CMS-DRG DRG Description MS-DRGs Base MS-DRG Description Notes
001 Craniotomy Age > 17 with CC 025, 026, 027 Craniotomy & Endovascular Intracranial Procedures with MCC, with CC, and without CC/MCC
002 Craniotomy Age > 17 without CC 025, 026, 027 Craniotomy & Endovascular Intracranial Procedures with MCC, with CC, and without CC/MCC
003 Craniotomy Age 0-17

DRG 003 procedures are split between MS-DRGs 025,026,027,031,032,033
006 Carpal Tunnel Release 040, 041, 042 Peripheral & Cranial Nerve & Other Nervous System Procedure with MCC, with CC, and without CC/MCC
007 Peripheral & Cranial Nerve & Other Nervous System Procedure with CC 040, 041, 042 Peripheral & Cranial Nerve & Other Nervous System Procedure with MCC, with CC, and without CC/MCC
008 Peripheral & Cranial Nerve & Other Nervous System Procedure without CC 040, 041, 042 Peripheral & Cranial Nerve & Other Nervous System Procedure with MCC, with CC, and without CC/MCC
009 Spinal Disorders & Injuries 052, 053 Spinal Disorders and Injuries with CC/MCC, and without CC/MCC
010 Nervous System Neoplasms with CC 054, 055 Nervous System Neoplasms with MCC and without MCC
011 Nervous System Neoplasms without CC 054, 055 Nervous System Neoplasms with MCC and without MCC
012 Degenerative Nervous System Disorders 056, 057 Degenerative Nervous System Disorders with MCC, and without MCC
013 Multiple Sclerosis & Cerebellar Ataxia 058, 059, 060 Multiple Sclerosis and Cerebellar Ataxia with MCC, with CC, and without CC/MCC
014 Intracranial Hemorrhage or Cerebral Infarction 064, 065, 066 Intracranial Hemorrhage or Cerebral Infarction with MCC, with CC, and without CC/MCC
015 Nonspecific CVA & Precerebral Occlusion w/o Infarct 067, 068 Nonspecific CVA & Precerebral Occlusion w/o Infarct with MCC, and without MCC
016 Nonspecific Cerebrovascular Disorders with CC 070, 071, 072 Nonspecific Cerebrovascular Disorders with MCC, with CC, and without CC/MCC
017 Nonspecific Cerebrovascular Disorders without CC 070, 071, 072 Nonspecific Cerebrovascular Disorders with MCC, with CC, and without CC/MCC
018 Cranial and Peripheral Nerve Disorders with CC 073, 074 Cranial & Peripheral Nerve Disorders with MCC, and without MCC
019 Cranial and Peripheral Nerve Disorders without CC 073, 074 Cranial & Peripheral Nerve Disorders with MCC, and without MCC
021 Viral Meningitis 075, 076 Viral Meningitis with CC/MCC and without CC/MCC
022 Hypertensive encephalopathy 077, 078, 079 Hypertensive Encephalopathy with MCC, with CC, and without CC/MCC
023 Nontraumatic Stupor & Coma 080, 081 Nontraumatic Stupor & Coma with MCC, and without MCC
026 Seizure & Headache Age 0-17

DRG 026 PDX are split between MS-DRGs 100,101,102,103
027 Traumatic Stupor & Coma, Coma > 1 hr 082, 083, 084 Traumatic Stupor & Coma, Coma > 1 Hour with MCC, with CC, and without CC/MCC
028 Traumatic Stupor & Coma < 1 hr Age > 17 with CC 085, 086, 087 Traumatic Stupor & Coma, Coma < 1 hour with MCC, with CC, and without CC/MCC
029 Traumatic Stupor & Coma < 1 hr Age > 17 without CC 085, 086, 087 Traumatic Stupor & Coma, Coma < 1 hour with MCC, with CC, and without CC/MCC
030 Traumatic Stupor & Coma < 1 hr Age 0-17 085, 086, 087 Traumatic Stupor & Coma, Coma < 1 hour with MCC, with CC, and without CC/MCC
031 Concussion Age > 17 with CC 088, 089, 090 Concussion with MCC, with CC, and without CC/MCC
032 Concussion Age > 17 without CC 088, 089, 090 Concussion with MCC, with CC, and without CC/MCC
033 Concussion Age 0-17 with CC 088, 089, 090 Concussion with MCC, with CC, and without CC/MCC
034 Other Disorders of Nervous System with CC 091, 092, 093 Other Disorders of Nervous System with MCC, with CC, and without CC/MCC
036 Retinal Procedures 116, 117 Intraocular Procedures with CC/MCC and without CC/MCC
037 Orbital Procedures 113, 114 Orbital Procedures with CC/MCC and without CC/MCC
038 Primary Iris Procedures 116, 117 Intraocular Procedures with CC/MCC and without CC/MCC
039 Lens Procedures with or without Virectomy 116, 117 Intraocular Procedures with CC/MCC and without CC/MCC
040 Extraocular Procedures Except Orbit Age > 17 115 Extraocular Procedures except Orbit
041 Extraocular Procedures Except Orbit Age 0-17 115 Extraocular Procedures except Orbit
042 Intraocular Procedure Except Retina, Iris & Lens 116, 117 Intraocular Procedures with CC/MCC and without CC/MCC
043 Hyphema 124, 125 Other Disorders of the Eye with MCC and without MCC
044 Acute Major Eye Infections 121, 122 Acute Major Eye Infections with CC/MCC, and without CC/MCC
045 Neurological Eye Disorders 123 Neurological Eye Disorders
046 Other Disorders of the Eye Age > 17 with CC 124, 125 Other Disorders of the Eye with MCC and without MCC
047 Other Disorders of the Eye Age > 17 without CC 124, 125 Other Disorders of the Eye with MCC and without MCC
048 Other Disorders of the Eye Age 0-17 124, 125 Other Disorders of the Eye with MCC and without MCC
049 Major Head & Neck Procedures 129, 130 Major Head & Neck Procedures with CC/MCC or Major Device, and without CC/MCC or Major Device Procedures 2096,2097,2098 (cochlear implants) are always assigned to MS-DRG 129 regardless of severity level
050 Sialoadenectomy 139 Salivary Gland Procedures
051 Salivary Gland Procedures Except Sialoadenectomy 139 Salivary Gland Procedures
052 Cleft Lip & Palate Repair 133, 134 Other Ear, Nose, Mouth & Throat O.R. Procedures with CC/MCC, and without CC/MCC
053 Sinus & Mastoid Procedures Age > 17 135, 136 Sinus & Mastoid Procedures with CC/MCC, and without CC/MCC
054 Sinus & Mastoid Procedures Age 0-17 135, 136 Sinus & Mastoid Procedures with CC/MCC, and without CC/MCC
055 Miscellaneous Ear, Nose, Mouth & Throat Procedures 133, 134 Other Ear, Nose, Mouth & Throat O.R. Procedures with CC/MCC, and without CC/MCC
056 Rhinoplasty 133, 134 Other Ear, Nose, Mouth & Throat O.R. Procedures with CC/MCC, and without CC/MCC
057 T&A Proc, Except Tonsillectomy &/Or Adenoidectomy Only Age > 17 133, 134 Other Ear, Nose, Mouth & Throat O.R. Procedures with CC/MCC, and without CC/MCC
058 T&A Proc, Except Tonsillectomy &/Or Adenoidectomy Only Age 0-17 133, 134 Other Ear, Nose, Mouth & Throat O.R. Procedures with CC/MCC, and without CC/MCC
059 Tonsillectomy &/or Adenoidectomy Only, Age > 17 133, 134 Other Ear, Nose, Mouth & Throat O.R. Procedures with CC/MCC, and without CC/MCC
060 Tonsillectomy &/or Adenoidectomy Only, Age 0-17 133, 134 Other Ear, Nose, Mouth & Throat O.R. Procedures with CC/MCC, and without CC/MCC
061 Myringotomy with Tube Insertion age > 17 133, 134 Other Ear, Nose, Mouth & Throat O.R. Procedures with CC/MCC, and without CC/MCC
062 Myringotomy with Tube Insertion age 0-17 133, 134 Other Ear, Nose, Mouth & Throat O.R. Procedures with CC/MCC, and without CC/MCC
063 Other Ear, Nose, Mouth & Throat O.R. Procedures 133, 134 Other Ear, Nose, Mouth & Throat O.R. Procedures with CC/MCC, and without CC/MCC
064 Ear, Nose, Mouth & Throat Malignancy 146, 147, 148 Ear, Nose, Mouth & Throat Malignancy with MCC, with CC, and without CC/MCC
065 Dysequilibrium 149 Dysequilibrium
066 Epistaxis 150, 151 Epistaxis with MCC, and without MCC
067 Epiglottitis 152, 153 Otitis Media & Upper Respiratory Infection with MCC, and without MCC
068 Otitis Media & Upper Respiratory Infection Age > 17 with CC 152, 153 Otitis Media & Upper Respiratory Infection with MCC, and without MCC
069 Otitis Media & Upper Respiratory Infection Age > 17 without CC 152, 153 Otitis Media & Upper Respiratory Infection with MCC, and without MCC
070 Otitis Media & Upper Respiratory Infection Age 0-17 152, 153 Otitis Media & Upper Respiratory Infection with MCC, and without MCC
071 Laryngotracheitis 152, 153 Otitis Media & Upper Respiratory Infection with MCC, and without MCC
072 Nasal Trauma & Deformity 154, 155, 156 Nasal Trauma & Deformity with MCC, with CC, and without CC/MCC
073 Other Ear, Nose, Mouth & Throat Diagnoses Age > 17 154, 155, 156 Nasal Trauma & Deformity with MCC, with CC, and without CC/MCC
074 Other Ear, Nose, Mouth & Throat Diagnoses Age 0-17 154, 155, 156 Nasal Trauma & Deformity with MCC, with CC, and without CC/MCC
075 Major Chest Procedures 163, 164, 165 Major Chest Procedures with MCC, with CC, and without CC/MCC
076 Other Resp System O.R. Procedures with CC 166, 167, 168 Other Resp System O.R. Procedures with MCC, with CC, and without CC/MCC
077 Other Resp System O.R. Procedures Without CC 166, 167, 168 Other Resp System O.R. Procedures with MCC, with CC, and without CC/MCC
078 Pulmonary Embolism 175, 176 Pulmonary Embolism with MCC, without MCC
079 Respiratory Infections & Inflammations Age > 17 with CC 177, 178, 179 Respiratory Infections & Inflammations with MCC, with CC, and without CC/MCC
080 Respiratory Infections & Inflammations Age > 17 without CC 177, 178, 179 Respiratory Infections & Inflammations with MCC, with CC, and without CC/MCC
081 Respiratory Infections & Inflammations Age 0-17 177, 178, 179 Respiratory Infections & Inflammations with MCC, with CC, and without CC/MCC
082 Respiratory Neoplasms 180, 181, 182 Respiratory Neoplasm with MCC, with CC, and without CC/MCC
083 Major Chest Trauma with CC 183, 184, 185 Major Chest Trauma with MCC, with CC, and without CC/MCC
084 Major Chest Trauma without CC 183, 184, 185 Major Chest Trauma with MCC, with CC, and without CC/MCC
085 Pleural Effusion with CC 186, 187, 188 Pleural Effusion with MCC, with CC, and without CC/MCC
086 Pleural Effusion without CC 186, 187, 188 Pleural Effusion with MCC, with CC, and without CC/MCC
087 Pulmonary Edema & Respiratory Failure 189 Pulmonary Edema & Respiratory Failure
088 Chronic Obstructive Pulmonary Disease 190, 191, 192 Chronic Obstructive Pulmonary Disease with MCC, with CC, and without CC/MCC
089 Simple Pneumonia & Pleurisy Age > 17 with CC 193, 194, 195 Simple Pneumonia & Pleurisy with MCC, with CC, and without CC/MCC
090 Simple Pneumonia & Pleurisy Age > 17 without CC 193, 194, 195 Simple Pneumonia & Pleurisy with MCC, with CC, and without CC/MCC
091 Simple Pneumonia & Pleurisy Age 0-17 193, 194, 195 Simple Pneumonia & Pleurisy with MCC, with CC, and without CC/MCC
092 Interstitial Lung Disease with CC 196, 197, 198 Interstitial Lung Disease with MCC, with CC, and without CC/MCC
093 Interstitial Lung Disease without CC 196, 197, 198 Interstitial Lung Disease with MCC, with CC, and without CC/MCC
094 Pneumothorax with CC 199, 200, 201 Pneumothorax with MCC, with CC, and without CC/MCC
095 Pneumothorax without CC 199, 200, 201 Pneumothorax with MCC, with CC, and without CC/MCC
096 Bronchitis & Asthma Age > 17 with CC 202, 203 Bronchitis & Asthma with CC/MCC, and without CC/MCC
097 Bronchitis & Asthma Age > 17 without CC 202, 203 Bronchitis & Asthma with CC/MCC, and without CC/MCC
098 Bronchitis & Asthma Age 0-17 202, 203 Bronchitis & Asthma with CC/MCC, and without CC/MCC
099 Respiratory Signs & Symptoms with CC 204 Respiratory Signs & Symptoms
100 Respiratory Signs & Symptoms without CC 204 Respiratory Signs & Symptoms
101 Other Respiratory System Diagnoses with CC 205, 206 Other Respiratory System Diagnoses with MCC, and without MCC
102 Other Respiratory System Diagnoses without CC 205, 206 Other Respiratory System Diagnoses with MCC, and without MCC
103 Heart Transplant or Implant of Heart Assist System 001, 002 Heart Transplant or Implant of Heart Assist System with MCC, without MCC
104 Cardiac Valve & Other Major Cardiothoracic Procedures with Cardiac Cath 216, 217, 218 Cardiac Valve & Other Major Cardiothoracic Procedures with Cardiac Cath with MCC, with CC, and without CC/MCC
105 Cardiac Valve & Other Major Cardiothoracic Procedures without Cardiac Cath 219, 220, 221 Cardiac Valve & Other Major Cardiothoracic Procedures without Cardiac Cath with MCC, with CC, and without CC/MCC
106 Coronary Bypass with PTCA 231, 232 Coronary bypass with PTCA with MCC, and without MCC
108 Other Cardiothoracic Procedures 228, 229, 230 Other Cardiothoracic Procedures with MCC, with CC, and without CC/MCC
110 Major Cardiovascular Procedures with CC 237, 238 Major Cardiovascular Procedures with MCC, and without MCC
111 Major Cardiovascular Procedures without CC 237, 238 Major Cardiovascular Procedures with MCC, and without MCC
113 Amputation for Circ System Disorders Except Upper Limb & Toe 239, 240, 241 Amputation for Circ System Disorders Except Upper Limb & Toe with MCC, with CC, and without CC/MCC
114 Upper Limb & Toe Amputation for Circ System Disorders 255, 256, 257 Upper limb & Toe Amputation for Circ System Disorders with MCC, with CC, and without CC/MCC
117 Cardiac Pacemaker Revision Except Device Replacement 260, 261, 262 Cardiac Pacemaker Revision Except Device Replacement with MCC, with CC, and without CC/MCC
118 Cardiac Pacemaker Device Replacement 258, 259 Cardiac Pacemaker Device Replacement with MCC, and without MCC
119 Vein Ligation & Stripping 263 Vein Ligation & Stripping
120 Other Circulatory System O.R. Procedures 264 Other Circulatory System O.R. Procedures
121 Circulatory Disorders with AMI & Major Comp, Discharged Alive 280, 281, 282 Acute Myocardial Infarction, Discharged Alive with MCC, with CC, without CC/MCC
122 Circulatory Disorders with AMI without Major Comp, Discharge Alive 280, 281, 282 Acute Myocardial Infarction, Discharged Alive with MCC, with CC, without CC/MCC
123 Circulatory Disorders with AMI, Expired 283, 284, 285 Acute Myocardial Infarction, Expired with MCC, with CC, without CC/MCC
124 Circulatory Disorders Except AMI, with Card Cath & Complex Diag 286, 287 Circulatory Disorders Except AMI, with Card Cath with MCC, without MCC
125 Circulatory Disorders Except AMI, with Card Cath without Complex Diag 286, 287 Circulatory Disorders Except AMI, with Card Cath with MCC, without MCC
126 Acute & Subacute Endocarditis 288, 289, 290 Acute & Subacute Endocarditis with MCC, with CC, without CC/MCC
127 Heart Failure & Shock 291, 292, 293 Heart Failure & Shock with MCC, with CC, without CC/MCC
128 Deep Vein Thrombophlebitis 294, 295 Deep Vein Thrombolphlebitis with CC/MCC, without CC/MCC
129 Cardiac Arrest, Unexplained 296, 297, 298 Cardiac Arrest, Unexplained with MCC, with CC, without CC/MCC
130 Peripheral Vascular Disorders with CC 299, 300, 301 Peripheral Vascular Disorders with MCC, with CC, without CC/MCC
131 Peripheral Vascular Disorders without CC 299, 300, 301 Peripheral Vascular Disorders with MCC, with CC, without CC/MCC
132 Atherosclerosis with CC 302, 303 Atherosclerosis with MCC, without MCC
133 Atherosclerosis without CC 302, 303 Atherosclerosis with MCC, without MCC
134 Hypertension 304, 305 Hypertension with MCC, without MCC
135 Cardiac Congenital & Valvular Disorders Age > 17 with CC 306, 307 Cardiac Congenital & Valvular Disorders with MCC, without MCC
136 Cardiac Congenital & Valvular Disorders Age > 17 without CC 306, 307 Cardiac Congenital & Valvular Disorders with MCC, without MCC
137 Cardiac Congenital & Valvular Disorders Age 0-17 306, 307 Cardiac Congenital & Valvular Disorders with MCC, without MCC
138 Cardiac Arrhythmia & Conduction Disorders with CC 308, 309, 310 Cardiac Arrhythmia & Conduction Disorders with MCC, with CC, without CC/MCC
139 Cardiac Arrhythmia & Conduction Disorders without CC 308, 309, 310 Cardiac Arrhythmia & Conduction Disorders with MCC, with CC, without CC/MCC
140 Angina Pectoris 311 Angina Pectoris
141 Syncope & Collapse with CC 312 Syncope & Collapse
142 Syncope & Collapse without CC 312 Syncope & Collapse
143 Chest Pain 313 Chest Pain
144 Other Circulatory System Diagnoses with CC 314, 315, 316 Other Circulatory System Diagnoses with MCC, with CC, without CC/MCC
145 Other Circulatory System Diagnoses without CC 314, 315, 316 Other Circulatory System Diagnoses with MCC, with CC, without CC/MCC
146 Rectal Resection with CC 332, 333, 334 Rectal Resection with MCC, with CC, without CC/MCC
147 Rectal Resection without CC 332, 333, 334 Rectal Resection with MCC, with CC, without CC/MCC
149 Major Small & Large Bowel Procedures without CC 329, 330, 331 Major Small & Large Bowel Procedures with MCC, with CC, without CC/MCC
150 Peritoneal Adhesiolysis with CC 335, 336, 337 Peritoneal Adhesiolysis with MCC, with CC, without CC/MCC
151 Peritoneal Adhesiolysis without CC 335, 336, 337 Peritoneal Adhesiolysis with MCC, with CC, without CC/MCC
152 Minor Small & Large Bowel Procedures with CC 344, 345, 346 Minor Small & Large Bowel Procedures with MCC, with CC, without CC/MCC
153 Minor Small & Large Bowel Procedures without CC 344, 345, 346 Minor Small & Large Bowel Procedures with MCC, with CC, without CC/MCC
155 Stomach, Esophageal & Duodenal Procedures Age > 17 without CC 326, 327, 328 Stomach, Esophageal & Duodenal Proc with MCC, with CC, without CC/MCC
156 Stomach, Esophageal & Duodenal Procedures Age 0-17 326, 327, 328 Stomach, Esophageal & Duodenal Proc with MCC, with CC, without CC/MCC
157 Anal & Stomal Procedures with CC 347, 348, 349 Anal & Stomal Procedures with MCC, with CC, without CC/MCC
158 Anal & Stomal Procedures without CC 347, 348, 349 Anal & Stomal Procedures with MCC, with CC, without CC/MCC
159 Hernia Procedures Except Inguinal & Femoral Age > 17 with CC 353, 354, 355 Hernia Procedures Except Inguinal & Femora with MCC, with CC, without CC/MCC
160 Hernia Procedures Except Inguinal & Femoral Age > 17 without CC 353, 354, 355 Hernia Procedures Except Inguinal & Femora with MCC, with CC, without CC/MCC
161 Inguinal & Femoral Hernia Procedures Age > 17 with CC 350, 351, 352 Inguinal & Femoral Hernia Procedures with MCC, with CC, without CC/MCC
162 Inguinal & Femoral Hernia Procedures Age > 17 without CC 350, 351, 352 Inguinal & Femoral Hernia Procedures with MCC, with CC, without CC/MCC
163 Hernia Procedures Age 0-17

DRG 163 procedures are split between MS-DRGs 350,351,352,353,354,355
164 Appendectomy with Complicated Principal Diag with CC 338, 339, 340 Appendectomy with Complicated Principal Diag with MCC, with CC, without CC/MCC
165 Appendectomy with Complicated Principal Diag without CC 338, 339, 340 Appendectomy with Complicated Principal Diag with MCC, with CC, without CC/MCC
166 Appendectomy without Complicated Principal Diag with CC 341, 342, 343 Appendectomy without Complicated Principal Diag with MCC, with CC, without CC/MCC
167 Appendectomy without Complicated Principal Diag without CC 341, 342, 343 Appendectomy without Complicated Principal Diag with MCC, with CC, without CC/MCC
168 Mouth Procedures with CC 137, 138 Mouth Procedures with CC/MCC, and without CC/MCC
169 Mouth Procedures without CC 137, 138 Mouth Procedures with CC/MCC, and without CC/MCC
170 Other Digestive System O.R. Procedures with CC 356, 357, 358 Other Digestive System O.R. Procedures with MCC, with CC, without CC/MCC
171 Other Digestive System O.R. Procedures without CC 356, 357, 358 Other Digestive System O.R. Procedures with MCC, with CC, without CC/MCC
172 Digestive Malignancy with CC 374, 375, 376 Digestive Malignancy with MCC, with CC, without CC/MCC
173 Digestive Malignancy without CC 374, 375, 376 Digestive Malignancy with MCC, with CC, without CC/MCC
174 G.I. Hemorrhage with CC 377, 378, 379 G.I. Hemorrhage with MCC, with CC, without CC/MCC
175 G.I. Hemorrhage without CC 377, 378, 379 G.I. Hemorrhage with MCC, with CC, without CC/MCC
176 Complicated Peptic Ulcer 380, 381, 382 Complicated Peptic Ulcer with MCC, with CC, without CC/MCC
177 Uncomplicated Peptic Ulcer with CC 383, 384 Uncomplicated Peptic Ulcer with MCC, without MCC
178 Uncomplicated Peptic Ulcer without CC 383, 384 Uncomplicated Peptic Ulcer with MCC, without MCC
179 Inflammatory Bowel Disease 385, 386, 387 Inflammatory Bowel Disease with MCC, with CC, without CC/MCC
180 G.I. Obstruction with CC 388, 389, 390 G.I. Obstruction with MCC, with CC, without CC/MCC
181 G.I. Obstruction without CC 388, 389, 390 G.I. Obstruction with MCC, with CC, without CC/MCC
182 Esophagitis, Gastroent & Misc Digest Disorders Age > 17 with CC 391, 392 Esophagitis, Gastroent & Misc Digest Disorders with MCC, with CC, without CC/MCC
183 Esophagitis, Gastroent & Misc Digest Disorders Age > 17 without CC 391, 392 Esophagitis, Gastroent & Misc Digest Disorders with MCC, with CC, without CC/MCC
184 Esophagitis, Gastroent & Misc Digest Disorders Age 0-17 391, 392 Esophagitis, Gastroent & Misc Digest Disorders with MCC, with CC, without CC/MCC
185 Dental & Oral Diseases Except Extractions & Restorations Age > 17 157, 158, 159 Dental & Oral Disease with MCC, with CC, and without CC/MCC
186 Dental & Oral Diseases Except Extractions & Restorations Age 0-17 157, 158, 159 Dental & Oral Disease with MCC, with CC, and without CC/MCC
187 Dental Extractions & Restorations 157, 158, 159 Dental & Oral Disease with MCC, with CC, and without CC/MCC
188 Other Digestive System Diagnoses Age > 17 with CC 393, 394, 395 Other Digestive System Diagnoses with MCC, with CC, without CC/MCC
189 Other Digestive System Diagnoses Age > 17 without CC 393, 394, 395 Other Digestive System Diagnoses with MCC, with CC, without CC/MCC
190 Other Digestive System Diagnoses Age 0-17 393, 394, 395 Other Digestive System Diagnoses with MCC, with CC, without CC/MCC
191 Pancreas, Liver & Shunt Procedures with CC 405, 406, 407 Pancreas, Liver & Shunt Procedures with MCC, with CC, without CC/MCC
192 Pancreas, Liver & Shunt Procedures without CC 405, 406, 407 Pancreas, Liver & Shunt Procedures with MCC, with CC, without CC/MCC
193 Biliary Trac5 Proc Except Only Cholecyst with or without C.D.E with CC 408, 409, 410 Biliary Tract Proc Except Only Cholecyst with or without C.D.E with MCC, with CC, without CC/MCC
194 Biliary Tract Proc Except Only Cholecyst with or without C.D.E without CC 408, 409, 410 Biliary Tract Proc Except Only Cholecyst with or without C.D.E with MCC, with CC, without CC/MCC
195 Cholecystectomy with C.D.E with CC 411, 412, 413 Cholecystectomy with C.D.E with MCC, with CC, without CC/MCC
196 Cholecystectomy with C.D.E without CC 411, 412, 413 Cholecystectomy with C.D.E with MCC, with CC, without CC/MCC
197 Cholecystectomy Except by Laparoscope without C.D.E with CC 414, 415, 416 Cholecystectomy Except by Laparoscope without C.D.E. with MCC, with CC, without CC/MCC
198 Cholecystectomy Except by Laparoscope without C.D.E without CC 414, 415, 416 Cholecystectomy Except by Laparoscope without C.D.E. with MCC, with CC, without CC/MCC
199 Hepatobiliary Diagnostic Procedure for Malignancy 420, 421, 422 Hepatobiliary Diagnostic Procedures with MCC, with CC, without CC/MCC
200 Hepatobiliary Diagnostic Procedure for Non-Malignancy 420, 421, 422 Hepatobiliary Diagnostic Procedures with MCC, with CC, without CC/MCC
201 Other Hepatobiliary or Pancreas O.R. Procedures 423, 424, 425 Other Hepatobiliary or Pancreas O.R. Procedures with MCC, with CC, without CC/MCC
202 Cirrhosis & Alcoholic Hepatitis 432, 433, 434 Cirrhosis & Alcoholic Hepatitis with MCC, with CC, without CC/MCC
203 Malignancy of Hepatobiliary System or Pancreas 435, 436, 437 Malignancy of Hepatobiliary System or Pancreas with MCC, with CC, without CC/MCC
204 Disorders of Pancreas Except Malignancy 438, 439, 440 Disorders of Pancrease Except Malignancy with MCC, with CC, without CC/MCC
205 Disorders of Liver Except Amalig, Cirr, Alc Hepa with CC 441, 442, 443 Disorders of Liver Except Malig, Cirr, Alc Hepa with MCC, with CC, without CC/MCC
206 Disorders of Liver Except Amalig, Cirr, Alc Hepa without CC 441, 442, 443 Disorders of Liver Except Malig, Cirr, Alc Hepa with MCC, with CC, without CC/MCC
207 Disorders of the Biliary Tract with CC 444, 445, 446 Disorders of the Biliary Tract with MCC, with CC, without CC/MCC
208 Disorders of the Biliary Tract without CC 444, 445, 446 Disorders of the Biliary Tract with MCC, with CC, without CC/MCC
210 Hip & Femur Procedures except Major Joint Age > 17 with CC 480, 481, 482 Hip & Femur Procedures except Major Joint with MCC, with CC, without CC/MCC
211 Hip & Femur Procedures except Major Joint Age > 17 without CC 480, 481, 482 Hip & Femur Procedures except Major Joint with MCC, with CC, without CC/MCC
212 Hip & Femur Procedures except Major Joint Age 0-17 480, 481, 482 Hip & Femur Procedures except Major Joint with MCC, with CC, without CC/MCC
213 Amputation for Musculoskeletal System & Conn Tissue Disorders 474, 475, 476 Amputation for Musculoskeletal System & Conn Tissue Disorders with MCC, with CC, without CC/MCC
216 Biopsies of Musculoskeletal System & Connective Tissue 477, 478, 479 Biopsies of Musculoskeletal System & Connective Tissue with MCC, with CC, with CC/MCC
217 Wnd Debrid & Skn Grft Except Hand, for Muscskelet & Conn Tiss Dis 463, 464, 465 Wnd Debrid & Skn Grft Except Hand, for Muscskelet & Conn Tiss Dis with MCC, with CC, without CC/MCC
218 Lower Extrem & Humer Proc Except Hip, Foot, Femur Age > 17 with CC 492, 493, 494 Lower Extrem & Humer Proc Except Hip, Foot, Femur with MCC, with CC, without CC/MCC
219 Lower Extrem & Humer Proc Except Hip, Foot, Femur Age > 17 without CC 492, 493, 494 Lower Extrem & Humer Proc Except Hip, Foot, Femur with MCC, with CC, without CC/MCC
220 Lower Extrem & Humer Proc Except Hip, Foot, Femur Age 0-17 492, 493, 494 Lower Extrem & Humer Proc Except Hip, Foot, Femur with MCC, with CC, without CC/MCC
223 Major Shoulder/Elbow Proc, or Other Upper Extremity Proc with CC 507, 508 Major Shoulder or Elbow Joint Procedures with CC/MCC, without CC/MCC
224 Shoulder, Elbow or Forearm Proc, exc Major Joint Procedures without CC 510, 511, 512 Shoulder, Elbow, or Forearm Proc, Exc Major Joint Proc with MCC, with CC, without CC/MCC
225 Foot Procedures 503, 504, 505 Foot Procedures with MCC, with CC without CC/MCC
226 Soft Tissue Procedures with CC 500, 501, 502 Soft Tissue Procedures with MCC, with CC, without CC/MCC
227 Soft Tissue Procedures without CC 500, 501, 502 Soft Tissue Procedures with MCC, with CC, without CC/MCC
228 Major Thumb or Joint Proc, or oth Hand or Wrist Proc with CC 506 Major Thumb or Joint Procedures
229 Hand or Wrist Procedure, Except Major Joint Proc without CC 513, 514 Hand or Wrist Procedure, Except Major Thumb or Joint Proc with CC/MCC, without CC/MCC
230 Local excision & Removal of Int Fix Devices of Hip & Femur 498, 499 Local Excision & Removal Int Fix Devices of Hip & Femur with CC/MCC without CC/MCC
232 Arthroscopy 509 Arthroscopy
233 Other Musculoskelet Sys & Conn Tiss O.R. Proc with CC 515, 516, 517 Other Musculoskelet Sys & Conn Tiss O.R. Proc with MCC, with CC, without CC/MCC
234 Other Musculoskelet Sys & Conn Tiss O.R. Proc without CC 515, 516, 517 Other Musculoskelet Sys & Conn Tiss O.R. Proc with MCC, with CC, without CC/MCC
235 Fractures of Femur 533, 534 Fractures of Femur with MCC, without MCC
236 Fractures of Hip & Pelvis 535, 536 Fractures of Hip & Pelvis with MCC, without MCC
237 Sprains, Strains, & Dislocations of Hip Pelvis & Thigh 537, 538 Sprains, Strains & Dislocations of Hip, Pelvis & Thigh with CC/MCC, without CC/MCC
238 Osteomyelitis 539, 540, 541 Osteomyelitis with MCC, with CC, without CC/MCC
239 Pathological Fractures & Musculoskeletal & Conn Tiss Malignancy 542, 543, 544 Pathological Fractures & Musculoskelet & Conn Tiss Malig with MCC, with CC, with CC/MCC
240 Connective Tissue Disorders with CC 545, 546, 547 Connective Tissue Disorders with MCC, with CC, without CC/MCC
241 Connective Tissue Disorders without CC 545, 546, 547 Connective Tissue Disorders with MCC, with CC, without CC/MCC
242 Septic Arthritis 548, 549, 550 Septic Arthritis with MCC, with CC, without CC/MCC
243 Medical Back Problems 551, 552 Medical Back Problems with MCC, without MCC
244 Bone Disease & Specific Arthropathies with CC 553, 554 Bone Diseases & Arthropathies with MCC, without MCC
245 Bone Disease & Specific Arthropathies without CC 553, 554 Bone Diseases & Arthropathies with MCC, without MCC
246 Non-specific Arthropathies 553, 554 Bone Diseases & Arthropathies with MCC, without MCC
247 Signs & Symptoms of Musculoskeletal System & Conn Tissue 555, 556 Signs & Symptoms of Musculoskeletal System & Conn Tissue with MCC, without MCC
248 Tendonitis, Myositis & Bursitis 557, 558 Tendonitis, Myositis & Bursitis with MCC, without MCC
249 Aftercare, Musculoskeletal System & Connective Tissue 559, 560, 561 Aftercare Musculoskeletal System & Connective Tissue with MCC, with CC, without CC/MCC
250 Fx, Sprn, Strn & Disl of Forearm, Hand, Foot Age > 17 with CC 562, 563 Fx, Sprn, Strn & Disl except Femur, Hip Pelvis & Thigh with MCC, without MCC
251 Fx, Sprn, Strn & Disl of Forearm, Hand, Foot Age > 17 without CC 562, 563 Fx, Sprn, Strn & Disl except Femur, Hip Pelvis & Thigh with MCC, without MCC
252 Fx, Sprn, Strn & Disl of Forearm, Hand, Foot Age 0-17 562, 563 Fx, Sprn, Strn & Disl except Femur, Hip Pelvis & Thigh with MCC, without MCC
253 Fx, Sprn, Strn & Disl of Uparm, Lowleg ex Foot Age > 17 with CC 562, 563 Fx, Sprn, Strn & Disl except Femur, Hip Pelvis & Thigh with MCC, without MCC
254 Fx, Sprn, Strn & Disl of Uparm, Lowleg ex Foot Age > 17 without CC 562, 563 Fx, Sprn, Strn & Disl except Femur, Hip Pelvis & Thigh with MCC, without MCC
255 Fx, Sprn, Strn & Disl of Uparm, Lowleg ex Foot Age 0-17 562, 563 Fx, Sprn, Strn & Disl except Femur, Hip Pelvis & Thigh with MCC, without MCC
256 Other Musculoskeletal System & Connective Tissue Diagnoses 564, 565, 566 Other Musculoskeletal Sys & Connective Tissue Diagnoses with MCC, with CC, without CC/MCC
257 Total Mastectomy for Malignancy with CC 582, 583 Mastectomy for Malignancy with CC/MCC, without CC/MCC
258 Total Mastectomy for Malignancy without CC 582, 583 Mastectomy for Malignancy with CC/MCC, without CC/MCC
259 Subtotal Mastectomy for Malignancy with CC 584, 585 Breast Biopsy, Local Excision & Other Breast Procedures with CC/MCC, without CC/MCC
260 Subtotal Mastectomy for Malignancy without CC 584, 585 Breast Biopsy, Local Excision & Other Breast Procedures with CC/MCC, without CC/MCC
261 Breast Proc for Non-Malignancy Except Biopsy & Local Excision 584, 585 Breast Biopsy, Local Excision & Other Breast Procedures with CC/MCC, without CC/MCC
262 Breast Biopsy & Local Excision for Non-Malignancy 584, 585 Breast Biopsy, Local Excision & Other Breast Procedures with CC/MCC, without CC/MCC
263 Skin Graft &/or Debrid for Skn Ulcer or Cellulitis with CC 573, 574, 575 Skin Graft &/or Debrid for Skn Ulcer or Cellulitis with MCC, with CC, without CC/MCC
264 Skin Graft &/or Debrid for Skn Ulcer or Cellulitis without CC 573, 574, 575 Skin Graft &/or Debrid for Skn Ulcer or Cellulitis with MCC, with CC, without CC/MCC
265 Skin Graft &/or Debrid Except for Skin Ulcer or Cellulitis with CC 576, 577, 578 Skin Graft &/or Debrid except for Skn Ulcer or Cellulitis with MCC, with CC, without CC/MCC
266 Skin Graft &/or Debrid Except for Skin Ulcer or Cellulitis without CC 576, 577, 578 Skin Graft &/or Debrid except for Skn Ulcer or Cellulitis with MCC, with CC, without CC/MCC
267 Perianal & Pilonidal Procedures 579, 580, 581 Other Skin, Subcutaneous Tissue & Breast Procedures with MCC, with CC, without CC/MCC
268 Skin, Subcutaneous Tissue & Breast Plastic Procedures 579, 580, 581 Other Skin, Subcutaneous Tissue & Breast Procedures with MCC, with CC, without CC/MCC
269 Other Skin, Subcutaneous Tissue & Breast Procedure with CC 579, 580, 581 Other Skin, Subcutaneous Tissue & Breast Procedures with MCC, with CC, without CC/MCC
270 Other Skin, Subcutaneous Tissue & Breast Procedure without CC 579, 580, 581 Other Skin, Subcutaneous Tissue & Breast Procedures with MCC, with CC, without CC/MCC
271 Skin Ulcers 592, 593, 594 Skin Ulcers with MCC, with CC, without CC/MCC
272 Major Skin Disorders with CC 595, 596 Major Skin Disorders with MCC, without MCC
273 Major Skin Disorders without CC 595, 596 Major Skin Disorders with MCC, without MCC
274 Malignant Breast Disorders with CC 597, 598, 599 Malignant Breast Disorders with MCC, with CC, without CC/MCC
275 Malignant Breast Disorders without CC 597, 598, 599 Malignant Breast Disorders with MCC, with CC, without CC/MCC
276 Non-malignant Breast Disorders 600, 601 Nonmalignant Breast Disorders with CC/MCC, without CC/MCC
277 Cellulitis Age > 17 with CC 602, 603 Cellulitis with MCC, without MCC
278 Cellulitis Age > 17 without CC 602, 603 Cellulitis with MCC, without MCC
279 Cellulitis Age 0-17 602, 603 Cellulitis with MCC, without MCC
280 Trauma to the Skin, Subcut Tiss & Breast Age > 17 with CC 604, 605 Trauma to the Skin, Subcut Tiss & Breast with MCC, without MCC
281 Trauma to the Skin, Subcut Tiss & Breast Age > 17 without CC 604, 605 Trauma to the Skin, Subcut Tiss & Breast with MCC, without MCC
282 Trauma to the Skin, Subcut Tiss & Breast Age 0-17 604, 605 Trauma to the Skin, Subcut Tiss & Breast with MCC, without MCC
283 Minor Skin Disorders with CC 606, 607 Minor Skin Disorders with MCC, without MCC
284 Minor Skin Disorders without CC 606, 607 Minor Skin Disorders with MCC, without MCC
285 Amputat of Lower Limb for Endocrine, Nutrit & Metabol Disorders 616, 617, 618 Amputat of Lower Limb for Endocrine, Nutrit & Metabol Dis with MCC, with CC, without CC/MCC
286 Adrenal & Pituitary Procedures 614, 615 Adrenal & Pituitary Procedures with CC/MCC, without CC/MCC
287 Skin Grafts & Wound Debrid for Endoc, Nutrit & Metab Disorders 622, 623, 624 Skin Grafts & Would Debrid for Endoc, Nutrit, & Metab Dis with MCC, with CC, without CC/MCC
288 O.R. Procedures for Obesity 619, 620, 621 O.R. Procedures for Obesity with MCC, with CC, without CC/MCC
289 Parathyroid Procedures 625, 626, 627 Thyroid, Parathyroid & Thyroglossal Procedures with MCC, with CC, without CC/MCC
290 Thyroid Procedures 625, 626, 627 Thyroid, Parathyroid & Thyroglossal Procedures with MCC, with CC, without CC/MCC
291 Thyroglossal Procedures 625, 626, 627 Thyroid, Parathyroid & Thyroglossal Procedures with MCC, with CC, without CC/MCC
292 Other Endocrine, Nutrit & Metab O.R. Proc with CC 628, 629, 630 Other Endocrine, Nutrit & Metab O.R. Proc with MCC, with CC, without CC/MCC
293 Other Endocrine, Nutrit & Metab O.R. Proc without CC 628, 629, 630 Other Endocrine, Nutrit & Metab O.R. Proc with MCC, with CC, without CC/MCC
294 Diabetes Age > 35 637, 638, 639 Diabetes with MCC, with CC, without CC/MCC
295 Diabetes Age 0-35 637, 638, 639 Diabetes with MCC, with CC, without CC/MCC
296 Nutritional & Misc Metabolic Disorders Age > 17 with CC 640, 641 Nutritional & Misc Metabolic Disorders with MCC, without MCC
297 Nutritional & Misc Metabolic Disorders Age > 17 without CC 640, 641 Nutritional & Misc Metabolic Disorders with MCC, without MCC
298 Nutritional & Misc Metabolic Disorders Age 0-17 640, 641 Nutritional & Misc Metabolic Disorders with MCC, without MCC
299 Inborn Errors of Metabolism 642 Inborn Errors of Metabolism
300 Endocrine Disorders with CC 643, 644, 645 Endocrine Disorders with MCC, with CC, without CC/MCC
301 Endocrine Disorders without CC 643, 644, 645 Endocrine Disorders with MCC, with CC, without CC/MCC
302 Kidney Transplant 652 Kidney Transplant
303 Kidney & Ureter Procedures for Neoplasm 656, 657, 658 Kidney & Ureter Procedures for Neoplasm with MCC, with CC, without CC/MCC
305 Kidney & Ureter Procedures for Non-neoplasm without CC 659, 660, 661 Kidney & Ureter Procedures for Non-Neoplasm with MCC, with CC, without CC/MCC
305 Kidney & Ureter Procedures for Non-neoplasm without CC 659, 660, 661 Kidney & Ureter Procedures for Non-Neoplasm with MCC, with CC, without CC/MCC
306 Prostatectomy with CC 665, 666, 667 Prostatectomy with MCC, with CC, without CC/MCC
307 Prostatectomy without CC 665, 666, 667 Prostatectomy with MCC, with CC, without CC/MCC
308 Minor Bladder Procedures with CC 662, 663, 664 Minor Bladder Procedures with MCC, with CC, without CC/MCC
309 Minor Bladder Procedures without CC 662, 663, 664 Minor Bladder Procedures with MCC, with CC, without CC/MCC
310 Transurethral Procedures with CC 668, 669, 670 Transurethral Procedures with MCC, with CC, without CC/MCC
311 Transurethral Procedures without CC 668, 669, 670 Transurethral Procedures with MCC, with CC, without CC/MCC
312 Urethral Procedures Age > 17 with CC 671, 672 Urethral Procedures with CC/MCC without CC/MCC
313 Urethral Procedures Age > 17 without CC 671, 672 Urethral Procedures with CC/MCC without CC/MCC
314 Urethral Procedures Age 0-17 671, 672 Urethral Procedures with CC/MCC without CC/MCC
315 Other Kidney & Urinary Track O.R. Procedures 673, 674, 675 Other Kidney & Urinary Tract Procedures with MCC, with CC, without CC/MCC
316 Renal Failure 682, 683, 684 Renal Failure with MCC, with CC, without CC/MCC
317 Admit for Renal Dialysis 685 Admit for Renal Dialysis
318 Kidney & Urinary Tract Neoplasms with CC 686, 687, 688 Kidney & Urinary Track Neoplasms with MCC, with CC, without CC/MCC
319 Kidney & Urinary Tract Neoplasms without CC 686, 687, 688 Kidney & Urinary Track Neoplasms with MCC, with CC, without CC/MCC
320 Kidney & Urinary Tract Infections Age > 17 with CC 689, 690 Kidney & Urinary Tract Infections with MCC, without MCC
321 Kidney & Urinary Tract Infections Age > 17 without CC 689, 690 Kidney & Urinary Tract Infections with MCC, without MCC
322 Kidney & Urinary Tract Infections Age 0-17 689, 690 Kidney & Urinary Tract Infections with MCC, without MCC
323 Urinary Stones with CC &/or ESW Lithotripsy 691, 692 Urinary Stones with ESW Lithotripsy with MCC, without MCC
324 Urinary Stones without CC 693, 694 Urinary Stones without ESW Lithotripsy with MCC, without MCC
325 Kidney & Urinary Tract Signs & Symptoms Age > 17 with CC 695, 696 Kidney & Urinary Tract Signs & Symptoms with MCC, without MCC
326 Kidney & Urinary Tract Signs & Symptoms Age > 17 without CC 695, 696 Kidney & Urinary Tract Signs & Symptoms with MCC, without MCC
327 Kidney & Urinary Tract Signs & Symptoms Age 0-17 695, 696 Kidney & Urinary Tract Signs & Symptoms with MCC, without MCC
328 Urethral Stricture Age > 17 with CC 697 Urethral Stricture
329 Urethral Stricture Age > 17 without CC 697 Urethral Stricture
330 Urethral Stricture Age 0-17 697 Urethral Stricture
331 Other Kidney & Urinary Tract Diagnoses Age > 17 with CC 698, 699, 700 Other Kidney & Urinary Tract Diagnoses with MCC, with CC, without CC/MCC
332 Other Kidney & Urinary Tract Diagnoses Age > 17 without CC 698, 699, 700 Other Kidney & Urinary Tract Diagnoses with MCC, with CC, without CC/MCC
333 Other Kidney & Urinary Tract Diagnoses Age 0-17 698, 699, 700 Other Kidney & Urinary Tract Diagnoses with MCC, with CC, without CC/MCC
334 Major Male Pelvic Procedures with CC 707, 708 Major Male Pelvic Procedures with CC/MCC without CC/MCC
335 Major Male Pelvic Procedures without CC 707, 708 Major Male Pelvic Procedures with CC/MCC without CC/MCC
336 Transurethral Prostatectomy with CC 713, 714 Transurethral Prostatectomy with CC/MCC without CC/MCC
337 Transurethral Prostatectomy without CC 713, 714 Transurethral Prostatectomy with CC/MCC without CC/MCC
338 Testes Procedures, for Malignancy 711, 712 Testes Procedures with CC/MCC without CC/MCC
339 Testes Procedures, Non-malignancy Age > 17 711, 712 Testes Procedures with CC/MCC without CC/MCC
340 Testes Procedures, Non-malignancy Age 0-17 711, 712 Testes Procedures with CC/MCC without CC/MCC
341 Penis Procedures 709, 710 Penis Procedures with CC/MCC, without CC/MCC
342 Circumcision Age > 17

OR procedure 640 (Circumcision) changed to Non-OR.
343 Circumcision Age 0-17

OR procedure 640 (Circumcision) changed to Non-OR.
344 Other Male Reproductive System O.R. Procedures for Malignancy 715, 716 Other Male Reproductive System O.R. Proc for Malignancy with CC/MCC, without CC/MCC
345 Other Male Reproductive System O.R. Procedures Except for Malignancy 717, 718 Other Male Reproductive System O.R. Proc exc for Malignancy with CC/MCC, without CC/MCC
346 Malignancy, Male Reproductive System with CC 722, 723, 724 Malignancy, Male Reproductive System with MCC, with CC, without CC/MCC
347 Malignancy, Male Reproductive System without CC 722, 723, 724 Malignancy, Male Reproductive System with MCC, with CC, without CC/MCC
348 Benign Prostatic Hypertrophy with CC 725, 726 Benign Prostatic Hypertrophy with MCC, without MCC
349 Benign Prostatic Hypertrophy without CC 725, 726 Benign Prostatic Hypertrophy with MCC, without MCC
350 Inflammation of the Male Reproductive System 727, 728 Inflammation of the Male Reproductive System with MCC, without MCC
351 Sterilization, Male 729, 730 Other Male Reproductive System Diagnoses with CC/MCC, without CC/MCC
352 Other Male Reproductive System Diagnoses 729, 730 Other Male Reproductive System Diagnoses with CC/MCC, without CC/MCC
353 Pelvic Evisceration, Radical Hysterectomy & Radical Vulvectomy 734, 735 Pelvic Evisceration, Radical Hysterectomy & Radical Vulvectomy with CC/MCC, without CC/MCC
354 Uterine, Adnexa Proc for Non-ovarian/Adnexal Malig with CC 739, 740, 741 Uterine & Adnexa Proc for Non-Ovarian/Adnexal Malig with MCC, with CC, without CC/MCC
355 Uterine, Adnexa Proc for Non-ovarian/Adnexal Malig without CC 739, 740, 741 Uterine & Adnexa Proc for Non-Ovarian/Adnexal Malig with MCC, with CC, without CC/MCC
356 Female Reproductive System Reconstructive Procedures 748 Female Reproductive System Reconstructive Procedures
357 Uterine & Adnexa Proc for Ovarian or Adnexal Malignancy 736, 737, 738 Uterine & Adnexa Proc for Ovarian or Adnexal Malignancy with MCC, with CC, without CC/MCC
358 Uterine & Adnexa Proc for Non-malignancy with CC 742, 743 Uterine & Adnexa Proc for Non-Malignancy with CC/MCC, without CC/MCC
359 Uterine & Adnexa Proc for Non-malignancy without CC 742, 743 Uterine & Adnexa Proc for Non-Malignancy with CC/MCC, without CC/MCC
360 Vagina, Cervix & Vulva Procedures 746, 747 Vagina, Cervix & Vulva Procedures with CC/MCC without CC/MCC
361 Laparoscopy & Incisional Tubal Interruption 744, 745 D&C Conization, Laparoscopy & Tubal Interruption with CC/MCC, without CC/MCC
362 Endoscopic Tubal Interruption 744, 745 D&C Conization, Laparoscopy & Tubal Interruption with CC/MCC, without CC/MCC
363 D&C, Conization & Radio-Implant, for Malignancy 744, 745 D&C Conization, Laparoscopy & Tubal Interruption with CC/MCC, without CC/MCC
364 D&C, Conization Except for Malignancy 744, 745 D&C Conization, Laparoscopy & Tubal Interruption with CC/MCC, without CC/MCC
365 Other Female Reproductive System O.R. Procedures 749, 750 Other Female Reproductive System O.R. Procedures with CC/MCC, without CC/MCC
366 Malignancy, Female Reproductive System with CC 754, 755, 756 Malignancy, Female Reproductive System with MCC, with CC, without CC/MCC
367 Malignancy, Female Reproductive System without CC 754, 755, 756 Malignancy, Female Reproductive System with MCC, with CC, without CC/MCC
368 Infections, Female Reproductive System 757, 758, 759 Infections, Female Reproductive System with MCC, with CC, without CC/MCC
369 Menstrual & Other Female Reproductive System Disorders 760, 761 Menstrual & Other Female Reproductive System Disorders with CC/MCC, without CC/MCC
370 Cesarean Section with CC 765, 766 Cesarean Section with CC/MCC without CC/MCC
371 Cesarean Section without CC 765, 766 Cesarean Section with CC/MCC without CC/MCC
372 Vaginal Delivery with Complicating Diagnoses 774 Vaginal Delivery with Complicating Diagnoses
373 Vaginal Delivery without Complicating Diagnoses 775 Vaginal Delivery without Complicating Diagnoses
374 Vaginal Delivery with Sterilization &/or D&C 767 Vaginal Delivery with Sterilization &/or D&C
375 Vaginal Delivery with O.R. Proc except Steril &/or D&C 768 Vaginal Delivery with O.R. Proc except Steril &/or D&C
376 Postpartum & Post-abortion Diagnoses without O.R. Procedure 776 Postpartum & Post Abortion Diagnoses without O.R. Procedure
377 Postpartum & Post Abortion Diagnoses with O.R. Procedure 769 Postpartum & Post Abortion Diagnoses with O.R. Procedure
378 Ectopic Pregnancy 777 Ectopic Pregnancy
379 Threatened Abortion 778 Threatened Abortion
380 Abortion without D&C 779 Abortion without D&C
381 Abortion with D&C, Aspiration Curettage or Hysterotomy 770 Abortion with D&C, Aspiration Curettage or Hysterotomy
382 False Labor 780 False Labor
383 Other Antepartum Diagnoses with Medical Complications 781 Other Antepartum Diagnoses with Medical Complications
384 Other Antepartum Diagnoses without Medical Complications 782 Other Antepartum Diagnoses without Medical Complications
385 Neonates, Died or Transferred to Another Acute Care Facility 789 Neonates, Died or Transferred to Another Acute Care Facility
386 Extreme Immaturity or Respiratory Distress Syndrome, Neonate 790 Extreme Immaturity or Respiratory Distress Syndrome, Neonate
387 Prematurity with Major Problems 791 Prematurity with Major Problems
388 Prematurity without Major Problems 792 Prematurity without Major Problems
389 Full Term Neonate with Major Problems 793 Full Term Neonate with Major Problems
390 Neonate with Other Significant Problems 794 Neonate with Other Significant Problems
391 Normal Newborn 795 Normal Newborn
392 Splenectomy Age > 17 799, 800, 801 Splenectomy with MCC, with CC, without CC/MCC
393 Splenectomy Age 0-17 799, 800, 801 Splenectomy with MCC, with CC, without CC/MCC
394 Other O.R. Procedures of the Blood and Blood Forming Organs 802, 803, 804 Other O.R. Procedures of the Blood and Blood Forming Organs with MCC, with CC, without CC/MCC
395 Red Blood Cell Disorders Age > 17 811, 812 Red Blood Cell Disorders with MCC, without MCC
396 Red Blood Cell Disorders Age 0-17 811, 812 Red Blood Cell Disorders with MCC, without MCC
397 Coagulation Disorders 813 Coagulation Disorders
398 Reticuloendothelial & Immunity Disorders with CC 814, 815, 816 Reticuloendothelial & Immunity Disorders with MCC, with CC, without CC/MCC
399 Reticuloendothelial & Immunity Disorders without CC 814, 815, 816 Reticuloendothelial & Immunity Disorders with MCC, with CC, without CC/MCC
401 Lymphoma & Non-Acute Leukemia with Other O.R. Proc with CC 823, 824, 825 Lymphoma & Nonacute Leukemia with Other O.R. Proc with MCC, with CC, without CC/MCC
402 Lymphoma & Non-Acute Leukemia with Other O.R. Proc without CC 823, 824, 825 Lymphoma & Nonacute Leukemia with Other O.R. Proc with MCC, with CC, without CC/MCC
403 Lymphoma & Non-Acute Leukemia with CC 840, 841, 842 Lymphoma & Nonacute Leukemia with MCC, with CC, without CC/MCC
404 Lymphoma & Non-Acute Leukemia without CC 840, 841, 842 Lymphoma & Nonacute Leukemia with MCC, with CC, without CC/MCC
405 Acute Leukemia without Major O.R. Procedure Age 0-17 834, 835, 836 Acute Leukemia without Major O.R. Procedure with MCC, with CC, without CC/MCC
406 Myeloprolif Disord or Poorly Diff Neopl with Maj O.R. Proc with CC 826, 827, 828 Myeloprolif Disord or Poorly Diff Neopl with Maj O.R. Proc with MCC, with CC, without CC/MCC
407 Myeloprolif Disord or Poorly Diff Neopl with Maj O.R. Proc without CC 826, 827, 828 Myeloprolif Disord or Poorly Diff Neopl with Maj O.R. Proc with MCC, with CC, without CC/MCC
408 Myeloprolif Disord or Poorly Diff Neopl with other O.R. Proc 829, 830 Myeloprolif Disord or Poorly Diff Neopl with other O.R. Proc with CC/MCC, without CC/MCC
409 Radiotherapy 849 Radiotherapy
410 Chemotherapy without Acute Leukemia as Secondary Diagnosis 846, 847, 848 Chemotherapy without Acute Leukemia as Secondary Diagnosis with MCC, with CC, without CC/MCC
411 History of Malignancy without Endoscopy 843, 844, 845 Other Myeloproliferative Disease or Poorly Differentiated Neoplasm Diagnosis with MCC, with CC, without CC/MCC
412 History of Malignancy with Endoscopy 843, 844, 845 Other Myeloproliferative Disease or Poorly Differentiated Neoplasm Diagnosis with MCC, with CC, without CC/MCC
413 Other Myeloprolif Dis or Poorly Diff Neopl Diag with CC 843, 844, 845 Other Myeloproliferative Disease or Poorly Differentiated Neoplasm Diagnosis with MCC, with CC, without CC/MCC
414 Other Myeloprolif Dis or Poorly Diff Neopl Diag without CC 843, 844, 845 Other Myeloproliferative Disease or Poorly Differentiated Neoplasm Diagnosis with MCC, with CC, without CC/MCC
417 Septicemia Age 0-17 870 Septicemia w MV 96+ hours
418 Postoperative & Post-traumatic Infections 862, 863 Postoperative & Post-traumatic Infections with MCC, without MCC
419 Fever of Unknown Origin Age > 17 with CC 864 Fever of Unknown Origin
420 Fever of Unknown Origin Age > 17 without CC 864 Fever of Unknown Origin
421 Viral Illness Age > 17 865, 866 Viral Illness with MCC, without MCC
422 Viral Illness & Fever of Unknown Origin Age 0-17

DRG 422 PDX split between MS-DRGs 864,865,866
423 Other Infectious & Parasitic Disease Diagnoses 867, 868, 869 Other Infectious & Parasitic Disease Diagnoses with MCC, with CC, without CC/MCC
424 O.R. Procedure with Principal diagnoses of Mental Illness 876 O.R. Procedure with Principal diagnoses of Mental Illness
425 Acute Adjustment Reaction & Psychosocial Dysfunction 880 Acute Adjustment Reaction & Psychosocial Dysfunction
426 Depressive Neuroses 881 Depressive Neuroses
427 Neuroses Except Depressive 882 Neuroses Except Depressive
428 Disorders of Personality & Impulse Control 883 Disorders of Personality & Impulse Control
429 Organic Disturbances & Mental Retardation 884 Organic Disturbances & Mental Retardation
430 Psychoses 885 Psychoses
431 Childhood Mental Disorders 886 Behavioral & Developmental Disorders
432 Other Mental Disorder Diagnoses 887 Other Mental Disorder Diagnoses
433 Alcohol/Drug Abuse or Dependence, Left AMA 894 Alcohol/Drug Abuse or Dependence, Left AMA
439 Skin Grafts for Injuries 904, 905 Skin Grafts for Injuries with CC/MCC, without CC/MCC
440 Wound Debridements for Injuries 901, 902, 903 Wound Debridements for Injuries with MCC, with CC, without CC/MCC
441 Hand Procedures for Injuries 906 Hand Procedures for Injuries
442 Other O.R. Procedures for Injuries with CC 907, 908, 909 Other O.R. Procedures for Injuries with MCC, with CC, without CC/MCC
443 Other O.R. Procedures for Injuries without CC 907, 908, 909 Other O.R. Procedures for Injuries with MCC, with CC, without CC/MCC
444 Traumatic Injury Age > 17 with CC 913, 914 Traumatic Injury with MCC, without MCC
445 Traumatic Injury Age > 17 without CC 913, 914 Traumatic Injury with MCC, without MCC
446 Traumatic Injury Age 0-17 913, 914 Traumatic Injury with MCC, without MCC
447 Allergic Reactions Age > 17 915, 916 Allergic Reactions with MCC, without MCC
448 Allergic Reactions Age 0-17 915, 916 Allergic Reactions with MCC, without MCC
449 Poisoning & Toxic Effects of Drugs Age > 17 with CC 917, 918 Poisoning & Toxic Effects of Drugs with MCC, without MCC
450 Poisoning & Toxic Effects of Drugs Age > 17 without CC 917, 918 Poisoning & Toxic Effects of Drugs with MCC, without MCC
451 Poisoning & Toxic Effects of Drugs Age 0-17 917, 918 Poisoning & Toxic Effects of Drugs with MCC, without MCC
452 Complications of Treatment with CC 919, 920, 921 Complications of Treatment with MCC, with CC, without CC/MCC
453 Complications of Treatment without CC 919, 920, 921 Complications of Treatment with MCC, with CC, without CC/MCC
454 Other Injury, Poisoning & Toxic Effect Diag with CC 922, 923 Other Injury, Poisoning & Toxic Effect Diag with MCC, without MCC
455 Other Injury, Poisoning & Toxic Effect Diag without CC 922, 923 Other Injury, Poisoning & Toxic Effect Diag with MCC, without MCC
461 O.R. Proc with Diagnoses of Other Contact with Health Services 939, 940, 941 O.R. Proc with Diagnoses of Other Contact with Health Services with MCC, with CC, without CC/MCC
462 Rehabilitation 945, 946 Rehabilitation with CC/MCC, without CC/MCC
463 Signs & Symptoms with CC 947, 948 Signs & symptoms with CC/MCC, without CC/MCC
464 Signs & Symptoms without CC 947, 948 Signs & symptoms with CC/MCC, without CC/MCC
465 Aftercare with History of Malignancy as Secondary Diagnosis 949, 950 Aftercare with CC/MCC, without CC/MCC
466 Aftercare without History of Malignancy as Secondary Diagnosis 949, 950 Aftercare with CC/MCC, without CC/MCC
467 Other Factors Influencing Health Status 951 Other Factors Influencing Health Status
468 Extensive O.R. Procedure Unrelated to Principal Diagnosis 981, 982, 983 Extensive O.R. Procedure Unrelated to Principal Diagnosis with MCC, with CC, without CC/MCC
469 Principal Diagnosis Invalid as Discharge Diagnosis 998 Principal Diagnosis Invalid as Discharge Diagnosis
470 Ungroupable 999 Ungroupable
471 Bilateral or Multiple Major Joint Procs of Lower Extremity 461, 462 Bilateral or Multiple Major Joint Procs of Lower Extremity with MCC, without MCC
473 Acute Leukemia without Major O.R. Procedure Age > 17 834, 835, 836 Acute Leukemia without Major O.R. Procedure with MCC, with CC, without CC/MCC
476 Prostatic O.R. Procedure Unrelated to Principal Diagnosis 984, 985, 986 Prostatic O.R. Procedure Unrelated to Principal Diagnosis with MCC, with CC, without CC/MCC
477 Nonextensive O.R. Procedure Unrelated to Principal Diagnosis 987, 988, 989 Non-Extensive O.R. Procedure Unrelated to Principal Diagnosis with MCC, with CC, without CC/MCC
479 Other Vascular Procedures without CC 252, 253, 254 Other Vascular Procedures with MCC, with CC, and without CC/MCC
480 Liver Transplant and/or Intestinal Transplant 005, 006 Liver Transplant with MCC or Intestinal Transplant, without MCC Procedure 4697 (Transplant of intestine) is always assigned to MS-DRG 005 regardless of severity level
481 Bone Marrow Transplant 009 Bone Marrow Transplant
482 Tracheostomy for Face, Mouth & Neck Diagnoses 011, 012, 013 Tracheostomy for Face, Mouth & Neck Diagnoses with MCC, with CC, without CC/MCC
484 Craniotomy for Multiple Significant Trauma 955 Craniotomy for Multiple Significant Trauma
485 Limb Reattachment, Hip and Femur Proc for Multiple Significant Trauma 956 Limb Reattachment, Hip and Femur Proc for Multiple Significant Trauma
486 Other O.R. Procedures for Multiple Significant Trauma 957, 958, 959 Other O.R. Procedures for Multiple Significant Trauma with MCC, with CC, without CC/MCC
487 Other Multiple Significant Trauma 963, 964, 965 Other Multiple Significant Trauma with MCC, with CC, without CC/MCC
488 HIV with Extensive O.R. Procedure 969, 970 HIV with Extensive O.R. Procedure with MCC, without MCC
489 HIV with Major Related Condition 974, 975, 976 HIV with Major Related Condition with MCC, with CC, without CC/MCC
490 HIV with or without Other Related Condition 977 HIV with or without Other Related Condition
491 Major Joint & Limb Reattachment Procedures of Upper Extremity 483, 484 Major Join & Limb Reattachment Proc of Upper Extremity with CC/MCC, without CC/MCC
492 Chemotherapy with Acute Leukemia or with use of Hi Dose Chemoagent 837, 838, 839 Chemo with Acute Leukemia as Sdx or with High Dose Chemo Agent with MCC, with CC, without CC/MCC
493 Laparoscopic Cholecystectomy without C.D.E. with CC 417, 418, 419 Laparoscopic Cholecystectomy without C.D.E. with MCC, with CC, without CC/MCC
494 Laparoscopic Cholecystectomy without C.D.E. without CC 417, 418, 419 Laparoscopic Cholecystectomy without C.D.E. with MCC, with CC, without CC/MCC
495 Lung Transplant 007 Lung Transplant
496 Combined Anterior/Posterior Spinal Fusion 453, 454, 455 Combined Anterior/Posterior Spinal Fusion with MCC, with CC, without CC/MCC
497 Spinal Fusion Except Cervical with CC 459, 460 Spinal Fusion Except Cervical with MCC, without MCC
498 Spinal Fusion Except Cervical without CC 459, 460 Spinal Fusion Except Cervical with MCC, without MCC
499 Back & Neck Procedures except Spinal Fusion with CC 490, 491 Back & Neck Procedures except Spinal Fusion with CC/MCC or Disc Devices, without CC/MCC Procedures 8458,8459, 8465 are always assigned to MS-DRG 490 regardless of severity level
500 Back & Neck Procedures except Spinal Fusion without CC 490, 491 Back & Neck Procedures except Spinal Fusion with CC/MCC or Disc Devices, without CC/MCC
501 Knee Procedures with PDX of Infection with CC 485, 486, 487 Knee Procedures with PDX of Infection with MCC, with CC, without CC/MCC
502 Knee Procedures with PDX of Infection without CC 485, 486, 487 Knee Procedures with PDX of Infection with MCC, with CC, without CC/MCC
503 Knee Procedures without PDX of Infection 488, 489 Knee Procedures without PDX of Infections with CC/MCC, without CC/MCC
504 Exten. Burns or Full Thickness Burn with MV 96+Hrs with Skin Gft 927 Exten. Burns or Full Thickness Burn with MV 96+Hrs with Skin Gft
505 Exten. Burns or Full Thickness Burn with MV 96+Hrs without Skin Gft 933 Exten. Burns or Full Thickness Burn with MV 96+Hrs without Skin Gft
506 Full Thickness Burn with Skin Graft or Inhal Inj with CC or Sig Trauma 928, 929 Full Thickness Burn with Skin Graft or Inhal Inj with CC/MCC, without CC/MCC
507 Full Thickness Burn with Skin Graft or Inhal Inj without CC or Sig Trauma 928, 929 Full Thickness Burn with Skin Graft or Inhal Inj with CC/MCC, without CC/MCC
508 Full Thickness Burn without Skin Graft or Inhal Inj with CC or Sig Trauma 934 Full Thickness Burn without Skin Graft or Inhal Inj
509 Full Thickness Burn without Skin Graft or Inhal Inj without CC or Sig Trauma 934 Full Thickness Burn without Skin Graft or Inhal Inj
510 Non-Extensive Burns with CC or Significant Trauma 935 Non-Extensive Burns
511 Non-Extensive Burns without CC or Significant Trauma 935 Non-Extensive Burns
512 Simultaneous Pancreas/Kidney Transplant 008 Simultaneous Pancreas/Kidney Transplant
513 Pancreas Transplant 010 Pancreas Transplant
515 Cardiac Defibrillator Implant without Cardiac Cath 226, 227 Cardiac Defibrillator Implant without Cardiac Cath with MCC, and without MCC
518 Percutaneous Cardiovascular Procedure without Coronary Artery Stent or AMI 250, 251 Percutaneous Cardiovascular Procedure without Coronary Artery Stent or AMI with MCC, and without MCC
519 Cervical Spinal Fusion with CC 471, 472, 473 Cervical Spinal Fusion with MCC, with CC, with CC/MCC
520