Appendix E, Operating Room Procedures and Procedure Code/Ms-Drg Index

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 3781 Int insert 1-cham, non 3772 Int inser lead atri-vent 3782 Int insert 1-cham, rate 3773 Int inser lead in atrium 3783 Int insert dual-cham dev 3774 Int or repl lead epicar 3785 Repl pacem w 1-cham, non 3776 Repl tv atri-vent lead 3786 Repl pacem 1-cham, rate 3780 Int or repl perm pacemkr 3787 Repl pacem w dual-cham

LEAD DEVICE MDC MS-DRG SURGICAL CATEGORY 3770 & 3780 01 040-042 05 242-244 Periph/Cranial Nerve & Other 21 907-909 Cardiac Pacemaker Implant Other Procs for Injuries 3770 & 3781 01 040-042 05 242-244 Periph/Cranial Nerve & Other 21 907-909 Cardiac Pacemaker Implant Other Procs for Injuries 3770 & 3782 01 040-042 05 242-244 Periph/Cranial Nerve & Other 21 907-909 Cardiac Pacemaker Implant Other Procs for Injuries 3770 & 3785 01 040-042 05 242-244 Periph/Cranial Nerve & Other 21 907-909 Cardiac Pacemaker Implant Other Procs for Injuries 3770 & 3786 01 040-042 05 242-244 Periph/Cranial Nerve & Other 21 907-909 Cardiac Pacemaker Implant Other Procs for Injuries 3770 & 3787 01 040-042 05 242-244 Periph/Cranial Nerve & Other 21 907-909 Cardiac Pacemaker Implant Other Procs for Injuries 3771 & 3780 01 040-042 05 242-244 Periph/Cranial Nerve & Other 21 907-909 Cardiac Pacemaker Implant Other Procs for Injuries 3771 & 3781 01 040-042 05 242-244 Periph/Cranial Nerve & Other 21 907-909 Cardiac Pacemaker Implant Other Procs for Injuries 3771 & 3782 01 040-042 05 242-244 Periph/Cranial Nerve & Other 21 907-909 Cardiac Pacemaker Implant Other Procs for Injuries 3771 & 3785 01 040-042 05 242-244 Periph/Cranial Nerve & Other 21 907-909 Cardiac Pacemaker Implant Other Procs for Injuries 3771 & 3786 01 040-042 05 242-244 Periph/Cranial Nerve & Other 21 907-909 Cardiac Pacemaker Implant Other Procs for Injuries 3771 & 3787 01 040-042 05 242-244 Periph/Cranial Nerve & Other 21 907-909 Cardiac Pacemaker Implant Other Procs for Injuries APPENDIX E PROCEDURE CODE/MS-DRG INDEX 3772 & 3780 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 Cardiac Pacemaker Implant 907-909 Other Procs for Injuries 3772 & 3783 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 Cardiac Pacemaker Implant 907-909 Other Procs for Injuries 3773 & 3780 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 Cardiac Pacemaker Implant 907-909 Other Procs for Injuries 3773 & 3781 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 Cardiac Pacemaker Implant 907-909 Other Procs for Injuries 3773 & 3782 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 Cardiac Pacemaker Implant 907-909 Other Procs for Injuries 3773 & 3785 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 Cardiac Pacemaker Implant 907-909 Other Procs for Injuries 3773 & 3786 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 Cardiac Pacemaker Implant 907-909 Other Procs for Injuries 3773 & 3787 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 Cardiac Pacemaker Implant 907-909 Other Procs for Injuries 3774 & 3780 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 Cardiac Pacemaker Implant 907-909 Other Procs for Injuries 3774 & 3781 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 Cardiac Pacemaker Implant 907-909 Other Procs for Injuries 3774 & 3782 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 Cardiac Pacemaker Implant 907-909 Other Procs for Injuries 3774 & 3783 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 Cardiac Pacemaker Implant 907-909 Other Procs for Injuries 3774 & 3785 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 Cardiac Pacemaker Implant 907-909 Other Procs for Injuries 3774 & 3786 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 Cardiac Pacemaker Implant 907-909 Other Procs for Injuries 3774 & 3787 01 05 040-042 Periph/Cranial Nerve & Other 21 242-244 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

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

3795 05 265 AICD Lead

3797 05 265 AICD Lead

0052 & 0053 05 242-244 Cardiac Pacemaker Implant

0052 & 0054 05 222-227 Cardiac Defibrillator Implant

0053 & 3774 05 242-244 Cardiac Pacemaker Implant APPENDIX E PROCEDURE CODE/MS-DRG INDEX 0053 & 3776 05 242-244 Cardiac Pacemaker 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

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 Anterior/Posterior Spinal Fusion 8104 & 8107 08 453-455 Anterior/Posterior Spinal Fusion 8104 & 8108 08 453-455 Anterior/Posterior Spinal Fusion 8104 & 8133 08 453-455 Anterior/Posterior Spinal Fusion 8104 & 8135 08 453-455 Anterior/Posterior Spinal Fusion 8104 & 8137 08 453-455 Anterior/Posterior Spinal Fusion 8104 & 8138 08 453-455 Anterior/Posterior Spinal Fusion 8106 & 8103 08 453-455 Anterior/Posterior Spinal Fusion 8106 & 8105 08 453-455 Anterior/Posterior Spinal Fusion 8106 & 8107 08 453-455 Anterior/Posterior Spinal Fusion 8106 & 8108 08 453-455 Anterior/Posterior Spinal Fusion 8106 & 8133 08 453-455 Anterior/Posterior Spinal Fusion 8106 & 8135 08 453-455 Anterior/Posterior Spinal Fusion 8106 & 8137 08 453-455 Anterior/Posterior Spinal Fusion 8106 & 8138 08 453-455 Anterior/Posterior Spinal Fusion 8132 & 8103 08 453-455 Anterior/Posterior Spinal Fusion 8132 & 8105 08 453-455 Anterior/Posterior Spinal Fusion 8132 & 8107 08 453-455 Anterior/Posterior Spinal Fusion 8132 & 8108 08 453-455 Anterior/Posterior Spinal Fusion 8132 & 8133 08 453-455 Anterior/Posterior Spinal Fusion 8132 & 8135 08 453-455 Anterior/Posterior Spinal Fusion 8132 & 8137 08 453-455 Anterior/Posterior Spinal Fusion 8132 & 8138 08 453-455 Anterior/Posterior Spinal Fusion 8134 & 8103 08 453-455 Anterior/Posterior Spinal Fusion 8134 & 8105 08 453-455 Anterior/Posterior Spinal Fusion 8134 & 8107 08 453-455 Anterior/Posterior Spinal Fusion 8134 & 8108 08 453-455 Anterior/Posterior Spinal Fusion 8134 & 8133 08 453-455 Anterior/Posterior Spinal Fusion 8134 & 8135 08 453-455 Anterior/Posterior Spinal Fusion 8134 & 8137 08 453-455 Anterior/Posterior Spinal Fusion 8134 & 8138 08 453-455 Anterior/Posterior Spinal Fusion 8136 & 8103 08 453-455 Anterior/Posterior Spinal Fusion 8136 & 8105 08 453-455 Anterior/Posterior Spinal Fusion 8136 & 8107 08 453-455 Anterior/Posterior Spinal Fusion 8136 & 8108 08 453-455 Anterior/Posterior Spinal Fusion 8136 & 8133 08 453-455 Anterior/Posterior Spinal Fusion 8136 & 8135 08 453-455 Anterior/Posterior Spinal Fusion 8136 & 8137 08 453-455 Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion 8136 & 8138 08 453-455 Anterior/Posterior Spinal Fusion END OF SPINAL FUSION REFERENCE TABLE APPENDIX E PROCEDURE CODE/MS-DRG INDEX KIDNEY/PANCREAS TRANSPLANT REFERENCE TABLE

5280 Pancreat transplant NOS 5569 Kidney transplant NEC 5282 Pancreatic homotransplan

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 SURGICAL CATEGORY 0056 05 260-262 Intracard monitoring sensor insert 0057 05 258-259 Intracard monitoring device insert 0056 & 0057 05 264 Other Circulatory System END OF LEAD/DEVICE REFERENCE TABLE APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 0010* Implant chemothera agent 01 023 *Implant of chemotherapy agent 0015* High-dose infusion IL-2 17 837-838 *High dose chemotherapy agent 0043* Procedure-four+ vessels 05 246,248 *4+ vessel/stent procedures

0048* Insert 4+ vasculr stents 05 246,248 *4+ vessel/stent procedures

0050 Impl CRT pacemaker sys 05 242-244 Implant CRT pacemaker system

0051 Impl CRT defibrillat sys 05 222-227 Cardiac defibrillator implant

0052 Imp/rep lead lf ven sys 05 See Lead/Generator Reference Table

0053 Imp/rep CRT pacemakr gen 05 258-259 Pacemaker device replacement 05 See Lead/Generator Reference Table

0054 Imp/rep CRT defib genat 05 245 AICD generator 05 See Lead/Generator Reference Table 0056 Ins/rep sens-crd/vsl mtr 05 See Lead/Device Reference Table

0057 Imp/rep subcue card dev 05 See Lead/Device Reference Table

0061 Perc angio extracran ves 01 034-036 Angioplasty of precerebral vessel 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

0062 Perc angio intracran ves 01 023-027 Craniotomy 05 252-254 Other vascular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 0063* Perc ins carotid stent 01 034-036 *Carotid artery stent

0066 PTCA 05 231-232 PTCA 05 246-251 Percutaneous cardiovascular

0070 Rev hip repl-acetab/fem 08 461-462 Bilat/mult major joint, low extrem 08 466-468 Revision of hip / knee replacement 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

0071 Rev hip repl-acetab comp 08 466-468 Revision of hip / knee replacement 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

0072 Rev hip repl-fem comp 08 466-468 Revision of hip / knee replacement 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

0073 Rev hip repl-liner/head 08 466-468 Revision of hip / knee replacement 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 0080 Rev knee replacemt-total 08 461-462 Bilat/mult major joint, low extrem 08 466-468 Revision of hip / knee replacement 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0081 Rev knee repl-tibia comp 08 466-468 Revision of hip / knee replacement 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0082 Rev knee repl-femur comp 08 466-468 Revision of hip / knee replacement 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0083 Rev knee replace-patella 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0084 Rev knee repl-tibia lin 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0085 Resrf hip,total-acet/fem 08 461-462 Bilat/mult major joint, low extrem 08 469-470 Maj joint repl/reattach, low extrm 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

0086 Resrf hip,part-fem head 08 461-462 Bilat/mult major joint, low extrem 08 469-470 Maj joint repl/reattach, low extrm 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

0087 Resrf hip,part-acetablum 08 461-462 Bilat/mult major joint, low extrem 08 469-470 Maj joint repl/reattach, low extrm 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

0112 Open cereb meninges bx 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure

0114 Open brain biopsy 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure

0115 Skull biopsy 01 023-027 Craniotomy 08 477-479 Musculoskeletal biopsy 10 628-630 Other endocrine/nutrit/metabolic

0118 Other brain dx procedure 01 023-027 Craniotomy 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

0119 Other skull dx procedure 01 023-027 Craniotomy 08 477-479 Musculoskeletal biopsy 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 SURGICAL CATEGORY 0120 Imp/repl brain pulse gen 01 023-024 Insert/repl dual pulse generator 01 040-042 Periph/cranial nerve & other

0121 Cranial sinus i & d 01 023-027 Craniotomy 24 955 Craniotomy for mult signif trauma

0122 Removal brain stim lead 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure

0123 Reopen craniotomy site 01 023-027 Craniotomy 03 131-132 Cranial/facial 17 820-822 Major procedure 17 826-828 Major procedure 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0124 Other craniotomy 01 023-027 Craniotomy 03 131-132 Cranial/facial 17 820-822 Major procedure 17 826-828 Major procedure 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0125 Other craniectomy 01 023-027 Craniotomy 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 17 820-822 Major procedure 17 826-828 Major procedure 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0128 Intracereb cth-burr hole 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma 0129 Rem brain pulse generatr 01 040-042 Periph/cranial nerve & other

0131 Incise cerebral meninges 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0132 Lobotomy & tractotomy 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0139 Other brain incision 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 0141 Thalamus operations 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0142 Globus pallidus ops 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure 24 955 Craniotomy for mult signif trauma

0151 Ex cereb meningeal les 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure 24 955 Craniotomy for mult signif trauma

0152 Hemispherectomy 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0153 Brain lobectomy 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0159 Other brain excision 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

016 Excise skull lesion 01 023-027 Craniotomy 03 131-132 Cranial/facial 08 495-497 Loc excis,rm int fx dev ex hip,fem 17 820-822 Major procedure 17 826-828 Major procedure 24 955 Craniotomy for mult signif trauma

0201 Linear craniectomy 01 023-027 Craniotomy 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0202 Elevate skull fx fragmnt 01 023-027 Craniotomy 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0203 Skull flap formation 01 023-027 Craniotomy 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 0204 Bone graft to skull 01 023-027 Craniotomy 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0205 Skull plate insertion 01 023-027 Craniotomy 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0206 Cranial osteoplasty NEC 01 023-027 Craniotomy 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0207 Skull plate removal 01 023-027 Craniotomy 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0211 Simple suture of dura 01 023-027 Craniotomy 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0212 Brain meninge repair NEC 01 023-027 Craniotomy 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0213 Meninge vessel ligation 01 020-022 Intracranial vascular 01 023-027 Craniotomy 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0214 Choroid plexectomy 01 023-027 Craniotomy 24 955 Craniotomy for mult signif trauma

0221 Insert/replace EVD 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0222 Intrcran vent shunt/anas 01 023-027 Craniotomy 17 820-822 Major procedure 17 826-828 Major procedure 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0231 Ventricl shunt-head/neck 01 031-033 Ventricular shunt 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 SURGICAL CATEGORY 0232 Ventri shunt-circula sys 01 031-033 Ventricular shunt 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

0233 Ventricl shunt-thorax 01 031-033 Ventricular shunt 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

0234 Ventricl shunt-abdomen 01 031-033 Ventricular shunt 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

0235 Ventri shunt-uninary sys 01 031-033 Ventricular shunt 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

0239 Vent shunt extracran NEC 01 031-033 Ventricular shunt 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

0242 Replace ventricle shunt 01 031-033 Ventricular shunt 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

0243 Remove ventricle shunt 01 031-033 Ventricular shunt 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0291 Lysis cortical adhesion 01 023-027 Craniotomy 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

0292 Brain repair 01 023-027 Craniotomy 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0293 Imp/repl brain stim lead 01 023-024 Implant/replace brain stim lead 01 023-027 Craniotomy 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

0294 Insert/replac skull tong 01 023-027 Craniotomy 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 0299 Skull & brain op NEC 01 023-027 Craniotomy 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 17 820-822 Major procedure 17 826-828 Major procedure 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0301 Removal FB spinal canal 01 028-030 Spinal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0302 Reopen laminectomy site 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 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

0309 Spinal canal explor NEC 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 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

031 Intraspin nerve root div 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 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

0321 Percutaneous chordotomy 01 028-030 Spinal 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

0329 Other chordotomy 01 028-030 Spinal 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

0332 Spinal cord/meninges bx 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 17 820-822 Major procedure 17 826-828 Major procedure

0339 Other spinal dx proc 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 17 820-822 Major procedure 17 826-828 Major procedure

034 Excis spinal cord lesion 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 17 820-822 Major procedure 17 826-828 Major procedure APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 0351 Spine meningocele repair 01 028-030 Spinal 0352 Myelomeningocel repair 01 028-030 Spinal

0353 Vertebral fx repair 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 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

0359 Spinal struct repair NEC 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 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

036 Spinal cord adhesiolysis 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 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

0371 Subarach-periton shunt 01 028-030 Spinal 17 820-822 Major procedure 17 826-828 Major procedure

0372 Subarach-ureteral shunt 01 028-030 Spinal 17 820-822 Major procedure 17 826-828 Major procedure

0379 Oth spinal thecal shunt 01 028-030 Spinal 17 820-822 Major procedure 17 826-828 Major procedure

0393 Imp/repl spine stim lead 01 028-030 Spinal 01 029 Neurostimulator 08 490 Neurostimulator 08 490-491 Back & neck except spinal fusion 11 673-675 Other kidney & urinary tract 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

0394 Removal spine stim lead 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 13 749-750 Other female reproductive 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 SURGICAL CATEGORY 0397 Revise spine theca shunt 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 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

0398 Remove spine theca shunt 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0399 Spine canal struc op NEC 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 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

0401 Excision acoustc neuroma 01 023-027 Craniotomy 03 133-134 Other ear, nose, mouth & throat

0402 Trigeminal nerv division 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

0403 Periph nerve div NEC 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

0404 Periph nerve incis NEC 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

0405 Gasserian ganglionectomy 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

0406 Periph ganglionect NEC 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

0407 Periph nerv excision NEC 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

0412 Open periph nerve biopsy 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 0419 Periph nerve dx proc NEC 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

043 Peripheral nerve suture 01 040-042 Periph/cranial nerve & other 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0441 Decompress trigem root 01 023-027 Craniotomy 03 133-134 Other ear, nose, mouth & throat 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

0442 Cran nerv root decom NEC 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

0443 Carpal tunnel release 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

0444 Tarsal tunnel release 01 040-042 Periph/cranial nerve & other 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0449 Per nerve adhesiolys NEC 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

045 Peripheral nerve graft 01 040-042 Periph/cranial nerve & other 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

046 Periph nerve transposit 01 040-042 Periph/cranial nerve & other 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0471 Hypogloss-facial anastom 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

0472 Accessory-facial anastom 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

0473 Access-hypogloss anastom 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 0474 Periph nerv anastom NEC 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

0475 Postop revis per nerv op 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

0476 Late repair per nerv inj 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

0479 Other neuroplasty 01 040-042 Periph/cranial nerve & other 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0491 Neurectasis 01 040-042 Periph/cranial nerve & other 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0492 Imp/repl peri stim lead 01 040-042 Periph/cranial nerve & other 01 041 Neurostimulator 03 133-134 Other ear, nose, mouth & throat 05 252-254 Other vascular 08 515-517 Other musculoskel & connec tissue 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 13 749-750 Other female reproductive system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0493 Removal peri stim lead 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat 08 515-517 Other musculoskel & connec tissue 12 715-718 Other male reproductive system Other 13 749-750 female reproductive system Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

0499 Peripheral nerve ops NEC 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

050 Sympath nerve division 01 040-042 Periph/cranial nerve & other 05 264 Other circulatory system

0511 Sympathetic nerve biopsy 01 040-042 Periph/cranial nerve & other

0519 Sympath nrv dx proc NEC 01 040-042 Periph/cranial nerve & other

0521 Sphenopalatin ganglionec 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 05 264 circulatory system APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 0522 Cervical sympathectomy 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 05 264 circulatory system

0523 Lumbar sympathectomy 01 040-042 Periph/cranial nerve & other 05 264 Other circulatory system

0524 Presacral sympathectomy 01 040-042 Periph/cranial nerve & other 05 264 Other circulatory system 13 749-750 Other female reproductive system

0525 Periart sympathectomy 01 040-042 Periph/cranial nerve & other 05 264 Other circulatory system

0529 Other sympathectomy 01 040-042 Periph/cranial nerve & other 05 264 Other circulatory system

0581 Sympathetic nerve repair 01 040-042 Periph/cranial nerve & other

0589 Sympathetic nerve op NEC 01 040-042 Periph/cranial nerve & other 05 264 Other circulatory system

059 Other nervous system ops 01 040-042 Periph/cranial nerve & other 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0602 Reopen thyroid field wnd 10 625-627 Thyroid/parathyroid/thyroglossal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0609 Incis thyroid field NEC 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast 10 625-627 Thyroid/parathyroid/thyroglossal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 0612 Open thyroid gland bx 10 625-627 Thyroid/parathyroid/thyroglossal

0613 Parathyroid biopsy 08 515-517 Other musculoskel & connec tissue 10 625-627 Thyroid/parathyroid/thyroglossal

0619 Thyr/parathy dx proc NEC 08 515-517 Other musculoskel & connec tissue 10 625-627 Thyroid/parathyroid/thyroglossal

062 Unilat thyroid lobectomy 10 625-627 Thyroid/parathyroid/thyroglossal

0631 Excision thyroid lesion 10 625-627 Thyroid/parathyroid/thyroglossal

0639 Part thyroidectomy NEC 10 625-627 Thyroid/parathyroid/thyroglossal

064 Complete thyroidectomy 10 625-627 Thyroid/parathyroid/thyroglossal

0650 Substern thyroidect NOS 10 625-627 Thyroid/parathyroid/thyroglossal

0651 Part substern thyroidect 10 625-627 Thyroid/parathyroid/thyroglossal

0652 Tot substern thyroidect 10 625-627 Thyroid/parathyroid/thyroglossal

066 Lingual thyroid excision 03 133-134 Other ear, nose, mouth & throat 10 625-627 Thyroid/parathyroid/thyroglossal APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 067 Thyrogloss duct excision 03 133-134 Other ear, nose, mouth & throat 10 625-627 Thyroid/parathyroid/thyroglossal

0681 Total parathyroidectomy 10 625-627 Thyroid/parathyroid/thyroglossal 11 673-675 Other kidney & urinary tract

0689 Other parathyroidectomy 10 625-627 Thyroid/parathyroid/thyroglossal 11 673-675 Other kidney & urinary tract

0691 Thyroid isthmus division 10 625-627 Thyroid/parathyroid/thyroglossal

0692 Thyroid vessel ligation 10 625-627 Thyroid/parathyroid/thyroglossal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0693 Thyroid suture 10 625-627 Thyroid/parathyroid/thyroglossal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 0694 Thyroid reimplantation 10 625-627 Thyroid/parathyroid/thyroglossal

0695 Parathyroid reimplant 10 625-627 Thyroid/parathyroid/thyroglossal

0698 Other thyroid operations 10 625-627 Thyroid/parathyroid/thyroglossal

0699 Other parathyroid ops 10 625-627 Thyroid/parathyroid/thyroglossal

0700 Adrenal exploration NOS 10 614-615 Adrenal & pituitary

0701 Unilat adrenal explorat 10 614-615 Adrenal & pituitary

0702 Bilat adrenal explorat 10 614-615 Adrenal & pituitary

0712 Open adrenal gland bx 10 614-615 Adrenal & pituitary

0713 Transfront pituitary bx 01 023-027 Craniotomy 10 614-615 Adrenal & pituitary

0714 Transphen pituitary bx 01 023-027 Craniotomy 10 614-615 Adrenal & pituitary

0715 Pituitary biopsy NOS 01 023-027 Craniotomy 10 614-615 Adrenal & pituitary

0716 Thymus biopsy 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

0717 Pineal biopsy 01 023-027 Craniotomy 10 614-615 Adrenal & pituitary

0719 Endocrine dx proc NEC 01 040-042 Periph/cranial nerve & other 10 614-615 Adrenal & pituitary

0721 Adrenal lesion excision 10 614-615 Adrenal & pituitary

0722 Unilateral adrenalectomy 09 579-581 Other skin, subcut tissue & breast 10 614-615 Adrenal & pituitary APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 0729 Part adrenalectomy NEC 10 614-615 Adrenal & pituitary

073 Bilateral adrenalectomy 09 579-581 Other skin, subcut tissue & breast 10 614-615 Adrenal & pituitary

0741 Adrenal incision 10 614-615 Adrenal & pituitary

0742 Adrenal nerve division 10 614-615 Adrenal & pituitary

0743 Adrenal vessel ligation 10 614-615 Adrenal & pituitary 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0744 Adrenal repair 10 614-615 Adrenal & pituitary 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0745 Adrenal reimplantation 10 614-615 Adrenal & pituitary 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0749 Adrenal operation NEC 10 614-615 Adrenal & pituitary 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0751 Pineal field exploration 01 023-027 Craniotomy 10 614-615 Adrenal & pituitary

0752 Pineal gland incision 01 023-027 Craniotomy 10 614-615 Adrenal & pituitary

0753 Partial pinealectomy 01 023-027 Craniotomy 10 614-615 Adrenal & pituitary

0754 Total pinealectomy 01 023-027 Craniotomy 10 614-615 Adrenal & pituitary

0759 Pineal operation NEC 01 023-027 Craniotomy 10 614-615 Adrenal & pituitary

0761 Exc pituit les-transfron 01 023-027 Craniotomy 10 614-615 Adrenal & pituitary

0762 Exc pituit les-transphen 01 023-027 Craniotomy 10 614-615 Adrenal & pituitary

0763 Part excis pituitary NOS 01 023-027 Craniotomy 09 579-581 Other skin, subcut tissue & breast 10 614-615 Adrenal & pituitary

0764 Tot exc pituit-transfron 01 023-027 Craniotomy 09 579-581 Other skin, subcut tissue & breast 10 614-615 Adrenal & pituitary

0765 Tot exc pituit-transphen 01 023-027 Craniotomy 09 579-581 Other skin, subcut tissue & breast 10 614-615 Adrenal & pituitary

0768 Total exc pituitary NEC 01 023-027 Craniotomy 09 579-581 Other skin, subcut tissue & breast 10 614-615 Adrenal & pituitary APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 0769 Total exc pituitary NOS 01 023-027 Craniotomy 09 579-581 Other skin, subcut tissue & breast 10 614-615 Adrenal & pituitary

0771 Pituitary fossa explorat 01 023-027 Craniotomy 10 614-615 Adrenal & pituitary

0772 Pituitary gland incision 01 023-027 Craniotomy 09 579-581 Other skin, subcut tissue & breast 10 614-615 Adrenal & pituitary

0779 Pituitary operation NEC 01 023-027 Craniotomy 09 579-581 Other skin, subcut tissue & breast 10 614-615 Adrenal & pituitary

0780 Thymectomy NOS 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

0781 Oth part excision thymus 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

0782 Oth totl excision thymus 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

0783 Thorac part exisn thymus 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

0784 Thorac total exc thymus 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 0791 Thymus field exploration 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

0792 Other incision of thymus 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

0793 Repair of thymus 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

0794 Thymus transplantation 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

0795 Thorac incision thymus 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

0798 Oth thorac op thymus NOS 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

0799 Other thymus ops NOS 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

0811 Eyelid biopsy 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 SURGICAL CATEGORY 0820 Remove eyelid lesion NOS 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

0821 Chalazion excision 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0822 Excise minor les lid NEC 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

0823 Exc maj les lid prt-thic 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

0824 Exc maj les lid ful-thic 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

0825 Destruction lid lesion 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

0831 Ptosis rep-front mus sut 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0832 Ptosis rep-fron mus slng 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0833 Ptosis rep-levat mus adv 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0834 Ptosis rep-levat mus NEC 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0835 Ptos rep-tarsal techniq 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0836 Blepharoptos repair NEC 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0837 Reduc overcorrect ptosis 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 SURGICAL CATEGORY 0838 Correct lid retraction 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

0841 Thermocaut/entropion rep 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0842 Suture entropion repair 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0843 Wedg resec entropion rep 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0844 Lid recons entropion rep 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

0849 Entropion/ectrop rep NEC 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0851 Canthotomy 01 040-042 Periph/cranial nerve & other 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

0852 Blepharorrhaphy 01 040-042 Periph/cranial nerve & other 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

0859 Adjust lid position NEC 01 040-042 Periph/cranial nerve & other 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

0861 Lid reconst w skin graft 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

0862 Lid reconst w muc graft 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

0863 Lid reconst w hair graft 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 0864 Lid recon-tarsoconj flap 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

0869 Lid reconstr w graft NEC 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

0870 Lid reconstruction NOS 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

0871 Lid marg recon-part thic 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

0872 Lid recons-part thic NEC 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

0873 Lid marg recons ful thic 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

0874 Lid reconst-ful thic NEC 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

0891 Electrosurg lid epilat 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0892 Cryosurg lid epilation 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0893 Eyelid epilation NEC 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0899 Eyelid operation NEC 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 090 Lacrimal gland incision 02 115 Extraocular except orbital

0911 Lacrimal gland biopsy 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0912 Lacrimal sac biopsy 02 115 Extraocular except orbital 03 133-134 Other ear, nose, mouth & throat APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 0919 Lacrimal sys dx proc NEC 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

0920 Exc lacrimal gland NOS 02 115 Extraocular except orbital

0921 Excis les lacrimal gland 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0922 Part dacryoadenect NEC 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0923 Total dacryoadenectomy 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

093 Other lacrimal gland ops 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0941 Lacrimal punctum probe 02 115 Extraocular except orbital

0942 Lac canaliculi probe 02 115 Extraocular except orbital

0943 Nasolacrimal duct probe 02 115 Extraocular except orbital 03 133-134 Other ear, nose, mouth & throat

0944 Nasolac duct intubat 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

0949 Lac passage manip NEC 02 115 Extraocular except orbital

0951 Lac punctum incision 02 115 Extraocular except orbital

0952 Lac canaliculi incision 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0953 Lacrimal sac incision 02 115 Extraocular except orbital

0959 Lacrim passage incis NEC 02 115 Extraocular except orbital

096 Lacrim sac/passage excis 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0971 Correct everted punctum 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0972 Punctum repair NEC 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 SURGICAL CATEGORY 0973 Canaliculus repair 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

0981 Dacryocystorhinostomy 02 115 Extraocular except orbital Other 03 133-134 ear, nose, mouth & throat Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

0982 Conjunctivocystorhinost 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0983 Conjunctivorhinos w tube 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0991 Lac punctum obliteration 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

0999 Lacrimal system op NEC 02 115 Extraocular except orbital Other 03 133-134 ear, nose, mouth & throat Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

100 Incise/remov conjunct FB 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 101 Conjunctiva incision NEC 02 115 Extraocular except orbital

1021 Conjunctival biopsy 02 115 Extraocular except orbital

1029 Conjunctiva dx proc NEC 02 115 Extraocular except orbital

1031 Excise conjunctiv lesion 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1032 Destruct conjunc les NEC 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1033 Oth conjunc destruc proc 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1041 Symbleph rep w free grft 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1042 Graft conjunc cul-de-sac 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1043 Conjun cul-de-sac rx NEC 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 SURGICAL CATEGORY 1044 Conjunc free graft NEC 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1049 Conjunctivoplasty NEC 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

105 Conjunc/lid adhesiolysis 02 115 Extraocular except orbital

106 Repair conjunct lacerat 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1091 Subconjunctival inject 02 115 Extraocular except orbital

1099 Conjunctival op NEC 02 115 Extraocular except orbital

110 Magnet removal cornea FB 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

111 Corneal incision 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1121 Corneal scrape for smear 02 115 Extraocular except orbital

1122 Corneal biopsy 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1129 Corneal dx proc NEC 02 115 Extraocular except orbital

1131 Pterygium transposition 02 115 Extraocular except orbital

1132 Pteryg exc w cornea grft 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1139 Pterygium excision NEC 02 115 Extraocular except orbital

1141 Mech remov cornea epith 02 115 Extraocular except orbital

1142 Thermocaut cornea lesion 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1143 Cryotherap cornea lesion 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1149 Destruct cornea les NEC 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1151 Suture cornea laceration 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 MDC MS-DRG SURGICAL CATEGORY 1152 Rep cornea postop dehisc 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1153 Rx cornea lac w conj flp 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1159 Corneal repair NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1160 Corneal transplant NOS 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1161 Lam keratplast w autgrft 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1162 Lamellar keratoplast NEC 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1163 Perf keratopl w autogrft 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1164 Perforat keratoplast NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1169 Corneal transplant NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1171 Keratomileusis 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1172 Keratophakia 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1173 Keratoprosthesis 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1174 Thermokeratoplasty 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1175 Radial keratotomy 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1176 Epikeratophakia 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 SURGICAL CATEGORY 1179 Cornea reconstruct NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1191 Corneal tattooing 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1192 Remove corneal implant 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1199 Corneal operation NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1200 Remov ant segmnt FB NOS 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1201 Magnet remov ant seg FB 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1202 Nonmag remov ant seg FB 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1211 Iridotomy w transfixion 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1212 Iridotomy NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1213 Prolapsed iris excision 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1214 Iridectomy NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1221 Dx aspirat-ant chamber 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1222 Iris biopsy 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1229 Ant segment dx proc NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1231 Goniosynechiae lysis 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 MDC MS-DRG SURGICAL CATEGORY 1232 Ant synechia lysis NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1233 Post synechiae lysis 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1234 Corneovitreal adhesiolys 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1235 Coreoplasty 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1239 Iridoplasty NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1240 Remov ant segmnt les NOS 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1241 Nonexc destruc iris les 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1242 Excision of iris lesion 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1243 Nonexc destr cil bod les 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1244 Excise ciliary body les 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1251 Goniopuncture 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1252 Goniotomy 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1253 Goniotomy w goniopunctur 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1254 Trabeculotomy ab externo 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1255 Cyclodialysis 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 MDC MS-DRG SURGICAL CATEGORY 1259 Facilit intraoc circ NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1261 Trephin sclera w iridect 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1262 Thermcaut scler w iridec 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1263 Iridencleisis/iridotasis 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1264 Trabeculectom ab externo 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

1265 Scler fistuliz w iridect 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1266 Postop revis scl fistul 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1267 Insert aqueous drain dev 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1269 Scler fistulizing op NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1271 Cyclodiathermy 02 116-117 Intraocular

1272 Cyclocryotherapy 02 116-117 Intraocular 10 628-630 Other endocrine/nutrit/metabolic

1273 Cyclophotocoagulation 02 116-117 Intraocular

1274 Cil body diminution NOS 02 116-117 Intraocular

1279 Glaucoma procedure NEC 02 116-117 Intraocular 10 628-630 Other endocrine/nutrit/metabolic

1281 Suture scleral lacer 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1282 Scleral fistula repair 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1283 Revis ant seg op wnd NEC 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 MDC MS-DRG SURGICAL CATEGORY 1284 Destruct scleral lesion 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1285 Repair staphylom w graft 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1286 Rep scler staphyloma NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1287 Graft reinforce sclera 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1288 Sclera reinforcement NEC 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1289 Scleral operation NEC 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1291 Therapeut evac ant chamb 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1292 Anterior chamber inject 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1293 Remov epithel downgrowth 02 116-117 Intraocular

1297 Iris operation NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1298 Ciliary body op NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1299 Anterior chamber op NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1300 Remove FB lens NOS 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1301 Magnet remove FB lens 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1302 Nonmagnet remove FB lens 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1311 Temp-inf intrcap lens ex 02 116-117 Intraocular 10 628-630 Other endocrine/nutrit/metabolic APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 1319 Intracapsul lens ext NEC 02 116-117 Intraocular 10 628-630 Other endocrine/nutrit/metabolic

132 Linear extracap lens ext 02 116-117 Intraocular

133 Simpl aspir lens extract 02 116-117 Intraocular

1341 Catarac phacoemuls/aspir 02 116-117 Intraocular

1342 Post catarac frag/aspir 02 116-117 Intraocular

1343 Cataract frag/aspir NEC 02 116-117 Intraocular

1351 Temp-inf xtracap lens ex 02 116-117 Intraocular

1359 Extracap lens extrac NEC 02 116-117 Intraocular 10 628-630 Other endocrine/nutrit/metabolic

1364 After-catar discission 02 116-117 Intraocular

1365 After-cataract excision 02 116-117 Intraocular

1366 After catar fragmntation 02 116-117 Intraocular

1369 Cataract extraction NEC 02 116-117 Intraocular

1370 Insert pseudophakos NOS 02 116-117 Intraocular

1371 Insert lens at catar ext 02 116-117 Intraocular

1372 Secondary insert lens 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

138 Implanted lens removal 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1390 Operation on lens NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1391 Impl intraoc telesc pros 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1400 Remov post segmnt FB NOS 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1401 Magnet remov post seg FB 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1402 Nonmag remov post seg FB 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1411 Diagnost vitreous aspir 02 116-117 Intraocular

1419 Dx proc post seg NEC 02 116-117 Intraocular APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 1421 Chorioret les diathermy 02 116-117 Intraocular

1422 Chorioretin les cryother 02 116-117 Intraocular

1426 Chorioret les radiother 02 116-117 Intraocular

1427 Chorioret les rad implan 02 116-117 Intraocular

1429 Chorioret les destr NEC 02 116-117 Intraocular

1431 Retinal tear diathermy 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1432 Retinal tear cryotherapy 02 116-117 Intraocular

1439 Retinal tear repair NEC 02 116-117 Intraocular

1441 Scleral buckle w implant 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1449 Scleral buckling NEC 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

1451 Detach retina-diathermy 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1452 Detach retina-cryotherap 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1453 Detach retina xenon coag 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1454 Detach retina laser coag 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

1455 Detach ret photocoag NOS 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1459 Repair retina detach NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

146 Remov pros mat post seg 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

1471 Anterior remov vitreous 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 1472 Vitreous removal NEC 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

1473 Anterior mechan vitrect 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1474 Mech vitrectomy NEC 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

1475 Vitreous substitut injec 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1479 Vitreous operation NEC 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1481 Imp epiretinal prosth 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1482 Rem epiretinal prosth 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1483 Rev/repl epiretinal pros 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

149 Other post segment ops 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1501 Extraoc musc-tend biopsy 02 115 Extraocular except orbital

1509 Extraoc musc dx proc NEC 02 115 Extraocular except orbital

1511 One extraoc mus recess 02 115 Extraocular except orbital

15121 extraoc muscl advance 02 115 Extraocular except orbital

15131 extraoc muscl resect 02 115 Extraocular except orbital

1519 Xtraoc mus op/detach NEC 02 115 Extraocular except orbital

1521 Lengthen 1 extraoc musc 02 115 Extraocular except orbital

1522 Shorten 1 extraoc musc 02 115 Extraocular except orbital

1529 Op on 1 extraoc musc NEC 02 115 Extraocular except orbital

153 Temp detach >1 xtroc mus 02 115 Extraocular except orbital

154 Oth op on >l extraoc mus 02 115 Extraocular except orbital

155 Extraocul mus transposit 02 115 Extraocular except orbital 156 Revis extraoc musc surg 02 115 Extraocular except orbital

157 Extraoc musc inj repair 02 115 Extraocular except orbital 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

159 Oth extraoc mus-tend op 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 SURGICAL CATEGORY 1601 Orbitotomy w bone flap 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1602 Orbitotomy w implant 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1609 Orbitotomy NEC 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

161 Remove penetrat FB eye 02 116-117 Intraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 1622 Diagnostic asp of orbit 02 113-114 Orbital extraocular

1623 Eyeball & orbit biopsy 02 113-114 Orbital extraocular

1629 Eyebal/orbit dx proc NEC 02 113-114 Orbital extraocular

1631 Eye evisc w synch implan 02 113-114 Orbital extraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1639 Eyeball evisceration NEC 02 113-114 Orbital extraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1641 Eye enuc/implan/musc att 02 113-114 Orbital extraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1642 Eye enuc w implant NEC 02 113-114 Orbital extraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1649 Eyeball enucleation NEC 02 113-114 Orbital extraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1651 Radical orbitomaxillect 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1652 Orbit exent w bone remov 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1659 Orbital exenteration NEC 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec 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 SURGICAL CATEGORY 1661 2ndry ocular imp insert 02 113-114 Orbital extraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1662 Revis/reinsert ocul imp 02 113-114 Orbital extraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1663 Revis enuc socket w grft 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1664 Enuc socket revis NEC 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1665 2ndry exent cavity graft 02 113-114 Orbital extraocular 03 133-134 Other ear, nose, mouth & throat 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1666 Revis exenter cavity NEC 02 113-114 Orbital extraocular 03 133-134 Other ear, nose, mouth & throat 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1669 2nd op post eye rem NEC 02 113-114 Orbital extraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1671 Remove ocular implant 02 113-114 Orbital extraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1672 Remove orbital implant 02 113-114 Orbital extraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1681 Repair of orbital wound 02 113-114 Orbital extraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1682 Repair eyeball rupture 02 113-114 Orbital extraocular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1689 Eye/orbit inj repair NEC 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1692 Excision orbital lesion 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 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 SURGICAL CATEGORY 1693 Excision eye lesion NOS 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

1698 Operation on orbit NEC 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1699 Operation on eyeball NEC 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 1711 Lap dir ing hern-graft 06 350-352 Inguinal & femoral hernia

1712 Lap indir ing hern-graft 06 350-352 Inguinal & femoral hernia

1713 Lap ing hern-graft NOS 06 350-352 Inguinal & femoral hernia

1721 Lap bil dir ing hrn-grft 06 350-352 Inguinal & femoral hernia

1722 Lap bi indir ing hrn-grf 06 350-352 Inguinal & femoral hernia

1723 Lap bi dr/ind ing hrn-gr 06 350-352 Inguinal & femoral hernia

1724 Lap bil ing hern-grf NOS 06 350-352 Inguinal & femoral hernia

1731 Lap mul seg res lg intes 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

1732 Laparoscopic cecectomy 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

1733 Lap right hemicolectomy 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

1734 Lap res transverse colon 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

1735 Lap left hemicolectomy 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 1736 Lap sigmoidectomy 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

1739 Lap pt ex lrg intest NEC 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 1751 Implant CCM,total system 05 222-227 Cardiac defibrillator implant

1752 Implant CCM pulse genrtr 05 245 AICD generator

1753 Perc ather extracran vsl 01 034-036 Angioplasty of precerebral vessel 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

1754 Perc ather intracran vsl 01 023-027 Craniotomy 05 252-254 Other vascular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1755 Translum cor atherectomy 05 231-232 PTCA 05 246-251 Percutaneous cardiovascular

1756 Ather oth non-cor vessel 01 037-039 Extracranial 04 166-168 Other respiratory system 05 252-254 Other vascular 06 356-358 Other digestive system 07 423-425 Other hepatobiliary or pancreas 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 1761 LITT lesn brain,guidance 01 023-027 Craniotomy

1762 LITT les hd/nck,guidance 10 625-627 Thyroid/parathyroid/thyroglossal 17 820-822 Major procedure 17 826-828 Major procedure

1763 LITT lesn liver,guidance 06 356-358 Other digestive system 07 405-407 Pancreas, liver and shunt

1769 LITT lesn, guide oth/NOS 04 163-165 Major chest 09 584-585 Breast biop/local excis/oth breast 12 715-718 Other male reproductive system 17 820-822 Major procedure 17 826-828 Major procedure

1821 Preauricular sinus excis 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 1831 Rad excis ext ear les 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast

1839 Excis external ear NEC 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

185 Correction prominent ear 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast

186 Ext audit canal reconstr 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1871 Construction ear auricle 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1872 Reattach amputated ear 03 133-134 Other ear, nose, mouth & throat 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

1879 Plastic rep ext ear NEC 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

189 Other ext ear operations 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 190 Stapes mobilization 03 133-134 Other ear, nose, mouth & throat 1911 Stapedect w replac incus 03 133-134 Other ear, nose, mouth & throat 1919 Stapedectomy NEC 03 133-134 Other ear, nose, mouth & throat

1921 Rev stapdec w incus repl 03 133-134 Other ear, nose, mouth & throat

1929 Stapedectomy revis NEC 03 133-134 Other ear, nose, mouth & throat

193 Ossicular chain op NEC 03 133-134 Other ear, nose, mouth & throat

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

1952 Type 2 tympanoplasty 03 133-134 Other ear, nose, mouth & throat

196 Tympanoplasty revision 03 133-134 Other ear, nose, mouth & throat

199 Middle ear repair NEC 03 133-134 Other ear, nose, mouth & throat APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 2001 Myringotomy w intubation 03 133-134 Other ear, nose, mouth & throat

2021 Mastoid incision 03 135-136 Sinus & mastoid

2022 Petrus pyram air cel inc 03 135-136 Sinus & mastoid

2023 Middle ear incision 03 133-134 Other ear, nose, mouth & throat

2032 Mid & inner ear biopsy 03 133-134 Other ear, nose, mouth & throat

2039 Mid/in ear dx proc NEC 03 133-134 Other ear, nose, mouth & throat

2041 Simple mastoidectomy 03 135-136 Sinus & mastoid

2042 Radical mastoidectomy 03 135-136 Sinus & mastoid

2049 Mastoidectomy NEC 03 135-136 Sinus & mastoid

2051 Excise middle ear lesion 03 133-134 Other ear, nose, mouth & throat

2059 Middle ear excision NEC 03 133-134 Other ear, nose, mouth & throat

2061 Inner ear fenestration 03 133-134 Other ear, nose, mouth & throat

2062 Revis inner ear fenestra 03 133-134 Other ear, nose, mouth & throat

2071 Endolymphatic shunt 03 133-134 Other ear, nose, mouth & throat

2072 Inner ear injection 03 133-134 Other ear, nose, mouth & throat

2079 Inc/exc/destr in ear NEC 03 133-134 Other ear, nose, mouth & throat

2091 Tympanosympathectomy 03 133-134 Other ear, nose, mouth & throat

2092 Mastoidectomy revision 03 135-136 Sinus & mastoid

2093 Repair oval/round window 03 133-134 Other ear, nose, mouth & throat

2095 Elecmag hear dev implant 03 133-134 Other ear, nose, mouth & throat

2096 Implt cochlear prost NOS 03 129 Cochlear implant 03 129-130 Major head & neck

2097 Imp/rep schan coch pros 03 129 Cochlear implant 03 129-130 Major head & neck

2098 Imp/rep mchan cochl pros 03 129 Cochlear implant 03 129-130 Major head & neck

2099 Mid-inner ear ops NEC 03 133-134 Other ear, nose, mouth & throat

2104 Ethmoid art ligat-epist 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

2105 Max art lig for epistax 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 SURGICAL CATEGORY 2106 Ext carot art lig-epist 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

2107 Nasal sept grft-epistax 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

2109 Epistaxis control NEC 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

214 Resection of nose 03 131-132 Cranial/facial 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

215 Submuc nasal sept resect 03 133-134 Other ear, nose, mouth & throat 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 2161 Diather/cryo turbinectom 03 133-134 Other ear, nose, mouth & throat

2162 Turbinate fracture 03 133-134 Other ear, nose, mouth & throat 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2169 Turbinectomy NEC 03 133-134 Other ear, nose, mouth & throat 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2172 Open reduction nasal fx 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec 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 2182 Nasal fistula closure 03 133-134 Other ear, nose, mouth & throat

2183 Tot nasal reconstruction 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 09 579-581 skin, subcut tissue & breast Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

2184 Revision rhinoplasty 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 09 579-581 skin, subcut tissue & breast Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

2185 Augmentation rhinoplasty 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 09 579-581 skin, subcut tissue & breast Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 2186 Limited rhinoplasty 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 09 579-581 skin, subcut tissue & breast Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

2187 Rhinoplasty NEC 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 09 579-581 skin, subcut tissue & breast Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

2188 Septoplasty NEC 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 09 579-581 skin, subcut tissue & breast Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

2189 Nasal repair NEC 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 09 579-581 skin, subcut tissue & breast Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

2199 Nasal operation NEC 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 2212 Open biopsy nasal sinus 03 135-136 Sinus & mastoid

2231 Radical maxillary antrot 03 135-136 Sinus & mastoid

2239 Ext maxillary antrot NEC 03 135-136 Sinus & mastoid

2241 Frontal sinusotomy 03 135-136 Sinus & mastoid

2242 Frontal sinusectomy 03 135-136 Sinus & mastoid

2250 Sinusotomy NOS 03 135-136 Sinus & mastoid

2251 Ethmoidotomy 03 135-136 Sinus & mastoid

2252 Sphenoidotomy 03 135-136 Sinus & mastoid

2253 Multiple sinus incision 03 135-136 Sinus & mastoid

2260 Sinusectomy NOS 03 135-136 Sinus & mastoid

2261 C-luc exc max sinus les 03 135-136 Sinus & mastoid

2262 Exc max sinus lesion NEC 03 135-136 Sinus & mastoid 08 515-517 Other musculoskel & connec tissue 2263 Ethmoidectomy 03 135-136 Sinus & mastoid

2264 Sphenoidectomy 03 135-136 Sinus & mastoid

2271 Nasal sinus fistula clos 03 135-136 Sinus & mastoid

2279 Nasal sinus repair NEC 03 135-136 Sinus & mastoid APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 229 Other nasal sinus ops 03 135-136 Sinus & mastoid

242 Gingivoplasty 03 137-138 Mouth 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

244 Exc of dental les of jaw 03 137-138 Mouth

245 Alveoloplasty 03 137-138 Mouth 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2502 Open biopsy of tongue 03 137-138 Mouth

251 Destruction tongue les 03 137-138 Mouth 05 264 Other circulatory system

252 Partial glossectomy 03 137-138 Mouth

253 Complete glossectomy 03 129-130 Major head & neck

254 Radical glossectomy 03 129-130 Major head & neck

2559 Repair of tongue NEC 03 137-138 Mouth 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2594 Other glossotomy 03 137-138 Mouth

2599 Tongue operation NEC 03 137-138 Mouth

2612 Open bx saliv gland/duct 03 139 Salivary gland

2621 Salivary cyst marsupial 03 139 Salivary gland

2629 Saliv lesion excis NEC 03 139 Salivary gland

2630 Sialoadenectomy NOS 03 139 Salivary gland 16 802-804 Other blood & blood form org

2631 Partial sialoadenectomy 03 139 Salivary gland

2632 Complete sialoadenectomy 03 139 Salivary gland

2641 Suture of saliv glnd lac 03 139 Salivary gland 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2642 Salivary fistula closure 03 139 Salivary gland 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2649 Salivary repair NEC 03 139 Salivary gland 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2699 Salivary operation NEC 03 139 Salivary gland APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 270 Drain face & mouth floor 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 271 Incision of palate 03 137-138 Mouth

2721 Bony palate biopsy 03 137-138 Mouth

2722 Uvula and soft palate bx 03 137-138 Mouth

2731 Loc exc bony palate les 03 137-138 Mouth

2732 Wide exc bony palate les 03 129-130 Major head & neck

2742 Wide excision of lip les 03 137-138 Mouth 09 579-581 Other skin, subcut tissue & breast

2743 Excision of lip les NEC 03 137-138 Mouth 09 579-581 Other skin, subcut tissue & breast

2749 Excision of mouth NEC 03 137-138 Mouth 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2753 Closure of mouth fistula 03 137-138 Mouth 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2754 Repair of cleft lip 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2755 Full-thick grft to 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

2756 Skin graft to mouth NEC 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

2757 Pedicle attach to 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

2759 Mouth repair NEC 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

2761 Suture of palate lacerat 03 137-138 Mouth 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2762 Cleft palate correction 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 2763 Revis cleft palat repair 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast

2769 Oth plastic repair palat 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast

2771 Incision of uvula 03 137-138 Mouth

2772 Excision of uvula 03 137-138 Mouth

2773 Repair of uvula 03 137-138 Mouth

2779 Other uvula operations 03 137-138 Mouth

2792 Mouth incision NOS 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

2799 Oral cavity ops NEC 03 137-138 Mouth 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

280 Peritonsillar i & d 03 133-134 Other ear, nose, mouth & throat

2811 Tonsil&adenoid biopsy 03 133-134 Other ear, nose, mouth & throat

2819 Tonsil&adenoid dx op NEC 03 133-134 Other ear, nose, mouth & throat

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

283 Tonsillectomy/adenoidec 03 133-134 Other ear, nose, mouth & throat

284 Excision of tonsil tag 03 133-134 Other ear, nose, mouth & throat

285 Excision lingual tonsil 03 133-134 Other ear, nose, mouth & throat

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

287 Hemorr contrl post T & A 03 133-134 Other ear, nose, mouth & throat 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2891 Incis to remov tonsil FB 03 133-134 Other ear, nose, mouth & throat 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2892 Excis tonsil/adenoid les 03 133-134 Other ear, nose, mouth & throat

2899 Tonsil/adenoid ops NEC 03 133-134 Other ear, nose, mouth & throat

290 Pharyngotomy 03 133-134 Other ear, nose, mouth & throat 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

292 Exc branchial cleft cyst 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast

2931 Cricopharyngeal myotomy 03 133-134 Other ear, nose, mouth & throat 06 326-328 Stomach, esophageal & duodenal APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 2932 Pharyngeal diverticulec 03 133-134 Other ear, nose, mouth & throat 06 326-328 Stomach, esophageal & duodenal

2933 Pharyngectomy 03 133-134 Other ear, nose, mouth & throat 06 326-328 Stomach, esophageal & duodenal

2939 Excis/destr les phar NEC 03 133-134 Other ear, nose, mouth & throat 06 326-328 Stomach, esophageal & duodenal

294 Plastic op on pharynx 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

2951 Suture of pharyngeal lac 03 133-134 Other ear, nose, mouth & throat 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2952 Clos branch cleft fistul 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast

2953 Clos pharynx fistula NEC 03 133-134 Other ear, nose, mouth & throat 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

2954 Lysis pharyngeal adhes 03 133-134 Other ear, nose, mouth & throat

2959 Pharyngeal repair NEC 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

2992 Divis glossopharyng nerv 01 023-027 Craniotomy 03 133-134 Other ear, nose, mouth & throat

2999 Pharyngeal operation NEC 03 133-134 Other ear, nose, mouth & throat 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3001 Larynx cyst marsupializ 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system

3009 Destruct larynx les NEC 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system

301 Hemilaryngectomy 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

3021 Epiglottidectomy 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

3022 Vocal cordectomy 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 SURGICAL CATEGORY 3029 Other part laryngectomy 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 303 Complete laryngectomy 011-013 Laryngectomy

304 Radical laryngectomy 011-013 Laryngectomy

311* Temporary tracheostomy 003-004 *Tracheostomy 011-013 *Tracheostomy

3121 Mediastinal tracheostomy 003-004 Tracheostomy 011-013 Tracheostomy

3129 Other perm tracheostomy 003-004 Tracheostomy 011-013 Tracheostomy

313 Incis larynx trachea NEC 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system

3145 Opn bx larynx or trachea 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system

315 Local destruc trach les 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system

3161 Suture of laryngeal lac 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

3162 Laryngeal fistula clos 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system

3163 Laryngostomy revision 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system

3164 Laryngeal fx repair 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

3169 Other laryngeal repair 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

3171 Suture of tracheal lacer 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

3172 Closure of tracheostomy 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system 05 264 Other circulatory system 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 SURGICAL CATEGORY 3173 Trachea fistula clos NEC 03 133-134 Other ear, nose, mouth & throat 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

3174 Revision of tracheostomy 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system 05 264 Other circulatory system 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3175 Tracheal reconstruction 03 133-134 Other ear, nose, mouth & throat 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3179 Other tracheal repair 03 133-134 Other ear, nose, mouth & throat 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3191 Laryngeal nerv division 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system

3192 Lysis trach/larynx adhes 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

3198 Oth laryngeal operation 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system

3199 Other tracheal operation 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 3209 Other destruc bronc les 04 163-165 Major chest

321 Other bronchial excision 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3220 Thorac exc lung lesion 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 3221 Emphysema bleb plication 04 163-165 Major chest

3222 Lung vol reduction surg 04 163-165 Major chest

3223 Open abltn lung les/tiss 04 163-165 Major chest 17 820-822 Major procedure 17 826-828 Major procedure

3224 Perc abltn lung les/tiss 04 166-168 Other respiratory system APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 3225 Thor abltn lung les/tiss 04 163-165 Major chest 17 820-822 Major procedure 17 826-828 Major procedure

3226 Abltn lung tiss NEC/NOS 04 163-165 Major chest

3227 Brnc thrmplsty,ablt mscl 04 163-165 Major chest

3229 Destroy loc lung les NEC 04 163-165 Major chest 17 820-822 Major procedure 17 826-828 Major procedure

3230 Thorac seg lung resect 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

3239 Oth seg lung resect NOS 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

3241 Thorac lobectomy lung 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3249 Lobectomy of lung NEC 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3250 Thoracospc pneumonectomy 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3259 Other pneumonectomy NOS 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

326 Rad dissec thorac struct 04 163-165 Major chest

329 Other excision of lung 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

330 Incision of bronchus 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

331 Incision of lung 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3320 Thoracoscopc lung biopsy 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

3325 Open bronchial biopsy 04 163-165 Major chest APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 3327 Clos endoscopic lung bx 04 166-168 Other respiratory system 05 264 Other circulatory system

3328 Open lung biopsy 04 163-165 Major chest 05 264 Other circulatory system 08 515-517 Other musculoskel & connec tissue 11 673-675 Other kidney & urinary tract 17 820-822 Major procedure 17 826-828 Major procedure

3329 Bronch/lung dx proc NEC 04 166-168 Other respiratory system

3334 Thoracoplasty 04 163-165 Major chest

3339 Surg collaps of lung NEC 04 163-165 Major chest

3341 Bronchial lacerat suture 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3342 Bronchial fistula clos 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3343 Lung laceration closure 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3348 Bronchial repair NEC 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3349 Lung repair NEC 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 3350 Lung transplant NOS 007 Lung transplant

3351 Unilat lung transplant 007 Lung transplant

3352 Bilat lung transplant 007 Lung transplant

336 Comb heart/lung transpla 001-002 Heart transplant

3392 Bronchial ligation 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 3393 Puncture of lung 04 166-168 Other respiratory system

3398 Bronchial operation NEC 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3399 Lung operation NEC 04 163-165 Major chest 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 SURGICAL CATEGORY 3402 Exploratory thoracotomy 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

3403 Reopen thoracotomy site 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

3406 Thorac drain pleurl cav 04 166-168 Other respiratory system

341 Incision of mediastinum 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

3420 Thoracoscopic pleural bx 04 166-168 Other respiratory system

3421 Transpleura thoracoscopy 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

3422 Mediastinoscopy 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

3426 Open mediastinal biopsy 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

3427 Biopsy of diaphragm 04 163-165 Major chest

3428 Dx procedure thorax NEC 04 166-168 Other respiratory system

3429 Dx proc mediastinum NEC 04 166-168 Other respiratory system 05 264 Other circulatory system

343 Destruct mediastin les 04 163-165 Major chest 10 628-630 Other endocrine/nutrit/metabolic 17 820-822 Major procedure 17 826-828 Major procedure

344 Destruct chest wall les 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 SURGICAL CATEGORY 3451 Decortication of lung 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

3452 Thoracoscopc decort lung 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

3459 Other pleural excision 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

346 Scarification of pleura 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

3473 Clos thoracic fistul NEC 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3474 Pectus deformity repair 04 163-165 Major chest 08 515-517 Other musculoskel & connec tissue

3479 Other chest wall repair 04 166-168 Other respiratory system 08 515-517 Other musculoskel & connec 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

3481 Excise diaphragm lesion 04 163-165 Major chest 08 515-517 Other musculoskel & connec tissue

3482 Suture diaphragm lacerat 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3483 Close diaphragm fistula 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3484 Other diaphragm repair 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3485 Implant diaphra pacemake 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3489 Diaphragm operation NEC 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3493 Repair of pleura 04 163-165 Major chest 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 SURGICAL CATEGORY 3499 Thoracic operation NEC 04 166-168 Other respiratory system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 3500 Closed valvotomy NOS 05 237-238 Major cardiovascular

3501 Closed aortic valvotomy 05 237-238 Major cardiovascular

3502 Closed mitral valvotomy 05 237-238 Major cardiovascular

3503 Closed pulmon valvotomy 05 237-238 Major cardiovascular

3504 Closed tricusp valvotomy 05 237-238 Major cardiovascular

3505 Endovas repl aortc valve 05 216-221 Valve & other major cardiothoracic

3506 Trnsapcl rep aortc valve 05 216-221 Valve & other major cardiothoracic

3507 Endovas repl pulm valve 05 216-221 Valve & other major cardiothoracic

3508 Trnsapcl repl pulm valve 05 216-221 Valve & other major cardiothoracic

3509 Endovas repl uns hrt vlv 05 216-221 Valve & other major cardiothoracic

3510 Open valvuloplasty NOS 05 216-221 Valve & other major cardiothoracic

3511 Opn aortic valvuloplasty 05 216-221 Valve & other major cardiothoracic

3512 Opn mitral valvuloplasty 05 216-221 Valve & other major cardiothoracic

3513 Opn pulmon valvuloplasty 05 216-221 Valve & other major cardiothoracic

3514 Opn tricus valvuloplasty 05 216-221 Valve & other major cardiothoracic

3520 Opn/oth rep hrt vlv NOS 05 216-221 Valve & other major cardiothoracic

3521 Opn/oth rep aort vlv-tis 05 216-221 Valve & other major cardiothoracic

3522 Opn/oth rep aortic valve 05 216-221 Valve & other major cardiothoracic

3523 Opn/oth rep mtrl vlv-tis 05 216-221 Valve & other major cardiothoracic

3524 Opn/oth rep mitral valve 05 216-221 Valve & other major cardiothoracic

3525 Opn/oth rep pulm vlv-tis 05 216-221 Valve & other major cardiothoracic

3526 Opn/oth repl pul valve 05 216-221 Valve & other major cardiothoracic

3527 Opn/oth rep tcspd vlv-ts 05 216-221 Valve & other major cardiothoracic

3528 Opn/oth repl tcspd valve 05 216-221 Valve & other major cardiothoracic

3531 Papillary muscle ops 05 228-230 Other cardiothoracic

3532 Chordae tendineae ops 05 228-230 Other cardiothoracic

3533 Annuloplasty 05 216-221 Valve & other major cardiothoracic

3534 Infundibulectomy 05 228-230 Other cardiothoracic

3535 Trabecul carneae cord op 05 228-230 Other cardiothoracic APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 3539 Tiss adj to valv ops NEC 05 228-230 Other cardiothoracic

3542 Create septal defect 05 228-230 Other cardiothoracic

3550 Prosth rep hrt septa NOS 05 228-230 Other cardiothoracic

3551 Pros rep atrial def-opn 05 228-230 Other cardiothoracic

3552 Pros repair atria def-cl 05 250-251 Percutaneous cardiovascular

3553 Pros rep ventric def-opn 05 228-230 Other cardiothoracic

3554 Pros rep endocar cushion 05 228-230 Other cardiothoracic

3555 Pros rep ventrc def-clos 05 228-230 Other cardiothoracic

3560 Grft repair hrt sept NOS 05 228-230 Other cardiothoracic

3561 Graft repair atrial def 05 228-230 Other cardiothoracic

3562 Graft repair ventric def 05 228-230 Other cardiothoracic

3563 Grft rep endocar cushion 05 228-230 Other cardiothoracic

3570 Heart septa repair NOS 05 228-230 Other cardiothoracic

3571 Atria septa def rep NEC 05 228-230 Other cardiothoracic

3572 Ventr septa def rep NEC 05 228-230 Other cardiothoracic

3573 Endocar cushion rep NEC 05 228-230 Other cardiothoracic

3581 Tot repair tetral fallot 05 228-230 Other cardiothoracic

3582 Total repair of tapvc 05 228-230 Other cardiothoracic

3583 Tot rep truncus arterios 05 228-230 Other cardiothoracic

3584 Tot cor transpos grt ves 05 228-230 Other cardiothoracic

3591 Interat ven retrn transp 05 228-230 Other cardiothoracic

3592 Conduit rt vent-pul art 05 228-230 Other cardiothoracic

3593 Conduit left ventr-aorta 05 228-230 Other cardiothoracic

3594 Conduit artium-pulm art 05 228-230 Other cardiothoracic

3595 Heart repair revision 05 228-230 Other cardiothoracic

3596 Perc balloon valvuplasty 05 231-232 PTCA 05 246-251 Percutaneous cardiovascular

3597 Perc mtrl vlv repr w imp 05 231-232 PTCA 05 246-251 Percutaneous cardiovascular

3598 Other heart septa ops 05 228-230 Other cardiothoracic

3599 Other heart valve ops 05 228-230 Other cardiothoracic

3603 Open coronry angioplasty 05 228-230 Other cardiothoracic APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 05 248-249 *Insert non-drug-eluting stent 3606* Ins nondrug elut cor st 3607* Ins drug-elut coronry st 05 246-247 *Insert drug-eluting stent 3609 Rem of cor art obstr NEC 05 246-251 Percutaneous cardiovascular

3610 Aortocoronary bypass NOS 05 231-236 Coronary bypass

3611 Aortocor bypas-1 cor art 05 231-236 Coronary bypass

3614 Aortcor bypas-4+ cor art 05 231-236 Coronary bypass

3615 1 int mam-cor art bypass 05 231-236 Coronary bypass

3616 2 int mam-cor art bypass 05 231-236 Coronary bypass

3617 Abd-coron artery bypass 05 231-236 Coronary bypass

3619 Hrt revas byps anas NEC 05 231-236 Coronary bypass

362 Arterial implant revasc 05 228-230 Other cardiothoracic

3631 Open chest trans revasc 05 228-230 Other cardiothoracic

3632 Oth transmyo revascular 05 228-230 Other cardiothoracic

3633 Endo transmyo revascular 05 228-230 Other cardiothoracic

3634 Perc transmyo revascular 05 228-230 Other cardiothoracic

3639 Oth heart revascular 05 228-230 Other cardiothoracic

3691 Coron vess aneurysm rep 05 228-230 Other cardiothoracic

3699 Heart vessel op NEC 05 228-230 Other cardiothoracic

3710 Incision of heart NOS 05 228-230 Other cardiothoracic

3711 Cardiotomy 05 228-230 Other cardiothoracic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3712 Pericardiotomy 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

3721* Rt heart cardiac cath 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 SURGICAL CATEGORY 3722* Left heart cardiac cath 05 216-218 *Cardiac catheter 05 222-225 *Cardiac catheter 05 233-234 *Cardiac catheter 05 286-287 *Cardiac catheter

3723* Rt/left heart card cath 05 216-218 *Cardiac catheter 05 222-225 *Cardiac catheter 05 233-234 *Cardiac catheter 05 286-287 *Cardiac catheter

3724 Pericardial biopsy 04 163-165 Major chest 05 237-238 Major cardiovascular 17 820-822 Major procedure 17 826-828 Major procedure

3726* Cath base invasv ep test 05 216-218 *Cardiac catheter 05 246-251 *Percutaneous cardiovascular 3727* Cardiac mapping 05 246-251 *Percutaneous cardiovascular

3731 Pericardiectomy 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 3732 Heart aneurysm excision 05 228-230 Other cardiothoracic

3733 Exc/dest hrt lesion open 05 228-230 Other cardiothoracic

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

3735 Partial ventriculectomy 05 228-230 Other cardiothoracic

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

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

3741 Impl cardiac support dev 05 237-238 Major cardiovascular

3749 Heart/pericard repr NEC 05 237-238 Major cardiovascular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 3751 Heart transplantation 001-002 Heart transplant

3752 Imp tot int bi ht rp sys 001-002 Heart transplant

3753 Repl/rep thr unt tot hrt 05 215 Other heart assist system implant

3754 Repl/rep oth tot hrt sys 05 215 Other heart assist system implant

3755 Rem int bivent hrt sys 05 237-238 Major cardiovascular

3760 Imp bivn ext hrt ast sys 001-002 Implant of heart assist system 05 215 Other heart assist system implant

3761 Pulsation balloon implan 05 237-238 Major cardiovascular

3762 Insrt non-impl circ dev 05 215 Other heart assist system implant APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 3763 Repair heart assist sys 001-002 Implant of heart assist system 05 215 Other heart assist system implant

3764 Remve ext hrt assist sys 001-002 Removal of heart assist system 05 237-238 Major cardiovascular

3765 Imp vent ext hrt ast sys 001-002 Implant of heart assist system 05 215 Other heart assist system implant

3766 Implantable hrt assist 001-002 Heart transplant

3767 Imp cardiomyostimul sys 05 237-238 Major cardiovascular

3768 Percutan hrt assist syst 05 216-221 Valve & other major cardiothoracic

3770* Int insert pacemak lead 01 See Pacemaker Reference Table 05 See Lead/Generator Reference Table 05 See Pacemaker Reference Table 21 See Pacemaker Reference Table

3771* Int insert lead in vent 01 See Pacemaker Reference Table 05 See Lead/Generator Reference Table 05 See Pacemaker Reference Table 21 See Pacemaker Reference Table

3772* Int inser lead atri-vent 01 See Pacemaker Reference Table 05 See Lead/Generator Reference Table 05 See Pacemaker Reference Table 21 See Pacemaker Reference Table

3773* Int inser lead in atrium 01 See Pacemaker Reference Table 05 See Lead/Generator Reference Table 05 See Pacemaker Reference Table 21 See Pacemaker Reference Table

3774 Int or repl lead epicar 01 040-042 Periph/cranial nerve & other 01 See Pacemaker Reference Table 05 See Lead/Generator Reference Table 05 260-262 Pacemaker revis exc device replace See 05 Pacemaker Reference Table 21 907-909 Other procs for injuries 21 See Pacemaker Reference Table 24 957-959 Other procs for mult signif trauma

3775 Revision of lead 01 040-042 Periph/cranial nerve & other 05 260-262 Pacemaker revis exc device replace 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3776 Repl tv atri-vent lead 01 040-042 Periph/cranial nerve & other 01 See Pacemaker Reference Table 05 See Lead/Generator Reference Table 05 260-262 Pacemaker revis exc device replace See 05 Pacemaker Reference Table 21 907-909 Other procs for injuries 21 See Pacemaker Reference Table 24 957-959 Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 3777 Removal of lead w/o repl 01 040-042 Periph/cranial nerve & other 05 260-262 Pacemaker revis exc device replace 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3779 Rev/reloc card dev pockt 01 040-042 Periph/cranial nerve & other 05 260-262 Pacemaker revis exc device replace 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3780 Int or repl perm pacemkr 01 040-042 Periph/cranial nerve & other 01 See Pacemaker Reference Table 05 258-259 Pacemaker device replacement 05 See Pacemaker Reference Table 21 907-909 Other procs for injuries 21 See Pacemaker Reference Table 24 957-959 Other procs for mult signif trauma

3781* Int insert 1-cham, non 01 See Pacemaker Reference Table 05 See Pacemaker Reference Table 21 See Pacemaker Reference Table

3782* Int insert 1-cham, rate 01 See Pacemaker Reference Table 05 See Pacemaker Reference Table 21 See Pacemaker Reference Table

3783* Int insert dual-cham dev 01 See Pacemaker Reference Table 05 See Pacemaker Reference Table 21 See Pacemaker Reference Table

3785 Repl pacem w 1-cham, non 01 040-042 Periph/cranial nerve & other 01 See Pacemaker Reference Table 05 258-259 Pacemaker device replacement 05 See Pacemaker Reference Table 21 907-909 Other procs for injuries 21 See Pacemaker Reference Table 24 957-959 Other procs for mult signif trauma

3786 Repl pacem 1-cham, rate 01 040-042 Periph/cranial nerve & other 01 See Pacemaker Reference Table 05 258-259 Pacemaker device replacement 05 See Pacemaker Reference Table 21 907-909 Other procs for injuries 21 See Pacemaker Reference Table 24 957-959 Other procs for mult signif trauma

3787 Repl pacem w dual-cham 01 040-042 Periph/cranial nerve & other 01 See Pacemaker Reference Table 05 258-259 Pacemaker device replacement 05 See Pacemaker Reference Table 21 907-909 Other procs for injuries 21 See Pacemaker Reference Table 24 957-959 Other procs for mult signif trauma

3789 Revise or remove pacemak 01 040-042 Periph/cranial nerve & other 05 260-262 Pacemaker revis exc device replace 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 3790* Ins left atr append dev 05 250-251 *Percutaneous cardiovascular APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 3791 Opn chest cardiac massag 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 3794 Implt/repl carddefib tot 05 222-227 Cardiac defibrillator implant

3795 Implt cardiodefib leads 05 See Lead/Generator Reference Table

3796 Implt cardiodefib genatr 05 245 AICD generator 05 See Lead/Generator Reference Table 3797 Repl cardiodefib leads 05 See Lead/Generator Reference Table

3798 Repl cardiodefib genratr 05 245 AICD generator 05 See Lead/Generator Reference Table 3799 Other heart/pericard ops 05 237-238 Major cardiovascular

3800 Incision of vessel NOS 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

3801 Intracran vessel incis 01 020-022 Intracranial vascular 01 023-027 Craniotomy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3802 Head/neck ves incis NEC 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 05 252-254 vascular 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3803 Upper limb vessel incis 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

3804 Incision of aorta 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

3805 Thoracic vessel inc NEC 04 163-165 Major chest 05 237-238 Major cardiovascular 06 326-328 Stomach, esophageal & duodenal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3806 Abdomen artery incision 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 3807 Abdominal vein incision 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

3808 Lower limb artery incis 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

3809 Lower limb vein incision 05 263 Vein ligation & stripping 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3810 Endarterectomy NOS 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

3811 Intracran endarterectomy 01 020-022 Intracranial vascular 01 023-027 Craniotomy

3812 Head & neck endarter NEC 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

3813 Upper limb endarterectom 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

3814 Endarterectomy of aorta 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

3815 Thoracic endarterectomy 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

3816 Abdominal endarterectomy 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

3818 Lower limb endarterect 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 SURGICAL CATEGORY 3821 Blood vessel biopsy 01 040-042 Periph/cranial nerve & other 02 115 Extraocular except orbital 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system 05 252-254 Other vascular 08 515-517 Other musculoskel & connec tissue 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract

3826 Insrt prsr snsr w/o lead 05 264 Other circulatory system

3829 Blood vessel dx proc NEC 05 252-254 Other vascular 10 628-630 Other endocrine/nutrit/metabolic

3830 Vessel resect/anast NOS 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

3831 Intracran ves resec-anas 01 020-022 Intracranial vascular 01 023-027 Craniotomy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3832 Head/neck ves resec-anas 01 037-039 Extracranial 03 133-134 Other ear, nose, mouth & throat 05 252-254 Other vascular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3833 Arm vessel resect/anast 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

3834 Aorta resection & anast 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

3835 Thor vessel resect/anast 04 163-165 Major chest 05 237-238 Major cardiovascular 06 326-328 Stomach, esophageal & duodenal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3836 Abd vessel resect/anast 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

3837 Abd vein resect & anast 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 3838 Leg artery resect/anast 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

3839 Leg vein resect/anastom 05 263 Vein ligation & stripping 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3840 Vessel resect/replac NOS 05 252-254 Other vascular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3841 Intracran ves resec-repl 01 020-022 Intracranial vascular 01 023-027 Craniotomy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3842 Head/neck ves resec-repl 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 05 252-254 vascular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3843 Arm ves resect w replace 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

3844 Resect abdm aorta w repl 05 237-238 Major cardiovascular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3845 Resect thorac ves w repl 04 163-165 Major chest 05 216-221 Valve & other major cardiothoracic 06 326-328 Stomach, esophageal & duodenal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3846 Abd artery resec w repla 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

3847 Abd vein resect w replac 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

3848 Leg artery resec w repla 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

3849 Leg vein resect w replac 05 263 Vein ligation & stripping 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 3850 Varicose v lig-strip NOS 05 263 Vein ligation & stripping APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 3851 Intcran var v lig-strip 01 020-022 Intracranial vascular 01 023-027 Craniotomy

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

3853 Arm varicose v lig-strip 05 263 Vein ligation & stripping

3855 Thorac var v lig-strip 04 163-165 Major chest 05 237-238 Major cardiovascular 10 628-630 Other endocrine/nutrit/metabolic

3857 Abd varicos v liga-strip 05 252-254 Other vascular 06 356-358 Other digestive system 3859 Leg varicos v liga-strip 05 263 Vein ligation & stripping

3860 Excision of vessel NOS 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

3861 Intracran vessel excis 01 020-022 Intracranial vascular 01 023-027 Craniotomy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3862 Head/neck vessel excis 01 037-039 Extracranial 03 133-134 Other ear, nose, mouth & throat 05 252-254 Other vascular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3863 Arm vessel excision 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

3864 Excision of aorta 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

3865 Thoracic vessel excision 04 163-165 Major chest 05 237-238 Major cardiovascular 06 326-328 Stomach, esophageal & duodenal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3866 Abdominal artery excis 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

3867 Abdominal vein excision 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 3868 Leg artery excision 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

3869 Leg vein excision 05 263 Vein ligation & stripping 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

387 Interruption vena cava 01 040-042 Periph/cranial nerve & other 04 166-168 Other respiratory system 05 252-254 Other vascular 06 356-358 Other digestive system 07 423-425 Other hepatobiliary or pancreas 08 515-517 Other musculoskel & connec tissue 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 13 749-750 Other female reproductive system 14 768 Delivery except steril &/or D&C 16 802-804 Other blood & blood form org 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3880 Surg vessel occlus NEC 05 252-254 Other vascular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3881 Occlus intracran ves NEC 01 020-022 Intracranial vascular 01 023-027 Craniotomy 21 907-909 Other procs for injuries 24 955 Craniotomy for mult signif trauma

3882 Occlus head/neck ves NEC 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 05 252-254 vascular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3883 Occlude arm vessel NEC 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

3884 Occlude aorta NEC 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

3885 Occlude thoracic ves NEC 04 163-165 Major chest 05 237-238 Major cardiovascular 06 326-328 Stomach, esophageal & duodenal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3886 Occlude abd artery NEC 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 3887 Occlude abd vein NEC 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

3888 Occlude leg artery NEC 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

3889 Occlude leg vein NEC 05 263 Vein ligation & stripping 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 390 Systemic-pulm art shunt 05 237-238 Major cardiovascular

391 Intra-abd venous shunt 05 237-238 Major cardiovascular 06 326-328 Stomach, esophageal & duodenal 07 405-407 Pancreas, liver and shunt

3921 Caval-pulmon art anastom 05 237-238 Major cardiovascular

3922 Aorta-subclv-carot bypas 01 037-039 Extracranial 05 237-238 Major cardiovascular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3923 Intrathoracic shunt NEC 05 237-238 Major cardiovascular 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3924 Aorta-renal bypass 05 237-238 Major cardiovascular 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3925 Aorta-iliac-femor bypass 05 237-238 Major cardiovascular 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

3926 Intra-abdomin shunt NEC 05 237-238 Major cardiovascular 06 356-358 Other digestive system 07 423-425 Other hepatobiliary or pancreas 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3927 Dialysis arteriovenostom 05 264 Other circulatory system 06 356-358 Other digestive system 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3928 Extracran-intracr bypass 01 020-022 Intracranial vascular 01 023-027 Craniotomy 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 SURGICAL CATEGORY 3929 Vasc shunt & bypass NEC 01 037-039 Extracranial 04 166-168 Other respiratory system 05 252-254 Other vascular 07 423-425 Other hepatobiliary or pancreas 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

3930 Suture of vessel NOS 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

3931 Suture of artery 01 037-039 Extracranial 04 166-168 Other respiratory system 05 252-254 Other vascular 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

3932 Suture of vein 01 037-039 Extracranial 05 263 Vein ligation & stripping 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3941 Postop vasc op hem contr 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

3942 Revis ren dialysis shunt 05 264 Other circulatory system 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

3943 Remov ren dialysis shunt 05 264 Other circulatory system 11 673-675 Other kidney & urinary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3949 Vasc proc revision NEC 05 252-254 Other vascular 06 356-358 Other digestive system 07 423-425 Other hepatobiliary or pancreas 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 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 SURGICAL CATEGORY 3950 Angio oth non-coronary 01 037-039 Extracranial 04 166-168 Other respiratory system 05 252-254 Other vascular 06 356-358 Other digestive system 07 423-425 Other hepatobiliary or pancreas 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3951 Clipping of aneurysm 01 020-022 Intracranial vascular 01 023-027 Craniotomy 05 252-254 Other vascular

3952 Aneurysm repair NEC 01 020-022 Intracranial vascular 01 023-027 Craniotomy 05 237-238 Major cardiovascular 11 673-675 Other kidney & urinary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3953 Arterioven fistula rep 01 020-022 Intracranial vascular 01 023-027 Craniotomy 05 252-254 Other vascular

3954 Re-entry operation 04 163-165 Major chest 05 237-238 Major cardiovascular

3955 Reimplan aberr renal ves 05 252-254 Other vascular 11 656-661 Kidney & ureter

3956 Repair vess w tis patch 01 037-039 Extracranial 05 252-254 Other vascular 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3957 Rep vess w synth patch 01 037-039 Extracranial 05 252-254 Other vascular 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3958 Repair vess w patch NOS 01 037-039 Extracranial 05 252-254 Other vascular 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3959 Repair of vessel NEC 01 037-039 Extracranial 05 252-254 Other vascular 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 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 SURGICAL CATEGORY 3965 Extracorporeal memb oxy 003 ECMO

3971 Endo imp oth grf abd aor 05 237-238 Major cardiovascular 11 673-675 Other kidney & urinary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3972 Endovasc embol hd/nk ves 01 020-022 Intracranial vascular 01 023-027 Craniotomy 05 237-238 Major cardiovascular 11 673-675 Other kidney & urinary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3973 Endo imp grft thor aorta 05 216-221 Valve & other major cardiothoracic 11 673-675 Other kidney & urinary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3974 Endo rem obs hd/neck ves 01 023-027 Craniotomy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3975 Endo emb hd/nk,bare coil 01 020-022 Intracranial vascular 01 023-027 Craniotomy 05 237-238 Major cardiovascular 11 673-675 Other kidney & urinary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3976 Endo em hd/nk,bioac coil 01 020-022 Intracranial vascular 01 023-027 Craniotomy 05 237-238 Major cardiovascular 11 673-675 Other kidney & urinary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3977 Temp endovsc occls vessl 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

3978 Endovas impln grft aorta 05 237-238 Major cardiovascular 24 957-959 Other procs for mult signif trauma

3979 Oth endo proc oth vessel 01 020-022 Intracranial vascular 01 023-027 Craniotomy 05 237-238 Major cardiovascular 11 673-675 Other kidney & urinary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 3981 Imp crtd sinus stm,totl 05 252-254 Other vascular

3982 Imp/rep crtd sinus lead 05 252-254 Other vascular

3983 Imp/rep crtd sinus gnrtr 05 252-254 Other vascular

3984 Rev crtd sinus stm leads 05 252-254 Other vascular

3985 Rev crtd sinus pulse gen 05 252-254 Other vascular APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 3986 Rem crtd sinus stm, totl 05 252-254 Other vascular

3987 Rem crtd sinus stm lead 05 252-254 Other vascular

3988 Rem crtd sinus pulse gen 05 252-254 Other vascular

3989 Oth cartd body/sinus op 05 252-254 Other vascular

3991 Freeing of vessel 05 252-254 Other vascular 06 356-358 Other digestive system 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

3992 Vein inject-scleros agnt 01 037-039 Extracranial 05 263 Vein ligation & stripping

3993 Insert ves-to-ves cannul 05 264 Other circulatory system 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

3994 Replac ves-to-ves cannul 05 252-254 Other vascular 11 673-675 Other kidney & urinary tract

3998 Hemorrhage control NOS 03 133-134 Other ear, nose, mouth & throat 04 163-165 Major chest 05 264 Other circulatory system 06 356-358 Other digestive system 07 423-425 Other hepatobiliary or pancreas 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 13 749-750 Other female reproductive system 14 768 Delivery except steril &/or D&C 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

3999 Vessel operation NEC 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system 05 252-254 Other vascular 06 356-358 Other digestive system 14 768 Delivery except steril &/or D&C 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

400 Incis lymphatic structur 09 579-581 Other skin, subcut tissue & breast 16 802-804 Other blood & blood form org APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 4011 Lymphatic struct biopsy 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 04 166-168 respiratory system 05 264 Other circulatory system 06 356-358 Other digestive system 07 423-425 Other hepatobiliary or pancreas 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 13 749-750 Other female reproductive system 16 802-804 Other blood & blood form org

4019 Lymphatic diag proc NEC 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system 05 264 Other circulatory system 06 356-358 Other digestive system 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 16 802-804 Other blood & blood form org

4021 Excis deep cervical node 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system 05 264 Other circulatory system 06 356-358 Other digestive system 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 16 802-804 Other blood & blood form org

4022 Excise int mammary node 04 163-165 Major chest 09 579-581 Other skin, subcut tissue & breast 16 802-804 Other blood & blood form org

4023 Excise axillary node 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system 05 264 Other circulatory system 06 356-358 Other digestive system 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 16 802-804 Other blood & blood form org

4024 Excise inguinal node 04 166-168 Other respiratory system 05 264 Other circulatory system 06 356-358 Other digestive system 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 13 749-750 Other female reproductive system 14 768 Delivery except steril &/or D&C 16 802-804 Other blood & blood form org APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 4029 Simp exc lymph struc NEC 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system 05 264 Other circulatory system 06 356-358 Other digestive system 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 13 749-750 Other female reproductive system 16 802-804 Other blood & blood form org 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

403 Regional lymph node exc 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system 05 264 Other circulatory system 06 356-358 Other digestive system 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 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

4040 Rad neck dissection NOS 03 129-130 Major head & neck 04 166-168 Other respiratory system 09 579-581 Other skin, subcut tissue & breast 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

4041 Unilat rad neck dissect 03 129-130 Major head & neck 04 166-168 Other respiratory system 09 579-581 Other skin, subcut tissue & breast 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

4042 Bilat rad neck dissect 03 129-130 Major head & neck 04 166-168 Other respiratory system 09 579-581 Other skin, subcut tissue & breast 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 4050 Rad node dissection NOS 03 129-130 Major head & neck 04 166-168 Other respiratory system 06 356-358 Other digestive system 09 579-581 Other skin, subcut tissue & breast 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 13 734-735 Pelv evisc, rad hyst & vulvectomy 16 802-804 Other blood & blood form org 17 820-822 Major procedure 17 826-828 Major procedure

4051 Rad dissec axillary node 06 356-358 Other digestive system 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 16 802-804 Other blood & blood form org 17 820-822 Major procedure 17 826-828 Major procedure

4052 Rad dissec periaort node 04 163-165 Major chest 06 356-358 Other digestive system 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 656-661 Kidney & ureter 12 707-708 Major pelvic 13 734-735 Pelv evisc, rad hyst & vulvectomy 16 802-804 Other blood & blood form org 17 820-822 Major procedure 17 826-828 Major procedure

4053 Rad dissect iliac nodes 06 356-358 Other digestive system 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 656-661 Kidney & ureter 12 707-708 Major pelvic 13 734-735 Pelv evisc, rad hyst & vulvectomy 16 802-804 Other blood & blood form org 17 820-822 Major procedure 17 826-828 Major procedure

4054 Radical groin dissection 06 356-358 Other digestive system 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 11 656-661 Kidney & ureter 12 707-708 Major pelvic 13 734-735 Pelv evisc, rad hyst & vulvectomy 16 802-804 Other blood & blood form org 17 820-822 Major procedure 17 826-828 Major procedure APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 4059 Rad node dissection NEC 03 129-130 Major head & neck 04 166-168 Other respiratory system 06 356-358 Other digestive system 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 11 656-661 Kidney & ureter 12 707-708 Major pelvic 13 734-735 Pelv evisc, rad hyst & vulvectomy 16 802-804 Other blood & blood form org 17 820-822 Major procedure 17 826-828 Major procedure

4061 Thorac duct cannulation 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4062 Thoracic duct fistulizat 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4063 Close thoracic duct fist 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4064 Ligate thoracic duct 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4069 Thoracic duct op NEC 04 163-165 Major chest 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

409 Lymph structure op NEC 03 133-134 Other ear, nose, mouth & throat 06 356-358 Other digestive system 09 579-581 Other skin, subcut tissue & breast 11 673-675 Other kidney & urinary tract 12 715-718 Other male 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 4100 Bone marrow trnsplnt NOS 016-017 Autologous Bone Marrow Transplant 4101 Auto bone mt w/o purg 016-017 Autologous Bone Marrow Transplant 4102 Alo bone marrow trnsplnt 014 Allogeneic Bone Marrow Transplant

4103 Allogrft bone marrow NOS 014 Allogeneic Bone Marrow Transplant

4104 Auto hem stem ct w/o pur 016-017 Autologous Bone Marrow Transplant

4105 Allo hem stem ct w/o pur 014 Allogeneic Bone Marrow Transplant

4106 Cord bld stem cell trans 014 Allogeneic Bone Marrow Transplant

4107 Auto hem stem ct w purg 016-017 Autologous Bone Marrow Transplant

4108 Allo hem stem ct w purg 014 Allogeneic Bone Marrow Transplant APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 4109 Auto bone mt w purging 016-017 Autologous Bone Marrow Transplant

412 Splenotomy 16 799-801 Splenectomy 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

4133 Open spleen biopsy 16 799-801 Splenectomy 17 820-822 Major procedure 17 826-828 Major procedure

4141 Splenic cyst marsupial 16 799-801 Splenectomy 17 820-822 Major procedure 17 826-828 Major procedure

4142 Exc splenic lesion/tiss 16 799-801 Splenectomy 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

4143 Partial splenectomy 08 515-517 Other musculoskel & connec tissue 16 799-801 Splenectomy 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

415 Total splenectomy 05 264 Other circulatory system 06 356-358 Other digestive system 08 515-517 Other musculoskel & connec tissue 16 799-801 Splenectomy 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

4193 Exc of accessory spleen 16 799-801 Splenectomy 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

4194 Spleen transplantation 16 799-801 Splenectomy 17 820-822 Major procedure 17 826-828 Major procedure

4195 Repair of spleen 16 799-801 Splenectomy 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

4199 Spleen operation NEC 16 799-801 Splenectomy 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 SURGICAL CATEGORY 4201 Esophageal web incision 03 133-134 Other ear, nose, mouth & throat 06 326-328 Stomach, esophageal & duodenal

4209 Esophageal incision NEC 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

4210 Esophagostomy NOS 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

4211 Cervical esophagostomy 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

4212 Esoph pouch exteriorizat 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

4219 Ext fistulizat esoph NEC 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

4221 Esophagoscopy by incis 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

4225 Open biopsy of esophagus 03 133-134 Other ear, nose, mouth & throat 06 326-328 Stomach, esophageal & duodenal 17 820-822 Major procedure 17 826-828 Major procedure

4231 Loc excis esoph divertic 03 133-134 Other ear, nose, mouth & throat 06 326-328 Stomach, esophageal & duodenal

4232 Local excis esophag NEC 03 133-134 Other ear, nose, mouth & throat 06 326-328 Stomach, esophageal & duodenal 17 820-822 Major procedure 17 826-828 Major procedure

4239 Destruct esophag les NEC 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 MDC MS-DRG SURGICAL CATEGORY 4240 Esophagectomy NOS 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

4241 Partial esophagectomy 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

4242 Total esophagectomy 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

4251 Thorac esophagoesophagos 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

4252 Thorac esophagogastrost 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

4253 Thorac sm bowel interpos 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

4254 Thorac esophagoenter NEC 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

4255 Thorac lg bowel interpos 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 SURGICAL CATEGORY 4256 Thorac esophagocolos NEC 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

4258 Thorac interposition NEC 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

4259 Thorac esophag anast NEC 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

4261 Stern esophagoesophagost 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

4262 Stern esophagogastrostom 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

4263 Stern sm bowel interpos 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

4264 Stern esophagoenter NEC 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

4265 Stern lg bowel interpos 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 SURGICAL CATEGORY 4266 Stern esophagocolos NEC 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

4268 Stern interposition NEC 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

4269 Stern esophag anast NEC 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

427 Esophagomyotomy 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

4282 Suture esophageal lacer 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

4283 Esophagostomy closure 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

4284 Esoph fistula repair NEC 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

4285 Esophag stricture repair 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

4286 Prod subq tunnel no anas 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 SURGICAL CATEGORY 4287 Esophageal graft NEC 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

4289 Esophageal repair NEC 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

4291 Ligation esoph varix 06 326-328 Stomach, esophageal & duodenal 07 423-425 Other hepatobiliary or pancreas

430 Gastrotomy 06 326-328 Stomach, esophageal & duodenal 07 423-425 Other hepatobiliary or pancreas 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 433 Pyloromyotomy 06 326-328 Stomach, esophageal & duodenal

4342 Local gastr excision NEC 06 326-328 Stomach, esophageal & duodenal 07 423-425 Other hepatobiliary or pancreas 10 628-630 Other endocrine/nutrit/metabolic

4349 Local gastr destruct NEC 06 326-328 Stomach, esophageal & duodenal

435 Proximal gastrectomy 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

436 Distal gastrectomy 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

437 Part gastrec w jej anast 05 264 Other circulatory system 06 326-328 Stomach, esophageal & duodenal 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

4381 Part gast w jej transpos 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 SURGICAL CATEGORY 4382 Lap vertical gastrectomy 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

4389 Opn/oth part gastrectomy 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

4391 Tot gast w intes interpo 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

4399 Total gastrectomy NEC 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

4400 Vagotomy NOS 01 040-042 Periph/cranial nerve & other 06 326-328 Stomach, esophageal & duodenal

4401 Truncal vagotomy 06 326-328 Stomach, esophageal & duodenal

4402 Highly select vagotomy 06 326-328 Stomach, esophageal & duodenal

4403 Selective vagotomy NEC 06 326-328 Stomach, esophageal & duodenal

4411 Transabdomin gastroscopy 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

4415 Open gastric biopsy 06 326-328 Stomach, esophageal & duodenal

4421 Dilate pylorus, incision 06 326-328 Stomach, esophageal & duodenal

4429 Other pyloroplasty 06 326-328 Stomach, esophageal & duodenal

4431 High gastric bypass 06 326-328 Stomach, esophageal & duodenal 10 619-621 Procs for obesity 17 820-822 Major procedure 17 826-828 Major procedure

4432 Percu gastrojejunostomy 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 SURGICAL CATEGORY 4438 Lap gastroenterostomy 05 264 Other circulatory system 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

4439 Gastroenterostomy NEC 05 264 Other circulatory system 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

4440 Suture peptic ulcer NOS 06 326-328 Stomach, esophageal & duodenal

4441 Sut gastric ulcer site 06 326-328 Stomach, esophageal & duodenal

4442 Suture duoden ulcer site 06 326-328 Stomach, esophageal & duodenal

445 Revision gastric anastom 06 326-328 Stomach, esophageal & duodenal 10 619-621 Procs for obesity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4461 Suture gastric lacerat 06 326-328 Stomach, esophageal & duodenal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4463 Close gastric fistul NEC 06 326-328 Stomach, esophageal & duodenal 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

4464 Gastropexy 06 326-328 Stomach, esophageal & duodenal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4465 Esophagogastroplasty 06 326-328 Stomach, esophageal & duodenal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4466 Creat esophagastr sphinc 06 326-328 Stomach, esophageal & duodenal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4467 Lap creat esoph sphinct 06 326-328 Stomach, esophageal & duodenal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4468 Laparoscop gastroplasty 06 326-328 Stomach, esophageal & duodenal 10 619-621 Procs for obesity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4469 Gastric repair NEC 06 326-328 Stomach, esophageal & duodenal 10 619-621 Procs for obesity 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 SURGICAL CATEGORY 4491 Ligate gastric varices 06 326-328 Stomach, esophageal & duodenal 07 423-425 Other hepatobiliary or pancreas

4492 Intraop gastric manipul 06 326-328 Stomach, esophageal & duodenal 07 423-425 Other hepatobiliary or pancreas 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 4495 Lap gastric restric proc 10 619-621 Procs for obesity

4496 Lap rev gast restri proc 10 619-621 Procs for obesity

4497 Lap rem gast restric dev 10 619-621 Procs for obesity

4498 Adjust gast restrict dev 10 619-621 Procs for obesity

4499 Gastric operation NEC 06 326-328 Stomach, esophageal & duodenal 10 619-621 Procs for obesity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4500 Intestinal incision NOS 06 344-346 Minor small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4501 Duodenal incision 06 326-328 Stomach, esophageal & duodenal 07 423-425 Other hepatobiliary or pancreas 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4502 Small bowel incision NEC 06 344-346 Minor 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

4503 Large bowel incision 06 344-346 Minor 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

4511 Transab sm bowel endosc 06 344-346 Minor 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 4515 Open small bowel biopsy 06 344-346 Minor small & large bowel

4521 Transab lg bowel endosc 06 344-346 Minor small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 4526 Open large bowel biopsy 06 344-346 Minor small & large bowel

4531 Oth excise duodenum les 06 326-328 Stomach, esophageal & duodenal 07 423-425 Other hepatobiliary or pancreas 17 820-822 Major procedure 17 826-828 Major procedure APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 4532 Destruct duoden les NEC 06 326-328 Stomach, esophageal & duodenal 07 423-425 Other hepatobiliary or pancreas 17 820-822 Major procedure 17 826-828 Major procedure

4533 Local excis sm bowel NEC 06 347-349 Anal and stomal 17 820-822 Major procedure 17 826-828 Major procedure

4534 Destr sm bowel les NEC 06 344-346 Minor small & large bowel 17 820-822 Major procedure 17 826-828 Major procedure

4541 Excise lg intestine les 06 347-349 Anal and stomal 10 628-630 Other endocrine/nutrit/metabolic 17 820-822 Major procedure 17 826-828 Major procedure

4549 Destruc lg bowel les NEC 06 344-346 Minor small & large bowel 17 820-822 Major procedure 17 826-828 Major procedure

4550 Intest seg isolat NOS 06 329-331 Major small & large bowel 17 820-822 Major procedure 17 826-828 Major procedure

4551 Sm bowel segment isolat 06 329-331 Major small & large bowel

4552 Lg bowel segment isolat 06 329-331 Major small & large bowel

4561 Mult seg sm bowel excis 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

4562 Part sm bowel resect NEC 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

4563 Total removal sm bowel 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

4571 Opn mul seg lg intes NEC 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

4572 Open cecectomy NEC 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 MDC MS-DRG SURGICAL CATEGORY 4573 Opn rt hemicolectomy NEC 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

4574 Opn transv colon res NEC 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

4575 Opn lft hemicolectmy NEC 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

4576 Open sigmoidectomy NEC 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

4579 Prt lg intes exc NEC/NOS 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

4581 Lap tot intr-ab colectmy 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

4582 Op tot intr-abd colectmy 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

4583 Tot abd colectmy NEC/NOS 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 MDC MS-DRG SURGICAL CATEGORY 4590 Intestinal anastom NOS 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

4591 Sm-to-sm bowel anastom 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

4592 Sm bowel-rect stump anas 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

4593 Small-to-large bowel NEC 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

4594 Lg-to-lg bowel anastom 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

4595 Anal anastomosis 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

4601 Sm bowel exteriorization 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

4602 Resect ext seg sm bowel 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

4603 Lg bowel exteriorization 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 MDC MS-DRG SURGICAL CATEGORY 4604 Resect ext seg lg bowel 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

4610 Colostomy NOS 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

4611 Temporary colostomy 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

4613 Permanent colostomy 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

4620 Ileostomy NOS 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

4621 Temporary ileostomy 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

4622 Continent ileostomy 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

4623 Permanent ileostomy NEC 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

4640 Intest stoma revis NOS 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

4641 Sm bowel stoma revision 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 SURGICAL CATEGORY 4642 Pericolost hernia repair 06 347-349 Anal and stomal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4643 Lg bowel stoma revis NEC 06 347-349 Anal and stomal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4650 Intest stoma closure NOS 06 344-346 Minor small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4651 Sm bowel stoma closure 06 344-346 Minor small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4652 Lg bowel stoma closure 06 344-346 Minor small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 4660 Intestinal fixation NOS 06 344-346 Minor small & large bowel

4661 Sm bowel-abd wall fixat 06 344-346 Minor small & large bowel

4662 Small bowel fixation NEC 06 344-346 Minor small & large bowel

4663 Lg bowel-abd wall fixat 06 344-346 Minor small & large bowel

4664 Large bowel fixation NEC 06 344-346 Minor small & large bowel

4671 Duodenal lacerat suture 06 326-328 Stomach, esophageal & duodenal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4672 Duodenal fistula closure 06 326-328 Stomach, esophageal & duodenal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4673 Small bowel suture NEC 06 329-331 Major small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4674 Close sm bowel fist NEC 06 329-331 Major small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4675 Suture lg bowel lacerat 06 329-331 Major small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4676 Close lg bowel fistula 06 329-331 Major small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4679 Repair of intestine NEC 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 MDC MS-DRG SURGICAL CATEGORY 4680 Intra-ab bowel manip NOS 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

4681 Intra-abd sm bowel manip 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

4682 Intra-abd lg bowel manip 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

4691 Myotomy of sigmoid colon 06 329-331 Major small & large bowel

4692 Myotomy of colon NEC 06 329-331 Major small & large bowel

4693 Revise sm bowel anastom 06 329-331 Major small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4694 Revise lg bowel anastom 06 329-331 Major small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4697 Transplant of intestine 005 Intestinal transplant

4699 Intestinal op NEC 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

4701 Lap appendectomy 06 338-343 Appendectomy

4709 Other appendectomy 05 264 Other circulatory system 06 338-343 Appendectomy

4711 Lap incid appendectomy 13 749-750 Other female reproductive system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4719 Other incid appendectomy 13 749-750 Other female reproductive system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

472 Drain appendiceal absc 06 338-343 Appendectomy

4791 Appendicostomy 06 344-346 Minor small & large bowel APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 4792 Close appendiceal fistul 06 329-331 Major small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4799 Appendiceal ops NEC 06 338-343 Appendectomy

480 Proctotomy 06 344-346 Minor small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

481 Proctostomy 06 329-331 Major small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4821 Transab proctosigmoidosc 06 344-346 Minor small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4825 Open rectal biopsy 05 264 Other circulatory system 06 344-346 Minor small & large bowel

4835 Local excis rectal les 05 264 Other circulatory system 06 347-349 Anal and stomal 09 579-581 Other skin, subcut tissue & breast

4840 Pull-thru res rectum NOS 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

4841 Soave submuc rect resect 06 332-334 Rectal resection 17 820-822 Major procedure 17 826-828 Major procedure

4842 Lap pull-thru res rectum 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

4843 Opn pull-thru res rectum 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

4849 Pull-thru rect resec NEC 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

4850 Abdperneal res rectm NOS 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 MDC MS-DRG SURGICAL CATEGORY 4851 Lap abdperneal resc rec 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

4852 Opn abdperneal resc rec 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

4859 Abdperneal resc rect NEC 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

4861 Transsac rectosigmoidect 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

4862 Ant rect resect w colost 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

4863 Anterior rect resect NEC 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

4864 Posterior rect resection 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

4865 Duhamel rectal resection 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

4869 Rectal resection NEC 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 SURGICAL CATEGORY 4871 Suture of rectal lacer 06 329-331 Major small & large bowel 14 774-775 Uncomp vaginal delivery procs 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4872 Closure of proctostomy 06 329-331 Major small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4873 Close rectal fist NEC 06 347-349 Anal and stomal 09 579-581 Other skin, subcut tissue & breast 13 746-747 Vagina, cervix & vulva 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4874 Rectorectostomy 06 329-331 Major small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4875 Abdominal proctopexy 06 329-331 Major small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4876 Proctopexy NEC 06 329-331 Major small & large bowel 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4879 Repair of rectum NEC 06 347-349 Anal and stomal 14 768 Delivery except steril &/or D&C 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4881 Perirectal incision 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

4882 Perirectal excision 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

4891 Incis rectal stricture 06 347-349 Anal and stomal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 4892 Anorectal myomectomy 06 347-349 Anal and stomal

4893 Repair perirect fistula 06 347-349 Anal and stomal

4899 Rectal perirect op NEC 06 347-349 Anal and stomal

4901 Incis perianal abscess 06 347-349 Anal and stomal 09 579-581 Other skin, subcut tissue & breast

4902 Perianal incision NEC 06 347-349 Anal and stomal 09 579-581 Other skin, subcut tissue & breast

4904 Perianal excision NEC 06 347-349 Anal and stomal 09 579-581 Other skin, subcut tissue & breast APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 4911 Anal fistulotomy 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

4912 Anal fistulectomy 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

4939 Other destruc anus les 06 347-349 Anal and stomal 09 579-581 Other skin, subcut tissue & breast

4944 Hemorrhoid cryotherapy 06 347-349 Anal and stomal

4945 Hemorrhoid ligation 06 347-349 Anal and stomal

4946 Hemorrhoidectomy 06 347-349 Anal and stomal 14 768 Delivery except steril &/or D&C

4949 Hemorrhoid procedure NEC 06 347-349 Anal and stomal

4951 Left lat sphincterotomy 06 347-349 Anal and stomal

4952 Post sphincterotomy 06 347-349 Anal and stomal

4959 Anal sphincterotomy NEC 06 347-349 Anal and stomal 14 774-775 Uncomp vaginal delivery procs

496 Excision of anus 06 347-349 Anal and stomal

4971 Suture anal laceration 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

4972 Anal cerclage 06 347-349 Anal and stomal 09 579-581 Other skin, subcut tissue & breast

4973 Closure of anal fistula 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

4974 Gracilis musc transplan 06 356-358 Other digestive system

4975 Impl or rev art anal sph 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

4976 Remov art anal sphincter 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

4979 Anal sphinct repair NEC 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 SURGICAL CATEGORY 4991 Incision of anal septum 06 347-349 Anal and stomal

4992 Insert subq anal stimul 06 347-349 Anal and stomal

4993 Anal incision NEC 06 347-349 Anal and stomal

4994 Reduction anal prolapse 06 347-349 Anal and stomal

4995 Control anal hemorrhage 06 347-349 Anal and stomal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

4999 Anal operation NEC 06 347-349 Anal and stomal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

500 Hepatotomy 07 405-407 Pancreas, liver and shunt 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5012 Open liver biopsy 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system 05 264 Other circulatory system 06 356-358 Other digestive system 07 420-422 Hepatobiliary diagnostic procs 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 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

5014 Laparoscopic liver bx 06 356-358 Other digestive system 07 420-422 Hepatobiliary diagnostic procs 09 579-581 Other skin, subcut tissue & breast 11 673-675 Other kidney & urinary tract 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

5019 Hepatic dx proc NEC 06 356-358 Other digestive system 07 420-422 Hepatobiliary diagnostic procs 09 579-581 Other skin, subcut tissue & breast 11 673-675 Other kidney & urinary tract 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 5021 Marsupializat liver les 07 405-407 Pancreas, liver and shunt APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 5022 Partial hepatectomy 07 405-407 Pancreas, liver and shunt 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5023 Opn abltn liver les/tiss 06 356-358 Other digestive system 07 405-407 Pancreas, liver and shunt

5024 Perc abltn liver les/tis 06 356-358 Other digestive system 07 405-407 Pancreas, liver and shunt

5025 Lap abltn liver les/tiss 06 356-358 Other digestive system 07 405-407 Pancreas, liver and shunt

5026 Abltn liver les/tiss NEC 06 356-358 Other digestive system 07 405-407 Pancreas, liver and shunt

5029 Destruc hepatic les NEC 06 356-358 Other digestive system 07 405-407 Pancreas, liver and shunt

503 Hepatic lobectomy 07 405-407 Pancreas, liver and shunt 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

504 Total hepatectomy 07 405-407 Pancreas, liver and shunt 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 5051 Auxiliary liver transpl 005-006 Liver transplant

5059 Liver transplant NEC 005-006 Liver transplant

5061 Closure liver lacerat 07 405-407 Pancreas, liver and shunt 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5069 Liver repair NEC 07 405-407 Pancreas, liver and shunt 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 5102 Trocar cholecystostomy 07 408-410 Biliary tract

5103 Cholecystostomy NEC 06 356-358 Other digestive system 07 408-410 Biliary tract

5104 Cholecystotomy NEC 07 408-410 Biliary tract

5113 Open biliary tract bx 06 356-358 Other digestive system 07 420-422 Hepatobiliary diagnostic procs

5119 Biliary tr dx proc NEC 06 356-358 Other digestive system 07 420-422 Hepatobiliary diagnostic procs

5121 Oth part cholecystectomy 07 411-413 Cholecystectomy 07 414-416 Cholecystectomy exc laparoscopic 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 SURGICAL CATEGORY 5122 Cholecystectomy 06 356-358 Other digestive system 07 411-413 Cholecystectomy 07 414-416 Cholecystectomy exc laparoscopic 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

5123 Laparoscopic cholecystec 06 356-358 Other digestive system 07 411-413 Cholecystectomy 07 417-419 Laparoscopic cholecystectomy 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

5124 Lap part cholecystectomy 07 411-413 Cholecystectomy 07 417-419 Laparoscopic cholecystectomy 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

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

5132 Gb-to-intestine anastom 06 356-358 Other digestive system 07 408-410 Biliary 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

5133 Gb-to-pancreas anastom 07 408-410 Biliary 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

5134 Gb-to-stomach anastomos 07 408-410 Biliary 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

5135 Gallbladder anastom NEC 07 408-410 Biliary 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

5136 Choledochoenterostomy 06 356-358 Other digestive system 07 408-410 Biliary 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 5137 Hepatic duct-gi anastom 06 356-358 Other digestive system 07 408-410 Biliary 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

5139 Bile duct anastomos NEC 07 408-410 Biliary 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 5141 Cde for calculus remov 07 408-413 Common bile duct exploration

5142 Cde for obstruction NEC 07 408-413 Common bile duct exploration 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

5143 Choledochohepat intubat 07 405-407 Pancreas, liver and shunt 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

5149 Incis obstr bile duc NEC 07 408-410 Biliary tract 17 820-822 Major procedure 17 826-828 Major procedure

5151 Common duct exploration 07 408-413 Common bile duct exploration

5159 Bile duct incision NEC 06 356-358 Other digestive system 07 408-410 Biliary 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

5161 Excis cyst duct remnant 07 408-410 Biliary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5162 Excis ampulla of vater 06 356-358 Other digestive system 07 408-410 Biliary tract

5163 Common duct excis NEC 06 356-358 Other digestive system 07 408-410 Biliary tract

5169 Bile duct excision NEC 06 356-358 Other digestive system 07 408-410 Biliary tract

5171 Simple sut-common duct 07 408-410 Biliary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5172 Choledochoplasty 07 408-410 Biliary tract 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 SURGICAL CATEGORY 5179 Bile duct repair NEC 07 408-410 Biliary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5181 Sphincter of oddi dilat 06 356-358 Other digestive system 07 408-410 Biliary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5182 Pancreat sphincterotom 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

5183 Pancreat sphincteroplas 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

5189 Sphinct of oddi op NEC 07 408-410 Biliary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5191 Repair gb laceration 07 408-410 Biliary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5192 Closure cholecystostomy 07 408-410 Biliary tract 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5193 Clos biliary fistul NEC 07 408-410 Biliary 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

5194 Revis bile tract anastom 07 408-410 Biliary 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

5195 Remove bile duct prosth 07 408-410 Biliary 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

5199 Biliary tract op NEC 07 408-410 Biliary 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 5201 Cath drain-pancreat cyst 07 405-407 Pancreas, liver and shunt

5209 Pancreatotomy NEC 07 405-407 Pancreas, liver and shunt APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 5212 Open pancreatic biopsy 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

5219 Pancreatic dx proc NEC 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

5222 Other destru pancrea les 07 405-407 Pancreas, liver and shunt 10 628-630 Other endocrine/nutrit/metabolic

523 Pancreat cyst marsupiali 07 405-407 Pancreas, liver and shunt

524 Int drain pancreat cyst 07 405-407 Pancreas, liver and shunt

5251 Proximal pancreatectomy 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

5252 Distal pancreatectomy 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

5253 Rad subtot pancreatectom 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

5259 Partial pancreatect NEC 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

526 Total pancreatectomy 07 405-407 Pancreas, liver and shunt 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

527 Rad pancreaticoduodenect 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

5280 Pancreat transplant NOS See Transplant Reference Table 07 405-407 Pancreas, liver and shunt 10 628-630 Other endocrine/nutrit/metabolic

5281 Reimplant pancreatic tis 07 405-407 Pancreas, liver and shunt

5282 Pancreatic homotransplan 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 SURGICAL CATEGORY 5283 Pancreatic heterotranspl 07 405-407 Pancreas, liver and shunt 10 628-630 Other endocrine/nutrit/metabolic

5284* Autotrnsplnt islets lang 11 673-675 *Transplant of islets-langerhans

5285* Allotrnsplnt islets lang 11 673-675 *Transplant of islets-langerhans

5292 Cannulation pancrea duc 06 356-358 Other digestive system 07 405-407 Pancreas, liver and shunt 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

5295 Pancreatic repair NEC 07 405-407 Pancreas, liver and shunt 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5296 Pancreatic anastomosis 07 405-407 Pancreas, liver and shunt 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5299 Pancreatic operation NEC 06 356-358 Other digestive system 07 405-407 Pancreas, liver and shunt 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 5300 Unilat ing hern rep NOS 06 350-352 Inguinal & femoral hernia

5301 Opn rep dir ing hern NEC 06 350-352 Inguinal & femoral hernia

5302 Opn rep ind ing hern NEC 06 350-352 Inguinal & femoral hernia

5303 Opn dir ing hern-gft NEC 06 350-352 Inguinal & femoral hernia

5304 Opn ind ing hern-gft NEC 06 350-352 Inguinal & femoral hernia

5305 Ing hernia rep-graft NOS 06 350-352 Inguinal & femoral hernia

5310 Bilat ing hernia rep NOS 06 350-352 Inguinal & femoral hernia

5311 Opn bil dir ing hern NEC 06 350-352 Inguinal & femoral hernia

5312 Opn bil ind ing hern NEC 06 350-352 Inguinal & femoral hernia

5313 Opn bi dr/in ing hrn NEC 06 350-352 Inguinal & femoral hernia

5314 Opn bi dr ing hrn-gr NEC 06 350-352 Inguinal & femoral hernia

5315 Op bi in ing hrn-grf NEC 06 350-352 Inguinal & femoral hernia

5316 Op bi dr/in ig hr-gr NEC 06 350-352 Inguinal & femoral hernia

5317 Bil ing hrn rep-grft NOS 06 350-352 Inguinal & femoral hernia

5321 Unil femor hrn rep-grft 06 350-352 Inguinal & femoral hernia

5329 Unil femor hern rep NEC 06 350-352 Inguinal & femoral hernia

5331 Bil fem hern repair-grft 06 350-352 Inguinal & femoral hernia APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 5339 Bil fem hern repair NEC 06 350-352 Inguinal & femoral hernia

5341 Opn rep umb hrn-grft NEC 06 353-355 Hernia except inguinal & femoral

5342 Lap umbil hernia-graft 06 353-355 Hernia except inguinal & femoral

5343 Lap umbilical hernia NEC 06 353-355 Hernia except inguinal & femoral 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5349 Open rep umbil hern NEC 06 353-355 Hernia except inguinal & femoral 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5351 Incisional hernia repair 06 353-355 Hernia except inguinal & femoral

5359 Abd wall hern repair NEC 06 353-355 Hernia except inguinal & femoral

5361 Open incis hern-grft NEC 06 353-355 Hernia except inguinal & femoral 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5362 Lap incis hern repr-grft 06 353-355 Hernia except inguinal & femoral 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5363 Lap hern ant abd-gft NEC 06 353-355 Hernia except inguinal & femoral

5369 Opn hern ant abd-grf NEC 06 353-355 Hernia except inguinal & femoral

5371 Lap abd rep-diaphr hern 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

5372 Opn abd diaphrm hern NEC 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

5375 Abd rep-diaphr hern NOS 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

5380 Thor rep-diaph hern NOS 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

5381 Diaphragmatic plication 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

5382 Parastern hernia repair 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 MDC MS-DRG SURGICAL CATEGORY 5383 Lap thorc app-diaph hern 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

5384 Opn thorc diaph hern NEC 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

539 Other hernia repair 06 353-355 Hernia except inguinal & femoral

540 Abdominal wall incision 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

5411 Exploratory laparotomy 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

5412 Reopen recent lap site 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

5419 Laparotomy NEC 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 SURGICAL CATEGORY 5421 Laparoscopy 06 356-358 Other digestive system 07 420-422 Hepatobiliary diagnostic procs 09 579-581 Other skin, subcut tissue & breast 11 673-675 Other kidney & urinary tract 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 14 768 Delivery except steril &/or D&C 16 802-804 Other blood & blood form org 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5422 Abdominal wall biopsy 06 356-358 Other digestive system 09 579-581 Other skin, subcut tissue & breast 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

5423 Peritoneal biopsy 06 356-358 Other digestive system 07 420-422 Hepatobiliary diagnostic procs 13 749-750 Other female reproductive system 16 802-804 Other blood & blood form org

5429 Abd region dx proc NEC 06 356-358 Other digestive system 07 420-422 Hepatobiliary diagnostic procs 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

543 Destruct abd wall lesion 06 356-358 Other digestive system 08 500-502 Soft tissue 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

544 Destruct peritoneal tiss 06 356-358 Other digestive system 07 423-425 Other hepatobiliary or pancreas 10 628-630 Other endocrine/nutrit/metabolic 13 749-750 Other female reproductive system 17 820-822 Major procedure 17 826-828 Major procedure

5451 Lap periton adhesiolysis 06 335-337 Peritoneal adhesiolysis 07 423-425 Other hepatobiliary or pancreas 11 673-675 Other kidney & urinary tract 13 749-750 Other female reproductive system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5459 Oth periton adhesiolysis 06 335-337 Peritoneal adhesiolysis 07 423-425 Other hepatobiliary or pancreas 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 13 749-750 Other female reproductive 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 SURGICAL CATEGORY 5461 Reclose post op disrupt 06 356-358 Other digestive system 07 423-425 Other hepatobiliary or pancreas 13 749-750 Other female reproductive system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5462 Delayed clos abd wound 06 356-358 Other digestive system 07 423-425 Other hepatobiliary or pancreas 13 749-750 Other female reproductive system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5463 Abd wall suture NEC 06 356-358 Other digestive system 09 579-581 Other skin, subcut tissue & breast 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

5464 Peritoneal suture 06 356-358 Other digestive system 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

5471 Repair of gastroschisis 06 353-355 Hernia except inguinal & femoral 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5472 Abdomen wall repair NEC 06 353-355 Hernia except inguinal & femoral 07 423-425 Other hepatobiliary or pancreas 09 579-581 Other skin, subcut tissue & breast 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

5473 Peritoneal repair NEC 06 356-358 Other digestive system 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

5474 Omental repair NEC 06 356-358 Other digestive system 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

5475 Mesenteric repair NEC 06 356-358 Other digestive system 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 5492 Remove FB from periton 06 356-358 Other digestive system Other 11 673-675 kidney & urinary tract Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

5493 Create cutanperiton fist 05 264 Other circulatory system 06 356-358 Other digestive system 07 423-425 Other hepatobiliary or pancreas 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

5494 Creat peritoneovas shunt 06 356-358 Other digestive system 07 405-407 Pancreas, liver and shunt 17 820-822 Major procedure 17 826-828 Major procedure

5495 Peritoneal incision 01 040-042 Periph/cranial nerve & other 05 264 Other circulatory system 06 356-358 Other digestive system 07 423-425 Other hepatobiliary or pancreas 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

5501 Nephrotomy 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5502 Nephrostomy 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5503 Percu nephrostm w/o frag 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5504 Percu nephrostmy w frag 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5511 Pyelotomy 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5512 Pyelostomy 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5524 Open renal biopsy 08 515-517 Other musculoskel & connec tissue 11 656-661 Kidney & ureter 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 SURGICAL CATEGORY 5529 Renal diagnost proc NEC 11 656-661 Kidney & ureter 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

5531 Renal les marsupializat 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 5532 Opn abltn renal les/tiss 11 656-661 Kidney & ureter

5533 Perc abltn renl les/tiss 11 656-661 Kidney & ureter

5534 Lap abltn renal les/tiss 11 656-661 Kidney & ureter

5535 Abltn renal les/tiss NEC 11 656-661 Kidney & ureter

5539 Loc destr renal les NEC 11 656-661 Kidney & ureter

554 Partial nephrectomy 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5551 Nephroureterectomy 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5552 Solitary kidney nephrect 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5553 Rejected kidney nephrect 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5554 Bilateral nephrectomy 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5561 Renal autotransplant 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5569 Kidney transplant NEC See Transplant Reference Table 008 Kidney transplant 11 652 Kidney transplant 557 Nephropexy 11 656-661 Kidney & ureter

5581 Suture kidney laceration 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5582 Close nephrost & pyelost 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 SURGICAL CATEGORY 5583 Close renal fistula NEC 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5584 Reduce renal pedicl tors 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5585 Symphysiotomy 11 656-661 Kidney & ureter

5586 Renal anastomosis 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5587 Correct ureteropelv junc 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5589 Renal repair NEC 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5591 Renal decapsulation 05 264 Other circulatory system 11 656-661 Kidney & ureter

5597 Implant mechanic kidney 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5598 Remov mechanical kidney 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5599 Renal operation NEC 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

560 Tu remov ureter obstruct 11 668-670 Transurethral 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

561 Ureteral meatotomy 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

562 Ureterotomy 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5634 Open ureteral biopsy 11 656-661 Kidney & ureter

5639 Ureteral dx procedur NEC 11 656-661 Kidney & ureter

5640 Ureterectomy NOS 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 SURGICAL CATEGORY 5641 Partial ureterectomy 11 656-661 Kidney & ureter 12 715-718 Other male reproductive system 13 749-750 Other female reproductive system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5642 Total ureterectomy 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5651 Form cutan ileoureterost 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

5652 Revis cutan ileoureteros 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

5661 Form cutan ureterostomy 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

5662 Revis cutan ureteros NEC 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

5671 Urin diversion to 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

5672 Revis ureteroenterostomy 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 5673 Nephrocystanastomosi NOS 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

5674 Ureteroneocystostomy 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5675 Transureteroureterostomy 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

5679 Ureteral anastomosis NEC 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5681 Intralum urete adhesioly 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5682 Suture ureteral lacerat 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5683 Ureterostomy closure 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

5684 Close ureter fistula NEC 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

5685 Ureteropexy 11 656-661 Kidney & ureter

5686 Remove ureteral ligature 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5689 Repair of ureter NEC 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5692 Implant ureteral stimul 11 656-661 Kidney & ureter APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 5693 Replace ureteral stimul 11 656-661 Kidney & ureter

5694 Remove ureteral stimulat 11 656-661 Kidney & ureter

5695 Ligation of ureter 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5699 Ureteral operation NEC 11 656-661 Kidney & ureter 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5712 Cystotomy & adhesiolysis 11 662-664 Minor bladder 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5718 Other suprapu cystostomy 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

5719 Cystotomy NEC 11 662-664 Minor bladder 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5721 Vesicostomy 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

5722 Revise clo vesicostomy 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

5733 Clos transureth bladd bx 11 668-670 Transurethral 12 715-718 Other male reproductive system 13 749-750 Other female reproductive system

5734 Open bladder biopsy 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

5739 Bladder diagnos proc NEC 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 SURGICAL CATEGORY 5741 Tu adhesiolysis bladder 11 668-670 Transurethral

5749 Tu destruc bladd les NEC 11 668-670 Transurethral 12 715-718 Other male reproductive system

5751 Excision of urachus 11 662-664 Minor bladder 12 715-718 Other male reproductive system 13 749-750 Other female reproductive system

5759 Bladder les destruct NEC 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

576 Partial cystectomy 11 653-655 Major bladder 12 707-708 Major pelvic 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

5771 Radical cystectomy 11 653-655 Major bladder 12 707-708 Major pelvic 13 749-750 Other female reproductive system 17 820-822 Major procedure 17 826-828 Major procedure

5779 Total cystectomy NEC 11 653-655 Major bladder 12 707-708 Major pelvic 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

5781 Suture bladder lacerat 11 662-664 Minor bladder 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5782 Cystostomy closure 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

5783 Enterovesico fist repair 06 344-346 Minor small & large bowel 11 653-655 Major 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 5784 Vesic fistula repair NEC 11 653-655 Major 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

5785 Cystourethroplasty 11 653-655 Major bladder 13 748 Female repro system reconstruction 5786 Bladder exstrophy repair 11 653-655 Major bladder

5787 Bladder reconstruction 11 653-655 Major bladder 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5788 Bladder anastomosis NEC 11 653-655 Major bladder 12 715-718 Other male reproductive system 17 820-822 Major procedure 17 826-828 Major procedure

5789 Bladder repair NEC 11 653-655 Major bladder 13 749-750 Other female reproductive system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 5791 Bladder sphincterotomy 11 662-664 Minor bladder

5793 Control bladd hemorrhage 11 662-664 Minor bladder 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 5796 Implant bladder stimulat 11 662-664 Minor bladder

5797 Replace bladder stimulat 11 662-664 Minor bladder

5798 Remove bladder stimulat 11 662-664 Minor bladder

5799 Bladder operation NEC 11 662-664 Minor bladder 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

580 Urethrotomy 11 671-672 Urethral 13 749-750 Other female reproductive system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

581 Urethral meatotomy 11 671-672 Urethral 12 715-718 Other male reproductive system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5841 Suture urethral lacerat 11 671-672 Urethral 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5842 Urethrostomy closure 11 671-672 Urethral 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 SURGICAL CATEGORY 5843 Close ureth fistula NEC 11 671-672 Urethral 12 709-710 Penis 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

5844 Urethral reanastomosis 11 671-672 Urethral 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5845 Hypo-epispadius repair 11 671-672 Urethral 12 709-710 Penis

5846 Ureth reconstruction NEC 11 671-672 Urethral 12 709-710 Penis 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5847 Urethral meatoplasty 11 671-672 Urethral 12 715-718 Other male reproductive system

5849 Urethral repair NEC 11 671-672 Urethral 12 709-710 Penis 13 749-750 Other female reproductive system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

585 Ureth stricture release 11 671-672 Urethral 12 709-710 Penis 13 749-750 Other female reproductive system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 5891 Periurethral incision 11 671-672 Urethral

5892 Periurethral excision 11 671-672 Urethral

5893 Implt artf urin sphinct 11 662-664 Minor bladder 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

5899 Ureth/periureth op NEC 11 671-672 Urethral 12 715-718 Other male reproductive system 13 749-750 Other female reproductive system

5900 Retroperit dissect NOS 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 11 656-661 Kidney & ureter 12 707-708 Major pelvic 13 749-750 Other female reproductive system 17 820-822 Major procedure 17 826-828 Major procedure APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 5902 Periren adhesiolys NEC 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

5903 Lap lys periren/uret adh 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

5909 Periren/ureter incis NEC 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

5911 Oth lys perives adhesio 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

5912 Lap lys perivesureth adh 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

5919 Perivesical incision NEC 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

5921 Periren/ureteral biopsy 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

5929 Periren/uret dx proc NEC 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 SURGICAL CATEGORY 593 Urethroves junct plicat 11 662-664 Minor bladder

594 Suprapubic sling op 11 662-664 Minor bladder 13 748 Female repro system reconstruction

595 Retropubic ureth suspens 11 662-664 Minor bladder 13 748 Female repro system reconstruction

596 Paraurethral suspension 11 662-664 Minor bladder 13 748 Female repro system reconstruction

5971 Levator musc suspension 11 662-664 Minor bladder 13 748 Female repro system reconstruction

5979 Urin incontin repair NEC 11 662-664 Minor bladder 13 748 Female repro system reconstruction

5991 Periren/vesicle excision 11 662-664 Minor bladder 12 715-718 Other male reproductive system 17 820-822 Major procedure 17 826-828 Major procedure

5992 Periren/vesicle op NEC 11 662-664 Minor bladder 12 715-718 Other male reproductive system 17 820-822 Major procedure 17 826-828 Major procedure

600 Incision of prostate 12 715-718 Other male reproductive system

6012 Open prostatic biopsy 11 668-670 Transurethral 12 715-718 Other male reproductive system 6014 Open seminal vesicles bx 12 715-718 Other male reproductive system

6015 Periprostatic biopsy 12 715-718 Other male reproductive system

6018 Prostatic dx proced NEC 12 715-718 Other male reproductive system

6019 Semin ves dx proced NEC 12 715-718 Other male reproductive system

6021 Transureth prostatectomy 11 665-667 Prostatectomy 12 713-714 Transurethral prostatectomy

6029 Oth transureth prostatec 11 665-667 Prostatectomy 12 713-714 Transurethral prostatectomy

603 Suprapubic prostatectomy 11 665-667 Prostatectomy 12 707-708 Major pelvic

604 Retropubic prostatectomy 11 665-667 Prostatectomy 12 707-708 Major pelvic

605 Radical prostatectomy 11 665-667 Prostatectomy 12 707-708 Major pelvic

6061 Los excis prostatic les 12 715-718 Other male reproductive system

6062 Perineal prostatectomy 11 665-667 Prostatectomy 12 707-708 Major pelvic APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 6069 Prostatectomy NEC 11 665-667 Prostatectomy 12 707-708 Major pelvic

6072 Seminal vesicle incision 12 715-718 Other male reproductive system

6073 Seminal vesicle excision 12 715-718 Other male reproductive system

6079 Seminal vesicle op NEC 12 715-718 Other male reproductive system

6081 Periprostatic incision 12 715-718 Other male reproductive system

6082 Periprostatic excision 12 715-718 Other male reproductive system

6093 Repair of prostate 12 715-718 Other male reproductive system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6094 Control prostate hemorr 12 715-718 Other male reproductive system 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6095 Trans bal dil pros ureth 11 668-670 Transurethral 12 715-718 Other male reproductive system

6096 Tu destr prostate by mt 11 665-667 Prostatectomy 12 713-714 Transurethral prostatectomy

6097 Oth tu destr pros - rt 11 665-667 Prostatectomy 12 713-714 Transurethral prostatectomy 6099 Prostatic operation NEC 12 715-718 Other male reproductive system 612 Excision of hydrocele 12 711-712 Testes

6142 Scrotal fistula repair 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6149 Scrotum/tunic repair NEC 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 6192 Excision tunica les NEC 12 711-712 Testes

6199 Scrotum & tunica op NEC 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

620 Incision of testes 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 6212 Open testicular biopsy 12 711-712 Testes

6219 Testes dx procedure NEC 12 711-712 Testes

622 Testicular les destruct 12 711-712 Testes

623 Unilateral orchiectomy 12 711-712 Testes 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 SURGICAL CATEGORY 6241 Remove both testes 08 515-517 Other musculoskel & connec tissue 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6242 Remove solitary testis 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 625 Orchiopexy 12 711-712 Testes

6261 Suture testicular lacer 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6269 Testicular repair NEC 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

627 Insert testicular prosth 10 628-630 Other endocrine/nutrit/metabolic 12 711-712 Testes

6299 Testicular operation NEC 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 6309 Spermat cord/vas dx NEC 12 711-712 Testes

631 Exc spermatic varicocele 12 711-712 Testes

632 Excise epididymis cyst 12 711-712 Testes

633 Excise cord/epid les NEC 12 711-712 Testes

634 Epididymectomy 12 711-712 Testes

6351 Suture cord & epid lacer 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6353 Transplant spermat cord 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6359 Cord & epidid repair NEC 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6381 Suture vas & epidid lac 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6382 Postop vas reconstruct 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 6383 Epididymovasostomy 12 711-712 Testes

6385 Remov vas deferens valve 12 711-712 Testes APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 6389 Vas & epididy repair NEC 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 6392 Epididymotomy 12 711-712 Testes

6393 Spermatic cord incision 12 711-712 Testes

6394 Sperm cord adhesiolysis 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 6395 Insert valve in vas def 12 711-712 Testes

6399 Cord/epid/vas ops NEC 12 711-712 Testes 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6411 Penile biopsy 09 579-581 Other skin, subcut tissue & breast 12 709-710 Penis

642 Local excis penile les 09 579-581 Other skin, subcut tissue & breast 12 709-710 Penis

643 Amputation of penis 12 709-710 Penis

6441 Suture penile laceration 12 709-710 Penis 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 6442 Release of chordee 12 709-710 Penis

6443 Construction of penis 12 709-710 Penis 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6444 Reconstruction of penis 12 709-710 Penis 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6445 Replantation of penis 12 709-710 Penis 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6449 Penile repair NEC 09 579-581 Other skin, subcut tissue & breast 12 709-710 Penis 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

645 Sex transformat op NEC 12 709-710 Penis 13 748 Female repro system reconstruction 6492 Incision of penis 12 709-710 Penis

6493 Division of penile adhes 12 709-710 Penis

6495 Ins noninfl penis prosth 11 673-675 Other kidney & urinary tract 12 709-710 Penis

6496 Remove int penile prosth 11 673-675 Other kidney & urinary tract 12 709-710 Penis APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 6497 Ins inflate penis prosth 11 673-675 Other kidney & urinary tract 12 709-710 Penis

6498 Penile operation NEC 12 709-710 Penis

6499 Male genital op NEC 12 709-710 Penis

6501 Laparoscopic oophorotomy 13 736-743 Uterine & adnexal

6509 Other oophorotomy 13 736-743 Uterine & adnexal

6511 Ovarian aspirat biopsy 13 736-743 Uterine & adnexal

6512 Ovarian biopsy NEC 13 736-743 Uterine & adnexal

6513 Lap biopsy of ovary 13 736-743 Uterine & adnexal

6514 Oth lap dx proc ovaries 13 736-743 Uterine & adnexal

6519 Ovarian dx procedure NEC 13 736-743 Uterine & adnexal

6521 Ovarian cyst marsupializ 13 736-743 Uterine & adnexal

6522 Ovarian wedge resection 10 628-630 Other endocrine/nutrit/metabolic 13 736-743 Uterine & adnexal

6523 Lap marsup ovarian cyst 13 736-743 Uterine & adnexal

6524 Lap wedge resect ovary 10 628-630 Other endocrine/nutrit/metabolic 13 736-743 Uterine & adnexal

6525 Oth lap loc exc dest ova 13 736-743 Uterine & adnexal

6529 Local destr ova les NEC 13 736-743 Uterine & adnexal

6531 Lap unilat oophorectomy 13 736-743 Uterine & adnexal

6539 Oth unilat oophorectomy 13 736-743 Uterine & adnexal

6541 Lap uni salpingo-oophor 13 736-743 Uterine & adnexal

6549 Oth uni salpingo-oophor 13 736-743 Uterine & adnexal

6551 Oth remove both ovaries 09 579-581 Other skin, subcut tissue & breast 13 736-743 Uterine & adnexal

6552 Oth remove remain ovary 09 579-581 Other skin, subcut tissue & breast 13 736-743 Uterine & adnexal

6553 Lap remove both ovaries 09 579-581 Other skin, subcut tissue & breast 13 736-743 Uterine & adnexal

6554 Lap remove remain ovary 09 579-581 Other skin, subcut tissue & breast 13 736-743 Uterine & adnexal

6561 Oth remove ovaries/tubes 09 579-581 Other skin, subcut tissue & breast 13 736-743 Uterine & adnexal

6562 Oth remove rem ova/tube 13 736-743 Uterine & adnexal APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 6563 Lap remove ovaries/tubes 09 579-581 Other skin, subcut tissue & breast 13 736-743 Uterine & adnexal

6564 Lap remove rem ova/tube 13 736-743 Uterine & adnexal

6571 Oth simple suture ovary 13 736-743 Uterine & adnexal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6572 Oth reimplant of ovary 13 736-743 Uterine & adnexal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6573 Oth salpingo-oophoroplas 13 736-743 Uterine & adnexal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6574 Lap simple suture ovary 13 736-743 Uterine & adnexal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6575 Lap reimplant of ovary 13 736-743 Uterine & adnexal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6576 Lap salpingo-oophoroplas 13 736-743 Uterine & adnexal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6579 Repair of ovary NEC 13 736-743 Uterine & adnexal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6581 Lap adhesiolys ova/tube 13 736-743 Uterine & adnexal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6589 Adhesiolysis ovary/tube 13 736-743 Uterine & adnexal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 6591 Aspiration of ovary 13 736-743 Uterine & adnexal

6592 Transplantation of ovary 13 736-743 Uterine & adnexal

6593 Manual rupt ovarian cyst 13 736-743 Uterine & adnexal

6594 Ovarian denervation 13 736-743 Uterine & adnexal

6595 Ovarian torsion release 13 736-743 Uterine & adnexal

6599 Ovarian operation NEC 13 736-743 Uterine & adnexal

6601 Salpingotomy 13 736-743 Uterine & adnexal

6602 Salpingostomy 13 736-743 Uterine & adnexal

6611 Fallopian tube biopsy 13 736-743 Uterine & adnexal

6619 Fallop tube dx proc NEC 13 736-743 Uterine & adnexal APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 6621 Bilat endosc crush tube 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 14 767 Sterilization &/or D&C

6622 Bilat endosc divis tube 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 14 767 Sterilization &/or D&C

6629 Bilat endos occ tube NEC 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 14 767 Sterilization &/or D&C

6631 Bilat tubal crushing NEC 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 14 767 Sterilization &/or D&C

6632 Bilat tubal division NEC 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 14 767 Sterilization &/or D&C

6639 Bilat tubal destruct NEC 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 14 767 Sterilization &/or D&C

664 Total unilat salpingect 13 736-743 Uterine & adnexal 14 767 Sterilization &/or D&C

6651 Remove both fallop tubes 13 736-743 Uterine & adnexal 14 767 Sterilization &/or D&C

6652 Remove solitary fal tube 13 736-743 Uterine & adnexal 14 767 Sterilization &/or D&C

6661 Destroy fallop tube les 13 736-743 Uterine & adnexal

6662 Remov tube & ectop preg 13 736-743 Uterine & adnexal 14 768 Delivery except steril &/or D&C

6663 Bilat part salpingec NOS 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 14 767 Sterilization &/or D&C

6669 Partial salpingectom NEC 13 736-743 Uterine & adnexal 14 767 Sterilization &/or D&C

6671 Simpl suture fallop tube 13 736-743 Uterine & adnexal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 6672 Salpingo-oophorostomy 13 736-743 Uterine & adnexal

6673 Salpingo-salpingostomy 13 736-743 Uterine & adnexal

6674 Salpingo-uterostomy 13 736-743 Uterine & adnexal

6679 Fallop tube repair NEC 13 736-743 Uterine & adnexal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6692 Unilat fallop tube destr 13 736-743 Uterine & adnexal 14 767 Sterilization &/or D&C

6693 Impl fallop tube prosth 13 736-743 Uterine & adnexal

6694 Remov fallop tube prosth 13 736-743 Uterine & adnexal

6695 Blow therapeut into tube 13 749-750 Other female reproductive system APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 6696 Fallopian tube dilation 13 736-743 Uterine & adnexal

6697 Bury fimbriae in uterus 13 736-743 Uterine & adnexal 14 767 Sterilization &/or D&C

6699 Fallopian tube op NEC 13 736-743 Uterine & adnexal

6711 Endocervical biopsy 09 579-581 Other skin, subcut tissue & breast 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 14 768 Delivery except steril &/or D&C

6712 Cervical biopsy NEC 09 579-581 Other skin, subcut tissue & breast 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 14 768 Delivery except steril &/or D&C

6719 Cervical dx procedur NEC 09 579-581 Other skin, subcut tissue & breast 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 14 768 Delivery except steril &/or D&C

672 Conization of cervix 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 14 768 Delivery except steril &/or D&C

6731 Cervical cyst marsupial 13 746-747 Vagina, cervix & vulva 14 768 Delivery except steril &/or D&C

6732 Cervical les cauterizat 13 746-747 Vagina, cervix & vulva 14 768 Delivery except steril &/or D&C

6733 Cervical les cryotherapy 13 746-747 Vagina, cervix & vulva 14 768 Delivery except steril &/or D&C

6739 Cervical les destruc NEC 09 579-581 Other skin, subcut tissue & breast 13 746-747 Vagina, cervix & vulva 14 768 Delivery except steril &/or D&C 674 Amputation of cervix 13 746-747 Vagina, cervix & vulva

6751 Transab cerclage cervix 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6759 Oth rep int cervical os 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6761 Suture cervical lacerat 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6762 Cervical fistula repair 13 746-747 Vagina, cervix & vulva 14 768 Delivery except steril &/or D&C 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6769 Cervical repair NEC 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs 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 SURGICAL CATEGORY 680 Hysterotomy 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

6813 Open uterine biopsy 13 736-743 Uterine & adnexal

6814 Open uterine ligament bx 13 736-743 Uterine & adnexal

6815 Clos uterine ligament bx 13 744-745 D&C/conizat/laparoscpy/tubl intrpt

6816 Closed uterine biopsy 13 744-745 D&C/conizat/laparoscpy/tubl intrpt

6819 Uterus/adnex dx proc NEC 13 736-743 Uterine & adnexal

6821 Endomet synechiae divis 13 744-745 D&C/conizat/laparoscpy/tubl intrpt

6822 Incision uterine septum 13 744-745 D&C/conizat/laparoscpy/tubl intrpt

6823 Endometrial ablation 13 736-743 Uterine & adnexal

6824 Uterine art emb w coils 13 749-750 Other female reproductive system

6825 Uterine art emb w/o coil 13 749-750 Other female reproductive system

6829 Uterine les destruct NEC 13 736-743 Uterine & adnexal

6831 Lap scervic hysterectomy 13 736-743 Uterine & adnexal 14 768 Delivery except steril &/or D&C

6839 Subtotl abd hyst NEC/NOS 13 736-743 Uterine & adnexal 14 768 Delivery except steril &/or D&C

6841 Lap total abdominal hyst 13 736-743 Uterine & adnexal 14 768 Delivery except steril &/or D&C

6849 Total abd hyst NEC/NOS 13 736-743 Uterine & adnexal 14 768 Delivery except steril &/or D&C

6851 Lap ast vag hysterectomy 13 736-743 Uterine & adnexal 14 768 Delivery except steril &/or D&C

6859 Vag hysterectomy NEC/NOS 13 736-743 Uterine & adnexal 14 768 Delivery except steril &/or D&C

6861 Lap radical abdomnl hyst 13 734-735 Pelv evisc, rad hyst & vulvectomy 14 768 Delivery except steril &/or D&C

6869 Radical abd hyst NEC/NOS 13 734-735 Pelv evisc, rad hyst & vulvectomy 14 768 Delivery except steril &/or D&C

6871 Lap radical vaginal hyst 13 734-735 Pelv evisc, rad hyst & vulvectomy 14 768 Delivery except steril &/or D&C

6879 Radical vag hyst NEC/NOS 13 734-735 Pelv evisc, rad hyst & vulvectomy 14 768 Delivery except steril &/or D&C

688 Pelvic evisceration 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 SURGICAL CATEGORY 689 Hysterectomy NEC/NOS 13 736-743 Uterine & adnexal 14 768 Delivery except steril &/or D&C 6901 D & C for preg terminat 14 770 D&C, aspir curet or hysterotomy

6902 D & C post delivery 14 767 Sterilization &/or D&C 14 770 D&C, aspir curet or hysterotomy

6909 D & C NEC 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 14 767 Sterilization &/or D&C 14 770 D&C, aspir curet or hysterotomy 6919 Destruc uter support NEC 13 736-743 Uterine & adnexal

6921 Interposit op uterin lig 13 748 Female repro system reconstruction

6922 Uterine suspension NEC 13 748 Female repro system reconstruction

6923 Vag repair invers uterus 13 748 Female repro system reconstruction 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6929 Uterus/adnexa repair NEC 13 748 Female repro system reconstruction 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 693 Paracerv uterine denerv 13 736-743 Uterine & adnexal

6941 Suture uterine lacerat 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

6942 Closure uterine fistula 06 344-346 Minor small & large bowel 13 736-743 Uterine & adnexal 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

6949 Uterine repair NEC 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 6951 Aspirat curet-preg termi 14 770 D&C, aspir curet or hysterotomy

6952 Aspirat curet-post deliv 14 767 Sterilization &/or D&C 14 770 D&C, aspir curet or hysterotomy

6995 Incision of cervix 13 746-747 Vagina, cervix & vulva 14 768 Delivery except steril &/or D&C

6997 Remove penetrat cerv FB 13 746-747 Vagina, cervix & vulva 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 6998 Uterine support op NEC 13 748 Female repro system reconstruction 6999 Uterine operation NEC 13 749-750 Other female reproductive system

7012 Culdotomy 13 749-750 Other female reproductive system 14 768 Delivery except steril &/or D&C APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 7013 Intralum vag adhesiolys 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7014 Vaginotomy NEC 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs

7023 Cul-de-sac biopsy 13 746-747 Vagina, cervix & vulva 14 768 Delivery except steril &/or D&C

7024 Vaginal biopsy 09 579-581 Other skin, subcut tissue & breast 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs

7029 Vagin/cul-de-sac dx NEC 13 746-747 Vagina, cervix & vulva 14 768 Delivery except steril &/or D&C

7031 Hymenectomy 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs

7032 Excis cul-de-sac lesion 13 746-747 Vagina, cervix & vulva 14 768 Delivery except steril &/or D&C

7033 Excision vaginal lesion 09 579-581 Other skin, subcut tissue & breast 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs 704 Vaginal obliteration 13 748 Female repro system reconstruction

7050 Cystocel/rectocel repair 06 356-358 Other digestive system 11 662-664 Minor bladder 13 748 Female repro system reconstruction

7051 Cystocele repair 11 662-664 Minor bladder 13 748 Female repro system reconstruction

7052 Rectocele repair 06 329-331 Major small & large bowel 13 748 Female repro system reconstruction

7053 Cysto & recto w grf/pros 06 329-331 Major small & large bowel 11 653-655 Major bladder 13 748 Female repro system reconstruction

7054 Rep cystocel w grft/pros 11 662-664 Minor bladder 13 748 Female repro system reconstruction

7055 Rep rectocele w grf/pros 06 329-331 Major small & large bowel 13 748 Female repro system reconstruction 7061 Vaginal construction 13 748 Female repro system reconstruction

7062 Vaginal reconstruction 13 748 Female repro system reconstruction 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 7063 Vaginal const w grf/pros 13 748 Female repro system reconstruction

7064 Vag reconst w grft/pros 13 748 Female repro system reconstruction 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 SURGICAL CATEGORY 7071 Suture vagina laceration 09 579-581 Other skin, subcut tissue & breast 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7072 Repair colovagin fistula 06 329-331 Major small & large bowel 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

7073 Repair rectovag fistula 06 329-331 Major small & large bowel 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

7074 Rep vaginoent fistul NEC 06 329-331 Major small & large bowel 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

7075 Repair vag fistula NEC 06 344-346 Minor small & large bowel 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 7076 Hymenorrhaphy 13 746-747 Vagina, cervix & vulva

7077 Vaginal suspens & fixat 11 662-664 Minor bladder 13 748 Female repro system reconstruction

7078 Vag susp/fix w grft/pros 11 662-664 Minor bladder 13 748 Female repro system reconstruction

7079 Vaginal repair NEC 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 708 Vaginal vault obliterat 13 748 Female repro system reconstruction 7091 Vaginal operation NEC 13 746-747 Vagina, cervix & vulva

7092 Cul-de-sac operation NEC 13 746-747 Vagina, cervix & vulva

7093 Cul-de-sac grf/pros NEC 13 746-747 Vagina, cervix & vulva

7101 Vulvar adhesiolysis 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs 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 SURGICAL CATEGORY 7109 Incis vulva/perineum NEC 09 579-581 Other skin, subcut tissue & breast 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs

7111 Vulvar biopsy 09 579-581 Other skin, subcut tissue & breast 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs

7119 Vulvar diagnos proc NEC 09 579-581 Other skin, subcut tissue & breast 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs

7122 Incise bartholin's gland 13 746-747 Vagina, cervix & vulva 14 768 Delivery except steril &/or D&C

7123 Bartholin gland marsup 13 746-747 Vagina, cervix & vulva 14 768 Delivery except steril &/or D&C

7124 Destruc bartholin gland 09 579-581 Other skin, subcut tissue & breast 13 746-747 Vagina, cervix & vulva 14 768 Delivery except steril &/or D&C

7129 Bartholin's gland op NEC 13 746-747 Vagina, cervix & vulva 14 768 Delivery except steril &/or D&C

713 Local vulvar excis NEC 09 579-581 Other skin, subcut tissue & breast 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs 714 Operations on clitoris 13 746-747 Vagina, cervix & vulva

715 Radical vulvectomy 13 734-735 Pelv evisc, rad hyst & vulvectomy

7161 Unilateral vulvectomy 13 746-747 Vagina, cervix & vulva

7162 Bilateral vulvectomy 09 579-581 Other skin, subcut tissue & breast 13 746-747 Vagina, cervix & vulva

7171 Suture vulvar laceration 09 579-581 Other skin, subcut tissue & breast 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7172 Repair vulvar fistula 06 344-346 Minor small & large bowel 13 746-747 Vagina, cervix & vulva 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7179 Vulvar/perin repair NEC 13 746-747 Vagina, cervix & vulva 14 774-775 Uncomp vaginal delivery procs 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 718 Other vulvar operations 13 746-747 Vagina, cervix & vulva

719 Other female genital ops 13 749-750 Other female reproductive system

7394 Pubiotomy to assist del 14 768 Delivery except steril &/or D&C

7399 Ops assisting deliv NEC 14 774-775 Uncomp vaginal delivery procs APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 740 Classical c-section 14 765-766 Cesarean section 741 Low cervical c-section 14 765-766 Cesarean section 742 Extraperitoneal c-sect 14 765-766 Cesarean section

743 Rem extratub ectop preg 14 768 Delivery except steril &/or D&C

744 Cesarean section NEC 14 765-766 Cesarean section

7491 Hysterotomy to termin pg 14 770 D&C, aspir curet or hysterotomy

7499 Cesarean section NOS 14 765-766 Cesarean section

7536 Correction fetal defect 14 768 Delivery except steril &/or D&C

7550 Repair ob lac uterus NOS 14 774-775 Uncomp vaginal delivery procs

7551 Repair ob lacerat cervix 14 774-775 Uncomp vaginal delivery procs

7552 Repair ob lac corp uteri 14 768 Delivery except steril &/or D&C

7561 Repair ob lac blad/ureth 14 774-775 Uncomp vaginal delivery procs

7593 Surg corr invert uterus 14 768 Delivery except steril &/or D&C

7599 Obstetric operation NEC 14 768 Delivery except steril &/or D&C

7601 Facial bone sequestrect 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7609 Facial bone incision NEC 03 133-134 Other ear, nose, mouth & throat Loc 08 495-497 excis,rm int fx dev ex hip,fem Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

7611 Facial bone biopsy 03 133-134 Other ear, nose, mouth & throat 08 477-479 Musculoskeletal biopsy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7619 Facial bone dx proc NEC 03 131-132 Cranial/facial 08 477-479 Musculoskeletal biopsy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

762 Destruct facial bone les 03 131-132 Cranial/facial 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7631 Partial mandibulectomy 03 129-130 Major head & neck 08 515-517 Other musculoskel & connec 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 SURGICAL CATEGORY 7639 Part facial ostectom NEC 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7641 Tot mandibulec w reconst 03 129-130 Major head & neck 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7642 Total mandibulectomy NEC 03 129-130 Major head & neck 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7643 Mandibular reconst NEC 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec 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

7644 Tot face ostect w recons 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7645 Tot face bone ostect NEC 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7646 Facial bone reconstr NEC 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

765 Temporomand arthroplasty 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

7661 Cl osteoplasty mand rami 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7662 Open osteoplas mand rami 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7663 Osteoplasty mandible bdy 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7664 Mand orthognathic op NEC 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec 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 SURGICAL CATEGORY 7665 Seg osteoplasty maxilla 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7666 Tot osteoplasty maxilla 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7667 Reduction genioplasty 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7668 Augmentation genioplasty 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7669 Facial bone repair NEC 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7670 Reduction facial fx NOS 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7672 Opn reduct malar/zygo fx 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7674 Open reduct maxillary fx 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7676 Open reduct mandible fx 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7677 Open reduct alveolar fx 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7679 Open reduct face fx NEC 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7691 Bone graft to face bone 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec 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 SURGICAL CATEGORY 7692 Syn implant to face bone 02 113-114 Orbital extraocular 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7694 Open reduct tm dislocat 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7697 Remove int fix face bone 03 131-132 Cranial/facial 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7699 Facial bone/jnt op NEC 03 131-132 Cranial/facial 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7700 Sequestrectomy NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7701 Chest cage sequestrec 04 166-168 Other respiratory system 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7702 Humerus sequestrectomy 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7703 Radius & ulna sequestrec 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7704 Metacarp/carp sequestrec 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7705 Femoral sequestrectomy 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7706 Patellar sequestrectomy 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7707 Tibia/fibula sequestrec 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7708 Metatar/tar sequestrec 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7709 Sequestrectomy NEC 08 515-517 Other musculoskel & connec 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 SURGICAL CATEGORY 7710 Other bone incision NOS 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7711 Other chest cage incis 04 166-168 Other respiratory system 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7712 Other humerus incision 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7713 Other radius/ulna incis 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7714 Oth metacarp/carp incis 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7715 Other femoral incision 08 498-499 Loc excis,rm int fx dev - hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7716 Other patellar incision 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7717 Other tibia/fibula incis 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7718 Oth metatars/tars incis 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7719 Bone incis w/o div NEC 03 133-134 Other ear, nose, mouth & throat Loc 08 495-497 excis,rm int fx dev ex hip,fem Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

7720 Wedge osteotomy NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7721 Chest cage wedg osteotom 04 166-168 Other respiratory system 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7722 Humerus wedge osteotomy 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7723 Radius/ulna wedg osteoto 08 510-512 Other upper extremity 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 SURGICAL CATEGORY 7724 Metacar/car wedg osteoto 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7725 Femoral wedge osteotomy 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7726 Patellar wedge osteotomy 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7727 Tibia/fibul wedg osteot 08 492-494 Low extrem/humer ex hip,foot,femur 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7728 Metatar/tar wedg osteot 08 503-505 Foot 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7729 Wedge osteotomy NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7730 Other bone division NOS 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

7731 Chest cage bone div NEC 04 166-168 Other respiratory system 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7732 Humerus division NEC 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7733 Radius/ulna division NEC 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7734 Metacar/car division NEC 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7735 Femoral division NEC 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7736 Patellar division NEC 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7737 Tibia/fibula div NEC 08 492-494 Low extrem/humer ex hip,foot,femur 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 SURGICAL CATEGORY 7738 Metatar/tar division NEC 08 503-505 Foot 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7739 Bone division NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7740 Bone biopsy NOS 03 133-134 Other ear, nose, mouth & throat 08 477-479 Musculoskeletal biopsy 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system

7741 Chest cage bone biopsy 04 166-168 Other respiratory system 08 477-479 Musculoskeletal biopsy 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system

7742 Humerus biopsy 08 477-479 Musculoskeletal biopsy 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system

7743 Radius & ulna biopsy 08 477-479 Musculoskeletal biopsy 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system

7744 Metacarpal/carpal biopsy 08 513-514 Hand/wrist, except maj thumb/joint 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7745 Femoral biopsy 08 477-479 Musculoskeletal biopsy 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system

7746 Patellar biopsy 08 477-479 Musculoskeletal biopsy 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system

7747 Tibia & fibula biopsy 08 477-479 Musculoskeletal biopsy 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 7748 Metatarsal/tarsal biopsy 08 477-479 Musculoskeletal biopsy 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system

7749 Bone biopsy NEC 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system 08 477-479 Musculoskeletal biopsy 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 16 802-804 Other blood & blood form org

7751 Bunionect/sft/osteotomy 08 503-505 Foot

7752 Bunionect/sft/arthrodes 08 503-505 Foot

7753 Oth bunionect w sft corr 08 503-505 Foot

7754 Exc correct bunionette 08 503-505 Foot

7756 Repair of hammer toe 08 503-505 Foot

7757 Repair of claw toe 08 503-505 Foot

7758 Oth exc, fus, repair toe 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 7759 Bunionectomy NEC 08 503-505 Foot

7760 Loc exc bone lesion NOS 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7761 Exc chest cage bone les 04 166-168 Other respiratory system 08 495-497 Loc excis,rm int fx dev ex hip,fem 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7762 Loc exc bone les humerus 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7763 Loc exc les radius/ulna 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7764 Loc exc les metacar/car 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7765 Loc exc bone les femur 08 498-499 Loc excis,rm int fx dev - hip,fem 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 SURGICAL CATEGORY 7766 Loc exc bone les patella 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7767 Loc exc les tibia/fibula 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7768 Loc exc les metatar/tar 08 503-505 Foot 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7769 Loc exc bone lesion NEC 03 133-134 Other ear, nose, mouth & throat Loc 08 495-497 excis,rm int fx dev ex hip,fem Other 10 628-630 endocrine/nutrit/metabolic Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

7770 Excise bone for grft NOS 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7771 Ex chest cage bone-gft 04 166-168 Other respiratory system 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7772 Excise humerus for graft 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7773 Excis radius/ulna-graft 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7774 Excis metacar/car-graft 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7775 Excise femur for graft 08 498-499 Loc excis,rm int fx dev - hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7776 Excise patella for graft 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7777 Excise tib/fib for graft 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7778 Excis metatar/tar-graft 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7779 Excise bone for gft NEC 03 133-134 Other ear, nose, mouth & throat Loc 08 495-497 excis,rm int fx dev ex hip,fem Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 7780 Oth part ostectomy NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7781 Oth chest cage ostectomy 01 028-030 Spinal 04 166-168 Other respiratory system 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7782 Partial humerectomy NEC 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7783 Part ostect-radius/ulna 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7784 Part ostect-metacar/car 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7785 Part ostectomy-femur 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7786 Partial patellectomy 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7787 Part ostect-tibia/fibula 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7788 Part ostect-metatar/tar 08 503-505 Foot 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7789 Partial ostectomy NEC 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 10 628-630 endocrine/nutrit/metabolic Other procs 21 907-909 for injuries 24 957-959 Other procs for mult signif trauma

7790 Total ostectomy NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7791 Tot chest cage ostectomy 01 028-030 Spinal 04 166-168 Other respiratory system 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7792 Total ostectomy-humerus 08 492-494 Low extrem/humer ex hip,foot,femur 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 SURGICAL CATEGORY 7793 Tot ostect-radius/ulna 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7794 Tot ostect-metacarp/carp 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7795 Tot ostectomy-femur 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7796 Total patellectomy 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7797 Tot ostect-tibia/fibula 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7798 Tot ostect-metatars/tars 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7799 Total ostectomy NEC 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

7800 Bone graft NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7801 Bone graft to chest cage 04 166-168 Other respiratory system 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7802 Bone graft to humerus 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7803 Bone graft-radius/ulna 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7804 Bone grft to metacar/car 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7805 Bone graft to femur 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7806 Bone graft to patella 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7807 Bone graft-tibia/fibula 08 492-494 Low extrem/humer ex hip,foot,femur 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 SURGICAL CATEGORY 7808 Bone graft-metatar/tar 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7809 Bone graft NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7810 Applic ext fix dev NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7811 Appl ext fix-chest cage 04 166-168 Other respiratory system 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7812 Applic ext fix-humerus 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7813 Appl ext fix-radius/ulna 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7814 Appl ext fix-metacar/car 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7815 Applic ext fix dev-femur 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7816 Appl ext fix dev-patella 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7817 Appl ext fix-tib/fibula 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7818 Appl ext fix-metatar/tar 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7819 Applic ext fix dev NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7820 Limb shorten proc NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7822 Limb short proc-humerus 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7823 Limb shorten-radius/ulna 08 510-512 Other upper extremity 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 SURGICAL CATEGORY 7824 Limb shorten-metacar/car 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7825 Limb short proc-femur 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7827 Limb shorten-tib/fibula 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7828 Limb shorten-metatar/tar 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7829 Limb shorten proc NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7830 Limb lengthen proc NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7832 Limb length proc-humerus 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7833 Limb length-radius/ulna 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7834 Limb length-metacar/car 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7835 Limb length proc-femur 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7837 Limb lengthen-tib/fibula 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7838 Limb lengthn-metatar/tar 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7839 Limb lengthen proc NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7840 Oth bone repair/plast op 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7841 Oth chest cage rep/plast 04 166-168 Other respiratory system 08 515-517 Other musculoskel & connec 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 SURGICAL CATEGORY 7842 Oth humerus repair/plast 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7843 Oth rad/uln repair/plast 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7844 Oth metac/carp rep/plast 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7845 Oth femur repair/plastic 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7846 Oth patella repair/plast 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7847 Oth tib/fib repair/plast 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7848 Oth meta/tar repa/plast 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7849 Oth bone repa/plast NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7850 Int fix w/o fx reduc NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7851 Int fixation-chest cage 04 166-168 Other respiratory system 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7852 Int fixation-humerus 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7853 Int fixation-radius/ulna 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7854 Int fixation-metacar/car 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7855 Internal fixation-femur 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7856 Internal fix-patella 08 485-489 Knee 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 SURGICAL CATEGORY 7857 Int fixation-tibia/fibul 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7858 Int fixation-metatar/tar 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7859 Int fix-no fx reduct NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7860 Remove imp device NOS 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7861 Remov imp dev-chest cage 04 166-168 Other respiratory system 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7862 Remove impl dev-humerus 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7863 Remov imp dev-radius/uln 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7864 Remov imp dev-metac/carp 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7865 Remove imp device-femur 08 498-499 Loc excis,rm int fx dev - hip,fem 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7866 Remov imp device-patella 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7867 Remov imp dev-tib/fibula 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7868 Remove imp dev-metat/tar 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7869 Remove impl device NEC 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7870 Osteoclasis NOS 08 515-517 Other musculoskel & connec 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 SURGICAL CATEGORY 7871 Osteoclasis-chest cage 04 166-168 Other respiratory system 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7872 Osteoclasis-humerus 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7873 Osteoclasis-radius/ulna 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7874 Osteoclasis-metacar/car 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7875 Osteoclasis-femur 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7876 Osteoclasis-patella 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7877 Osteoclasis-tibia/fibula 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7878 Osteoclasis-metatar/tar 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7879 Osteoclasis NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 7880 Other bone dx proc NOS 08 477-479 Musculoskeletal biopsy

7881 Oth dx proced-chest cage 04 166-168 Other respiratory system 08 477-479 Musculoskeletal biopsy

7882 Oth dx proced-humerus 08 477-479 Musculoskeletal biopsy

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

7884 Oth dx proc-metacar/car 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma 7885 Oth dx proced-femur 08 477-479 Musculoskeletal biopsy

7886 Oth dx proced-patella 08 477-479 Musculoskeletal biopsy

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

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

7889 Other bone dx proc NEC 08 477-479 Musculoskeletal biopsy APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 7890 Insert bone stimul NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7891 Insert bone stimul-chest 04 166-168 Other respiratory system 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7892 Insert bone stim-humerus 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7893 Inser bone stim-rad/ulna 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7894 Inser bone stim-meta/car 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7895 Insert bone stim-femur 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7896 Insert bone stim-patella 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7897 Inser bone stim-tib/fib 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7898 Inser bone stim-meta/tar 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7899 Insert bone stimul NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7910 Cl fx reduc-int fix NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7911 Clos red-int fix humerus 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7912 Cl red-int fix rad/ulna 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7913 Cl red-int fix metac/car 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7914 Close red-int fix finger 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 SURGICAL CATEGORY 7915 Closed red-int fix femur 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7916 Cl red-int fix tib/fibu 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7917 Cl red-int fix metat/tar 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7918 Close red-int fix toe fx 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7919 Cl fx reduc-int fix NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7920 Open fx reduction NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7921 Open reduc-humerus fx 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7922 Open reduc-radius/uln fx 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7923 Open reduc-metac/car fx 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7924 Open reduction-finger fx 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7925 Open reduction-femur fx 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7926 Open reduc-tibia/fib fx 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7927 Open reduc-metat/tars fx 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7928 Open reduction-toe fx 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7929 Open fx reduction NEC 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 7930 Opn fx red w int fix NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7931 Open red-int fix humerus 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7932 Op red-int fix rad/ulna 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7933 Op red-int fix metac/car 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7934 Open red-int fix finger 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7935 Open reduc-int fix femur 08 480-482 Hip & femur except major joint 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7936 Op red-int fix tib/fibul 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7937 Op red-int fix metat/tar 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7938 Open reduct-int fix toe 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7939 Opn fx red w int fix NEC 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

7940 Cls reduc-sep epiphy NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7941 Close red-humerus epiphy 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7942 Cls red-radius/ul epiphy 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7945 Close reduc-femur epiphy 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7946 Cls red-tibia/fib epiphy 08 492-494 Low extrem/humer ex hip,foot,femur 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 SURGICAL CATEGORY 7949 Cls reduc-sep epiphy NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7950 Open red-sep epiphy NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7951 Opn red-sep epiphy-humer 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7952 Op red-radius/uln epiphy 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7955 Opn red-sep epiphy-femur 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7956 Op red-tibia/fib epiphys 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7959 Open red-sep epiphy NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7960 Open fx site debride NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7961 Debrid open fx-humerus 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7962 Debrid opn fx-radius/uln 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7963 Debrid opn fx-metac/car 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7964 Debrid opn fx-finger 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7965 Debrid opn fx-femur 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7966 Debrid opn fx-tibia/fib 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7967 Debrid opn fx-metat/tar 08 503-505 Foot 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 SURGICAL CATEGORY 7968 Debrid opn fx-toe 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7969 Open fx site debride NEC 03 133-134 Other ear, nose, mouth & throat Other 08 515-517 musculoskel & connec tissue Other 21 907-909 procs for injuries 24 957-959 Other procs for mult signif trauma

7980 Open reduc-dislocat NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7981 Opn reduc disloc-shouldr 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7982 Open reduc-elbow disloc 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7983 Open reduc-wrist disloc 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7984 Opn reduc disloc-hand 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7985 Open reduc-hip dislocat 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7986 Open reduc-knee dislocat 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7987 Open reduc-ankle disloc 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7988 Opn reduc disloc-ft/toe 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7989 Open reduc-dislocat NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7990 Unspec op bone inj NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7991 Humerus injury op NOS 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7992 Radius/ulna inj op NOS 08 510-512 Other upper extremity 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 SURGICAL CATEGORY 7993 Metacarp/carp inj op NOS 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7994 Finger injury op NOS 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

7995 Femur injury op NOS 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

7996 Tibia/fibula inj op NOS 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7997 Metatars/tars inj op NOS 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7998 Toe injury operation NOS 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

7999 Unspec op-bone inj NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8000 Arth/pros rem wo rep NOS 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8001 Arth/pros rem wo re-shld 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8002 Arth/pros rem wo rep-elb 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8003 Arth/pros rem wo re-wrst 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8004 Arth/pros rem wo rep-hnd 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8005 Arth/pros rem wo rep-hip 08 463-465 Wound debride & skin graft ex hand 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8006 Arth/pros rem wo re-knee 08 463-465 Wound debride & skin graft ex hand 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8007 Arth/pros rem wo rep-ank 08 495-497 Loc excis,rm int fx dev ex hip,fem 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 SURGICAL CATEGORY 8008 Arth/pros rem wo re-foot 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8009 Arth/pros rem wo rep NEC 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8010 Other arthrotomy NOS 08 515-517 Other musculoskel & connec tissue 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8011 Oth arthrotomy-shoulder 08 507-508 Major shoulder/elbow 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8012 Oth arthrotomy-elbow 08 507-508 Major shoulder/elbow 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8013 Oth arthrotomy-wrist 08 506 Major thumb or joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8014 Oth arthrotomy-hand/fngr 08 506 Major thumb or joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8015 Oth arthrotomy-hip 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8016 Oth arthrotomy-knee 08 485-489 Knee 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8017 Oth arthrotomy-ankle 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8018 Oth arthrotomy-foot/toe 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8019 Other arthrotomy NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8020 Arthroscopy NOS 08 509 Arthroscopy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8021 Shoulder arthroscopy 08 509 Arthroscopy 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 SURGICAL CATEGORY 8022 Elbow arthroscopy 08 509 Arthroscopy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8023 Wrist arthroscopy 08 509 Arthroscopy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8024 Hand & finger arthroscop 08 509 Arthroscopy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8025 Hip arthroscopy 08 509 Arthroscopy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8026 Knee arthroscopy 08 509 Arthroscopy 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8027 Ankle arthroscopy 08 509 Arthroscopy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8028 Foot & toe arthroscopy 08 509 Arthroscopy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8029 Arthroscopy NEC 08 509 Arthroscopy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8040 Jt structur division NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8041 Shoulder struct division 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8042 Elbow structure division 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8043 Wrist structure division 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8044 Hand joint struct divis 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8045 Hip structure division 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8046 Knee structure division 08 485-489 Knee 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 SURGICAL CATEGORY 8047 Ankle structure division 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8048 Foot joint struct divis 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8049 Jt structur division NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8050 Exc/dest intvrt disc NOS 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8051 Excision intervert disc 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8053 Rep anulus fibrosus-grft 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 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

8054 Rep anuls fibros NEC/NOS 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 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

8059 Oth exc/dest intvrt disc 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

806 Excis knee semilun cartl 08 485-489 Knee 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8070 Synovectomy-site NOS 08 500-502 Soft tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8071 Shoulder synovectomy 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8072 Elbow synovectomy 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8073 Wrist synovectomy 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 SURGICAL CATEGORY 8074 Hand synovectomy 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8075 Hip synovectomy 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8076 Knee synovectomy 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8077 Ankle synovectomy 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8078 Foot synovectomy 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8079 Synovectomy-site NEC 08 500-502 Soft tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8080 Destruct joint les NOS 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8081 Destruc-shoulder les NEC 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8082 Destruc-elbow lesion NEC 08 495-497 Loc excis,rm int fx dev ex hip,fem 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8083 Destruc-wrist lesion NEC 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

8084 Destruc-hand jt les NEC 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8085 Destruct-hip lesion NEC 08 498-499 Loc excis,rm int fx dev - hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8086 Destruct-knee lesion NEC 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8087 Destruc-ankle lesion NEC 08 492-494 Low extrem/humer ex hip,foot,femur 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 SURGICAL CATEGORY 8088 Destruc-foot jt les NEC 08 503-505 Foot 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8089 Destruct joint les NEC 08 495-497 Loc excis,rm int fx dev ex hip,fem 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8090 Excision of joint NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8091 Excision of shoulder NEC 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8092 Excision of elbow NEC 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8093 Excision of wrist NEC 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8094 Excision hand joint NEC 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8095 Excision of hip NEC 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8096 Excision of knee NEC 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8097 Excision of ankle NEC 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8098 Excision foot joint NEC 08 503-505 Foot 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8099 Excision of joint NEC 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8100 Spinal fusion NOS 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8101 Atlas-axis fusion 01 028-030 Spinal 08 See Spinal Fusion Reference Table 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 SURGICAL CATEGORY 8102 Oth cerv fusion ant/ant 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8103 Ot cerv fusion post/post 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8104 Drsl/drslumb fus ant/ant 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8105 Drsl/dslmb fus post/post 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8106 Lumb/lmbosac fus ant/ant 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8107 Lmb/lmbsac fus post/post 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8108 Lumb/lmbsac fus ant/post 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8111 Ankle fusion 08 492-494 Low extrem/humer ex hip,foot,femur 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8112 Triple arthrodesis 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8113 Subtalar fusion 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8114 Midtarsal fusion 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8115 Tarsometatarsal fusion 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8116 Metatarsophalangeal fus 08 503-505 Foot 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 SURGICAL CATEGORY 8117 Other fusion of foot 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8118 Subtalr jt arthroereisis 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8120 Arthrodesis NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8121 Arthrodesis of hip 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8122 Arthrodesis of knee 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8123 Arthrodesis of shoulder 08 507-508 Major shoulder/elbow 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8124 Arthrodesis of elbow 08 507-508 Major shoulder/elbow 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8125 Carporadial fusion 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8126 Metacarpocarpal fusion 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8127 Metacarpophalangeal fus 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8128 Interphalangeal fusion 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8129 Arthrodesis NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8130 Spinal refusion NOS 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8131 Refusion of atlas-axis 01 028-030 Spinal 08 See Spinal Fusion Reference Table 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 SURGICAL CATEGORY 8132 Refus oth cervcl ant/ant 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8133 Refus oth cerv post/post 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8134 Refus drs/drslmb ant/ant 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8135 Refus drs/drslmb pst/pst 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8136 Refus lmb/lmbsac ant/ant 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8137 Refus lmb/lmbsac pst/pst 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8138 Refus lmb/lmbsc ant/post 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8139 Refusion of spine NEC 01 028-030 Spinal 08 See Spinal Fusion Reference Table 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8140 Repair of hip, NEC 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8142 Five-in-one knee repair 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8143 Triad knee repair 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8144 Patellar stabilization 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8145 Cruciate lig repair NEC 08 485-489 Knee 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 SURGICAL CATEGORY 8146 Collaterl lig repair NEC 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8147 Other repair of knee 08 485-489 Knee 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8149 Other repair of ankle 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8151 Total hip replacement 08 461-462 Bilat/mult major joint, low extrem 08 469-470 Maj joint repl/reattach, low extrm 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8152 Partial hip replacement 08 461-462 Bilat/mult major joint, low extrem 08 469-470 Maj joint repl/reattach, low extrm 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8153 Revise hip replacemt NOS 08 466-468 Revision of hip / knee replacement 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8154 Total knee replacement 08 461-462 Bilat/mult major joint, low extrem 08 469-470 Maj joint repl/reattach, low extrm 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8155 Revise knee replace NOS 08 466-468 Revision of hip / knee replacement 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8156 Total ankle replacement 08 461-462 Bilat/mult major joint, low extrem 08 469-470 Maj joint repl/reattach, low extrm 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8157 Repl joint of foot, toe 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8159 Rev jt repl low ext NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 8164* Fus/refus 9 vertebrae 08 456-458 *Spinal fusion - 9+

8165 Percutan vertebroplasty 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8166 Percut vertebral augment 08 515-517 Other musculoskel & connec 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 SURGICAL CATEGORY 8171 Arthroplas metacarp wit 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

8172 Arthroplasty metacar w/o 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

8173 Total wrist replacement 08 483-484 Maj joint/limb reattach, up extrm 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8174 Arthroplasty carpal wit 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

8175 Arthroplasty carpal w/o 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

8179 Oth repair han/fin/wris 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

8180 Oth totl shouldr replace 08 483-484 Maj joint/limb reattach, up extrm 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8181 Partial shoulder replace 08 483-484 Maj joint/limb reattach, up extrm 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8182 Rep recur shlder disloc 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8183 Shoulder arthroplast NEC 08 507-508 Major shoulder/elbow 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8184 Total elbow replacement 08 483-484 Maj joint/limb reattach, up extrm 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8185 Elbow arthroplasty NEC 08 507-508 Major shoulder/elbow 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8188 Rvrs totl shldr replacmt 08 483-484 Maj joint/limb reattach, up extrm 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8193 Sutur capsul/ligamen arm 08 510-512 Other upper extremity 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 SURGICAL CATEGORY 8194 Suture capsul/lig ank/ft 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8195 Sutur capsul/lig leg NEC 08 500-502 Soft tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8196 Other repair of joint 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8197 Rev jt repl upper extrem 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8198 Other joint dx procedure 08 477-479 Musculoskeletal biopsy 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8199 Joint structure op NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8201 Explor tend sheath-hand 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8202 Myotomy of hand 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8203 Bursotomy of hand 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8209 Inc soft tissue hand NEC 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

8211 Tenotomy of hand 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8212 Fasciotomy of hand 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8219 Div soft tissue hand NEC 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8221 Exc les tend sheath hand 08 513-514 Hand/wrist, except maj thumb/joint 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 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 SURGICAL CATEGORY 8222 Excision hand muscle les 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8229 Exc les sft tiss hnd NEC 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

8231 Bursectomy of hand 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8232 Excis hand tend for grft 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8233 Hand tenonectomy NEC 08 513-514 Hand/wrist, except maj thumb/joint 10 628-630 Other endocrine/nutrit/metabolic 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8234 Exc hnd mus/fas for grft 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8235 Hand fasciectomy NEC 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8236 Other myectomy of hand 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8239 Hand soft tissue exc NEC 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

8241 Suture tendn sheath hand 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8242 Delay sut flex tend hand 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8243 Delay sut hand tend NEC 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8244 Sutur flex tend hand NEC 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8245 Suture hand tendon NEC 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 8246 Suture hand muscle/fasc 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8251 Hand tendon advancement 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

8252 Hand tendon recession 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

8253 Hand tendon reattachment 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

8254 Hand muscle reattachment 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

8255 Chng hnd mus/ten lng NEC 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

8256 Transplant hand tend NEC 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

8257 Transposit hand tend NEC 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

8258 Transplant hand musc NEC 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

8259 Transposit hand musc NEC 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

8261 Pollicization operation 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

8269 Thumb reconstruction NEC 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 MDC MS-DRG SURGICAL CATEGORY 8271 Hand tend pulley reconst 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

8272 Plast op hnd-mus/fas grf 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

8279 Plast op hand w grft NEC 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

8281 Transfer of finger 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

8282 Repair of cleft hand 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

8283 Repair of macrodactyly 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

8284 Repair of mallet finger 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

8285 Other tenodesis of hand 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

8286 Other tenoplasty of hand 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

8289 Hand plastic op NEC 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

8291 Lysis of hand adhesions 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

8299 Hand mus/ten/fas/ops NEC 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 SURGICAL CATEGORY 8301 Tendon sheath explorat 08 500-502 Soft tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8302 Myotomy 03 133-134 Other ear, nose, mouth & throat 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

8303 Bursotomy 08 500-502 Soft tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8309 Soft tissue incision NEC 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

8311 Achillotenotomy 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8312 Adductor tenotomy of hip 08 480-482 Hip & femur except major joint 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8313 Other tenotomy 01 040-042 Periph/cranial nerve & other 08 500-502 Soft tissue 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8314 Fasciotomy 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

8319 Soft tissue division NEC 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

8321 Open biopsy soft tissue 01 040-042 Periph/cranial nerve & other 04 166-168 Other respiratory system Soft 08 500-502 tissue 09 579-581 Other skin, subcut tissue & breast 16 802-804 Other blood & blood form org

8329 Soft tissue dx proc NEC 08 500-502 Soft tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8331 Excis les tendon sheath 08 500-502 Soft tissue 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 SURGICAL CATEGORY 8332 Excis lesion of muscle 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

8339 Exc les soft tissue NEC 03 133-134 Other ear, nose, mouth & throat 08 500-502 Soft tissue 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

8341 Tendon excision for grft 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

8342 Other tenonectomy 08 500-502 Soft tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8343 Musc/fasc excis for grft 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

8344 Other fasciectomy 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

8345 Other myectomy 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

8349 Other soft tissue excis 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat 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

835 Bursectomy 08 500-502 Soft tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8361 Tendon sheath suture 08 500-502 Soft tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8362 Delayed tendon suture 08 500-502 Soft tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8363 Rotator cuff repair 08 510-512 Other upper extremity 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 SURGICAL CATEGORY 8364 Other suture of tendon 08 500-502 Soft tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8365 Other muscle/fasc suture 08 500-502 Soft tissue 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

8371 Tendon advancement 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

8372 Tendon recession 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

8373 Tendon reattachment 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

8374 Muscle reattachment 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

8375 Tendon trnsfr/transplant 01 040-042 Periph/cranial nerve & other 08 500-502 Soft tissue 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8376 Other tendon transposit 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

8377 Muscle trnsfr/transplant 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

8379 Other muscle transposit 01 040-042 Periph/cranial nerve & other 08 500-502 Soft tissue 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8381 Tendon graft 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 8382 Muscle or fascia graft 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

8383 Tendon pulley reconstruc 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

8384 Clubfoot release NEC 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8385 Musc/tend lng change NEC 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

8386 Quadricepsplasty 08 500-502 Soft tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8387 Other plastic ops muscle 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

8388 Other plastic ops tendon 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

8389 Other plastic ops fascia 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

8391 Adhesiolysis mus/ten/fas 08 500-502 Soft tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8392 Insert skel musc stimula 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

8393 Remov skel musc stimulat 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

8399 Mus/ten/fas/bur op NEC 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 SURGICAL CATEGORY 8400 Upper limb amputat NOS 05 255-257 Amputation, upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8401 Finger amputation 05 255-257 Amputation, upper limb & toe 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

8402 Thumb amputation 05 255-257 Amputation, upper limb & toe 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

8403 Amputation through hand 05 255-257 Amputation, upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8404 Disarticulation of wrist 05 255-257 Amputation, upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8405 Amputation thru forearm 05 255-257 Amputation, upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8406 Disarticulation of elbow 05 255-257 Amputation, upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8407 Amputation thru humerus 05 255-257 Amputation, upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8408 Shoulder disarticulation 05 255-257 Amputation, upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8409 Forequarter amputation 05 255-257 Amputation, upper limb & toe 08 474-476 Amputation 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 SURGICAL CATEGORY 8410 Lower limb amputat NOS 05 239-241 Amputation except upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 10 616-618 Amputation of lower limb 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8411 Toe amputation 01 040-042 Periph/cranial nerve & other 05 255-257 Amputation, upper limb & toe 08 503-505 Foot 09 579-581 Other skin, subcut tissue & breast 10 616-618 Amputation of lower limb 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8412 Amputation through foot 01 040-042 Periph/cranial nerve & other 05 239-241 Amputation except upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 10 616-618 Amputation of lower limb 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8413 Disarticulation of ankle 01 040-042 Periph/cranial nerve & other 05 239-241 Amputation except upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 10 616-618 Amputation of lower limb 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8414 Amputat through malleoli 01 040-042 Periph/cranial nerve & other 05 239-241 Amputation except upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 10 616-618 Amputation of lower limb 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8415 Below knee amputat NEC 01 040-042 Periph/cranial nerve & other 05 239-241 Amputation except upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 10 616-618 Amputation of lower limb 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8416 Disarticulation of knee 01 040-042 Periph/cranial nerve & other 05 239-241 Amputation except upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 10 616-618 Amputation of lower limb 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 SURGICAL CATEGORY 8417 Above knee amputation 01 040-042 Periph/cranial nerve & other 05 239-241 Amputation except upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 10 616-618 Amputation of lower limb 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8418 Disarticulation of hip 05 239-241 Amputation except upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8419 Hindquarter amputation 05 239-241 Amputation except upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8421 Thumb reattachment 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8422 Finger reattachment 08 513-514 Hand/wrist, except maj thumb/joint 21 906 Hand procs for injuries 24 957-959 Other procs for mult signif trauma

8423 Forearm/wrist/hand reatt 08 483-484 Maj joint/limb reattach, up extrm 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8424 Upper arm reattachment 08 483-484 Maj joint/limb reattach, up extrm 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8425 Toe reattachment 08 503-505 Foot 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8426 Foot reattachment 08 469-470 Maj joint repl/reattach, low extrm 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8427 Lower leg/ankle reattach 08 469-470 Maj joint repl/reattach, low extrm 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8428 Thigh reattachment 08 469-470 Maj joint repl/reattach, low extrm 21 907-909 Other procs for injuries 24 956 Limb reattach, hip & femur

8429 Reattachment NEC 08 515-517 Other musculoskel & connec 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 SURGICAL CATEGORY 843 Amputation stump revis 05 255-257 Amputation, upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 10 622-624 Skin graft & wound debridement 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8440 Implnt/fit pros limb NOS 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8444 Implant arm prosthesis 08 510-512 Other upper extremity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8448 Implant leg prosthesis 08 492-494 Low extrem/humer ex hip,foot,femur 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8459 Insert othr spin device 01 028-030 Spinal 08 490 Disc devices 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8460 Insert disc pros NOS 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8461 Ins part disc pros cerv 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8462 Ins tot disc prost cerv 01 028-030 Spinal 08 490 Disc devices 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8463 Ins spin disc pros thor 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8464 Ins part disc pros lumb 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8465 Ins totl disc pros lumb 01 028-030 Spinal 08 490 Disc devices 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8466 Revise disc prost cerv 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 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 SURGICAL CATEGORY 8467 Revise disc prost thora 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8468 Revise disc prosth lumb 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8469 Revise disc prosth NOS 01 028-030 Spinal 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8480 Ins/repl interspine dev 01 028-030 Spinal 08 490 Disc devices 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8481 Rev interspine device 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8482 Ins/repl pdcl stabil dev 01 028-030 Spinal 08 490 Disc devices 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8483 Rev pedcl dyn stabil dev 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8484 Ins/repl facet replc dev 01 028-030 Spinal 08 490 Disc devices 08 490-491 Back & neck except spinal fusion 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8485 Rev facet replace device 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8491 Amputation NOS 05 239-241 Amputation except upper limb & toe 08 474-476 Amputation 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 8492 Separat equal join twin 08 515-517 Other musculoskel & connec tissue 8493 Separat unequl join twin 08 515-517 Other musculoskel & connec tissue

8494 Ins strn fix w rgd plate 04 166-168 Other respiratory system 05 264 Other circulatory system 08 515-517 Other musculoskel & connec 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 SURGICAL CATEGORY 8499 Musculoskeletal op NEC 08 515-517 Other musculoskel & connec tissue 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8512 Open breast biopsy 09 584-585 Breast biop/local excis/oth breast 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8520 Breast tissu destruc NOS 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

8521 Local excis breast les 09 584-585 Breast biop/local excis/oth breast 10 628-630 Other endocrine/nutrit/metabolic 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8522 Quadrant resect breast 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

8523 Subtotal mastectomy 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

8524 Exc ectopic breast tissu 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

8525 Excision of nipple 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

8531 Unilat reduct mammoplast 09 582-583 Mastectomy 09 584-585 Breast biop/local excis/oth breast 10 619-621 Procs for obesity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8532 Bilat reduct mammoplasty 09 582-583 Mastectomy 09 584-585 Breast biop/local excis/oth breast 10 619-621 Procs for obesity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8533 Unil subq mammect-implnt 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

8534 Unilat subq mammect NEC 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 APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 8535 Bil subq mammect-implant 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

8536 Bilat subq mammectom NEC 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

8541 Unilat simple mastectomy 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

8542 Bilat simple mastectomy 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

8543 Unilat exten simp mastec 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

8544 Bilat extend simp mastec 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

8545 Unilat radical mastectom 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

8546 Bilat radical mastectomy 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

8547 Unil ext rad mastectomy 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

8548 Bil exten rad mastectomy 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

8550 Augment mammoplasty NOS 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

8553 Unilat breast implant 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

8554 Bilateral breast implant 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 SURGICAL CATEGORY 8555 Fat graft to breast 09 584-585 Breast biop/local excis/oth breast

856 Mastopexy 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

8570 Totl reconstc breast NOS 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

8571 Latiss dorsi myocut flap 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

8572 TRAM flap, pedicled 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

8573 TRAM flap, free 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

8574 DIEP flap, free 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

8575 SIEA flap, free 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

8576 GAP flap, free 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

8579 Totl reconst breast NEC 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

8582 Breast split-thick graft 09 573-578 Skin graft 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma

8583 Breast full-thick graft 09 573-578 Skin graft 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma

8584 Breast pedicle graft 09 573-578 Skin graft 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 8585 Breast muscle flap graft 09 573-578 Skin graft 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8586 Transposition of nipple 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

8587 Nipple repair NEC 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

8589 Mammoplasty NEC 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

8593 Breast implant revision 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

8594 Breast implant removal 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

8595 Inser breast tissu expan 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

8596 Remov breast tissu expan 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

8599 Breast operation NEC 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

8606 Insert infusion pump 01 040-042 Periph/cranial nerve & other 04 166-168 Other respiratory system 05 264 Other circulatory system 06 356-358 Other digestive system 07 423-425 Other hepatobiliary or pancreas 08 515-517 Other musculoskel & connec tissue 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 13 749-750 Other female reproductive system 16 802-804 Other blood & blood form org 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8607* Insert vasc access dev 09 579-581 *Other skin, subcut tissue & breast 11 673-675 *Insert vascular access device

8609* Skin & subq incision NEC 09 579-581 *Other skin, subcut tissue & breast

8621 Excision of pilonid cyst 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 SURGICAL CATEGORY 8622 Exc wound debridement 01 040-042 Periph/cranial nerve & other 02 115 Extraocular except orbital 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system 05 264 Other circulatory system 06 356-358 Other digestive system 07 423-425 Other hepatobiliary or pancreas 08 463-465 Wound debride & skin graft ex hand 09 570-572 Wound debridement 10 622-624 Skin graft & wound debridement 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 13 749-750 Other female reproductive system 16 802-804 Other blood & blood form org 21 901-903 Wound debridement 24 957-959 Other procs for mult signif trauma 8625 Dermabrasion 09 579-581 Other skin, subcut tissue & breast 863* Other local destruc skin 09 579-581 *Other skin, subcut tissue & breast

864 Radical excis skin les 01 040-042 Periph/cranial nerve & other 02 115 Extraocular except orbital 03 133-134 Other ear, nose, mouth & throat 05 264 Other circulatory system 08 500-502 Soft tissue 09 573-578 Skin graft 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8660 Free skin graft NOS 01 040-042 Periph/cranial nerve & other 05 264 Other circulatory system 06 356-358 Other digestive system 08 463-465 Wound debride & skin graft ex hand 09 573-578 Skin graft 10 622-624 Skin graft & wound debridement 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma

8661 Full-thick hand skin grf 01 040-042 Periph/cranial nerve & other 05 264 Other circulatory system 08 513-514 Hand/wrist, except maj thumb/joint 09 573-578 Skin graft 21 906 Hand procs for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma

8662 Hand skin graft NEC 01 040-042 Periph/cranial nerve & other 05 264 Other circulatory system 08 513-514 Hand/wrist, except maj thumb/joint 09 573-578 Skin graft 21 906 Hand procs for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 8663 Full-thick skin grft NEC 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 05 264 circulatory system 06 356-358 Other digestive system 08 463-465 Wound debride & skin graft ex hand 09 573-578 Skin graft 10 622-624 Skin graft & wound debridement 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma

8665 Heterograft to skin 01 040-042 Periph/cranial nerve & other 05 264 Other circulatory system 06 356-358 Other digestive system 08 463-465 Wound debride & skin graft ex hand 09 573-578 Skin graft 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma

8666 Homograft to skin 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 05 264 circulatory system 06 356-358 Other digestive system 08 463-465 Wound debride & skin graft ex hand 09 573-578 Skin graft 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma

8667 Dermal regener graft 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 05 264 circulatory system 06 356-358 Other digestive system 08 463-465 Wound debride & skin graft ex hand 09 573-578 Skin graft 10 622-624 Skin graft & wound debridement 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma

8669 Free skin graft NEC 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 04 166-168 respiratory system 05 264 Other circulatory system 06 356-358 Other digestive system 08 463-465 Wound debride & skin graft ex hand 09 573-578 Skin graft 10 622-624 Skin graft & wound debridement 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 8670 Pedicle graft/flap NOS 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 05 264 circulatory system 06 356-358 Other digestive system 08 463-465 Wound debride & skin graft ex hand 09 573-578 Skin graft 10 622-624 Skin graft & wound debridement 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma

8671 Cut & prep pedicle graft 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 05 264 circulatory system 06 356-358 Other digestive system 08 463-465 Wound debride & skin graft ex hand 09 573-578 Skin graft 10 622-624 Skin graft & wound debridement 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma

8672 Pedicle graft advancemen 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 05 264 circulatory system 06 356-358 Other digestive system 08 463-465 Wound debride & skin graft ex hand 09 573-578 Skin graft 10 622-624 Skin graft & wound debridement 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma

8673 Attach pedicle to hand 08 513-514 Hand/wrist, except maj thumb/joint 09 573-578 Skin graft 21 906 Hand procs for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma

8674 Attach pedicle graft NEC 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 05 264 circulatory system 06 356-358 Other digestive system 08 463-465 Wound debride & skin graft ex hand 09 573-578 Skin graft 10 622-624 Skin graft & wound debridement 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma

8675 Revision of pedicle grft 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 05 264 circulatory system 06 356-358 Other digestive system 08 463-465 Wound debride & skin graft ex hand 09 573-578 Skin graft 10 622-624 Skin graft & wound debridement 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 8681 Repair facial weakness 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat 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

8682 Facial rhytidectomy 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8683 Size reduct plastic op 09 579-581 Other skin, subcut tissue & breast 10 619-621 Procs for obesity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8684 Relaxation of scar 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8685 Syndactyly correction 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

8686 Onychoplasty 09 579-581 Other skin, subcut tissue & breast 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8687 Fat grft skin/subq tiss 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast 10 619-621 Procs for obesity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

8689 Skin repair & plasty NEC 03 133-134 Other ear, nose, mouth & throat 09 579-581 Other skin, subcut tissue & breast 10 619-621 Procs for obesity 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma 8690 Ext fat for grft/banking 09 579-581 Other skin, subcut tissue & breast

8691 Skin excision for graft 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat 05 264 Other circulatory system 09 573-578 Skin graft 10 622-624 Skin graft & wound debridement 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 SURGICAL CATEGORY 8693 Insert tissue expander 01 040-042 Periph/cranial nerve & other Other 03 133-134 ear, nose, mouth & throat Other 05 264 circulatory system 06 356-358 Other digestive system 08 463-465 Wound debride & skin graft ex hand 09 573-578 Skin graft 10 622-624 Skin graft & wound debridement 21 904-905 Skin grafts for injuries 22 927-929 Skin grafts for burns 24 957-959 Other procs for mult signif trauma

8694 Ins/repl single pul gen 01 029,041 Neurostimulator 01 040-042 Periph/cranial nerve & other 08 490 Neurostimulator

8695 Ins/re pls gn no rechrg 01 023-024 Insert/repl dual pulse generator 01 029,041 Neurostimulator 01 040-042 Periph/cranial nerve & other 08 490 Neurostimulator

8696 Insert/repl oth neurost 01 040-042 Periph/cranial nerve & other 05 252-254 Other vascular

8697 Ins/rep 1 pul gen,rechrg 01 029,041 Neurostimulator 01 040-042 Periph/cranial nerve & other 08 490 Neurostimulator

8698 Ins/rep mul pul gn,rechg 01 023-024 Insert/repl dual pulse generator 01 029,041 Neurostimulator 01 040-042 Periph/cranial nerve & other 08 490 Neurostimulator

8753 Intraoper cholangiogram 07 420-422 Hepatobiliary diagnostic procs

8852* Rt heart angiocardiogram 05 216-218 *Cardiac catheter 05 222-225 *Cardiac catheter 05 233-234 *Cardiac catheter 05 286-287 *Cardiac catheter

8853* Lt heart angiocardiogram 05 216-218 *Cardiac catheter 05 222-225 *Cardiac catheter 05 233-234 *Cardiac catheter 05 286-287 *Cardiac catheter

8854* Rt & lt heart angiocard 05 216-218 *Cardiac catheter 05 222-225 *Cardiac catheter 05 233-234 *Cardiac catheter 05 286-287 *Cardiac catheter

8855* Coronar arteriogr-1 cath 05 216-218 *Cardiac catheter 05 222-225 *Cardiac catheter 05 233-234 *Cardiac catheter 05 286-287 *Cardiac catheter

8856* Coronar arteriogr-2 cath 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 SURGICAL CATEGORY 8857* Coronary arteriogram NEC 05 216-218 *Cardiac catheter 05 222-225 *Cardiac catheter 05 233-234 *Cardiac catheter 05 286-287 *Cardiac catheter

8858* Negatve-contr cardiogram 05 216-218 *Cardiac catheter 05 222-225 *Cardiac catheter 05 233-234 *Cardiac catheter 05 286-287 *Cardiac catheter

9227 Radioactive elem implant 01 040-042 Periph/cranial nerve & other 03 133-134 Other ear, nose, mouth & throat 04 166-168 Other respiratory system 05 248-249 Radioactive element implant 05 264 Other circulatory system 06 356-358 Other digestive system 09 579-581 Other skin, subcut tissue & breast 10 628-630 Other endocrine/nutrit/metabolic 11 673-675 Other kidney & urinary tract 12 715-718 Other male reproductive system 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 21 907-909 Other procs for injuries 24 957-959 Other procs for mult signif trauma

9230* Stereo radiosurgery NOS 01 040-042 *Periph/cranial nerve & other *Other 10 628-630 endocrine/nutrit/metabolic *Other 17 823-825 procedure 17 829-830 *Other procedure

9231* Sing source radiosurgery 01 040-042 *Periph/cranial nerve & other *Other 10 628-630 endocrine/nutrit/metabolic *Other 17 823-825 procedure 17 829-830 *Other procedure

9232* Multisource radiosurgery 01 040-042 *Periph/cranial nerve & other *Other 10 628-630 endocrine/nutrit/metabolic *Other 17 823-825 procedure 17 829-830 *Other procedure

9233* Particulate radiosurgery 01 040-042 *Periph/cranial nerve & other *Other 10 628-630 endocrine/nutrit/metabolic *Other 17 823-825 procedure 17 829-830 *Other procedure

9239* Stereo radiosurgery NEC 01 040-042 *Periph/cranial nerve & other *Other 10 628-630 endocrine/nutrit/metabolic *Other 17 823-825 procedure 17 829-830 *Other procedure

9461* Alcohol rehabilitation 20 895 *Alcohol/drug rehab or rehab/detox

9463* Alcohol rehab/detox 20 895 *Alcohol/drug rehab or rehab/detox

9464* Drug rehabilitation 20 895 *Alcohol/drug rehab or rehab/detox

9466* Drug rehab/detox 20 895 *Alcohol/drug rehab or rehab/detox

9467* Comb alcohol/drug rehab 20 895 *Alcohol/drug rehab or rehab/detox

9469* Comb alco/drug reha/deto 20 895 *Alcohol/drug rehab or rehab/detox APPENDIX E PROCEDURE CODE/MS-DRG INDEX

CODE DESCRIPTION MDC MS-DRG SURGICAL CATEGORY 02 115 Extraocular except orbital 9504 Anesthetized eye exam

9670* Con inv mec ven-unsp dur 04 208 *MV <96 hours

9671* Cont inv mec ven <96 hrs 04 208 *MV <96 hours

9672* Cont inv mec ven 96+ hrs 003-004 *MV 96+ hours 04 207 *MV 96+ hours 18 870 *MV 96+ hours 22 927,933 *MV 96+ hours

9851* Eswl kid/ureter/bladder 11 691-692 *ESWL

9910* Inject/inf thrombo agent 01 061-063 *Use of thrombolytic agent