DRG Detail

CMS Crosswalk from Version 25 MS-DRGs to Version 24 DRGs. To capture Version 23 DRGs used by MHCP, refer to the Mn Diag Category/DRG Crosswalk for 2007-2008
Med/ Surg MDC MnDHS V.23 CMS V.24 MS-DRG V.25 MS-DRG Descriptions (Grouper V. 25) Comments Last Updated 03/19/2008 (Ann Gjerstad, 651-431-2541 or ann.gjerstad@state.mn.us ) Updates
S PreMDC 103 103 001 Heart transplant or implant of heart assist system w MCC  
S PreMDC 103 103 002 Heart transplant or implant of heart assist system w/o MCC  
             
             
S PreMDC 541 541 003 ECMO or tracheostomy w CMV 96+ hrs or PDx except face, mouth, neck w/ major OR  
S PreMDC 542 542 004 Trach w MV 96+ hrs or PDx exc face, mouth, neck w/o maj OR  
             
             
S PreMDC 480 480 005 Liver transplant w/ MCC or intestinal transplant Proc 46.97 (Transplant of intestine) is assigned to MS-DRG 005 regardless of severity level
S PreMDC 480 480 006 Liver transplant w/o MCC  
             
             
S PreMDC 495 495 007 Lung transplant  
S PreMDC 512 512 008 Simultaneous Pancreas and Kidney transplant  
             
             
S PreMDC 481 481 009 Bone marrow transplant  
S PreMDC 513 513 010 Pancreas transplant  
             
             
S PreMDC 482 482 011 Tracheostomy for face, mouth & neck diagnoses w MCC  
S PreMDC 482 482 012 Tracheostomy for face, mouth & neck diagnoses w CC  
S PreMDC 482 482 013 Tracheostomy for face, mouth & neck diagnoses w/o CC/MCC  
             
S 01 528 528 020 Intracranial vascular procedures w PDx hemorrhage w MCC  
S 01 528 528 021 Intracranial vascular procedures w PDx hemorrhage w CC  
S 01 528 528 022 Intracranial vascular procedures w PDx hemorrhage w/o CC/MCC  
             
S 01 543 543 023 Craniotomy w/ major device implantation / Acute complex CNS PDx w MCC or chemo implant Non-O.R. procedure 00.10 (Implant chemotherapy agent) is always assigned to MS-DRG 023 regardless of severity level; Added procedure 00.62 to MS-DRG 023-027
S 01 543 543 024 Craniotomy w major dev implant/acute complex CNS PDx w/o MCC Non-OR procedure 00.10 (Implant chemotherapy agent) is always assigned to MS-DRG 023 regardless of severity level; Added procedure 00.62 to MS-DRG 023-027
             
             
S 01 001 001 025 Craniotomy & endovascular intracranial procedures w MCC *V24 DRG 003 procedures are split between MS-DRGs 025,026,027, 031,032,033; Added procedure 0062 to MS-DRG 23-27
S 01 002 002 026 Craniotomy & endovascular intracranial procedures w CC Non-O.R. procedure 00.10 (Implant chemotherapy agent) is assigned to MS-DRG 023 regardless of severity level; Added procedure 00.62 to MS-DRG 023-027
S 01 003 003 027 Craniotomy & endovascular intracranial procedures w/o CC/MCC Non-O.R. procedure 00.10 (Implant chemotherapy agent) is assigned to MS-DRG 023 regardless of severity level; Added procedure 00.62 to MS-DRG 023-027
             
S 01 531 531 028 Spinal procedures w MCC  
S 01 532 532 029 Spinal procedures w CC or spinal neurostimulators Combination of 0393 w/ (8694 or 8695 or 8697 or 8698) is assigned to MS-DRG 029 regardless of severity level
S 01 532 532 030 Spinal procedures w/o CC/MCC  
             
S 01 529 529 031 Ventricular shunt procedures w MCC  
S 01 530 530 032 Ventricular shunt procedures w CC  
S 01 530 530 033 Ventricular shunt procedures w/o CC/MCC  
             
S 01 533 577 034 Carotid artery stent procedure w MCC  
S 01 533 577 035 Carotid artery stent procedure w CC  
S 01 534 577 036 Carotid artery stent procedure w/o CC/MCC  
             
S 01 533 533 037 Extracranial procedures w MCC  
S 01 534 534 038 Extracranial procedures w CC  
S 01 534 534 039 Extracranial procedures w/o CC/MCC  
             
S 01 006 006 040 Peripheral & cranial nerve & other nervous system proc w MCC  
S 01 007 007 041 Peripheral & cranial nerve & other nervous system procedure w/ CC or peripheral neurostimulator Combination of 0492 w/ (8694 or 8695 or 8697 or 8698) is assigned to MS-DRG 041 regardless of severity
S 01 008 008 042 Peripheral & cranial nerve & other nervous syst proc w/o CC/MCC  
             
M 01 009 009 052 Spinal disorders & injuries w CC/MCC  
M 01 009 009 053 Spinal disorders & injuries w/o CC/MCC  
             
             
M 01 010 010 054 Nervous system neoplasms w MCC  
M 01 011 011 055 Nervous system neoplasms w/o MCC  
             
             
M 01 012 012 056 Degenerative nervous system disorders w MCC  
M 01 012 012 057 Degenerative nervous system disorders w/o MCC  
             
             
M 01 013 013 058 Multiple sclerosis & cerebellar ataxia w MCC  
M 01 013 013 059 Multiple sclerosis & cerebellar ataxia w CC  
M 01 013 013 060 Multiple sclerosis & cerebellar ataxia w/o CC/MCC  
             
M 01 559 559 061 Acute ischemic stroke w use of thrombolytic agent w MCC  
M 01 559 559 062 Acute ischemic stroke w use of thrombolytic agent w CC  
M 01 559 559 063 Acute ischemic stroke w use of thrombolytic agent w/o CC/MCC  
             
M 01 014 014 064 Intracranial hemorrhage or cerebral infarction w MCC  
M 01 014 014 065 Intracranial hemorrhage or cerebral infarction w CC  
M 01 014 014 066 Intracranial hemorrhage or cerebral infarction w/o CC/MCC  
             
M 01 015 015 067 Nonspecific CVA & precerebral occlusion w/o infarct w MCC  
M 01 015 015 068 Nonspecific CVA & precerebral occlusion w/o infarct w/o MCC  
M 01 524 524 069 Transient ischemia  
             
M 01 016 016 070 Nonspecific cerebrovascular disorders w MCC  
M 01 017 017 071 Nonspecific cerebrovascular disorders w CC  
M 01 017 017 072 Nonspecific cerebrovascular disorders w/o CC/MCC  
             
M 01 018 018 073 Cranial & peripheral nerve disorders w MCC  
M 01 019 019 074 Cranial & peripheral nerve disorders w/o MCC  
             
             
M 01 021 021 075 Viral meningitis w CC/MCC  
M 01 021 021 076 Viral meningitis w/o CC/MCC  
             
             
M 01 022 022 077 Hypertensive encephalopathy w MCC  
M 01 022 022 078 Hypertensive encephalopathy w CC  
M 01 022 022 079 Hypertensive encephalopathy w/o CC/MCC  
             
M 01 023 023 080 Nontraumatic stupor & coma w MCC  
M 01 023 023 081 Nontraumatic stupor & coma w/o MCC  
             
             
M 01 027 027 082 Traumatic stupor & coma, coma >1 hr w MCC  
M 01 027 027 083 Traumatic stupor & coma, coma >1 hr w CC  
M 01 027 027 084 Traumatic stupor & coma, coma >1 hr w/o CC/MCC  
             
M 01 028 028 085 Traumatic stupor & coma, coma <1 hr w MCC  
M 01 029 029 086 Traumatic stupor & coma, coma <1 hr w CC  
M 01 030 030 087 Traumatic stupor & coma, coma <1 hr w/o CC/MCC  
             
M 01 031 031 088 Concussion w MCC  
M 01 032 032 089 Concussion w CC  
M 01 033 033 090 Concussion w/o CC/MCC  
             
M 01 034 034 091 Other disorders of nervous system w MCC  
M 01 035 035 092 Other disorders of nervous system w CC  
M 01 035 035 093 Other disorders of nervous system w/o CC/MCC  
             
M 01 20 560 094 Bacterial & tuberculous infections of nervous system w MCC  
M 01 20 560 095 Bacterial & tuberculous infections of nervous system w CC  
M 01 20 560 096 Bacterial & tuberculous infections of nervous system w/o CC/MCC  
             
M 01 20 561 097 Non-bacterial infect of nervous sys except viral meningitis w MCC  
M 01 20 561 098 Non-bacterial infect of nervous sys except viral meningitis w CC  
M 01 20 561 099 Non-bacterial infect of nervous sys exc viral meningitis w/o CC/MCC  
             
M 01 026 026 100 Seizures w MCC * CMS v24 DRG 026 PDx are split between MS-DRGs 100,101,102,103
M 01 24 562 101 Seizures w/o MCC * CMS v24 DRG 026 PDx are split between MS-DRGs 100,101,102,103
M 01 25 563 101 Seizures w/o MCC * CMS v24 DRG 026 PDx are split between MS-DRGs 100,101,102,103
             
M 01 24 564 102 Headaches w MCC * CMS v24 DRG 026 PDx are split between MS-DRGs 100,101,102,103
M 01 25 564 103 Headaches w/o MCC * CMS v24 DRG 026 PDx are split between MS-DRGs 100,101,102,103
             
             
S 02 037 037 113 Orbital procedures w CC/MCC  
S 02 037 037 114 Orbital procedures w/o CC/MCC  
             
             
S 02 040 040 115 Extraocular procedures except orbit  
S 02 041 041 115 Extraocular procedures except orbit  
S 02 036 036 116 Intraocular procedures w CC/MCC  
             
S 02 038 038 117 Intraocular procedures w/o CC/MCC  
S 02 039 039 117 Intraocular procedures w/o CC/MCC  
S 02 042 042 117 Intraocular procedures w/o CC/MCC  
             
M 02 044 044 121 Acute major eye infections w CC/MCC  
M 02 044 044 122 Acute major eye infections w/o CC/MCC  
M 02 045 045 123 Neurological eye disorders  
             
M 02 043 043 124 Other disorders of the eye w MCC  
             
             
             
M 02 046 046 125 Other disorders of the eye w/o MCC  
M 02 047 047 125 Other disorders of the eye w/o MCC  
M 02 048 048 125 Other disorders of the eye w/o MCC  
             
S 03 049 -2 049 129 Major head & neck procedures w CC/MCC or major device Proc 2096,2097,2098 (cochlear implants) assigned to MS-DRG 129 regardless of severity level
S 03 049 -1 049 130 Major head & neck procedures w/o CC/MCC  
             
             
S 03 multiple ? 131 Cranial/facial procedures w CC/MCC MS-DRG 131-132 grp to many preMS-DRG in 8 Medicare MDCs (1-3, 8-9, 17, 21, 24)
S 03 multiple ? 132 Cranial/facial procedures w/o CC/MCC MS-DRG 131-132 grp to many preMS-DRG in 8 Medicare MDCs (1-3, 8-9, 17, 21, 24)
S 03 052 052 133 Other ear, nose, mouth & throat O.R. w CC/MCC  
             
S 03 055 055 134 Other ear, nose, mouth & throat O.R. w/o CC/MCC  
S 03 056 056 134 Other ear, nose, mouth & throat O.R. w/o CC/MCC  
S 03 057 057 134 Other ear, nose, mouth & throat O.R. w/o CC/MCC  
             
S 03 058 058 134 Other ear, nose, mouth & throat O.R. w/o CC/MCC  
S 03 059 059 134 Other ear, nose, mouth & throat O.R. w/o CC/MCC  
S 03 060 060 134 Other ear, nose, mouth & throat O.R. w/o CC/MCC  
             
S 03 061 061 134 Other ear, nose, mouth & throat O.R. w/o CC/MCC  
S 03 062 062 134 Other ear, nose, mouth & throat O.R. w/o CC/MCC  
S 03 063 063 134 Other ear, nose, mouth & throat O.R. w/o CC/MCC  
             
S 03 053 053 135 Sinus & mastoid procedures w CC/MCC  
S 03 054 054 136 Sinus & mastoid procedures w/o CC/MCC  
             
             
S 03 168 168 137 Mouth procedures w CC/MCC  
S 03 169 169 138 Mouth procedures w/o CC/MCC  
             
             
S 03 050 050 139 Salivary gland procedures  
S 03 051 051 139 Salivary gland procedures  
             
             
M 03 064 064 146 Ear, nose, mouth & throat malignancy w MCC  
S 03 064 064 147 Ear, nose, mouth & throat malignancy w CC  
S 03 064 064 148 Ear, nose, mouth & throat malignancy w/o CC/MCC  
             
M 03 065 065 149 Dysequilibrium  
M 03 066 066 150 Epistaxis w MCC  
M 03 066 066 151 Epistaxis w/o MCC  
             
M 03 067 067 152 Otitis media & URI w MCC  
M 03 068 068 153 Otitis media & URI w/o MCC  
             
             
M 03 069 069 153 Otitis media & URI w/o MCC  
M 03 070 070 153 Otitis media & URI w/o MCC  
M 03 071 071 153 Otitis media & URI w/o MCC  
             
M 03 072 072 154 Nasal trauma & deformity w MCC  
M 03 073 073 155 Nasal trauma & deformity w CC  
M 03 074 074 156 Nasal trauma & deformity w/o CC/MCC  
             
M 03 185 185 157 Dental & Oral Diseases w MCC  
M 03 186 186 158 Dental & Oral Diseases w CC  
M 03 187 187 159 Dental & Oral Diseases w/o CC/MCC  
             
S 04 075 075 163 Major chest procedures w MCC  
S 04 075 075 164 Major chest procedures w CC  
S 04 075 075 165 Major chest procedures w/o CC/MCC  
             
S 04 076 076 166 Other respiratory system O.R. w MCC  
S 04 077 077 167 Other respiratory system O.R. w CC  
S 04 077 077 168 Other respiratory system O.R. w/o CC/MCC  
             
M 04 078 078 175 Pulmonary embolism w MCC  
M 04 078 078 176 Pulmonary embolism w/o MCC  
             
             
M 04 079 079 177 Respiratory infections & inflammations w MCC  
M 04 080 080 178 Respiratory infections & inflammations w CC  
M 04 081 081 179 Respiratory infections & inflammations w/o CC/MCC  
             
M 04 082 082 180 Respiratory neoplasms w MCC  
M 04 082 082 181 Respiratory neoplasms w CC  
M 04 082 082 182 Respiratory neoplasms w/o CC/MCC  
             
M 04 083 083 183 Major chest trauma w MCC  
M 04 084 084 184 Major chest trauma w CC  
M 04 084 084 185 Major chest trauma w/o CC/MCC  
             
M 04 085 085 186 Pleural effusion w MCC  
M 04 086 086 187 Pleural effusion w CC  
M 04 086 086 188 Pleural effusion w/o CC/MCC  
             
M 04 087 087 189 Pulmonary edema & respiratory failure  
             
             
             
M 04 088 088 190 Chronic obstructive pulmonary disease w MCC  
M 04 088 088 191 Chronic obstructive pulmonary disease w CC  
M 04 088 088 192 Chronic obstructive pulmonary disease w/o CC/MCC  
             
M 04 089 089 193 Simple pneumonia & pleurisy w MCC  
M 04 090 090 194 Simple pneumonia & pleurisy w CC  
M 04 091 091 195 Simple pneumonia & pleurisy w/o CC/MCC  
             
M 04 092 092 196 Interstitial lung disease w MCC  
M 04 093 093 197 Interstitial lung disease w CC  
M 04 093 093 198 Interstitial lung disease w/o CC/MCC  
             
M 04 094 094 199 Pneumothorax w MCC  
M 04 095 095 200 Pneumothorax w CC  
M 04 095 095 201 Pneumothorax w/o CC/MCC  
             
M 04 096 096 202 Bronchitis & asthma w CC/MCC  
M 04 097 097 203 Bronchitis & asthma w/o CC/MCC  
M 04 098 098 203 Bronchitis & asthma w/o CC/MCC  
             
M 04 099 099 204 Respiratory signs & symptoms  
M 04 100 100 204 Respiratory signs & symptoms  
             
             
M 04 101 101 205 Other respiratory system diagnoses w MCC  
M 04 102 102 206 Other respiratory system diagnoses w/o MCC  
         
             
M 04 475-2 565 207 Respiratory system diagnosis w ventilator support 96+ hours  
M 04 475-1 566 208 Respiratory system diagnosis w ventilator support <96 hours  
             
             
S 05 525 525 215 Other heart assist system implant  
             
             
             
S 05 104 104 216 Cardiac valve & oth maj cardiothoracic proc w card cath w MCC  
S 05 104 104 217 Cardiac valve & oth maj cardiothoracic proc w card cath w CC  
S 05 104 104 218 Cardiac valve & other major cardiothoracic procedure w/ cardiac catheterization w/o CC/MCC  
             
S 05 105 105 219 Cardiac valve & oth maj cardiothoracic proc w/o card cath w MCC  
S 05 105 105 220 Cardiac valve & oth maj cardiothoracic proc w/o card cath w CC  
S 05 105 105 221 Cardiac valve & other major cardiothoracic procedure w/o cardiac catheterization w/o CC/MCC  
             
S 05 535 535 222 Cardiac defib implant w cardiac cath w AMI/HF/shock w MCC  
S 05 535 535 223 Cardiac defib implant w/ cardiac cath w/ AMI/HF/shock w/o MCC  
S 05 536 536 224 Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC  
             
S 05 536 536 225 Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC  
S 05 515 515 226 Cardiac defibrillator implant w/o cardiac cath w MCC  
S 05 515 515 227 Cardiac defibrillator implant w/o cardiac cath w/o MCC  
             
S 05 108 108 228 Other cardiothoracic procedures w MCC  
S 05 108 108 229 Other cardiothoracic procedures w CC  
S 05 108 108 230 Other cardiothoracic procedures w/o CC/MCC  
             
S 05 106 106 231 Coronary bypass w PTCA w MCC  
S 05 106 106 232 Coronary bypass w PTCA w/o MCC  
S 05 547 547 233 Coronary bypass w cardiac cath w MCC  
             
S 05 548 548 234 Coronary bypass w cardiac cath w/o MCC  
S 05 549 549 235 Coronary bypass w/o cardiac cath w MCC  
S 05 550 550 236 Coronary bypass w/o cardiac cath w/o MCC  
             
S 05 110 110 237 Major cardiovascular procedures w/ MCC or thoracic aortic aneurysm repair Proc code 39.73 (Endovascular implantation of graft in thoracic aorta) assigned MS-DRG 237 regardless of severity
5 05 111 111 238 Major cardiovascular procedures w/o MCC  
             
             
S 05 113 113 239 Amputation for circ sys disorders exc upper limb & toe w MCC  
S 05 113 113 240 Amputation for circ sys disorders exc upper limb & toe w CC  
S 05 113 113 241 Amputation for circ sys disorders exc upper limb & toe w/o CC/MCC  
             
S 05 551 551 242 Permanent cardiac pacemaker implantation w MCC  
S 05 552 552 243 Permanent cardiac pacemaker implantation w CC  
S 05 552 552 244 Permanent cardiac pacemaker implantation w/o CC/MCC  
             
S 05 551   245 AICD lead and generator procedures  
S 05 557 557 246 Percutaneous cardiovascular procedure w drug-eluting stent w MCC or 4+ vessels/stents Combination proc (00.66 and 36.07) w/ 00.43 or 00.48 assigned MS-DRG 246 regardless of severity
S 05 558 558 247 Percutaneous cardiovascular proced w drug-eluting stent w/o MCC  
             
S 05 555 555 248 Perc cardiovascular proc w non-drug-eluting stent w MCC or 4+ vessel/stents Combination proc (00.66 and 36.06) w/ 00.43 or 00.48 assigned MS-DRG 248 regardless of severity
S 05 556 556 249 Percutan cardiovascular proced w non-drug-eluting stent w/o MCC  
             
             
S 05 518 518 250 Perc cardiovascular proc w/o coronary artery stent or AMI w MCC  
S 05 518 518 251 Perc cardiovascular proc w/o coronary artery stent or AMI w/o MCC  
             
             
S 05 479 479 252 Other vascular procedures w MCC  
S 05 553 553 253 Other vascular procedures w CC  
S 05 554 554 254 Other vascular procedures w/o CC/MCC  
             
S 05 114 114 255 Upper limb & toe amputation for circulatory system disorders w MCC  
S 05 114 114 256 Upper limb & toe amputation for circulatory system disorders w CC  
S 05 114 114 257 Upper limb & toe amputation for circ system disorders w/o CC/MCC  
             
S 05 118 118 258 Cardiac pacemaker device replacement w MCC  
S 05 118 118 259 Cardiac pacemaker device replacement w/o MCC  
             
             
S 05 117 117 260 Cardiac pacemaker revision except device replacement w MCC  
S 05 117 117 261 Cardiac pacemaker revision except device replacement w CC  
S 05 117 117 262 Cardiac pacemaker revision except device replacement w/o CC/MCC  
             
S 05 119 119 263 Vein ligation & stripping  
S 05 120 120 264 Other circulatory system O.R. procedures  
             
             
M 05 121 121 280 Acute myocardial infarction, discharged alive w MCC  
M 05 122 122 281 Acute myocardial infarction, discharged alive w CC  
M 05 122 122 282 Acute myocardial infarction, discharged alive w/o CC/MCC  
             
M 05 123 123 283 Acute myocardial infarction, expired w MCC  
M 05 123 123 284 Acute myocardial infarction, expired w CC  
M 05 123 123 285 Acute myocardial infarction, expired w/o CC/MCC  
             
M 05 124 124 286 Circulatory disorders except AMI, w card cath w MCC  
M 05 125 125 287 Circulatory disorders except AMI, w card cath w/o MCC  
             
             
M 05 126 126 288 Acute & subacute endocarditis w MCC  
M 05 126 126 289 Acute & subacute endocarditis w CC  
M 05 126 126 290 Acute & subacute endocarditis w/o CC/MCC  
             
M 05 127 127 291 Heart failure & shock w MCC  
M 05 127 127 292 Heart failure & shock w CC  
M 05 127 127 293 Heart failure & shock w/o CC/MCC  
             
M 05 128 128 294 Deep vein thrombophlebitis w CC/MCC  
M 05 128 128 295 Deep vein thrombophlebitis w/o CC/MCC  
             
             
M 05 129 129 296 Cardiac arrest, unexplained w MCC  
M 05 129 129 297 Cardiac arrest, unexplained w CC  
M 05 129 129 298 Cardiac arrest, unexplained w/o CC/MCC  
             
M 05 130 130 299 Peripheral vascular disorders w MCC  
M 05 131 131 300 Peripheral vascular disorders w CC  
M 05 131 131 301 Peripheral vascular disorders w/o CC/MCC  
             
M 05 132 132 302 Atherosclerosis w MCC  
M 05 133 133 303 Atherosclerosis w/o MCC  
             
             
M 05 134 134 304 Hypertension w MCC  
M 05 134 134 305 Hypertension w/o MCC  
             
             
M 05 135 135 306 Cardiac congenital & valvular disorders w MCC  
M 05 136 136 307 Cardiac congenital & valvular disorders w/o MCC  
M 05 137 137 307 Cardiac congenital & valvular disorders w/o MCC  
             
M 05 138 138 308 Cardiac arrhythmia & conduction disorders w MCC  
M 05 139 139 309 Cardiac arrhythmia & conduction disorders w CC  
M 05 139 139 310 Cardiac arrhythmia & conduction disorders w/o CC/MCC  
             
M 05 140 140 311 Angina pectoris  
M 05 141 141 312 Syncope & collapse  
M 05 142 142 312 Syncope & collapse  
             
M 05 143 143 313 Chest pain  
M 05 144 144 314 Other circulatory system diagnoses w MCC  
             
             
M 05 145 145 315 Other circulatory system diagnoses w CC  
M 05 145 145 316 Other circulatory system diagnoses w/o CC/MCC  
             
             
S 06 155 155 326 Stomach, esophageal & duodenal procedures w MCC  
S 06 156 156 327 Stomach, esophageal & duodenal procedure w CC  
             
             
S 06 154 567 328 Stomach, esophageal & duodenal procedure w/o CC/MCC  
S 06 155 568 328 Stomach, esophageal & duodenal procedure w/o CC/MCC  
             
             
S 06 149 149 329 Major small & large bowel procedures w MCC  
S 06 148 569 330 Major small & large bowel procedures w CC  
S 06 149 570 331 Major small & large bowel procedures w/o CC/MCC  
             
S 06 146 146 332 Rectal resection w MCC  
S 06 147 147 333 Rectal resection w CC  
S 06 147 147 334 Rectal resection w/o CC/MCC  
             
S 06 150 150 335 Peritoneal adhesiolysis w MCC  
S 06 151 151 336 Peritoneal adhesiolysis w CC  
S 06 151 151 337 Peritoneal adhesiolysis w/o CC/MCC  
             
S 06 164 164 338 Appendectomy w complicated principal diagnosis w MCC  
S 06 165 165 339 Appendectomy w complicated principal diagnosis w CC  
S 06 165 165 340 Appendectomy w complicated principal diagnosis w/o CC/MCC  
             
S 06 166 166 341 Appendectomy w/o complicated principal diag w MCC  
S 06 167 167 342 Appendectomy w/o complicated principal diag w CC  
S 06 167 167 343 Appendectomy w/o complicated principal diag w/o CC/MCC  
             
S 06 152 152 344 Minor small & large bowel procedures w MCC  
S 06 153 153 345 Minor small & large bowel procedures w CC  
S 06 153 153 346 Minor small & large bowel procedures w/o CC/MCC  
             
S 06 157 157 347 Anal & stomal procedures w MCC  
S 06 158 158 348 Anal & stomal procedures w CC  
S 06 158 158 349 Anal & stomal procedures w/o CC/MCC  
             
S 06 161 161 350 Inguinal & femoral hernia procedures w MCC *CMS v24 DRG 163 procedures are split between MS-DRGs 350,351,352,353,354,355
S 06 162 162 351 Inguinal & femoral hernia procedures w CC *CMS v24 DRG 163 procedures are split between MS-DRGs 350-355
S 06 163 163 352 Inguinal & femoral hernia procedures w/o CC/MCC *CMS v24 DRG 163 procedures are split between MS-DRGs 350-355
             
S 06 159 159 353 Hernia procedures except inguinal & femoral w MCC *CMS v24 DRG 163 procedures are split between MS-DRGs 350-355
S 06 160 160 354 Hernia procedures except inguinal & femoral w CC *CMS v24 DRG 163 procedures are split between MS-DRGs 350-355
S 06 160 160 355 Hernia procedures except inguinal & femoral w/o CC/MCC *CMS v24 DRG 163 procedures are split between MS-DRGs 350-355
             
S 06 170 170 356 Other digestive system O.R. w MCC  
S 06 171 171 357 Other digestive system O.R. w CC  
S 06 171 171 358 Other digestive system O.R. w/o CC/MCC  
             
M 06 182-184 or 188-190 571 368 Major esophageal disorders w MCC  
M 06 182-184 or 188-190 571 369 Major esophageal disorders w CC  
M 06 182-184 or 188-190 571 370 Major esophageal disorders w/o CC/MCC  
             
M 06 182-184 or 188-190 572 371 Major gastrointestinal disorders & peritoneal infections w MCC  
M 06 182-184 or 188-190 572 372 Major gastrointestinal disorders & peritoneal infections w CC  
M 06 182-184 or 188-190 572 373 Major gastrointestinal disorders & peritoneal infections w/o CC/MCC  
             
M 06 172 172 374 Digestive malignancy w MCC  
M 06 173 173 375 Digestive malignancy w CC  
M 06 173 173 376 Digestive malignancy w/o CC/MCC  
             
M 06 174 174 377 G.I. hemorrhage w MCC  
M 06 175 175 378 G.I. hemorrhage w CC  
M 06 175 175 379 G.I. hemorrhage w/o CC/MCC  
             
M 06 176 176 380 Complicated peptic ulcer w MCC  
M 06 176 176 381 Complicated peptic ulcer w CC  
M 06 176 176 382 Complicated peptic ulcer w/o CC/MCC  
             
M 06 177 177 383 Uncomplicated peptic ulcer w MCC  
M 06 178 178 384 Uncomplicated peptic ulcer w/o MCC  
             
             
M 06 179 179 385 Inflammatory bowel disease w MCC  
M 06 179 179 386 Inflammatory bowel disease w CC  
M 06 179 179 387 Inflammatory bowel disease w/o CC/MCC  
             
M 06 180 180 388 G.I. obstruction w MCC  
M 06 181 181 389 G.I. obstruction w CC  
M 06 181 181 390 G.I. obstruction w/o CC/MCC  
             
M 06 182 182 391 Esophagitis, gastroenteritis & misc digestive disorders w MCC  
M 06 183 183 392 Esophagitis, gastroenteritis & misc digestive disorders w/o MCC  
M 06 184 184 392 Esophagitis, gastroenteritis & misc digestive disorders w/o MCC  
             
M 06 188 188 393 Other digestive system diagnoses w MCC  
M 06 189 189 394 Other digestive system diagnoses w CC  
M 06 190 190 395 Other digestive system diagnoses w/o CC/MCC  
             
S 07 191 191 405 Pancreas, liver & shunt procedures w MCC  
S 07 192 192 406 Pancreas, liver & shunt procedures w CC  
S 07 192 192 407 Pancreas, liver & shunt procedures w/o CC/MCC  
             
S 07 193 193 408 Biliary tract proc except only cholecystectomy w or w/o c.d.e. w MCC  
S 07 194 194 409 Biliary tract proc except only cholecystectomy w or w/o c.d.e. w CC  
S 07 194 194 410 Biliary tract proc except only cholecyst w or w/o c.d.e. w/o CC/MCC  
             
S 07 195 195 411 Cholecystectomy w c.d.e. w MCC  
S 07 196 196 412 Cholecystectomy w c.d.e. w CC  
S 07 196 196 413 Cholecystectomy w c.d.e. w/o CC/MCC  
             
S 07 197 197 414 Cholecystectomy except by laparoscope w/o c.d.e. w MCC  
S 07 198 198 415 Cholecystectomy except by laparoscope w/o c.d.e. w CC  
S 07 198 198 416 Cholecystectomy except by laparoscope w/o c.d.e. w/o CC/MCC  
             
S 07 493 493 417 Laparoscopic cholecystectomy w/o c.d.e. w MCC  
S 07 494 494 418 Laparoscopic cholecystectomy w/o c.d.e. w CC  
S 07 494 494 419 Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC  
             
S 07 199 199 420 Hepatobiliary diagnostic procedures w MCC  
S 07 200 200 421 Hepatobiliary diagnostic procedures w CC  
S 07 200 200 422 Hepatobiliary diagnostic procedures w/o CC/MCC  
             
S 07 201 201 423 Other hepatobiliary or pancreas O.R. w MCC  
S 07 201 201 424 Other hepatobiliary or pancreas O.R. w CC  
S 07 201 201 425 Other hepatobiliary or pancreas O.R. w/o CC/MCC  
             
M 07 202 202 432 Cirrhosis & alcoholic hepatitis w MCC  
M 07 202 202 433 Cirrhosis & alcoholic hepatitis w CC  
M 07 202 202 434 Cirrhosis & alcoholic hepatitis w/o CC/MCC  
             
M 07 203 203 435 Malignancy of hepatobiliary system or pancreas w MCC  
M 07 203 203 436 Malignancy of hepatobiliary system or pancreas w CC  
M 07 203 203 437 Malignancy of hepatobiliary system or pancreas w/o CC/MCC  
             
M 07 204 204 438 Disorders of pancreas except malignancy w MCC  
M 07 204 204 439 Disorders of pancreas except malignancy w CC  
M 07 204 204 440 Disorders of pancreas except malignancy w/o CC/MCC  
             
M 07 205 205 441 Disord of liver exc malignancy, cirrhosis, alcoholic hepatitis w MCC  
M 07 206 206 442 Disord of liver except malignancy, cirrhosis, alcoholic hepatitis w CC  
M 07 206 206 443 Disord of liver except malign, cirrhosis, alcoh hepatitis w/o CC/MCC  
             
M 07 207 207 444 Disorders of the biliary tract w MCC  
M 07 208 208 445 Disorders of the biliary tract w CC  
M 07 208 208 446 Disorders of the biliary tract w/o CC/MCC  
             
S 08 496 496 453 Combined anterior/posterior spinal fusion w MCC  
S 08 496 496 454 Combined anterior/posterior spinal fusion w CC  
S 08 496 496 455 Combined anterior/posterior spinal fusion w/o CC/MCC  
             
S 08 546 546 456 Spinal fusion except cervical w spinal curvature/ malignancy/ infection or 9+ fusion w MCC Addition of infections to PDx list & criteria of spinal fusion w/ non-OR procedure 81.64 will assign to MS-DRGs 456-458
S 08 546 546 457 Spinal fusion exc cervical w spinal curvature/ malignancy/ infection or 9+ fusion w CC Addition of infections to PDx list & criteria of spinal fusion w/ non-OR procedure 81.64 will assign to MS-DRGs 456-458
S 08 546 546 458 Spinal fusion exc cervical w spinal curvature/ malignancy/ infection or 9+ fusion w/o CC/MCC Addition of infections to PDx list & criteria of spinal fusion w/ non-OR procedure 81.64 will assign to MS-DRGs 456-458
             
S 08 497 497 459 Spinal fusion except cervical w MCC  
S 08 498 498 460 Spinal fusion except cervical w/o MCC  
             
             
S 08 471 471 461 Bilateral or multiple major joint proced of lower extremity w MCC  
S 08 471 471 462 Bilateral or multiple major joint proced of lower extremity w/o MCC  
             
             
S 08 217 217 463 Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w MCC  
S 08 217 217 464 Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w CC  
S 08 217 217 465 Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w/o CC/MCC  
             
S 08 545 545 466 Revision of hip or knee replacement w MCC  
S 08 545 545 467 Revision of hip or knee replacement w CC  
S 08 545 545 468 Revision of hip or knee replacement w/o CC/MCC  
             
S 08 544 544 469 Major joint replacement or reattachment of lower extremity w MCC  
S 08 544 544 470 Major joint replacement or reattachment of lower extremity w/o MCC  
             
             
S 08 519 519 471 Cervical spinal fusion w MCC  
S 08 520 520 472 Cervical spinal fusion w CC  
S 08 520 520 473 Cervical spinal fusion w/o CC/MCC  
             
S 08 213 213 474 Amputation for musculoskeletal sys & conn tissue dis w MCC  
S 08 213 213 475 Amputation for musculoskeletal sys & conn tissue dis w CC  
S 08 213 213 476 Amputation for musculoskeletal sys & conn tissue dis w/o CC/MCC  
             
S 08 216 216 477 Biopsies of musculoskeletal system & connective tissue w MCC  
S 08 216 216 478 Biopsies of musculoskeletal system & connective tissue w CC  
S 08 216 216 479 Biopsies of musculoskeletal system & connective tissue w/o CC/MCC  
             
S 08 210 210 480 Hip & femur procedures except major joint w MCC  
S 08 211 211 481 Hip & femur procedures except major joint w CC  
S 08 212 212 482 Hip & femur procedures except major joint w/o CC/MCC  
             
S 08 491 491 483 Major joint & limb reattachment proc of upper extremity w CC/MCC  
S 08 491 491 484 Major joint & limb reattachment proc of upper extremity w/o CC/MCC  
             
             
S 08 501 501 485 Knee procedures w PDx of infection w MCC Added procedure codes 0083 and 0084 to MS-DRGs 485-489
S 08 502 502 486 Knee procedures w PDx of infection w CC Added procedure codes 0083 and 0084 to MS-DRGs 485-489
S 08 502 502 487 Knee procedures w PDx of infection w/o CC/MCC Added procedure codes 0083 and 0084 to MS-DRGs 485-489
             
S 08 503 503 488 Knee procedures w/o PDx of infection w CC/MCC Added procedure codes 0083 and 0084 to MS-DRGs 485-489
S 08 503 503 489 Knee procedures w/o PDx of infection w/o CC/MCC Added procedure codes 0083 and 0084 to MS-DRGs 485-489
             
             
S 08 499 499 490 Back & neck procedures except spinal fusion w CC/MCC or disc device/neurostim Proc 8459, 8462, 8465, 8480, 8482, 8484 are assigned to MS-DRG 490 regardless of severity level; Combination 0393 w/ (8694 or 8695 or 8697 or 8698) assigned to MS-DRG 490 regardless of severity level
S 08 500 500 491 Back & neck proc except spinal fusion w/o CC/MCC  
             
             
S 08 218 218 492 Lower extremity & humerus proc except hip,foot,femur w MCC  
S 08 219 219 493 Lower extremity & humerus proc except hip,foot,femur w CC  
S 08 220 220 494 Lower extrem & humer proc except hip,foot,femur w/o CC/MCC  
             
S 08 537 537 495 Local excision & removal intern fixat devices exc hip & femur w MCC  
S 08 538 538 496 Local excision & removal int fixation devices exc hip & femur w CC  
S 08 538 538 497 Local excision & removal int fix devices exc hip & femur w/o CC/MCC  
             
S 08 230 230 498 Local excision & removal intern fix devices of hip & femur w CC/MCC  
S 08 231 231 499 Local excision & removal int fix devices of hip & femur w/o CC/MCC  
             
             
S 08 226 226 500 Soft tissue procedures w MCC  
S 08 227 227 501 Soft tissue procedures w CC  
S 08 227 227 502 Soft tissue procedures w/o CC/MCC  
             
S 08 225 225 503 Foot procedures w MCC  
S 08 225 225 504 Foot procedures w CC  
S 08 225 225 505 Foot procedures w/o CC/MCC  
             
S 08 228 228 506 Major thumb or joint procedures  
S 08 223 223 507 Major shoulder or elbow joint procedures w CC/MCC  
S 08 223 223 508 Major shoulder or elbow joint procedures w/o CC/MCC  
             
S 08 232 232 509 Arthroscopy  
             
             
             
S 08 224 224 510 Shoulder,elbow or forearm proc,exc major joint proc w MCC  
S 08 224 224 511 Shoulder,elbow or forearm proc,exc major joint proc w CC  
S 08 224 224 512 Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC  
             
S 08 229 229 513 Hand or wrist proc, except major thumb or joint proc w CC/MCC  
S 08 229 229 514 Hand or wrist proc, except major thumb or joint proc w/o CC/MCC  
             
             
S 08 233 233 515 Other musculoskeletal sys & connective tiss O.R. proc w MCC  
S 08 234 234 516 Other musculoskeletal sys & connective tissue O.R. proc w CC  
S 08 234 234 517 Other musculoskeletal sys & connective tiss O.R. proc w/o CC/MCC  
             
M 08 235 235 533 Fractures of femur w MCC  
M 08 235 235 534 Fractures of femur w/o MCC  
             
             
M 08 236 236 535 Fractures of hip & pelvis w MCC  
M 08 236 236 536 Fractures of hip & pelvis w/o MCC  
             
             
M 08 237 237 537 Sprains, strains, & dislocations of hip, pelvis & thigh w CC/MCC  
M 08 237 237 538 Sprains, strains, & dislocations of hip, pelvis & thigh w/o CC/MCC  
             
             
M 08 238 238 539 Osteomyelitis w MCC  
M 08 238 238 540 Osteomyelitis w CC  
M 08 238 238 541 Osteomyelitis w/o CC/MCC  
             
M 08 239 239 542 Pathological fractures & musculoskelet & conn tiss malign w MCC  
M 08 239 239 543 Pathological fractures & musculoskelet & conn tiss malign w CC  
M 08 239 239 544 Pathological fractures & musculoskeletal & connective tissue malign w/o CC/MCC  
             
M 08 240 240 545 Connective tissue disorders w MCC  
M 08 241 241 546 Connective tissue disorders w CC  
M 08 241 241 547 Connective tissue disorders w/o CC/MCC  
             
M 08 242 242 548 Septic arthritis w MCC  
M 08 242 242 549 Septic arthritis w CC  
M 08 242 242 550 Septic arthritis w/o CC/MCC  
             
M 08 243 243 551 Medical back problems w MCC  
M 08 243 243 552 Medical back problems w/o MCC  
             
             
M 08 244 244 553 Bone diseases & arthropathies w MCC  
M 08 245 245 554 Bone diseases & arthropathies w/o MCC  
M 08 246 246 554 Bone diseases & arthropathies w/o MCC  
             
M 08 247 247 555 Signs & symptoms of musculoskeletal system & conn tissue w MCC  
M 08 247 247 556 Signs & symptoms of musculoskeletal system & connective tissue w/o MCC  
             
             
M 08 248 248 557 Tendonitis, myositis & bursitis w MCC  
M 08 248 248 558 Tendonitis, myositis & bursitis w/o MCC  
             
             
M 08 249 249 559 Aftercare, musculoskeletal system & connective tissue w MCC  
M 08 249 249 560 Aftercare, musculoskeletal system & connective tissue w CC  
M 08 249 249 561 Aftercare, musculoskeletal system & connective tissue w/o CC/MCC  
             
M 08 250 250 562 Fx, sprn, strn & disloc except femur, hip, pelvis & thigh w MCC  
M 08 251 251 563 Fx, sprn, strn & disloc except femur, hip, pelvis & thigh w/o MCC  
M 08 252 252 563 Fx, sprn, strn & disloc except femur, hip, pelvis & thigh w/o MCC  
             
M 08 253 253 563 Fx, sprn, strn & disloc except femur, hip, pelvis & thigh w/o MCC  
M 08 254 254 563 Fx, sprn, strn & disloc except femur, hip, pelvis & thigh w/o MCC  
M 08 255 255 563 Fx, sprn, strn & disloc except femur, hip, pelvis & thigh w/o MCC  
             
M 08 256 256 564 Other musculoskeletal sys & connective tissue diagnoses w MCC  
M 08 256 256 565 Other musculoskeletal sys & connective tissue diagnoses w CC  
M 08 256 256 566 Other musculoskeletal sys & conn tissue diagnoses w/o CC/MCC  
             
S 09 263 263 573 Skin graft &/or debrid for skn ulcer or cellulitis w MCC  
S 09 264 264 574 Skin graft &/or debrid for skn ulcer or cellulitis w CC  
S 09 264 264 575 Skin graft &/or debrid for skn ulcer or cellulitis w/o CC/MCC  
             
S 09 265 265 576 Skin graft &/or debrid exc for skin ulcer or cellulitis w MCC  
S 09 266 266 577 Skin graft &/or debrid exc for skin ulcer or cellulitis w CC  
S 09 266 266 578 Skin graft &/or debrid exc for skin ulcer or cellulitis w/o CC/MCC  
             
S 09 267 267 579 Other skin, subcutaneous tissue & breast proc w MCC  
S 09 268 268 580 Other skin, subcutaneous tissue & breast proc w CC  
             
             
S 09 269 269 581 Other skin, subcutaneous tissue & breast proc w/o CC/MCC  
S 09 270 270 581 Other skin, subcutaneous tissue & breast proc w/o CC/MCC  
             
             
S 09 257 257 582 Mastectomy for malignancy w CC/MCC  
S 09 258 258 583 Mastectomy for malignancy w/o CC/MCC  
             
             
S 09 259 259 584 Breast biopsy, local excision & other breast procedures w CC/MCC  
S 09 260 260 585 Breast biopsy, local excision & other breast procedures w/o CC/MCC  
S 09 261 261 585 Breast biopsy, local excision & other breast procedures w/o CC/MCC  
             
S 09 262 262 585 Breast biopsy, local excision & other breast procedures w/o CC/MCC  
M 09 271 271 592 Skin ulcers w MCC  
M 09 271 271 593 Skin ulcers w CC  
             
M 09 271 271 594 Skin ulcers w/o CC/MCC  
M 09 272 272 595 Major skin disorders w MCC  
M 09 273 273 596 Major skin disorders w/o MCC  
             
M 09 274 274 597 Malignant breast disorders w MCC  
M 09 275 275 598 Malignant breast disorders w CC  
M 09 275 275 599 Malignant breast disorders w/o CC/MCC  
             
M 09 276 276 600 Non-malignant breast disorders w CC/MCC  
M 09 276 276 601 Non-malignant breast disorders w/o CC/MCC  
         
             
M 09 277 277 602 Cellulitis w MCC  
M 09 278 278 603 Cellulitis w/o MCC  
M 09 279 279 603 Cellulitis w/o MCC  
             
M 09 280 280 604 Trauma to the skin, subcutaneous tissue & breast w MCC  
M 09 281 281 605 Trauma to the skin, subcutaneous tissue & breast w/o MCC  
M 09 282 282 605 Trauma to the skin, subcutaneous tissue & breast w/o MCC  
             
M 09 283 283 606 Minor skin disorders w MCC  
M 09 284 284 607 Minor skin disorders w/o MCC  
             
             
S 10 286 286 614 Adrenal & pituitary procedures w CC/MCC  
S 10 286 286 615 Adrenal & pituitary procedures w/o CC/MCC  
             
             
S 10 285 285 616 Amputat of lower limb for endocrine,nutrit,& metabol dis w MCC  
S 10 285 285 617 Amputat of lower limb for endocrine,nutrit,& metabol dis w CC  
S 10 285 285 618 Amputation of lower limb for endocrine, nutritional,& metabolic disease w/o CC/MCC  
             
S 10 288 288 619 O.R. for obesity w MCC  
S 10 288 288 620 O.R. for obesity w CC  
S 10 288 288 621 O.R. for obesity w/o CC/MCC  
             
S 10 287 287 622 Skin grafts & wound debrid for endoc, nutrit & metab dis w MCC  
S 10 287 287 623 Skin grafts & wound debrid for endoc, nutrit & metab dis w CC  
S 10 287 287 624 Skin grafts & wound debrid for endoc, nutrit & metab dis w/o CC/MCC  
             
S 10 289 289 625 Thyroid, parathyroid & thyroglossal procedures w MCC  
S 10 290 290 626 Thyroid, parathyroid & thyroglossal procedures w CC  
S 10 291 291 627 Thyroid, parathyroid & thyroglossal procedures w/o CC/MCC  
             
S 10 292 292 628 Other endocrine, nutrit & metab O.R. proc w MCC  
S 10 293 293 629 Other endocrine, nutrit & metab O.R. proc w CC  
S 10 293 293 630 Other endocrine, nutrit & metab O.R. proc w/o CC/MCC  
             
M 10 294 294 637 Diabetes w MCC  
M 10 295 295 638 Diabetes w CC  
M 10 295 295 639 Diabetes w/o CC/MCC  
             
M 10 296 296 640 Nutritional & misc metabolic disorders w MCC  
M 10 297 297 641 Nutritional & misc metabolic disorders w/o MCC  
M 10 298 298 641 Nutritional & misc metabolic disorders w/o MCC  
             
M 10 299 299 642 Inborn errors of metabolism  
M 10 300 300 643 Endocrine disorders w MCC  
             
             
M 10 301 301 644 Endocrine disorders w CC  
M 10 301 301 645 Endocrine disorders w/o CC/MCC  
             
             
S 11 302 302 652 Kidney transplant  
             
             
             
S 11 303 573 653 Major bladder procedures w MCC  
S 11 304 573 654 Major bladder procedures w CC  
S 11 305 573 655 Major bladder procedures w/o CC/MCC  
             
S 11 303 303 656 Kidney & ureter procedures for neoplasm w MCC  
S 11 303 303 657 Kidney & ureter procedures for neoplasm w CC  
S 11 303 303 658 Kidney & ureter procedures for neoplasm w/o CC/MCC  
             
S 11 304 304 659 Kidney & ureter procedures for non-neoplasm w MCC  
S 11 305 305 660 Kidney & ureter procedures for non-neoplasm w CC  
S 11 305 305 661 Kidney & ureter procedures for non-neoplasm w/o CC/MCC  
             
S 11 308 308 662 Minor bladder procedures w MCC  
S 11 309 309 663 Minor bladder procedures w CC  
S 11 309 309 664 Minor bladder procedures w/o CC/MCC  
             
S 11 306 306 665 Prostatectomy w MCC  
S 11 307 307 666 Prostatectomy w CC  
S 11 307 307 667 Prostatectomy w/o CC/MCC  
             
S 11 310 310 668 Transurethral procedures w MCC  
S 11 311 311 669 Transurethral procedures w CC  
S 11 311 311 670 Transurethral procedures w/o CC/MCC  
             
S 11 312 312 671 Urethral procedures w CC/MCC  
S 11 313 313 672 Urethral procedures w/o CC/MCC  
S 11 314 314 672 Urethral procedures w/o CC/MCC  
             
S 11 315 315 673 Other kidney & urinary tract procedures w MCC  
S 11 315 315 674 Other kidney & urinary tract procedures w CC  
S 11 315 315 675 Other kidney & urinary tract procedures w/o CC/MCC  
             
M 11 316 316 682 Renal failure w MCC  
M 11 316 316 683 Renal failure w CC  
M 11 316 316 684 Renal failure w/o CC/MCC  
M 11 317 317 685 Admit for renal dialysis  
             
M 11 318 318 686 Kidney & urinary tract neoplasms w MCC  
M 11 319 319 687 Kidney & urinary tract neoplasms w CC  
M 11 319 319 688 Kidney & urinary tract neoplasms w/o CC/MCC  
             
M 11 320 320 689 Kidney & urinary tract infections w MCC  
M 11 321 321 690 Kidney & urinary tract infections w/o MCC  
M 11 322 322 690 Kidney & urinary tract infections w/o MCC  
             
M 11 323 323 691 Urinary stones w esw lithotripsy w CC/MCC  
M 11 323 323 692 Urinary stones w esw lithotripsy w/o CC/MCC  
             
             
M 11 324 324 693 Urinary stones w/o esw lithotripsy w MCC  
M 11 324 324 694 Urinary stones w/o esw lithotripsy w/o MCC  
             
             
M 11 325 325 695 Kidney & urinary tract signs & symptoms w MCC  
M 11 326 326 696 Kidney & urinary tract signs & symptoms w/o MCC  
M 11 327 327 696 Kidney & urinary tract signs & symptoms w/o MCC  
             
M 11 328 328 697 Urethral stricture  
M 11 329 329 697 Urethral stricture  
M 11 330 330 697 Urethral stricture  
             
M 11 331 331 698 Other kidney & urinary tract diagnoses w MCC  
M 11 332 332 699 Other kidney & urinary tract diagnoses w CC  
M 11 333 333 700 Other kidney & urinary tract diagnoses w/o CC/MCC  
             
S 12 334 334 707 Major male pelvic procedures w CC/MCC  
S 12 335 335 708 Major male pelvic procedures w/o CC/MCC  
             
             
S 12 341 341 709 Penis procedures w CC/MCC  
S 12 341 341 710 Penis procedures w/o CC/MCC  
             
             
S 12 338 338 711 Testes procedures w CC/MCC  
S 12 339 339 712 Testes procedures w/o CC/MCC  
S 12 340 340 712 Testes procedures w/o CC/MCC  
             
S 12 336 336 713 Transurethral prostatectomy w CC/MCC  
S 12 337 337 714 Transurethral prostatectomy w/o CC/MCC  
             
             
S 12 344 344 715 Other male reproductive system O.R. for malignancy w CC/MCC  
S 12 344 344 716 Other male reproductive system O.R. for malignancy w/o CC/MCC  
             
             
S 12 345 345 717 Other male reproductive system O.R. except malignancy w CC/MCC  
S 12 345 345 718 Other male reproductive system O.R. except malignancy w/o CC/MCC  
             
             
S 12 342 342 none Circumcision CMS v24 DRG 342/343 deleted. Procedure 640, Circumcision, changed to Non-OR
S 12 343 343 none Circumcision CMS v24 DRG 342/343 deleted. Procedure 640, Circumcision, changed to Non-OR
             
             
M 12 346 346 722 Malignancy, male reproductive system w MCC  
M 12 347 347 723 Malignancy, male reproductive system w CC  
M 12 347 347 724 Malignancy, male reproductive system w/o CC/MCC  
             
M 12 348 348 725 Benign prostatic hypertrophy w MCC  
M 12 349 349 726 Benign prostatic hypertrophy w/o MCC  
             
             
M 12 350 350 727 Inflammation of the male reproductive system w MCC  
M 12 350 350 728 Inflammation of the male reproductive system w/o MCC  
             
             
M 12 351 351 729 Other male reproductive system diagnoses w CC/MCC  
M 12 352 352 730 Other male reproductive system diagnoses w/o CC/MCC  
             
             
S 13 353 353 734 Pelvic evisceration, rad hysterectomy & rad vulvectomy w CC/MCC  
S 13 353 353 735 Pelvic evisceration, radical hysterectomy & radical vulvectomy w/o CC/MCC  
             
             
S 13 357 357 736 Uterine & adnexa proc for ovarian or adnexal malignancy w MCC  
S 13 357 357 737 Uterine & adnexa proc for ovarian or adnexal malignancy w CC  
S 13 357 357 738 Uterine & adnexa procedure for ovarian or adnexal malignancy w/o CC/MCC  
             
S 13 354 354 739 Uterine,adnexa proc for non-ovarian/adnexal malign w MCC  
S 13 355 355 740 Uterine,adnexa proc for non-ovarian/adnexal malign w CC  
S 13 355 355 741 Uterine,adnexa proc for non-ovarian/adnexal malign w/o CC/MCC  
             
S 13 358 358 742 Uterine & adnexa proc for non-malignancy w CC/MCC  
S 13 359 359 743 Uterine & adnexa proc for non-malignancy w/o CC/MCC  
             
             
S 13 361 361 744 D&C, conization, laparoscopy & tubal interruption w CC/MCC  
S 13 362 362 745 D&C, conization, laparoscopy & tubal interruption w/o CC/MCC  
             
             
S 13 363 363 745 D&C, conization, laparoscopy & tubal interruption w/o CC/MCC  
S 13 364 364 745 D&C, conization, laparoscopy & tubal interruption w/o CC/MCC  
             
             
S 13 360 360 746 Vagina, cervix & vulva procedures w CC/MCC  
S 13 360 360 747 Vagina, cervix & vulva procedures w/o CC/MCC  
S 13 360 360 747 Vagina, cervix & vulva procedures w/o CC/MCC  
             
S 13 356 356 748 Female reproductive system reconstructive procedures  
S 13 365 365 749 Other female reproductive system O.R. w CC/MCC  
S 13 365 365 750 Other female reproductive system O.R. w/o CC/MCC  
             
M 13 366 366 754 Malignancy, female reproductive system w MCC  
M 13 367 367 755 Malignancy, female reproductive system w CC  
M 13 367 367 756 Malignancy, female reproductive system w/o CC/MCC  
             
M 13 368 368 757 Infections, female reproductive system w MCC  
M 13 368 368 758 Infections, female reproductive system w CC  
M 13 368 368 759 Infections, female reproductive system w/o CC/MCC  
             
M 13 369 369 760 Menstrual & other female reproductive system disorders w CC/MCC  
M 13 369 369 761 Menstrual & other female reproduc system disorders w/o CC/MCC  
             
             
S 14 370 370 765 Cesarean section w CC/MCC  
S 14 371 371 766 Cesarean section w/o CC/MCC  
             
             
S 14 374 374 767 Vaginal delivery w sterilization &/or D&C  
S 14 375 375 768 Vaginal delivery w O.R. proc except sterilization &/or D&C  
             
             
S 14 377 377 769 Postpartum & post abortion diagnoses w O.R. procedure  
S 14 381 381 770 Abortion w D&C, aspiration curettage or hysterotomy  
             
             
M 14 372 372 774 Vaginal delivery w complicating diagnoses  
M 14 373 373 775 Vaginal delivery w/o complicating diagnoses  
             
             
M 14 376 376 776 Postpartum & post abortion diagnoses w/o O.R. procedure  
             
             
             
M 14 378 378 777 Ectopic pregnancy  
M 14 379 379 778 Threatened abortion  
M 14 380 380 779 Abortion w/o D&C  
             
M 14 382 382 780 False labor  
M 14 383 383 781 Other antepartum diagnoses w medical complications  
M 14 384 384 782 Other antepartum diagnoses w/o medical complications  
             
M 15 385 385 789 Neonates, died or transferred to another acute care facility Mn DHS Comment: Refer to DHS V.23 MnDC to DRG Crosswalk for further breakdown of Neonate DRGs & Neonate transfers to a different hospital NICU
M 15 386 386 790 Extreme immaturity or respiratory distress syndrome, neonate Mn DHS Comment: Refer to DHS V.23 MnDC to DRG Crosswalk for further breakdown of Neonate DRGs & Neonate transfers to a different hospital NICU
M 15 387 387 791 Prematurity w major problems Mn DHS Comment: Refer to DHS V.23 MnDC to DRG Crosswalk for further breakdown of Neonate DRGs & Neonate transfers to a different hospital NICU
M 15 388 388 792 Prematurity w/o major problems Mn DHS Comment: Refer to DHS V.23 MnDC to DRG Crosswalk for further breakdown of Neonate DRGs & Neonate transfers to a different hospital NICU
M 15 389 389 793 Full term neonate w major problems Mn DHS Comment: Refer to DHS V.23 MnDC to DRG Crosswalk for further breakdown of Neonate DRGs & Neonate transfers to a different hospital NICU
M 15 390 390 794 Neonate w other significant problems Mn DHS Comment: Refer to DHS V.23 MnDC to DRG Crosswalk for further breakdown of Neonate DRGs & Neonate transfers to a different hospital NICU
M 15 391 391 795 Normal newborn Mn DHS Comment: Refer to DHS V.23 MnDC to DRG Crosswalk for further breakdown of Neonate DRGs & Neonate transfers to a different hospital NICU
             
S 16 392 392 799 Splenectomy w MCC  
S 16 393 393 800 Splenectomy w CC  
S 16 393 393 801 Splenectomy w/o CC/MCC  
             
S 16 394 394 802 Other O.R. proc of the blood & blood forming organs w MCC  
S 16 394 394 803 Other O.R. proc of the blood & blood forming organs w CC  
S 16 394 394 804 Other O.R. proc of the blood & blood forming organs w/o CC/MCC  
             
M 16 395, 396, 398, 399 574 808 Major hematological/ immunity diag exc sickle cell crisis & coagulopathy w MCC  
M 16 395, 396, 398, 399 574 809 Major hematological/ immunity diag exc sickle cell crisis & coagulopathy w CC  
M 16 395, 396, 398, 399 574 810 Major hematological & immunity diagnosis except sickle cell crisis & coagulation disorders w/o CC/MCC  
             
M 16 395 395 811 Red blood cell disorders w MCC  
M 16 396 396 812 Red blood cell disorders w/o MCC  
M 16 397 397 813 Coagulation disorders  
             
M 16 398 398 814 Reticuloendothelial & immunity disorders w MCC  
M 16 399 399 815 Reticuloendothelial & immunity disorders w CC  
M 16 399 399 816 Reticuloendothelial & immunity disorders w/o CC/MCC  
             
S 17 539 539 820 Lymphoma & leukemia w major O.R. procedure w MCC  
S 17 540 540 821 Lymphoma & leukemia w major O.R. procedure w CC  
S 17 540 540 822 Lymphoma & leukemia w major O.R. procedure w/o CC/MCC  
             
S 17 401 401 823 Lymphoma & non-acute leukemia w other O.R. proc w MCC  
S 17 402 402 824 Lymphoma & non-acute leukemia w other O.R. proc w CC  
S 17 402 402 825 Lymphoma & non-acute leukemia w other O.R. proc w/o CC/MCC  
             
S 17 406 406 826 Myeloproliferative disorder or poorly differentiated neoplasm w major O.R. procedure w MCC  
S 17 407 407 827 Myeloprolif disord or poorly diff neoplasm w maj O.R. proc w CC  
S 17 407 407 828 Myeloprolif disord or poorly diff neopl w maj O.R. proc w/o CC/MCC  
             
S 17 408 408 829 Myeloprolif disord or poorly diff neopl w other O.R. proc w CC/MCC  
S 17 408 408 830 Myeloproliferative disorder or poorly differentiated neoplasm w/ other O.R. procedure w/o CC/MCC  
             
             
M 17 405 405 834 Acute leukemia w/o major O.R. procedure w MCC  
M 17 473 473 835 Acute leukemia w/o major O.R. procedure w CC  
M 17 473 473 836 Acute leukemia w/o major O.R. procedure w/o CC/MCC  
             
M 17 492 492 837 Chemotherapy w/ acute leukemia as a secondary Dx or w/ high dose chemotherapeutic agent w/ MCC  
M 17 492 492 838 Chemo w acute leukemia as 2' Dx w CC or high dose chemo agent Non-OR proc 00.15 will be minimally assigned 838 w/ or w/o CC codes
M 17 492 492 839 Chemo w acute leukemia as 2' Dx w/o CC/MCC  
             
M 17 403 403 840 Lymphoma & non-acute leukemia w MCC  
M 17 404 404 841 Lymphoma & non-acute leukemia w CC  
M 17 404 404 842 Lymphoma & non-acute leukemia w/o CC/MCC  
             
M 17 411 411 843 Oth myeloproliferative disease or poorly differen neopl Dx w MCC  
M 17 412 412 844 Oth myeloproliferative disease or poorly differentiated neopl Dx w CC  
             
             
M 17 413 413 845 Oth myeloproliferative disease or poorly diff neopl Dx w/o CC/MCC  
M 17 414 414 845 Oth myeloproliferative disease or poorly diff neopl Dx w/o CC/MCC  
             
             
M 17 410 410 846 Chemotherapy w/o acute leukemia as secondary diagnosis w MCC  
M 17 410 410 847 Chemotherapy w/o acute leukemia as 2' diagnosis w CC  
M 17 410 410 848 Chemotherapy w/o acute leukemia as 2' diagnosis w/o CC/MCC  
             
M 17 409 409 849 Radiotherapy  
             
             
             
S 18 415 578 853 Infectious & parasitic diseases w O.R. procedure w MCC  
S 18 415 578 854 Infectious & parasitic diseases w O.R. procedure w CC  
S 18 415 578 855 Infectious & parasitic diseases w O.R. procedure w/o CC/MCC  
             
S 18 415 579 856 Postoperative or post-traumatic infections w O.R. proc w MCC  
S 18 415 579 857 Postoperative or post-traumatic infections w O.R. proc w CC  
S 18 415 579 858 Postoperative or post-traumatic infections w O.R. proc w/o CC/MCC  
             
M 18 418 418 862 Postoperative & post-traumatic infections w MCC  
M 18 418 418 863 Postoperative & post-traumatic infections w/o MCC  
             
             
M 18 419 419 864 Fever of unknown origin *CMS V24 422 PDx split between MS-DRGs 864, 865, 866
M 18 420 420 864 Fever of unknown origin *CMS V24 422 PDx split between MS-DRGs 864, 865, 866
             
             
M 18 421 421 865 Viral illness w MCC *CMS V24 422 PDx split between MS-DRGs 864, 865, 866
M 18 422 422 866 Viral illness w/o MCC *CMS V24 422 PDx split between MS-DRGs 864, 865, 866
             
             
M 18 423 423 867 Other infectious & parasitic diseases diagnoses w MCC  
M 18 423 423 868 Other infectious & parasitic diseases diagnoses w CC  
M 18 423 423 869 Other infectious & parasitic diseases diagnoses w/o CC/MCC  
             
M 18 417 417 870 Septicemia w/ CMV 96+ hours  
M 18 416 575 870 Septicemia w/ CMV 96+ hours  
             
M 18 416 576 871 Septicemia w/o MV 96+ hours w MCC  
M 18 416 576 872 Septicemia w/o MV 96+ hours w/o MCC  
             
S 19 424 424 876 O.R. procedure w principal diagnoses of mental illness  
M 19 425 425 880 Acute adjustment reaction & psychosocial dysfunction  
M 19 426 426 881 Depressive neuroses  
             
M 19 427 427 882 Neuroses except depressive  
M 19 428 428 883 Disorders of personality & impulse control  
M 19 429 429 884 Organic disturbances & mental retardation  
             
M 19 430 430 885 Psychoses  
M 19 431 431 886 Behavioral & developmental disorders  
M 19 432 432 887 Other mental disorder diagnoses  
             
M 20 433 433 894 Alcohol/drug abuse or dependence, left AMA  
M 20 521 521 895 Alcohol/drug abuse or dependence w rehabilitation therapy  
M 20 522 522 895 Alcohol/drug abuse or dependence w rehabilitation therapy  
             
M 20 523 523 896 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/ MCC  
M 20 523 523 897 Alcohol/drug abuse or dependence w/o rehabilitation w/o MCC  
             
             
S 21 440 440 901 Wound debridements for injuries w MCC  
S 21 440 440 902 Wound debridements for injuries w CC  
S 21 440 440 903 Wound debridements for injuries w/o CC/MCC  
             
S 21 439 439 904 Skin grafts for injuries w CC/MCC  
S 21 439 439 905 Skin grafts for injuries w/o CC/MCC  
S 21 441 441 906 Hand procedures for injuries  
             
S 21 442 442 907 Other O.R. for injuries w MCC  
S 21 443 443 908 Other O.R. for injuries w CC  
S 21 443 443 909 Other O.R. for injuries w/o CC/MCC  
             
M 21 444 444 913 Traumatic injury w MCC  
M 21 445 445 914 Traumatic injury w/o MCC  
M 21 446 446 914 Traumatic injury w/o MCC  
             
M 21 447 447 915 Allergic reactions w MCC  
M 21 448 448 916 Allergic reactions w/o MCC  
             
M 21 449 449 917 Poisoning & toxic effects of drugs w MCC  
M 21 450 450 918 Poisoning & toxic effects of drugs w/o MCC  
M 21 451 451 918 Poisoning & toxic effects of drugs w/o MCC  
             
M 21 452 452 919 Complications of treatment w MCC  
M 21 453 453 920 Complications of treatment w CC  
M 21 453 453 921 Complications of treatment w/o CC/MCC  
             
M 21 454 454 922 Other injury, poisoning & toxic effect diag w MCC  
M 21 455 455 923 Other injury, poisoning & toxic effect diag w/o MCC  
             
             
S 22 504 504 927 Extensive burns or full thickness burns w MV 96+ hrs w skin graft  
S 22 506 506 928 Full thickness burn w skin graft or inhalation injury w CC/MCC  
S 22 507 507 929 Full thickness burn w skin graft or inhalation injury w/o CC/MCC  
             
M 22 505 505 933 Extensive burns or full thickness burns w MV 96+ hrs w/o skin graft  
M 22 508 508 934 Full thickness burn w/o skin graft or inhalation injury  
M 22 509 509 934 Full thickness burn w/o skin graft or inhalation injury  
             
M 22 510 510 935 Non-extensive burns  
M 22 511 511 935 Non-extensive burns  
             
             
S 23 461 461 939 O.R. procedure w Dx of other contact w health services w MCC  
S 23 461 461 940 O.R. procedure w Dx of other contact w health services w CC  
S 23 461 461 941 O.R. procedure w Dx of other contact w health services w/o CC/MCC  
             
M 23 462 462 945 Rehabilitation w CC/MCC  
M 23 462 462 946 Rehabilitation w/o CC/MCC  
M 23 463 463 947 Signs & symptoms w MCC  
             
M 23 464 464 948 Signs & symptoms w/o MCC  
M 23 465 465 949 Aftercare w CC/MCC  
M 23 466 466 950 Aftercare w/o CC/MCC  
             
M 23 467 467 951 Other factors influencing health status  
             
             
             
S 24 484 484 955 Craniotomy for multiple significant trauma  
S 24 485 485 956 Limb reattachment, hip & femur proc for multiple significant trauma  
             
             
S 24 486 486 957 Other O.R. for multiple significant trauma w MCC  
S 24 486 486 958 Other O.R. for multiple significant trauma w CC  
S 24 486 486 959 Other O.R. for multiple significant trauma w/o CC/MCC  
             
M 24 487 487 963 Other multiple significant trauma w MCC  
M 24 487 487 964 Other multiple significant trauma w CC  
M 24 487 487 965 Other multiple significant trauma w/o CC/MCC  
             
S 25 488 488 969 HIV w extensive O.R. procedure w MCC  
S 25 488 488 970 HIV w extensive O.R. procedure w/o MCC  
M 25 489 489 974 HIV w major related condition w MCC  
             
M 25 489 489 975 HIV w major related condition w CC  
M 25 489 489 976 HIV w major related condition w/o CC/MCC  
M 25 490 490 977 HIV w or w/o other related condition  
             
S   468 468 981 Extensive O.R. procedure unrelated to PDx w MCC  
S   468 468 982 Extensive O.R. procedure unrelated to PDx w CC  
S   468 468 983 Extensive O.R. procedure unrelated to PDx w/o CC/MCC  
             
S   476 476 984 Prostatic O.R. procedure unrelated to PDx w MCC  
S   476 476 985 Prostatic O.R. procedure unrelated to PDx w CC  
S   476 476 986 Prostatic O.R. procedure unrelated to PDx w/o CC/MCC  
             
S   477 477 987 Non-extensive O.R. procedure unrelated to PDx w MCC  
S   477 477 988 Non-extensive O.R. procedure unrelated to PDx w CC  
S   477 477 989 Non-extensive O.R. procedure unrelated to PDx w/o CC/MCC  
             
*   469 469 998 Principal diagnosis invalid as discharge diagnosis  
*   470 470 999 Ungroupable  
             
             
             

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