MS-DRG Codes and Descriptions

The version of the MS-DRG Grouper used on a patient depends on the patient’s discharge date.

Discharge Dates

Grouper Version

10/1/2020 – 12/31/2020

V38.0

1/1/2021 – 9/30/2021

V38.1

10/1/2021 – 3/31/2022

V39.0

4/1/2022 - 9/30/2022

V39.1

10/1/2022 – 3/31/2023

V40

4/1/2023 – 9/30/2023

V40.1

10/1/2023 – 3/31/2024

V41

4/1/2024 – 9/30/2024

V41.1

10/1/2024 – 3/31/2025

V42

4/1/2025 – 9/30/2025

V42.1

10/1/2025 - forward

V43.0

Refer to the following table for any of the codes that are available in QualityAdvisor.

Code

Description

0

Outpatient

001

HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC

002

HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC

003

ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.

004

TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.

005

LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT

006

LIVER TRANSPLANT W/O MCC

007

LUNG TRANSPLANT

008

SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT

010

PANCREAS TRANSPLANT

011

TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES W MCC

012

TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES W CC

013

TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC

014

ALLOGENEIC BONE MARROW TRANSPLANT

016

AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC

017

AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC

018

CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY

019

SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS

020

INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC

021

INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC

022

INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC

023

CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR (Description Revised 10/1/2025)

024

CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC

025

CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC

026

CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC

027

CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC

028

SPINAL PROCEDURES W MCC

029

SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS

030

SPINAL PROCEDURES W/O CC/MCC

031

VENTRICULAR SHUNT PROCEDURES W MCC

032

VENTRICULAR SHUNT PROCEDURES W CC

033

VENTRICULAR SHUNT PROCEDURES W/O CC/MCC

034

CAROTID ARTERY STENT PROCEDURE W MCC

035

CAROTID ARTERY STENT PROCEDURE W CC

036

CAROTID ARTERY STENT PROCEDURE W/O CC/MCC

037

EXTRACRANIAL PROCEDURES W MCC

038

EXTRACRANIAL PROCEDURES W CC

039

EXTRACRANIAL PROCEDURES W/O CC/MCC

040

PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC

041

PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM

042

PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC

052

SPINAL DISORDERS & INJURIES W CC/MCC

053

SPINAL DISORDERS & INJURIES W/O CC/MCC

054

NERVOUS SYSTEM NEOPLASMS W MCC

055

NERVOUS SYSTEM NEOPLASMS W/O MCC

056

DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC

057

DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC

058

MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC

059

MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC

060

MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC

061

ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC

062

ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC

063

ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC

064

INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC

065

INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS

066

INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC

067

PRECEREBRAL OCCLUSION W/O INFARCT W MCC (Description Revised 10/1/2025)

068

PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC (Description Revised 10/1/2025)

069

TRANSIENT ISCHEMIA

070

OTHER CEREBROVASCULAR DISORDERS W MCC (Description Revised 10/1/2025)

071

OTHER CEREBROVASCULAR DISORDERS W CC (Description Revised 10/1/2025)

072

OTHER CEREBROVASCULAR DISORDERS W/O CC/MCC (Description Revised 10/1/2025)

073

CRANIAL & PERIPHERAL NERVE DISORDERS W MCC

074

CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC

075

VIRAL MENINGITIS W CC/MCC

076

VIRAL MENINGITIS W/O CC/MCC

077

HYPERTENSIVE ENCEPHALOPATHY W MCC (Removed effective October 2025)

078

HYPERTENSIVE ENCEPHALOPATHY W CC (Removed effective October 2025)

079

HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC (Removed effective October 2025)

080

NONTRAUMATIC STUPOR & COMA W MCC

081

NONTRAUMATIC STUPOR & COMA W/O MCC

082

TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC

083

TRAUMATIC STUPOR & COMA, COMA >1 HR W CC

084

TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC

085

TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC

086

TRAUMATIC STUPOR & COMA, COMA <1 HR W CC

087

TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC

088

CONCUSSION W MCC

089

CONCUSSION W CC

090

CONCUSSION W/O CC/MCC

091

OTHER DISORDERS OF NERVOUS SYSTEM W MCC

092

OTHER DISORDERS OF NERVOUS SYSTEM W CC

093

OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC

094

BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC

095

BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC

096

BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC

097

NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC

098

NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC

099

NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC

100

SEIZURES W MCC

101

SEIZURES W/O MCC

102

HEADACHES W MCC

103

HEADACHES W/O MCC

113

ORBITAL PROCEDURES W CC/MCC

114

ORBITAL PROCEDURES W/O CC/MCC

115

EXTRAOCULAR PROCEDURES EXCEPT ORBIT

116

INTRAOCULAR PROCEDURES W CC/MCC

117

INTRAOCULAR PROCEDURES W/O CC/MCC

121

ACUTE MAJOR EYE INFECTIONS W CC/MCC

122

ACUTE MAJOR EYE INFECTIONS W/O CC/MCC

123

NEUROLOGICAL EYE DISORDERS

124

OTHER DISORDERS OF THE EYE W MCC

125

OTHER DISORDERS OF THE EYE W/O MCC

135

SINUS & MASTOID PROCEDURES W CC/MCC

136

SINUS & MASTOID PROCEDURES W/O CC/MCC

137

MOUTH PROCEDURES W CC/MCC

138

MOUTH PROCEDURES W/O CC/MCC

139

SALIVARY GLAND PROCEDURES

140

MAJOR HEAD AND NECK PROCEDURES WITH MCC

141

MAJOR HEAD AND NECK PROCEDURES WITH CC

142

MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC

143

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC

144

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC

145

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC

146

EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC

147

EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC

148

EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC

149

DYSEQUILIBRIUM

150

EPISTAXIS W MCC

151

EPISTAXIS W/O MCC

152

OTITIS MEDIA & URI W MCC

153

OTITIS MEDIA & URI W/O MCC

154

OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC

155

OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC

156

OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC

157

DENTAL & ORAL DISEASES W MCC

158

DENTAL & ORAL DISEASES W CC

159

DENTAL & ORAL DISEASES W/O CC/MCC

163

MAJOR CHEST PROCEDURES W MCC

164

MAJOR CHEST PROCEDURES W CC

165

MAJOR CHEST PROCEDURES W/O CC/MCC

166

OTHER RESP SYSTEM O.R. PROCEDURES W MCC

167

OTHER RESP SYSTEM O.R. PROCEDURES W CC

168

OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC

173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM

175

PULMONARY EMBOLISM W MCC

176

PULMONARY EMBOLISM W/O MCC

177

RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC

178

RESPIRATORY INFECTIONS & INFLAMMATIONS W CC

179

RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC

180

RESPIRATORY NEOPLASMS W MCC

181

RESPIRATORY NEOPLASMS W CC

182

RESPIRATORY NEOPLASMS W/O CC/MCC

183

MAJOR CHEST TRAUMA W MCC

184

MAJOR CHEST TRAUMA W CC

185

MAJOR CHEST TRAUMA W/O CC/MCC

186

PLEURAL EFFUSION W MCC

187

PLEURAL EFFUSION W CC

188

PLEURAL EFFUSION W/O CC/MCC

189

PULMONARY EDEMA & RESPIRATORY FAILURE

190

CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC

191

CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC

192

CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC

193

SIMPLE PNEUMONIA & PLEURISY W MCC

194

SIMPLE PNEUMONIA & PLEURISY W CC

195

SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC

196

INTERSTITIAL LUNG DISEASE W MCC

197

INTERSTITIAL LUNG DISEASE W CC

198

INTERSTITIAL LUNG DISEASE W/O CC/MCC

199

PNEUMOTHORAX W MCC

200

PNEUMOTHORAX W CC

201

PNEUMOTHORAX W/O CC/MCC

202

BRONCHITIS & ASTHMA W CC/MCC

203

BRONCHITIS & ASTHMA W/O CC/MCC

204

RESPIRATORY SIGNS & SYMPTOMS

205

OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC

206

OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC

207

RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS

208

RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS

209

COMPLEX AORTIC ARCH PROCEDURES

212

CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES

213

ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES

215

OTHER HEART ASSIST SYSTEM IMPLANT

216

CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC

217

CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC

218

CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC

219

CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC

220

CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC

221

CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC

222

CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC (Removed effective 10/1/2023)

223

CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC (Removed effective 10/1/2023)

224

CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC (Removed effective 10/1/2023)

225

CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC (Removed effective 10/1/2023)

226

CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC (Removed effective 10/1/2023)

227

CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC (Removed effective 10/1/2023)

228

OTHER CARDIOTHORACIC PROCEDURES W MCC

229

OTHER CARDIOTHORACIC PROCEDURES W/O MCC

231

CORONARY BYPASS W PTCA W MCC

232

CORONARY BYPASS W PTCA W/O MCC

233

CORONARY BYPASS W CARDIAC CATH W MCC

234

CORONARY BYPASS W CARDIAC CATH W/O MCC

235

CORONARY BYPASS W/O CARDIAC CATH W MCC

236

CORONARY BYPASS W/O CARDIAC CATH W/O MCC

239

AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC

240

AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC

241

AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC

242

PERMANENT CARDIAC PACEMAKER IMPLANT W MCC

243

PERMANENT CARDIAC PACEMAKER IMPLANT W CC

244

PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC

245

AICD GENERATOR PROCEDURES

246

PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS (Removed effective 10/1/2023)

247

PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC (Removed effective 10/1/2023)

248

PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS (Removed effective 10/1/2023)

249

PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC (Removed effective 10/1/2023)

250

PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC

251

PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC

252

OTHER VASCULAR PROCEDURES W MCC

253

OTHER VASCULAR PROCEDURES W CC

254

OTHER VASCULAR PROCEDURES W/O CC/MCC

255

UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC

256

UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC

257

UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC

258

CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC

259

CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC

260

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC

261

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC

262

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC

263

VEIN LIGATION & STRIPPING

264

OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 265 AICD LEAD PROCEDURES

265

AICD LEAD PROCEDURES

266

ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC

267

ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC

268

AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC

269

AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC

270

OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC

271

OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC

272

OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC

273

PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC

274

PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC

275

CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC

276

CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR

277

CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC

278

ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC

279

ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC

280

ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC

281

ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC

282

ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC

283

ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC

284

ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC

285

ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC

286

CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC

287

CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC

288

ACUTE & SUBACUTE ENDOCARDITIS W MCC

289

ACUTE & SUBACUTE ENDOCARDITIS W CC

290

ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC

291

HEART FAILURE & SHOCK W MCC

292

HEART FAILURE & SHOCK W CC

293

HEART FAILURE & SHOCK W/O CC/MCC

294

DEEP VEIN THROMBOPHLEBITIS W CC/MCC (Removed effective 10/1/2025)

295

DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC (Removed effective 10/1/2025)

296

CARDIAC ARREST, UNEXPLAINED W MCC

297

CARDIAC ARREST, UNEXPLAINED W CC

298

CARDIAC ARREST, UNEXPLAINED W/O CC/MCC

299

PERIPHERAL VASCULAR DISORDERS W MCC

300

PERIPHERAL VASCULAR DISORDERS W CC

301

PERIPHERAL VASCULAR DISORDERS W/O CC/MCC

302

ATHEROSCLEROSIS W MCC

303

ATHEROSCLEROSIS W/O MCC

304

HYPERTENSION W MCC

305

HYPERTENSION W/O MCC

306

CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC

307

CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC

308

CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC

309

CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC

310

CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC

311

ANGINA PECTORIS

312

SYNCOPE & COLLAPSE

313

CHEST PAIN

314

OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC

315

OTHER CIRCULATORY SYSTEM DIAGNOSES W CC

316

OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC

317

CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION

318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE

319

OTHER ENDOVASCULAR CARDIAC VALVA PROCEDURES W MCC

320

OTHER ENDOVASCULAR CARDIAC VALVA PROCEDURES W/O MCC

321

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES

322

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC

323

CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC

324

CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC

325

CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE

326

STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC

327

STOMACH, ESOPHAGEAL & DUODENAL PROC W CC

328

STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC

329

MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC

330

MAJOR SMALL & LARGE BOWEL PROCEDURES W CC

331

MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC

332

RECTAL RESECTION W MCC

333

RECTAL RESECTION W CC

334

RECTAL RESECTION W/O CC/MCC

335

PERITONEAL ADHESIOLYSIS W MCC

336

PERITONEAL ADHESIOLYSIS W CC

337

PERITONEAL ADHESIOLYSIS W/O CC/MCC

338

APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC (Removed effective 10/1/2023)

339

APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC (Removed effective 10/1/2023)

340

APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC (Removed effective 10/1/2023)

341

APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC (Removed effective 10/1/2023)

342

APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC (Removed effective 10/1/2023)

343

APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC (Removed effective 10/1/2023)

344

MINOR SMALL & LARGE BOWEL PROCEDURES W MCC

345

MINOR SMALL & LARGE BOWEL PROCEDURES W CC

346

MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC

347

ANAL & STOMAL PROCEDURES W MCC

348

ANAL & STOMAL PROCEDURES W CC

349

ANAL & STOMAL PROCEDURES W/O CC/MCC

350

INGUINAL & FEMORAL HERNIA PROCEDURES W MCC

351

INGUINAL & FEMORAL HERNIA PROCEDURES W CC

352

INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC

353

HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC

354

HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC

355

HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC

356

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC

357

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC

358

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC

359

PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC

360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC

368

MAJOR ESOPHAGEAL DISORDERS W MCC

369

MAJOR ESOPHAGEAL DISORDERS W CC

370

MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC

371

MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC

372

MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC

373

MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC

374

DIGESTIVE MALIGNANCY W MCC

375

DIGESTIVE MALIGNANCY W CC

376

DIGESTIVE MALIGNANCY W/O CC/MCC

377

G.I. HEMORRHAGE W MCC

378

G.I. HEMORRHAGE W CC

379

G.I. HEMORRHAGE W/O CC/MCC

380

COMPLICATED PEPTIC ULCER W MCC

381

COMPLICATED PEPTIC ULCER W CC

382

COMPLICATED PEPTIC ULCER W/O CC/MCC

383

UNCOMPLICATED PEPTIC ULCER W MCC

384

UNCOMPLICATED PEPTIC ULCER W/O MCC

385

INFLAMMATORY BOWEL DISEASE W MCC

386

INFLAMMATORY BOWEL DISEASE W CC

387

INFLAMMATORY BOWEL DISEASE W/O CC/MCC

388

G.I. OBSTRUCTION W MCC

389

G.I. OBSTRUCTION W CC

390

G.I. OBSTRUCTION W/O CC/MCC

391

ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC

392

ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC

393

OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC

394

OTHER DIGESTIVE SYSTEM DIAGNOSES W CC

395

OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC

397

APPENDIX PROCEDURES WITH MCC

398

APPENDIX PROCEDURES WITH CC

399

APPENDIX PROCEDURES WITHOUT CC/MCC

402

SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

405

PANCREAS, LIVER & SHUNT PROCEDURES W MCC

406

PANCREAS, LIVER & SHUNT PROCEDURES W CC

407

PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC

408

BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC

409

BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC

410

BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC

411

CHOLECYSTECTOMY W C.D.E. W MCC

412

CHOLECYSTECTOMY W C.D.E. W CC

413

CHOLECYSTECTOMY W C.D.E. W/O CC/MCC

414

CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC

415

CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC

416

CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC

417

LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC

418

LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC

419

LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC

420

HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC

421

HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC

422

HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC

423

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC

424

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC

425

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC

426

MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE

427

MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC

428

MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC

429

COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC

430

COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC

432

CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC

433

CIRRHOSIS & ALCOHOLIC HEPATITIS W CC

434

CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC

435

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC

436

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC

437

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC

438

DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC

439

DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC

440

DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC

441

DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC

442

DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC

443

DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC

444

DISORDERS OF THE BILIARY TRACT W MCC

445

DISORDERS OF THE BILIARY TRACT W CC

446

DISORDERS OF THE BILIARY TRACT W/O CC/MCC

447

MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE

448

MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC

450

SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE

451

SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC

453

COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC (Removed effective 10/1/2024)

454

COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC (Removed effective 10/1/2024)

455

COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC (Removed effective 10/1/2024)

456

SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC

457

SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC

458

SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC

459

SPINAL FUSION EXCEPT CERVICAL W MCC (Removed effective 10/1/2024)

460

SPINAL FUSION EXCEPT CERVICAL W/O MCC (Removed effective 10/1/2024)

461

BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC

462

BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC

463

WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC

464

WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC

465

WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC

466

REVISION OF HIP OR KNEE REPLACEMENT W MCC

467

REVISION OF HIP OR KNEE REPLACEMENT W CC

468

REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC

469

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT

470

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC

471

CERVICAL SPINAL FUSION W MCC

472

CERVICAL SPINAL FUSION W CC

473

CERVICAL SPINAL FUSION W/O CC/MCC

474

AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC

475

AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC

476

AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC

477

BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC

478

BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC

479

BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC

480

HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC

481

HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC

482

HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC

483

MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES

485

KNEE PROCEDURES W PDX OF INFECTION W MCC

486

KNEE PROCEDURES W PDX OF INFECTION W CC

487

KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC

488

KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC

489

KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC

492

LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC

493

LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC

494

LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC

495

LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC

496

LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC

497

LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC

498

LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC

499

LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC

500

SOFT TISSUE PROCEDURES W MCC

501

SOFT TISSUE PROCEDURES W CC

502

SOFT TISSUE PROCEDURES W/O CC/MCC

503

FOOT PROCEDURES W MCC

504

FOOT PROCEDURES W CC

505

FOOT PROCEDURES W/O CC/MCC

506

MAJOR THUMB OR JOINT PROCEDURES

507

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC

508

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC

509

ARTHROSCOPY (Removed effective 10/1/2025)

510

SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W MCC

511

SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC

512

SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC

513

HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC

514

HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC

515

OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC

516

OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC

517

OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC

518

BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM

519

BACK & NECK PROC EXC SPINAL FUSION W CC

520

BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC

521

HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC

522

HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC

533

FRACTURES OF FEMUR W MCC

534

FRACTURES OF FEMUR W/O MCC

535

FRACTURES OF HIP & PELVIS W MCC

536

FRACTURES OF HIP & PELVIS W/O MCC

537

SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC

538

SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC

539

OSTEOMYELITIS W MCC

540

OSTEOMYELITIS W CC

541

OSTEOMYELITIS W/O CC/MCC

542

PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC

543

PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC

544

PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC

545

CONNECTIVE TISSUE DISORDERS W MCC

546

CONNECTIVE TISSUE DISORDERS W CC

547

CONNECTIVE TISSUE DISORDERS W/O CC/MCC

548

SEPTIC ARTHRITIS W MCC

549

SEPTIC ARTHRITIS W CC

550

SEPTIC ARTHRITIS W/O CC/MCC

551

MEDICAL BACK PROBLEMS W MCC

552

MEDICAL BACK PROBLEMS W/O MCC

553

BONE DISEASES & ARTHROPATHIES W MCC

554

BONE DISEASES & ARTHROPATHIES W/O MCC

555

SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC

556

SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC

557

TENDONITIS, MYOSITIS & BURSITIS W MCC

558

TENDONITIS, MYOSITIS & BURSITIS W/O MCC

559

AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC

560

AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC

561

AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC

562

FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC

563

FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC

564

OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC

565

OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC

566

OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC

570

SKIN DEBRIDEMENT W MCC

571

SKIN DEBRIDEMENT W CC

572

SKIN DEBRIDEMENT W/O CC/MCC

573

SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC

574

SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC

575

SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC

576

SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC

577

SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC

578

SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC

579

OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC

580

OTHER SKIN, SUBCUT TISS & BREAST PROC W CC

581

OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC

582

MASTECTOMY FOR MALIGNANCY W CC/MCC

583

MASTECTOMY FOR MALIGNANCY W/O CC/MCC

584

BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC

585

BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC

592

SKIN ULCERS W MCC

593

SKIN ULCERS W CC

594

SKIN ULCERS W/O CC/MCC

595

MAJOR SKIN DISORDERS W MCC

596

MAJOR SKIN DISORDERS W/O MCC

597

MALIGNANT BREAST DISORDERS W MCC

598

MALIGNANT BREAST DISORDERS W CC

599

MALIGNANT BREAST DISORDERS W/O CC/MCC

600

NON-MALIGNANT BREAST DISORDERS W CC/MCC

601

NON-MALIGNANT BREAST DISORDERS W/O CC/MCC

602

CELLULITIS W MCC

603

CELLULITIS W/O MCC

604

TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC

605

TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC

606

MINOR SKIN DISORDERS W MCC

607

MINOR SKIN DISORDERS W/O MCC

614

ADRENAL & PITUITARY PROCEDURES W CC/MCC

615

ADRENAL & PITUITARY PROCEDURES W/O CC/MCC

616

AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC

617

AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC

618

AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC

619

O.R. PROCEDURES FOR OBESITY W MCC

620

O.R. PROCEDURES FOR OBESITY W CC

621

O.R. PROCEDURES FOR OBESITY W/O CC/MCC

622

SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC

623

SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC

624

SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC

625

THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC

626

THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC

627

THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC

628

OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC

629

OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC

630

OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC

637

DIABETES W MCC

638

DIABETES W CC

639

DIABETES W/O CC/MCC

640

MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC

641

MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC

642

INBORN AND OTHER DISORDERS OF METABOLISM

643

ENDOCRINE DISORDERS W MCC

644

ENDOCRINE DISORDERS W CC

645

ENDOCRINE DISORDERS W/O CC/MCC

650

KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC

651

KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC

652

KIDNEY TRANSPLANT

653

MAJOR BLADDER PROCEDURES W MCC

654

MAJOR BLADDER PROCEDURES W CC

655

MAJOR BLADDER PROCEDURES W/O CC/MCC

656

KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC

657

KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC

658

KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC

659

KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC

660

KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC

661

KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC

662

MINOR BLADDER PROCEDURES W MCC

663

MINOR BLADDER PROCEDURES W CC

664

MINOR BLADDER PROCEDURES W/O CC/MCC

665

PROSTATECTOMY W MCC

666

PROSTATECTOMY W CC

667

PROSTATECTOMY W/O CC/MCC

668

TRANSURETHRAL PROCEDURES W MCC

669

TRANSURETHRAL PROCEDURES W CC

670

TRANSURETHRAL PROCEDURES W/O CC/MCC

671

URETHRAL PROCEDURES W CC/MCC

672

URETHRAL PROCEDURES W/O CC/MCC

673

OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC

674

OTHER KIDNEY & URINARY TRACT PROCEDURES W CC

675

OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC

682

RENAL FAILURE W MCC

683

RENAL FAILURE W CC

684

RENAL FAILURE W/O CC/MCC

686

KIDNEY & URINARY TRACT NEOPLASMS W MCC

687

KIDNEY & URINARY TRACT NEOPLASMS W CC

688

KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC

689

KIDNEY & URINARY TRACT INFECTIONS W MCC

690

KIDNEY & URINARY TRACT INFECTIONS W/O MCC

693

URINARY STONES W/O ESW LITHOTRIPSY W MCC

694

URINARY STONES W/O ESW LITHOTRIPSY W/O MCC

695

KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC

696

KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC

697

URETHRAL STRICTURE 698 OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC

698

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC

699

OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC

700

OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC

707

MAJOR MALE PELVIC PROCEDURES W CC/MCC

708

MAJOR MALE PELVIC PROCEDURES W/O CC/MCC

709

PENIS PROCEDURES W CC/MCC

710

PENIS PROCEDURES W/O CC/MCC

711

TESTES PROCEDURES W CC/MCC

712

TESTES PROCEDURES W/O CC/MCC

713

TRANSURETHRAL PROSTATECTOMY W CC/MCC

714

TRANSURETHRAL PROSTATECTOMY W/O CC/MCC

715

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC

716

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC

717

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC

718

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC

722

MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC

723

MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC

724

MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC

725

BENIGN PROSTATIC HYPERTROPHY W MCC

726

BENIGN PROSTATIC HYPERTROPHY W/O MCC

727

INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC

728

INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC

729

OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC

730

OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC

734

PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC

735

PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC

736

UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC

737

UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC

738

UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC

739

UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC

740

UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC

741

UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC

742

UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC

743

UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC

744

D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC

745

D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC

746

VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC

747

VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC

748

FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

749

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC

750

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC

754

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC

755

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC

756

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC

757

INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC

758

INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC

759

INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC

760

MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC

761

MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC

768

VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C

769

POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE

770

ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

776

POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE

779

ABORTION W/O D&C

783

CESAREAN SECTION WITH STERILIZATION WITH MCC

784

CESAREAN SECTION WITH STERILIZATION WITH CC

785

CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC

786

CESAREAN SECTION WITHOUT STERILIZATION WITH MCC

787

CESAREAN SECTION WITHOUT STERILIZATION WITH CC

788

CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC

789

NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY

790

EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE

791

PREMATURITY W MAJOR PROBLEMS

792

PREMATURITY W/O MAJOR PROBLEMS

793

FULL TERM NEONATE W MAJOR PROBLEMS

794

NEONATE W OTHER SIGNIFICANT PROBLEMS

795

NORMAL NEWBORN

796

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC

797

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC

798

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC

799

SPLENECTOMY W MCC

800

SPLENECTOMY W CC

801

SPLENECTOMY W/O CC/MCC

802

OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC

803

OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC

804

OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC

805

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC

806

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC

807

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

808

MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC

809

MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC

810

MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC

811

RED BLOOD CELL DISORDERS W MCC

812

RED BLOOD CELL DISORDERS W/O MCC

813

COAGULATION DISORDERS

814

RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC

815

RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC

816

RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC

817

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC

818

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC

819

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC

820

LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC

821

LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC

822

LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC

823

LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC

824

LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC

825

LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W/O CC/MCC

826

MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC

827

MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC

828

MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC

829

MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER PROC W CC/MCC

830

MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER PROC W/O CC/MCC

831

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC

832

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC

833

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC

834

ACUTE LEUKEMIA WITH MCC (Description Revised 10/1/2024)

835

ACUTE LEUKEMIA WITH CC (Description Revised 10/1/2024)

836

ACUTE LEUKEMIA WITHOUT CC/MCC (Description Revised 10/1/2024)

837

CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MC

838

CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT

839

CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC

840

LYMPHOMA & NON-ACUTE LEUKEMIA W MCC

841

LYMPHOMA & NON-ACUTE LEUKEMIA W CC

842

LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC

843

OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC

844

OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC

845

OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC

846

CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC

847

CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC

848

CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC

849

RADIOTHERAPY

850

ACUTE LEUKEMIA WITH OTHER PROCEDURES

853

INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC

854

INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC

855

INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC

856

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC

857

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC

858

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC

862

POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC

863

POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC

864

FEVER

865

VIRAL ILLNESS W MCC

866

VIRAL ILLNESS W/O MCC

867

OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC

868

OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC

869

OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC

870

SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS

871

SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC

872

SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC

876

O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS

880

ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION

881

DEPRESSIVE NEUROSES

882

NEUROSES EXCEPT DEPRESSIVE

883

DISORDERS OF PERSONALITY & IMPULSE CONTROL

884

ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY

885

PSYCHOSES

886

BEHAVIORAL & DEVELOPMENTAL DISORDERS

887

OTHER MENTAL DISORDER DIAGNOSES

894

ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA

895

ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY

896

ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC

897

ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC

901

WOUND DEBRIDEMENTS FOR INJURIES W MCC

902

WOUND DEBRIDEMENTS FOR INJURIES W CC

903

WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC

904

SKIN GRAFTS FOR INJURIES W CC/MCC

905

SKIN GRAFTS FOR INJURIES W/O CC/MCC

906

HAND PROCEDURES FOR INJURIES

907

OTHER O.R. PROCEDURES FOR INJURIES W MCC

908

OTHER O.R. PROCEDURES FOR INJURIES W CC

909

OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC

913

TRAUMATIC INJURY W MCC

914

TRAUMATIC INJURY W/O MCC

915

ALLERGIC REACTIONS W MCC

916

ALLERGIC REACTIONS W/O MCC

917

POISONING & TOXIC EFFECTS OF DRUGS W MCC

918

POISONING & TOXIC EFFECTS OF DRUGS W/O MCC

919

COMPLICATIONS OF TREATMENT W MCC

920

COMPLICATIONS OF TREATMENT W CC

921

COMPLICATIONS OF TREATMENT W/O CC/MCC

922

OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC

923

OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC

927

EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W SKIN GRAFT

928

FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC

929

FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC

933

EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W/O SKIN GRAFT

934

FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ

935

NON-EXTENSIVE BURNS

939

O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC

940

O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC

941

O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC

945

REHABILITATION W CC/MCC

946

REHABILITATION W/O CC/MCC

947

SIGNS & SYMPTOMS W MCC

948

SIGNS & SYMPTOMS W/O MCC

949

AFTERCARE W CC/MCC

950

AFTERCARE W/O CC/MCC

951

OTHER FACTORS INFLUENCING HEALTH STATUS

955

CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

956

LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA

957

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC

958

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC

959

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC

963

OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC

964

OTHER MULTIPLE SIGNIFICANT TRAUMA W CC

965

OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC

969

HIV W EXTENSIVE O.R. PROCEDURE W MCC

970

HIV W EXTENSIVE O.R. PROCEDURE W/O MCC

974

HIV W MAJOR RELATED CONDITION W MCC

975

HIV W MAJOR RELATED CONDITION W CC

976

HIV W MAJOR RELATED CONDITION W/O CC/MCC

977

HIV W OR W/O OTHER RELATED CONDITION

981

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC

982

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC

983

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC

987

NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC

988

NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC

989

NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC

998

PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS

999

UNGROUPABLE