 907-909

24 957-959

4463 Close gastric fistul NEC 06 326-328

07 423-425

17 820-822

17 826-828

21 907-909

24 957-959

4464 Gastropexy 06 326-328

21 907-909

24 957-959

4465 Esophagogastroplasty 06 326-328

21 907-909

24 957-959

4466 Creat esophagastr sphinc 06 326-328

21 907-909

24 957-959

4467 Lap creat esoph sphinct 06 326-328

21 907-909

24 957-959

4468 Laparoscop gastroplasty 06 326-328

10 619-621

21 907-909

24 957-959

4469 Gastric repair NEC 06 326-328

10 619-621

21 907-909

24 957-959

SURGICAL CATEGORY

Other circulatory system

Stomach, esophageal & duodenal Other hepatobiliary or pancreas Procs for obesity

Major procedure

Major procedure

Other circulatory system

Stomach, esophageal & duodenal Other hepatobiliary or pancreas Procs for obesity

Major procedure

Major procedure

Stomach, esophageal & duodenal

Stomach, esophageal & duodenal

Stomach, esophageal & duodenal

Stomach, esophageal & duodenal Procs for obesity

Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal Other hepatobiliary or pancreas Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal Procs for obesity

Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal Procs for obesity

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

4491 Ligate gastric varices 06 326-328

07 423-425

4492 Intraop gastric manipul 06 326-328

07 423-425

10 628-630

21 907-909

24 957-959

4495 Lap gastric restric proc 10 619-621

4496 Lap rev gast restri proc 10 619-621

4497 Lap rem gast restric dev 10 619-621

4498 Adjust gast restrict dev 10 619-621

4499 Gastric operation NEC 06 326-328

10 619-621

21 907-909

24 957-959

4500 Intestinal incision NOS 06 344-346

21 907-909

24 957-959

4501 Duodenal incision 06 326-328

07 423-425

21 907-909

24 957-959

4502 Small bowel incision NEC 06 344-346

17 820-822

17 826-828

21 907-909

24 957-959

4503 Large bowel incision 06 344-346

17 820-822

17 826-828

21 907-909

24 957-959

4511 Transab sm bowel endosc 06 344-346

17 820-822

17 826-828

21 907-909

24 957-959

4515 Open small bowel biopsy 06 344-346

4521 Transab lg bowel endosc 06 344-346

21 907-909

24 957-959

4526 Open large bowel biopsy 06 344-346

4531 Oth excise duodenum les 06 326-328

07 423-425

17 820-822

17 826-828

SURGICAL CATEGORY

Stomach, esophageal & duodenal

Other hepatobiliary or pancreas

Stomach, esophageal & duodenal Other hepatobiliary or pancreas Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma Procs for obesity

Procs for obesity

Procs for obesity

Procs for obesity

Stomach, esophageal & duodenal Procs for obesity

Other procs for injuries

Other procs for mult signif trauma

Minor small & large bowel Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal Other hepatobiliary or pancreas Other procs for injuries

Other procs for mult signif trauma

Minor small & large bowel Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Minor small & large bowel Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Minor small & large bowel Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma Minor small & large bowel

Minor small & large bowel Other procs for injuries

Other procs for mult signif trauma Minor small & large bowel

Stomach, esophageal & duodenal Other hepatobiliary or pancreas Major procedure

Major procedure

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

4532 Destruct duoden les NEC

4533 Local excis sm bowel NEC

4534 Destr sm bowel les NEC

4541 Excise lg intestine les

4549 Destruc lg bowel les NEC

4550 Intest seg isolat NOS

4551 Sm bowel segment isolat

4552 Lg bowel segment isolat

4561 Mult seg sm bowel excis

4562 Part sm bowel resect NEC

4563 Total removal sm bowel

4571 Opn mul seg lg intes NEC

4572 Open cecectomy NEC

MDC MS-DRG SURGICAL CATEGORY

06 326-328 Stomach, esophageal & duodenal

07 423-425 Other hepatobiliary or pancreas

17 820-822 Major procedure

17 826-828 Major procedure

06 347-349 Anal and stomal

17 820-822 Major procedure

17 826-828 Major procedure

06 344-346 Minor small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

06 347-349 Anal and stomal

10 628-630 Other endocrine/nutrit/metabolic

17 820-822 Major procedure

17 826-828 Major procedure

06 344-346 Minor small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

06 329-331 Major small & large bowel

06 329-331 Major small & large bowel

05 264 Other circulatory system

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 329-331 Major small & large bowel

10 628-630 Other endocrine/nutrit/metabolic

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 329-331 Major small & large bowel

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

4573 Opn rt hemicolectomy NEC

4574 Opn transv colon res NEC

4575 Opn lft hemicolectmy NEC

4576 Open sigmoidectomy NEC

4579 Prt lg intes exc NEC/NOS

4581 Lap tot intr-ab colectmy

4582 Op tot intr-abd colectmy

4583 Tot abd colectmy NEC/NOS

MDC MS-DRG SURGICAL CATEGORY

05 264 Other circulatory system

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 329-331 Major small & large bowel

10 628-630 Other endocrine/nutrit/metabolic

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

4590 Intestinal anastom NOS

4591 Sm-to-sm bowel anastom

4592 Sm bowel-rect stump anas

4593 Small-to-large bowel NEC

4594 Lg-to-lg bowel anastom

4595 Anal anastomosis

4601 Sm bowel exteriorization

4602 Resect ext seg sm bowel

4603 Lg bowel exteriorization

MDC MS-DRG SURGICAL CATEGORY

06 329-331 Major small & large bowel

10 619-621 Procs for obesity

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

10 619-621 Procs for obesity

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 329-331 Major small & large bowel

10 628-630 Other endocrine/nutrit/metabolic

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

10 628-630 Other endocrine/nutrit/metabolic

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

4604 Resect ext seg lg bowel

4610 Colostomy NOS

4611 Temporary colostomy

4613 Permanent colostomy

4620 Ileostomy NOS

4621 Temporary ileostomy

4622 Continent ileostomy

4623 Permanent ileostomy NEC

4640 Intest stoma revis NOS

4641 Sm bowel stoma revision

MDC MS-DRG SURGICAL CATEGORY

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 347-349 Anal and stomal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 347-349 Anal and stomal

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

4642 Pericolost hernia repair 06 347-349

21 907-909

24 957-959

4643 Lg bowel stoma revis NEC 06 347-349

21 907-909

24 957-959

4650 Intest stoma closure NOS 06 344-346

21 907-909

24 957-959

4651 Sm bowel stoma closure 06 344-346

21 907-909

24 957-959

4652 Lg bowel stoma closure 06 344-346

21 907-909

24 957-959

4660 Intestinal fixation NOS 06 344-346

4661 Sm bowel-abd wall fixat 06 344-346

4662 Small bowel fixation NEC 06 344-346

4663 Lg bowel-abd wall fixat 06 344-346

4664 Large bowel fixation NEC 06 344-346

4671 Duodenal lacerat suture 06 326-328

21 907-909

24 957-959

4672 Duodenal fistula closure 06 326-328

21 907-909

24 957-959

4673 Small bowel suture NEC 06 329-331

21 907-909

24 957-959

4674 Close sm bowel fist NEC 06 329-331

21 907-909

24 957-959

4675 Suture lg bowel lacerat 06 329-331

21 907-909

24 957-959

4676 Close lg bowel fistula 06 329-331

21 907-909

24 957-959

4679 Repair of intestine NEC 06 329-331

21 907-909

24 957-959

SURGICAL CATEGORY

Anal and stomal

Other procs for injuries

Other procs for mult signif trauma

Anal and stomal

Other procs for injuries

Other procs for mult signif trauma

Minor small & large bowel Other procs for injuries

Other procs for mult signif trauma

Minor small & large bowel Other procs for injuries

Other procs for mult signif trauma

Minor small & large bowel Other procs for injuries

Other procs for mult signif trauma Minor small & large bowel

Minor small & large bowel

Minor small & large bowel

Minor small & large bowel

Minor small & large bowel

Stomach, esophageal & duodenal Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal Other procs for injuries

Other procs for mult signif trauma

Major small & large bowel Other procs for injuries

Other procs for mult signif trauma

Major small & large bowel Other procs for injuries

Other procs for mult signif trauma

Major small & large bowel Other procs for injuries

Other procs for mult signif trauma

Major small & large bowel Other procs for injuries

Other procs for mult signif trauma

Major small & large bowel Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

4680 Intra-ab bowel manip NOS

4681 Intra-abd sm bowel manip

4682 Intra-abd lg bowel manip

4691 Myotomy of sigmoid colon

4692 Myotomy of colon NEC

4693 Revise sm bowel anastom

4694 Revise lg bowel anastom

4697 Transplant of intestine

4699 Intestinal op NEC

4701 Lap appendectomy

4709 Other appendectomy

4711 Lap incid appendectomy

4719 Other incid appendectomy

472 Drain appendiceal absc

4791 Appendicostomy

MDC MS-DRG SURGICAL CATEGORY

06 329-331 Major small & large bowel

07 423-425 Other hepatobiliary or pancreas

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

07 423-425 Other hepatobiliary or pancreas

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

07 423-425 Other hepatobiliary or pancreas

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

06 329-331 Major small & large bowel

06 329-331 Major small & large bowel

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

005 Intestinal transplant

06 329-331 Major small & large bowel

07 423-425 Other hepatobiliary or pancreas

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 338-343 Appendectomy

05 264 Other circulatory system

06 338-343 Appendectomy

13 749-750 Other female reproductive system

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

13 749-750 Other female reproductive system

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 338-343 Appendectomy

06 344-346 Minor small & large bowel

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

4792 Close appendiceal fistul

4799 Appendiceal ops NEC

480 Proctotomy

481 Proctostomy

4821 Transab proctosigmoidosc

4825 Open rectal biopsy

4835 Local excis rectal les

4840 Pull-thru res rectum NOS

4841 Soave submuc rect resect

4842 Lap pull-thru res rectum

4843 Opn pull-thru res rectum

4849 Pull-thru rect resec NEC

4850 Abdperneal res rectm NOS

MDC MS-DRG SURGICAL CATEGORY

06 329-331 Major small & large bowel

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 338-343 Appendectomy

06 344-346 Minor small & large bowel

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 329-331 Major small & large bowel

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 344-346 Minor small & large bowel

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 344-346 Minor small & large bowel

05 264 Other circulatory system

06 347-349 Anal and stomal

09 579-581 Other skin, subcut tissue & breast

06 332-334 Rectal resection

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 332-334 Rectal resection

17 820-822 Major procedure

17 826-828 Major procedure

06 332-334 Rectal resection

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 332-334 Rectal resection

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 332-334 Rectal resection

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 332-334 Rectal resection

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

4851 Lap abdperneal resc rec

4852 Opn abdperneal resc rec

4859 Abdperneal resc rect NEC

4861 Transsac rectosigmoidect

4862 Ant rect resect w colost

4863 Anterior rect resect NEC

4864 Posterior rect resection

4865 Duhamel rectal resection

4869 Rectal resection NEC

MDC MS-DRG SURGICAL CATEGORY

06 332-334 Rectal resection

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 332-334 Rectal resection

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 332-334 Rectal resection

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 332-334 Rectal resection

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 332-334 Rectal resection

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 332-334 Rectal resection

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 332-334 Rectal resection

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 332-334 Rectal resection

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 332-334 Rectal resection

12 707-708 Major pelvic

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

4871 Suture of rectal lacer 06 329-331

14 774-775

21 907-909

24 957-959

4872 Closure of proctostomy 06 329-331

21 907-909

24 957-959

4873 Close rectal fist NEC 06 347-349

09 579-581

13 746-747

21 907-909

24 957-959

4874 Rectorectostomy 06 329-331

21 907-909

24 957-959

4875 Abdominal proctopexy 06 329-331

21 907-909

24 957-959

4876 Proctopexy NEC 06 329-331

21 907-909

24 957-959

4879 Repair of rectum NEC 06 347-349

14 768

21 907-909

24 957-959

4881 Perirectal incision 06 347-349

09 579-581

21 907-909

24 957-959

4882 Perirectal excision 06 347-349

09 579-581

21 907-909

24 957-959

4891 Incis rectal stricture 06 347-349

21 907-909

24 957-959

4892 Anorectal myomectomy 06 347-349

4893 Repair perirect fistula 06 347-349

4899 Rectal perirect op NEC 06 347-349

4901 Incis perianal abscess 06 347-349

09 579-581

4902 Perianal incision NEC 06 347-349

09 579-581

4904 Perianal excision NEC 06 347-349

09 579-581

SURGICAL CATEGORY

Major small & large bowel Uncomp vaginal delivery procs Other procs for injuries

Other procs for mult signif trauma

Major small & large bowel Other procs for injuries

Other procs for mult signif trauma

Anal and stomal

Other skin, subcut tissue & breast Vagina, cervix & vulva

Other procs for injuries

Other procs for mult signif trauma

Major small & large bowel Other procs for injuries

Other procs for mult signif trauma

Major small & large bowel Other procs for injuries

Other procs for mult signif trauma

Major small & large bowel Other procs for injuries

Other procs for mult signif trauma

Anal and stomal

Delivery except steril &/or D&C Other procs for injuries

Other procs for mult signif trauma

Anal and stomal

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Anal and stomal

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Anal and stomal

Other procs for injuries

Other procs for mult signif trauma Anal and stomal

Anal and stomal

Anal and stomal

Anal and stomal

Other skin, subcut tissue & breast

Anal and stomal

Other skin, subcut tissue & breast

Anal and stomal

Other skin, subcut tissue & breast

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

4911 Anal fistulotomy

4912 Anal fistulectomy

4939 Other destruc anus les

4944 Hemorrhoid cryotherapy

4945 Hemorrhoid ligation

4946 Hemorrhoidectomy

4949 Hemorrhoid procedure NEC

4951 Left lat sphincterotomy

4952 Post sphincterotomy

4959 Anal sphincterotomy NEC

496 Excision of anus

4971 Suture anal laceration

4972 Anal cerclage

4973 Closure of anal fistula

4974 Gracilis musc transplan

4975 Impl or rev art anal sph

4976 Remov art anal sphincter

4979 Anal sphinct repair NEC

MDC MS-DRG SURGICAL CATEGORY

06 347-349 Anal and stomal

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 347-349 Anal and stomal

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 347-349 Anal and stomal

09 579-581 Other skin, subcut tissue & breast

06 347-349 Anal and stomal

06 347-349 Anal and stomal

06 347-349 Anal and stomal

14 768 Delivery except steril &/or D&C

06 347-349 Anal and stomal

06 347-349 Anal and stomal

06 347-349 Anal and stomal

06 347-349 Anal and stomal

14 774-775 Uncomp vaginal delivery procs

06 347-349 Anal and stomal

06 347-349 Anal and stomal

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 347-349 Anal and stomal

09 579-581 Other skin, subcut tissue & breast

06 347-349 Anal and stomal

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 356-358 Other digestive system

06 332-334 Rectal resection

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 332-334 Rectal resection

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 347-349 Anal and stomal

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

4991 Incision of anal septum 06 347-349

4992 Insert subq anal stimul 06 347-349

4993 Anal incision NEC 06 347-349

4994 Reduction anal prolapse 06 347-349

4995 Control anal hemorrhage 06 347-349

21 907-909

24 957-959

4999 Anal operation NEC 06 347-349

21 907-909

24 957-959

500 Hepatotomy 07 405-407

21 907-909

24 957-959

5012 Open liver biopsy 03 133-134

04 166-168

05 264

06 356-358

07 420-422

08 515-517

09 579-581

10 628-630

11 673-675

12 715-718

13 749-750

16 802-804

17 820-822

17 826-828

21 907-909

24 957-959

5014 Laparoscopic liver bx 06 356-358

07 420-422

09 579-581

11 673-675

16 802-804

17 820-822

17 826-828

21 907-909

24 957-959

5019 Hepatic dx proc NEC 06 356-358

07 420-422

09 579-581

11 673-675

16 802-804

17 820-822

17 826-828

21 907-909

24 957-959

5021 Marsupializat liver les 07 405-407

SURGICAL CATEGORY

Anal and stomal

Anal and stomal

Anal and stomal

Anal and stomal

Anal and stomal

Other procs for injuries

Other procs for mult signif trauma

Anal and stomal

Other procs for injuries

Other procs for mult signif trauma

Pancreas, liver and shunt

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other respiratory system

Other circulatory system

Other digestive system

Hepatobiliary diagnostic procs

Other musculoskel & connec tissue

Other skin, subcut tissue & breast

Other endocrine/nutrit/metabolic

Other kidney & urinary tract

Other male reproductive system

Other female reproductive system

Other blood & blood form org

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other digestive system

Hepatobiliary diagnostic procs

Other skin, subcut tissue & breast

Other kidney & urinary tract

Other blood & blood form org

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other digestive system

Hepatobiliary diagnostic procs

Other skin, subcut tissue & breast

Other kidney & urinary tract

Other blood & blood form org

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma Pancreas, liver and shunt

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

5022 Partial hepatectomy 07 405-407

21 907-909

24 957-959

5023 Opn abltn liver les/tiss 06 356-358

07 405-407

5024 Perc abltn liver les/tis 06 356-358

07 405-407

5025 Lap abltn liver les/tiss 06 356-358

07 405-407

5026 Abltn liver les/tiss NEC 06 356-358

07 405-407

5029 Destruc hepatic les NEC 06 356-358

07 405-407

503 Hepatic lobectomy 07 405-407

21 907-909

24 957-959

504 Total hepatectomy 07 405-407

21 907-909

24 957-959

5051 Auxiliary liver transpl 005-006

5059 Liver transplant NEC 005-006

5061 Closure liver lacerat 07 405-407

21 907-909

24 957-959

5069 Liver repair NEC 07 405-407

21 907-909

24 957-959

5102 Trocar cholecystostomy 07 408-410

5103 Cholecystostomy NEC 06 356-358

07 408-410

5104 Cholecystotomy NEC 07 408-410

5113 Open biliary tract bx 06 356-358

07 420-422

5119 Biliary tr dx proc NEC 06 356-358

07 420-422

5121 Oth part cholecystectomy 07 411-413

07 414-416

17 820-822

17 826-828

21 907-909

24 957-959

SURGICAL CATEGORY

Pancreas, liver and shunt

Other procs for injuries

Other procs for mult signif trauma

Other digestive system

Pancreas, liver and shunt

Other digestive system

Pancreas, liver and shunt

Other digestive system

Pancreas, liver and shunt

Other digestive system

Pancreas, liver and shunt

Other digestive system

Pancreas, liver and shunt

Pancreas, liver and shunt

Other procs for injuries

Other procs for mult signif trauma

Pancreas, liver and shunt

Other procs for injuries

Other procs for mult signif trauma Liver transplant

Liver transplant

Pancreas, liver and shunt

Other procs for injuries

Other procs for mult signif trauma

Pancreas, liver and shunt

Other procs for injuries

Other procs for mult signif trauma Biliary tract

Other digestive system Biliary tract

Biliary tract

Other digestive system

Hepatobiliary diagnostic procs

Other digestive system

Hepatobiliary diagnostic procs

Cholecystectomy

Cholecystectomy exc laparoscopic Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

5122 Cholecystectomy 06 356-358

07 411-413

07 414-416

17 820-822

17 826-828

21 907-909

24 957-959

5123 Laparoscopic cholecystec 06 356-358

07 411-413

07 417-419

17 820-822

17 826-828

21 907-909

24 957-959

5124 Lap part cholecystectomy 07 411-413

07 417-419

17 820-822

17 826-828

21 907-909

24 957-959

5131 Gb-to-hepat duct anast 07 408-410

17 820-822

17 826-828

21 907-909

24 957-959

5132 Gb-to-intestine anastom 06 356-358

07 408-410

17 820-822

17 826-828

21 907-909

24 957-959

5133 Gb-to-pancreas anastom 07 408-410

17 820-822

17 826-828

21 907-909

24 957-959

5134 Gb-to-stomach anastomos 07 408-410

17 820-822

17 826-828

21 907-909

24 957-959

5135 Gallbladder anastom NEC 07 408-410

17 820-822

17 826-828

21 907-909

24 957-959

5136 Choledochoenterostomy 06 356-358

07 408-410

17 820-822

17 826-828

21 907-909

24 957-959

SURGICAL CATEGORY

Other digestive system Cholecystectomy

Cholecystectomy exc laparoscopic Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other digestive system Cholecystectomy

Laparoscopic cholecystectomy Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Cholecystectomy

Laparoscopic cholecystectomy Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other digestive system Biliary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other digestive system Biliary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

5137 Hepatic duct-gi anastom 06 356-358

07 408-410

17 820-822

17 826-828

21 907-909

24 957-959

5139 Bile duct anastomos NEC 07 408-410

17 820-822

17 826-828

21 907-909

24 957-959

5141 Cde for calculus remov 07 408-413

5142 Cde for obstruction NEC 07 408-413

17 820-822

17 826-828

21 907-909

24 957-959

5143 Choledochohepat intubat 07 405-407

17 820-822

17 826-828

21 907-909

24 957-959

5149 Incis obstr bile duc NEC 07 408-410

17 820-822

17 826-828

5151 Common duct exploration 07 408-413

5159 Bile duct incision NEC 06 356-358

07 408-410

17 820-822

17 826-828

21 907-909

24 957-959

5161 Excis cyst duct remnant 07 408-410

21 907-909

24 957-959

5162 Excis ampulla of vater 06 356-358

07 408-410

5163 Common duct excis NEC 06 356-358

07 408-410

5169 Bile duct excision NEC 06 356-358

07 408-410

5171 Simple sut-common duct 07 408-410

21 907-909

24 957-959

5172 Choledochoplasty 07 408-410

21 907-909

24 957-959

SURGICAL CATEGORY

Other digestive system Biliary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma Common bile duct exploration

Common bile duct exploration Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Pancreas, liver and shunt Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Major procedure

Major procedure

Common bile duct exploration

Other digestive system Biliary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Other procs for injuries

Other procs for mult signif trauma

Other digestive system Biliary tract

Other digestive system Biliary tract

Other digestive system Biliary tract

Biliary tract

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

5179 Bile duct repair NEC 07 408-410

21 907-909

24 957-959

5181 Sphincter of oddi dilat 06 356-358

07 408-410

21 907-909

24 957-959

5182 Pancreat sphincterotom 06 326-328

07 405-407

21 907-909

24 957-959

5183 Pancreat sphincteroplas 06 326-328

07 405-407

21 907-909

24 957-959

5189 Sphinct of oddi op NEC 07 408-410

21 907-909

24 957-959

5191 Repair gb laceration 07 408-410

21 907-909

24 957-959

5192 Closure cholecystostomy 07 408-410

21 907-909

24 957-959

5193 Clos biliary fistul NEC 07 408-410

17 820-822

17 826-828

21 907-909

24 957-959

5194 Revis bile tract anastom 07 408-410

17 820-822

17 826-828

21 907-909

24 957-959

5195 Remove bile duct prosth 07 408-410

17 820-822

17 826-828

21 907-909

24 957-959

5199 Biliary tract op NEC 07 408-410

17 820-822

17 826-828

21 907-909

24 957-959

5201 Cath drain-pancreat cyst 07 405-407

5209 Pancreatotomy NEC 07 405-407

SURGICAL CATEGORY

Biliary tract

Other procs for injuries

Other procs for mult signif trauma

Other digestive system Biliary tract

Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal Pancreas, liver and shunt

Other procs for injuries

Other procs for mult signif trauma

Stomach, esophageal & duodenal Pancreas, liver and shunt

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Biliary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma Pancreas, liver and shunt

Pancreas, liver and shunt

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

5212 Open pancreatic biopsy

5219 Pancreatic dx proc NEC

5222 Other destru pancrea les

523 Pancreat cyst marsupiali

524 Int drain pancreat cyst

5251 Proximal pancreatectomy

5252 Distal pancreatectomy

5253 Rad subtot pancreatectom

5259 Partial pancreatect NEC

526 Total pancreatectomy

527 Rad pancreaticoduodenect

5280 Pancreat transplant NOS

5281 Reimplant pancreatic tis

5282 Pancreatic homotransplan

MDC MS-DRG SURGICAL CATEGORY

06 356-358 Other digestive system

07 420-422 Hepatobiliary diagnostic procs

10 628-630 Other endocrine/nutrit/metabolic

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 356-358 Other digestive system

07 420-422 Hepatobiliary diagnostic procs

10 628-630 Other endocrine/nutrit/metabolic

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

07 405-407 Pancreas, liver and shunt

10 628-630 Other endocrine/nutrit/metabolic

07 405-407 Pancreas, liver and shunt

07 405-407 Pancreas, liver and shunt

07 405-407 Pancreas, liver and shunt

10 628-630 Other endocrine/nutrit/metabolic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

07 405-407 Pancreas, liver and shunt

10 628-630 Other endocrine/nutrit/metabolic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

07 405-407 Pancreas, liver and shunt

10 628-630 Other endocrine/nutrit/metabolic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

07 405-407 Pancreas, liver and shunt

10 628-630 Other endocrine/nutrit/metabolic

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

07 405-407 Pancreas, liver and shunt

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 326-328 Stomach, esophageal & duodenal

07 405-407 Pancreas, liver and shunt

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

See Transplant Reference Table

07 405-407 Pancreas, liver and shunt

10 628-630 Other endocrine/nutrit/metabolic

07 405-407 Pancreas, liver and shunt

See Transplant Reference Table

07 405-407 Pancreas, liver and shunt

10 628-630 Other endocrine/nutrit/metabolic

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

5283 Pancreatic heterotranspl 07 405-407

10 628-630

5284* Autotrnsplnt islets lang 11 673-675

5285* Allotrnsplnt islets lang 11 673-675

5292 Cannulation pancrea duc 06 356-358

07 405-407

17 820-822

17 826-828

21 907-909

24 957-959

5295 Pancreatic repair NEC 07 405-407

21 907-909

24 957-959

5296 Pancreatic anastomosis 07 405-407

21 907-909

24 957-959

5299 Pancreatic operation NEC 06 356-358

07 405-407

21 907-909

24 957-959

5300 Unilat ing hern rep NOS 06 350-352

5301 Opn rep dir ing hern NEC 06 350-352

5302 Opn rep ind ing hern NEC 06 350-352

5303 Opn dir ing hern-gft NEC 06 350-352

5304 Opn ind ing hern-gft NEC 06 350-352

5305 Ing hernia rep-graft NOS 06 350-352

5310 Bilat ing hernia rep NOS 06 350-352

5311 Opn bil dir ing hern NEC 06 350-352

5312 Opn bil ind ing hern NEC 06 350-352

5313 Opn bi dr/in ing hrn NEC 06 350-352

5314 Opn bi dr ing hrn-gr NEC 06 350-352

5315 Op bi in ing hrn-grf NEC 06 350-352

5316 Op bi dr/in ig hr-gr NEC 06 350-352

5317 Bil ing hrn rep-grft NOS 06 350-352

5321 Unil femor hrn rep-grft 06 350-352

5329 Unil femor hern rep NEC 06 350-352

5331 Bil fem hern repair-grft 06 350-352

SURGICAL CATEGORY

Pancreas, liver and shunt

Other endocrine/nutrit/metabolic

*Transplant of islets-langerhans

*Transplant of islets-langerhans

Other digestive system Pancreas, liver and shunt Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Pancreas, liver and shunt

Other procs for injuries

Other procs for mult signif trauma

Pancreas, liver and shunt

Other procs for injuries

Other procs for mult signif trauma

Other digestive system

Pancreas, liver and shunt

Other procs for injuries

Other procs for mult signif trauma Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

Inguinal & femoral hernia

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

5339 Bil fem hern repair NEC

5341 Opn rep umb hrn-grft NEC

5342 Lap umbil hernia-graft

5343 Lap umbilical hernia NEC

5349 Open rep umbil hern NEC

5351 Incisional hernia repair

5359 Abd wall hern repair NEC

5361 Open incis hern-grft NEC

5362 Lap incis hern repr-grft

5363 Lap hern ant abd-gft NEC

5369 Opn hern ant abd-grf NEC

5371 Lap abd rep-diaphr hern

5372 Opn abd diaphrm hern NEC

5375 Abd rep-diaphr hern NOS

5380 Thor rep-diaph hern NOS

5381 Diaphragmatic plication

5382 Parastern hernia repair

MDC MS-DRG SURGICAL CATEGORY

06 350-352 Inguinal & femoral hernia

06 353-355 Hernia except inguinal & femoral

06 353-355 Hernia except inguinal & femoral

06 353-355 Hernia except inguinal & femoral

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 353-355 Hernia except inguinal & femoral

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 353-355 Hernia except inguinal & femoral

06 353-355 Hernia except inguinal & femoral

06 353-355 Hernia except inguinal & femoral

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 353-355 Hernia except inguinal & femoral

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 353-355 Hernia except inguinal & femoral

06 353-355 Hernia except inguinal & femoral

04 163-165 Major chest

06 326-328 Stomach, esophageal & duodenal

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

06 326-328 Stomach, esophageal & duodenal

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

06 326-328 Stomach, esophageal & duodenal

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

06 326-328 Stomach, esophageal & duodenal

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

06 326-328 Stomach, esophageal & duodenal

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

06 326-328 Stomach, esophageal & duodenal

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

5383 Lap thorc app-diaph hern

5384 Opn thorc diaph hern NEC

539 Other hernia repair

540 Abdominal wall incision

5411 Exploratory laparotomy

5412 Reopen recent lap site

5419 Laparotomy NEC

MDC MS-DRG SURGICAL CATEGORY

04 163-165 Major chest

06 326-328 Stomach, esophageal & duodenal

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 163-165 Major chest

06 326-328 Stomach, esophageal & duodenal

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 353-355 Hernia except inguinal & femoral

05 264 Other circulatory system

06 356-358 Other digestive system

07 423-425 Other hepatobiliary or pancreas

09 579-581 Other skin, subcut tissue & breast

11 673-675 Other kidney & urinary tract

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

04 166-168 Other respiratory system

05 264 Other circulatory system

06 356-358 Other digestive system

07 420-422 Hepatobiliary diagnostic procs

09 579-581 Other skin, subcut tissue & breast

10 628-630 Other endocrine/nutrit/metabolic

11 673-675 Other kidney & urinary tract

12 707-708 Major pelvic

13 749-750 Other female reproductive system

14 768 Delivery except steril &/or D&C

16 802-804 Other blood & blood form org

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 356-358 Other digestive system

07 423-425 Other hepatobiliary or pancreas

11 673-675 Other kidney & urinary tract

13 749-750 Other female reproductive system

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

06 356-358 Other digestive system

07 420-422 Hepatobiliary diagnostic procs

11 673-675 Other kidney & urinary tract

13 749-750 Other female reproductive system

16 802-804 Other blood & blood form org

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

5421 Laparoscopy 06 356-358

07 420-422

09 579-581

11 673-675

13 744-745

14 768

16 802-804

21 907-909

24 957-959

5422 Abdominal wall biopsy 06 356-358

09 579-581

17 820-822

17 826-828

21 907-909

24 957-959

5423 Peritoneal biopsy 06 356-358

07 420-422

13 749-750

16 802-804

5429 Abd region dx proc NEC 06 356-358

07 420-422

13 749-750

16 802-804

17 820-822

17 826-828

21 907-909

24 957-959

543 Destruct abd wall lesion 06 356-358

08 500-502

09 579-581

10 628-630

17 820-822

17 826-828

544 Destruct peritoneal tiss 06 356-358

07 423-425

10 628-630

13 749-750

17 820-822

17 826-828

5451 Lap periton adhesiolysis 06 335-337

07 423-425

11 673-675

13 749-750

21 907-909

24 957-959

5459 Oth periton adhesiolysis 06 335-337

07 423-425

10 628-630

11 673-675

13 749-750

21 907-909

24 957-959

SURGICAL CATEGORY

Other digestive system

Hepatobiliary diagnostic procs

Other skin, subcut tissue & breast

Other kidney & urinary tract

D&C/conizat/laparoscpy/tubl intrpt

Delivery except steril &/or D&C

Other blood & blood form org

Other procs for injuries

Other procs for mult signif trauma

Other digestive system

Other skin, subcut tissue & breast Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other digestive system

Hepatobiliary diagnostic procs

Other female reproductive system

Other blood & blood form org

Other digestive system

Hepatobiliary diagnostic procs

Other female reproductive system Other blood & blood form org

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other digestive system Soft tissue

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Major procedure

Major procedure

Other digestive system

Other hepatobiliary or pancreas Other endocrine/nutrit/metabolic Other female reproductive system Major procedure

Major procedure

Peritoneal adhesiolysis

Other hepatobiliary or pancreas Other kidney & urinary tract

Other female reproductive system Other procs for injuries

Other procs for mult signif trauma

Peritoneal adhesiolysis

Other hepatobiliary or pancreas Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other female reproductive system Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

5461 Reclose post op disrupt 06 356-358

07 423-425

13 749-750

21 907-909

24 957-959

5462 Delayed clos abd wound 06 356-358

07 423-425

13 749-750

21 907-909

24 957-959

5463 Abd wall suture NEC 06 356-358

09 579-581

17 820-822

17 826-828

21 907-909

24 957-959

5464 Peritoneal suture 06 356-358

07 423-425

17 820-822

17 826-828

21 907-909

24 957-959

5471 Repair of gastroschisis 06 353-355

21 907-909

24 957-959

5472 Abdomen wall repair NEC 06 353-355

07 423-425

09 579-581

17 820-822

17 826-828

21 907-909

24 957-959

5473 Peritoneal repair NEC 06 356-358

07 423-425

17 820-822

17 826-828

21 907-909

24 957-959

5474 Omental repair NEC 06 356-358

07 423-425

17 820-822

17 826-828

21 907-909

24 957-959

5475 Mesenteric repair NEC 06 356-358

07 423-425

17 820-822

17 826-828

21 907-909

24 957-959

SURGICAL CATEGORY

Other digestive system

Other hepatobiliary or pancreas Other female reproductive system Other procs for injuries

Other procs for mult signif trauma

Other digestive system

Other hepatobiliary or pancreas Other female reproductive system Other procs for injuries

Other procs for mult signif trauma

Other digestive system

Other skin, subcut tissue & breast Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other digestive system

Other hepatobiliary or pancreas Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Hernia except inguinal & femoral Other procs for injuries

Other procs for mult signif trauma

Hernia except inguinal & femoral Other hepatobiliary or pancreas Other skin, subcut tissue & breast Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other digestive system

Other hepatobiliary or pancreas Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other digestive system

Other hepatobiliary or pancreas Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other digestive system

Other hepatobiliary or pancreas Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

5492 Remove FB from periton 06 356-358

11 673-675

21 907-909

24 957-959

5493 Create cutanperiton fist 05 264

06 356-358

07 423-425

11 673-675

17 820-822

17 826-828

21 907-909

24 957-959

5494 Creat peritoneovas shunt 06 356-358

07 405-407

17 820-822

17 826-828

5495 Peritoneal incision 01 040-042

05 264

06 356-358

07 423-425

11 673-675

17 820-822

17 826-828

21 907-909

24 957-959

5501 Nephrotomy 11 656-661

21 907-909

24 957-959

5502 Nephrostomy 11 656-661

21 907-909

24 957-959

5503 Percu nephrostm w/o frag 11 656-661

21 907-909

24 957-959

5504 Percu nephrostmy w frag 11 656-661

21 907-909

24 957-959

5511 Pyelotomy 11 656-661

21 907-909

24 957-959

5512 Pyelostomy 11 656-661

21 907-909

24 957-959

5524 Open renal biopsy 08 515-517

11 656-661

16 802-804

17 820-822

17 826-828

21 907-909

24 957-959

SURGICAL CATEGORY

Other digestive system Other kidney & urinary tract Other procs for injuries

Other procs for mult signif trauma

Other circulatory system

Other digestive system

Other hepatobiliary or pancreas Other kidney & urinary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Other digestive system Pancreas, liver and shunt Major procedure

Major procedure

Periph/cranial nerve & other Other circulatory system

Other digestive system

Other hepatobiliary or pancreas Other kidney & urinary tract

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Kidney & ureter

Other blood & blood form org Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

5529 Renal diagnost proc NEC 11 656-661

16 802-804

17 820-822

17 826-828

21 907-909

24 957-959

5531 Renal les marsupializat 11 656-661

21 907-909

24 957-959

5532 Opn abltn renal les/tiss 11 656-661

5533 Perc abltn renl les/tiss 11 656-661

5534 Lap abltn renal les/tiss 11 656-661

5535 Abltn renal les/tiss NEC 11 656-661

5539 Loc destr renal les NEC 11 656-661

554 Partial nephrectomy 11 656-661

21 907-909

24 957-959

5551 Nephroureterectomy 11 656-661

21 907-909

24 957-959

5552 Solitary kidney nephrect 11 656-661

21 907-909

24 957-959

5553 Rejected kidney nephrect 11 656-661

21 907-909

24 957-959

5554 Bilateral nephrectomy 11 656-661

21 907-909

24 957-959

5561 Renal autotransplant 11 656-661

21 907-909

24 957-959

5569 Kidney transplant NEC

008

11 652

557 Nephropexy 11 656-661

5581 Suture kidney laceration 11 656-661

21 907-909

24 957-959

5582 Close nephrost & pyelost 11 656-661

21 907-909

24 957-959

SURGICAL CATEGORY

Kidney & ureter

Other blood & blood form org Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma Kidney & ureter

Kidney & ureter

Kidney & ureter

Kidney & ureter

Kidney & ureter

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

See Transplant Reference Table Kidney transplant

Kidney transplant

Kidney & ureter

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

5583 Close renal fistula NEC

5584 Reduce renal pedicl tors

5585 Symphysiotomy

5586 Renal anastomosis

5587 Correct ureteropelv junc

5589 Renal repair NEC

5591 Renal decapsulation

5597 Implant mechanic kidney

5598 Remov mechanical kidney

5599 Renal operation NEC

560 Tu remov ureter obstruct

561 Ureteral meatotomy

562 Ureterotomy

5634 Open ureteral biopsy

5639 Ureteral dx procedur NEC

5640 Ureterectomy NOS

MDC MS-DRG SURGICAL CATEGORY

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

05 264 Other circulatory system

11 656-661 Kidney & ureter

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 668-670 Transurethral

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

11 656-661 Kidney & ureter

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

5641 Partial ureterectomy 11 656-661

12 715-718

13 749-750

21 907-909

24 957-959

5642 Total ureterectomy 11 656-661

21 907-909

24 957-959

5651 Form cutan ileoureterost 11 656-661

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5652 Revis cutan ileoureteros 11 656-661

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5661 Form cutan ureterostomy 11 656-661

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5662 Revis cutan ureteros NEC 11 656-661

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5671 Urin diversion to bowel 11 656-661

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5672 Revis ureteroenterostomy 11 656-661

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

SURGICAL CATEGORY

Kidney & ureter

Other male reproductive system Other female reproductive system Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

5673 Nephrocystanastomosi NOS

5674 Ureteroneocystostomy

5675 Transureteroureterostomy

5679 Ureteral anastomosis NEC

5681 Intralum urete adhesioly

5682 Suture ureteral lacerat

5683 Ureterostomy closure

5684 Close ureter fistula NEC

5685 Ureteropexy

5686 Remove ureteral ligature

5689 Repair of ureter NEC

5692 Implant ureteral stimul

MDC MS-DRG SURGICAL CATEGORY

11 656-661 Kidney & ureter

12 715-718 Other male reproductive system

13 749-750 Other female reproductive system

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

12 715-718 Other male reproductive system

13 749-750 Other female reproductive system

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

12 715-718 Other male reproductive system

13 749-750 Other female reproductive system

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

06 344-346 Minor small & large bowel

11 656-661 Kidney & ureter

12 715-718 Other male reproductive system

13 749-750 Other female reproductive system

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

5693 Replace ureteral stimul

5694 Remove ureteral stimulat

5695 Ligation of ureter

5699 Ureteral operation NEC

5712 Cystotomy & adhesiolysis

5718 Other suprapu cystostomy

5719 Cystotomy NEC

5721 Vesicostomy

5722 Revise clo vesicostomy

5733 Clos transureth bladd bx

5734 Open bladder biopsy

5739 Bladder diagnos proc NEC

MDC MS-DRG SURGICAL CATEGORY

11 656-661 Kidney & ureter

11 656-661 Kidney & ureter

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 656-661 Kidney & ureter

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 662-664 Minor bladder

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 662-664 Minor bladder

12 715-718 Other male reproductive system

13 746-747 Vagina, cervix & vulva

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 662-664 Minor bladder

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 662-664 Minor bladder

12 715-718 Other male reproductive system

13 746-747 Vagina, cervix & vulva

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 662-664 Minor bladder

12 715-718 Other male reproductive system

13 749-750 Other female reproductive system

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

11 668-670 Transurethral

12 715-718 Other male reproductive system

13 749-750 Other female reproductive system

11 662-664 Minor bladder

12 715-718 Other male reproductive system

13 749-750 Other female reproductive system

17 820-822 Major procedure

17 826-828 Major procedure

11 662-664 Minor bladder

12 715-718 Other male reproductive system

17 820-822 Major procedure

17 826-828 Major procedure

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

5741 Tu adhesiolysis bladder 11 668-670

5749 Tu destruc bladd les NEC 11 668-670

12 715-718

5751 Excision of urachus 11 662-664

12 715-718

13 749-750

5759 Bladder les destruct NEC 11 662-664

12 715-718

13 749-750

17 820-822

17 826-828

576 Partial cystectomy 11 653-655

12 707-708

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5771 Radical cystectomy 11 653-655

12 707-708

13 749-750

17 820-822

17 826-828

5779 Total cystectomy NEC 11 653-655

12 707-708

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5781 Suture bladder lacerat 11 662-664

21 907-909

24 957-959

5782 Cystostomy closure 11 662-664

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5783 Enterovesico fist repair 06 344-346

11 653-655

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

SURGICAL CATEGORY

Transurethral

Transurethral

Other male reproductive system

Minor bladder

Other male reproductive system

Other female reproductive system

Minor bladder

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Major bladder

Major pelvic

Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Major bladder

Major pelvic

Other female reproductive system Major procedure

Major procedure

Major bladder

Major pelvic

Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Minor bladder

Other procs for injuries

Other procs for mult signif trauma

Minor bladder

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Minor small & large bowel Major bladder

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

5784 Vesic fistula repair NEC 11 653-655

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5785 Cystourethroplasty 11 653-655

13 748

5786 Bladder exstrophy repair 11 653-655

5787 Bladder reconstruction 11 653-655

21 907-909

24 957-959

5788 Bladder anastomosis NEC 11 653-655

12 715-718

17 820-822

17 826-828

5789 Bladder repair NEC 11 653-655

13 749-750

21 907-909

24 957-959

5791 Bladder sphincterotomy 11 662-664

5793 Control bladd hemorrhage 11 662-664

21 907-909

24 957-959

5796 Implant bladder stimulat 11 662-664

5797 Replace bladder stimulat 11 662-664

5798 Remove bladder stimulat 11 662-664

5799 Bladder operation NEC 11 662-664

21 907-909

24 957-959

580 Urethrotomy 11 671-672

13 749-750

21 907-909

24 957-959

581 Urethral meatotomy 11 671-672

12 715-718

21 907-909

24 957-959

5841 Suture urethral lacerat 11 671-672

21 907-909

24 957-959

5842 Urethrostomy closure 11 671-672

21 907-909

24 957-959

SURGICAL CATEGORY

Major bladder

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Major bladder

Female repro system reconstruction Major bladder

Major bladder

Other procs for injuries

Other procs for mult signif trauma

Major bladder

Other male reproductive system Major procedure

Major procedure

Major bladder

Other female reproductive system Other procs for injuries

Other procs for mult signif trauma Minor bladder

Minor bladder

Other procs for injuries

Other procs for mult signif trauma Minor bladder

Minor bladder

Minor bladder

Minor bladder

Other procs for injuries

Other procs for mult signif trauma

Urethral

Other female reproductive system Other procs for injuries

Other procs for mult signif trauma

Urethral

Other male reproductive system Other procs for injuries

Other procs for mult signif trauma

Urethral

Other procs for injuries

Other procs for mult signif trauma

Urethral

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

5843 Close ureth fistula NEC 11 671-672

12 709-710

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5844 Urethral reanastomosis 11 671-672

21 907-909

24 957-959

5845 Hypo-epispadius repair 11 671-672

12 709-710

5846 Ureth reconstruction NEC 11 671-672

12 709-710

21 907-909

24 957-959

5847 Urethral meatoplasty 11 671-672

12 715-718

5849 Urethral repair NEC 11 671-672

12 709-710

13 749-750

21 907-909

24 957-959

585 Ureth stricture release 11 671-672

12 709-710

13 749-750

21 907-909

24 957-959

5891 Periurethral incision 11 671-672

5892 Periurethral excision 11 671-672

5893 Implt artf urin sphinct 11 662-664

21 907-909

24 957-959

5899 Ureth/periureth op NEC 11 671-672

12 715-718

13 749-750

5900 Retroperit dissect NOS 08 515-517

09 579-581

11 656-661

12 707-708

13 749-750

17 820-822

17 826-828

SURGICAL CATEGORY

Urethral

Penis

Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Urethral

Other procs for injuries

Other procs for mult signif trauma

Urethral

Penis

Urethral

Penis

Other procs for injuries

Other procs for mult signif trauma

Urethral

Other male reproductive system

Urethral

Penis

Other female reproductive system Other procs for injuries

Other procs for mult signif trauma

Urethral

Penis

Other female reproductive system Other procs for injuries

Other procs for mult signif trauma Urethral

Urethral

Minor bladder

Other procs for injuries

Other procs for mult signif trauma

Urethral

Other male reproductive system

Other female reproductive system

Other musculoskel & connec tissue Other skin, subcut tissue & breast Kidney & ureter

Major pelvic

Other female reproductive system Major procedure

Major procedure

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

5902 Periren adhesiolys NEC 11 656-661

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5903 Lap lys periren/uret adh 11 656-661

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5909 Periren/ureter incis NEC 11 656-661

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5911 Oth lys perives adhesio 11 662-664

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5912 Lap lys perivesureth adh 11 662-664

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5919 Perivesical incision NEC 11 662-664

12 715-718

13 749-750

17 820-822

17 826-828

21 907-909

24 957-959

5921 Periren/ureteral biopsy 11 662-664

12 715-718

17 820-822

17 826-828

21 907-909

24 957-959

5929 Periren/uret dx proc NEC 11 662-664

12 715-718

17 820-822

17 826-828

21 907-909

24 957-959

SURGICAL CATEGORY

Kidney & ureter

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Kidney & ureter

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Minor bladder

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Minor bladder

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Minor bladder

Other male reproductive system Other female reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Minor bladder

Other male reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Minor bladder

Other male reproductive system Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

593 Urethroves junct plicat 11 662-664

594 Suprapubic sling op 11 662-664

13 748

595 Retropubic ureth suspens 11 662-664

13 748

596 Paraurethral suspension 11 662-664

13 748

5971 Levator musc suspension 11 662-664

13 748

5979 Urin incontin repair NEC 11 662-664

13 748

5991 Periren/vesicle excision 11 662-664

12 715-718

17 820-822

17 826-828

5992 Periren/vesicle op NEC 11 662-664

12 715-718

17 820-822

17 826-828

600 Incision of prostate 12 715-718

6012 Open prostatic biopsy 11 668-670

12 715-718

6014 Open seminal vesicles bx 12 715-718

6015 Periprostatic biopsy 12 715-718

6018 Prostatic dx proced NEC 12 715-718

6019 Semin ves dx proced NEC 12 715-718

6021 Transureth prostatectomy 11 665-667

12 713-714

6029 Oth transureth prostatec 11 665-667

12 713-714

603 Suprapubic prostatectomy 11 665-667

12 707-708

604 Retropubic prostatectomy 11 665-667

12 707-708

605 Radical prostatectomy 11 665-667

12 707-708

6061 Los excis prostatic les 12 715-718

6062 Perineal prostatectomy 11 665-667

12 707-708

SURGICAL CATEGORY

Minor bladder

Minor bladder

Female repro system reconstruction

Minor bladder

Female repro system reconstruction

Minor bladder

Female repro system reconstruction

Minor bladder

Female repro system reconstruction

Minor bladder

Female repro system reconstruction

Minor bladder

Other male reproductive system Major procedure

Major procedure

Minor bladder

Other male reproductive system Major procedure

Major procedure

Other male reproductive system

Transurethral

Other male reproductive system

Other male reproductive system

Other male reproductive system

Other male reproductive system

Other male reproductive system

Prostatectomy

Transurethral prostatectomy

Prostatectomy

Transurethral prostatectomy

Prostatectomy

Major pelvic

Prostatectomy

Major pelvic

Prostatectomy

Major pelvic

Other male reproductive system

Prostatectomy

Major pelvic

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

6069 Prostatectomy NEC 11 665-667

12 707-708

6072 Seminal vesicle incision 12 715-718

6073 Seminal vesicle excision 12 715-718

6079 Seminal vesicle op NEC 12 715-718

6081 Periprostatic incision 12 715-718

6082 Periprostatic excision 12 715-718

6093 Repair of prostate 12 715-718

21 907-909

24 957-959

6094 Control prostate hemorr 12 715-718

21 907-909

24 957-959

6095 Trans bal dil pros ureth 11 668-670

12 715-718

6096 Tu destr prostate by mt 11 665-667

12 713-714

6097 Oth tu destr pros - rt 11 665-667

12 713-714

6099 Prostatic operation NEC 12 715-718

612 Excision of hydrocele 12 711-712

6142 Scrotal fistula repair 12 711-712

21 907-909

24 957-959

6149 Scrotum/tunic repair NEC 12 711-712

21 907-909

24 957-959

6192 Excision tunica les NEC 12 711-712

6199 Scrotum & tunica op NEC 12 711-712

21 907-909

24 957-959

620 Incision of testes 12 711-712

21 907-909

24 957-959

6212 Open testicular biopsy 12 711-712

6219 Testes dx procedure NEC 12 711-712

622 Testicular les destruct 12 711-712

623 Unilateral orchiectomy 12 711-712

21 907-909

24 957-959

SURGICAL CATEGORY

Prostatectomy

Major pelvic

Other male reproductive system

Other male reproductive system

Other male reproductive system

Other male reproductive system

Other male reproductive system

Other male reproductive system Other procs for injuries

Other procs for mult signif trauma

Other male reproductive system Other procs for injuries

Other procs for mult signif trauma

Transurethral

Other male reproductive system

Prostatectomy

Transurethral prostatectomy

Prostatectomy

Transurethral prostatectomy

Other male reproductive system

Testes

Testes

Other procs for injuries

Other procs for mult signif trauma

Testes

Other procs for injuries

Other procs for mult signif trauma Testes

Testes

Other procs for injuries

Other procs for mult signif trauma

Testes

Other procs for injuries

Other procs for mult signif trauma Testes

Testes

Testes

Testes

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

6241 Remove both testes 08 515-517

12 711-712

21 907-909

24 957-959

6242 Remove solitary testis 12 711-712

21 907-909

24 957-959

625 Orchiopexy 12 711-712

6261 Suture testicular lacer 12 711-712

21 907-909

24 957-959

6269 Testicular repair NEC 12 711-712

21 907-909

24 957-959

627 Insert testicular prosth 10 628-630

12 711-712

6299 Testicular operation NEC 12 711-712

21 907-909

24 957-959

6309 Spermat cord/vas dx NEC 12 711-712

631 Exc spermatic varicocele 12 711-712

632 Excise epididymis cyst 12 711-712

633 Excise cord/epid les NEC 12 711-712

634 Epididymectomy 12 711-712

6351 Suture cord & epid lacer 12 711-712

21 907-909

24 957-959

6353 Transplant spermat cord 12 711-712

21 907-909

24 957-959

6359 Cord & epidid repair NEC 12 711-712

21 907-909

24 957-959

6381 Suture vas & epidid lac 12 711-712

21 907-909

24 957-959

6382 Postop vas reconstruct 12 711-712

21 907-909

24 957-959

6383 Epididymovasostomy 12 711-712

6385 Remov vas deferens valve 12 711-712

SURGICAL CATEGORY

Other musculoskel & connec tissue Testes

Other procs for injuries

Other procs for mult signif trauma

Testes

Other procs for injuries

Other procs for mult signif trauma Testes

Testes

Other procs for injuries

Other procs for mult signif trauma

Testes

Other procs for injuries

Other procs for mult signif trauma

Other endocrine/nutrit/metabolic Testes

Testes

Other procs for injuries

Other procs for mult signif trauma Testes

Testes

Testes

Testes

Testes

Testes

Other procs for injuries

Other procs for mult signif trauma

Testes

Other procs for injuries

Other procs for mult signif trauma

Testes

Other procs for injuries

Other procs for mult signif trauma

Testes

Other procs for injuries

Other procs for mult signif trauma

Testes

Other procs for injuries

Other procs for mult signif trauma Testes

Testes

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

6389 Vas & epididy repair NEC 12 711-712

21 907-909

24 957-959

6392 Epididymotomy 12 711-712

6393 Spermatic cord incision 12 711-712

6394 Sperm cord adhesiolysis 12 711-712

21 907-909

24 957-959

6395 Insert valve in vas def 12 711-712

6399 Cord/epid/vas ops NEC 12 711-712

21 907-909

24 957-959

6411 Penile biopsy 09 579-581

12 709-710

642 Local excis penile les 09 579-581

12 709-710

643 Amputation of penis 12 709-710

6441 Suture penile laceration 12 709-710

21 907-909

24 957-959

6442 Release of chordee 12 709-710

6443 Construction of penis 12 709-710

21 907-909

24 957-959

6444 Reconstruction of penis 12 709-710

21 907-909

24 957-959

6445 Replantation of penis 12 709-710

21 907-909

24 957-959

6449 Penile repair NEC 09 579-581

12 709-710

21 907-909

24 957-959

645 Sex transformat op NEC 12 709-710

13 748

6492 Incision of penis 12 709-710

6493 Division of penile adhes 12 709-710

6495 Ins noninfl penis prosth 11 673-675

12 709-710

6496 Remove int penile prosth 11 673-675

12 709-710

SURGICAL CATEGORY

Testes

Other procs for injuries

Other procs for mult signif trauma Testes

Testes

Testes

Other procs for injuries

Other procs for mult signif trauma Testes

Testes

Other procs for injuries

Other procs for mult signif trauma

Other skin, subcut tissue & breast

Penis

Other skin, subcut tissue & breast

Penis

Penis

Penis

Other procs for injuries

Other procs for mult signif trauma

Penis

Penis

Other procs for injuries

Other procs for mult signif trauma

Penis

Other procs for injuries

Other procs for mult signif trauma

Penis

Other procs for injuries

Other procs for mult signif trauma

Other skin, subcut tissue & breast

Penis

Other procs for injuries

Other procs for mult signif trauma

Penis

Female repro system reconstruction

Penis

Penis

Other kidney & urinary tract

Penis

Other kidney & urinary tract

Penis

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

6497 Ins inflate penis prosth

6498 Penile operation NEC

6499 Male genital op NEC

6501 Laparoscopic oophorotomy

6509 Other oophorotomy

6511 Ovarian aspirat biopsy

6512 Ovarian biopsy NEC

6513 Lap biopsy of ovary

6514 Oth lap dx proc ovaries

6519 Ovarian dx procedure NEC

6521 Ovarian cyst marsupializ

6522 Ovarian wedge resection

6523 Lap marsup ovarian cyst

6524 Lap wedge resect ovary

6525 Oth lap loc exc dest ova

6529 Local destr ova les NEC

6531 Lap unilat oophorectomy

6539 Oth unilat oophorectomy

6541 Lap uni salpingo-oophor

6549 Oth uni salpingo-oophor

6551 Oth remove both ovaries

6552 Oth remove remain ovary

6553 Lap remove both ovaries

6554 Lap remove remain ovary

6561 Oth remove ovaries/tubes

6562 Oth remove rem ova/tube

MDC MS-DRG SURGICAL CATEGORY

11 673-675 Other kidney & urinary tract

12 709-710 Penis

12 709-710 Penis

12 709-710 Penis

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

10 628-630 Other endocrine/nutrit/metabolic

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

10 628-630 Other endocrine/nutrit/metabolic

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

09 579-581 Other skin, subcut tissue & breast

13 736-743 Uterine & adnexal

09 579-581 Other skin, subcut tissue & breast

13 736-743 Uterine & adnexal

09 579-581 Other skin, subcut tissue & breast

13 736-743 Uterine & adnexal

09 579-581 Other skin, subcut tissue & breast

13 736-743 Uterine & adnexal

09 579-581 Other skin, subcut tissue & breast

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

6563 Lap remove ovaries/tubes 09 579-581

13 736-743

6564 Lap remove rem ova/tube 13 736-743

6571 Oth simple suture ovary 13 736-743

21 907-909

24 957-959

6572 Oth reimplant of ovary 13 736-743

21 907-909

24 957-959

6573 Oth salpingo-oophoroplas 13 736-743

21 907-909

24 957-959

6574 Lap simple suture ovary 13 736-743

21 907-909

24 957-959

6575 Lap reimplant of ovary 13 736-743

21 907-909

24 957-959

6576 Lap salpingo-oophoroplas 13 736-743

21 907-909

24 957-959

6579 Repair of ovary NEC 13 736-743

21 907-909

24 957-959

6581 Lap adhesiolys ova/tube 13 736-743

21 907-909

24 957-959

6589 Adhesiolysis ovary/tube 13 736-743

21 907-909

24 957-959

6591 Aspiration of ovary 13 736-743

6592 Transplantation of ovary 13 736-743

6593 Manual rupt ovarian cyst 13 736-743

6594 Ovarian denervation 13 736-743

6595 Ovarian torsion release 13 736-743

6599 Ovarian operation NEC 13 736-743

6601 Salpingotomy 13 736-743

6602 Salpingostomy 13 736-743

6611 Fallopian tube biopsy 13 736-743

6619 Fallop tube dx proc NEC 13 736-743

SURGICAL CATEGORY

Other skin, subcut tissue & breast Uterine & adnexal

Uterine & adnexal

Uterine & adnexal

Other procs for injuries

Other procs for mult signif trauma

Uterine & adnexal

Other procs for injuries

Other procs for mult signif trauma

Uterine & adnexal

Other procs for injuries

Other procs for mult signif trauma

Uterine & adnexal

Other procs for injuries

Other procs for mult signif trauma

Uterine & adnexal

Other procs for injuries

Other procs for mult signif trauma

Uterine & adnexal

Other procs for injuries

Other procs for mult signif trauma

Uterine & adnexal

Other procs for injuries

Other procs for mult signif trauma

Uterine & adnexal

Other procs for injuries

Other procs for mult signif trauma

Uterine & adnexal

Other procs for injuries

Other procs for mult signif trauma Uterine & adnexal

Uterine & adnexal

Uterine & adnexal

Uterine & adnexal

Uterine & adnexal

Uterine & adnexal

Uterine & adnexal

Uterine & adnexal

Uterine & adnexal

Uterine & adnexal

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

6621 Bilat endosc crush tube 13 744-745

14 767

6622 Bilat endosc divis tube 13 744-745

14 767

6629 Bilat endos occ tube NEC 13 744-745

14 767

6631 Bilat tubal crushing NEC 13 744-745

14 767

6632 Bilat tubal division NEC 13 744-745

14 767

6639 Bilat tubal destruct NEC 13 744-745

14 767

664 Total unilat salpingect 13 736-743

14 767

6651 Remove both fallop tubes 13 736-743

14 767

6652 Remove solitary fal tube 13 736-743

14 767

6661 Destroy fallop tube les 13 736-743

6662 Remov tube & ectop preg 13 736-743

14 768

6663 Bilat part salpingec NOS 13 744-745

14 767

6669 Partial salpingectom NEC 13 736-743

14 767

6671 Simpl suture fallop tube 13 736-743

21 907-909

24 957-959

6672 Salpingo-oophorostomy 13 736-743

6673 Salpingo-salpingostomy 13 736-743

6674 Salpingo-uterostomy 13 736-743

6679 Fallop tube repair NEC 13 736-743

21 907-909

24 957-959

6692 Unilat fallop tube destr 13 736-743

14 767

6693 Impl fallop tube prosth 13 736-743

6694 Remov fallop tube prosth 13 736-743

6695 Blow therapeut into tube 13 749-750

SURGICAL CATEGORY

D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C

D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C

D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C

D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C

D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C

D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C

Uterine & adnexal

Sterilization &/or D&C

Uterine & adnexal

Sterilization &/or D&C

Uterine & adnexal

Sterilization &/or D&C

Uterine & adnexal

Uterine & adnexal

Delivery except steril &/or D&C

D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C

Uterine & adnexal

Sterilization &/or D&C

Uterine & adnexal

Other procs for injuries

Other procs for mult signif trauma Uterine & adnexal

Uterine & adnexal

Uterine & adnexal

Uterine & adnexal

Other procs for injuries

Other procs for mult signif trauma

Uterine & adnexal

Sterilization &/or D&C

Uterine & adnexal

Uterine & adnexal

Other female reproductive system

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

6696 Fallopian tube dilation 13 736-743

6697 Bury fimbriae in uterus 13 736-743

14 767

6699 Fallopian tube op NEC 13 736-743

6711 Endocervical biopsy 09 579-581

13 744-745

14 768

6712 Cervical biopsy NEC 09 579-581

13 744-745

14 768

6719 Cervical dx procedur NEC 09 579-581

13 744-745

14 768

672 Conization of cervix 13 744-745

14 768

6731 Cervical cyst marsupial 13 746-747

14 768

6732 Cervical les cauterizat 13 746-747

14 768

6733 Cervical les cryotherapy 13 746-747

14 768

6739 Cervical les destruc NEC 09 579-581

13 746-747

14 768

674 Amputation of cervix 13 746-747

6751 Transab cerclage cervix 13 746-747

14 774-775

21 907-909

24 957-959

6759 Oth rep int cervical os 13 746-747

14 774-775

21 907-909

24 957-959

6761 Suture cervical lacerat 13 746-747

14 774-775

21 907-909

24 957-959

6762 Cervical fistula repair 13 746-747

14 768

21 907-909

24 957-959

6769 Cervical repair NEC 13 746-747

14 774-775

21 907-909

24 957-959

SURGICAL CATEGORY

Uterine & adnexal

Uterine & adnexal

Sterilization &/or D&C

Uterine & adnexal

Other skin, subcut tissue & breast

D&C/conizat/laparoscpy/tubl intrpt

Delivery except steril &/or D&C

Other skin, subcut tissue & breast

D&C/conizat/laparoscpy/tubl intrpt

Delivery except steril &/or D&C

Other skin, subcut tissue & breast

D&C/conizat/laparoscpy/tubl intrpt

Delivery except steril &/or D&C

D&C/conizat/laparoscpy/tubl intrpt Delivery except steril &/or D&C

Vagina, cervix & vulva

Delivery except steril &/or D&C

Vagina, cervix & vulva

Delivery except steril &/or D&C

Vagina, cervix & vulva

Delivery except steril &/or D&C

Other skin, subcut tissue & breast Vagina, cervix & vulva

Delivery except steril &/or D&C Vagina, cervix & vulva

Vagina, cervix & vulva

Uncomp vaginal delivery procs Other procs for injuries

Other procs for mult signif trauma

Vagina, cervix & vulva

Uncomp vaginal delivery procs Other procs for injuries

Other procs for mult signif trauma

Vagina, cervix & vulva

Uncomp vaginal delivery procs Other procs for injuries

Other procs for mult signif trauma

Vagina, cervix & vulva

Delivery except steril &/or D&C Other procs for injuries

Other procs for mult signif trauma

Vagina, cervix & vulva

Uncomp vaginal delivery procs Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

680 Hysterotomy

6813 Open uterine biopsy

6814 Open uterine ligament bx

6815 Clos uterine ligament bx

6816 Closed uterine biopsy

6819 Uterus/adnex dx proc NEC

6821 Endomet synechiae divis

6822 Incision uterine septum

6823 Endometrial ablation

6824 Uterine art emb w coils

6825 Uterine art emb w/o coil

6829 Uterine les destruct NEC

6831 Lap scervic hysterectomy

6839 Subtotl abd hyst NEC/NOS

6841 Lap total abdominal hyst

6849 Total abd hyst NEC/NOS

6851 Lap ast vag hysterectomy

6859 Vag hysterectomy NEC/NOS

6861 Lap radical abdomnl hyst

6869 Radical abd hyst NEC/NOS

6871 Lap radical vaginal hyst

6879 Radical vag hyst NEC/NOS

688 Pelvic evisceration

MDC MS-DRG SURGICAL CATEGORY

13 736-743 Uterine & adnexal

14 768 Delivery except steril &/or D&C

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

13 744-745 D&C/conizat/laparoscpy/tubl intrpt

13 744-745 D&C/conizat/laparoscpy/tubl intrpt

13 736-743 Uterine & adnexal

13 744-745 D&C/conizat/laparoscpy/tubl intrpt

13 744-745 D&C/conizat/laparoscpy/tubl intrpt

13 736-743 Uterine & adnexal

13 749-750 Other female reproductive system

13 749-750 Other female reproductive system

13 736-743 Uterine & adnexal

13 736-743 Uterine & adnexal

14 768 Delivery except steril &/or D&C

13 736-743 Uterine & adnexal

14 768 Delivery except steril &/or D&C

13 736-743 Uterine & adnexal

14 768 Delivery except steril &/or D&C

13 736-743 Uterine & adnexal

14 768 Delivery except steril &/or D&C

13 736-743 Uterine & adnexal

14 768 Delivery except steril &/or D&C

13 736-743 Uterine & adnexal

14 768 Delivery except steril &/or D&C

13 734-735 Pelv evisc, rad hyst & vulvectomy

14 768 Delivery except steril &/or D&C

13 734-735 Pelv evisc, rad hyst & vulvectomy

14 768 Delivery except steril &/or D&C

13 734-735 Pelv evisc, rad hyst & vulvectomy

14 768 Delivery except steril &/or D&C

13 734-735 Pelv evisc, rad hyst & vulvectomy

14 768 Delivery except steril &/or D&C

06 332-334 Rectal resection

13 734-735 Pelv evisc, rad hyst & vulvectomy

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

689 Hysterectomy NEC/NOS 13 736-743

14 768

6901 D & C for preg terminat 14 770

6902 D & C post delivery 14 767

14 770

6909 D & C NEC 13 744-745

14 767

14 770

6919 Destruc uter support NEC 13 736-743

6921 Interposit op uterin lig 13 748

6922 Uterine suspension NEC 13 748

6923 Vag repair invers uterus 13 748

21 907-909

24 957-959

6929 Uterus/adnexa repair NEC 13 748

21 907-909

24 957-959

693 Paracerv uterine denerv 13 736-743

6941 Suture uterine lacerat 13 736-743

14 768

21 907-909

24 957-959

6942 Closure uterine fistula 06 344-346

13 736-743

21 907-909

24 957-959

6949 Uterine repair NEC 13 736-743

14 768

21 907-909

24 957-959

6951 Aspirat curet-preg termi 14 770

6952 Aspirat curet-post deliv 14 767

14 770

6995 Incision of cervix 13 746-747

14 768

6997 Remove penetrat cerv FB 13 746-747

21 907-909

24 957-959

6998 Uterine support op NEC 13 748

6999 Uterine operation NEC 13 749-750

7012 Culdotomy 13 749-750

14 768

SURGICAL CATEGORY

Uterine & adnexal

Delivery except steril &/or D&C

D&C, aspir curet or hysterotomy

Sterilization &/or D&C

D&C, aspir curet or hysterotomy

D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C

D&C, aspir curet or hysterotomy Uterine & adnexal

Female repro system reconstruction

Female repro system reconstruction

Female repro system reconstruction Other procs for injuries

Other procs for mult signif trauma

Female repro system reconstruction Other procs for injuries

Other procs for mult signif trauma Uterine & adnexal

Uterine & adnexal

Delivery except steril &/or D&C Other procs for injuries

Other procs for mult signif trauma

Minor small & large bowel Uterine & adnexal

Other procs for injuries

Other procs for mult signif trauma

Uterine & adnexal

Delivery except steril &/or D&C Other procs for injuries

Other procs for mult signif trauma

D&C, aspir curet or hysterotomy

Sterilization &/or D&C

D&C, aspir curet or hysterotomy

Vagina, cervix & vulva

Delivery except steril &/or D&C

Vagina, cervix & vulva

Other procs for injuries

Other procs for mult signif trauma

Female repro system reconstruction

Other female reproductive system

Other female reproductive system Delivery except steril &/or D&C

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7013 Intralum vag adhesiolys 13 746-747

14 774-775

21 907-909

24 957-959

7014 Vaginotomy NEC 13 746-747

14 774-775

7023 Cul-de-sac biopsy 13 746-747

14 768

7024 Vaginal biopsy 09 579-581

13 746-747

14 774-775

7029 Vagin/cul-de-sac dx NEC 13 746-747

14 768

7031 Hymenectomy 13 746-747

14 774-775

7032 Excis cul-de-sac lesion 13 746-747

14 768

7033 Excision vaginal lesion 09 579-581

13 746-747

14 774-775

704 Vaginal obliteration 13 748

7050 Cystocel/rectocel repair 06 356-358

11 662-664

13 748

7051 Cystocele repair 11 662-664

13 748

7052 Rectocele repair 06 329-331

13 748

7053 Cysto & recto w grf/pros 06 329-331

11 653-655

13 748

7054 Rep cystocel w grft/pros 11 662-664

13 748

7055 Rep rectocele w grf/pros 06 329-331

13 748

7061 Vaginal construction 13 748

7062 Vaginal reconstruction 13 748

21 907-909

24 957-959

7063 Vaginal const w grf/pros 13 748

7064 Vag reconst w grft/pros 13 748

21 907-909

24 957-959

SURGICAL CATEGORY

Vagina, cervix & vulva

Uncomp vaginal delivery procs Other procs for injuries

Other procs for mult signif trauma

Vagina, cervix & vulva

Uncomp vaginal delivery procs

Vagina, cervix & vulva

Delivery except steril &/or D&C

Other skin, subcut tissue & breast Vagina, cervix & vulva

Uncomp vaginal delivery procs

Vagina, cervix & vulva

Delivery except steril &/or D&C

Vagina, cervix & vulva

Uncomp vaginal delivery procs

Vagina, cervix & vulva

Delivery except steril &/or D&C

Other skin, subcut tissue & breast Vagina, cervix & vulva

Uncomp vaginal delivery procs

Female repro system reconstruction

Other digestive system Minor bladder

Female repro system reconstruction

Minor bladder

Female repro system reconstruction

Major small & large bowel

Female repro system reconstruction

Major small & large bowel Major bladder

Female repro system reconstruction

Minor bladder

Female repro system reconstruction

Major small & large bowel

Female repro system reconstruction

Female repro system reconstruction

Female repro system reconstruction Other procs for injuries

Other procs for mult signif trauma

Female repro system reconstruction

Female repro system reconstruction Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7071 Suture vagina laceration 09 579-581

13 746-747

14 774-775

21 907-909

24 957-959

7072 Repair colovagin fistula 06 329-331

13 746-747

17 820-822

17 826-828

21 907-909

24 957-959

7073 Repair rectovag fistula 06 329-331

13 746-747

17 820-822

17 826-828

21 907-909

24 957-959

7074 Rep vaginoent fistul NEC 06 329-331

13 746-747

17 820-822

17 826-828

21 907-909

24 957-959

7075 Repair vag fistula NEC 06 344-346

13 746-747

17 820-822

17 826-828

21 907-909

24 957-959

7076 Hymenorrhaphy 13 746-747

7077 Vaginal suspens & fixat 11 662-664

13 748

7078 Vag susp/fix w grft/pros 11 662-664

13 748

7079 Vaginal repair NEC 13 746-747

14 774-775

21 907-909

24 957-959

708 Vaginal vault obliterat 13 748

7091 Vaginal operation NEC 13 746-747

7092 Cul-de-sac operation NEC 13 746-747

7093 Cul-de-sac grf/pros NEC 13 746-747

7101 Vulvar adhesiolysis 13 746-747

14 774-775

21 907-909

24 957-959

SURGICAL CATEGORY

Other skin, subcut tissue & breast Vagina, cervix & vulva

Uncomp vaginal delivery procs Other procs for injuries

Other procs for mult signif trauma

Major small & large bowel Vagina, cervix & vulva

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Major small & large bowel Vagina, cervix & vulva

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Major small & large bowel Vagina, cervix & vulva

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Minor small & large bowel Vagina, cervix & vulva

Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma Vagina, cervix & vulva

Minor bladder

Female repro system reconstruction

Minor bladder

Female repro system reconstruction

Vagina, cervix & vulva

Uncomp vaginal delivery procs Other procs for injuries

Other procs for mult signif trauma Female repro system reconstruction Vagina, cervix & vulva

Vagina, cervix & vulva

Vagina, cervix & vulva

Vagina, cervix & vulva

Uncomp vaginal delivery procs Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7109 Incis vulva/perineum NEC 09 579-581

13 746-747

14 774-775

7111 Vulvar biopsy 09 579-581

13 746-747

14 774-775

7119 Vulvar diagnos proc NEC 09 579-581

13 746-747

14 774-775

7122 Incise bartholin's gland 13 746-747

14 768

7123 Bartholin gland marsup 13 746-747

14 768

7124 Destruc bartholin gland 09 579-581

13 746-747

14 768

7129 Bartholin's gland op NEC 13 746-747

14 768

713 Local vulvar excis NEC 09 579-581

13 746-747

14 774-775

714 Operations on clitoris 13 746-747

715 Radical vulvectomy 13 734-735

7161 Unilateral vulvectomy 13 746-747

7162 Bilateral vulvectomy 09 579-581

13 746-747

7171 Suture vulvar laceration 09 579-581

13 746-747

14 774-775

21 907-909

24 957-959

7172 Repair vulvar fistula 06 344-346

13 746-747

21 907-909

24 957-959

7179 Vulvar/perin repair NEC 13 746-747

14 774-775

21 907-909

24 957-959

718 Other vulvar operations 13 746-747

719 Other female genital ops 13 749-750

7394 Pubiotomy to assist del 14 768

7399 Ops assisting deliv NEC 14 774-775

SURGICAL CATEGORY

Other skin, subcut tissue & breast Vagina, cervix & vulva

Uncomp vaginal delivery procs

Other skin, subcut tissue & breast Vagina, cervix & vulva

Uncomp vaginal delivery procs

Other skin, subcut tissue & breast Vagina, cervix & vulva

Uncomp vaginal delivery procs

Vagina, cervix & vulva

Delivery except steril &/or D&C

Vagina, cervix & vulva

Delivery except steril &/or D&C

Other skin, subcut tissue & breast Vagina, cervix & vulva

Delivery except steril &/or D&C

Vagina, cervix & vulva

Delivery except steril &/or D&C

Other skin, subcut tissue & breast Vagina, cervix & vulva

Uncomp vaginal delivery procs Vagina, cervix & vulva

Pelv evisc, rad hyst & vulvectomy Vagina, cervix & vulva

Other skin, subcut tissue & breast Vagina, cervix & vulva

Other skin, subcut tissue & breast Vagina, cervix & vulva

Uncomp vaginal delivery procs Other procs for injuries

Other procs for mult signif trauma

Minor small & large bowel Vagina, cervix & vulva

Other procs for injuries

Other procs for mult signif trauma

Vagina, cervix & vulva

Uncomp vaginal delivery procs Other procs for injuries

Other procs for mult signif trauma Vagina, cervix & vulva

Other female reproductive system

Delivery except steril &/or D&C

Uncomp vaginal delivery procs

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

740 Classical c-section 14 765-766

741 Low cervical c-section 14 765-766

742 Extraperitoneal c-sect 14 765-766

743 Rem extratub ectop preg 14 768

744 Cesarean section NEC 14 765-766

7491 Hysterotomy to termin pg 14 770

7499 Cesarean section NOS 14 765-766

7536 Correction fetal defect 14 768

7550 Repair ob lac uterus NOS 14 774-775

7551 Repair ob lacerat cervix 14 774-775

7552 Repair ob lac corp uteri 14 768

7561 Repair ob lac blad/ureth 14 774-775

7593 Surg corr invert uterus 14 768

7599 Obstetric operation NEC 14 768

7601 Facial bone sequestrect 03 131-132

08 515-517

21 907-909

24 957-959

7609 Facial bone incision NEC 03 133-134

08 495-497

21 907-909

24 957-959

7611 Facial bone biopsy 03 133-134

08 477-479

21 907-909

24 957-959

7619 Facial bone dx proc NEC 03 131-132

08 477-479

21 907-909

24 957-959

762 Destruct facial bone les 03 131-132

08 495-497

21 907-909

24 957-959

7631 Partial mandibulectomy 03 129-130

08 515-517

21 907-909

24 957-959

SURGICAL CATEGORY

Cesarean section

Cesarean section

Cesarean section

Delivery except steril &/or D&C Cesarean section

D&C, aspir curet or hysterotomy Cesarean section

Delivery except steril &/or D&C

Uncomp vaginal delivery procs

Uncomp vaginal delivery procs

Delivery except steril &/or D&C

Uncomp vaginal delivery procs

Delivery except steril &/or D&C

Delivery except steril &/or D&C

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Musculoskeletal biopsy

Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Musculoskeletal biopsy

Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Major head & neck

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7639 Part facial ostectom NEC 03 131-132

08 515-517

21 907-909

24 957-959

7641 Tot mandibulec w reconst 03 129-130

08 515-517

21 907-909

24 957-959

7642 Total mandibulectomy NEC 03 129-130

08 515-517

21 907-909

24 957-959

7643 Mandibular reconst NEC 03 131-132

08 515-517

09 579-581

21 907-909

24 957-959

7644 Tot face ostect w recons 03 131-132

08 515-517

21 907-909

24 957-959

7645 Tot face bone ostect NEC 03 131-132

08 515-517

21 907-909

24 957-959

7646 Facial bone reconstr NEC 02 113-114

03 131-132

08 515-517

21 907-909

24 957-959

765 Temporomand arthroplasty 03 133-134

08 515-517

21 907-909

24 957-959

7661 Cl osteoplasty mand rami 03 131-132

08 515-517

21 907-909

24 957-959

7662 Open osteoplas mand rami 03 131-132

08 515-517

21 907-909

24 957-959

7663 Osteoplasty mandible bdy 03 131-132

08 515-517

21 907-909

24 957-959

7664 Mand orthognathic op NEC 03 131-132

08 515-517

21 907-909

24 957-959

SURGICAL CATEGORY

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Major head & neck

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Major head & neck

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7665 Seg osteoplasty maxilla 03 131-132

08 515-517

21 907-909

24 957-959

7666 Tot osteoplasty maxilla 03 131-132

08 515-517

21 907-909

24 957-959

7667 Reduction genioplasty 03 131-132

08 515-517

21 907-909

24 957-959

7668 Augmentation genioplasty 03 131-132

08 515-517

21 907-909

24 957-959

7669 Facial bone repair NEC 03 131-132

08 515-517

21 907-909

24 957-959

7670 Reduction facial fx NOS 03 131-132

08 515-517

21 907-909

24 957-959

7672 Opn reduct malar/zygo fx 03 131-132

08 515-517

21 907-909

24 957-959

7674 Open reduct maxillary fx 03 131-132

08 515-517

21 907-909

24 957-959

7676 Open reduct mandible fx 03 131-132

08 515-517

21 907-909

24 957-959

7677 Open reduct alveolar fx 03 131-132

08 515-517

21 907-909

24 957-959

7679 Open reduct face fx NEC 02 113-114

03 131-132

08 515-517

21 907-909

24 957-959

7691 Bone graft to face bone 02 113-114

03 131-132

08 515-517

21 907-909

24 957-959

SURGICAL CATEGORY

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Orbital extraocular Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7692 Syn implant to face bone 02 113-114

03 131-132

08 515-517

21 907-909

24 957-959

7694 Open reduct tm dislocat 03 131-132

08 515-517

21 907-909

24 957-959

7697 Remove int fix face bone 03 131-132

08 495-497

21 907-909

24 957-959

7699 Facial bone/jnt op NEC 03 131-132

08 515-517

21 907-909

24 957-959

7700 Sequestrectomy NOS 08 515-517

21 907-909

24 957-959

7701 Chest cage sequestrec 04 166-168

08 515-517

21 907-909

24 957-959

7702 Humerus sequestrectomy 08 492-494

21 907-909

24 957-959

7703 Radius & ulna sequestrec 08 510-512

21 907-909

24 957-959

7704 Metacarp/carp sequestrec 08 513-514

21 906

24 957-959

7705 Femoral sequestrectomy 08 480-482

21 907-909

24 956

7706 Patellar sequestrectomy 08 485-489

21 907-909

24 957-959

7707 Tibia/fibula sequestrec 08 492-494

21 907-909

24 957-959

7708 Metatar/tar sequestrec 08 503-505

21 907-909

24 957-959

7709 Sequestrectomy NEC 08 515-517

21 907-909

24 957-959

SURGICAL CATEGORY

Orbital extraocular Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Cranial/facial

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other respiratory system

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7710 Other bone incision NOS 08 495-497

21 907-909

24 957-959

7711 Other chest cage incis 04 166-168

08 495-497

21 907-909

24 957-959

7712 Other humerus incision 08 495-497

21 907-909

24 957-959

7713 Other radius/ulna incis 08 495-497

21 907-909

24 957-959

7714 Oth metacarp/carp incis 08 513-514

21 906

24 957-959

7715 Other femoral incision 08 498-499

21 907-909

24 957-959

7716 Other patellar incision 08 495-497

21 907-909

24 957-959

7717 Other tibia/fibula incis 08 495-497

21 907-909

24 957-959

7718 Oth metatars/tars incis 08 503-505

21 907-909

24 957-959

7719 Bone incis w/o div NEC 03 133-134

08 495-497

21 907-909

24 957-959

7720 Wedge osteotomy NOS 08 515-517

21 907-909

24 957-959

7721 Chest cage wedg osteotom 04 166-168

08 515-517

21 907-909

24 957-959

7722 Humerus wedge osteotomy 08 492-494

21 907-909

24 957-959

7723 Radius/ulna wedg osteoto 08 510-512

21 907-909

24 957-959

SURGICAL CATEGORY

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Other respiratory system

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev - hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other respiratory system

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7724 Metacar/car wedg osteoto 08 513-514

21 906

24 957-959

7725 Femoral wedge osteotomy 08 480-482

21 907-909

24 956

7726 Patellar wedge osteotomy 08 485-489

21 907-909

24 957-959

7727 Tibia/fibul wedg osteot 08 492-494

10 628-630

21 907-909

24 957-959

7728 Metatar/tar wedg osteot 08 503-505

09 579-581

21 907-909

24 957-959

7729 Wedge osteotomy NEC 08 515-517

21 907-909

24 957-959

7730 Other bone division NOS 03 133-134

08 515-517

21 907-909

24 957-959

7731 Chest cage bone div NEC 04 166-168

08 515-517

21 907-909

24 957-959

7732 Humerus division NEC 08 492-494

21 907-909

24 957-959

7733 Radius/ulna division NEC 08 510-512

21 907-909

24 957-959

7734 Metacar/car division NEC 08 513-514

21 906

24 957-959

7735 Femoral division NEC 08 480-482

21 907-909

24 956

7736 Patellar division NEC 08 485-489

21 907-909

24 957-959

7737 Tibia/fibula div NEC 08 492-494

21 907-909

24 957-959

SURGICAL CATEGORY

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other endocrine/nutrit/metabolic

Other procs for injuries

Other procs for mult signif trauma

Foot

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other respiratory system

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7738 Metatar/tar division NEC 08 503-505

10 628-630

21 907-909

24 957-959

7739 Bone division NEC 08 515-517

21 907-909

24 957-959

7740 Bone biopsy NOS 03 133-134

08 477-479

09 579-581

10 628-630

11 673-675

12 715-718

7741 Chest cage bone biopsy 04 166-168

08 477-479

09 579-581

10 628-630

11 673-675

12 715-718

7742 Humerus biopsy 08 477-479

09 579-581

10 628-630

11 673-675

12 715-718

7743 Radius & ulna biopsy 08 477-479

09 579-581

10 628-630

11 673-675

12 715-718

7744 Metacarpal/carpal biopsy 08 513-514

09 579-581

10 628-630

11 673-675

12 715-718

21 906

24 957-959

7745 Femoral biopsy 08 477-479

09 579-581

10 628-630

11 673-675

12 715-718

7746 Patellar biopsy 08 477-479

09 579-581

10 628-630

11 673-675

12 715-718

7747 Tibia & fibula biopsy 08 477-479

09 579-581

10 628-630

11 673-675

12 715-718

SURGICAL CATEGORY

Foot

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Musculoskeletal biopsy

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other male reproductive system

Other respiratory system

Musculoskeletal biopsy

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other male reproductive system

Musculoskeletal biopsy

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other male reproductive system

Musculoskeletal biopsy

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other male reproductive system

Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other male reproductive system Hand procs for injuries

Other procs for mult signif trauma

Musculoskeletal biopsy

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other male reproductive system

Musculoskeletal biopsy

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other male reproductive system

Musculoskeletal biopsy

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other male reproductive system

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7748 Metatarsal/tarsal biopsy 08 477-479

09 579-581

10 628-630

11 673-675

12 715-718

7749 Bone biopsy NEC 03 133-134

04 166-168

08 477-479

09 579-581

10 628-630

11 673-675

12 715-718

16 802-804

7751 Bunionect/sft/osteotomy 08 503-505

7752 Bunionect/sft/arthrodes 08 503-505

7753 Oth bunionect w sft corr 08 503-505

7754 Exc correct bunionette 08 503-505

7756 Repair of hammer toe 08 503-505

7757 Repair of claw toe 08 503-505

7758 Oth exc, fus, repair toe 08 503-505

21 907-909

24 957-959

7759 Bunionectomy NEC 08 503-505

7760 Loc exc bone lesion NOS 08 495-497

21 907-909

24 957-959

7761 Exc chest cage bone les 04 166-168

08 495-497

10 628-630

21 907-909

24 957-959

7762 Loc exc bone les humerus 08 495-497

21 907-909

24 957-959

7763 Loc exc les radius/ulna 08 495-497

21 907-909

24 957-959

7764 Loc exc les metacar/car 08 513-514

21 906

24 957-959

7765 Loc exc bone les femur 08 498-499

21 907-909

24 957-959

SURGICAL CATEGORY

Musculoskeletal biopsy

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other male reproductive system

Other ear, nose, mouth & throat Other respiratory system

Musculoskeletal biopsy

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other male reproductive system Other blood & blood form org

Foot

Foot

Foot

Foot

Foot

Foot

Foot

Other procs for injuries

Other procs for mult signif trauma

Foot

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Other respiratory system

Loc excis,rm int fx dev ex hip,fem Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev - hip,fem Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7766 Loc exc bone les patella 08 495-497

21 907-909

24 957-959

7767 Loc exc les tibia/fibula 08 495-497

21 907-909

24 957-959

7768 Loc exc les metatar/tar 08 503-505

10 628-630

21 907-909

24 957-959

7769 Loc exc bone lesion NEC 03 133-134

08 495-497

10 628-630

21 907-909

24 957-959

7770 Excise bone for grft NOS 08 495-497

21 907-909

24 957-959

7771 Ex chest cage bone-gft 04 166-168

08 495-497

21 907-909

24 957-959

7772 Excise humerus for graft 08 495-497

21 907-909

24 957-959

7773 Excis radius/ulna-graft 08 495-497

21 907-909

24 957-959

7774 Excis metacar/car-graft 08 513-514

21 906

24 957-959

7775 Excise femur for graft 08 498-499

21 907-909

24 957-959

7776 Excise patella for graft 08 495-497

21 907-909

24 957-959

7777 Excise tib/fib for graft 08 495-497

21 907-909

24 957-959

7778 Excis metatar/tar-graft 08 503-505

21 907-909

24 957-959

7779 Excise bone for gft NEC 03 133-134

08 495-497

21 907-909

24 957-959

SURGICAL CATEGORY

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Foot

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Loc excis,rm int fx dev ex hip,fem Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Other respiratory system

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev - hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7780 Oth part ostectomy NOS 08 515-517

21 907-909

24 957-959

7781 Oth chest cage ostectomy 01 028-030

04 166-168

08 515-517

21 907-909

24 957-959

7782 Partial humerectomy NEC 08 492-494

21 907-909

24 957-959

7783 Part ostect-radius/ulna 08 510-512

21 907-909

24 957-959

7784 Part ostect-metacar/car 08 513-514

21 906

24 957-959

7785 Part ostectomy-femur 08 480-482

21 907-909

24 956

7786 Partial patellectomy 08 485-489

21 907-909

24 957-959

7787 Part ostect-tibia/fibula 08 492-494

21 907-909

24 957-959

7788 Part ostect-metatar/tar 08 503-505

10 628-630

21 907-909

24 957-959

7789 Partial ostectomy NEC 03 133-134

08 515-517

10 628-630

21 907-909

24 957-959

7790 Total ostectomy NOS 08 515-517

21 907-909

24 957-959

7791 Tot chest cage ostectomy 01 028-030

04 166-168

08 515-517

21 907-909

24 957-959

7792 Total ostectomy-humerus 08 492-494

21 907-909

24 957-959

SURGICAL CATEGORY

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Spinal

Other respiratory system

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Spinal

Other respiratory system

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7793 Tot ostect-radius/ulna 08 510-512

21 907-909

24 957-959

7794 Tot ostect-metacarp/carp 08 513-514

21 906

24 957-959

7795 Tot ostectomy-femur 08 480-482

21 907-909

24 956

7796 Total patellectomy 08 485-489

21 907-909

24 957-959

7797 Tot ostect-tibia/fibula 08 492-494

21 907-909

24 957-959

7798 Tot ostect-metatars/tars 08 503-505

21 907-909

24 957-959

7799 Total ostectomy NEC 03 133-134

08 515-517

21 907-909

24 957-959

7800 Bone graft NOS 08 515-517

21 907-909

24 957-959

7801 Bone graft to chest cage 04 166-168

08 515-517

21 907-909

24 957-959

7802 Bone graft to humerus 08 492-494

21 907-909

24 957-959

7803 Bone graft-radius/ulna 08 510-512

21 907-909

24 957-959

7804 Bone grft to metacar/car 08 513-514

21 906

24 957-959

7805 Bone graft to femur 08 480-482

21 907-909

24 956

7806 Bone graft to patella 08 485-489

21 907-909

24 957-959

7807 Bone graft-tibia/fibula 08 492-494

21 907-909

24 957-959

SURGICAL CATEGORY

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other respiratory system

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7808 Bone graft-metatar/tar 08 503-505

21 907-909

24 957-959

7809 Bone graft NEC 08 515-517

21 907-909

24 957-959

7810 Applic ext fix dev NOS 08 515-517

21 907-909

24 957-959

7811 Appl ext fix-chest cage 04 166-168

08 515-517

21 907-909

24 957-959

7812 Applic ext fix-humerus 08 492-494

21 907-909

24 957-959

7813 Appl ext fix-radius/ulna 08 510-512

21 907-909

24 957-959

7814 Appl ext fix-metacar/car 08 513-514

21 906

24 957-959

7815 Applic ext fix dev-femur 08 480-482

21 907-909

24 956

7816 Appl ext fix dev-patella 08 485-489

21 907-909

24 957-959

7817 Appl ext fix-tib/fibula 08 492-494

21 907-909

24 957-959

7818 Appl ext fix-metatar/tar 08 503-505

21 907-909

24 957-959

7819 Applic ext fix dev NEC 08 515-517

21 907-909

24 957-959

7820 Limb shorten proc NOS 08 515-517

21 907-909

24 957-959

7822 Limb short proc-humerus 08 492-494

21 907-909

24 957-959

7823 Limb shorten-radius/ulna 08 510-512

21 907-909

24 957-959

SURGICAL CATEGORY

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other respiratory system

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7824 Limb shorten-metacar/car 08 513-514

21 906

24 957-959

7825 Limb short proc-femur 08 480-482

21 907-909

24 956

7827 Limb shorten-tib/fibula 08 492-494

21 907-909

24 957-959

7828 Limb shorten-metatar/tar 08 503-505

21 907-909

24 957-959

7829 Limb shorten proc NEC 08 515-517

21 907-909

24 957-959

7830 Limb lengthen proc NOS 08 515-517

21 907-909

24 957-959

7832 Limb length proc-humerus 08 492-494

21 907-909

24 957-959

7833 Limb length-radius/ulna 08 510-512

21 907-909

24 957-959

7834 Limb length-metacar/car 08 513-514

21 906

24 957-959

7835 Limb length proc-femur 08 480-482

21 907-909

24 956

7837 Limb lengthen-tib/fibula 08 492-494

21 907-909

24 957-959

7838 Limb lengthn-metatar/tar 08 503-505

21 907-909

24 957-959

7839 Limb lengthen proc NEC 08 515-517

21 907-909

24 957-959

7840 Oth bone repair/plast op 08 515-517

21 907-909

24 957-959

7841 Oth chest cage rep/plast 04 166-168

08 515-517

21 907-909

24 957-959

SURGICAL CATEGORY

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other respiratory system

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7842 Oth humerus repair/plast 08 492-494

21 907-909

24 957-959

7843 Oth rad/uln repair/plast 08 510-512

21 907-909

24 957-959

7844 Oth metac/carp rep/plast 08 513-514

21 906

24 957-959

7845 Oth femur repair/plastic 08 480-482

21 907-909

24 956

7846 Oth patella repair/plast 08 485-489

21 907-909

24 957-959

7847 Oth tib/fib repair/plast 08 492-494

21 907-909

24 957-959

7848 Oth meta/tar repa/plast 08 503-505

21 907-909

24 957-959

7849 Oth bone repa/plast NEC 08 515-517

21 907-909

24 957-959

7850 Int fix w/o fx reduc NOS 08 515-517

21 907-909

24 957-959

7851 Int fixation-chest cage 04 166-168

08 515-517

21 907-909

24 957-959

7852 Int fixation-humerus 08 492-494

21 907-909

24 957-959

7853 Int fixation-radius/ulna 08 510-512

21 907-909

24 957-959

7854 Int fixation-metacar/car 08 513-514

21 906

24 957-959

7855 Internal fixation-femur 08 480-482

21 907-909

24 956

7856 Internal fix-patella 08 485-489

21 907-909

24 957-959

SURGICAL CATEGORY

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other respiratory system

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7857 Int fixation-tibia/fibul 08 492-494

21 907-909

24 957-959

7858 Int fixation-metatar/tar 08 503-505

21 907-909

24 957-959

7859 Int fix-no fx reduct NEC 08 515-517

21 907-909

24 957-959

7860 Remove imp device NOS 08 495-497

21 907-909

24 957-959

7861 Remov imp dev-chest cage 04 166-168

08 495-497

21 907-909

24 957-959

7862 Remove impl dev-humerus 08 495-497

21 907-909

24 957-959

7863 Remov imp dev-radius/uln 08 495-497

21 907-909

24 957-959

7864 Remov imp dev-metac/carp 08 495-497

21 906

24 957-959

7865 Remove imp device-femur 08 498-499

10 628-630

21 907-909

24 957-959

7866 Remov imp device-patella 08 495-497

21 907-909

24 957-959

7867 Remov imp dev-tib/fibula 08 495-497

21 907-909

24 957-959

7868 Remove imp dev-metat/tar 08 495-497

21 907-909

24 957-959

7869 Remove impl device NEC 08 495-497

21 907-909

24 957-959

7870 Osteoclasis NOS 08 515-517

21 907-909

24 957-959

SURGICAL CATEGORY

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Other respiratory system

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Hand procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev - hip,fem Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7871 Osteoclasis-chest cage 04 166-168

08 515-517

21 907-909

24 957-959

7872 Osteoclasis-humerus 08 492-494

21 907-909

24 957-959

7873 Osteoclasis-radius/ulna 08 510-512

21 907-909

24 957-959

7874 Osteoclasis-metacar/car 08 513-514

21 906

24 957-959

7875 Osteoclasis-femur 08 480-482

21 907-909

24 956

7876 Osteoclasis-patella 08 485-489

21 907-909

24 957-959

7877 Osteoclasis-tibia/fibula 08 492-494

21 907-909

24 957-959

7878 Osteoclasis-metatar/tar 08 503-505

21 907-909

24 957-959

7879 Osteoclasis NEC 08 515-517

21 907-909

24 957-959

7880 Other bone dx proc NOS 08 477-479

7881 Oth dx proced-chest cage 04 166-168

08 477-479

7882 Oth dx proced-humerus 08 477-479

7883 Oth dx proc-radius/ulna 08 477-479

7884 Oth dx proc-metacar/car 08 513-514

21 906

24 957-959

7885 Oth dx proced-femur 08 477-479

7886 Oth dx proced-patella 08 477-479

7887 Oth dx proc-tibia/fibula 08 477-479

7888 Oth dx proc-metatar/tar 08 503-505

7889 Other bone dx proc NEC 08 477-479

SURGICAL CATEGORY

Other respiratory system

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma Musculoskeletal biopsy

Other respiratory system

Musculoskeletal biopsy

Musculoskeletal biopsy

Musculoskeletal biopsy

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma Musculoskeletal biopsy

Musculoskeletal biopsy

Musculoskeletal biopsy

Foot

Musculoskeletal biopsy

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7890 Insert bone stimul NOS 08 515-517

21 907-909

24 957-959

7891 Insert bone stimul-chest 04 166-168

08 515-517

21 907-909

24 957-959

7892 Insert bone stim-humerus 08 492-494

21 907-909

24 957-959

7893 Inser bone stim-rad/ulna 08 510-512

21 907-909

24 957-959

7894 Inser bone stim-meta/car 08 513-514

21 906

24 957-959

7895 Insert bone stim-femur 08 480-482

21 907-909

24 956

7896 Insert bone stim-patella 08 485-489

21 907-909

24 957-959

7897 Inser bone stim-tib/fib 08 492-494

21 907-909

24 957-959

7898 Inser bone stim-meta/tar 08 503-505

21 907-909

24 957-959

7899 Insert bone stimul NEC 08 515-517

21 907-909

24 957-959

7910 Cl fx reduc-int fix NOS 08 515-517

21 907-909

24 957-959

7911 Clos red-int fix humerus 08 492-494

21 907-909

24 957-959

7912 Cl red-int fix rad/ulna 08 510-512

21 907-909

24 957-959

7913 Cl red-int fix metac/car 08 513-514

21 906

24 957-959

7914 Close red-int fix finger 08 513-514

21 906

24 957-959

SURGICAL CATEGORY

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other respiratory system

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7915 Closed red-int fix femur 08 480-482

21 907-909

24 956

7916 Cl red-int fix tib/fibu 08 492-494

21 907-909

24 957-959

7917 Cl red-int fix metat/tar 08 503-505

21 907-909

24 957-959

7918 Close red-int fix toe fx 08 503-505

21 907-909

24 957-959

7919 Cl fx reduc-int fix NEC 08 515-517

21 907-909

24 957-959

7920 Open fx reduction NOS 08 515-517

21 907-909

24 957-959

7921 Open reduc-humerus fx 08 492-494

21 907-909

24 957-959

7922 Open reduc-radius/uln fx 08 510-512

21 907-909

24 957-959

7923 Open reduc-metac/car fx 08 513-514

21 906

24 957-959

7924 Open reduction-finger fx 08 513-514

21 906

24 957-959

7925 Open reduction-femur fx 08 480-482

21 907-909

24 956

7926 Open reduc-tibia/fib fx 08 492-494

21 907-909

24 957-959

7927 Open reduc-metat/tars fx 08 503-505

21 907-909

24 957-959

7928 Open reduction-toe fx 08 503-505

21 907-909

24 957-959

7929 Open fx reduction NEC 03 133-134

08 515-517

21 907-909

24 957-959

SURGICAL CATEGORY

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7930 Opn fx red w int fix NOS 08 515-517

21 907-909

24 957-959

7931 Open red-int fix humerus 08 492-494

21 907-909

24 957-959

7932 Op red-int fix rad/ulna 08 510-512

21 907-909

24 957-959

7933 Op red-int fix metac/car 08 513-514

21 906

24 957-959

7934 Open red-int fix finger 08 513-514

21 906

24 957-959

7935 Open reduc-int fix femur 08 480-482

10 628-630

21 907-909

24 956

7936 Op red-int fix tib/fibul 08 492-494

21 907-909

24 957-959

7937 Op red-int fix metat/tar 08 503-505

21 907-909

24 957-959

7938 Open reduct-int fix toe 08 503-505

21 907-909

24 957-959

7939 Opn fx red w int fix NEC 03 133-134

08 515-517

21 907-909

24 957-959

7940 Cls reduc-sep epiphy NOS 08 515-517

21 907-909

24 957-959

7941 Close red-humerus epiphy 08 492-494

21 907-909

24 957-959

7942 Cls red-radius/ul epiphy 08 510-512

21 907-909

24 957-959

7945 Close reduc-femur epiphy 08 480-482

21 907-909

24 956

7946 Cls red-tibia/fib epiphy 08 492-494

21 907-909

24 957-959

SURGICAL CATEGORY

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other endocrine/nutrit/metabolic Other procs for injuries

Limb reattach, hip & femur

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7949 Cls reduc-sep epiphy NEC 08 515-517

21 907-909

24 957-959

7950 Open red-sep epiphy NOS 08 515-517

21 907-909

24 957-959

7951 Opn red-sep epiphy-humer 08 492-494

21 907-909

24 957-959

7952 Op red-radius/uln epiphy 08 510-512

21 907-909

24 957-959

7955 Opn red-sep epiphy-femur 08 480-482

21 907-909

24 956

7956 Op red-tibia/fib epiphys 08 492-494

21 907-909

24 957-959

7959 Open red-sep epiphy NEC 08 515-517

21 907-909

24 957-959

7960 Open fx site debride NOS 08 515-517

21 907-909

24 957-959

7961 Debrid open fx-humerus 08 492-494

21 907-909

24 957-959

7962 Debrid opn fx-radius/uln 08 510-512

21 907-909

24 957-959

7963 Debrid opn fx-metac/car 08 513-514

21 906

24 957-959

7964 Debrid opn fx-finger 08 513-514

21 906

24 957-959

7965 Debrid opn fx-femur 08 480-482

21 907-909

24 956

7966 Debrid opn fx-tibia/fib 08 492-494

21 907-909

24 957-959

7967 Debrid opn fx-metat/tar 08 503-505

21 907-909

24 957-959

SURGICAL CATEGORY

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7968 Debrid opn fx-toe 08 503-505

21 907-909

24 957-959

7969 Open fx site debride NEC 03 133-134

08 515-517

21 907-909

24 957-959

7980 Open reduc-dislocat NOS 08 515-517

21 907-909

24 957-959

7981 Opn reduc disloc-shouldr 08 510-512

21 907-909

24 957-959

7982 Open reduc-elbow disloc 08 510-512

21 907-909

24 957-959

7983 Open reduc-wrist disloc 08 513-514

21 906

24 957-959

7984 Opn reduc disloc-hand 08 513-514

21 906

24 957-959

7985 Open reduc-hip dislocat 08 480-482

21 907-909

24 956

7986 Open reduc-knee dislocat 08 485-489

21 907-909

24 957-959

7987 Open reduc-ankle disloc 08 492-494

21 907-909

24 957-959

7988 Opn reduc disloc-ft/toe 08 503-505

21 907-909

24 957-959

7989 Open reduc-dislocat NEC 08 515-517

21 907-909

24 957-959

7990 Unspec op bone inj NOS 08 515-517

21 907-909

24 957-959

7991 Humerus injury op NOS 08 492-494

21 907-909

24 957-959

7992 Radius/ulna inj op NOS 08 510-512

21 907-909

24 957-959

SURGICAL CATEGORY

Foot

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

7993 Metacarp/carp inj op NOS 08 513-514

21 906

24 957-959

7994 Finger injury op NOS 08 513-514

21 906

24 957-959

7995 Femur injury op NOS 08 480-482

21 907-909

24 956

7996 Tibia/fibula inj op NOS 08 492-494

21 907-909

24 957-959

7997 Metatars/tars inj op NOS 08 492-494

21 907-909

24 957-959

7998 Toe injury operation NOS 08 503-505

21 907-909

24 957-959

7999 Unspec op-bone inj NEC 08 515-517

21 907-909

24 957-959

8000 Arth/pros rem wo rep NOS 08 495-497

21 907-909

24 957-959

8001 Arth/pros rem wo re-shld 08 495-497

21 907-909

24 957-959

8002 Arth/pros rem wo rep-elb 08 495-497

21 907-909

24 957-959

8003 Arth/pros rem wo re-wrst 08 495-497

21 906

24 957-959

8004 Arth/pros rem wo rep-hnd 08 495-497

21 906

24 957-959

8005 Arth/pros rem wo rep-hip 08 463-465

21 907-909

24 956

8006 Arth/pros rem wo re-knee 08 463-465

21 907-909

24 957-959

8007 Arth/pros rem wo rep-ank 08 495-497

21 907-909

24 957-959

SURGICAL CATEGORY

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Hand procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Hand procs for injuries

Other procs for mult signif trauma

Wound debride & skin graft ex hand Other procs for injuries

Limb reattach, hip & femur

Wound debride & skin graft ex hand Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8008 Arth/pros rem wo re-foot 08 495-497

21 907-909

24 957-959

8009 Arth/pros rem wo rep NEC 08 495-497

21 907-909

24 957-959

8010 Other arthrotomy NOS 08 515-517

10 628-630

21 907-909

24 957-959

8011 Oth arthrotomy-shoulder 08 507-508

21 907-909

24 957-959

8012 Oth arthrotomy-elbow 08 507-508

10 628-630

21 907-909

24 957-959

8013 Oth arthrotomy-wrist 08 506

21 906

24 957-959

8014 Oth arthrotomy-hand/fngr 08 506

21 906

24 957-959

8015 Oth arthrotomy-hip 08 480-482

21 907-909

24 956

8016 Oth arthrotomy-knee 08 485-489

10 628-630

21 907-909

24 957-959

8017 Oth arthrotomy-ankle 08 492-494

21 907-909

24 957-959

8018 Oth arthrotomy-foot/toe 08 503-505

21 907-909

24 957-959

8019 Other arthrotomy NEC 08 515-517

21 907-909

24 957-959

8020 Arthroscopy NOS 08 509

21 907-909

24 957-959

8021 Shoulder arthroscopy 08 509

21 907-909

24 957-959

SURGICAL CATEGORY

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Major shoulder/elbow

Other procs for injuries

Other procs for mult signif trauma

Major shoulder/elbow

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Major thumb or joint

Hand procs for injuries

Other procs for mult signif trauma

Major thumb or joint

Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Arthroscopy

Other procs for injuries

Other procs for mult signif trauma

Arthroscopy

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8022 Elbow arthroscopy 08 509

21 907-909

24 957-959

8023 Wrist arthroscopy 08 509

21 907-909

24 957-959

8024 Hand & finger arthroscop 08 509

21 907-909

24 957-959

8025 Hip arthroscopy 08 509

21 907-909

24 957-959

8026 Knee arthroscopy 08 509

10 628-630

21 907-909

24 957-959

8027 Ankle arthroscopy 08 509

21 907-909

24 957-959

8028 Foot & toe arthroscopy 08 509

21 907-909

24 957-959

8029 Arthroscopy NEC 08 509

21 907-909

24 957-959

8040 Jt structur division NOS 08 515-517

21 907-909

24 957-959

8041 Shoulder struct division 08 510-512

21 907-909

24 957-959

8042 Elbow structure division 08 510-512

21 907-909

24 957-959

8043 Wrist structure division 08 513-514

21 906

24 957-959

8044 Hand joint struct divis 08 513-514

21 906

24 957-959

8045 Hip structure division 08 480-482

21 907-909

24 956

8046 Knee structure division 08 485-489

21 907-909

24 957-959

SURGICAL CATEGORY

Arthroscopy

Other procs for injuries

Other procs for mult signif trauma

Arthroscopy

Other procs for injuries

Other procs for mult signif trauma

Arthroscopy

Other procs for injuries

Other procs for mult signif trauma

Arthroscopy

Other procs for injuries

Other procs for mult signif trauma

Arthroscopy

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Arthroscopy

Other procs for injuries

Other procs for mult signif trauma

Arthroscopy

Other procs for injuries

Other procs for mult signif trauma

Arthroscopy

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8047 Ankle structure division 08 492-494

21 907-909

24 957-959

8048 Foot joint struct divis 08 503-505

21 907-909

24 957-959

8049 Jt structur division NEC 08 515-517

21 907-909

24 957-959

8050 Exc/dest intvrt disc NOS 01 028-030

08 490-491

21 907-909

24 957-959

8051 Excision intervert disc 01 028-030

08 490-491

21 907-909

24 957-959

8053 Rep anulus fibrosus-grft 01 028-030

08 490-491

17 820-822

17 826-828

21 907-909

24 957-959

8054 Rep anuls fibros NEC/NOS 01 028-030

08 490-491

17 820-822

17 826-828

21 907-909

24 957-959

8059 Oth exc/dest intvrt disc 01 028-030

08 490-491

21 907-909

24 957-959

806 Excis knee semilun cartl 08 485-489

10 628-630

21 907-909

24 957-959

8070 Synovectomy-site NOS 08 500-502

21 907-909

24 957-959

8071 Shoulder synovectomy 08 510-512

21 907-909

24 957-959

8072 Elbow synovectomy 08 510-512

21 907-909

24 957-959

8073 Wrist synovectomy 08 513-514

21 906

24 957-959

SURGICAL CATEGORY

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Major procedure

Major procedure

Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Knee

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8074 Hand synovectomy 08 513-514

21 906

24 957-959

8075 Hip synovectomy 08 480-482

21 907-909

24 957-959

8076 Knee synovectomy 08 485-489

21 907-909

24 957-959

8077 Ankle synovectomy 08 492-494

21 907-909

24 957-959

8078 Foot synovectomy 08 503-505

21 907-909

24 957-959

8079 Synovectomy-site NEC 08 500-502

21 907-909

24 957-959

8080 Destruct joint les NOS 08 495-497

21 907-909

24 957-959

8081 Destruc-shoulder les NEC 08 495-497

21 907-909

24 957-959

8082 Destruc-elbow lesion NEC 08 495-497

10 628-630

21 907-909

24 957-959

8083 Destruc-wrist lesion NEC 08 513-514

09 579-581

21 906

24 957-959

8084 Destruc-hand jt les NEC 08 513-514

21 906

24 957-959

8085 Destruct-hip lesion NEC 08 498-499

21 907-909

24 957-959

8086 Destruct-knee lesion NEC 08 495-497

21 907-909

24 957-959

8087 Destruc-ankle lesion NEC 08 492-494

21 907-909

24 957-959

SURGICAL CATEGORY

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Other procs for mult signif trauma

Knee

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev - hip,fem Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8088 Destruc-foot jt les NEC 08 503-505

10 628-630

21 907-909

24 957-959

8089 Destruct joint les NEC 08 495-497

21 907-909

24 957-959

8090 Excision of joint NOS 08 515-517

21 907-909

24 957-959

8091 Excision of shoulder NEC 08 510-512

21 907-909

24 957-959

8092 Excision of elbow NEC 08 510-512

21 907-909

24 957-959

8093 Excision of wrist NEC 08 513-514

21 906

24 957-959

8094 Excision hand joint NEC 08 513-514

21 906

24 957-959

8095 Excision of hip NEC 08 480-482

21 907-909

24 956

8096 Excision of knee NEC 08 485-489

21 907-909

24 957-959

8097 Excision of ankle NEC 08 492-494

21 907-909

24 957-959

8098 Excision foot joint NEC 08 503-505

10 628-630

21 907-909

24 957-959

8099 Excision of joint NEC 08 492-494

21 907-909

24 957-959

8100 Spinal fusion NOS 01 028-030

08

21 907-909

24 957-959

8101 Atlas-axis fusion 01 028-030

08

21 907-909

24 957-959

SURGICAL CATEGORY

Foot

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Loc excis,rm int fx dev ex hip,fem Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8102 Oth cerv fusion ant/ant 01 028-030

08

21 907-909

24 957-959

8103 Ot cerv fusion post/post 01 028-030

08

21 907-909

24 957-959

8104 Drsl/drslumb fus ant/ant 01 028-030

08

21 907-909

24 957-959

8105 Drsl/dslmb fus post/post 01 028-030

08

21 907-909

24 957-959

8106 Lumb/lmbosac fus ant/ant 01 028-030

08

21 907-909

24 957-959

8107 Lmb/lmbsac fus post/post 01 028-030

08

21 907-909

24 957-959

8108 Lumb/lmbsac fus ant/post 01 028-030

08

21 907-909

24 957-959

8111 Ankle fusion 08 492-494

10 628-630

21 907-909

24 957-959

8112 Triple arthrodesis 08 492-494

21 907-909

24 957-959

8113 Subtalar fusion 08 503-505

21 907-909

24 957-959

8114 Midtarsal fusion 08 503-505

21 907-909

24 957-959

8115 Tarsometatarsal fusion 08 503-505

21 907-909

24 957-959

8116 Metatarsophalangeal fus 08 503-505

21 907-909

24 957-959

SURGICAL CATEGORY

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other endocrine/nutrit/metabolic

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8117 Other fusion of foot 08 503-505

21 907-909

24 957-959

8118 Subtalr jt arthroereisis 08 515-517

21 907-909

24 957-959

8120 Arthrodesis NOS 08 515-517

21 907-909

24 957-959

8121 Arthrodesis of hip 08 480-482

21 907-909

24 956

8122 Arthrodesis of knee 08 485-489

21 907-909

24 957-959

8123 Arthrodesis of shoulder 08 507-508

10 628-630

21 907-909

24 957-959

8124 Arthrodesis of elbow 08 507-508

21 907-909

24 957-959

8125 Carporadial fusion 08 513-514

21 906

24 957-959

8126 Metacarpocarpal fusion 08 513-514

21 906

24 957-959

8127 Metacarpophalangeal fus 08 513-514

21 906

24 957-959

8128 Interphalangeal fusion 08 513-514

21 906

24 957-959

8129 Arthrodesis NEC 08 515-517

21 907-909

24 957-959

8130 Spinal refusion NOS 01 028-030

08

21 907-909

24 957-959

8131 Refusion of atlas-axis 01 028-030

08

21 907-909

24 957-959

SURGICAL CATEGORY

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

Major shoulder/elbow

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Major shoulder/elbow

Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8132 Refus oth cervcl ant/ant 01 028-030

08

21 907-909

24 957-959

8133 Refus oth cerv post/post 01 028-030

08

21 907-909

24 957-959

8134 Refus drs/drslmb ant/ant 01 028-030

08

21 907-909

24 957-959

8135 Refus drs/drslmb pst/pst 01 028-030

08

21 907-909

24 957-959

8136 Refus lmb/lmbsac ant/ant 01 028-030

08

21 907-909

24 957-959

8137 Refus lmb/lmbsac pst/pst 01 028-030

08

21 907-909

24 957-959

8138 Refus lmb/lmbsc ant/post 01 028-030

08

21 907-909

24 957-959

8139 Refusion of spine NEC 01 028-030

08

21 907-909

24 957-959

8140 Repair of hip, NEC 08 480-482

21 907-909

24 956

8142 Five-in-one knee repair 08 485-489

21 907-909

24 957-959

8143 Triad knee repair 08 485-489

21 907-909

24 957-959

8144 Patellar stabilization 08 485-489

21 907-909

24 957-959

8145 Cruciate lig repair NEC 08 485-489

21 907-909

24 957-959

SURGICAL CATEGORY

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Spinal

See Spinal Fusion Reference Table Other procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Knee

Other procs for injuries

Other procs for mult signif trauma

Knee

Other procs for injuries

Other procs for mult signif trauma

Knee

Other procs for injuries

Other procs for mult signif trauma

Knee

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8146 Collaterl lig repair NEC 08 485-489

21 907-909

24 957-959

8147 Other repair of knee 08 485-489

21 907-909

24 957-959

8149 Other repair of ankle 08 492-494

21 907-909

24 957-959

8151 Total hip replacement 08 461-462

08 469-470

21 907-909

24 956

8152 Partial hip replacement 08 461-462

08 469-470

10 628-630

21 907-909

24 956

8153 Revise hip replacemt NOS 08 466-468

10 628-630

21 907-909

24 956

8154 Total knee replacement 08 461-462

08 469-470

21 907-909

24 957-959

8155 Revise knee replace NOS 08 466-468

21 907-909

24 957-959

8156 Total ankle replacement 08 461-462

08 469-470

21 907-909

24 957-959

8157 Repl joint of foot, toe 08 503-505

21 907-909

24 957-959

8159 Rev jt repl low ext NEC 08 515-517

21 907-909

24 957-959

8164* Fus/refus 9 vertebrae 08 456-458

8165 Percutan vertebroplasty 08 515-517

21 907-909

24 957-959

8166 Percut vertebral augment 08 515-517

21 907-909

24 957-959

SURGICAL CATEGORY

Knee

Other procs for injuries

Other procs for mult signif trauma

Knee

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Bilat/mult major joint, low extrem Maj joint repl/reattach, low extrm Other procs for injuries

Limb reattach, hip & femur

Bilat/mult major joint, low extrem Maj joint repl/reattach, low extrm Other endocrine/nutrit/metabolic Other procs for injuries

Limb reattach, hip & femur

Revision of hip / knee replacement Other endocrine/nutrit/metabolic Other procs for injuries

Limb reattach, hip & femur

Bilat/mult major joint, low extrem Maj joint repl/reattach, low extrm Other procs for injuries

Other procs for mult signif trauma

Revision of hip / knee replacement Other procs for injuries

Other procs for mult signif trauma

Bilat/mult major joint, low extrem Maj joint repl/reattach, low extrm Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma *Spinal fusion - 9+

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8171 Arthroplas metacarp wit 01 040-042

08 506

21 906

24 957-959

8172 Arthroplasty metacar w/o 01 040-042

08 506

21 906

24 957-959

8173 Total wrist replacement 08 483-484

21 907-909

24 957-959

8174 Arthroplasty carpal wit 01 040-042

08 506

21 906

24 957-959

8175 Arthroplasty carpal w/o 01 040-042

08 506

21 906

24 957-959

8179 Oth repair han/fin/wris 01 040-042

08 506

21 906

24 957-959

8180 Oth totl shouldr replace 08 483-484

21 907-909

24 957-959

8181 Partial shoulder replace 08 483-484

21 907-909

24 957-959

8182 Rep recur shlder disloc 08 510-512

21 907-909

24 957-959

8183 Shoulder arthroplast NEC 08 507-508

21 907-909

24 957-959

8184 Total elbow replacement 08 483-484

21 907-909

24 957-959

8185 Elbow arthroplasty NEC 08 507-508

21 907-909

24 957-959

8188 Rvrs totl shldr replacmt 08 483-484

21 907-909

24 957-959

8193 Sutur capsul/ligamen arm 08 510-512

21 907-909

24 957-959

SURGICAL CATEGORY

Periph/cranial nerve & other Major thumb or joint

Hand procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Major thumb or joint

Hand procs for injuries

Other procs for mult signif trauma

Maj joint/limb reattach, up extrm Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Major thumb or joint

Hand procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Major thumb or joint

Hand procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Major thumb or joint

Hand procs for injuries

Other procs for mult signif trauma

Maj joint/limb reattach, up extrm Other procs for injuries

Other procs for mult signif trauma

Maj joint/limb reattach, up extrm Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Major shoulder/elbow

Other procs for injuries

Other procs for mult signif trauma

Maj joint/limb reattach, up extrm Other procs for injuries

Other procs for mult signif trauma

Major shoulder/elbow

Other procs for injuries

Other procs for mult signif trauma

Maj joint/limb reattach, up extrm Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8194 Suture capsul/lig ank/ft 08 503-505

21 907-909

24 957-959

8195 Sutur capsul/lig leg NEC 08 500-502

21 907-909

24 957-959

8196 Other repair of joint 08 515-517

21 907-909

24 957-959

8197 Rev jt repl upper extrem 08 515-517

21 907-909

24 957-959

8198 Other joint dx procedure 08 477-479

21 907-909

24 957-959

8199 Joint structure op NEC 08 515-517

21 907-909

24 957-959

8201 Explor tend sheath-hand 08 513-514

21 906

24 957-959

8202 Myotomy of hand 08 513-514

21 906

24 957-959

8203 Bursotomy of hand 08 513-514

21 906

24 957-959

8209 Inc soft tissue hand NEC 08 513-514

09 579-581

21 906

24 957-959

8211 Tenotomy of hand 08 513-514

21 906

24 957-959

8212 Fasciotomy of hand 08 513-514

21 906

24 957-959

8219 Div soft tissue hand NEC 08 513-514

21 906

24 957-959

8221 Exc les tend sheath hand 08 513-514

09 579-581

10 628-630

21 906

24 957-959

SURGICAL CATEGORY

Foot

Other procs for injuries

Other procs for mult signif trauma

Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Musculoskeletal biopsy

Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Hand procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8222 Excision hand muscle les 08 513-514

21 906

24 957-959

8229 Exc les sft tiss hnd NEC 08 513-514

09 579-581

21 906

24 957-959

8231 Bursectomy of hand 08 513-514

21 906

24 957-959

8232 Excis hand tend for grft 08 513-514

21 906

24 957-959

8233 Hand tenonectomy NEC 08 513-514

10 628-630

21 906

24 957-959

8234 Exc hnd mus/fas for grft 08 513-514

21 906

24 957-959

8235 Hand fasciectomy NEC 08 513-514

21 906

24 957-959

8236 Other myectomy of hand 08 513-514

21 906

24 957-959

8239 Hand soft tissue exc NEC 08 513-514

09 579-581

21 906

24 957-959

8241 Suture tendn sheath hand 08 513-514

21 906

24 957-959

8242 Delay sut flex tend hand 08 513-514

21 906

24 957-959

8243 Delay sut hand tend NEC 08 513-514

21 906

24 957-959

8244 Sutur flex tend hand NEC 08 513-514

21 906

24 957-959

8245 Suture hand tendon NEC 08 513-514

09 579-581

21 906

24 957-959

SURGICAL CATEGORY

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Other endocrine/nutrit/metabolic Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

8246 Suture hand muscle/fasc

8251 Hand tendon advancement

8252 Hand tendon recession

8253 Hand tendon reattachment

8254 Hand muscle reattachment

8255 Chng hnd mus/ten lng NEC

8256 Transplant hand tend NEC

8257 Transposit hand tend NEC

8258 Transplant hand musc NEC

8259 Transposit hand musc NEC

8261 Pollicization operation

8269 Thumb reconstruction NEC

MDC MS-DRG SURGICAL CATEGORY

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 506 Major thumb or joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 506 Major thumb or joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

8271 Hand tend pulley reconst

8272 Plast op hnd-mus/fas grf

8279 Plast op hand w grft NEC

8281 Transfer of finger

8282 Repair of cleft hand

8283 Repair of macrodactyly

8284 Repair of mallet finger

8285 Other tenodesis of hand

8286 Other tenoplasty of hand

8289 Hand plastic op NEC

8291 Lysis of hand adhesions

8299 Hand mus/ten/fas/ops NEC

MDC MS-DRG SURGICAL CATEGORY

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

09 579-581 Other skin, subcut tissue & breast

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

09 579-581 Other skin, subcut tissue & breast

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 513-514 Hand/wrist, except maj thumb/joint

09 579-581 Other skin, subcut tissue & breast

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

08 513-514 Hand/wrist, except maj thumb/joint

09 579-581 Other skin, subcut tissue & breast

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

08 513-514 Hand/wrist, except maj thumb/joint

21 906 Hand procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8301 Tendon sheath explorat 08 500-502

21 907-909

24 957-959

8302 Myotomy 03 133-134

08 500-502

09 579-581

21 907-909

24 957-959

8303 Bursotomy 08 500-502

21 907-909

24 957-959

8309 Soft tissue incision NEC 08 500-502

09 579-581

21 907-909

24 957-959

8311 Achillotenotomy 08 503-505

21 907-909

24 957-959

8312 Adductor tenotomy of hip 08 480-482

21 907-909

24 956

8313 Other tenotomy 01 040-042

08 500-502

10 628-630

21 907-909

24 957-959

8314 Fasciotomy 01 040-042

08 500-502

09 579-581

21 907-909

24 957-959

8319 Soft tissue division NEC 01 040-042

08 500-502

21 907-909

24 957-959

8321 Open biopsy soft tissue 01 040-042

04 166-168

08 500-502

09 579-581

16 802-804

8329 Soft tissue dx proc NEC 08 500-502

21 907-909

24 957-959

8331 Excis les tendon sheath 08 500-502

10 628-630

21 907-909

24 957-959

SURGICAL CATEGORY

Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Soft tissue

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Soft tissue

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Foot

Other procs for injuries

Other procs for mult signif trauma

Hip & femur except major joint Other procs for injuries

Limb reattach, hip & femur

Periph/cranial nerve & other Soft tissue

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Soft tissue

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other respiratory system Soft tissue

Other skin, subcut tissue & breast Other blood & blood form org

Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Soft tissue

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8332 Excis lesion of muscle 08 500-502

09 579-581

21 907-909

24 957-959

8339 Exc les soft tissue NEC 03 133-134

08 500-502

09 579-581

10 628-630

21 907-909

24 957-959

8341 Tendon excision for grft 01 040-042

08 500-502

21 907-909

24 957-959

8342 Other tenonectomy 08 500-502

21 907-909

24 957-959

8343 Musc/fasc excis for grft 01 040-042

08 500-502

21 907-909

24 957-959

8344 Other fasciectomy 08 500-502

09 579-581

21 907-909

24 957-959

8345 Other myectomy 01 040-042

08 500-502

09 579-581

21 907-909

24 957-959

8349 Other soft tissue excis 01 040-042

03 133-134

08 500-502

09 579-581

21 907-909

24 957-959

835 Bursectomy 08 500-502

21 907-909

24 957-959

8361 Tendon sheath suture 08 500-502

21 907-909

24 957-959

8362 Delayed tendon suture 08 500-502

21 907-909

24 957-959

8363 Rotator cuff repair 08 510-512

21 907-909

24 957-959

SURGICAL CATEGORY

Soft tissue

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Soft tissue

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Soft tissue

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Soft tissue

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Other ear, nose, mouth & throat Soft tissue

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8364 Other suture of tendon 08 500-502

21 907-909

24 957-959

8365 Other muscle/fasc suture 08 500-502

09 579-581

10 628-630

21 907-909

24 957-959

8371 Tendon advancement 01 040-042

08 500-502

09 579-581

21 907-909

24 957-959

8372 Tendon recession 01 040-042

08 500-502

21 907-909

24 957-959

8373 Tendon reattachment 01 040-042

08 500-502

21 907-909

24 957-959

8374 Muscle reattachment 01 040-042

08 500-502

21 907-909

24 957-959

8375 Tendon trnsfr/transplant 01 040-042

08 500-502

10 628-630

21 907-909

24 957-959

8376 Other tendon transposit 01 040-042

08 500-502

21 907-909

24 957-959

8377 Muscle trnsfr/transplant 01 040-042

08 500-502

21 907-909

24 957-959

8379 Other muscle transposit 01 040-042

08 500-502

10 628-630

21 907-909

24 957-959

8381 Tendon graft 01 040-042

08 500-502

21 907-909

24 957-959

SURGICAL CATEGORY

Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Soft tissue

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Soft tissue

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Soft tissue

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Soft tissue

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Soft tissue

Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Soft tissue

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

8382 Muscle or fascia graft

8383 Tendon pulley reconstruc

8384 Clubfoot release NEC

8385 Musc/tend lng change NEC

8386 Quadricepsplasty

8387 Other plastic ops muscle

8388 Other plastic ops tendon

8389 Other plastic ops fascia

8391 Adhesiolysis mus/ten/fas

8392 Insert skel musc stimula

8393 Remov skel musc stimulat

8399 Mus/ten/fas/bur op NEC

MDC MS-DRG SURGICAL CATEGORY

01 040-042 Periph/cranial nerve & other

08 500-502 Soft tissue

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 500-502 Soft tissue

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

08 503-505 Foot

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 500-502 Soft tissue

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

08 500-502 Soft tissue

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 500-502 Soft tissue

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 500-502 Soft tissue

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 500-502 Soft tissue

09 579-581 Other skin, subcut tissue & breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

08 500-502 Soft tissue

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 500-502 Soft tissue

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

01 040-042 Periph/cranial nerve & other

08 500-502 Soft tissue

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

08 500-502 Soft tissue

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8400 Upper limb amputat NOS 05 255-257

08 474-476

09 579-581

21 907-909

24 957-959

8401 Finger amputation 05 255-257

08 513-514

09 579-581

21 906

24 957-959

8402 Thumb amputation 05 255-257

08 513-514

09 579-581

21 906

24 957-959

8403 Amputation through hand 05 255-257

08 474-476

09 579-581

21 907-909

24 957-959

8404 Disarticulation of wrist 05 255-257

08 474-476

09 579-581

21 907-909

24 957-959

8405 Amputation thru forearm 05 255-257

08 474-476

09 579-581

21 907-909

24 957-959

8406 Disarticulation of elbow 05 255-257

08 474-476

09 579-581

21 907-909

24 957-959

8407 Amputation thru humerus 05 255-257

08 474-476

09 579-581

21 907-909

24 957-959

8408 Shoulder disarticulation 05 255-257

08 474-476

09 579-581

21 907-909

24 957-959

8409 Forequarter amputation 05 255-257

08 474-476

09 579-581

21 907-909

24 957-959

SURGICAL CATEGORY

Amputation, upper limb & toe Amputation

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Amputation, upper limb & toe

Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries

Other procs for mult signif trauma

Amputation, upper limb & toe

Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries

Other procs for mult signif trauma

Amputation, upper limb & toe Amputation

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Amputation, upper limb & toe Amputation

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Amputation, upper limb & toe Amputation

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Amputation, upper limb & toe Amputation

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Amputation, upper limb & toe Amputation

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Amputation, upper limb & toe Amputation

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Amputation, upper limb & toe Amputation

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8410 Lower limb amputat NOS 05 239-241

08 474-476

09 579-581

10 616-618

21 907-909

24 957-959

8411 Toe amputation 01 040-042

05 255-257

08 503-505

09 579-581

10 616-618

21 907-909

24 957-959

8412 Amputation through foot 01 040-042

05 239-241

08 474-476

09 579-581

10 616-618

21 907-909

24 957-959

8413 Disarticulation of ankle 01 040-042

05 239-241

08 474-476

09 579-581

10 616-618

21 907-909

24 957-959

8414 Amputat through malleoli 01 040-042

05 239-241

08 474-476

09 579-581

10 616-618

21 907-909

24 957-959

8415 Below knee amputat NEC 01 040-042

05 239-241

08 474-476

09 579-581

10 616-618

21 907-909

24 957-959

8416 Disarticulation of knee 01 040-042

05 239-241

08 474-476

09 579-581

10 616-618

21 907-909

24 957-959

SURGICAL CATEGORY

Amputation except upper limb & toe Amputation

Other skin, subcut tissue & breast Amputation of lower limb

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Amputation, upper limb & toe

Foot

Other skin, subcut tissue & breast Amputation of lower limb

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Amputation except upper limb & toe Amputation

Other skin, subcut tissue & breast Amputation of lower limb

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Amputation except upper limb & toe Amputation

Other skin, subcut tissue & breast Amputation of lower limb

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Amputation except upper limb & toe Amputation

Other skin, subcut tissue & breast Amputation of lower limb

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Amputation except upper limb & toe Amputation

Other skin, subcut tissue & breast Amputation of lower limb

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Amputation except upper limb & toe Amputation

Other skin, subcut tissue & breast Amputation of lower limb

Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8417 Above knee amputation 01 040-042

05 239-241

08 474-476

09 579-581

10 616-618

21 907-909

24 957-959

8418 Disarticulation of hip 05 239-241

08 474-476

09 579-581

21 907-909

24 957-959

8419 Hindquarter amputation 05 239-241

08 474-476

09 579-581

21 907-909

24 957-959

8421 Thumb reattachment 08 513-514

21 906

24 957-959

8422 Finger reattachment 08 513-514

21 906

24 957-959

8423 Forearm/wrist/hand reatt 08 483-484

21 907-909

24 956

8424 Upper arm reattachment 08 483-484

21 907-909

24 956

8425 Toe reattachment 08 503-505

21 907-909

24 957-959

8426 Foot reattachment 08 469-470

21 907-909

24 956

8427 Lower leg/ankle reattach 08 469-470

21 907-909

24 956

8428 Thigh reattachment 08 469-470

21 907-909

24 956

8429 Reattachment NEC 08 515-517

21 907-909

24 957-959

SURGICAL CATEGORY

Periph/cranial nerve & other

Amputation except upper limb & toe Amputation

Other skin, subcut tissue & breast Amputation of lower limb

Other procs for injuries

Other procs for mult signif trauma

Amputation except upper limb & toe Amputation

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Amputation except upper limb & toe Amputation

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Hand procs for injuries

Other procs for mult signif trauma

Maj joint/limb reattach, up extrm Other procs for injuries

Limb reattach, hip & femur

Maj joint/limb reattach, up extrm Other procs for injuries

Limb reattach, hip & femur

Foot

Other procs for injuries

Other procs for mult signif trauma

Maj joint repl/reattach, low extrm Other procs for injuries

Limb reattach, hip & femur

Maj joint repl/reattach, low extrm Other procs for injuries

Limb reattach, hip & femur

Maj joint repl/reattach, low extrm Other procs for injuries

Limb reattach, hip & femur

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

843 Amputation stump revis 05 255-257

08 474-476

09 579-581

10 622-624

21 907-909

24 957-959

8440 Implnt/fit pros limb NOS 08 515-517

21 907-909

24 957-959

8444 Implant arm prosthesis 08 510-512

21 907-909

24 957-959

8448 Implant leg prosthesis 08 492-494

21 907-909

24 957-959

8459 Insert othr spin device 01 028-030

08 490

08 490-491

21 907-909

24 957-959

8460 Insert disc pros NOS 01 028-030

08 490-491

21 907-909

24 957-959

8461 Ins part disc pros cerv 01 028-030

08 490-491

21 907-909

24 957-959

8462 Ins tot disc prost cerv 01 028-030

08 490

08 490-491

21 907-909

24 957-959

8463 Ins spin disc pros thor 01 028-030

08 490-491

21 907-909

24 957-959

8464 Ins part disc pros lumb 01 028-030

08 490-491

21 907-909

24 957-959

8465 Ins totl disc pros lumb 01 028-030

08 490

08 490-491

21 907-909

24 957-959

8466 Revise disc prost cerv 01 028-030

08 490-491

21 907-909

24 957-959

SURGICAL CATEGORY

Amputation, upper limb & toe Amputation

Other skin, subcut tissue & breast Skin graft & wound debridement Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Other upper extremity

Other procs for injuries

Other procs for mult signif trauma

Low extrem/humer ex hip,foot,femur Other procs for injuries

Other procs for mult signif trauma

Spinal

Disc devices

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Spinal

Disc devices

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Spinal

Disc devices

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8467 Revise disc prost thora 01 028-030

08 490-491

21 907-909

24 957-959

8468 Revise disc prosth lumb 01 028-030

08 490-491

21 907-909

24 957-959

8469 Revise disc prosth NOS 01 028-030

08 490-491

21 907-909

24 957-959

8480 Ins/repl interspine dev 01 028-030

08 490

08 490-491

21 907-909

24 957-959

8481 Rev interspine device 08 515-517

21 907-909

24 957-959

8482 Ins/repl pdcl stabil dev 01 028-030

08 490

08 490-491

21 907-909

24 957-959

8483 Rev pedcl dyn stabil dev 08 515-517

21 907-909

24 957-959

8484 Ins/repl facet replc dev 01 028-030

08 490

08 490-491

21 907-909

24 957-959

8485 Rev facet replace device 08 515-517

21 907-909

24 957-959

8491 Amputation NOS 05 239-241

08 474-476

09 579-581

21 907-909

24 957-959

8492 Separat equal join twin 08 515-517

8493 Separat unequl join twin 08 515-517

8494 Ins strn fix w rgd plate 04 166-168

05 264

08 515-517

21 907-909

24 957-959

SURGICAL CATEGORY

Spinal

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Spinal

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Spinal

Disc devices

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Spinal

Disc devices

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Spinal

Disc devices

Back & neck except spinal fusion Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Amputation except upper limb & toe Amputation

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other musculoskel & connec tissue

Other musculoskel & connec tissue

Other respiratory system

Other circulatory system

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8499 Musculoskeletal op NEC 08 515-517

21 907-909

24 957-959

8512 Open breast biopsy 09 584-585

10 628-630

21 907-909

24 957-959

8520 Breast tissu destruc NOS 09 584-585

21 907-909

24 957-959

8521 Local excis breast les 09 584-585

10 628-630

21 907-909

24 957-959

8522 Quadrant resect breast 09 582-583

09 584-585

21 907-909

24 957-959

8523 Subtotal mastectomy 09 582-583

09 584-585

21 907-909

24 957-959

8524 Exc ectopic breast tissu 09 584-585

21 907-909

24 957-959

8525 Excision of nipple 09 584-585

21 907-909

24 957-959

8531 Unilat reduct mammoplast 09 582-583

09 584-585

10 619-621

21 907-909

24 957-959

8532 Bilat reduct mammoplasty 09 582-583

09 584-585

10 619-621

21 907-909

24 957-959

8533 Unil subq mammect-implnt 09 582-583

09 584-585

21 907-909

24 957-959

8534 Unilat subq mammect NEC 09 582-583

09 584-585

21 907-909

24 957-959

SURGICAL CATEGORY

Other musculoskel & connec tissue Other procs for injuries

Other procs for mult signif trauma

Breast biop/local excis/oth breast Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Breast biop/local excis/oth breast Other endocrine/nutrit/metabolic Other procs for injuries

Other procs for mult signif trauma

Mastectomy

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Mastectomy

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Mastectomy

Breast biop/local excis/oth breast Procs for obesity

Other procs for injuries

Other procs for mult signif trauma

Mastectomy

Breast biop/local excis/oth breast Procs for obesity

Other procs for injuries

Other procs for mult signif trauma

Mastectomy

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Mastectomy

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

8535 Bil subq mammect-implant

8536 Bilat subq mammectom NEC

8541 Unilat simple mastectomy

8542 Bilat simple mastectomy

8543 Unilat exten simp mastec

8544 Bilat extend simp mastec

8545 Unilat radical mastectom

8546 Bilat radical mastectomy

8547 Unil ext rad mastectomy

8548 Bil exten rad mastectomy

8550 Augment mammoplasty NOS

8553 Unilat breast implant

8554 Bilateral breast implant

MDC MS-DRG SURGICAL CATEGORY

09 582-583 Mastectomy

09 584-585 Breast biop/local excis/oth breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

09 582-583 Mastectomy

09 584-585 Breast biop/local excis/oth breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

09 582-583 Mastectomy

09 584-585 Breast biop/local excis/oth breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

09 582-583 Mastectomy

09 584-585 Breast biop/local excis/oth breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

09 582-583 Mastectomy

09 584-585 Breast biop/local excis/oth breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

09 582-583 Mastectomy

09 584-585 Breast biop/local excis/oth breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

09 582-583 Mastectomy

09 584-585 Breast biop/local excis/oth breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

09 582-583 Mastectomy

09 584-585 Breast biop/local excis/oth breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

09 582-583 Mastectomy

09 584-585 Breast biop/local excis/oth breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

09 582-583 Mastectomy

09 584-585 Breast biop/local excis/oth breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

09 584-585 Breast biop/local excis/oth breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

09 584-585 Breast biop/local excis/oth breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

09 584-585 Breast biop/local excis/oth breast

21 907-909 Other procs for injuries

24 957-959 Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8555 Fat graft to breast 09 584-585

856 Mastopexy 09 584-585

21 907-909

24 957-959

8570 Totl reconstc breast NOS 09 582-583

09 584-585

21 907-909

24 957-959

8571 Latiss dorsi myocut flap 09 582-583

09 584-585

21 907-909

24 957-959

8572 TRAM flap, pedicled 09 582-583

09 584-585

21 907-909

24 957-959

8573 TRAM flap, free 09 582-583

09 584-585

21 907-909

24 957-959

8574 DIEP flap, free 09 582-583

09 584-585

21 907-909

24 957-959

8575 SIEA flap, free 09 582-583

09 584-585

21 907-909

24 957-959

8576 GAP flap, free 09 582-583

09 584-585

21 907-909

24 957-959

8579 Totl reconst breast NEC 09 582-583

09 584-585

21 907-909

24 957-959

8582 Breast split-thick graft 09 573-578

21 904-905

22 927-929

24 957-959

8583 Breast full-thick graft 09 573-578

21 904-905

22 927-929

24 957-959

8584 Breast pedicle graft 09 573-578

21 904-905

22 927-929

24 957-959

SURGICAL CATEGORY

Breast biop/local excis/oth breast

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Mastectomy

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Mastectomy

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Mastectomy

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Mastectomy

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Mastectomy

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Mastectomy

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Mastectomy

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Mastectomy

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Skin graft

Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

Skin graft

Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

Skin graft

Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8585 Breast muscle flap graft 09 573-578

21 907-909

24 957-959

8586 Transposition of nipple 09 584-585

21 907-909

24 957-959

8587 Nipple repair NEC 09 584-585

21 907-909

24 957-959

8589 Mammoplasty NEC 09 584-585

21 907-909

24 957-959

8593 Breast implant revision 09 584-585

21 907-909

24 957-959

8594 Breast implant removal 09 584-585

21 907-909

24 957-959

8595 Inser breast tissu expan 09 584-585

21 907-909

24 957-959

8596 Remov breast tissu expan 09 584-585

21 907-909

24 957-959

8599 Breast operation NEC 09 584-585

21 907-909

24 957-959

8606 Insert infusion pump 01 040-042

04 166-168

05 264

06 356-358

07 423-425

08 515-517

09 579-581

10 628-630

11 673-675

12 715-718

13 749-750

16 802-804

21 907-909

24 957-959

8607* Insert vasc access dev 09 579-581

11 673-675

8609* Skin & subq incision NEC 09 579-581

8621 Excision of pilonid cyst 09 579-581

21 907-909

24 957-959

SURGICAL CATEGORY

Skin graft

Other procs for injuries

Other procs for mult signif trauma

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Breast biop/local excis/oth breast Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other

Other respiratory system

Other circulatory system

Other digestive system

Other hepatobiliary or pancreas

Other musculoskel & connec tissue

Other skin, subcut tissue & breast

Other endocrine/nutrit/metabolic

Other kidney & urinary tract

Other male reproductive system

Other female reproductive system

Other blood & blood form org

Other procs for injuries

Other procs for mult signif trauma

*Other skin, subcut tissue & breast *Insert vascular access device

*Other skin, subcut tissue & breast

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8622 Exc wound debridement 01 040-042

02 115

03 133-134

04 166-168

05 264

06 356-358

07 423-425

08 463-465

09 570-572

10 622-624

11 673-675

12 715-718

13 749-750

16 802-804

21 901-903

24 957-959

8625 Dermabrasion 09 579-581

863* Other local destruc skin 09 579-581

864 Radical excis skin les 01 040-042

02 115

03 133-134

05 264

08 500-502

09 573-578

21 907-909

24 957-959

8660 Free skin graft NOS 01 040-042

05 264

06 356-358

08 463-465

09 573-578

10 622-624

21 904-905

22 927-929

24 957-959

8661 Full-thick hand skin grf 01 040-042

05 264

08 513-514

09 573-578

21 906

22 927-929

24 957-959

8662 Hand skin graft NEC 01 040-042

05 264

08 513-514

09 573-578

21 906

22 927-929

24 957-959

SURGICAL CATEGORY

Periph/cranial nerve & other

Extraocular except orbital

Other ear, nose, mouth & throat Other respiratory system

Other circulatory system

Other digestive system

Other hepatobiliary or pancreas Wound debride & skin graft ex hand Wound debridement

Skin graft & wound debridement Other kidney & urinary tract

Other male reproductive system Other female reproductive system Other blood & blood form org

Wound debridement

Other procs for mult signif trauma

Other skin, subcut tissue & breast

*Other skin, subcut tissue & breast

Periph/cranial nerve & other Extraocular except orbital

Other ear, nose, mouth & throat Other circulatory system

Soft tissue

Skin graft

Other procs for injuries

Other procs for mult signif trauma

Periph/cranial nerve & other Other circulatory system

Other digestive system

Wound debride & skin graft ex hand Skin graft

Skin graft & wound debridement Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

Periph/cranial nerve & other Other circulatory system

Hand/wrist, except maj thumb/joint Skin graft

Hand procs for injuries

Skin grafts for burns

Other procs for mult signif trauma

Periph/cranial nerve & other Other circulatory system

Hand/wrist, except maj thumb/joint Skin graft

Hand procs for injuries

Skin grafts for burns

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8663 Full-thick skin grft NEC 01 040-042

03 133-134

05 264

06 356-358

08 463-465

09 573-578

10 622-624

21 904-905

22 927-929

24 957-959

8665 Heterograft to skin 01 040-042

05 264

06 356-358

08 463-465

09 573-578

21 904-905

22 927-929

24 957-959

8666 Homograft to skin 01 040-042

03 133-134

05 264

06 356-358

08 463-465

09 573-578

21 904-905

22 927-929

24 957-959

8667 Dermal regener graft 01 040-042

03 133-134

05 264

06 356-358

08 463-465

09 573-578

10 622-624

21 904-905

22 927-929

24 957-959

8669 Free skin graft NEC 01 040-042

03 133-134

04 166-168

05 264

06 356-358

08 463-465

09 573-578

10 622-624

21 904-905

22 927-929

24 957-959

SURGICAL CATEGORY

Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system

Other digestive system

Wound debride & skin graft ex hand Skin graft

Skin graft & wound debridement Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

Periph/cranial nerve & other Other circulatory system

Other digestive system

Wound debride & skin graft ex hand Skin graft

Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system

Other digestive system

Wound debride & skin graft ex hand Skin graft

Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system

Other digestive system

Wound debride & skin graft ex hand Skin graft

Skin graft & wound debridement Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other respiratory system

Other circulatory system

Other digestive system

Wound debride & skin graft ex hand Skin graft

Skin graft & wound debridement Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8670 Pedicle graft/flap NOS 01 040-042

03 133-134

05 264

06 356-358

08 463-465

09 573-578

10 622-624

21 904-905

22 927-929

24 957-959

8671 Cut & prep pedicle graft 01 040-042

03 133-134

05 264

06 356-358

08 463-465

09 573-578

10 622-624

21 904-905

22 927-929

24 957-959

8672 Pedicle graft advancemen 01 040-042

03 133-134

05 264

06 356-358

08 463-465

09 573-578

10 622-624

21 904-905

22 927-929

24 957-959

8673 Attach pedicle to hand 08 513-514

09 573-578

21 906

22 927-929

24 957-959

8674 Attach pedicle graft NEC 01 040-042

03 133-134

05 264

06 356-358

08 463-465

09 573-578

10 622-624

21 904-905

22 927-929

24 957-959

8675 Revision of pedicle grft 01 040-042

03 133-134

05 264

06 356-358

08 463-465

09 573-578

10 622-624

21 904-905

22 927-929

24 957-959

SURGICAL CATEGORY

Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system

Other digestive system

Wound debride & skin graft ex hand Skin graft

Skin graft & wound debridement Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system

Other digestive system

Wound debride & skin graft ex hand Skin graft

Skin graft & wound debridement Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system

Other digestive system

Wound debride & skin graft ex hand Skin graft

Skin graft & wound debridement Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Skin graft

Hand procs for injuries

Skin grafts for burns

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system

Other digestive system

Wound debride & skin graft ex hand Skin graft

Skin graft & wound debridement Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system

Other digestive system

Wound debride & skin graft ex hand Skin graft

Skin graft & wound debridement Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8681 Repair facial weakness 01 040-042

03 133-134

08 500-502

09 579-581

21 907-909

24 957-959

8682 Facial rhytidectomy 03 133-134

09 579-581

21 907-909

24 957-959

8683 Size reduct plastic op 09 579-581

10 619-621

21 907-909

24 957-959

8684 Relaxation of scar 03 133-134

09 579-581

21 907-909

24 957-959

8685 Syndactyly correction 08 513-514

09 579-581

21 906

24 957-959

8686 Onychoplasty 09 579-581

21 907-909

24 957-959

8687 Fat grft skin/subq tiss 03 133-134

09 579-581

10 619-621

21 907-909

24 957-959

8689 Skin repair & plasty NEC 03 133-134

09 579-581

10 619-621

21 907-909

24 957-959

8690 Ext fat for grft/banking 09 579-581

8691 Skin excision for graft 01 040-042

03 133-134

05 264

09 573-578

10 622-624

21 907-909

24 957-959

SURGICAL CATEGORY

Periph/cranial nerve & other

Other ear, nose, mouth & throat Soft tissue

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other skin, subcut tissue & breast Procs for obesity

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries

Other procs for mult signif trauma

Other skin, subcut tissue & breast Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other skin, subcut tissue & breast Procs for obesity

Other procs for injuries

Other procs for mult signif trauma

Other ear, nose, mouth & throat Other skin, subcut tissue & breast Procs for obesity

Other procs for injuries

Other procs for mult signif trauma

Other skin, subcut tissue & breast

Periph/cranial nerve & other

Other ear, nose, mouth & throat

Other circulatory system

Skin graft

Skin graft & wound debridement Other procs for injuries

Other procs for mult signif trauma

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8693 Insert tissue expander 01 040-042

03 133-134

05 264

06 356-358

08 463-465

09 573-578

10 622-624

21 904-905

22 927-929

24 957-959

8694 Ins/repl single pul gen 01 029,041

01 040-042

08 490

8695 Ins/re pls gn no rechrg 01 023-024

01 029,041

01 040-042

08 490

8696 Insert/repl oth neurost 01 040-042

05 252-254

8697 Ins/rep 1 pul gen,rechrg 01 029,041

01 040-042

08 490

8698 Ins/rep mul pul gn,rechg 01 023-024

01 029,041

01 040-042

08 490

8753 Intraoper cholangiogram 07 420-422

8852* Rt heart angiocardiogram 05 216-218

05 222-225

05 233-234

05 286-287

8853* Lt heart angiocardiogram 05 216-218

05 222-225

05 233-234

05 286-287

8854* Rt & lt heart angiocard 05 216-218

05 222-225

05 233-234

05 286-287

8855* Coronar arteriogr-1 cath 05 216-218

05 222-225

05 233-234

05 286-287

8856* Coronar arteriogr-2 cath 05 216-218

05 222-225

05 233-234

05 286-287

SURGICAL CATEGORY

Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system

Other digestive system

Wound debride & skin graft ex hand Skin graft

Skin graft & wound debridement Skin grafts for injuries

Skin grafts for burns

Other procs for mult signif trauma

Neurostimulator

Periph/cranial nerve & other Neurostimulator

Insert/repl dual pulse generator Neurostimulator

Periph/cranial nerve & other Neurostimulator

Periph/cranial nerve & other Other vascular

Neurostimulator

Periph/cranial nerve & other Neurostimulator

Insert/repl dual pulse generator Neurostimulator

Periph/cranial nerve & other Neurostimulator

Hepatobiliary diagnostic procs

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG

8857* Coronary arteriogram NEC 05 216-218

05 222-225

05 233-234

05 286-287

8858* Negatve-contr cardiogram 05 216-218

05 222-225

05 233-234

05 286-287

9227 Radioactive elem implant 01 040-042

03 133-134

04 166-168

05 248-249

05 264

06 356-358

09 579-581

10 628-630

11 673-675

12 715-718

13 744-745

21 907-909

24 957-959

9230* Stereo radiosurgery NOS 01 040-042

10 628-630

17 823-825

17 829-830

9231* Sing source radiosurgery 01 040-042

10 628-630

17 823-825

17 829-830

9232* Multisource radiosurgery 01 040-042

10 628-630

17 823-825

17 829-830

9233* Particulate radiosurgery 01 040-042

10 628-630

17 823-825

17 829-830

9239* Stereo radiosurgery NEC 01 040-042

10 628-630

17 823-825

17 829-830

9461* Alcohol rehabilitation 20 895

9463* Alcohol rehab/detox 20 895

9464* Drug rehabilitation 20 895

9466* Drug rehab/detox 20 895

9467* Comb alcohol/drug rehab 20 895

9469* Comb alco/drug reha/deto 20 895

SURGICAL CATEGORY

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

*Cardiac catheter

Periph/cranial nerve & other

Other ear, nose, mouth & throat Other respiratory system

Radioactive element implant Other circulatory system

Other digestive system

Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract

Other male reproductive system D&C/conizat/laparoscpy/tubl intrpt Other procs for injuries

Other procs for mult signif trauma

*Periph/cranial nerve & other *Other endocrine/nutrit/metabolic *Other procedure

*Other procedure

*Periph/cranial nerve & other *Other endocrine/nutrit/metabolic *Other procedure

*Other procedure

*Periph/cranial nerve & other *Other endocrine/nutrit/metabolic *Other procedure

*Other procedure

*Periph/cranial nerve & other *Other endocrine/nutrit/metabolic *Other procedure

*Other procedure

*Periph/cranial nerve & other *Other endocrine/nutrit/metabolic *Other procedure

*Other procedure

*Alcohol/drug rehab or rehab/detox

*Alcohol/drug rehab or rehab/detox

*Alcohol/drug rehab or rehab/detox

*Alcohol/drug rehab or rehab/detox

*Alcohol/drug rehab or rehab/detox

*Alcohol/drug rehab or rehab/detox

APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION

9504 Anesthetized eye exam

9670* Con inv mec ven-unsp dur

9671* Cont inv mec ven ................
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